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Issue

September 2018, Vol 144, No. 9, Pages 767-851

In This Issue of JAMA Otolaryngology

Highlights

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2018;144(9):767. doi:10.1001/jamaoto.2017.1971
Original Investigation

Association of the Anterolateral Thigh Osteomyocutaneous Flap With Femur Structural Integrity and Assessment of Prophylactic Fixation

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JAMA Otolaryngol Head Neck Surg. 2018;144(9):769-775. doi:10.1001/jamaoto.2018.1014

This laboratory analysis of synthetic femurs investigates the association of anterolateral thigh osteomyocutaneous flap harvest, with and without prophylactic fixation, with femur structural integrity as measured by 4-point bend and torsional biomechanical testing.

Dornase Alfa Ototoxic Effects in Animals and Efficacy in the Treatment of Clogged Tympanostomy Tubes in Children: A Preclinical Study and a Randomized Clinical Trial

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JAMA Otolaryngol Head Neck Surg. 2018;144(9):776-780. doi:10.1001/jamaoto.2018.1101

This pilot study investigates the ototoxic effects of dornase alfa in a chinchilla model and its efficacy vs ofloxacin in a randomized clinical trial of children with clogged tympanostomy tubes.

Effect of Nitrous Oxide as a Treatment for Subjective, Idiopathic, Nonpulsatile Bothersome Tinnitus: A Randomized Clinical Trial

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JAMA Otolaryngol Head Neck Surg. 2018;144(9):781-787. doi:10.1001/jamaoto.2018.1278

This randomized clinical trial investigates whether inhaled nitrous oxide and oxygen vs inhaled nitrogen and oxygen can reduce bothersome tinnitus among adults with subjective, idiopathic, nonpulsatile tinnitus of 6 months’ duration or longer.

Association of Tumor Size With Histologic and Clinical Outcomes Among Patients With Cytologically Indeterminate Thyroid Nodules

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JAMA Otolaryngol Head Neck Surg. 2018;144(9):788-795. doi:10.1001/jamaoto.2018.1070

This study assesses the association of indeterminate thyroid nodule size among adults with histologic and clinical outcomes such as cancer rates and response to therapy in considering a surgical approach.

Safety of Drilling 3-Dimensional–Printed Temporal Bones

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JAMA Otolaryngol Head Neck Surg. 2018;144(9):797-801. doi:10.1001/jamaoto.2018.1516

This occupational safety assessment evaluates a surgeon’s exposure to volatile organic compounds when drilling 3 commonly used materials in 3-dimensional–printed temporal bone implants using a standard Office of Safety and Health Administration protocol.

Evaluation of Social Media Presence of Otolaryngology Residency Programs in the United States

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JAMA Otolaryngol Head Neck Surg. 2018;144(9):802-806. doi:10.1001/jamaoto.2018.1447

This cross-sectional study examines the presence and activity of otolaryngology residency programs on social media sites.

Factors Associated With Phantom Odor Perception Among US Adults: Findings From the National Health and Nutrition Examination Survey

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JAMA Otolaryngol Head Neck Surg. 2018;144(9):807-814. doi:10.1001/jamaoto.2018.1446

This cross-sectional study of data from the National Health and Nutrition Examination Survey examines the prevalence of phantom odor perception among US adults and evaluates differences by age, sex, socioeconomic position, health status, health behaviors, smell function, and oral and sinonasal symptoms.

Preoperative Tranexamic Acid for Treatment of Bleeding, Edema, and Ecchymosis in Patients Undergoing Rhinoplasty: A Systematic Review and Meta-analysis

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JAMA Otolaryngol Head Neck Surg. 2018;144(9):816-823. doi:10.1001/jamaoto.2018.1381

This systematic review and meta-analysis of randomized clinical trials evaluates the preoperative use of tranexamic acid for reduction of bleeding, eyelid edema, and periorbital ecchymosis in patients undergoing rhinoplasty.

Comparison of Artificial Saliva vs Saline Solution on Rate of Suture Degradation in Oropharyngeal Surgery

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JAMA Otolaryngol Head Neck Surg. 2018;144(9):824-830. doi:10.1001/jamaoto.2018.1441

This in vitro study examines artificial saliva vs saline solution and their association with the strength of common types of absorbable sutures used in oral surgery.

Utility of Optical Coherence Tomography for Guiding Laser Therapy Among Patients With Recurrent Respiratory Papillomatosis

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JAMA Otolaryngol Head Neck Surg. 2018;144(9):831-837. doi:10.1001/jamaoto.2018.1375

This in vivo study investigates the ability of optical coherence tomography to provide imaging guidance during laser therapy for patient-tailored treatment of pediatric patients with laryngeal recurrent respiratory papillomatosis.

Invited Commentary

Revisiting the 2015 American Thyroid Association Guidelines With Respect to Indeterminate Thyroid Nodules in the Era of Noninvasive Follicular Thyroid Neoplasm With Papillary-like Nuclear Features

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2018;144(9):795-796. doi:10.1001/jamaoto.2018.1071

Prevalence and Risk Factors for Olfactory Hallucinations: The Phantom Menace

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2018;144(9):814-815. doi:10.1001/jamaoto.2018.1556
Clinical Challenge

Pathology

Bilateral Painless Cervical Lymphadenopathy in a Child

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2018;144(9):840-841. doi:10.1001/jamaoto.2018.1579

A child younger than 10 years presented with an 8-week history of bilateral cervical lymphadenopathy unresponsive to a 10-day course of drug treatment and no relevant medical history. What is your diagnosis?

Pathology

Nodular Mass in the Upper Lip

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2018;144(9):842-843. doi:10.1001/jamaoto.2018.1453

A man presents with a firm, painless, slow-growing mass in his upper lip. What is your diagnosis?

Clinical Guideline Synopsis

Management of Hoarseness

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2018;144(9):838-839. doi:10.1001/jamaoto.2018.1239

This guideline summary presents American Academy of Otolaryngology–Head and Neck Surgery recommendations for assessing and treating patients with hoarseness (dysphonia).

Research Letter

Assessment of Physician Adherence to Guidelines for the Diagnosis and Treatment of Benign Paroxysmal Positional Vertigo in Ambulatory Care Settings

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JAMA Otolaryngol Head Neck Surg. 2018;144(9):845-846. doi:10.1001/jamaoto.2018.1859

This cohort study uses data from the National Ambulatory Medical Care Survey to evaluate the prevalence of patient visits to ambulatory care clinics for benign paroxysmal positional vertigo and whether physicians’ diagnostic and treatment recommendations adhered to clinical practice guidelines over time.

Observation

Clinical Controversies in Otolaryngology

Cocaine-Induced Midline Destructive Lesions Associated With Erosion of the Eustachian Tube

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2018;144(9):846-848. doi:10.1001/jamaoto.2018.1387

This case report describes a 43-year-old woman with eustachian tube erosion associated with cocaine use.

Reversible Auricular Necrosis Secondary to Systemic Thrombosis

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2018;144(9):848-849. doi:10.1001/jamaoto.2018.1370

This report describes a woman diagnosed with a rare case of concomitant heparin-induced thrombocytopenia and antiphospholipid antibody syndrome that presented with auricular necrosis.

Pleomorphic Adenoma of the Nasolacrimal Duct

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2018;144(9):849-851. doi:10.1001/jamaoto.2018.1448

This study describes the case of a man in his 60s with a 2-year medical history of right epiphora with recent 6-week onset of hemolacrima who presented with an incidental soft tissue lesion along the left inferior turbinate with associated nasolacrimal duct dilatation above the mass.

Correction

Errors in Figure 2 and Figure 3

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2018;144(9):851. doi:10.1001/jamaoto.2018.2549
JAMA Otolaryngology–Head & Neck Surgery Masthead

JAMA Otolaryngology–Head & Neck Surgery

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2018;144(9):768. doi:10.1001/jamaoto.2017.1972
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