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Year

Day

December 26, 2019
Original Investigation

Association Between Microvascular Retinal Signs and Age-Related Hearing Loss in the Atherosclerosis Risk in Communities Neurocognitive Study (ARIC-NCS)

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online December 26, 2019. doi:10.1001/jamaoto.2019.3987

This cohort study investigates whether microvascular retinal signs are associated with age-related hearing loss among patients in the Artherosclerosis Risk in Communities Neurocognitive Study (ARIC-NCS).

Rates of Discontinuation and Nonpublication of Head and Neck Cancer Randomized Clinical Trials

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online December 26, 2019. doi:10.1001/jamaoto.2019.3967

This systematic review assesses the rate of discontinuation or nonpublication of phase 3 and 4 randomized clinical trials involving patients with head and neck cancer.

Clinical Challenge

Endoscopy

Nasal Polyps, Multifocal Laryngeal Masses, and Subglottic Stenosis in a Middle-aged Man

Abstract Full Text
has active quiz
JAMA Otolaryngol Head Neck Surg. Published online December 26, 2019. doi:10.1001/jamaoto.2019.3904

A 52-year-old man with a history of asthma presented with exacerbation of long-standing dyspnea along with progressively worsening nasal congestion and dysphonia over the past 2 years. What is your diagnosis?

December 19, 2019
Original Investigation

Clinician Use and Payments by Medical Specialty for Audiometric and Vestibular Testing Among US Medicare Beneficiaries

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online December 19, 2019. doi:10.1001/jamaoto.2019.3924

This cross-sectional study evaluates the variation in clinician use and payments for audiograms and vestibular tests across all regions of the United States and by specialty practice.

Unilateral Vocal Fold Immobility After Prolonged Endotracheal Intubation

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online December 19, 2019. doi:10.1001/jamaoto.2019.3969

This subgroup analysis of a cohort study examines the incidence of and risk factors for unilateral vocal fold immobility after more than 12 hours of mechanical ventilation in a medical intensive care unit.

Invited Commentary

Geographic Variation in the Use of Audiovestibular Testing—Too Much or Too Little?

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online December 19, 2019. doi:10.1001/jamaoto.2019.3950
Clinical Challenge

Pathology

An Enlarging Right Neck Mass in a 25-Year-Old Woman

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. Published online December 19, 2019. doi:10.1001/jamaoto.2019.3842

A 25-year-old woman with a history of polycystic ovarian syndrome and a migraine disorder presented with a right neck mass that had enlarged over the course of 6 months. What is your diagnosis?

Observation

Permanent Facial Paralysis and Hearing Loss After Aural Irrigation

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online December 19, 2019. doi:10.1001/jamaoto.2019.3943

This case report describes a woman in her 70s who presented with impacted cerumen in the right ear and underwent bilateral irrigation, which resulted in tympanic membrane perforation and infection, with subsequent permanent facial palsy and mixed hearing loss.

December 12, 2019
Viewpoint

Implications of Private Equity Acquisition of Otolaryngology Physician Practices

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online December 12, 2019. doi:10.1001/jamaoto.2019.3738

This Viewpoint discusses the risks and benefits of acquisition of otolaryngology physician practices by private equity firms.

Original Investigation

Audiology Practices in the Preoperative Evaluation and Management of Adult Cochlear Implant Candidates

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online December 12, 2019. doi:10.1001/jamaoto.2019.3760

This survey study describes the testing methods and practices used by a sample of US audiologists when evaluating adults with severe hearing loss who are being considered for cochlear implant.

Clinical Challenge

Pathology

An Unusual Nasal Septal Lesion in an Adult Patient

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. Published online December 12, 2019. doi:10.1001/jamaoto.2019.3836

This Clinical Challenge describes an exceedingly rare cause for pain in the right nostril of a 31-year-old woman.

Observation

Clinical Implications of Scleroderma in the Decision for Radiotherapy-Based Larynx Preservation

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online December 12, 2019. doi:10.1001/jamaoto.2019.3911

This case report describes 2 patients who presented with laryngeal complications after undergoing radiation therapy.

December 5, 2019
Viewpoint

The Threshold of Clinical Significance

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online December 5, 2019. doi:10.1001/jamaoto.2019.3741

This Viewpoint assesses the role of clinical significance in the evaluation of statistically significant data.

Editorial

Importance of Defining and Interpreting a Clinically Meaningful Difference in Clinical Research

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online December 5, 2019. doi:10.1001/jamaoto.2019.3744
Original Investigation

Head and Neck Injuries Associated With Cell Phone Use

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online December 5, 2019. doi:10.1001/jamaoto.2019.3678

This cross-sectional study based on national data from 1998 through 2017 assesses the incidence and mechanisms of head and neck injuries associated with cell phone use, especially during activities such as walking and driving.

Association of Immunosuppression With Outcomes of Patients With Cutaneous Squamous Cell Carcinoma of the Head and Neck

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online December 5, 2019. doi:10.1001/jamaoto.2019.3751

This cohort study assesses the association between the presence of immunosuppression and disease-specific outcome in patients with cutaneous squamous cell carcinoma.

Clinical Challenge

Pathology

Indolent Laryngeal Mass Causing Progressive Dysphagia

Abstract Full Text
has active quiz
JAMA Otolaryngol Head Neck Surg. Published online December 5, 2019. doi:10.1001/jamaoto.2019.3732

A 29-year-old man with a history of reactive airway disease and eczema presented with progressive odynophagia, hoarseness, and dysphagia of solids, liquids, and secretions. What is your diagnosis?

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