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August 2021 - January 1925

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Issue

April 2019, Vol 145, No. 4, Pages 301-393

In This Issue of JAMA Otolaryngology

Highlights

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2019;145(4):301. doi:10.1001/jamaoto.2018.2773
Viewpoint

The Centers for Medicare & Medicaid Services’ Overhaul of Office-Visit Payments—What’s the Bottom Line for Otolaryngology?

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2019;145(4):303-304. doi:10.1001/jamaoto.2018.4154

This Viewpoint examines the Centers for Medicare & Medicaid Services’ changes to the Medicare Physician Fee Schedule and how they might affect otolaryngologists and patients.

Reassessing the Safety of Bicycle Helmets—Finding Vulnerability in Strength

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2019;145(4):305-306. doi:10.1001/jamaoto.2018.4184

This Viewpoint proposes a reassessment of the safety of bicycle helmets for the protection of the middle and lower face.

Original Investigation

Association Between Migraine and Benign Paroxysmal Positional Vertigo Among Adults in South Korea

Abstract Full Text
free access
JAMA Otolaryngol Head Neck Surg. 2019;145(4):307-312. doi:10.1001/jamaoto.2018.4016

This study evaluates representative patient data from the Korean National Health Insurance Service-National Sample Cohort to trace the incidence of benign paroxysmal positional vertigo among adults who experience migraine.

Association of Chronic Rhinosinusitis With Depression and Anxiety in a Nationwide Insurance Population

Abstract Full Text
free access
JAMA Otolaryngol Head Neck Surg. 2019;145(4):313-319. doi:10.1001/jamaoto.2018.4103

This cohort study evaluates the risk of depression and anxiety in patients with chronic rhinosinusitis by disease phenotype (with and without nasal polyps) in a nationwide insurance data set.

Reevaluating a Standardized Sedation Weaning Protocol for Pediatric Laryngotracheal Reconstruction for Continuous Quality Improvement

Abstract Full Text
free access
JAMA Otolaryngol Head Neck Surg. 2019;145(4):321-327. doi:10.1001/jamaoto.2018.4348

This quality improvement study examines how a new electronic health record affects a series of process, outcome, and balance measures for sedation weaning management in pediatric patients undergoing laryngotracheal reconstruction.

Association of Surgical and Hospital Volume and Patient Characteristics With 30-Day Readmission Rates

Abstract Full Text
free access has audio
JAMA Otolaryngol Head Neck Surg. 2019;145(4):328-337. doi:10.1001/jamaoto.2018.4504

This study examines the association of surgical and hospital volume and patient characteristics with 30-day readmission rates after inpatient otolaryngology surgery.

Association of Head and Neck Cancer With Mental Health Disorders in a Large Insurance Claims Database

Abstract Full Text
free access
JAMA Otolaryngol Head Neck Surg. 2019;145(4):339-344. doi:10.1001/jamaoto.2018.4512

This cohort study assesses the prevalence of mental health disorders and their associations with survival and recurrence among patients with head and neck cancer in a large insurance claims database.

Evaluation of a Preoperative Adverse Event Risk Index for Patients Undergoing Head and Neck Cancer Surgery

Abstract Full Text
free access
JAMA Otolaryngol Head Neck Surg. 2019;145(4):345-351. doi:10.1001/jamaoto.2018.4513

This cohort study evaluates a preoperative adverse event risk index in patients from the ACS NSQIP database who underwent surgery for head and neck cancer between 2006 and 2016.

Outcomes of Cutaneous Squamous Cell Carcinoma in the Head and Neck Region With Regional Lymph Node Metastasis: A Systematic Review and Meta-analysis

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. 2019;145(4):352-360. doi:10.1001/jamaoto.2018.4515

This systematic review and meta-analysis of 20 observational studies and 1 randomized clinical trial, including a total of 3534 patients, evaluates outcomes of cutaneous squamous cell carcinoma in the head and neck region with regional lymph node metastasis.

Patient Experience of Thyroid Cancer Active Surveillance in Japan

Abstract Full Text
free access
JAMA Otolaryngol Head Neck Surg. 2019;145(4):363-370. doi:10.1001/jamaoto.2018.4131

This study evaluates the concerns about cancer, treatment decisions, and overall experience of Japanese patients under active surveillance for thyroid cancer.

Invited Commentary

Does Chronic Rhinosinusitis Lead to Psychiatric Disease?

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2019;145(4):319-320. doi:10.1001/jamaoto.2018.4162

Risk Factors for 30-Day Readmission of Otolaryngology Patients

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2019;145(4):337-338. doi:10.1001/jamaoto.2019.0005

Immune Status and Immunotherapy in Advanced Cutaneous Squamous Cell Carcinoma—What Are Our Next Steps?

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2019;145(4):361-362. doi:10.1001/jamaoto.2018.4514

Papillary Thyroid Microcarcinoma—If It Is Such a Good Cancer, Why Operate?

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2019;145(4):371-372. doi:10.1001/jamaoto.2018.4260
Review

Eosinophilic Esophagitis—A Primer for Otolaryngologists

Abstract Full Text
has active quiz
JAMA Otolaryngol Head Neck Surg. 2019;145(4):373-380. doi:10.1001/jamaoto.2018.4177

This narrative review discusses common presenting symptoms, associated otorhinolaryngology symptoms, diagnostic workup, endoscopic features, and treatment of eosinophilic esophagitis for the general otolaryngologist.

Clinical Challenge

Radiology

An Unusual Case of Lacrimal Duct Obstruction in a Teenager

Abstract Full Text
has active quiz
JAMA Otolaryngol Head Neck Surg. 2019;145(4):381-382. doi:10.1001/jamaoto.2018.4264

A teenaged girl with chronic sinusitis and a history of osseous lesions in the upper and lower jaws presented with epiphora, purulent drainage, and jaw pain. What is your diagnosis?

Radiology

Enlarging Right-Sided Tongue Mass in an Adult Male

Abstract Full Text
has active quiz
JAMA Otolaryngol Head Neck Surg. 2019;145(4):383-384. doi:10.1001/jamaoto.2018.4038

An African American man with a history of bipolar disorder presented to the emergency department with an enlarging right-sided tongue mass that had caused mild discomfort and halitosis over the course of 1 week. What is your diagnosis?

Pathology

Submucosal Masses of the Right Upper Lip

Abstract Full Text
has active quiz
JAMA Otolaryngol Head Neck Surg. 2019;145(4):385-386. doi:10.1001/jamaoto.2018.4363

A woman in her 60s reported a several-week history of right upper lip submucosal masses with no tenderness, mucosal abnormality, or recent trauma to the lip. What is your diagnosis?

Research Letter

Analysis of Venture Capital Investment in Therapeutic Otolaryngologic Devices, 2008-2017

Abstract Full Text
free access has audio
JAMA Otolaryngol Head Neck Surg. 2019;145(4):387-389. doi:10.1001/jamaoto.2019.0045

This cross-sectional analysis characterizes venture capital investments in otolaryngologic devices by therapeutic area using data from a private capital market data provider from 2008 through 2017.

Observation

Emergence of Cheyne-Stokes Breathing After Hypoglossal Nerve Stimulator Implant in a Patient With Mixed Sleep Apnea

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2019;145(4):389-390. doi:10.1001/jamaoto.2018.4077

This is a case report of a man in his 60s with stage 3 chronic kidney disease, hypertension, hyperlipidemia, type 2 diabetes, bladder and kidney cancer, and depression who underwent hypoglossal nerve stimulator implantation and subsequently demonstrated a Cheyne-Stokes breathing pattern.

Vertebral Bodies, Anterior Erosion, and Compression by Tracheostomy Canula

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2019;145(4):390-392. doi:10.1001/jamaoto.2018.3882

This case report describes a man in his late teens with scoliosis, muscular dystrophy, and severe osteoporosis who presented with a 3-month history of tracheal discomfort and light bleeding during tracheal aspiration.

Chondrosarcoma Arising in the Mastoid Involving the Intratemporal Facial Nerve

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2019;145(4):392-393. doi:10.1001/jamaoto.2018.4149

This case study describes a man in his 60s who presented with a 2-year history of gradual-onset right facial weakness leading to paralysis.

JAMA Otolaryngology–Head & Neck Surgery Masthead

JAMA Otolaryngology–Head & Neck Surgery

Abstract Full Text
free access
JAMA Otolaryngol Head Neck Surg. 2019;145(4):302. doi:10.1001/jamaoto.2018.2774
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