This case report describes a woman in her 60s with a previous history of basal cell carcinoma who presented with multiple wart-like lesions that erupted on both her cheeks 2 weeks after full-face fractional CO2 laser resurfacing.
This Patient Page describes the particular risks the coronavirus disease 2019 pandemic presents for patients with a laryngectomy and how best to mitigate risk.
In the article titled “Severe Facial-Disfiguring Xeroderma Pigmentosum With Rapidly Progressing Malignant Tumors,” published in the February 2019 issue of JAMA Otolaryngology–Head & Neck Surgery, indication of co–first authorship was missing. Authors Tao Zan, MD, PhD, and Xin Huang, MD, are co–first authors of this article. The article has been corrected online.
This cross-sectional study characterizes the prevalence of age-related hearing loss in people 80 years and older using data from the National Health and Nutrition Examination Survey.
This cohort study evaluates the host factors associated with prognosis in patients with oral cavity squamous cell carcinoma and their interactions for development of a numerical index that quantifies their prognostic capacity.
A 57-year-old African American man presents with an occasionally pruritic, brown pigmented lesion on the hard palate that histologically demonstrates soft tissue covered by benign-appearing stratified squamous epithelium. What is your diagnosis?
This case report describes a man in his 50s who developed nasopharyngeal mucocele following balloon eustachian tuboplasty that required surgical treatment.
A 45-year-old male professional voice user presents with dysphonia, throat tightness, and voice roughness; laryngoscopy revelated a firm lesion in the left paraglottic space extending to the lateral aspect of the true vocal fold. What is your diagnosis?
This Viewpoint identifies concerns and potential solutions for aspiring otolaryngology–head and neck surgeons and otolaryngology departments in the residency match process during the COVID-19 pandemic.
This Viewpoint describes techniques by which otolaryngologic physical examination can be performed when the patient is not physically present with the examiner.
In Reply Lin and Sol refer to some limitations in our study. First we fully agree that the study, as every study, has its limitations. They assume that facial palsy may influence socioeconomic status and therefore health-related quality of life (HRQoL). We performed additional univariate analyses to explore this assumption. We found no significant associations between facial palsy severity (Sunnybrook score) and socioeconomic status operationalized as income, occupational status, and education. In...
This case-control study examines the association between multimodal analgesia administration and perioperative opioid requirements in patients undergoing head and neck surgery with free flap reconstruction and investigates whether multimodal analgesia alters the duration of stay in the postanesthesia care unit.
This cross-sectional cohort study uses census data to approximate population estimates of obstructive eustachian tube dysfunction among US adolescents.
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This case report describes a 61-year-old man who presented with dysphagia, drooling, and an ulcerated mass in the right oropharyngeal region.
This comparative effectiveness research study explores the potential of otolaryngology telemedical consultation in triaging and diagnosing patients with suspected peritonsillar abscess.
The timely article by Mallen et al in this issue of JAMA Otolaryngology–Head & Neck Surgery is a practical application of telehealth to improve access to otolaryngology care. The goal of the study was to assess the reliability of telehealth in the diagnosis and triage of patients with suspected peritonsillar abscess (PTA). The authors tested the accuracy of PTA diagnosis by providing off-site otolaryngologists with a primary symptom and an oropharyngeal examination obtained using smartphone video...
In Reply In his Letter to the Editor written in response to my article on over-the-counter (OTC) sinonasal medications, Weinberger succinctly addresses the problem of self-directed symptom relief by asking, what is a sinonasal medication? Consciously or unconsciously, the answer to this question drives countless individuals to local pharmacies in a quest for relief of what are perceived as sinus problems. Whether one actually has sinusitis, allergic rhinitis, or another upper respiratory infection...
To the Editor In his Original Investigation, McCoul expresses concern regarding confusion caused by the panoply of over-the-counter (OTC) sinonasal medications. But a more relevant question might be, what is a sinonasal medication?
A 62-year-old man presents with metastatic p16-positive squamous cell carcinoma and a primary cancer in the right tonsil. What is your diagnosis?
This essay describes the author’s experience of having COVID-19.
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J Neurol Surg B Skull BaseDOI: 10.1055/s-0040-1713854Sphenoid wing meningiomas are benign tumors that can result in proptosis, visual impairment, and pain. Traditional open surgical approaches are associated with significant morbidity. Transorbital endoscopic surgery has been developed as a minimally invasive approach to gain access to these tumors and address the main presenting symptoms. Case series reporting transorbital endoscopic resection of sphenoid wing meningiomas using combined endonasal,...
J Neurol Surg B Skull BaseDOI: 10.1055/s-0040-1715607 Background Microvascular decompression (MVD) is a common surgical treatment for cranial nerve compression, though cerebrospinal fluid (CSF) leak is a known complication of this procedure. Bone cement cranioplasty may reduce rates of CSF leak. Objective To compare rates of CSF leak before and after implementation of bone cement cranioplasty for the reconstruction of cranial defects after MVD. Methods Retrospective...
J Neurol Surg B Skull BaseDOI: 10.1055/s-0040-1712179 Objective Cerebrospinal fluid (CSF) leaks are the most common complication during endonasal endoscopic transsphenoidal approach (EETSA) and prevention of postoperative CSF leaks is critical. In this study, we report a single surgeon's experience of sellar floor reconstruction using abdominal fat grafts for prevention of postoperative CSF leaks in EETSA for pituitary adenomas. Design This study is presented as case series...
J Neurol Surg B Skull BaseDOI: 10.1055/s-0040-1715594 Objectives This study was aimed to understand the usefulness of transarterial angiography and embolization in management of juvenile nasopharyngeal angiofibroma (JNA) and to apply the information obtained to stage the disease, select appropriate surgical approach, predict intraoperative bleeding, and prognosticate the disease. Design This study represents a retrospective review of the patients of JNA with major focus on...
J Neurol Surg B Skull BaseDOI: 10.1055/s-0040-1715561The far lateral approach is used for accessing pathology at the craniovertebral junction but can be complicated by postoperative suboccipital muscle atrophy. In addition to significant cosmetic deformity, this atrophy can lead to head and neck pain and potentially could contribute to cranio-cervical instability. To address this issue, the senior author began using a single myocutaneous flap without a muscle cuff and securing it directly to the...
J Neurol Surg B Skull BaseDOI: 10.1055/s-0040-1715597 Introduction To help diagnose and evaluate the prognosis of pituitary adenoma with cavernous sinus (CS) invasion and guide endonasal endoscopic surgery (EES) assisted by intraoperative navigation (ION) with three-dimensional multimodal imaging (3D-MMI). We propose a classification of CS invasion based on 3D-MMI. Methods We picked some appropriate cases and reconstructed the 3D-MMI and then classified them into 3 grades...
J Neurol Surg B Skull BaseDOI: 10.1055/s-0040-1713937This article reviews the most common locations and natural history of sinonasal carcinomas. It also reviews surgical indications and current evidence regarding adjuvant and neoadjuvant therapies. In the past, orbital clearance was generally done for ethmoid and maxillary cancers, even without a marked neoplastic infiltration; however, such indications have changed in the recent years due to advances in our understanding of the disease, as well...
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