JAMA Otolaryngology Head and Neck Surgery 2022-05-12

JAMA Otolaryngology–Head & Neck Surgery Peer Reviewers in 2021

Publication date 12-05-2022


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Error in Author Order

Publication date 01-05-2022


In the Clinical Challenge titled “Painful Neck Lump in a Patient 10 Years After Parotidectomy,” the order of the second and last author was switched such that Dr Bundele is the second author and Dr Lock is the last author. This article was corrected on May 12, 2022.

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JAMA Otolaryngology–Head & Neck Surgery

Publication date 01-05-2022


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 enhance the clinician’s understanding of otolaryngologic disorders, benefit the care of our patients, and stimulate research in our field; (2) forecast important advances within otolaryngology–head and neck surgery, particularly as they relate to the prevention, diagnosis, and treatment of disease through clinical and translational research, including that of the human genome and novel imaging techniques; (3) address questions of clinical outcomes and cost-effectiveness that result from clinical intervention, which grow in importance as health care providers are increasingly challenged to provide evidence of enhanced survival and quality of life; (4) provide expert reviews of topics that keep our readers current with true advances and also to provide a valuable educational resource for trainees in the several disciplines that treat patients with diseases of the head and neck; (5) serve as a forum for the concerns of otolaryngologists, such as socioeconomic, legal, ethical, and medical issues; (6) provide helpful critiques that enable contributing authors to improve their submissions. We encourage a concise presentation of information and employ an abstract format that efficiently assesses validity and relevance from a clinical perspective. This approach promotes succinct yet complete presentation for our readers and electronic information resources. We believe this approach typifies the commitment of JAMA Otolaryngology–Head & Neck Surgery to providing important information that is easily interpreted by its diverse readership.

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Olfactory Impairment and Mortality

Farrell N, Roland L, Schneider J.

Publication date 01-05-2022


The COVID-19 pandemic has elevated the world’s attention to olfactory impairment (OI). As a cardinal symptom of the many early variants of the SARS-CoV-2 virus, we have never seen such global attention toward one of our most important senses. Although the prevalence of OI has increased dramatically with COVID-19, OIs have long been a significant health concern. Prior to the COVID-19 pandemic, the median length of time from onset of OI to evaluation by a clinician was 13 months, with many individuals waiting up to 3 years before seeking evaluation. During that time, patients did not receive treatment or counseling, compounding the potential associations of OI with patient health.

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Video-Oculography to Guide Neuroimaging for Dizziness and Vertigo

Kattah JC, Newman-Toker DE.

Publication date 01-05-2022


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. Frontline clinicians are often poorly equipped to differentiate peripheral from central vestibular causes and are justifiably worried about missing strokes, so they often resort to neuroimaging as a knee-jerk diagnostic test response. Unfortunately, this choice leads to substantial ill effects, including frequent misdiagnoses and unnecessary imaging for millions of patients with inner ear causes of dizziness who should receive a diagnosis at the bedside, thus exposing patients to unnecessary irradiation (in the case of computed tomography CT scans) and incurring significant health care costs. Some estimates suggest that more than $1 billion is wasted each year on inappropriate CT scans alone.

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Association of Olfactory Impairment With All-Cause Mortality

Pang N, Song H, Tan B, et al.

Publication date 01-05-2022


This systematic review and meta-analysis investigates the epidemiologic associations between olfactory impairment and mortality.

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Neuroimaging for Patients With Dizziness Who Present to Outpatient Clinics vs EDs in the US

Adams ME, Karaca-Mandic P, Marmor S.

Publication date 01-05-2022


This cross-sectional study uses commercial and Medicare Advantage claims to characterize neuroimaging use, timing, and spending as well as the factors associated with imaging acquisition within 6 months of presentation for dizziness in outpatient clinics vs emergency departments in the US.

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Association Between Meniere Disease and Migraine

Kim S, Lee C, Yoo D, et al.

Publication date 01-05-2022


This case-control study examines the association of Meniere disease with migraine in Korean patients.

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A Mass in the Infratemporal Fossa

Tie K, Cheng Y, Naples JG.

Publication date 01-05-2022


A 51-year-old woman presented with headache, jaw pain, paresthesia, trismus, and a history of anxiety, depression, emphysema, hyperlipidemia, migraines, pseudoseizures, and no pertinent surgery nor head trauma. What is your diagnosis?

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Vestibular Rehabilitation for Unilateral Peripheral Vestibular Deficits

Marioni G.

Publication date 01-05-2022


In the 1940s, Cawthorne and Cooksey noted that patients with unilateral vestibular dysfunctions who exercised coped better with their symptoms and made a faster recovery than patients who did not exercise. These original exercise protocols were developed to treat patients with labyrinth injury resulting from head injury or surgery. Vestibular rehabilitation can be defined as a set of exercises designed to facilitate central nervous system plasticity through adaptation or by generating substitute mechanisms among patients with balance disorders, thus improving their overall stability and helping them resume their daily activities. Vestibular rehabilitation has been practiced for almost 70 years and evidence related to its efficacy and effectiveness has increased over the last 15 to 20 years. According to the Cochrane systematic review by Mc Donnell and Hillier, there is moderate to strong evidence that vestibular rehabilitation (movement, exercise based) is a safe and effective approach for unilateral peripheral vestibular disorders.

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ICD-10 and the Definition of Laryngectomy

Saraswathula A, Frazier K, Sprankle L, et al.

Publication date 01-05-2022


This cross-sectional study uses data from the 2001 to 2011 Nationwide Inpatient Sample to compare International Statistical Classification of Diseases, Tenth Revision (ICD-10) with Ninth Revision coding systems for laryngectomy procedures.

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Key Issues in Use of Prophylactic Steroids to Prevent Hypocalcemia and Voice Dysfunction After Thyroidectomy

Kane E, Lee K, Balasubramanian S.

Publication date 01-05-2022


To the Editor We write regarding the article published in JAMA Otolaryngology–Head and Neck Surgery in September 2021. This study addressed an important question regarding the use of steroids, hypocalcemia, and voice dysfunction.

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Key Issues in Use of Prophylactic Steroids to Prevent Hypocalcemia and Voice Dysfunction After Thyroidectomy—Reply

Dhahri A, Rao A, Ahmad R.

Publication date 01-05-2022


In Reply We thank Ms Kane and colleagues for their feedback on our article.

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Disability After Computerized Vestibular Retraining for Stable Unilateral Vestibular Deficit

David EA, Shahnaz N.

Publication date 01-05-2022


This cohort study evaluates whether vestibular retraining using computerized dynamic posturography is associated with reduced participant-reported disability for patients with an objectively assessed unilateral peripheral vestibular deficit.

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Advanced CT Localization Techniques for Primary Hyperparathyroidism

Kattar N, Migneron M, Debakey MS, et al.

Publication date 01-05-2022


This systematic review with meta-analysis evaluates the diagnostic performance of advanced computed tomographic imaging techniques compared with current imaging standards for the localization of primary hyperparathyroidism.

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What Is a Tongue Tie?

Graham M.

Publication date 01-05-2022


This patient page describes the symptoms and treatment options for tongue tie.

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Painful Neck Lump in a Patient 10 Years After Parotidectomy

Chai A, Bundele M, Lock P.

Publication date 01-05-2022


A 63-year-old man presents with a history of previous left superficial parotidectomy 10 years before for a Warthin tumor and pain at the operative site of 6 months’ duration. What is your diagnosis?

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JAMA Otolaryngology–Head & Neck Surgery —The Year in Review, 2021

Piccirillo JF.

Publication date 01-05-2022


This has been a most challenging year for the country and JAMA Otolaryngology–Head & Neck Surgery as we struggled through the second year of the COVID-19 pandemic. At the time of my writing, the country is experiencing another surge in COVID-19 cases because of the Omicron variant. Fortunately, this variant, while more infectious, appears to be less lethal than the original virus and the Delta strain. Hopefully this means the end of the pandemic is near and many can return to life as it was before COVID-19. Of course, we are saddened by the loss of so many to COVID-19 and are mindful of the permanent changes in the lives of so many affected by the pandemic.

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Plasma Circulating Tumor HPV DNA and HPV-Related Oropharynx Cancer

Tewari SR, D’Souza G, Troy T, et al.

Publication date 01-05-2022


This cross-sectional analysis examines whether circulating tumor human papillomavirus DNA is detectable in the plasma of healthy participants at risk for oral human papillomavirus infection and the agreement with oral rinse and serum biomarkers.

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The Golden Hour

Scriven Weiner K.

Publication date 01-05-2022


A pediatric otolaryngologist reflects on returning to the operating room after surviving the neonatal intensive care unit with her own son.

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Manual Therapy for Patients With Radiation-Associated Trismus After Head and Neck Cancer

McMillan H, Barbon CA, Cardoso R, et al.

Publication date 01-05-2022


This case series study examines the effect size and associations of response to manual therapy to increase oral opening in the setting of radiation-associated trismus.

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How Far We Have Come

Varvares MA.

Publication date 01-05-2022


In this essay, the author reflects on the past few decades of advances in head and neck reconstructive surgery and how patient outcomes have improved.

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Association of Operating Room Costs With Head and Neck Surgical Instrumentation Optimization

Yalamanchi P, Miller JE, Prout S, et al.

Publication date 01-05-2022


This quality improvement study assesses optimization of head and neck surgical instrument trays at a single large academic tertiary care center and identifies associated direct cost savings.

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Self-reported Sense of Smell, Objective Testing, and Associated Factors in Middle-aged and Older Women

Cao Z, Yang A, D’Aloisio AA, et al.

Publication date 01-05-2022


This case-control study characterizes the self-awareness of poor olfaction in women, including its prevalence, associated factors, reporting reliability, validity against an objective test, and factors associated with validity.

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Primary Pyomyositis of Levator Scapulae

Cleere EF, Corbett M, Keogh IJ.

Publication date 01-05-2022


This case report describes a young woman who presented with a suspected deep neck space infection who was subsequently found to have an intramuscular abscess in the left levator scapulae muscle.

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Diagnostic Approach to Pulsatile Tinnitus

Narsinh KH, Hui F, Saloner D, et al.

Publication date 01-05-2022


This Narrative Review categorizes the underlying causes of pulsatile tinnitus to describe optimal care options and provide guidance in selecting the appropriate treatment strategy.

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