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.
To the Editor We read with interest the article by Lisan et al, published online on April 11, 2019. The authors analyzed publicly available data from the Sleep Heart Health Study (SHHS) to answer an important question: does prescription of positive airway pressure (PAP) treatment save lives? The authors observed substantially lower mortality risk among those with severe obstructive sleep apnea (OSA) who were prescribed PAP relative to matched controls who were not prescribed PAP (hazard ratio [HR],...
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.
In Reply Donovan and colleagues raised concerns regarding the definition of the nonexposed group in our study. As they noted, the variable “PAP [positive airway pressure] prescription” was derived from a set of branched questions, so that the control group may indeed result in a mixed group of individuals. The control group comprised 311 participants, among whom 305 answered “no” to the “sleepapnea” variable and 6 participants were coded “no” to the “sacpap” variable. Hence, the 305 participants...
In this issue of JAMA Otolaryngology–Head & Neck Surgery, Masroor at al explore the outcomes associated with adherence to the current National Comprehensive Cancer Network (NCCN) posttreatment surveillance recommendations for human papillomavirus–associated oropharyngeal squamous cell carcinoma (HPV-associated OPSCC). Recognition of the favorable prognosis of HPV-associated OPSCC has led to the issue of whether the current NCCN-guided surveillance recommendations are appropriate for survivors...
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.
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Related ArticlesYouTube™ as a source of information for patients undergoing laryngectomy: a thematic analysis. Eur Arch Otorhinolaryngol. 2019 Aug 06;: Authors: Malik TAM, Heywood EG, O'Connor TJ, Baker DM, Marshall JH, Beasley N Abstract PURPOSE: Total laryngectomy and end tracheal stoma formation are often required to treat advanced laryngeal cancer. Resources on the internet are commonly accessed by patients as a source of healthcare information....
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Purpose of review The aim if this review is to provide an update on the existing literature of animal bite treatment strategies and provide a systematic approach to animal bites from presentation to reconstruction. Recent findings Dog bites cause 80–90% of animal bites with 26.8–56.5% occurring in the head and neck. Infection rates may be as low as 5.7–9.7%. Primary closure alone is sufficient in 69.8% of dog bites within the first 24 h. Summary Animal bite injuries to the head and neck...
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Publication date: Available online 7 August 2019Source: American Journal of OtolaryngologyAuthor(s): Zihan Jiang, Hao Xiao, Hongting Zhang, Shixi Liu, Juan MengAbstractBackgroundCluster schedule of allergen-specific immunotherapy (AIT) is a cost-effective choice for allergic rhinitis (AR) patients, but its safety has been questioned due to the greater dosages required at each treatment compared with conventional immunotherapy. It remains a question that whether cluster schedule leads to a higher...
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Publication date: Available online 8 August 2019Source: International Journal of Pediatric OtorhinolaryngologyAuthor(s): Taylor B. Teplitzky, Kevin D. Pereira, Amal IsaiahAbstractObjective(i) To determine the prevalence of echocardiographic abnormalities in children with very severe OSA defined by an apnea hypopnea index (AHI) ≥ 30 events/hour. (ii) To test the hypothesis that polysomnographic (PSG) parameters predict echocardiographic variables in this population.MethodsChildren aged 1-17 years...
Publication date: Available online 8 August 2019Source: International Journal of Pediatric OtorhinolaryngologyAuthor(s): Paluch Paulina, Kochański Bartosz, Ganc Małgorzata, Cieśla Katarzyna, Milner Rafał, Pluta Agnieszka, Lewandowska MonikaAbstractObjectivesA cochlear implant (CI) has the potential to improve the functioning of a deaf child in many aspects. Nevertheless, the dynamics of the general development, beyond the typically measured language abilities, directly after CI, is still unknown,...
Publication date: Available online 7 August 2019Source: International Journal of Pediatric OtorhinolaryngologyAuthor(s): Christina Schnohr, Karl-Emil C. Frid, Ramon G. Jensen, Preben Homøe, Birgit V.L. NiclasenAbstractObjectives– Ear infections are the leading cause of hearing impairment among children worldwide and a major public health problem in many indigenous populations, yet representative studies of self-reported hearing impairment are currently scarce. The purpose of the present study was...
Publication date: Available online 7 August 2019Source: International Journal of Pediatric OtorhinolaryngologyAuthor(s): Yu Zou, Qi-qiang Dai, Wei-jing Tao, Xiao-ling Wen, De-feng Feng, Hua Deng, Wei-ping Zhou, Mi Li, Liang ZhangAbstractObjectivesMore than 50% of congenital hearing loss is attributed to genetic factors. Data of gene mutation associated with hearing loss from large population studies in Chinese population are scarce. In this study, we conducted a comprehensive newborn genetic screening...
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An error was made in the June 2019 issue of Otolaryngologic Clinics (Volume 52, Issue 3) in the Preface, written by guest editors Melissa A. Pynnonen and Cecelia E. Schmalbach (pgs. xv–xvi).
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Publication date: Available online 7 August 2019Source: Acta Otorrinolaringológica EspañolaAuthor(s): Muhammad Hazim Abdul Ghafar, Hazama Mohamed, Nik Mohd Yunus Mohammad, Zahiruddin Wan Mohammad, Teti Madiadipoera, De Yun Wang, Baharudin AbdullahAbstractIntroductionThe use of mometasone furoate (MF) intranasal spray in treating adenoid hypertrophy (AH) has a variable outcome due the different methods of adenoid size evaluation. The aim of our study was to evaluate the effect of MF intranasal spray...
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Condition: Squamous Cell Carcinoma of the Head and Neck; Head and Neck Cancer; Head and Neck Carcinoma; Cancer of the Head and NeckIntervention: Biological: NivolumabSponsor: Bristol-Myers SquibbRecruiting
Condition: GingivitisInterventions: Drug: Sensodyne Repair and Protect; Drug: Colgate Cavity ProtectionSponsor: GlaxoSmithKlineNot yet recruiting
Condition: Incomplete Spinal Cord InjuryIntervention: Device: BQ 1.2Sponsors: BrainQ Technologies Ltd.; The Miami Project to Cure Paralysis; Sheba Medical Center; Kessler Institute for RehabilitationNot yet recruiting
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Perioperative risk factors for post‐thyroidectomy hematoma: Significance of pain and ketorolac usage
Abstract Background Post‐thyroidectomy hematoma (PH) is uncommon but may be a life‐threatening complication. We explored perioperative risk factors for PH, with emphasis on perioperative hemodynamics, pain, and medications. Methods A retrospective case‐control study was performed with matching for age, sex, and type of operation. Univariate and multivariate analyses were performed to identify independent risk factors. Results In 1780 thyroid surgeries, 22 cases of PH were detected...
Abstract Background Multimodality treatment for head and neck cancer leads to substantial functional and esthetic impairment mainly manifested as radiation‐induced skin fibrosis (RIF) in combination with volumetric defects and reduction in neck mobility. This study assessed the impact of lipotransfer as part of secondary surgical procedure(s) in patients treated for head and neck malignancies. Methods Retrospective analysis was performed between 2005 and 2016. All patients with a history...
Abstract Background To evaluate the differences in treatment modality and outcomes between male and female patients with laryngeal squamous cell carcinoma (SCC) in the United States. Methods Data were extracted from the Surveillance, Epidemiology, and End Results Database for patients with laryngeal SCC (2004‐2013). Overall survival (OS), disease specific survival (DSS), and multivariate analyses were conducted. Results Among women, supraglottic cancers were the most prevalent (61.2%);...
Abstract Background Skull‐base reconstruction represents a concern after resection of middle fossa (MF) tumors by the extradural subtemporal transzygomatic approach (ESTZ). Regional pedicled flaps appear to be the best option. This study describes a technique for temporal myofascial segmentation to harvest a multilayered vascularized flap for MF reconstruction, which might preserve temporal muscle (TM) function and its blood supply. Methods The technique to harvest a combined segmented...
Abstract Background The management of patients with incidentally discovered metastatic thyroid cancer in cervical lymph nodes in neck dissection specimens for other pathologies is unclear. Methods Retrospective review of neck dissection specimens for nonthyroid malignancy during a 30‐year period was undertaken to identify incidental metastatic papillary thyroid cancer (PTC). Results Twenty‐six patients had an incidental finding of PTC in lymph node(s) in neck dissection specimens....
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