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Otolaryngology—Head and Neck Surgery

Ashley M Nassiri, James W Pichert, Henry J Domenico, Mitchell B Galloway, William O Cooper, Marc L Bennett
OBJECTIVES: To analyze unsolicited patient complaints (UPCs) among otolaryngologists, identify risk factors for UPCs, and determine the impact of physician feedback on subsequent UPCs. METHODS: This retrospective study reviewed UPCs associated with US otolaryngologists from 140 medical practices from 2014 to 2017. A subset of otolaryngologists with high UPCs received peer-comparative feedback and was monitored for changes. RESULTS: The study included 29,778 physicians, of whom 548 were otolaryngologists...
January 15, 2019: Otolaryngology—Head and Neck Surgery
Craig Miller, Randall Bly, Shelagh Cofer, John P Dahl, Lianne de Serres, Steven Goudy, Larry Hartzell, Noel Jabbour, Deborah Kacmarysnki, Carol Macarthur, Anna Messner, Henry Milczuk, Jeff Rastatter, Laura H Swibel Rosenthal, Andrew Scott, Travis Tollefson, Audie Woolley, Carlton Zdanski, Dave A Zopf, Kathleen Sie
OBJECTIVE: Assess interrater agreement of endoscopic assessment of velopharyngeal (VP) function before and after viewing the video instruction tool (VIT). We hypothesized improvement in interrater agreement using the Golding-Kushner scale (GKS) after viewing the VIT. STUDY DESIGN: Prospective study. SETTING: Multi-institutional. METHODS: Sixteen fellowship-trained pediatric otolaryngologists who treat velopharyngeal insufficiency (VPI) rated 50 video segments using the GKS before and after watching the VIT...
January 15, 2019: Otolaryngology—Head and Neck Surgery
Marco Raftopulos, Eugene H Wong, Thomas E Stewart, R Niell Boustred, Richard J Harvey, Raymond Sacks
OBJECTIVES: Surgical trainee burnout has gained attention recently as a significant factor leading to poorer quality of patient care, decreased productivity, and personal dysfunction. As a result, we aimed to determine the prevalence and associated risk factors for burnout among otolaryngology-head and neck surgery (OHNS) trainees in Australia. STUDY DESIGN: Cross-sectional survey. SETTING: National cohort of accredited OHNS trainees in Australia...
January 15, 2019: Otolaryngology—Head and Neck Surgery
Alvaro Sánchez Barrueco, Fernando González Galán, José Miguel Villacampa Aubá, Gonzalo Díaz Tapia, Sofía Fernández Hernández, Cristina Martín-Arriscado Arroba, Carlos Cenjor Español, Carlos Almodóvar Álvarez
OBJECTIVE: (1) To identify p16 protein in laryngeal squamous cell carcinoma (LSCC) specimens and to correlate it with the presence of human papillomavirus (HPV) found in these specimens from a previous study. (2) To analyze p16 impact on 10-year overall and disease-free survival. STUDY DESIGN: Retrospective case series with oncologic database chart review. SETTING: Academic tertiary care hospital. SUBJECTS: A total of 123 samples of LSCC (taken from the glottis only) from patients treated with primary surgical resection between 1977 and 2005...
January 15, 2019: Otolaryngology—Head and Neck Surgery
Vijay Anand, Dennis Poe, Marc Dean, William Roberts, Pablo Stolovitzky, Karen Hoffmann, Nathan Nachlas, Joshua Light, Mark Widick, John Sugrue, C Layton Elliott, Seth Rosenberg, Paul Guillory, Neil Brown, Charles Syms, Christopher Hilton, John McElveen, Ameet Singh, Raymond Weiss, Moises Arriaga, John Leopold
OBJECTIVE: Obstructive eustachian tube dysfunction (OETD) affects up to 5% of adults; however, available treatment strategies have limitations. It was previously reported that balloon dilation of the eustachian tube (BDET) with the eustachian tube balloon catheter + medical management (MM) results in a significantly higher proportion of subjects with normalized tympanograms versus MM alone at 6- and 24-week follow-up. The current analysis extends these initial findings by investigating the durability of BDET + MM treatment outcomes through 52 weeks...
January 8, 2019: Otolaryngology—Head and Neck Surgery
Jumah G Ahmad, Arya W Namin, Jeffrey B Jorgensen, Robert P Zitsch, Lester J Layfield
OBJECTIVES: (1) For patients with oral squamous cell carcinoma (OSCC) and mandibular invasion, to determine whether prior radiation to the head and neck region (PXRTHN) affects the density of osteoblasts, osteoclasts, or fibroblasts along the tumor interface invading the mandible and whether this is significantly associated with overall survival. (2) To identify clinicopathologic features that are associated with overall survival. STUDY DESIGN: Case series with chart review...
January 1, 2019: Otolaryngology—Head and Neck Surgery
Sharon Tzelnick, Hanna Bernstine, Liran Domachevsky, Ethan Soudry
OBJECTIVES: Fluorodeoxyglucose positron emission tomography-computed tomography (FDG PET-CT) has been increasingly used in the past decade. Incidental FDG-avid findings are encountered in these studies, several of which with clinical significance. However, the significance of incidental FDG-avid sinonasal findings has not been studied to date. STUDY DESIGN: Retrospective cohort study. SETTING: A single tertiary medical center. MATERIALS AND METHODS: The medical records were reviewed of patients with incidental sinonasal positive FDG uptake between 2007 and 2016 who referred for further otolaryngological diagnostic workup...
January 1, 2019: Otolaryngology—Head and Neck Surgery
M Elise Graham, Abigail K Neal, Ian C Newberry, Matthew A Firpo, Albert H Park
OBJECTIVE: To compare the efficacy, safety, and cost of incision and drainage (I&D) for pediatric patients with peritonsillar abscesses (PTAs) under conscious sedation (CS) versus unsedated (awake) and general anesthesia (GA). STUDY DESIGN: Case series with chart review. SETTING: Tertiary pediatric hospital. SUBJECTS AND METHODS: Records for all pediatric patients (<18 years) treated for PTAs in the emergency department from 2005 to 2015 were reviewed and stratified into awake, CS, and GA groups for comparison...
January 1, 2019: Otolaryngology—Head and Neck Surgery
Sullivan Smith, Elliott D Kozin, Vivek V Kanumuri, Samuel R Barber, Douglas Backous, João Flávio Nogueira, Daniel J Lee
Extracorporeal video microscopes, or "exoscopes," provide high-definition views of the operative field and are alternatives to the operating microscope or loupes for large-corridor surgical approaches. In this proof-of-concept study, we aim to determine the feasibility of 3-dimensional exoscopes as alternatives to operating microscopes in otology and neurotology, espeically in conjunction with endoscopes. Eleven consecutive cases were performed using 3-dimensional exoscopes in place of, or as adjuncts to, the operating microscope...
January 1, 2019: Otolaryngology—Head and Neck Surgery
Ashley M Nassiri, Benjamin R Campbell, Kyle Mannion, Robert J Sinard, James L Netterville, Sarah L Rohde
OBJECTIVES: To measure disease-free, disease-specific, and overall survival among patients with T4aN0M0 mandibular gingival squamous cell carcinoma who were treated with surgery alone. STUDY DESIGN: Case series with chart review. SETTING: Tertiary care center. SUBJECTS AND METHODS: A retrospective chart review was performed of all adult patients treated surgically with an oral cavity composite resection between January 2005 and March 2017...
January 1, 2019: Otolaryngology—Head and Neck Surgery
Macario Camacho, Michael W Noller, Michael Del Do, Justin M Wei, Christopher J Gouveia, Soroush Zaghi, Scott B Boyd, Christian Guilleminault
OBJECTIVE: To examine outcomes in the intermediate term (1 to <4 years), long term (4 to <8 years), and very long term (≥8 years) for maxillomandibular advancement (MMA) as treatment for obstructive sleep apnea (OSA). DATA SOURCES: The Cochrane Library, Google Scholar, Embase, Cumulative Index to Nursing and Allied Health, and PubMed/MEDLINE. REVIEW METHODS: Three authors systematically reviewed the international literature through July 26, 2018...
January 1, 2019: Otolaryngology—Head and Neck Surgery
Ravi N Samy, Noga Lipschitz, Brian R Earl, Timothy P Cripe
Cholesteatomas (CHSTs) are congenital or acquired lesions of the temporal bone that are associated with significant morbidity. We hypothesized that an oncolytic herpes simplex virus (oHSV) could preferentially eradicate primary human CHST cells in vitro and that this virus will replicate selectively and efficiently in CHST cells when compared with control cells. In this work, primary human CHST cells were cultured from surgically collected tissue. Cholesteatomas and control cells were grown and infected by oncolytic oHSV...
January 1, 2019: Otolaryngology—Head and Neck Surgery
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December 25, 2018: Otolaryngology—Head and Neck Surgery
Pei-Yin Wei, Wing-Yin Li, Shyh-Kuan Tai
OBJECTIVE: Perineural invasion (PNI) has been an established poor prognostic feature for T1-T2 oral squamous cell carcinoma (OSCC). Different presentations and amounts of PNI are commonly observed, but PNI is currently recorded as being present or absent. This study asked whether the quantification of PNI provides additional information for early OSCC. STUDY DESIGN: Retrospective cohort study. SETTING: Tertiary referral medical center. SUBJECTS AND METHODS: Pathologic reevaluations were performed for 314 patients with T1-T2 OSCC who underwent curative surgery from June 2001 to August 2009...
December 18, 2018: Otolaryngology—Head and Neck Surgery
Isabelle J H Jang, Thakshayeni Skanthakumar, Hiang Khoon Tan, Ngian Chye Tan, Khee Chee Soo, N Gopalakrishna Iyer
OBJECTIVE: There are no well-defined treatment recommendations for elderly patients with advanced head and neck squamous cell carcinoma. This study aimed to investigate whether aggressive treatment among the elderly translated into better survival outcomes. STUDY DESIGN: Retrospective cohort study. SETTING: Single tertiary institution. SUBJECTS AND METHODS: Elderly patients (≥60 years) with advanced-stage head and neck squamous cell carcinoma (stage III and IV) treated between January 1991 and May 2014 were reviewed...
December 18, 2018: Otolaryngology—Head and Neck Surgery
Ramez Philips, Kevin Chorath, Brad DeSilva, L Arick Forrest, C Blake Simpson, Laura Matrka
OBJECTIVE: To evaluate voice outcomes of medialization laryngoplasty in the elderly population (65 years and older) and to identify swallow outcomes, complication rates, and predictors of voice outcomes. STUDY DESIGN: Case series with chart review. SETTING: Two tertiary academic medical centers. SUBJECTS AND METHODS: We retrospectively reviewed charts of 136 patients age 65 years and older undergoing medialization laryngoplasty between January 2008 and May 2016 at 2 tertiary academic institutions...
December 11, 2018: Otolaryngology—Head and Neck Surgery
Joris B W Elbers, Abrahim Al-Mamgani, Michiel W M van den Brekel, Katarzyna Jóźwiak, J P de Boer, Peter J F M Lohuis, Stefan M Willems, Marcel Verheij, Charlotte L Zuur
OBJECTIVE: Most studies that report on salvage surgery after primary radiotherapy for head and neck squamous cell carcinoma (HNSCC) are small and heterogeneous. Subsequently, some relevant questions remain unanswered. We specifically focused on (1) difference in prognosis per tumor subsite, corrected for disease stage, and (2) differences in prognosis after salvage surgery for local, regional, and locoregional recurrences. STUDY DESIGN: Retrospective analysis. SETTING: Single-center study (2000-2016)...
December 11, 2018: Otolaryngology—Head and Neck Surgery
Erin Smith, Charles E Bishop, Christopher Spankovich, Dan Su, Karen Valle, John Schweinfurth
OBJECTIVES: There is limited research in population-based studies on auditory processing. The purpose of this work is to determine the prevalence of auditory processing impairment in the Jackson Heart Study cohort and to identify potential relationships with cardiometabolic risk factors. STUDY DESIGN: Cross-sectional study. SETTING: Jackson Heart Study in Jackson, Mississippi. SUBJECTS: Participants of an all-African American cardiovascular study cohort (n = 1314)...
December 11, 2018: Otolaryngology—Head and Neck Surgery
Dimin Zhou, Mohsin Jafri, Inna Husain
OBJECTIVE: To identify dysphagia prevalence and characteristics among patients with unilateral vocal fold immobility (UVFI) through a systematic review of current literature. DATA SOURCES: Embase, PubMed, ScienceDirect, Wiley Online Library. REVIEW METHODS: Four electronic databases were reviewed according to the PRISMA criteria. Original English-language studies examining dysphagia among adult patients with UVFI met eligibility. Two researchers independently analyzed qualified articles...
December 11, 2018: Otolaryngology—Head and Neck Surgery
Peter I Wu, Michal M Szczesniak, Dart A Fox, Julia Maclean, Eric D Blom, Ian J Cook
Current therapeutic strategies for pharyngoesophageal stricture, while effective in the short term, are protracted and costly in the longer term. Conceptually, if a stricture can be dilated with minimal tissue injuries, the rate of fibrosis and the resultant stricture recurrence could be reduced. We evaluated a prototype computer-controlled syringe pump device programmed to distend a commercially available balloon dilator at variable rate, asserting incremental lumen distension pressures tailored to the resistive force encountered within the stricture...
December 11, 2018: Otolaryngology—Head and Neck Surgery
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