JAMA Otolaryngology Head and Neck Surgery 2021-04-01

JAMA Otolaryngology–Head & Neck Surgery

Publication date 01-04-2021


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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Exposure to Spoken Communication in Children With Cochlear Implants During the COVID-19 Lockdown

Gordon KA, Daien MF, Negandhi J, et al.

Publication date 01-04-2021


This cohort study investigates whether there is an association between lockdowns during the coronavirus disease 2019 (COVID0-19) pandemic and children’s exposure to spoken language with cognitive development.

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Overcoming Operator-Generated False-Negative Results in SARS-CoV-2 Testing—Reply

Higgins TS, Wu AW, Ting JY.

Publication date 01-04-2021


In Reply We thank Dr Chee for the comments about our Viewpoint. Saliva testing may have reasonable clinical acceptance in certain situations. It should be noted that it remains a less accurate method, and therefore we would not recommend it for critical situations such as preoperative testing or to determine coronavirus disease 2019 (COVID-19) status during a hospital admission. However, saliva tests might be useful in estimating the rate of positivity in a population as in children and parents in certain school districts in the US. The nasopharyngeal swab test is actually not difficult to perform if proper education is provided and, for facilities opting for nasopharyngeal testing, the purpose of our Viewpoint was to highlight the proper anatomy.

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Overcoming Operator-Generated False-Negative Results in SARS-CoV-2 Testing

Chee J.

Publication date 01-04-2021


To the Editor We read with interest the article by Higgins et al on false-negative results from anatomical misconceptions regarding nasopharyngeal anatomy.

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Overcoming Operator-Generated False-Negative Results in SARS-CoV-2 Testing

Landegger LD.

Publication date 01-04-2021


To the Editor I share the concerns of Higgins et al regarding the low sensitivity of the gold standard for detecting severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) and thank them for their detailed description of how to properly obtain nasopharyngeal swabs. However, the rejection by Higgins et al of nasal swabbing as a valid method for coronavirus disease 2019 (COVID-19) testing is inconsistent with current understanding. Most peer-reviewed publications comparing nasal vs nasopharyngeal swabbing for COVID-19 specimen collection have demonstrated noninferiority between methods.

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Implementation of Standardized Thyroid Ultrasonography Reporting and Documentation of Nodule Characteristics

Hamour AF, Yang W, Lee JW, et al.

Publication date 01-04-2021


This quality improvement study describes the development of a standardized reporting form in conjunction with educational initiatives to increase the documentation rate of American College of Radiology Thyroid Imaging Reporting and Data System thyroid nodule characteristics to 80% in 18 months.

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Adolescent Presentation of Nasal Chondromesenchymal Hamartoma

Moseley SL, Eichel Y, Richardson MS, et al.

Publication date 01-04-2021


This case report describes an adolescent male who presented with a right-sided nasal mass after sustaining a concussion and was subsequantly diagnosed with a nasal chondromesenchymal hamartoma.

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National Trends in US Otolaryngology Surgical Volume During the Early COVID-19 Pandemic

Saraswathula A, Gourin CG, Stewart C.

Publication date 01-04-2021


This cohort study describes changes in US otolaryngology surgical volumes during the early COVID-19 pandemic.

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New Age Mentoring and Disruptive Innovation

Ahmadmehrabi S, Farlow JL, Wamkpah NS, et al.

Publication date 01-04-2021


This study examines how mentoring has evolved over time, what new challenges have recently emerged, and how to implement effective structural solutions in the field of otolaryngology–head and neck surgery.

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Diffuse Type 2 Dominant Rhinosinusitis and Corticosteroid Irrigation After Surgical Neosinus Cavity Formation

Li W, Ho J, Grayson JW, et al.

Publication date 01-04-2021


This cohort study examines long-term treatment outcomes in patients with eosinophilic rhinosinusitis who have received corticosteroid irrigations after surgical creation of a neosinus cavity.

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Povidone Iodine to Reduce Viral Load in Patients With COVID-19

Guenezan J, Garcia M, Strasters D, et al.

Publication date 01-04-2021


This randomized clinical trial investigates the efficacy of nasopharyngeal povidone iodine solutions in reducing the viral load of patients with COVID-19.

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An Enlarging Parotid Mass in a 9-Year-Old Boy

Wang H, Belcher RH, Liang J.

Publication date 01-04-2021


A 9-year-old boy presents with a left-sided neck mass that has been enlarging, mild intermittent pain, episodes of upper respiratory infection, and previous adenotonsillectomy and bilateral ear tubes placement. What is your diagnosis?

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Fatally Flawed—Making Sense of US News & World Report Mortality Scores

Frazier KM, Gourin CG, Stewart C.

Publication date 01-04-2021


This Viewpoint proposes that the variability in US News & World Report specialty ranking reflects unreliable or imprecise methods rather than factual changes in ear, nose, and throat program quality.

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De Novo vs Inverted Papilloma–Associated Sinonasal Squamous Cell Carcinoma Survival Outcomes

Lee JJ, Peterson AM, Embry TW, et al.

Publication date 01-04-2021


This systematic review and meta-analysis uses data from studies retrieved from an Ovid Medline, Embase, Scopus, and Cochrane Library database search to investigate survival differences between de novo and inverted papilloma–associated sinonasal squamous cell carcinoma pathogenesis.

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Patient Use of Digital Videoscopes and Smartphones for Remote Ear and Oropharyngeal Examinations

Cai Y, Zheng Y, Gulati A, et al.

Publication date 01-04-2021


This quality improvement study evaluates the use of digital otoscopes and smartphone photos and videos by patients for remote head and neck physical examinations.

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Systemic Disease After Surgical Treatment for Obstructive Sleep Apnea vs CPAP

Ibrahim B, de Freitas Mendonca M, Gombar S, et al.

Publication date 01-04-2021


This cohort study assesses the association of surgery for patients with obstructive sleep apnea with outcomes including cardiovascular, endocrine, and neurological sequelae of apnea.

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Association of Prolonged-Duration Chemoprophylaxis With Venous Thromboembolism

Tipirneni KE, Bauter L, Arnold MA, et al.

Publication date 01-04-2021


This cohort study examines the association between prolonged-duration chemoprophylaxis and the incidence of venous thromboembolism and bleeding events among high risk-patients with head and neck cancer.

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Implementing a Residency Interview Calendar—Planning for Uncertainty During the COVID-19 Pandemic

Badger CD, Thakkar P, Zapanta PE.

Publication date 01-04-2021


This Viewpoint discusses how a national interview calendar and initial interview invitation date may add some reassurance for applicants and residency programs for the upcoming otolaryngology residency application cycle.

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Hearing Sensitivity, Cardiovascular Risk, and Neurocognitive Function

Stickel AM, Tarraf W, Bainbridge KE, et al.

Publication date 01-04-2021


This cohort study examines associations between hearing impairment, cardiovascular disease risk, and cognitive function in the Hispanic/Latino population in 4 US cities.

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Taking the Pulse of Hispanic Hearing Health

Marrone NL, Wong AA.

Publication date 01-04-2021


We write to highlight implications of the research presented by Stickel and colleagues in, “Hearing sensitivity, cardiovascular risk, and neurocognitive function: Hispanic Community Health Study/Study of Latinos (HCHS/SOL).” Stickel et al provide evidence that hearing loss exacerbates the association between cardiovascular disease and cognition for verbal learning and memory among Hispanic/Latino adults aged 45 to 74 years. In this commentary, we implore health care gatekeepers (physicians, audiologists, and other professionals affecting the health care system) to respond to these findings by taking actions to ensure the health of Hispanic/Latino patients.

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