Archives of Otolaryngology - Head and Neck Surgery

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ISSN / EISSN : 0886-4470 / 1538-361X
Published by: Rockefeller University Press (10.1001)
Total articles ≅ 22,836
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Latest articles in this journal

, Matthew T. Brigger
Archives of Otolaryngology - Head and Neck Surgery, Volume 138, pp 1111-1115; https://doi.org/10.1001/jamaoto.2013.672

Abstract:
In the late 19th and early 20th centuries, lye became commercially available for household use.1 Consequently, an increasing number of injuries due to caustic ingestion were encountered by physicians. These injuries represent a source of significant morbidity and mortality in the pediatric population. For children with a history strongly indicative of an accidental caustic ingestion or with symptoms of a caustic ingestion, endoscopy is recommended and is the primary method of staging the extent of injury after ingestion.2 Acute injuries can range from mild esophageal burns to necrosis and perforation of the esophagus and/or stomach.
Archives of Otolaryngology - Head and Neck Surgery, Volume 138, pp 1141-1146; https://doi.org/10.1001/jamaoto.2013.760

Abstract:
The American Thyroid Association (ATA) guidelines endorse the selective use of postoperative radioactive iodine (RAI) in all patients with well-differentiated thyroid cancer (WDTC) greater than 1 cm in greatest dimension and go on to recommend the routine use of RAI in patients with advanced local disease (pT3 or pT4) irrespective of age.1 Despite these recommendations, the guidelines highlight the conflicting data particularly in relation to patients with less aggressive local disease. Based on clinical and histopathologic features, all WDTC cases can be classified into low-, intermediate-, and high-risk groups for death based on the Memorial Sloan-Kettering Cancer Center (MSKCC), New York, New York, previously published risk stratification system GAMES (Table 1).2 In this system, patients younger than 45 years who present with papillary carcinomas smaller than 4 cm in greatest dimension and confined to the thyroid gland (intraglandular), without evidence of distant metastatic disease, are considered at low risk of death. Patients older than 45 years with extrathyroid extension (ETE), aggressive histopathologic features, disease larger than 4 cm in greatest dimension, or distant metastatic disease are at higher risk. Young patients with, or older patients without, aggressive histopathologic features form an intermediate-risk group.3 This intermediate-risk group formed the patient cohort on which our study was based.
Archives of Otolaryngology - Head and Neck Surgery, Volume 138, pp 1161-1166; https://doi.org/10.1001/jamaoto.2013.803

Abstract:
Unilateral vocal fold paralysis (UVFP) in infants and young children is a condition commonly encountered by the pediatric otolaryngologist, especially in pediatric tertiary hospitals with a cardiac surgery program. These procedures, and other pediatric neck or chest surgical procedures that intersect with the course of the vagus or the recurrent laryngeal nerves, can cause vocal fold paralysis. The symptoms of dysphagia, dysphonia, and stridor may result.
Nathan Nielsen, , Judy Freeman, Christopher Klem
Archives of Otolaryngology - Head and Neck Surgery, Volume 138; https://doi.org/10.1001/2013.jamaoto.433a

Andrew J. Kleinberger, Steven H. Dikman, Brett A. Miles, Satish Govindaraj
Archives of Otolaryngology - Head and Neck Surgery, Volume 138; https://doi.org/10.1001/2013.jamaoto.442a

, Becky L. Massey, Katherine B. Myers
Archives of Otolaryngology - Head and Neck Surgery, Volume 138, pp 1116-1119; https://doi.org/10.1001/jamaoto.2013.683

Abstract:
The transition from cancer patient to cancer survivor can be a difficult and mysterious process. One widely endorsed effort to ease the passage has been the creation and use of a written survivorship care plan (SCP) for each person completing cancer treatment. As first articulated by the Institute of Medicine (IOM) in From Cancer Patient to Cancer Survivor: Lost in Transition,1 the SCP would be a robust and vital document created to inform patients, physicians, and the rest of the survivorship care team of the long-term effects of cancer and its treatment, to identify psychosocial support resources in their communities, and to provide guidance on follow-up care, prevention, and health maintenance.2
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