JAMA otolaryngology-- head & neck surgery
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JAMA Otolaryngol Head Neck Surg · Jul 2014
Transoral robotic surgery for obstructive sleep apnea in Asian patients: a Singapore sleep centre experience.
This study investigates the effectiveness of combined palatal surgery and transoral robotic surgical (TORS) tongue base reduction with partial epiglottidectomy in the treatment of obstructive sleep apnea (OSA) in an Asian context. To our knowledge, this is the first report on TORS for OSA in Asian patients in the literature. ⋯ Transoral robotic surgery for tongue base reduction and partial epiglottidectomy for moderate to severe OSA in Asian patients for whom positive airway pressure treatment had failed is associated with good efficacy and low complication rates.
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Incorrect Author Affiliation: In the article titled “Effect of Human Papillomavirus on Patterns of Distant Metastatic Failure in Oropharyngeal Squamous Cell Carcinoma Treated With Chemoradiotherapy,”published online March 5, 2015, and also in this issue of JAMA Otolaryngology–Head & Neck Surgery (doi:10.1001/jamaoto.2015 .136), the Author Affiliations were incorrect. That section should have been given as follows: "Author Affiliations: Head and Neck Institute, Cleveland Clinic Foundation, Cleveland, Ohio (Trosman, Lamarre, Scharpf, Khan, Lorenz, Burkey); Department of Radiation Oncology, Taussig Cancer Institute, Cleveland Clinic Foundation, Cleveland, Ohio (Koyfman,Ward, Greskovich); Department of Otolaryngology–Head and Neck Surgery, Rush University, Chicago, Illinois (Al-Khudari); Department of Hematology and Medical Oncology,Taussig Cancer Institute, Cleveland Clinic Foundation, Cleveland, Ohio (Nwizu, Adelstein)." This article was corrected online and in print.
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JAMA Otolaryngol Head Neck Surg · Jun 2015
Transoral robotic surgery alone for oropharyngeal cancer: quality-of-life outcomes.
Few studies have examined quality-of-life (QOL) outcomes in patients who undergo transoral robotic surgery (TORS) alone (ie, without adjuvant radiotherapy or chemoradiotherapy). ⋯ Appropriately selected patients who undergo TORS alone for oropharyngeal squamous cell carcinoma experience acceptable short- and long-term QOL outcomes.
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JAMA Otolaryngol Head Neck Surg · Jan 2014
Development of the Connecticut Airway Risk Evaluation (CARE) system to improve handoff communication in pediatric patients with tracheotomy.
National attention has focused on the importance of handoffs in medicine. Our practice during airway patient handoffs is to communicate a patient-specific emergency plan for airway reestablishment; patients who are not intubatable by standard means are at higher risk for failure. There is currently no standard classification system describing airway risk in tracheotomized patients. ⋯ We propose an airway risk classification system for tracheotomized patients, CARE, that has high interrater reliability and is easy to use and interpret. As medical providers and national organizations place more focus on improvements in interprovider communication, the creation of an airway handoff tool is integral to improving patient safety and airway management strategies following tracheotomy complications.