Πέμπτη, 19 Μαρτίου 2020


Association of Hypocalcemia and Magnesium Disorders With Thyroidectomy
This cross-sectional study examines factors associated with hypocalcemia after total thyroidectomy and explores the association between hypocalcemia, magnesium disorders, and costs of care.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
Association of Multisensory Impairment With Quality of Life and Depression in English Older Adults
This cross-sectional study of 6147 English olderadults examines associations between concurrent multisensory impairments and aspects of well-being and mental health.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
Diffuse Palatal Swelling
A healthy woman in her 60s was referred for evaluation of a palatal swelling of unknown duration. She denied any pain or discomfort from the site and stated that the increasing size of the mass was what first alerted her to its presence. What is your diagnosis?
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
Evolution of Surgical Management of Thyroid Nodular Disease
This Viewpoint discusses significant changes that the author has experienced in the treatment of patients with thyroid cancer throughout the last 4 decades.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
Nasal Polyps, Laryngeal Masses, and Subglottic Stenosis in a Middle-aged Man
A 52-year-old man with a history of asthma presented with exacerbation of long-standing dyspnea along with progressively worsening nasal congestion and dysphonia over the past 2 years. What is your diagnosis?
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
Development of a Sleep Apnea–Specific Health State Utility Algorithm
This cohort study aims to develop and validate a utility scoring algorithm for a sleep apnea–specific quality-of-life instrument.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
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
Sun Mar 01, 2020 02:00
The Case for Value-Based Pricing of Corticosteroid-Eluting Sinus Stents
This Viewpoint describes the benefits of value-based pricing for corticosteroid-eluting sinus stents for drug manufacturers, patients, and clinicians.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
Concerns About Methodology in Study of Thyroid Nodule Gene Expression Classifier
To the Editor Valderrabano et al question the sensitivity and specificity of the Afirma gene expression classifier (GEC) from its pivotal clinical validation, and by extension, its negative predictive value (NPV). I disagree with their methodology and conclusions.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
Medicare Reimbursement for Balloon Catheter Dilations for Surgeons Performing High Volumes
This analysis of US Medicare data evaluates the number of balloon catheter dilations performed between 2011 and 2017, including the percentage of procedures performed by surgeons who perform high volumes of this procedure, reimbursements, and national geographic distributions.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
Mantle Cell Lymphoma Involving Major and Minor Salivary Glands With Parotid Sparing
This case report describes a man in his 70s who presented with painless bilateral neck swelling of 1 year’s duration that had gradually grown to affect his speech, and was diagnosed with mantle cell lymphoma.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
Evaluation of Factors Associated With Favorable Outcomes in Adults With Bell Palsy
This cohort study examines the factors that are associated with the favorable outcomes, defined as a House-Brackmann grade of II or lower, in patients treated for Bell palsy.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
An Unusual Nasal Septal Lesion in an Adult Patient
This Clinical Challenge describes an exceedingly rare cause for pain in the right nostril of a 31-year-old woman.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
The Ever-Expanding Balloon—Is Profit Shaping Practice?
In the study by Kasle and colleagues in this issue of JAMA Otolaryngology–Head and Neck Surgery, the authors report that use of balloon catheter dilation of the sinuses is increasing rapidly, along with concomitant Medicare payments. The increase in payments in the study is stunning, even though it is only reflective of the Medicare population. Interestingly, this increase is driven by a relatively small proportion of otolaryngologist–head and neck surgeons. Estimates from industry colleagues suggest...
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
The Utility of Image Guidance in Endoscopic Sinus Surgery
This systematic review summarizes the literature on the impact of image-guided surgery on surgical outcomes and complications, newer applications in other endoscopic procedures, challenges associated with further study of the technique, and recent developments related to the technology.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
Subcutaneous Emphysema of the Neck With Pneumomediastinum
This case report describes a man in his 30s who presented with facial swelling, neck pain, dysphagia, and odynophagia. What is your diagnosis?
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
Concerns About Methodology in Study of Thyroid Nodule Gene Expression Classifier—Reply
In Reply We appreciate Dr Kloos’s interest in our work, but respectfully disagree with his conclusions. He states that our analysis supports Afirma’s validated 94% or greater negative predictive value (NPV) on the basis that only 23 of the 1071 (2.1%) Afirma gene expression classifier (GEC) benign nodules were reported as malignant on surgical pathologic analysis. However, only a total of 149 such nodules were actually resected in the postmarketing studies, yielding a false-negative rate of 15.4%...
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
Barriers in Head and Neck Cancer for Patients in Resource-Limited Settings
This systematic review analyzes published studies to identify social and clinical factors in head and neck cancer treatment in low-income and lower-middle-income countries predominantly in South Asia.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
Minimizing Excess Opioid Prescribing for Acute Postoperative Pain
The United States is struggling with an epidemic of opioid abuse driven in part by postoperative opioid prescribing patterns. Opioid prescribing after surgery is one of the most common methods of initial opioid exposure and places patients at risk of developing opioid dependency. In otolaryngology, 6% of the patients who are opioid-naive develop postoperative iatrogenic opioid dependency, which contributes considerably to the epidemic because approximately 16 million otolaryngology operations are...
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
Association of ACA Medicaid Expansions With Disease Stage and Treatment for Patients With HNSCC
This cohort study examines the association of Medicaid expansions as part of the Patient Protection and Affordable Care Act (ACA) with stage at diagnosis and time to treatment initiation for patients with head and neck squamous cell carcinoma (HNSCC).
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
Safety of Intralesional Cidofovir for Adjuvant Treatment of Recurrent Respiratory Papillomatosis
This case series examines the safety of adjuvant intralesional cidofovir injections in patients with recurrent respiratory papillomatosis.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
Surveillance Outcomes and Intensity of Salvage Therapy Among Human Papillomavirus–Associated Oropharyngeal Cancers—Reply
In Reply We appreciate the inquiry of Arvold and McBride into the recurrence patterns and salvage treatments of the cohort presented in our study.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
JAMA Otolaryngology–Head & Neck Surgery —Best of 2019
The Best of 2019 editorial represents a new addition to JAMA Otolaryngology–Head and Neck Surgery. This Editorial is written by members of the editorial board and highlights select articles published in the journal over the past year. The selected articles represent the main specialty domains covered by the journal.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
The “Right Rate” of Tonsillectomy
To the Editor Tonsillectomy has been performed for thousands of years. In modern times, the operation went from being needed rarely to becoming almost routine. In New York, a random sample of 1000 schoolchildren was examined; reported in 1934, 60% were found to have undergone tonsillectomy. The remaining children were examined by school physicians; 45% were recommended for tonsillectomy. A second group of physicians examined those who were not; then a third group, the remainder. In each of the 3...
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
Clinical Implications of Scleroderma in the Decision for Radiotherapy-Based Larynx Preservation
This case report describes 2 patients who presented with laryngeal complications after undergoing radiation therapy.
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
Surveillance Outcomes and Intensity of Salvage Therapy Among Human Papillomavirus–Associated Oropharyngeal Cancers
To the Editor We read with interest the report by Masroor et al, suggesting that among patients with human papillomavirus (HPV)-associated oropharyngeal cancers, National Comprehensive Cancer Network (NCCN)-recommended regular posttreatment clinical examinations did not detect recurrence or improve survival, compared with observation. Among the 22 of 233 study patients who had recurrent disease, the authors report that 10 were symptom directed and 11 were imaging detected, indicating that half of...
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00
Indolent Laryngeal Mass Causing Progressive Dysphagia
A 29-year-old man with a history of reactive airway disease and eczema presented with progressive odynophagia, hoarseness, and dysphagia of solids, liquids, and secretions. What is your diagnosis?
JAMA Otolaryngology–Head & Neck Surgery Current Issue
Sun Mar 01, 2020 02:00

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