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August 2021 - January 1925

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Issue

July 2015, Vol 141, No. 7, Pages 589-670

In This Issue of JAMA Otolaryngology

Highlights

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(7):589. doi:10.1001/jamaoto.2014.2162
Viewpoint

Use of a Secondary Essay in the Residency Application Process

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(7):591-592. doi:10.1001/jamaoto.2015.0677
Original Investigation

Treatment Factors Associated With Survival in Early-Stage Oral Cavity Cancer: Analysis of 6830 Cases From the National Cancer Data Base

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2015;141(7):593-598. doi:10.1001/jamaoto.2015.0719

This retrospective study of cases in the National Cancer Data Base analyzes associations between treatment variables and survival in stage I and II oral cavity squamous cell carcinoma.

Long-term Results of Observation vs Prophylactic Selective Level VI Neck Dissection for Papillary Thyroid Carcinoma at a Cancer Center

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2015;141(7):599-606. doi:10.1001/jamaoto.2015.0786

This retrospective cohort study of elective central neck dissection in a group of selected patients with papillary thyroid cancer reports that the procedure increases the risk for complications and does not increase local recurrence rates.

The Safety and Efficacy of PF-04958242 in Age-Related Sensorineural Hearing Loss: A Randomized Clinical Trial

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2015;141(7):607-613. doi:10.1001/jamaoto.2015.0791

This randomized clinical trial of treatment with PF-04958242 for age-related sensorineural hearing loss showed no significant change from baseline compared with placebo in pure-tone average, speech discrimination score, and speech in noise testing.

Pediatric Tympanostomy Tube Removal Technique and Effect on Rate of Persistent Tympanic Membrane Perforation

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2015;141(7):614-619. doi:10.1001/jamaoto.2015.0899

This case series compares 4 techniques for tympanostomy tube removal in children and finds no difference among them in persistent tympanic membrane perforation rate.

Laryngeal Reinnervation Using a Split-Hypoglossal Nerve Graft in a Canine Model

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2015;141(7):620-627. doi:10.1001/jamaoto.2015.0929

This pilot animal study determines the feasibility of a full-hypoglossal nerve graft and split-hypoglossal nerve graft to the recurrent laryngeal nerve after recurrent laryngeal nerve section to rehabilitate laryngeal function in a canine model.

Determinants of Medicare Costs for Elderly Patients With Oral Cavity and Pharyngeal Cancers

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2015;141(7):628-635. doi:10.1001/jamaoto.2015.0940

This retrospective cohort study found oral and pharyngeal cancer to be burdensome to elderly patients from a Medicare cost perspective.

Primary Surgery vs Chemoradiation Treatment of Advanced-Stage Hypopharyngeal Squamous Cell Carcinoma

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2015;141(7):636-640. doi:10.1001/jamaoto.2015.0659

In this single-institution survival analysis of advanced hypopharyngeal SCC, the authors found that primary surgery followed by radiotherapy or chemoradiotherapy (CRT) showed better survival rates than CRT alone, although the difference was not significant.

Hearing Impairment Prevalence and Associated Risk Factors in the Hispanic Community Health Study/Study of Latinos

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2015;141(7):641-648. doi:10.1001/jamaoto.2015.0889

This cross-sectional cohort study investigated the prevalence of hearing impairment among US Hispanic/Latino adults of diverse backgrounds and determined associations with potential risk factors.

Case Report/Case Series

Considering the Ectopic Pituitary Gland in Evaluation of the Nasopharyngeal Mass

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2015;141(7):649-653. doi:10.1001/jamaoto.2015.0706

This case report describes an asymptomatic nasopharyngeal lesion in a 13-month-old girl that may be extracranial anterior pituitary tissue and emphasizes the need to consider ectopic pituitary tissue in the diagnosis of nasopharyngeal lesions in children.

Review

Surgical Interventions for Pediatric Unilateral Vocal Cord Paralysis: A Systematic Review

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(7):654-660. doi:10.1001/jamaoto.2015.0680

This systematic review found that reinnervation may be the most effective surgical intervention for children with dysphonia.

Clinical Challenge

Pathology

A Dark Pigmented Spot in the Nasopharynx

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(7):661-662. doi:10.1001/jamaoto.2015.0670

A man in his 60s with a history of hyperlipidemia, gout, and sleep apnea was seen an incidental finding of a left torus tubarius, blackish, mucosal lesion. He had no nasal obstruction, nasal bleeding, or feeling of aural fullness. Fibroscopic evaluation revealed a black nevus–like lesion over the left torus tubarius, without surface necrosis or signs of bleeding. Microscopy revealed small mixed serous and mucinous glands, normal respiratory epithelia with marked oncocytic cell changes, and abundant eosinophilic granular cytoplasm arranged in a tubular and microcystic pattern. What is the diagnosis?

Pathology

Postradiation Tumor in the Floor of Mouth

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(7):663-664. doi:10.1001/jamaoto.2015.0882

A woman in her 50s presented with foreign body sensation in her throat, mild odynophagia, and dyspnea. She had a history of adenoid cystic carcinoma of the right submandibular gland and had undergone wide tumor excision and postoperative radiation therapy. What is the diagnosis?

Radiology

A Woman With Trismus

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(7):665-666. doi:10.1001/jamaoto.2015.0722

A woman in her 50s developed severe trismus several months after treatment of a dental abscess. Approximately 10 years after onset of symptoms, she was seen by an oral surgeon who attempted mandibular release via a cervical incision, but the operation was unsuccessful. There was no other significant medical or surgical history. On physical examination, severe trismus was present with maximal interdental distance of 1 mm. What is the diagnosis?

Radiology

Laryngeal Swelling

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(7):667-668. doi:10.1001/jamaoto.2015.0892

A woman with a history of goiter, hypertension, asthma, obstructive sleep apnea, and skin lesions presented with sore throat, fever, chills, cough, globus sensation, dysphagia, and a change in voice. Laryngoscopy demonstrated diffuse swelling of the supraglottic structures. What is the diagnosis?

Endoscopy

Massive Sinonasal Polyposis

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(7):669-670. doi:10.1001/jamaoto.2015.0798

A man in his 30s presented with a worsening sinus infection, nasal drainage, severe headaches, and long-standing visual loss. CT imaging revealed extensive nasal polyposis, bony remodeling consistent with long-standing inflammation, and massive erosion of the bilateral skull base and orbits. What is the diagnosis?

JAMA Otolaryngology–Head & Neck Surgery Masthead

JAMA Otolaryngology–Head & Neck Surgery

Abstract Full Text
free access
JAMA Otolaryngol Head Neck Surg. 2015;141(7):590. doi:10.1001/jamaoto.2014.2163
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