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Otolaryngology-Head and Neck Surgery 163(1S)
Presentation schedule is subject to change. The Official Program Abstracts supplement does not reflect changes made after August 10, 2020.
dehydrogenase (SDHx) protein complex. Clinical practice
guidelines recommend SDHx mutation testing in all patients
with incident HNPGLs. We sought to identify trends in, and
factors predictive of, otolaryngologist referral for genetic testing in HNPGL over 2 decades.
Methods: This was a retrospective analysis of all patients
with untreated HNPGLs (ie, carotid body, jugular, vagal, or
sympathetic chain) treated at our institution from January
2000 to July 2019. Logistic regression was used to identify
factors associated with otolaryngologist referral for genetic
testing. Trend analysis was used to discover patterns of referrals in HNPGL patients over 2 decades.
Results: Of 200 patients, 121 (61.0%) were female and the
median (range) age was 53 (14-85) years. During the entire
study period, only 77 (38.5 %) patients were referred by their
otolaryngologist for SDHx testing. Factors associated with
referral included family history of paraganglioma (odds ratio
[OR] 10.3, 95% CI, 3.2-33.4, P < .001) and later decade of
diagnosis (ie, 2010-2019 vs 2000-2009; OR 11.6, 95% CI 4.232.0, P < .001). Older patients (OR 0.945, 95% CI 0.922-0.970,
P < .001) and those with isolated carotid body paraganglioma
(OR 0.256, 95% CI 0.075-0.873, P = .03) were less likely to be
referred. Over 2 decades, there was only a modest trend (r2 =
0.51) toward increased frequency of otolaryngologist referral
to genetics for incident HNPGL diagnoses.
Conclusions: Despite the frequency of heritable SDHx mutations in HNPGLs, otolaryngologist referral for genetic testing
remains sporadic and based mainly on traditional high-risk
patient factors.
Head and Neck
Hyoid Carotid Artery Syndrome: A Rare
Cause of Transient Ischemic Attacks
Albert J. Yang, MD (Presenter); Allen H. Young, MD;
Mike Wang; Tina P. Elkins, MD
Objectives: We present a case of transient ischemic attack
(TIA) caused by hyoid compression of the internal carotid
artery (ICA), reinforcing the paradigm of hyoid carotid
syndrome.
Methods: The patient was a 61-year-old woman with minimal history of cardiovascular disease who developed a TIA
when turning her head to the right while talking on the phone.
Symptoms include expressive aphasia, slurred speech, dysgraphia, and left extremity weakness. A head computed
tomography (CT) and magnetic resonant imaging were performed that ruled out acute stroke. The CT angiogram of the
neck vessels revealed 50% occlusion of right internal carotid
artery due to compression from the greater cornu of hyoid.
Carotid ultrasonography (US) also showed the ICA peak systolic velocities dropping from 54 cm/s to 38 cm/s with her
head turned rightward vs 60 cm/s turning left.
Results: Intraoperative findings: partial resection of right
hyoid confirmed a direct compression to the ICA and thus a
1.5-cm segment was resected. The patient was followed for
6 months postoperatively and was free of complications with
baseline speech, absent dysphagia, and further neurologic
symptoms. A follow-up neck US showed a baseline peak systolic velocity of the ICA.
Conclusions: The hyoid bone lies in close proximity of the
carotid bifurcation. Thus, similar to Eagle syndrome with stylohyoid compression, the hyoid carotid artery syndrome can
be a rare cause of neurologic symptoms and carotid abnormalities. Here we present a case supporting diagnosis of hyoid
carotid artery syndrome with CT angiogram and positional
ultrasonography. We also emphasize the safety profile and
definitive cure through a partial hyoidectomy.
Hypopharyngeal Toothpick-Induced
Granuloma Mimicking a Pyriform Sinus
Malignancy
Pauleatha Diggs (Presenter); Brandon Ithiel Esianor, MD;
Daniel Schuster, MD
Objectives: Adult foreign-body ingestion is a common
event. Rates are unknown, and complications can include
aspiration, perforation of the upper aerodigestive tract, or in
some instances, life-threatening infection. Here we present a
case of toothpick ingestion resulting in a granulomatous reaction mimicking a pyriform sinus malignancy.
Methods: A case report with literature review is presented.
Results: A 55-year-old male nonsmoker presented with a
3-month history of left-sided neck pain, odynophagia, and
dysphagia. Computed tomography (CT) revealed a heterogeneous enhancement in the left pyriform sinus. Direct laryngoscopy and biopsy were performed, and biopsy revealed
acute/chronic inflammation and granulation tissue with presence of a plant-based substance consistent with a toothpick.
No evidence of malignancy was appreciated. Follow-up CT
scan at 5 months showed complete resolution of the mass.
Conclusions: Foreign-body ingestions are commonly managed in the practice of otorhinolaryngology and have been
shown to account for approximately 11% of ear, nose, and
throat emergencies. Failure of patients to recall foreign-body
ingestion and nonspecific, varied presentation of symptoms
may complicate formulation of the proper diagnosis.
Nonetheless, workup of a new mass in the upper aerodigestive
tract is essentially unchanged, and malignancy should always
remain on the differential until proven otherwise.
Impact of c-Fos/c-Jun Complex Oncogenic
Activation in Oral Squamous Cell Carcinoma
Nicholas Mastronikolis (Presenter); Evangelos
Tsiambas, MD, PhD; Aristidis Chrysovergis; Spyridon Lygeros;
Sofianiki Mastronikoli; Vasileios Papanikolaou, MD, PhD;
Efthymios Kyrodimos, MD
Objectives: Oral squamous cell carcinoma (OSCC) is an
aggressive malignancy because of its increased capability to
locally metastasize combined with distant lymph node metastases. Among genes that are frequently deregulated in OSCC,
c-Fos/c-Jun complex forms the activator protein-1 (AP-1) acting as an early response transcription factor. Our aim was to
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Table of Contents for the Digital Edition of Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Contents
Accreditation Information
2020 President Duane J. Taylor, MD
2020 Annual Meeting Program Committee
2020 Star Reviewers
2020 Distinguished Service Award Recipients
2020 Honor Award Recipients
Honorary Guest Lecturers 2020
Panel Presentations
Oral Presentations
Poster Presentations
Author Index
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Intro
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A1
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A2
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A3
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Contents
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A5
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A6
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Accreditation Information
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 President Duane J. Taylor, MD
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Annual Meeting Program Committee
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P4
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Star Reviewers
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Honor Award Recipients
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P7
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Honorary Guest Lecturers 2020
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Panel Presentations
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Oral Presentations
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P268
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P269
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P270
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P271
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P272
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P273
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P274
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P275
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P276
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P277
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P278
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P279
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P280
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P281
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P282
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P283
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P284
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P285
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P286
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P287
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P288
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P289
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P290
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P291
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P292
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P293
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P294
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P295
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P296
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P297
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P298
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P299
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P300
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P301
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P302
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P303
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P304
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P305
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P306
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P307
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P308
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P309
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P310
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P311
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P312
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Author Index
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P316
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P317
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P318
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P319
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P320
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P321
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P322
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P323
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P324
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P325
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P326
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P327
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P328
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P329
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P330
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P331
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P332
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Cover3
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Cover4
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