Δευτέρα 21 Οκτωβρίου 2019


JAMA Otolaryngology–Head & Neck Surgery , 
Mission 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 etiologies, evaluate diagnostic strategies,...
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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October Issue Highlights
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Factors to Consider When Contemplating Posttreatment Surveillance for Survivors of HPV-Associated Oropharyngeal Squamous Cell Carcinoma
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 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-guided surveillance recommendations are appropriate...
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Errors in Abstract and Results
In 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.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Association of Opioid Prescriptions With Complications After Tonsillectomy in Children
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.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Variation in Surgical Practice for Differentiated Thyroid Cancer
This 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.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Association of Singing With the Development of Pediatric Voice Disorders
To 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 tradition. Although I am a strong advocate of healthy choral...
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Association Between Hospital Market Concentration and Costs of Laryngectomy
This cross-sectional analysis uses the Nationwide Inpatient Sample to examine the association between regional hospital market concentration, hospital charges, and costs for laryngectomy.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Progressive Bilateral Nasal Obstruction Due to Nasopharyngeal Mass
A 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?
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Redirecting, Without Dampening, the Enthusiasm of Surgeons
It 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, Hall and colleagues report on high variability...
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Defining Exposure and Non-exposure in Observational Studies of Sleep Apnea Treatment—Reply
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...
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Using Laryngectomies to Help Voice Concerns About Health Care Databases
In 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.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Geographic Disparities in US Veterans’ Access to Cochlear Implant Care
This 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.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Solitary Mucus Cast at the Wharton Duct Orifice
A 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?
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Prevalence of Eustachian Tube Dysfunction in Adults in the United States
Using 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.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Anatomic Distribution of the Morphologic Variation of the Upper Lip Frenulum Among Healthy Newborns
This 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.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Concurrent Internal Jugular Vein Phlebectasia and Omohyoid Sling Syndrome
This case report describes a woman in her 20s who presented with a right lower neck swelling that appeared intermittently, especially during swallowing and coughing.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Transnasal-Transpterygoid Endoscopic Removal of an 18 F–Choline-Avid Parathyroid Carcinoma in the Skull Base
This 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.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Cannabis Inhalation and Voice Disorders
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.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Use and Cost of a Hypoglossal Nerve Stimulator Device for Obstructive Sleep Apnea
This 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.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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NCCN-Recommended Posttreatment Surveillance and Outcomes in Patients With HPV-Associated Oropharyngeal SCC
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.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Vaping Among Adolescents in the United States
On 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-cigarettes pose an “existential threat” to youth, and...
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Defining Exposure and Nonexposure in Observational Studies of Sleep Apnea Treatment
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],...
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Mucocutaneous Lesions in an Adult Man Who Recently Moved From Mexico
A 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?
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Intraoperative Autofluorescence Parathyroid Identification in Patients With Multiple Endocrine Neoplasia
This 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.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Reflections on the Otolaryngologist’s Role in Opioid Stewardship
This 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.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Association of Singing With the Development of Pediatric Voice Disorders—Reply
In 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.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Association of a Lean Surgical Plan of the Day With Reduced Operating Room Time for Head and Neck Free Flap Reconstruction
This 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.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Association of Singing With the Development of Pediatric Voice Disorders
To 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.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Association of Sinonasal Factors With Chronic Laryngitis in Korean Adults
This 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.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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Desquamatory Lesions of the Upper Aerodigestive Tract Mucosa
A 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?
JAMA Otolaryngology–Head & Neck Surgery Current Issue
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