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August 2021 - January 1925

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Issue

August 2015, Vol 141, No. 8, Pages 679-768

In This Issue of JAMA Otolaryngology

Highlights

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JAMA Otolaryngol Head Neck Surg. 2015;141(8):679. doi:10.1001/jamaoto.2014.2167
Reflections

In Memoriam: Paul H. Ward, MD (1928-2015)

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JAMA Otolaryngol Head Neck Surg. 2015;141(8):683. doi:10.1001/jamaoto.2015.1206

A Trainee’s Reflection of Paul H. Ward, MD

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JAMA Otolaryngol Head Neck Surg. 2015;141(8):684. doi:10.1001/jamaoto.2015.1202
Original Investigation

Safety of Adult Ambulatory Direct Laryngoscopy: Revisits and Complications

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JAMA Otolaryngol Head Neck Surg. 2015;141(8):685-689. doi:10.1001/jamaoto.2015.1172

This cross-sectional analysis of multistate ambulatory surgery and hospital databases determined that adult ambulatory direct laryngoscopy has a favorable safety profile; nevertheless, patients should be carefully selected for outpatient laryngoscopy.

Effect of Endotracheal Tube Size on Vocal Outcomes After Thyroidectomy: A Randomized Clinical Trial

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JAMA Otolaryngol Head Neck Surg. 2015;141(8):690-695. doi:10.1001/jamaoto.2015.1198

This randomized clinical trial of patients undergoing elective thyroidectomy found no evidence that smaller endotracheal tube size has an effect on postoperative vocal outcomes, incidence of laryngeal trauma, or pain scores.

Comparison of Health State Utility Measures in Patients With Head and Neck Cancer

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JAMA Otolaryngol Head Neck Surg. 2015;141(8):696-703. doi:10.1001/jamaoto.2015.1314

This cross-sectional study of health state utility measurements in patients with head and neck cancer suggests that indirect methods of utility derivation discriminate differences in this population and that more comprehensive utility derivation questionnaires are needed.

Predictors of Intensive Care Unit Stay After Pediatric Supraglottoplasty

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JAMA Otolaryngol Head Neck Surg. 2015;141(8):704-709. doi:10.1001/jamaoto.2015.1033

Results of this retrospective case series suggest that most children undergoing supraglottoplasty do not require an intensive care unit stay postoperatively.

Safety and Efficacy of Expanded Polytetrafluoroethylene Implants in the Surgical Management of Traumatic Nasal Deformity

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JAMA Otolaryngol Head Neck Surg. 2015;141(8):710-715. doi:10.1001/jamaoto.2015.1122

This medical record review finds that expanded polytetrafluoroethylene implants can be used with a low risk of complications in functional nasal surgery for traumatic nasal deformities.

Repetitive Transcranial Magnetic Stimulation Treatment for Chronic Tinnitus: A Randomized Clinical Trial

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JAMA Otolaryngol Head Neck Surg. 2015;141(8):716-722. doi:10.1001/jamaoto.2015.1219

This randomized clinical trial of repetitive transcranial magnetic stimulation (rTMS) among individuals with chronic tinnitus performed follow-up assessments at 1, 2, 4, 13, and 26 weeks after the last treatment session to determine if rTMS can reduce the perception or severity of tinnitus.

Use of Octreotide for the Management of Chyle Fistula Following Neck Dissection

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JAMA Otolaryngol Head Neck Surg. 2015;141(8):723-727. doi:10.1001/jamaoto.2015.1176

This review of patients who received octreotide for neck chylous fistula after neck dissection found that all patients had resolution of the fistula without need for revision surgery.

Voice Outcomes Following Posterior Cordotomy With Medial Arytenoidectomy in Patients With Bilateral Vocal Fold Immobility

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JAMA Otolaryngol Head Neck Surg. 2015;141(8):728-732. doi:10.1001/jamaoto.2015.1136

This case series review found that patients with bilateral vocal fold immobility who underwent posterior cordotomy had significantly reduced perceptual voice outcomes with unchanged voice quality of life.

Association Between Obstructive Sleep Apnea and Spontaneous Cerebrospinal Fluid Leaks: A Systematic Review and Meta-analysis

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JAMA Otolaryngol Head Neck Surg. 2015;141(8):733-738. doi:10.1001/jamaoto.2015.1128

This meta-analysis determined that the association between obstructive sleep apnea and spontaneous CSF leaks as demonstrated by retrospective studies is confounded by heterogeneous patient characteristics.

Sodium Iodide Symporter Expression in Adenoid Cystic Carcinoma of the Head and Neck

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JAMA Otolaryngol Head Neck Surg. 2015;141(8):739-744. doi:10.1001/jamaoto.2015.0970

This immunohistochemical analysis describes the expression of sodium iodide symporter in tissue samples of adenoid cystic carcinoma.

Challenges in Histologic Diagnosis of Nonchordomatous Lesions of the Clivus

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JAMA Otolaryngol Head Neck Surg. 2015;141(8):745-750. doi:10.1001/jamaoto.2015.1091

This analysis of medical records describes the testing necessary to classify nonchordomatous clival lesions and discusses the difficulty in obtaining a histologic diagnosis.

Preliminary Study of the Open Quotient in an Ex Vivo Perfused Human Larynx

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JAMA Otolaryngol Head Neck Surg. 2015;141(8):751-756. doi:10.1001/jamaoto.2015.1249

This observational study uses muscle stimulation of ex vivo perfused human larynges to evaluate human voice production.

Case Report/Case Series

Head-Jolting Nystagmus: Occlusion of the Horizontal Semicircular Canal Induced by Vigorous Head Shaking

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JAMA Otolaryngol Head Neck Surg. 2015;141(8):757-760. doi:10.1001/jamaoto.2015.0711

This case report of 2 patients manifesting a new syndrome (head-jolting nystagmus) expands the differential diagnosis of head movement–induced paroxysmal vertigo.

Clinical Challenge

Pathology

Auricular Mass in a Child

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JAMA Otolaryngol Head Neck Surg. 2015;141(8):761-762. doi:10.1001/jamaoto.2015.0951

A 5-year-old boy with a 1-year history of a mass gradually growing over the helix of his left auricle underwent surgical resection. The lesion was superficially located in the dermis and filled with a soft white material that appeared as purple-blue crystals. What is the diagnosis?

Pathology

Nontender Parotid Mass in a Young Asian Man

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JAMA Otolaryngol Head Neck Surg. 2015;141(8):763-764. doi:10.1001/jamaoto.2015.0956

A young man of Asian heritage presented with a nontender mass in the left parotid region. Physical examination demonstrated a firm, immobile, irregular mass located in the left parotid. FNA demonstrated medium-sized ovoid cells with minimal cytoplasm in crowded groups. What is the diagnosis?

Radiology

Left Parotid Gland Swelling in an Infant

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JAMA Otolaryngol Head Neck Surg. 2015;141(8):765-766. doi:10.1001/jamaoto.2015.0963

An MRI of an infant with a 2-month history of an enlarging left preauricular swelling showed a mass with a well-defined capsule arising within the superficial left parotid gland. The mass was largely of fat signal intensity on both T1- and T2-weighted sequences. What is the diagnosis?

Radiology

A Patient With Cervicalgia

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2015;141(8):767-768. doi:10.1001/jamaoto.2015.1225

A man in his 60s presented with intermittent left otalgia, facial pain, swelling, and dysphagia that was exacerbated by eating and prolonged talking. Computed tomography of the neck demonstrated a ossified mass in the left parapharyngeal space. What is your diagnosis?

Correction

Misspelled Author Name

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JAMA Otolaryngol Head Neck Surg. 2015;141(8):760. doi:10.1001/jamaoto.2015.1483
JAMA Otolaryngology–Head & Neck Surgery Masthead

JAMA Otolaryngology–Head & Neck Surgery

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JAMA Otolaryngol Head Neck Surg. 2015;141(8):681. doi:10.1001/jamaoto.2014.2168
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