Geospatial Mapping of Head and Neck Cancer Research: Assessing Access, Disparities, and Characteristics of Head and Neck Cancer Clinical Trials Across the United States.

Objective: To report geographic distribution and characteristics of head and neck cancer (HNC) clinical trials in the United States.

Methods: We conducted a retrospective analysis of U.S.

Medical student otolaryngology research: Involvement, perceptions, motivations.

Objective: Otolaryngology is a competitive specialty that emphasizes research. This study explored medical student involvement in otolaryngology research including training, productivity, perceptions and career goals.

Study Design: Cross-sectional survey.

An Analysis of Otolaryngology's NIH Research Funding Compared to Other Specialties.

Objective: To compare NIH funding in the field of Otolaryngology to other medical and surgical specialties between 2009 and 2019.

Methods: Data was collected from the NIH RePORTER database on funding dollars received by each specialty from 2009 to 2019. Along with data on total active physicians per specialty using the Physician Specialty Data Book, comparisons were drawn between Otolaryngology and other medical and surgical specialties with regards to trends in total funding and NIH funding dollars per physician.

Association of Surrogate Objective Measures With Work Relative Value Units.

The determination of accurate measures of evaluating surgeon work for reimbursement is poorly characterized. This study defines the correlation of surgical work relative value units (work RVUs) with several surrogate objective measures for otolaryngologic work. The defined surrogate objective measures evaluated in this study are length of hospital stay (LOS), operative time, 30-day mortality, 30-day unplanned readmission, 30-day reoperation, and 30-day morbidity.

Clinical trials in otology: Examining trends and framework for prioritization.

Objective: To characterize otologic clinical trials and examine otologic clinical trial trends from 2008 to 2018 using the clinicaltrials.gov database.

Methods: Data was collected from clinicaltrials.

A SEER database study of malignant teratomas in the head and neck region.

Objective: To review tumor and patient characteristics as well as survival of pediatric head and neck malignant teratomas (HNMT) in comparison to the adult population.

Design: This investigation was a retrospective cohort study. The Surveillance, Epidemiology, and End Results (SEER) database (SEER-18 Regs Custom registry, November 2018) was reviewed for all cases of head and neck malignant teratomas from 1975 to 2016.

Associations of insurance, urbanity, and comorbidity with types of palliative care received by patients with head and neck cancer.

Background: Our study examined some of the social and medical factors associated with receiving pain palliation alone over more aggressive cytoreductive palliative measures, such as surgery, chemotherapy, or radiation among patients with head and neck cancer.

Methods: This retrospective study used the National Cancer Database 2016 for data analysis. Patient and tumor characteristics were examined using bivariate analysis and logistic regression to identify their association with receiving pain palliation alone versus cytoreductive palliation treatment.

Composite Chondromucosal Nasoseptal Flap for Reconstruction of Suprasellar Defects.

Background: The pedicled nasoseptal flap (NSF) is the mainstay for endoscopic skull base reconstruction. We present a novel technique using a semirigid chondromucosal NSF that improves the reinforcement and protection of intracranial structures.

Methods: Composite NSFs were performed to repair intraoperative high-flow cerebrospinal fluid leaks in 2 patients who had undergone endoscopic endonasal resection of a suprasellar mass.

Non-research industry payments to pediatric otolaryngologists in 2018.

Objectives: To characterize non-research industry payments to pediatric otolaryngologists in 2018.

Study Design: Centers for Medicare and Medicaid Services Open Payments program was used to obtain all non-research industry payments to pediatric otolaryngology in 2018. Total payment amount information was obtained for years 2014-2017 for trend analysis.

Financial Transactions from Manufacturers to Otolaryngologists in 2018.

Objective: To characterize in depth non-research and research payments from industry to otolaryngologists in 2018 with an emphasis on product types.

Methods: Centers for Medicare and Medicaid Services Open Payments program was used for data collection: payment amount, the nature of payments, products associated with the payments, date of the payments, and companies making the payments were studied. Products associated with the payments were classified by categorical type.

Trends in head and neck fellowship graduates in the United States from 1997 to 2017.

Background: We investigated whether the supply of head and neck fellowship graduates matches head and neck cancer trends.

Methods: Graduates between 1997 and 2017 from the American Head and Neck Society (AHNS) and United States Otolaryngology fellowship program webpages were identified. Trends in graduates were compared with head and neck cancer incidence obtained from the Center of Disease Control.

Delayed Metastatic Melanoma to the Pharyngeal Tonsil in an African American Female.

Metastatic melanoma to the mucosa of the upper aerodigestive tract is extremely rare, accounting for <0.6% of known metastasis to the head and neck region. We present a case of delayed metastatic melanoma to the pharyngeal tonsil.

Disparities in impact of nasopharyngeal cancer: An analysis of global health burden.

Objectives: Nasopharyngeal carcinoma has a unique worldwide racial and geographic distribution. Our objective was to evaluate socioeconomic disparities in the burden of nasopharyngeal cancer (NPC) between endemic and nonendemic regions.

Methods: To demonstrate trends regarding societal burden of NPC and socioeconomic development, national disability-adjusted life year (DALY) rates and human development indices (HDI) between 1990 and 2015 were evaluated.

Reporting of Cosmesis in Head and Neck Reconstruction: A Systematic Review.

Objective: To identify the method and rate at which cosmesis is reported after reconstruction from head and neck surgery among adults.

Data Sources: A medical librarian implemented search strategies in multiple databases for head and neck reconstruction, outcome assessment/patient satisfaction, and cosmesis/appearance.

Review Methods: Inclusion and exclusion criteria were designed to capture studies examining adults undergoing reconstruction after head and neck cancer surgery with assessment of postoperative cosmesis.

Interplay Between Socioeconomic Status and Otitis Media Disease Burden in Resource-rich and Resource-poor Nations.

Objectives/hypothesis: To characterize global differences in otitis media (OM)-related disease burden between socioeconomically advantaged and disadvantaged nations.

Methods: Using the Global Health Data Exchange, worldwide OM burden was evaluated using age-standardized disability-adjusted life years (DALYs) per 100,000 individuals in 183 countries from 1990 to 2015. Countries were organized by socioeconomic status using Human Development Index (HDI) values collected from the United Nations Development Program.

Laryngeal cancer: Global socioeconomic trends in disease burden and smoking habits.

Objectives/hypothesis: To characterize health burden and determine the associated level of equality of laryngeal carcinoma (LC) burden at a global level.

Methods: One hundred eighty-four countries were organized by socioeconomic status using Human Development Index (HDI) categorizations provided by the United Nations Development Program. Disability-adjusted life years (DALYs), obtained from The Global Health Data Exchange, were calculated and compared between each HDI category for the period from 1990 to 2015.

Health Burden and Socioeconomic Disparities From Hearing Loss: A Global Perspective.

Objectives/hypothesis: To characterize the disability-related health burden of hearing loss (HL) at a global level, with a focus on socioeconomic health disparities.

Methods: The global burden of HL, as calculated by disability-adjusted life years (DALYs) per 100,000 individuals, was evaluated for 184 countries. Data from 5-year intervals encompassing 1990 to 2015 were organized by human development index (HDI) categorizations as specified by the U.

Clinical trials in rhinosinusitis: Identifying areas for improvement.

Objectives/hypothesis: To characterize trends in rhinosinusitis clinical trials to provide recommendations for therapeutic directions, highlight possible redundancy, and provide a framework for prioritization of future clinical trials.

Study Design: Database analysis.

Methods: Data were collected from ClinicalTrials.

Allergen immunotherapy: exploring areas for further inquiry.

Background: Allergy-related illness impacts millions of individuals worldwide. Our objectives were to characterize current trends of clinical trials research relating to allergen immunotherapy and to describe the landscape of allergen immunotherapy in National Institutes of Health (NIH)-supported research inquiry.

Methods: On ClinicalTrials.

Renal Myxoma, an Incidental Finding.

Myxomas are mesenchymal tumors commonly found in the heart and skin. Renal myxomas are rare, having only been documented 14 times. Our case is a 55-year-old woman who presented to our clinic after a right renal mass was incidentally found on CT.