Otolaryngology–Head and Neck Surgery, Ahead of Print. ObjectivesElevated body mass index (BMI) is a risk factor for surgical complications, but data in acoustic neuroma surgery are conflicting and limited to small single-institution studies. This work evaluates associations between BMI and complications in surgery for acoustic neuroma (AN).Study DesignRetrospective review.Setting:Two tertiary otology referral institutions.Subjects and MethodsPatients undergoing surgery for AN. Univariate and multivariate...
Tue Mar 03, 2020 11:59
Otolaryngology–Head and Neck Surgery, Ahead of Print. ObjectiveTo describe our clinical experience with surgical treatments for sinonasal phosphaturic mesenchymal tumors diagnosed at our institution.Study DesignRetrospective case series.SettingAffiliated Sixth People’s Hospital, Shanghai Jiao Tong University.Subjects and MethodsWe retrospectively reviewed the medical records of 10 patients diagnosed with phosphaturic mesenchymal tumors associated with tumor-induced osteomalacia between December 2014...
Tue Mar 03, 2020 11:42
Otolaryngology–Head and Neck Surgery, Ahead of Print. ObjectivesRecent evidence suggests that children with mental health disorders are more likely to have postoperative complications. Our aim was to determine if mental health disorders affect postoperative complications after tonsillectomy with or without adenoidectomy (T&A).SettingCross-sectional analysis of national databases.Subjects and MethodsThe 2006 to 2016 Kids Inpatient Database and the 2014 Nationwide Readmission Database were used...
Tue Mar 03, 2020 11:41
Otolaryngology–Head and Neck Surgery, Ahead of Print. ObjectiveTo describe cochlear implant performance outcomes in adult patients in whom no intraoperative electrically evoked compound action potential (ECAP) responses were able to be obtained despite intracochlear electrode placement.Study DesignRetrospective case review.SettingAcademic tertiary center.Subjects and MethodsPatients 18 years of age and older undergoing cochlear implantation between May 2010 and September 2018 with absent ECAP measurements...
Tue Mar 03, 2020 11:25
Otolaryngology–Head and Neck Surgery, Ahead of Print. ObjectiveHeart rate variability (HRV), a noninvasive indicator of autonomic regulation of cardiac rhythm, may represent the physiologic burden of obstructive sleep apnea (OSA). We hypothesized that the treatment-related effects of OSA on HRV in children are causally attributable to the improvement in OSA severity.Study DesignSecondary analysis of outcomes from the Childhood Adenotonsillectomy Trial (CHAT).SettingAnalysis of database.Subjects and...
Tue Mar 03, 2020 11:17
Otolaryngology–Head and Neck Surgery, Ahead of Print. ObjectiveTo analyze the prevalence of pediatric allergic airway disease (PAA) and recognize its impact on cognitive function, childhood activities, use of early intervention, and missed school days.Study DesignCross-sectional analysis of National Health Interview Survey (NHIS), 2014 to 2017.SettingUS households.Subjects and MethodsAn NHIS survey of US children and responding caregivers was analyzed to determine the prevalence of PAA, including...
Tue Mar 03, 2020 11:11
Otolaryngology–Head and Neck Surgery, Ahead of Print. ObjectiveTo examine the current geographic distribution of otolaryngologists in the United States and the disparities in socioeconomic demographics at the county and hospital referral region (HRR) level.Study DesignCross-sectional study.SettingNational cohort analysis including all otolaryngologists in the United States.Subjects and MethodsAll otolaryngologists board certified by the American Board of Otolaryngology–Head and Neck Surgery in the...
Tue Mar 03, 2020 11:06
Otolaryngology–Head and Neck Surgery, Ahead of Print. ObjectiveThe primary aim of this study was to describe national variations in sinus balloon dilation (SBD), examine the relationship between endoscopic sinus surgery (ESS) and SBD prevalence patterns, and evaluate associations between reimbursement rates and regional variations in sinus surgery.Study DesignRetrospective observational study.SettingMedicare Provider Utilization and Payment (PUP) Part B Data from January 1, 2016, to December 31,...
Tue Mar 03, 2020 11:03
Knowledge Gaps among Patients and Providers in HPV-Related Oropharyngeal Cancer: A Systematic Review
Otolaryngology–Head and Neck Surgery, Ahead of Print. ObjectiveTo describe the level of knowledge of human papillomavirus (HPV) and HPV-associated oropharyngeal squamous cell carcinoma (OPSCC) among the general population and health care providers.Data SourcesSystematic search was performed on December 20, 2018, using MEDLINE (1966 to December 2018), EMBASE (1975 to December 2018), Web of Science (1900 to December 2018), and CENTRAL (1996 to December 2018) databases. English-language literature involving...
Tue Mar 03, 2020 11:02
Otolaryngology–Head and Neck Surgery, Ahead of Print. ObjectiveTo provide the first description of hypofractionated stereotactic radiosurgery (SRS) and evaluate tumor control and safety for vagal paragangliomas (VPs), which begin at the skull base but often have significant extracranial extension.Study DesignRetrospective chart review.SettingTertiary-referral neurotology and neurosurgery practice.Subjects and MethodsFive VPs in 4 patients (all male, ages 15-56 years) underwent SRS between 2010 and...
Tue Mar 03, 2020 08:23
Otolaryngology–Head and Neck Surgery, Ahead of Print. ObjectivesDissemination and implementation (D&I) science analyzes interventional strategies that aid in spreading scientific knowledge, adopting evidence into practice, and identifying barriers to maximize successful integration of science into practice. This study set out to critically appraise the published D&I strategies of the American Academy of Otolaryngology–Head and Neck Surgery Foundation (AAO-HNSF) Clinical Practice Guidelines...
Tue Mar 03, 2020 08:17
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