Clinical Otolaryngology
- Alternate method for designing laryngoplasty implant using actual size CT scan images on a touchscreen device with a stylusAbstract Since publishing our article, Custom designing laryngoplasty implant using actual size CT scan images on a mobile device,1 we have refined our technique to improve the accuracy and time required for the procedure using smart phones with a stylus that allows direct sketching on the screen. The published technique starts with taking a screenshot of the image after adjusting it to the actual size.
- Increase in IL‐17‐positive cells in sinonasal inverted papillomaAbstract Objective Neutrophil infiltration in patients with sinonasal inverted papilloma (SNIP) is significantly high. Whether IL‐17, which is a potent factor mediating neutrophilic inflammation, is involved in the neutrophilic phenotype of SNIP is investigated in the current study. Study design Laboratorial study. Participants Nasal papilloma and inferior turbinate were collected from patients with SNIP (n=50) and control subject
- Letter to the editor in reference to: “A web‐based prediction score for head and neck cancer referrals”Abstract We read with interest the article by Lau et al. (2018) on the design of a web‐based prediction score for head and neck cancer (HNC) referrals. The authors state that there are no similar scoring systems available in the literature that are web‐based and applicable to the two‐week‐wait referrals.
European Archives of Oto-Rhino-Laryngology
- Endoscopic stapedotomy: safety and audiological results in 150 patientsAbstract Objective The most widely accepted treatment for otosclerosis is currently microscopic stapes surgery under either local or general anesthesia. The aim of the study is to describe the surgical steps in endoscopic stapes surgery and to evaluate the audiologic and surgical outcomes. Materials and methods
- Prospective evaluation of oral premalignant lesions using a multimodal imaging system: a pilot studyAbstract Background Multimodal optical imaging, incorporating reflectance and fluorescence modalities, is a promising tool to detect oral premalignant lesions in real‐time. Methods Images were acquired from 171 sites in 66 patient visits for clinical evaluation of oral lesions. An automated algorithm was used to classify lesions as high‐ or low‐risk for neoplasia. Biopsies were acquired at clinically indicated sites and those classified
- Closure of radial forearm free flap donor site: A comparative study between keystone flap and skin graftAbstract Background The aim was to investigate the feasibility of radial forearm free flap (RFFF) donor site closure by keystone flap (KF) and compare its outcomes to those of skin graft (SG) closure. Methods One hundred and one patients who underwent RFFF for head and neck reconstruction were included (35 KF closure and 65 SG closure). Duration of wound healing and donor site complications was collected. After a minimal follow‐up of 1
- Colon Cancer Metastasis Within a NIFTP: A Case Report and Review of the LiteratureAbstract The thyroid is an unusual site for metastasis, and metastases in a preexisting primary thyroid tumor are exceedingly rare. We report the first case of a patient with colon cancer who was diagnosed with a thyroid metastasis in a noninvasive follicular thyroid neoplasm with papillary-like nuclear features (NIFTP). A 55-year-old male patient presented with a 19 mm thyroid nodule in the inferior left lobe. It was EU-TIRADS
JAMA Otolaryngology–Head & Neck Surgery Current Issue
- JAMA Otolaryngology–Head & Neck SurgeryMission Statement:JAMA Otolaryngology–Head & Neck Surgery provides timely information for physicians and scientists concerned with diseases of the head and neck. Given the diversity of structure and function based in this anatomic region, JAMA Otolaryngology–Head & Neck Surgery publishes clinical, translational, and population health research from an array of disciplines. We place a high priority on strong study designs that accurately identify e
- Factors to Consider When Contemplating Posttreatment Surveillance for Survivors of HPV-Associated Oropharyngeal Squamous Cell CarcinomaIn 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 patients with 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-guid
- Errors in Abstract and ResultsIn the Original Investigation titled “Anatomic Distribution of the Morphologic Variation of the Upper Lip Frenulum Among Healthy Newborns,” published online August 22, 2019, there were errors in the Results paragraph of the abstract and the Results section of the text. The mean (SD) birth weight and range of birth weights of 150 newborns should be 3180 (570) g (range, 1850-4480 g). This article was corrected online.
- Association of Opioid Prescriptions With Complications After Tonsillectomy in ChildrenThis 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.
- Variation in Surgical Practice for Differentiated Thyroid CancerThis population-based study evaluates nearly 16 years of clinical and administrative data to understand the differences in surgical treatments, the incidence of thyroid cancer, and the role of region-based surgeons in provincewide practice variations in Ontario, Canada.
- Association of Singing With the Development of Pediatric Voice DisordersTo the Editor Clarós et al should be complimented on the article “Association Between the Development of Pediatric Voice Disorders and Singing in Children’s Choir,” published online in March. The study was important. However, the authors might consider another explanation for their findings. Their article suggests an association between good vocal health and choir singing based on attention to healthy singing techniques in the Spanish choir tradi
- Association Between Hospital Market Concentration and Costs of LaryngectomyThis cross-sectional analysis uses the Nationwide Inpatient Sample to examine the association between regional hospital market concentration, hospital charges, and costs for laryngectomy.
- Progressive Bilateral Nasal Obstruction Due to Nasopharyngeal MassA man in his 20s presented with a progressive bilateral nasal obstruction accompanied by recurrent nosebleeds. Following removal of the obstruction, histopathologic results showed calcification of the mass. What is your diagnosis?
- Redirecting, Without Dampening, the Enthusiasm of SurgeonsIt was J. Alison Glover who first noted variation in rates of tonsillectomy across Britain more than 75 years ago. He noted that the variation was because of the school health officers who would refer (or not refer) students for tonsillectomy. Fast forward to Wennberg and Gittelsohn’s article 35 years later that again documented variation in rates of tonsillectomy, this time across Vermont. In this issue of JAMA Otolaryngology–Head & Neck Surgery
- Defining Exposure and Non-exposure in Observational Studies of Sleep Apnea Treatment—ReplyIn 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
- Using Laryngectomies to Help Voice Concerns About Health Care DatabasesIn this month’s issue of JAMA Otolaryngology–Head & Neck Surgery, Gourin et al deliver a comprehensive analysis of the medical marketplace using the National Inpatient Sample (NIS) health care database, focusing on the associations between hospital market concentration, competition, and surgical volumes as they relate to charges, costs, and care in patients undergoing laryngectomy for treatment of malignant disease.
- Geographic Disparities in US Veterans’ Access to Cochlear Implant CareThis analysis uses census tract–level data from the nationwide American Community Survey to investigate geographic disparities for US veterans in accessing cochlear implant facilities within the Veterans Health Administration system.
- Solitary Mucus Cast at the Wharton Duct OrificeA woman presents with recurring left submandibular gland swelling and pain, and a sialoendoscopy shows a mucus cast, which has extensive eosinophil infiltrate seen on histologic examination. What is your diagnosis?
- Prevalence of Eustachian Tube Dysfunction in Adults in the United StatesUsing a representative cross-sectional sample combined with census data, this study calculates prevalence and population estimates to approximate the burden of eustachian tube dysfunction among adults in the United States.
- Anatomic Distribution of the Morphologic Variation of the Upper Lip Frenulum Among Healthy NewbornsThis cross-sectional study examines the variations in morphology of the maxillary labial frenulum in healthy newborns to identify which anatomic measurements may be associated with neonatal breastfeeding difficulty.
- Concurrent Internal Jugular Vein Phlebectasia and Omohyoid Sling SyndromeThis case report describes a woman in her 20s who presented with a right lower neck swelling that appeared intermittently, especially during swallowing and coughing.
- Transnasal-Transpterygoid Endoscopic Removal of an 18 F–Choline-Avid Parathyroid Carcinoma in the Skull BaseThis case report describes a patient with a medical history of symptomatic primary hyperparathyroidism who was found to have an atypical parathyroid neoplasm at the right skull base with an infiltrating pattern, which was treated by transnasal-transpterygoid endoscopic removal.
- Cannabis Inhalation and Voice DisordersThis systematic review examines data from humans and animals to assess the association of cannabis inhalation with the health and function of the vocal mechanism.
- Use and Cost of a Hypoglossal Nerve Stimulator Device for Obstructive Sleep ApneaThis economic evaluation based on publicly available data assesses the use and cost of an implantable device, approved by the US Food and Drug Administration in 2014, that offers a unique alternative to patients with moderate to severe obstructive sleep apnea and poor response to continuous positive airway pressure.
- NCCN-Recommended Posttreatment Surveillance and Outcomes in Patients With HPV-Associated Oropharyngeal SCCThis 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.
- Vaping Among Adolescents in the United StatesOn December 18, 2018, the US Surgeon General declared e-cigarette vaping among adolescents an “epidemic.” This declaration coincided with a report in The New England Journal of Medicine highlighting a 10% increase in youth vaping between 2017 and 2018, the equivalent of an additional estimated 1.3 million teenagers. In a public hearing in January 2019, the former US Food and Drug Administration (FDA) Commissioner, Scott Gottlieb, stated that e-ci
- Defining Exposure and Nonexposure in Observational Studies of Sleep Apnea TreatmentTo 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 con
- Mucocutaneous Lesions in an Adult Man Who Recently Moved From MexicoA 66-year-old man presented to the emergency department for painful and pruritic ulcerative cutaneous lesions involving his back, nose, lips, and mucosal lesions involving his oral cavity and oropharynx. What is your diagnosis?
- Intraoperative Autofluorescence Parathyroid Identification in Patients With Multiple Endocrine NeoplasiaThis cohort study examines the use of real-time near-infrared autofluorescence imaging in the intraoperative setting for identification and localization of the parathyroid gland in patients with multiple endocrine neoplasia type 1.
- Reflections on the Otolaryngologist’s Role in Opioid StewardshipThis article examines otolaryngologist contributions to the opioid epidemic and argues on behalf of limiting opioid prescription and working to make prescribing practices more consistent across disciplines.
- Association of Singing With the Development of Pediatric Voice Disorders—ReplyIn Reply We thank James and Ong and Sataloff for dedicating their time to comment on our article. We are honored by their attention, overall complimentary perspective, and will make our best effort to respond to their comments.
- Association of a Lean Surgical Plan of the Day With Reduced Operating Room Time for Head and Neck Free Flap ReconstructionThis quality improvement cohort study used Lean methodology to identify opportunities to reduce operating room inefficiency and, following a retrospective medical record review, implemented a surgical plan of the day and evaluated its association with reduced operation times.
- Association of Singing With the Development of Pediatric Voice DisordersTo the Editor We thank Clarós et al for their study investigating the association between singing in a children’s choir and the development of voice disorders. The authors reported a significantly greater number of voice disorders in nonsingers compared with singers, thus emphasizing the importance of introducing conscientious voice care in nonsinging children. However, we have identified several notable limitations in this study.
- Association of Sinonasal Factors With Chronic Laryngitis in Korean AdultsThis cross-sectional study estimates the association of chronic laryngitis with various sinonasal symptoms and endoscopic findings to identify what sinonasal factors are associated with allergic cause of chronic laryngitis.
- Desquamatory Lesions of the Upper Aerodigestive Tract MucosaA man in his 30s presented with a medical history of severe dysphagia and dysphonia, fever, rhinorrhea, several macules and desquamatory lesions on the mucosa of the oral cavity, lips, penis, and eye sclera. What is your diagnosis?
- A Posterior Neck Mass in a 7-Month-Old InfantA 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?
- Association of Older Age and Frailty With Depression and Postoperative Regret About Major Head and Neck SurgeryThis cohort study assesses whether age and frailty are associated with preoperative and/or worsening postoperative depression and postoperative decision regret in patients undergoing major head and neck surgery and identifies additional factors associated with depression and decision regret.
- Treatment of Head and Neck Cancer—Sometimes, Less Is MoreIn this issue of JAMA Otolaryngology-Head & Neck Surgery, Saraswathula and colleagues used the Surveillance, Epidemiology, and End Results Program (SEER)–Medicare outcomes and claims database to compare the value of 3 different radiotherapy (RT) regimens (ie, RT alone, RT plus cisplatin, or RT plus cetuximab) administered to patients older than 65 years with locally advanced head and neck cancer (HNC) of the oral cavity, oropharynx, larynx, and h
- Care Value for Older Patients Receiving Radiotherapy With or Without Cisplatin or Cetuximab for Head/Neck CancerThis cohort study uses the SEER-Medicare outcomes and claims database to evaluate the quality, outcomes, and costs associated with radiation therapy with or without cisplatin or cetuximab for older adults with stage III to IVB head and neck cancer.
- Harms of Pediatric Thyroid Cancer OverdiagnosisTo the Editor We read with interest the article by Qian et al, who reported thyroid cancer incidence among children in the United States. On the basis of similar trends between tumor sizes (0.1-2.0 and >2 cm) and between extent of diseases (localized and regional), they suggested 2 causes of the increase: overdiagnosis, associated with a 2006 recommendation for a similar diagnostic and therapeutic approach in children as in adults by the American
- Harms of Pediatric Thyroid Cancer Overdiagnosis—ReplyIn Reply In our study, we reported that the incidence rate of pediatric thyroid cancer increased more rapidly during 2006 to 2013 than during 1973 to 2006. We proposed that this is likely owing to a combination of enhanced detection and a concurrent true increase in pediatric thyroid cancer incidence based on increased incidences of large tumors and regionally advanced disease. We have read the comments of Murakami et al and wish to address their
- Using Confidence Intervals to Quantify Statistical and Clinical Evidence for the Treatment EffectThis Viewpoint provides additional points that may further enhance proper use and interpretation of the confidence interval for making inference about the treatment effect.
- Determining Operative Candidacy and Avoiding RegretEvery surgical oncologist bristles when considering whether to offer an operation of questionable benefit. Patient, oncologic, and clinician factors all influence whether a surgery is indicated and how to effectively navigate the necessary preoperative counseling and preparation. The inherent risks and rewards of cancer surgery are magnified when the underlying physical fitness of the patient is in question. Even when dealing with technically fea
Journal of Neurological Surgery Part B: Skull Base
- Extirpation of a Ruptured Anterior Spinal Artery Aneurysm Accompanied by Dural Arteriovenous Fistula at the Craniovertebral Junction via a Posterolateral Approach: The Management of Extradural Venous CongestionJ Neurol Surg BDOI: 10.1055/s-0039-1697981 Objective This study was aimed to discuss how to control extradural venous congestion with an increased pressure in cases of arteriovenous shunt disease of the craniovertebral junction. Design The study is presented through an operative video. Results A 77-year-old patient with subarachnoid hemorrhage had a dural arteriovenous fistula located at the C1–C2 level.
Journal of Otolaryngology - Head & Neck Surgery
- Molecular mutations as a possible factor for determining extent of thyroid surgeryMolecular testing of thyroid nodules is a diagnostic tool used to better understand the nature of thyroid nodules. The aim of this study is to better comprehend the relationship between specific mutations and ...
liebertpub1
- 89th Annual Meeting of the American Thyroid Association October 30–November 3, 2019 Sheraton Grand Chicago, Chicago, IllinoisThyroid, Volume 29, Issue 10, Page 1357-1358, October 2019.
- F-18-Dopa Positron Emission Tomography/Computed Tomography Is More Sensitive Than Whole-Body Magnetic Resonance Imaging for the Localization of Persistent/Recurrent Disease of Medullary Thyroid Cancer PatientsThyroid, Volume 29, Issue 10, Page 1457-1464, October 2019.
- Future MeetingsThyroid, Volume 29, Issue 10, Page 1521-1522, October 2019.
- Lewis E. Braverman, MD, MACE, MACP (March 30, 1929–June 10, 2019)Thyroid, Volume 29, Issue 10, Page 1349-1356, October 2019.
Pediatric Otorhinolaryngology
- Identification of MYO6 copy number variation associated with cochlear aplasia by targeted sequencingPublication date: Available online 16 October 2019Source: International Journal of Pediatric OtorhinolaryngologyAuthor(s): Sun Lianhua, Wang Xiaowen, Hou Shule, Liang Min, Yang JunAbstractCopy number variation is an extensively studied cause of hereditary diseases. However, its role in hereditary sensorineural deafness has been rarely reported. Using targeted sequencing, SNP array and qPCR, we found a novel 622.2 kb duplication of 6q14.1 in a pat
- Risk factors for auricular hematoma and recurrence after drainageObjectives/Hypothesis To review an institutional experience with auricular hematoma across all clinical settings including the emergency department (ED) and outpatient clinics at an urban tertiary care academic hospital, characterize practice patterns across setting and specialty, and assess for factors predictive of treatment success. Methods Patients presenting to the ED, admitted to an inpatient ward, or seen in the outpatient setting b
Πέμπτη 17 Οκτωβρίου 2019
Εγγραφή σε:
Σχόλια ανάρτησης (Atom)
Δεν υπάρχουν σχόλια:
Δημοσίευση σχολίου