JAMA otolaryngology-- head & neck surgery
-
Error in Figure Label: In the Original Investigation titled "Proptosis Reduction by Clinical vs Radiological Modalities and Medial vs Inferomedial Approaches: Comparison Following Endoscopic Transnasal Orbital Decompression in Patients With Dysthyroid Orbitopathy," published online February 5, 2015, in JAMA Otolaryngology–Head & Neck Surgery (doi:10.1001/jamaoto.2014.3659), the label for the second panel of images in Figure 5 should have read "Postoperative frontal and lateral views." This article was corrected online.
-
JAMA Otolaryngol Head Neck Surg · Apr 2015
Comparative StudyThe effects of race and ethnicity on thyroid cancer incidence.
The incidence of thyroid cancer has increased over the past 30 years. Thyroid cancer is less common in blacks than in persons of white descent, and it has been most common in Asians/Pacific Islanders until recently. ⋯ The incidence of thyroid cancer continues to increase in all races and ethnicities. No significant difference was observed between the increase in incidence for whites and blacks. However, the increase in incidence for non-Hispanics was significantly larger than that for Hispanics. The increase in incidence of thyroid cancer was greater in whites than in Asians/Pacific Islanders, so whites now have a higher incidence of thyroid cancer than persons of Asian/Pacific Islander descent.
-
JAMA Otolaryngol Head Neck Surg · Mar 2015
Indications, clinical course, and postoperative outcomes of urgent adenotonsillectomy in children.
Children undergoing urgent adenotonsillectomy have been poorly described in literature. ⋯ Patients requiring urgent adenotonsillectomy are marked by younger age, elevated obstructive apnea-hypopnea indices, and persistent desaturations below 80% unresponsive to supplemental oxygen. Following surgery, some children have a dramatic improvement in gas exchange and will no longer require supplemental oxygen.
-
JAMA Otolaryngol Head Neck Surg · Mar 2015
Improving operative flow during pediatric airway evaluation: a quality-improvement initiative.
Microlaryngoscopy and bronchoscopy procedures (MLBs) are short-duration, high-acuity procedures that carry risk. Poor case flow and communication exacerbate such potential risk. Efficient operative flow is critical for patient safety and resource expenditure. ⋯ Gains were made in personnel exiting behavior and case timing after implementation of the QI interventions, potentially leading to decreased risk. This process is easily reproduced and is widely accepted by stakeholders.
-
JAMA Otolaryngol Head Neck Surg · Feb 2015
Randomized Controlled Trial Multicenter StudyThe use of clinical parameters to predict obstructive sleep apnea syndrome severity in children: the Childhood Adenotonsillectomy (CHAT) study randomized clinical trial.
It is important to distinguish children with different levels of severity of obstructive sleep apnea syndrome (OSAS) preoperatively using clinical parameters. This can identify children who most need polysomnography (PSG) prior to adenotonsillectomy (AT). ⋯ This study of more than 450 children with OSAS identifies a number of clinical parameters that are associated with OSAS severity. However, information on demographics, physical findings, and questionnaire responses does not robustly discriminate different levels of OSAS severity.