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Concurrent Pregnancies Among Trainees in a Residency Program
This Viewpoint shares the experience of a single Otolaryngology −Head& Neck Surgery residency program that faced the scheduling challenges of having nearly a quarter of its residents expecting a child and on parental leave. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - May 2, 2024 Category: ENT & OMF Source Type: research

Prefabricated Fibula Flap vs Bone-Driven and Delayed Implant Installation for Jaw Reconstruction
This cohort study compares the safety, effectiveness, accuracy, timeliness, and aesthetics associated with prefabricated fibular free flaps compared with bone-driven and delayed implant installation among patients undergoing jaw reconstruction. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - May 2, 2024 Category: ENT & OMF Source Type: research

Ethanol Ablation of Ranulas and Risk Factor Analysis for Recurrence
This case-series study examines the long-term outcomes and risk factors for recurrence and receipt of subsequent surgery in patients who undergo treatment with ethanol ablation for ranula. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - May 2, 2024 Category: ENT & OMF Source Type: research

Benign Paroxysmal Positional Vertigo After Use of Handheld Massage Gun
This report describes 2 cases of benign paroxysmal positional vertigo symptoms in middle-aged patients who experienced onset after using a handheld massage gun. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - May 2, 2024 Category: ENT & OMF Source Type: research

Lateral Neck Bulging and Pain on Swallowing in a Young Man
A 28-year-old man presented with a bulge on the left side of his neck and severe stabbing pain during swallowing. He had a history of a neck contusion 1 year prior with subcutaneous bleeding that had improved. What is your diagnosis? (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - May 2, 2024 Category: ENT & OMF Source Type: research

Outcomes of Immediate Total Thyroidectomy in First-Side Loss of Neuromonitoring Signal
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. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - April 25, 2024 Category: ENT & OMF Source Type: research

Neighborhood-Level Disadvantage and Delayed Adjuvant Therapy in Head and Neck Cancer
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. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - April 25, 2024 Category: ENT & OMF Source Type: research

Severe Hypoplasia of Paranasal Sinuses and Turbinates
This case report describes a patient in their 40s with a history of bronchiectasis, azoospermia, and epididymal cysts presented with bilateral nasal obstruction. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - April 25, 2024 Category: ENT & OMF Source Type: research

ctHPVDNA in Patients With HPV-Associated Head and Neck Cancer After Surgery
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. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - April 25, 2024 Category: ENT & OMF Source Type: research

Progressive Cheek Swelling in an Older Woman
An 87-year-old woman presents with sudden-onset worsening right facial swelling and pain and generalized maxillary alveolar hyperplasia. What is your diagnosis? (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - April 25, 2024 Category: ENT & OMF Source Type: research

AI Hallucination
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. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - April 18, 2024 Category: ENT & OMF Source Type: research

My Favorite Sinus
This essay reflects on the author ’s approach to interviewing applicants for medical residency in the otolaryngology department. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - April 18, 2024 Category: ENT & OMF Source Type: research

Reconstruction for Salvage Laryngectomy With Limited Pharyngectomy
This cohort study examines whether the closure technique of salvage laryngectomy is associated with early postoperative and long-term functional outcomes. (Source: JAMA Otolaryngology - Head and Neck Surgery)
Source: JAMA Otolaryngology - Head and Neck Surgery - April 18, 2024 Category: ENT & OMF Source Type: research

Skip Polysomnography Before Adenotonsillectomy for Snoring? —Reply
In Reply We thank Kaditis et al for bringing attention to the insights and clinical complexities illuminated by the results of the Pediatric Adenotonsillectomy Trial for Snoring (PATS), as published in JAMA and JAMA Otolaryngology –Head& Neck Surgery. As elucidated by the authors, PATS introduced the term mild sleep-disordered breathing (SDB) to encompass children with both primary snoring (AHI,<1) and mild obstructive sleep apnea (OSA) (apnea-hypopnea index [AHI], 1-3), distinct from the conventional definition of mild OSA typically denoted by an AHI of 1 to 5. It is noteworthy that all participants in PATS under...
Source: JAMA Otolaryngology - Head and Neck Surgery - April 18, 2024 Category: ENT & OMF Source Type: research

Skip Polysomnography Before Adenotonsillectomy for Snoring?
To the Editor In December 2023, results of the Pediatric Adenotonsillectomy Trial for Snoring (PATS) were published in JAMA and JAMA Otolaryngology –Head& Neck Surgery. Like other elegantly designed and executed clinical trials, PATS triggers more questions than the answers provided. The novel term mild sleep-disordered breathing (SDB) is introduced that combines snoring with an apnea-hypopnea index (AHI) of less than 1 event/h (primary snoring) and AHI 1 to less than 3 events/h (mild obstructive sleep apnea [OSA]). Although both subgroups are indistinguishable regarding symptoms and morbidity, this term could confus...
Source: JAMA Otolaryngology - Head and Neck Surgery - April 18, 2024 Category: ENT & OMF Source Type: research