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Year

Day

July 30, 2020
Original Investigation

Assessment of Gender Differences in Clinical Productivity and Medicare Payments Among Otolaryngologists in 2017

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. Published online July 30, 2020. doi:10.1001/jamaoto.2020.1928

This cross-sectional study evaluates whether diversity of practice, clinical productivity, and Medicare payment differ between male and female otolaryngologists and whether any identified variation is influenced by practice setting.

Review

Molecular Profiling of Thyroid Nodules—Are These Findings Meaningful, or Merely Measurable?A Review

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online July 30, 2020. doi:10.1001/jamaoto.2020.1851

This narrative review discusses how we should interpret negative and positive results from commercial molecular tests of thyroid nodules and whether available data support the routine use of these assays for all cytologically indeterminate thyroid nodules.

Risk of SARS-CoV-2 Transmission During Flexible Laryngoscopy: A Systematic Review

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online July 30, 2020. doi:10.1001/jamaoto.2020.1973

This systematic review examines evidence on the risks of aerosolization and transmission of severe acute respiratory syndrome coronavirus 2 from patients to health care personnel during endoscopy of the upper aerodigestive tract.

Clinical Challenge

Pathology

A Case of Persistent Frontal Swelling

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. Published online July 30, 2020. doi:10.1001/jamaoto.2020.1610

An 85-year-old woman presents with a history of frontal pain and pressure and progressive nontender facial edema; endoscopy findings reveal a mucosal soft tissue mass, and biopsy results show epithelioid shaped cells in whorled lobulated pattern. What is your diagnosis?

Pathology

Incidental Thyroid Mass in a Patient With Oropharyngeal Squamous Cell Carcinoma

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. Published online July 30, 2020. doi:10.1001/jamaoto.2020.1616

A 71-year-old man previously treated for p16-positive (human papillomavirus-related) oropharyngeal squamous cell carcinoma presented with concern for regional recurrence. Fine needle aspiration of the thyroid gland was performed with immunohistochemical staining positive for p16, CK5, and p40 and negative for thyroid transcription factor 1. What is your diagnosis?

Research Letter

Prevalence of Cholesteatoma in Children With Down Syndrome Receiving Treatment at Pediatric Health Care Facilities

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online July 30, 2020. doi:10.1001/jamaoto.2020.1854

This cohort study analyzes data from the Public Health Information System database to evaluate the prevalence of cholesteatoma in children with Down syndrome.

July 23, 2020
Viewpoint

Benefits and Safety of Nasal Saline Irrigations in a Pandemic—Washing COVID-19 Away

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. Published online July 23, 2020. doi:10.1001/jamaoto.2020.1622

This Viewpoint discusses the overall safety and benefits of using nasal saline irrigations on viral upper respiratory infections during a pandemic, such as coronavirus disease 2019 (COVID-19).

Original Investigation

Telemedicine Services Provided to Medicare Beneficiaries by Otolaryngologists Between 2010 and 2018

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online July 23, 2020. doi:10.1001/jamaoto.2020.1911

This cross-sectional study uses Medicare Physician/Supplier Procedure Summary data to characterize recent trends in the use of telemedicine by otolaryngologists to deliver care to Medicare beneficiaries.

Invited Commentary

News Flash!—SARS-CoV-2 Isolated From the Middle Ear and Mastoid

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. Published online July 23, 2020. doi:10.1001/jamaoto.2020.2067
Review

Shared Decision-making in Head and Neck Surgery: A Review

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online July 23, 2020. doi:10.1001/jamaoto.2020.1601

This narrative review discusses the concepts and development of tools to improve shared decision-making among patients who are undergoing head and neck surgery and surgeons.

Research Letter

SARS-CoV-2 Virus Isolated From the Mastoid and Middle Ear: Implications for COVID-19 Precautions During Ear Surgery

Abstract Full Text
free access has active quiz
JAMA Otolaryngol Head Neck Surg. Published online July 23, 2020. doi:10.1001/jamaoto.2020.1922

This cadaver study examines the prevelence of severe acute respiratory syndrome coronavirus 2 colonization of the middle ear and mastoid in a sample of 3 patients.

Observation

Preservation of Portacath With Ipsilateral Pectoralis Major Flap Harvest—Waste Not, Want Not

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online July 23, 2020. doi:10.1001/jamaoto.2020.1762

This case report describes man in his 60s who presented with recurrent squamous cell carcinoma of the right parotid gland with mild right lower lip and platysmal weakness and subsequently underwent reconstructive surgery using a pectoralis major myocutaneous flap.

Comment & Response

Residual Disease After Transcanal Totally Endoscopic vs Postauricular Surgery

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online July 23, 2020. doi:10.1001/jamaoto.2020.1857

Residual Disease After Transcanal Totally Endoscopic vs Postauricular Surgery—Reply

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online July 23, 2020. doi:10.1001/jamaoto.2020.1860
July 16, 2020
Viewpoint

Overcoming Additional Barriers to Care for Deaf and Hard of Hearing Patients During COVID-19

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. Published online July 16, 2020. doi:10.1001/jamaoto.2020.1705

This Viewpoint highlights some techniques to overcome barriers to care that people with hearing loss encounter during the COVID-19 pandemic.

Original Investigation

Assessment of Pharmacologic Ingredients in Common Over-the-Counter Sinonasal Medications

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online July 16, 2020. doi:10.1001/jamaoto.2020.1836

This cross-sectional study assesses the prevalence of specific ingredients in over-the-counter sinonasal products found in US pharmacies.

Research Letter

Minimal Clinically Important Difference Reporting in Randomized Clinical Trials

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online July 16, 2020. doi:10.1001/jamaoto.2020.1586

This review evaluates the reporting and definition of minimal clinically important differences in randomized clinical trials.

Observation

An Uncommon Sinonasal Metastasis

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online July 16, 2020. doi:10.1001/jamaoto.2020.1605

This case report describes a woman in her 30s who presented with sinonasal metastasis secondary to radioiodine-refractory vesicular thyroid carcinoma.

Comment & Response

Olfactory Loss of Function as a Possible Symptom of COVID-19

Abstract Full Text
free access
JAMA Otolaryngol Head Neck Surg. Published online July 16, 2020. doi:10.1001/jamaoto.2020.1588

Olfactory Loss of Function as a Possible Symptom of COVID-19

Abstract Full Text
free access
JAMA Otolaryngol Head Neck Surg. Published online July 16, 2020. doi:10.1001/jamaoto.2020.1589

Olfactory Loss of Function as a Possible Symptom of COVID-19

Abstract Full Text
free access
JAMA Otolaryngol Head Neck Surg. Published online July 16, 2020. doi:10.1001/jamaoto.2020.1590

Olfactory Loss of Function as a Possible Symptom of COVID-19—Reply

Abstract Full Text
free access
JAMA Otolaryngol Head Neck Surg. Published online July 16, 2020. doi:10.1001/jamaoto.2020.1591
July 9, 2020
Viewpoint

Coronavirus Disease 2019—An Impetus for Resident Education Reform?

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online July 9, 2020. doi:10.1001/jamaoto.2020.1587

This Viewpoint details how COVID-19 surgical precautions taken in medical centers might be reflected in resident education.

Original Investigation

Assessment of the Progression of Vertical Semicircular Canal Dysfunction and Increased Vestibular Endolymphatic Hydrops in Patients With Early-Stage Ménière Disease

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online July 9, 2020. doi:10.1001/jamaoto.2020.1496

This cohort study examines the characteristics of the horizontal and vertical semicircular canals and the change in endolymphatic hydrops volume during medical treatment, including treatment with diuretic therapy, among patients with Ménière disease over a 2-year period.

Association of Central Noninvasive Brain Stimulation Interventions With Efficacy and Safety in Tinnitus Management: A Meta-analysis

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online July 9, 2020. doi:10.1001/jamaoto.2020.1497

This meta-analysis of randomized clinical trials evaluates the association between different central noninvasive brain stimulation therapies and efficacy and acceptability for treatment of patients with tinnitus.

Review

Contemporary Classification of Chronic Rhinosinusitis Beyond Polyps vs No Polyps: A Review

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online July 9, 2020. doi:10.1001/jamaoto.2020.1453

This narrative review describes the ongoing definition of chronic rhinosinusitis into phenotypes and endotypes as well as the proposed classification of primary chronic rhinosinusitis by anatomical distribution and endotype dominance.

Clinical Challenge

Radiology

Carotid Space Masses With Liver and Bone Metastases

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. Published online July 9, 2020. doi:10.1001/jamaoto.2020.1107

A young adult nonsmoker patient presented with a palpable left neck mass; contrast-enhanced computed tomography showed a large avidly enhancing mass in the neck and enhancing masses in the liver. What is your diagnosis?

Observation

Molecular Diagnosis and Extracranial Extension in Cushing Disease

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online July 9, 2020. doi:10.1001/jamaoto.2020.1471

This case report describes a woman in her 30s who presented with headaches and sudden-onset diplopia, characterized by left abducens nerve palsy and was diagnosed with Cushing disease.

July 2, 2020
Viewpoint

Effect of Coronavirus Disease 2019 and Pandemics on Global Surgical Outreach

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online July 2, 2020. doi:10.1001/jamaoto.2020.1520

This Viewpoint discusses how surgical global health programs are affected by the coronavirus disease 2019 pandemic and why global surgical outreach models may need to be rehashed.

Original Investigation

Evolution of Altered Sense of Smell or Taste in Patients With Mildly Symptomatic COVID-19

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online July 2, 2020. doi:10.1001/jamaoto.2020.1379

This prospective survey-based study examines the clinical course of the loss of sense of smell and taste in a case series of mildly symptomatic patients with SARS-CoV-2 infection.

Invited Commentary

Treatment Recommendations for Persistent Smell and Taste Dysfunction Following COVID-19—The Coming Deluge

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online July 2, 2020. doi:10.1001/jamaoto.2020.1378
Special Communication

Decontamination Methods for Reuse of Filtering Facepiece Respirators

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online July 2, 2020. doi:10.1001/jamaoto.2020.1423

This Special Communication summarizes studies describing various methods of decontamination to allow safe reuse of N95 respirators.

Review

Targeted Oncogene Therapy Before Surgery in Pediatric Patients With Advanced Invasive Thyroid Cancer at Initial Presentation: Is It Time for a Paradigm Shift?

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online July 2, 2020. doi:10.1001/jamaoto.2020.1340

This review discusses the potential role of oncogene-specific targeted therapy as neoadjuvant treatment for children and adolescents with advanced invasive thyroid cancer at diagnosis.

Clinical Challenge

Radiology

Progressive Trigeminal Hypoesthesia

Abstract Full Text
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JAMA Otolaryngol Head Neck Surg. Published online July 2, 2020. doi:10.1001/jamaoto.2020.1100

A 34-year-old man presents with progressive lower lip and chin numbness and ipsilateral facial fullness with trigeminal nerve deficit; magnetic resonance imaging reveals a T1 isointense, T2 hyperintense lesion. What is your diagnosis?

Observation

Cerebrospinal Fluid Leak Arising From a Persistent Foramen Cecum

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online July 2, 2020. doi:10.1001/jamaoto.2020.1515

This case report describes man in his 70s who presented with symptoms consistent with chronic rhinosinusitis despite treatment with azelastine, fluticasone propionate, levocetirizine, montelukast, and saline rinses and was diagnosed with a persistent foramen cecum.

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