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August 2020 - January 1925

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Issue

October 2019, Vol 145, No. 10, Pages 881-983

In This Issue of JAMA Otolaryngology

Highlights

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2019;145(10):881. doi:10.1001/jamaoto.2018.2803
Reflections

Reaping What We Sow—Reflections on the Otolaryngologist’s Role in Opioid Stewardship

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2019;145(10):887-888. doi:10.1001/jamaoto.2019.2192

This article examines otolaryngologist contributions to the opioid epidemic and argues on behalf of limiting opioid prescription and working to make prescribing practices more consistent across disciplines.

Editorial

The Adolescent Vaping Epidemic in the United States—How It Happened and Where We Go From Here

Abstract Full Text
has active quiz
JAMA Otolaryngol Head Neck Surg. 2019;145(10):885-886. doi:10.1001/jamaoto.2019.2410
Original Investigation

Geographic Disparities in US Veterans’ Access to Cochlear Implant Care Within the Veterans Health Administration System

Abstract Full Text
free access
JAMA Otolaryngol Head Neck Surg. 2019;145(10):889-896. doi:10.1001/jamaoto.2019.1918

This analysis uses census tract–level data from the nationwide American Community Survey to investigate geographic disparities for US veterans in accessing cochlear implant facilities within the Veterans Health Administration system.

Intraoperative Autofluorescence Parathyroid Identification in Patients With Multiple Endocrine Neoplasia Type 1

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2019;145(10):897-902. doi:10.1001/jamaoto.2019.1987

This cohort study examines the use of real-time near-infrared autofluorescence imaging in the intraoperative setting for identification and localization of the parathyroid gland in patients with multiple endocrine neoplasia type 1.

Association of NCCN-Recommended Posttreatment Surveillance With Outcomes in Patients With HPV-Associated Oropharyngeal Squamous Cell Carcinoma

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2019;145(10):903-908. doi:10.1001/jamaoto.2019.1934

This cohort study evaluates the association between National Comprehensive Cancer Network–recommended posttreatment clinical surveillance adherence and outcomes in a cohort of patients with of human papilloma virus–associated oropharyngeal squamous cell carcinoma.

Association of Perioperative Opioid Prescriptions With Risk of Complications After Tonsillectomy in Children

Abstract Full Text
free access has active quiz
JAMA Otolaryngol Head Neck Surg. 2019;145(10):911-918. doi:10.1001/jamaoto.2019.2107

This cohort study evaluates private insurance claims data for perioperative opioid prescribing practice, duration of prescriptions, and possible association with return visits for complications in pediatric tonsillectomy.

Association of Sinonasal Factors With Chronic Laryngitis in Korean Adults

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2019;145(10):919-925. doi:10.1001/jamaoto.2019.2134

This cross-sectional study estimates the association of chronic laryngitis with various sinonasal symptoms and endoscopic findings to identify what sinonasal factors are associated with allergic cause of chronic laryngitis.

Association of a Lean Surgical Plan of the Day With Reduced Operating Room Time for Head and Neck Free Flap Reconstruction

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2019;145(10):926-930. doi:10.1001/jamaoto.2019.2250

This quality improvement cohort study used Lean methodology to identify opportunities to reduce operating room inefficiency and, following a retrospective medical record review, implemented a surgical plan of the day and evaluated its association with reduced operation times.

Anatomic Distribution of the Morphologic Variation of the Upper Lip Frenulum Among Healthy Newborns

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2019;145(10):931-938. doi:10.1001/jamaoto.2019.2302

This cross-sectional study examines the variations in morphology of the maxillary labial frenulum in healthy newborns to identify which anatomic measurements may be associated with neonatal breastfeeding difficulty.

Association Between Hospital Market Concentration and Costs of Laryngectomy

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2019;145(10):939-947. doi:10.1001/jamaoto.2019.2303

This cross-sectional analysis uses the Nationwide Inpatient Sample to examine the association between regional hospital market concentration, hospital charges, and costs for laryngectomy.

Explaining the Variation in Surgical Practice for Differentiated Thyroid Cancer in Ontario, Canada

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2019;145(10):949-954. doi:10.1001/jamaoto.2019.2304

This population-based study evaluates nearly 16 years of clinical and administrative data to understand the differences in surgical treatments, the incidence of thyroid cancer, and the role of region-based surgeons in provincewide practice variations in Ontario, Canada.

Invited Commentary

Factors to Consider When Contemplating Posttreatment Surveillance for Survivors of HPV-Associated Oropharyngeal Squamous Cell Carcinoma

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2019;145(10):908-910. doi:10.1001/jamaoto.2019.1976

Using Laryngectomies to Help Voice Concerns About Health Care Databases

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2019;145(10):947-948. doi:10.1001/jamaoto.2019.2364

Redirecting, Without Dampening, the Enthusiasm of Surgeons

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2019;145(10):954-955. doi:10.1001/jamaoto.2019.2404
Review

Cannabis Inhalation and Voice Disorders: A Systematic Review

Abstract Full Text
has audio
JAMA Otolaryngol Head Neck Surg. 2019;145(10):956-964. doi:10.1001/jamaoto.2019.1986

This systematic review examines data from humans and animals to assess the association of cannabis inhalation with the health and function of the vocal mechanism.

Clinical Challenge

Endoscopy

Mucocutaneous Lesions in an Adult Man Who Recently Moved From Mexico

Abstract Full Text
has active quiz
JAMA Otolaryngol Head Neck Surg. 2019;145(10):965-966. doi:10.1001/jamaoto.2019.2251

A 66-year-old man presented to the emergency department for painful and pruritic ulcerative cutaneous lesions involving his back, nose, lips, and mucosal lesions involving his oral cavity and oropharynx. What is your diagnosis?

Endoscopy

Desquamatory Lesions of the Upper Aerodigestive Tract Mucosa

Abstract Full Text
has active quiz
JAMA Otolaryngol Head Neck Surg. 2019;145(10):967-968. doi:10.1001/jamaoto.2019.1990

A man in his 30s presented with a medical history of severe dysphagia and dysphonia, fever, rhinorrhea, several macules and desquamatory lesions on the mucosa of the oral cavity, lips, penis, and eye sclera. What is your diagnosis?

Endoscopy

Solitary Mucus Cast at the Wharton Duct Orifice

Abstract Full Text
has active quiz
JAMA Otolaryngol Head Neck Surg. 2019;145(10):969-970. doi:10.1001/jamaoto.2019.2252

A woman presents with recurring left submandibular gland swelling and pain, and a sialoendoscopy shows a mucus cast, which has extensive eosinophil infiltrate seen on histologic examination. What is your diagnosis?

Radiology

Progressive Bilateral Nasal Obstruction Due to Nasopharyngeal Mass

Abstract Full Text
has active quiz
JAMA Otolaryngol Head Neck Surg. 2019;145(10):971-972. doi:10.1001/jamaoto.2019.2254

A man in his 20s presented with a progressive bilateral nasal obstruction accompanied by recurrent nosebleeds. Following removal of the obstruction, histopathologic results showed calcification of the mass. What is your diagnosis?

Research Letter

Prevalence of Eustachian Tube Dysfunction in Adults in the United States

Abstract Full Text
free access
JAMA Otolaryngol Head Neck Surg. 2019;145(10):974-975. doi:10.1001/jamaoto.2019.1917

Using a representative cross-sectional sample combined with census data, this study calculates prevalence and population estimates to approximate the burden of eustachian tube dysfunction among adults in the United States.

Use and Cost of a Hypoglossal Nerve Stimulator Device for Obstructive Sleep Apnea Between 2015 and 2018

Abstract Full Text
free access
JAMA Otolaryngol Head Neck Surg. 2019;145(10):975-977. doi:10.1001/jamaoto.2019.2366

This economic evaluation based on publicly available data assesses the use and cost of an implantable device, approved by the US Food and Drug Administration in 2014, that offers a unique alternative to patients with moderate to severe obstructive sleep apnea and poor response to continuous positive airway pressure.

Observation

Concurrent Internal Jugular Vein Phlebectasia and Omohyoid Sling Syndrome in an Asian Woman

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2019;145(10):977-978. doi:10.1001/jamaoto.2019.2187

This case report describes a woman in her 20s who presented with a right lower neck swelling that appeared intermittently, especially during swallowing and coughing.

Transnasal-Transpterygoid Endoscopic Removal of an 18F–Choline-Avid Parathyroid Carcinoma Metastasis in the Skull Base

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2019;145(10):978-980. doi:10.1001/jamaoto.2019.2352

This case report describes a patient with a medical history of symptomatic primary hyperparathyroidism who was found to have an atypical parathyroid neoplasm at the right skull base with an infiltrating pattern, which was treated by transnasal-transpterygoid endoscopic removal.

Comment & Response

Association of Singing With the Development of Pediatric Voice Disorders

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2019;145(10):981. doi:10.1001/jamaoto.2019.1793

Association of Singing With the Development of Pediatric Voice Disorders

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2019;145(10):981-982. doi:10.1001/jamaoto.2019.1796

Association of Singing With the Development of Pediatric Voice Disorders—Reply

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2019;145(10):982. doi:10.1001/jamaoto.2019.1799

Defining Exposure and Nonexposure in Observational Studies of Sleep Apnea Treatment

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2019;145(10):982-983. doi:10.1001/jamaoto.2019.1880

Defining Exposure and Non-exposure in Observational Studies of Sleep Apnea Treatment—Reply

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2019;145(10):983. doi:10.1001/jamaoto.2019.1883
Correction

Errors in Abstract and Results

Abstract Full Text
free access
JAMA Otolaryngol Head Neck Surg. 2019;145(10):983. doi:10.1001/jamaoto.2019.3138
JAMA Otolaryngology–Head & Neck Surgery Masthead

JAMA Otolaryngology–Head & Neck Surgery

Abstract Full Text
free access
JAMA Otolaryngol Head Neck Surg. 2019;145(10):882. doi:10.1001/jamaoto.2018.2804
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