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OTO Journal

AAO-HNSF

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The Otolaryngology–Head and Neck Surgery podcast series highlights research published in the official peer-reviewed publication of the American Academy of Otolaryngology–Head and Neck Surgery Foundation. Each podcast, which is moderated by the Editor in Chief and includes the Associate Editor and author of the paper, offers an in depth discussion about its significance to the global otolaryngology community and quality patient care.
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Foot & Ankle International

SAGE Publications

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Foot & Ankle International (FAI), in publication since 1980, is the official journal of the American Orthopaedic Foot & Ankle Society (AOFAS). This monthly medical journal emphasizes surgical and medical management as it relates to the foot and ankle with a specific focus on reconstructive, trauma, and sports-related conditions utilizing the latest technological advances.
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Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author John P. Dahl, MD, PhD, MBA, and Associate Editor Marissa Ryan, MD, to discuss their findings in "TI-RADS and Bethesda Classification System Correlate With Predicting Pediatric Papillary Thyroid Carcinoma," which was published in the October 2025 issue of Otolaryngology–Head …
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Patient-specific instrumentation (PSI) was developed to improve accuracy and efficiency in implant placement for total ankle arthroplasty (TAA). This study represents the first to measure the accuracy of PSI regarding implant alignment and implant size in the INBONE II total ankle system (Stryker). A secondary goal was to compare radiographic and c…
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Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author Rick Friedman, MD, PhD, and Associate Editor James G. Naples, MD, to discuss their findings in "Microsurgical Outcomes in 1000 Patients With Cerebellopontine Angle Tumors: A Comprehensive Cohort Analysis," which was published in the November 2025 issue of Otolaryngology–Head…
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There is increasing interest in the role of pronation as part of the deformity correction in hallux valgus (HV) especially with the advent of weightbearing computed tomography (WBCT) and percutaneous surgical techniques. This study aimed to assess the coronal rotation of the first metatarsal before and after percutaneous distal transverse osteotomy…
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Editor-in-Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author Colin T. Huntley, MD, and Associate Editor Boyd Gillespie, MD, to discuss how long-term changes in body mass index (BMI) following hypoglossal nerve stimulation (HGNS) impact surgical success as outlined in the paper "Impact of Postoperative Weight Changes on Hypoglossal Ner…
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Bone marrow stimulation (BMS) is the most frequently performed surgical procedure for osteochondral lesions of the talus (OLTs). After the surgical intervention, one of the first goals of rehabilitation is to resume weightbearing. This study aims to compare clinical and radiologic outcomes between immediate weightbearing and delayed weightbearing, …
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Total ankle arthroplasty (TAA) is a common method of treatment for end-stage ankle arthritis (ESAA). The utilization of Patient-Reported Outcomes Measurement Information System (PROMIS) allows for standardized assessment of patient-driven outcomes, but few studies have been published on outcomes of TAA using PROMIS. The purpose of this study was to…
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Editor-in-Chief Cecelia E. Schmalbach, MD, MSc is joined by co-authors Margo McKenna, MD, and Maria Colandrea, DNP NP-C, to discuss the implications for non-otolaryngologists of the Clinical Practice Guideline "Adult Sinusitis Update," which published as a supplement to the August 2025 issue of Otolaryngology–Head and Neck Surgery. A plain language…
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Editor-in-Chief Cecelia E. Schmalbach, MD, MSc is joined by co-authors Marc G. Dubin, MD, and Spencer C. Payne, MD, to discuss the Clinical Practice Guideline "Adult Sinusitis Update," which published as a supplement to the August 2025 issue of Otolaryngology–Head and Neck Surgery. The guideline addresses diagnostic accuracy for adult rhinosinusiti…
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Editor-in-Chief Cecelia E. Schmalbach, MD, MSc is joined by author Omar Karadaghy, MD, MSCI, and Associate Editor Sean Massa, MD, to discuss impact of surgical margin status in HPV-related oropharyngeal squamous cell carcinoma in "Impact of Margins on Outcomes in HPV-Related Oropharyngeal Squamous Cell Carcinoma Treated With Surgery Only," which pu…
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Displaced intraarticular calcaneal fractures (DIACFs) are associated with high rates of posttraumatic arthritis. Traditional management with open subtalar arthrodesis often results in high revision rates and complications. Acute open arthrodesis has shown success in Sanders III and IV calcaneus fractures, with favorable return-to-work and radiograp…
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Editor-in-Chief Cecelia E. Schmalbach, MD, MSc is joined by co-authors Meghan Wilson, MD, and Jason Blakeley Hensler, MD, to discuss the implications for non-otolaryngologists of the Clinical Practice Guideline "Surgical Management of Chronic Rhinosinusitis," which published as a supplement to the June 2025 issue of Otolaryngology–Head and Neck Sur…
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Editor-in-Chief Cecelia E. Schmalbach, MD, MSc is joined by the guideline group's chair Jennifer J. Shin, MD, SM, and co-author Dana Crosby, MD, MPH, for a discussion of key points from the "Clinical Practice Guideline: Surgical Management of Chronic Rhinosinusitis," which published as a supplement to the June 2025 issue of Otolaryngology–Head and …
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The results of the Talar OsteoPeriostic grafting from the Iliac Crest (TOPIC) procedure for lateral osteochondral lesions of the talus (OLTs) are unknown. Therefore, the present prospective study aims to assess the numeric rating scale (NRS) of pain during walking at 2-year follow-up. Secondarily, the aim is to assess other clinical, radiologic, an…
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Medial gutter impingement may compromise the results of an otherwise well-fixed total ankle arthroplasty (TAA), but no previous study has assessed predisposing factors. This case-control study sought to investigate potential risk factors and the role of talar component downsizing in decreasing medial impingement. In conclusion, talar component down…
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Editor-in-Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author Bradford A. Woodworth, MD, and Associate Editor Dana L. Crosby, MD, MPH, to discuss how lipopolysaccharide can be used to generate a model of acquired cystic fibrosis transmembrane conductance regulator (CFTR) dysfunction in murine nasal airways as outlined in the paper "Lip…
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Editor-in-Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author David Goldenberg, MD, to discuss role of estrogen in developing thyroid malignancy as outlined in the paper "Elevated Risk of Thyroid Malignancy in Biological Males Taking Estrogen Hormone Therapy" which published in the April 2025 issue of Otolaryngology–Head and Neck Surge…
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Nonunion following naviculocuneiform (NC) joint arthrodesis is a well-recognized complication. Most studies reporting nonunion rates involve a limited number of cases or focus on a single disease entity. Moreover, there is variation between studies with regard to the number of articular facets included in the arthrodesis as well as the fixation con…
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Ankle and hindfoot fusion in the presence of large bony defects represents a challenging problem. The purpose of this study was to evaluate outcomes of patients who underwent ankle-hindfoot fusions with impaction bone grafting (IBG) with morselized femoral head allograft to fill large bony void defects. In conclusion, impaction of morselized femora…
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Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author Gresham T. Richter MD, and Associate Editor John P. Dahl, MD, PhD, MBA, to discuss the outcomes of not admitting pediatric supraglottoplasty patients as outlined in the paper "Is Outpatient Supraglottoplasty Possible? Examination of Perioperative Comorbidities and Outcomes" …
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The aim of this study was to investigate the clinical and radiologic outcomes following supramalleolar osteotomy for early varus ankle arthritis with the medial translation of the talus, wherein the lateral translation of the talus center to the tibial axis was used as a correction target. Another aim was to compare the results between the ankles w…
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Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author Lee M. Akst, MD, and Associate Editor Christopher M. Johnson, MD, to discuss diagnosis of, treatments, and solutions for refractory chronic cough as outlined in the paper "Refractory Chronic Cough: A State-of-the-Art Review for Otolaryngologists" which published in the Febru…
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Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by first author Shiven Sharma, JD, and Associate Editor Michael J. Brenner, MD, to discuss what the specialty can learn about medical malpractice in the field for quality improvement as outlined in the paper "Medical Malpractice in Otolaryngology within the United States: A LexisNexis-Based …
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The Trabecular Metal Total Ankle Implant differs from other newer-generation implants in the transfibular approach, multiplanar external frame for alignment, tantalum trabecular metal interfaces, curved geometry, and shallow resection depths. The primary aim of this study was to report midterm clinical and radiographic results, as well as survivors…
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Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author Priyesh N. Patel, MD, and Associate Editor Peter M. Vila, MD, MSPH, to discuss the role of the operating room and its necessity in treating skin cancer defects as outlined in the paper "Cost-Effectiveness Analysis of Operating Room and In-Office Reconstruction of Skin Cancer…
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Severe septic destruction of the ankle joint poses a therapeutic challenge but lacks a consensus optimal treatment. Tibiotalocalcaneal arthrodesis (TTCA) is considered a valuable salvage procedure, but the literature remains scarce. Conventional treatment approaches, including 2-stage procedures, have been associated with prolonged recovery times a…
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Charcot-Marie-Tooth (CMT) disease is a progressive inherited neurologic disorder causing muscle weakness and lower extremity deformity. The goal of foot and ankle surgical treatment is to create a stable, plantigrade foot, with the potential elimination of brace-wear for ambulation. The aim of this study was to report baseline CMT patient function …
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Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by author Rohani Omar MRCP, MD(Res) and Associate Editor John P. Dahl, MD, PhD, MBA, to discuss causes, especially genetic causes, of pediatric hearing loss as outlined in the paper "Etiology of Childhood Profound Sensorineural Hearing Loss: The Role of Hearing Loss Gene Panel Testing" which…
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Pain in the hallux metatarsophalangeal joint (MTPJ) is very common, yet the underlying etiology remains unknown. Previous clinical research and biomechanical research has implicated stenosing flexor hallucis longus (FHL) tendonitis as a possible cause. The hypothesis of this study was that treatment solely focusing on alleviating restricted FHL exc…
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Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author Julie E. Strychowsky MD, MAS, FRCSC, and Associate Editor Michael J. Brenner, MD, to discuss methods for improving the efficiency of ORs for surgeons as outlined in the paper "Improving Operating Room Efficiency in Otolaryngology–Head and Neck Surgery: A Scoping Review" whic…
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It has been assumed that diabetic patients with peripheral neuropathy should not have pain associated with Charcot foot arthropathy. In conclusion, this small series of patients would suggest that nonunion of the Charcot neuroarthropathy process was responsible for complaints of pain not able to be managed with therapeutic footwear. Successful arth…
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Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by author Ahmad R. Sedaghat MD, PhD, and Associate Editor Dana L. Crosby, MD, MPH, to discuss the possibility of chronic rhinosinusitis when allergies are assumed as outlined in the paper "When It's Not Allergic Rhinitis: Clinical Signs to Raise a Patient's Suspicion for Chronic Rhinosinusit…
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Minimally invasive bunionectomy (MISB) has emerged as a popular approach to treat symptomatic hallux valgus deformity. Although previous studies focused on distal foot width changes postsurgery, this research introduces a novel midshaft measurement to evaluate proximal transverse midfoot width, aiming for a comprehensive understanding of foot chang…
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Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by author John Pang, MD, and Associate Editor Tristan Tham, MD, to discuss circulating tumor DNA (ctDNA) detection as a new technique to identify minimal residual disease in patients with solid tumors as outlined in the paper "ctDNA as an Adjunct to Posttreatment PET for Head and Neck Cancer…
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Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author Jonathon O. Russell MD, and Associate Editor Raymond Liu Chai, MD, to discuss the pros and cons of two approaches to thyroidectomy as outlined in the paper "Long-term Quality of Life After Thyroidectomy: Transoral Endoscopic Thyroidectomy Vestibular Approach Versus Transcerv…
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Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author Diana N. Kirke, MD, MPhil, and Associate Editor Lee M. Akst, MD, to discuss the potential for deep learning models to detect voice disorders as outlined in the paper "The Use of Deep Learning Software in the Detection of Voice Disorders: A Systematic Review" which published …
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Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by lead authors Heather M. Weinreich, MD, MPH and Carrie L. Nieman, MD, MPH to provide a patient and primary care provider-focused overview of the "Clinical Practice Guideline: Age-Related Hearing Loss" which published in the May 2024 issue of Otolaryngology–Head and Neck Surgery. They discu…
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Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by lead authors Betty S. Tsai Do, MD, and Matthew L. Bush MD, PhD, MBA, for a discussion of some key points of the "Clinical Practice Guideline: Age-Related Hearing Loss" which published in the May 2024 issue of Otolaryngology–Head and Neck Surgery. They discuss the recommendations for scree…
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Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by senior author Anne C. Kane, MD, and Associate Editor Michael J. Brenner, MD for a discussion of the article "Otolaryngology Applicant Perspectives on In-person and Virtual Residency Interviews", which published in the April 2024 issue of Otolaryngology–Head and Neck Surgery. They discuss …
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The purpose of this study was to (1) evaluate the rates of postoperative complications following ankle or hindfoot arthrodesis among current smokeless tobacco users and people who smoke compared to matched controls, and (2) compare rates of postoperative complications in current smokeless tobacco users vs people who smoke tobacco cigarettes. In con…
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The utilization of total ankle arthroplasty (TAA) for managing severe ankle osteoarthritis has become increasingly common, leading to a higher occurrence of revision TAA procedures because of failure of primary TAA. This study aims to examine the clinical results associated with revision TAA using the INBONE II system. Given the growing number of T…
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Although intraoperative ankle motion serves as a foundational reference for anticipated motion after surgery and guides the addition of procedures to enhance ankle motion in total ankle arthroplasty (TAA), the relationship between intraoperative and postoperative ankle motion remains unclear. This study aimed to investigate the discrepancy between …
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There is a lack of consensus in the use of open reduction internal fixation (ORIF) vs primary arthrodesis (PA) in the management of Lisfranc injuries. Statistical fragility represents the number of events needed to flip statistical significance and provides context to interpret P values of outcomes from conflicting studies. The current study evalua…
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Type C3 distal tibial plafond fractures consistently show poor outcomes with high complication rates and significant risk of posttraumatic arthritis. We describe a minimally invasive technique of performing a primary ankle fusion using an anterograde tibial nail and compare our early results to traditional methods of fixation. In conclusion, C3 dis…
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Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by author Cecelia C Damask, DO and author Christine M. Reger, DNP, CRNP for a discussion of the implications for non-otolaryngologists of the "Clinical Practice Guideline on Immunotherapy for Inhalant Allergy," which published in the March 2024 issue of Otolaryngology–Head and Neck Surgery. …
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Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by lead author Richard K. Gurgel, MD, MSC, and author Stacey L. Ishman, MD, MPH for a discussion of the implications for otolaryngologists of the "Clinical Practice Guideline on Immunotherapy for Inhalant Allergy," which published in the March 2024 issue of Otolaryngology–Head and Neck Surge…
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Postoperative care protocols for ankle fracture surgery remain controversial with variability among care providers. This prospective controlled trial compared 12-week postoperative outcomes for immediate unprotected weightbearing (IMWB) vs nonweightbearing (NWB) for 2 weeks in a splint followed by weightbearing as tolerated (WBAT) in a boot after s…
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Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by Associate Editor Michael J. Brenner, MD and Associate Editor and senior author John P. Dahl, MD, PhD, MBA for a discussion of the article "Reducing Pediatric Posttonsillectomy Opioid Prescribing: A Quality Improvement Initiative," which published in the February 2024 issue of Otolaryngolo…
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Evidence from prospective short-term studies suggest that proximal medial gastrocnemius recession is a safe and efficient procedure to treat chronic plantar fasciitis resistant to nonoperative treatment. The aim of this study was to evaluate the long-term clinical outcomes of proximal medial gastrocnemius recession and stretching compared to a stre…
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Editor in Chief Cecelia E. Schmalbach, MD, MSc, is joined by Associate Editor Jacob Hunter, MD, and senior author Jay F. Piccirillo, MD, for a discussion of the article "Identifying Predictors of Treatment Response in Meniere's Disease: A Clinical Severity Staging System," which published in the January 2024 issue of Otolaryngology–Head and Neck Su…
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