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Risk of Cardiovascular Events Among Patients With Head and Neck Cancer
This cohort study examines cardiovascular risk profiles, incident stroke, myocardial infarction, and mortality in US veterans with head and neck squamous cell carcinoma.
Source: JAMA Otolaryngology - Head and Neck Surgery - June 22, 2023 Category: ENT & OMF Source Type: research

Errors in Figure 3 and Table 2
This article has been corrected.
Source: JAMA Otolaryngology - Head and Neck Surgery - January 12, 2023 Category: ENT & OMF Source Type: research

Risk of Stroke After Definitive Radiotherapy —Cause for Concern or Modest Risk?
With the rapidly increasing prevalence of oropharyngeal squamous cell carcinoma (OPSCC), largely driven by the human papillomavirus (HPV) epidemic, and with relative equipoise between radiation-based and surgery-based treatment protocols, there has been renewed interest in describing differences in functional outcomes between the 2 treatment modalities. Radiation is theoretically related to stroke risk due to carotid artery intimal injury, which could lead to the development of atherosclerosis. Both carotid artery stenosis and carotid intima-medial thickness have been shown to be associated with radiation therapy providing...
Source: JAMA Otolaryngology - Head and Neck Surgery - June 23, 2022 Category: ENT & OMF Source Type: research

Up-front Surgery and Risk of Stroke in US Veterans With Oropharyngeal Carcinoma
This cohort study evaluates the association of up-front surgery and stroke risk compared with nonsurgical treatment for oropharyngeal squamous cell carcinoma among US veterans.
Source: JAMA Otolaryngology - Head and Neck Surgery - June 23, 2022 Category: ENT & OMF Source Type: research

Video-Oculography to Guide Neuroimaging for Dizziness and Vertigo
Dizziness and vertigo are among the most common presenting symptoms in both the emergency department (ED) and ambulatory outpatient clinics, with recent estimates suggesting roughly 18 million visits per year in the US (nearly 5 million to EDs and>13 million to outpatient clinics). These symptoms are caused by a wide array of conditions, but the most common benign causes are otologic, and the most common dangerous cause is stroke. Stroke accounts for 3% to 5% of dizziness presentations in the ED, and some evidence suggests that it may account for a similar percentage of dizziness presentations in ambulatory care clinics...
Source: JAMA Otolaryngology - Head and Neck Surgery - April 7, 2022 Category: ENT & OMF Source Type: research

What Does Head Impulse Testing Really Test?
To the Editor Walther et al ignore a fundamental rule of neurology: the pattern of the clinical or physiological deficit indicates the site and not the pathology of the lesion. This is the principle of neurological localization —there are textbooks written about it. The head impulse test, just like the caloric test, or the vestibular evoked myogenic potential, or an extensor plantar response can localize a lesion but reveal nothing about its pathology. For that, one needs to consider the history and results of ancillary investigations, say magnetic resonance imaging or spinal fluid test results. Impulsive testing can loc...
Source: JAMA Otolaryngology - Head and Neck Surgery - September 26, 2019 Category: ENT & OMF Source Type: research

Hypercoagulability, Obstructive Sleep Apnea, and Pulmonary Embolism
To the Editor We read with great interest the article written by Hong et al. They found that prothrombin time in patients with obstructive sleep apnea (OSA) was shorter compared with controls, concluding that OSA might lead to a prothrombotic state, a probable contributing factor to the increase in cardiovascular complications in OSA, including ischemic heart disease and stroke. Observational studies suggest that suppression of apneas by continuous positive airway pressure (CPAP) may improve cardiovascular outcomes. Nevertheless, recent data from a large randomized clinical trial did not prevent cardiovascular events in pa...
Source: JAMA Otolaryngology - Head and Neck Surgery - March 22, 2018 Category: ENT & OMF Source Type: research