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April 2020 - January 1925

Decade

Year

Issue

January 2020, Vol 146, No. 1, Pages 4-92

Viewpoint

Using Confidence Intervals to Quantify Statistical and Clinical Evidence for the Treatment Effect in a Comparative Study—Moving Beyond P Values

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2020;146(1):5-6. doi:10.1001/jamaoto.2019.3057

This Viewpoint provides additional points that may further enhance proper use and interpretation of the confidence interval for making inference about the treatment effect.

Original Investigation

Preoperative Risk Index Among Patients Undergoing Thyroid or Parathyroid Surgery

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2020;146(1):7-12. doi:10.1001/jamaoto.2019.2413

This cohort study uses data from the American College of Surgeons National Surgical Quality Improvement Program to develop and compare preoperative risk indices to determine factors associated with short-term major postoperative adverse events in patients undergoing thyroid or parathyroid surgery.

Identification of Potential Barriers to Timely Access to Pediatric Hearing Aids

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2020;146(1):13-19. doi:10.1001/jamaoto.2019.2877

This cohort study of children who were evaluated and fitted for hearing aids at a large urban tertiary care center explores the associations of sociodemographic and clinical factors with access to pediatric hearing aids.

Comparative Treatment Outcomes for Patients With Idiopathic Subglottic Stenosis

Abstract Full Text
open access has active quiz has audio
JAMA Otolaryngol Head Neck Surg. 2020;146(1):20-29. doi:10.1001/jamaoto.2019.3022

This cohort study of 810 patients with idiopathic subglottic stenosis compares the outcomes of the 3 most common surgical treatment procedures: endoscopic dilation, endoscopic resection with adjuvant medication, or cricotracheal resection.

Natural Course of Unilateral Vocal Fold Paralysis and Optimal Timing of Permanent Treatment

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2020;146(1):30-35. doi:10.1001/jamaoto.2019.3072

This case series assesses the association of injury level causing unilateral vocal cord paralysis with maximum recovery time to evaluate the optimal timing of permanent phonosurgical treatment.

Machine Learning by Ultrasonography for Genetic Risk Stratification of Thyroid Nodules

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2020;146(1):36-41. doi:10.1001/jamaoto.2019.3073

This diagnostic study describes an automated machine learning model that uses ultrasonographic images of thyroid lesions to identify and estimate genetic risk or status.

Cost-effectiveness of Stapedectomy vs Hearing Aids in the Treatment of Otosclerosis

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2020;146(1):42-48. doi:10.1001/jamaoto.2019.3221

This cost-effectiveness analysis examines the cost-effectiveness of stapedectomy vs hearing aid use for the treatment of otosclerosis.

Risk and Rate of Occult Contralateral Nodal Disease in Surgically Treated Patients With Human Papillomavirus−Related Squamous Cell Carcinoma of the Base of the Tongue

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2020;146(1):50-56. doi:10.1001/jamaoto.2019.3277

This case series assesses the rate of and risk factors for occult contralateral nodal disease in patients with human papillomavirus−related base of tongue oropharyngeal squamous cell carcinoma undergoing transoral surgery and bilateral neck dissection.

Association of Subclinical Hearing Loss With Cognitive Performance

Abstract Full Text
has audio
JAMA Otolaryngol Head Neck Surg. 2020;146(1):57-67. doi:10.1001/jamaoto.2019.3375

This cross-sectional study investigates whether the association between hearing and cognition is present among individuals traditionally classified as having normal hearing.

Invited Commentary

What If a Stapedectomy Were Not Cost-effective?

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2020;146(1):48-49. doi:10.1001/jamaoto.2019.3366

Reconsidering Individuals With Normal Hearing

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2020;146(1):67-68. doi:10.1001/jamaoto.2019.3372
Clinical Challenge

Pathology

A Posterior Neck Mass in a 7-Month-Old Infant

Abstract Full Text
has active quiz
JAMA Otolaryngol Head Neck Surg. 2020;146(1):69-70. doi:10.1001/jamaoto.2019.2861

A full-term, 7-month-old male infant presented with a firm, irregularly shaped posterior neck mass; he had been prenatally diagnosed with cerebellar hypoplasia. What is your diagnosis?

Pathology

Recurrent Vocal Fold Mass in a Middle-aged Woman

Abstract Full Text
has active quiz
JAMA Otolaryngol Head Neck Surg. 2020;146(1):71-72. doi:10.1001/jamaoto.2019.2869

A 45-year-old woman with a history of a left vocal fold polyp presented with hoarseness. What is your diagnosis?

Pathology

An Unusual Posttraumatic Dysphagia With Special Reference to Cerebellopontine Angle

Abstract Full Text
has active quiz
JAMA Otolaryngol Head Neck Surg. 2020;146(1):73-74. doi:10.1001/jamaoto.2019.3025

A woman in her 30s with a medical history of epilepsy and alcohol use disorder who was taking lamotrigine presented with severe head trauma. What is your diagnosis?

Pathology

A Painless Retroauricular Mass

Abstract Full Text
has active quiz
JAMA Otolaryngol Head Neck Surg. 2020;146(1):75-76. doi:10.1001/jamaoto.2019.3246

A 31-year-old Hispanic woman had a 3-year history of a steadily growing, increasingly pruritic, painless mass behind the right ear. The T1-weighted postcontrast magnetic resonance imaging of the head and neck showed a heterogeneously enhancing mass with irregular borders in the right retroauricular space. What is your diagnosis?

Research Letter

Financial Implications of Site-Neutral Payments for Clinic Visits in Otolaryngology

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2020;146(1):78-79. doi:10.1001/jamaoto.2019.3229

This cross-sectional study examines the association between site-neutral payment reform and otolaryngologists practicing within the Hospital Outpatient Prospective Payment System.

Observation

Intractable Cough After Bilateral Tympanostomy Tube Placement

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2020;146(1):79-81. doi:10.1001/jamaoto.2019.3164

This case report describes a patient who presented with intractable cough after bilateral tympanostomy tube placement, which resolved after tube removal.

Complicated Blastomycosis of the Skull Base Presenting as Otitis Media

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2020;146(1):81-82. doi:10.1001/jamaoto.2019.3241

This case report describes a man in his 50s with diabetes mellitus who presented with 2 months of right-sided aural fullness and tinnitus without fever or pain and was subsequently diagnosed with Blastomyces dermatitidis–associated skull base osteomyelitis.

Giant Pituitary Adenoma With Inferior Petrosal Sinus, Jugular Foramen, and Hypoglossal Canal Extension

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2020;146(1):82-84. doi:10.1001/jamaoto.2019.2686

This case report describes a patient who presented with morbid obesity, progressive headache, double vision, and blurry vision, and was diagnosed with a pituitary adenoma.

Comment & Response

Harms of Pediatric Thyroid Cancer Overdiagnosis

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2020;146(1):84. doi:10.1001/jamaoto.2019.3051

Harms of Pediatric Thyroid Cancer Overdiagnosis—Reply

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2020;146(1):84-85. doi:10.1001/jamaoto.2019.3054

Supraomohyoid Neck Dissection for the Clinically Node-Negative Neck in Oral Cavity Squamous Cell Carcinoma: Time to Change Practices?

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2020;146(1):85. doi:10.1001/jamaoto.2019.3404
Correction

Error in Figure 2

Abstract Full Text
free access
JAMA Otolaryngol Head Neck Surg. 2020;146(1):85. doi:10.1001/jamaoto.2019.3862
JAMA Otolaryngology Patient Page

Cochlear Implant Surgery

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. 2020;146(1):92. doi:10.1001/jamaoto.2019.2274

This Patient Page describes the use of cochlear implantation for treatment of hearing loss.

JAMA Otolaryngology–Head & Neck Surgery Masthead

JAMA Otolaryngology–Head & Neck Surgery

Abstract Full Text
free access
JAMA Otolaryngol Head Neck Surg. 2020;146(1):4. doi:10.1001/jamaoto.2019.2884
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