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April 25, 2024
Original Investigation

Outcomes of Immediate Total Thyroidectomy in First-Side Loss of Neuromonitoring Signal

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online April 25, 2024. doi:10.1001/jamaoto.2024.0698

This cohort study of patients planning to undergo total thyroidectomy compares outcomes for bilateral surgery with staged surgery in cases where loss of signal occurred following removal of the first side.

Neighborhood-Level Disadvantage and Delayed Adjuvant Therapy in Head and Neck Cancer

Abstract Full Text
has audio
JAMA Otolaryngol Head Neck Surg. Published online April 25, 2024. doi:10.1001/jamaoto.2024.0424

This multicenter cohort study examines if living in a socioeconomically disadvantaged neighborhood is associated with an increased likelihood of delays in initiating guideline-adherent adjuvant radiation therapy among patients with head and neck cancer.

Clinical Challenge

Radiology

Progressive Cheek Swelling in an Older Woman

Abstract Full Text
has active quiz
JAMA Otolaryngol Head Neck Surg. Published online April 25, 2024. doi:10.1001/jamaoto.2024.0671

An 87-year-old woman presents with sudden-onset worsening right facial swelling and pain and generalized maxillary alveolar hyperplasia. What is your diagnosis?

Research Letter

Circulating Tumor HPV DNA in Patients With Stage I and II HPV-Associated Head and Neck Cancer After Surgery

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online April 25, 2024. doi:10.1001/jamaoto.2024.0740

This cohort study examines the association of posttreatment circulating tumor human papillomavirus DNA (ctHPVDNA) with residual disease and 2-year overall survival and recurrence-free survival in patients with HPV-associated head and neck cancer.

Observation

Severe Hypoplasia of Paranasal Sinuses and Turbinates

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online April 25, 2024. doi:10.1001/jamaoto.2024.0674

This case report describes a patient in their 40s with a history of bronchiectasis, azoospermia, and epididymal cysts presented with bilateral nasal obstruction.

April 18, 2024
Viewpoint

A Case of Artificial Intelligence Chatbot Hallucination

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online April 18, 2024. doi:10.1001/jamaoto.2024.0428

This essay reports on fictitious source materials created by AI chatbots, encourages human oversight to identify fabricated information, and suggests a creative use for these tools.

Reflections

My Favorite Sinus

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online April 18, 2024. doi:10.1001/jamaoto.2024.0550

This essay reflects on the author’s approach to interviewing applicants for medical residency in the otolaryngology department.

Original Investigation

From the American Head and Neck Society

Reconstruction for Salvage Laryngectomy With Limited Pharyngectomy

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online April 18, 2024. doi:10.1001/jamaoto.2024.0103

This cohort study examines whether the closure technique of salvage laryngectomy is associated with early postoperative and long-term functional outcomes.

Invited Commentary

From the American Head and Neck Society

Considerations in Salvage Laryngectomy Reconstruction—To Flap or Not to Flap

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online April 18, 2024. doi:10.1001/jamaoto.2024.0478
Comment & Response

Skip Polysomnography Before Adenotonsillectomy for Snoring?

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online April 18, 2024. doi:10.1001/jamaoto.2024.0585

Skip Polysomnography Before Adenotonsillectomy for Snoring?—Reply

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online April 18, 2024. doi:10.1001/jamaoto.2024.0584
April 11, 2024
Viewpoint

Addressing Financial Toxicity in Head and Neck Cancer—A Crucial Imperative

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online April 11, 2024. doi:10.1001/jamaoto.2024.0427

This Viewpoint calls for consideration of the financial costs of head and neck cancer care when choosing treatment strategies for patients who may face severe financial stress or insolvency due to cancer treatment.

Original Investigation

Transoral Robotic Surgery and Radiation Volume Deintensification in Unknown Primary Squamous Cell Carcinoma of the Neck: The Phase 2 FIND Nonrandomized Controlled Trial

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online April 11, 2024. doi:10.1001/jamaoto.2024.0423

This phase 2 trial assesses whether transoral robotic surgery and tailored radiotherapy are associated with favorable outcomes among patients with unknown primary squamous cell carcinoma.

Observation

Clinical Response With Pembrolizumab for Cutaneous Squamous Cell Carcinoma

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online April 11, 2024. doi:10.1001/jamaoto.2024.0544

This case report describes an 89-year-old patient with prior cutaneous squamous cell carcinoma who presented with a new isolated metastasis and was subsequently treated with pembrolizumab, which produced a complete clinical response.

Comment & Response

Neoadjuvant Chemotherapy and Transoral Robotic Surgery for Oropharynx Cancer and Quality of Life

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online April 11, 2024. doi:10.1001/jamaoto.2024.0479

Neoadjuvant Chemotherapy and Transoral Robotic Surgery for Oropharynx Cancer and Quality of Life—Reply

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online April 11, 2024. doi:10.1001/jamaoto.2024.0480
April 4, 2024
Viewpoint

Interfacility Transfer Guidelines for Patients With Isolated Facial Trauma—From Problem to Solution

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online April 4, 2024. doi:10.1001/jamaoto.2024.0362

This Viewpoint discusses the need to implement proposed guidelines for facial trauma assessment to prevent unnecessary interfacility transfer of patients with facial trauma despite most such patients having injuries that do not require surgical intervention.

Original Investigation

From the American Head and Neck Society

Quality of Life and Depression Symptoms After Therapy De-Escalation in HPV+ Oropharyngeal Squamous Cell Carcinoma: A Nonrandomized Controlled Trial

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online April 4, 2024. doi:10.1001/jamaoto.2024.0262

This nonrandomized clinical trial quantifies quality of life and depression burden variables in patients undergoing de-escalation of human papillomavirus–mediated oropharyngeal squamous cell carcinoma therapy.

Response to Hypoglossal Nerve Stimulation Changes With Body Mass Index and Supine Sleep

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online April 4, 2024. doi:10.1001/jamaoto.2024.0261

This cohort study evaluates whether hypoglossal nerve stimulation therapy is effective for patients with obstructive sleep apnea, whether hypoglossal nerve stimulation can treat supine obstructive sleep apnea, and whether there are associations between BMI and treatment response.

Trends in Oral Tongue Cancer Incidence in the US

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online April 4, 2024. doi:10.1001/jamaoto.2024.0301

This cross-sectional study examines US trends in oral tongue cancer incidence and the factors associated with future case burden.

From the American Head and Neck Society

Preoperative Circulating Tumor HPV DNA and Oropharyngeal Squamous Cell Disease

Abstract Full Text
JAMA Otolaryngol Head Neck Surg. Published online April 4, 2024. doi:10.1001/jamaoto.2024.0350

This cross-sectional study evaluates the association of preoperative circulating tumor HPV DNA levels with disease burden or adverse pathologic features among patients with HPV-associated oropharyngeal squamous cell carcinoma who have undergone primary transoral robotic surgery.

Correction

Error in Author Name

Abstract Full Text
free access
JAMA Otolaryngol Head Neck Surg. Published online April 4, 2024. doi:10.1001/jamaoto.2024.0653
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