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Patient Perception of Education, Care Coordination, and Psychological Distress After Developing Facial Paralysis
This qualitative study uses semistructured interviews to gain a better insight into the educational needs and emotional experiences of patients with facial paralysis after treatment for vestibular schwannoma. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - April 20, 2023 Category: ENT & OMF Source Type: research

Association of Social-Ecological Factors With Delay in Time to Initiation of Postoperative Radiation Therapy
This cohort study examines individual and community-level factors associated with delay in initiation of postoperative radiation therapy among patients with head and neck squamous cell carcinoma. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - April 20, 2023 Category: ENT & OMF Source Type: research

Proton Therapy and Incidence and Predisposing Factors of Osteoradionecrosis —On Pulling One’s Punches—Reply
In Reply We thank Dr Nangia and colleagues for their interest in our publication on osteoradionecrosis (ORN) of the jaw following proton therapy for head and neck cancer. This observational nonconsecutive case series described 13 of 122 patients with oral cavity and oropharyngeal cancer who reported to our dental service with spontaneous ORN following proton therapy. In this current study, we used the adopted modified Glanzmann and Gratz grading system that included cases of radiographic ORN, previously reported by our group, whereby there is evidence of radiographic lytic or mixed lytic and sclerotic changes with intact o...
Source: JAMA Otolaryngology - Head and Neck Surgery - April 20, 2023 Category: ENT & OMF Source Type: research

Proton Therapy and Incidence and Predisposing Factors of Osteoradionecrosis
To the Editor With the more widespread availability and application of proton therapy (PT) for treating head neck cancers (HNC) for better outcomes and/or toxic effects reduction, the authors of the recent article titled “Osteoradionecrosis of the Jaw Following Proton Radiation Therapy for Patients With Head and Neck Cancer” make applaudable efforts to document in detail the incidence and predisposing factors of osteoradionecrosis (ORN) in a cohort of patients treated with PT. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - April 20, 2023 Category: ENT & OMF Source Type: research

Surgeon-Performed Ultrasonography vs Scintigraphy in Primary Hyperparathyroidism
This cohort study investigates whether surgeon-performed ultrasonography was noninferior to scintigraphy for localizing pathological parathyroid glands in patients with primary hyperparathyroidism. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - April 13, 2023 Category: ENT & OMF Source Type: research

Effectiveness of Self-fitting vs Audiologist-Fitted Hearing Aids
This randomized clinical trial compares the effectiveness of a self-fitting over-the-counter hearing aid with remote support with an audiologist-fitted hearing aid using best practice in adults with hearing loss. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - April 13, 2023 Category: ENT & OMF Source Type: research

Oropharyngeal Lesion in a 7-Year-Old Girl
A 7-year-old girl was referred to the otolaryngology clinic for a left pharyngeal lesion noted lesion 18 months prior. What is your diagnosis? (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - April 13, 2023 Category: ENT & OMF Source Type: research

Association of Loneliness With the Incidence of Disability in Older Adults With Hearing Impairment
This cohort study examines the association between loneliness and the incidence of disability among older Japanese adults stratified by hearing impairment. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - April 6, 2023 Category: ENT & OMF Source Type: research

Targeted Hypoglossal Nerve Stimulation for Patients With Obstructive Sleep Apnea
This randomized clinical trial examines the safety and effectiveness of targeted hypoglossal stimulation of the proximal hypoglossal nerve in patients with obstructive sleep apnea. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - April 6, 2023 Category: ENT & OMF Source Type: research

Targeted Hypoglossal Nerve Stimulation
Reflecting the scientific advances of the past several decades, hypoglossal nerve stimulation has emerged as an important tool for the treatment of obstructive sleep apnea (OSA). Starting from the preliminary animal studies of the late 1980s, the evolution of our understanding of hypoglossal nerve stimulation culminated in the development of the Inspire II (Inspire Medical Systems, Inc; Maple Grove, Minnesota), the first, and currently only, US Food and Drug Administration (FDA)-approved implantable hypoglossal nerve stimulation system to treat OSA. Through parallel development, targeted hypoglossal nerve stimulation (THN)...
Source: JAMA Otolaryngology - Head and Neck Surgery - April 6, 2023 Category: ENT & OMF Source Type: research

JAMA Otolaryngology –Head & amp; 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, and distinguish among treatment options and outcomes. Our objectives are to (1) publish original contributions that will ...
Source: JAMA Otolaryngology - Head and Neck Surgery - April 1, 2023 Category: ENT & OMF Source Type: research

A Review of the CDC 2022 Opioid Prescription Guidelines in the Context of Otolaryngology
This Viewpoint discusses the 2022 Centers for Disease Control and Prevention guidelines for opioid prescription in the context of otolaryngology. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - March 30, 2023 Category: ENT & OMF Source Type: research

Smoking and Head and Neck Cancer
This Patient Page describes the association of tobacco use with head and neck cancer and provides suggested treatment and prevention measures. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - March 30, 2023 Category: ENT & OMF Source Type: research

Bleeding After Tonsillectomy in Children
This retrospective national cohort study examines bleeding after tonsillectomy among US children to estimate its probability and to provide guidance to surgeons who are self-monitoring bleeding frequency. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - March 30, 2023 Category: ENT & OMF Source Type: research

Development and Interrater Agreement of a Novel Classification System Combining Medical and Surgical Adverse Event Reporting
This cross-sectional study develops and assesses interrater agreement on a novel classification system for adverse events reporting that incorporates events in both inpatient and outpatient settings across medical and surgical subspecialties including near miss events. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - March 30, 2023 Category: ENT & OMF Source Type: research