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December 2016, Vol 142, No. 12, Pages 1139-1244 | AHNS 2016

In This Issue of JAMA Otolaryngology

Highlights

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2016;142(12):1139. doi:10.1001/jamaoto.2015.1845
Viewpoint

From the American Head and Neck Society

The Right to Look Human—Head and Neck Surgery in Low- and Middle-Income Countries: The Chris O’Brien Memorial Lecture

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2016;142(12):1143-1144. doi:10.1001/jamaoto.2016.3086

This Viewpoint discusses the need for access to surgery in the low- and middle-income countries.

Original Investigation

From the American Head and Neck Society

Variables Associated With Communicative Participation After Head and Neck Cancer

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2016;142(12):1145-1151. doi:10.1001/jamaoto.2016.1198

This study examines variables significantly associated with communication in everyday activities in adult survivors of head and neck cancer.

From the American Head and Neck Society

Evaluation of Quality Metrics for Surgically Treated Laryngeal Squamous Cell Carcinoma

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2016;142(12):1154-1163. doi:10.1001/jamaoto.2016.0657

This cohort study examines whether compliance with proposed quality metrics is associated with improved survival in patients with laryngeal squamous cell carcinoma treated with surgery with or without adjuvant therapy.

From the American Head and Neck Society

Modern Image-Guided Intensity-Modulated Radiotherapy for Oropharynx Cancer and Severe Late Toxic Effects: Implications for Clinical Trial Design

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2016;142(12):1164-1170. doi:10.1001/jamaoto.2016.1876

This study analyzes severe late toxic effects after definitive radiotherapy with or without chemotherapy for oropharynx cancer using modern narrow-margin image-guided intensity-modulated radiotherapy.

From the American Head and Neck Society

Sentinel Lymph Node Biopsy for Cutaneous Squamous Cell Carcinoma on the Head and Neck

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2016;142(12):1171-1176. doi:10.1001/jamaoto.2016.1927

This study examines the importance of serial sectioning and immunohistochemical analysis of sentinel lymph node biopsy specimens for accurate diagnosis of cutaneous squamous cell carcinoma on the head and neck.

From the American Head and Neck Society

Association of Airway Complications With Free Tissue Transfer to the Upper Aerodigestive Tract With or Without Tracheotomy

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2016;142(12):1177-1183. doi:10.1001/jamaoto.2016.2002

This cohort study examines if free tissue transfer to the upper aerodigestive tract without tracheotomy was associated with an increased rate of airway complications or death.

From the American Head and Neck Society

Association of Clinical Risk Factors and Postoperative Complications With Unplanned Hospital Readmission After Head and Neck Cancer Surgery

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2016;142(12):1184-1190. doi:10.1001/jamaoto.2016.2807

This claims analysis uses data from the American College of Surgeons NSQIP database to investigate which risk factors and complications correlate with 30-day unplanned readmission after surgery in patients with head and neck cancer.

From the American Head and Neck Society

Association of Main Specimen and Tumor Bed Margin Status With Local Recurrence and Survival in Oral Cancer Surgery

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2016;142(12):1191-1198. doi:10.1001/jamaoto.2016.2329

This cohort study of patients with oral cavity squamous cell carcinoma evaluates correlations between tumor specimen margins and intraoperative frozen margins and correlations between margin status and local recurrence and survival.

From the American Head and Neck Society

A Cost-Utility Analysis of Recurrent Laryngeal Nerve Monitoring in the Setting of Total Thyroidectomy

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2016;142(12):1199-1205. doi:10.1001/jamaoto.2016.2860

This cost-utility analysis evaluates the cost-effectiveness of intraoperative monitoring of the recurrent laryngeal nerve vs visual identification alone in the setting of total thyroidectomy.

From the American Head and Neck Society

Radiotherapy Characteristics and Outcomes for Head and Neck Carcinoma of Unknown Primary vs T1 Base-of-Tongue Carcinoma

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2016;142(12):1208-1215. doi:10.1001/jamaoto.2016.3083

This cohort study examines the effect of intensity-modulated radiotherapy and chemotherapy in patients with of base-of-tongue squamous cell carcinoma or head and neck carcinoma of unknown primary site.

From the American Head and Neck Society

Epidemiology of Squamous Cell Carcinoma of the Lip in the United States: A Population-Based Cohort Analysis

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2016;142(12):1216-1223. doi:10.1001/jamaoto.2016.3455

This study examines the incidence, treatment, overall survival, and disease-specific survival of patients with squamous cell carcinoma of the lip.

From the American Head and Neck Society

Association of Postoperative Radiotherapy With Survival in Patients With N1 Oral Cavity and Oropharyngeal Squamous Cell Carcinoma

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2016;142(12):1224-1230. doi:10.1001/jamaoto.2016.3519

This cohort study uses data from the National Cancer Database to examine the use and outcomes of postoperative radiotherapy in patients with N1 oral cavity and oropharyngeal squamous cell carcinoma.

Invited Commentary

Effect of Cognition on Quality of Life After Head and Neck Cancer Treatment

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2016;142(12):1152-1153. doi:10.1001/jamaoto.2016.1199

Intraoperative Nerve Monitoring During Thyroidectomy—More Complex Than Cost Alone

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2016;142(12):1206-1207. doi:10.1001/jamaoto.2016.3116
Special Communication

From the American Head and Neck Society

Living in a Patient-Centric Universe

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2016;142(12):1231-1232. doi:10.1001/jamaoto.2016.3168

This Special Communication explores the challenges of patient-centered care in the context of complex treatment options.

From the American Head and Neck Society

Transforming Head and Neck Surgeon Into Thyroid Expert: The 2016 Hayes Martin Lecture

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2016;142(12):1233-1236. doi:10.1001/jamaoto.2016.3620

This Special Communication of the 2016 Hayes Martin Lecture urges otolaryngologists to become more informed about thyroid complications and surgical procedures.

Clinical Challenge

Radiology

An Expansile Mass Following Central Lymph Node Dissection

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2016;142(12):1237-1238. doi:10.1001/jamaoto.2016.3459

A woman had a hypoechoic mass in the central compartment and a suspicious lymph node in the right carotid sheath; fine-needle aspiration confirmed recurrence of a malignant neoplasm in the central compartment. What is your diagnosis?

Endoscopy

Laryngeal Mass in an Infant

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2016;142(12):1239-1240. doi:10.1001/jamaoto.2016.2967

An infant girl had hoarseness in her cry, loud snoring, mild inspiratory stridor, and several light-brown macules on her skin; a supraglottic mass was seen on flexible fiberoptic laryngoscopy. What is your diagnosis?

Endoscopy

Floor of Mouth Swelling

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2016;142(12):1241-1242. doi:10.1001/jamaoto.2016.1024

A woman presented with right submandibular swelling and pain, associated with eating, and inability to express saliva on examination; a sialogram showed a high-grade stricture into the right submandibular duct orifice. What is your diagnosis?

Endoscopy

Endoscopy Dyspnea and Ulcerative Colitis

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2016;142(12):1243-1244. doi:10.1001/jamaoto.2016.1764

A woman had progressive sore throat, dysphagia, and fever that developed into dyspnea, dysphonia, and neck pain; laryngoscopy showed erythema and edema of the epiglottitis with patchy necrosis partially obstructing the glottis and saliva pooling in the supraglottis. What is your diagnosis?

JAMA Otolaryngology–Head & Neck Surgery Masthead

JAMA Otolaryngology–Head & Neck Surgery

Abstract Full Text
free access
JAMA Otolaryngol Head Neck Surg. 2016;142(12):1141. doi:10.1001/jamaoto.2015.1846
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