Otolaryngology-Head and Neck Surgery

Papers
(The median citation count of Otolaryngology-Head and Neck Surgery is 1. The table below lists those papers that are above that threshold based on CrossRef citation counts [max. 250 papers]. The publications cover those that have been published in the past four years, i.e., from 2021-09-01 to 2025-09-01.)
ArticleCitations
Onward in Serving Science & Our Society81
63
Letter to the Editor on Assessment of Muscular Weakness in Severe Sleep Apnea Patient60
58
A Comparison of Drug‐Induced Sleep Endoscopy Findings in Infants and Toddlers51
Predictors of Time Spent in Special Education Among Students With Severe‐to‐Profound Hearing Loss51
Decreasing the Size of Bottle Caps: Helping or Hurting Children?43
Pediatric Robotic Laryngeal Cleft Repair43
Personal Social Networks and Care‐Seeking for Head and Neck Cancer: A Qualitative Study37
Business of Medicine/Practice Management37
Head and Neck Surgery Poster Presentations37
The iHearingAids? New Technologies in the Hearing World33
Rhinology/Allergy33
Survival of Autologous Cartilages for Rhinoplasty32
Selective Adipose Cryolysis for Reduction of Lingual Tissue in a Porcine Model32
Plasma Matrix Metalloproteinase‐9 Predicts Intraoperative Experience and Extent of Resection in Vestibular Schwannoma Surgery28
Retrograde Cricopharyngeal Dysfunction: A Google Search Analysis28
Reporting of Complications in Rhinoplasty Randomized Controlled Trials: An Analysis Using the CONSORT Extension for Harms Checklist28
Surgical Correction of Nasal Obstruction and Its Effect on Eustachian Tube Dysfunction Symptoms26
Return to Vocal Performance After Vocal Fold Hemorrhage25
Comparing Open Versus Rigid Endoscopic and Flexible Endoscopic Techniques for the Treatment of Zenker's Diverticulum24
Single Versus Multigene Testing for Hereditary Hearing Loss: Use and Costs in a Commercially Insured Cohort24
Risk Factors for Wound Complications of Local Flap Reconstruction of the Scalp23
From a Slave to a Surgeon: David Kearney McDonogh, the First Black Otolaryngologist23
The Importance of Newborn Genetic Screening for Early Identification of GJB2 and SLC26A4 Related Hearing Loss22
Recalls of Moderate‐ and High‐Risk Otolaryngologic Devices Approved by the US Food and Drug Administration, 2003‐201922
Demographics, Management, and Outcomes Associated With Idiopathic Vocal Fold Paralysis: A Systematic Review22
Evaluating Outcomes in Septorhinoplasty Procedures Using Serum Cotinine as a Measure for Tobacco Use22
Does Prophylactic Replacement of Voice Prosthesis Make Sense? A Study to Predict Prosthesis Lifetime21
Factors Associated with Head and Neck Cancer Postoperative Radiotherapy Delays: A Systematic Review and Meta‐analysis21
Button Battery Ingestion: Exploring Socioeconomic Risk Factors21
The Intersection Between Meritocracy and Diversity, Equity, and Inclusion21
Olfactory Outcomes After Middle Turbinate Resection in Endoscopic Transsphenoidal Surgery: A Prospective Randomized Study21
Association of Discharge Location Following Pediatric Tracheostomy with Social Determinants of Health: A National Analysis20
Health‐Related Quality of Life in Children With Unilateral Sensorineural Hearing Loss Following Cochlear Implantation20
Identifying Opportunities to Deliver High‐Quality Cancer Care Across a Health System: A Clinical Responsibility20
High‐Dose Celecoxib for Pain After Pediatric Tonsillectomy: A Randomized Controlled Trial20
Adoption and Utilization of Heat and Moisture Exchangers (HMEs) in the Tracheostomy Patient20
Sex Differences in Presentation and Surgical Outcomes From a Prospective Multicenter Chronic Rhinosinusitis Study20
Congratulations 202219
The Use of Chatbots in Head and Neck Mucosal Malignancy Treatment Recommendations19
Spontaneous Activity in Laryngeal Electromyography for Prognosis Prediction for Unilateral Vocal Fold Paralysis19
Insurance Status and Access to Otolaryngology Care: National Mystery Caller Study in the United States19
Clinical Practice Guideline: Immunotherapy for Inhalant Allergy19
Lateral Axillary Approach for Placement of the Fifth‐Generation Hypoglossal Nerve Stimulator Implantable Pulse Generator19
Is Preoperative Chemoprophylaxis Safe for Venous Thromboembolism Prevention in Patients With Head and Neck Cancer?19
A Single Center Description of Adult and Pediatric Endoscopic Posterior Costal Cartilage Grafting18
Patterns and Trends in Adjuvant Therapy for Major Salivary Gland Cancer18
Business of Medicine/Practice Management17
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A Prospective Controlled Study Investigating Odor Identification in Laryngopharyngeal Reflux17
Sex Differences in Obstructive Patterns on Drug‐Induced Sleep Endoscopy17
Issue Information17
Reconstruction of Total Maxillectomy Defects Using Coronoid‐Temporalis Pedicled Flap, Titanium Mesh, and Free Flap17
Comparison of Primary B/NKT Non‐Hodgkin Lymphomas in Nasopharynx, Nasal Cavity, and Paranasal Sinuses17
Transverse Maxillary Deficiency Predicts Increased Upper Airway Collapsibility During Drug‐Induced Sleep Endoscopy16
Assessing Postoperative Phosphate and Calcium/Phosphate Ratio as Surrogates for Parathyroid Hormone Following Total Thyroidectomy16
COVID‐19 in the Clinic: Trial of an Aerosol Containment Mask for Endoscopic Clinic Procedures16
Management of Neonatal Airway Obstruction: A Point‐Counterpoint Ethical Discussion16
National Cohort Data Suggests an Association Between Serious Mental Illness and Audiometric Hearing Loss16
Palate Shape, Drug‐Induced Sleep Endoscopy Findings, and Obstructive Sleep Apnea Pharyngeal Surgery Outcomes16
Prognostic Assessment and Risk Stratification in Patients With Postoperative Major Salivary Acinar Cell Carcinoma16
Pharyngeal Mucosal Margin Vessel Counts Predict Pharyngocutaneous Fistula in Salvage Laryngectomy15
Individualized Dynamic Prediction Model for Patient‐Reported Voice Quality in Early‐Stage Glottic Cancer15
Two‐Year Outcomes After Pediatric In‐Office Tympanostomy Using Lidocaine/Epinephrine Iontophoresis and an Automated Tube Delivery System15
Comparison of Socioeconomic Factors Influencing Delay and Underuse of Cochlear Implants15
The Course of Hearing Loss in Patients With a Progressive Vestibular Schwannoma15
Comparison of IL‐1 Receptor Antagonist and Dexamethasone in Noise‐Induced Hearing Loss: Animal Model15
Diagnostic Accuracy of Preoperative CT and Endoscopy Staging in Early Laryngeal Cancer15
Comparison of Epworth Sleepiness Scale and OSA‐18 Scores With Polysomnography in Children15
Anthropometric Determinants of Autonomic Control in Obstructive Sleep Apnea: A Large‐Scale Study15
Issue Information15
Prestin in Human Perilymph, Cerebrospinal Fluid, and Blood as a Biomarker for Hearing Loss15
Adverse Events Associated With Image‐Guided Sinus Navigation in Endoscopic Sinus Surgery: A MAUDE Database Analysis14
Executive Summary of the Clinical Practice Guideline on Adult Sinusitis Update14
Cochlear Implantation in Adults With Single‐Sided Deafness: A Systematic Review and Meta‐analysis14
Is There an Optimal Repetitive Transcranial Magnetic Stimulation Target to Treat Chronic Tinnitus?14
Trends in Private Equity Acquisitions of US Otolaryngology Practices14
The Complications of Osseous Reconstruction in the Head and Neck: A Systematic Review and Meta‐analysis14
Exploring Mental Health in a Pediatric Paradoxical Vocal Fold Motion Sample Using Patient‐Reported Outcomes14
Speech Discrimination Outcomes in Adult Cochlear Implant Recipients by Primary Language and Bilingual Hispanic Patients14
Automatic Recognition of Auditory Brainstem Response Waveforms Using a Deep Learning‐Based Framework14
Advances in Image‐Based Artificial Intelligence in Otorhinolaryngology–Head and Neck Surgery: A Systematic Review14
Flexed‐Neck Flexible Nasolaryngoscopy for Evaluation of the Subglottis and Trachea in Children13
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Long‐Term Outcomes After Elective Contralateral Neck Dissection for HPV‐Related Oropharyngeal Cancer13
Predictors of Chronic Dizziness in Acute Unilateral Vestibulopathy: A Longitudinal Prospective Cohort Study13
Altered Bacteria Abundance Is Associated With Outcomes in Head and Neck Squamous Cell Carcinoma13
The Prognostic Implications of Neutrophil‐to‐Lymphocyte Ratio in Olfactory Neuroblastoma13
Prevalence of Cochlear Nerve Deficiency and Hearing Device Use in Children With Single‐Sided Deafness13
Vocal Cord Leukoplakia Classification Using Siamese Network Under Small Samples of White Light Endoscopy Images13
Examination of Sex Differences in a Chronic Rhinosinusitis Surgical Cohort13
Plain Language Summary: Adult Sinusitis Update13
Comparative Analysis of Information Quality in Pediatric Otorhinolaryngology: Clinicians, Residents, and Large Language Models13
Type III Thyroplasty for Patients With High‐Pitched Voice Disorders: A Systematic Review and Meta‐analysis13
Virtually Augmented Surgical Navigation in Endoscopic Sinus Surgery Simulation Training: A Prospective Trial of Repeated Measures13
Otitis Media With Effusion After the COVID‐19 Pandemic: Return to the Past and New Lessons13
Letter to the Editor on Assessment of Muscular Weakness in Severe Sleep Apnea Patient13
Tobacco Cessation Following Laryngeal Cancer Diagnosis Predicts Response to Treatment and Laryngectomy‐Free Survival12
Analysis of Opioid Prescribing Trends Following Thyroidectomy and Parathyroidectomy Before and After the 2021 American Academy of Otolaryngology–Head and Neck Surgery Opioid Prescribing Clinical Pract12
Navigating the Discrepancy: How Cost of Living (COL) Adjustments Impact Otolaryngology Residents' Salaries12
Endocrine Surgery12
Characterizing the Cellular Constituents of Proximal Airway Disease in Granulomatosis With Polyangiitis12
In Response to: “Nonopioid Combination Formulations”12
Otolaryngology Applicant Perspectives on In‐person and Virtual Residency Interviews12
Proof‐of‐Concept Computer Vision Model for Instrument and Anatomy Detection During Transcanal Endoscopic Ear Surgery12
Issue Information12
Optimization of Subglottic View During Flexible Laryngoscopy With Patient Positioning12
Harms Reporting in Systematic Reviews of the Microvascular Free Flap in Head and Neck Reconstruction12
Loss to Follow‐up in Head and Neck Cancer: A Systematic Review of Randomized Controlled Trials11
Speech Quality Perception in Unilateral Cochlear Implant Users With Single‐Sided Deafness11
Comprehensive Analysis of Adverse Events Associated With Hypoglossal Nerve Stimulators: Insights From the MAUDE Database11
Microbiome and Otic Quinolone Levels Following Tympanoplasty Assessed by Gelatin Sponge Analysis11
Tracheal Mirror Image Artifact in Patients With Normal and Pathologic Tracheas11
Adverse Events Associated With Bioabsorbable Nasal Implants: A MAUDE Database Analysis11
Identification and Surveillance of Unusual Primary Site Using Human Papillomavirus‐Specific Cell‐Free Tumor DNA11
Response to “The Role of the Otolaryngologist in Sexual Health”11
Statin Use and Reduced Risk of Sudden Sensorineural Hearing Loss in Type 2 Diabetes11
Digestive Biomarkers of Laryngopharyngeal Reflux: A Preliminary Prospective Controlled Study10
Preference Phenotypes in Thyroid Nodule Management: A Patient Segmentation Approach10
Iatrogenic Pneumothorax During Hypoglossal Nerve Stimulator Implantation: A Large Database Analysis10
Late Flap Failure: Etiology and Management10
Safe Use of High‐Flow Oxygenation During Transoral Laser Microsurgery Without Airway Fire: A Review of 369 Consecutive Cases10
History of Otolaryngology: Globus Pharyngeus as “Globus Hystericus”10
Dose‐Related Effects and Bleeding Risk of Ketorolac in Pediatric Tonsillectomy10
Cost‐Effectiveness Analysis of Operating Room and In‐Office Reconstruction of Skin Cancer Defects10
Quantifying and Improving the Performance of Speech Recognition Systems on Dysphonic Speech10
Mohs Micrographic Surgery Efficacy for Solid Organ Transplant Head and Neck Cutaneous Squamous Cell Carcinoma10
Dynamic Optical Contrast Imaging for the Pathological Diagnosis of Thyroid Cancer10
Gender Differences in Adults With Chronic Rhinosinusitis: A Scoping Review10
The Ethical Challenges of Using Artificial Intelligence in the Resident Selection Process10
Systematic Review and Meta‐analysis: Macrolide in the Treatment of Chronic Rhinosinusitis After Endoscopic Sinus Surgery10
Response to “Commentary on Periprosthetic Leakage in Tracheoesophageal Prosthesis: Proposal of a Standardized Therapeutic Algorithm”10
Examination of Predictors of Pain at 12 Months Postdiagnosis in Head and Neck Cancer Survivors10
Longitudinal Analysis of Hypoglossal Nerve Stimulator Therapy Uptitration Using Cloud‐Based Usage Data10
Radiographic Midfacial Volume Changes in Patients on GLP‐1 Agonists9
Surgical Outcomes of Simultaneous Cochlear Implantation and Intracochlear Schwannoma Removal9
Hypoglossal Nerve Stimulation Therapy Outcomes in Apnea‐ Versus Hypopnea‐Predominant Patients9
Author Reply to Letter by Topkan et al Regarding Delays in Starting Postoperative Radiotherapy9
Prognostic Implications of Skin Invasion in Locally Advanced Oral Cavity Squamous Cell Carcinoma9
Clinical Portrait of Cochlear Implantation in Patients With CHARGE Syndrome9
Potential Treatments for Epiglottic Collapse in Obstructive Sleep Apnea: How Modified Drug‐Induced Sleep Endoscopy Help?9
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Accuracy of ChatGPT‐Generated Information on Head and Neck and Oromaxillofacial Surgery: A Multicenter Collaborative Analysis9
Opioid Analgesia Following Pediatric Adenotonsillectomy: A Randomized Clinical Trial9
Impact of Ketorolac on Reoperation for Hemorrhage After Pediatric Tonsillectomy: A Single‐Center Retrospective Propensity‐Matched Study9
The Impact of Sinonasal Symptoms in Relation to Potentially Life‐Threatening Comorbidities9
Letter to the Editor Regarding “Systematic Review and Meta‐analysis: Effectiveness of Corticosteroids in Treating Adults With Acute Vestibular Neuritis” by Leong et al9
Genetics of Nonsyndromic Microtia and Congenital Aural Atresia: A Scoping Review9
Olfactory‐Related Adverse Events: An Analysis of the Food and Drug Administration Adverse Events Reporting System9
De Novo Granuloma of the Membranous Vocal Fold: A Marker of Occult Malignancy9
Development and Validation of an Explainable Prediction Model for Postoperative Recurrence in Pediatric Chronic Rhinosinusitis9
Predictive Value of Digestive Enzymes in Patients With Reflux‐Induced Chronic Cough9
Tackling the Minority Tax: A Roadmap to Redistributing Engagement in Diversity, Equity, and Inclusion Initiatives9
Effect of Packing Versus No Packing in Transperforation Myringoplasty for Chronic Tympanic Membrane Perforations9
Development of a Prognostic Nomogram for Modified Tinnitus Relieving Sound Therapy for Subjective Tinnitus9
Audiometric and Patient‐Reported Outcomes in Single‐Sided Deafness Cochlear Implant Recipients Using the CIQOL‐359
Incidence and Risk Factors for Toxic Shock Syndrome After Endoscopic Sinus Surgery: A Systematic Review9
The Role of Diet in Tympanostomy Tube Otorrhea9
The Barriers and Facilitators of Shared Decision Making in Pediatric Otolaryngology: A Qualitative Study9
Otorhinologic Disorders in 22q11.2 Deletion Syndrome9
Exploring Trauma Patterns and Contributing Factors With Slim Straight Electrode Array After Cochlear Implantation9
Comparing the 7th and 8th Editions of AJCC Staging System for Hypopharyngeal Cancer Undergoing Surgery8
TI‐RADS and Bethesda Classification System Correlate With Predicting Pediatric Papillary Thyroid Carcinoma8
Oral Presentations8
How Variable are Patient Comorbidity Profiles Among Practicing Otolaryngologists?8
Long‐Term Efficacy and Safety of Subcutaneous Immunotherapy in Monosensitized and Polysensitized Children With Allergic Rhinitis8
Prognostic role of EAONO/JOS, STAMCO, and ChOLE Staging for Exclusive Endoscopic and Endoscopic‐Microscopic Tympanoplasty8
Demographic Differences in Emergency Room Epistaxis Treatment Patterns and Outcomes8
Evolving Management of Acute Mastoiditis: Analysis of the Pediatric Health Information System Database8
Unintended Side Effects of Electronic Cigarettes in Otolaryngology: A Scoping Review8
Debunking the Myth: Should Pierre Robin be Credited for Defining the Pierre Robin Sequence?8
Comparing Video Head Impulse Testing With Rotary Chair in Pediatric Patients: A Controlled Trial8
Stellate Ganglion Block for the Treatment of COVID‐19‐Induced Olfactory Dysfunction: A Prospective Pilot Study8
Accreditation Information8
Comparative Treatment Outcomes for Idiopathic Subglottic Stenosis: 5‐Year Update8
Aerosol Generation During Nasal Airway Instrumentation8
The Use of Artificial Intelligence to Improve Readability of Otolaryngology Patient Education Materials8
Hearing and Vestibular Impairment Related to a Variant (c.263G>C) of the COCH Gene8
Incidence, Morbidity, and Mortality of Pulmonary Complications in Free Flap Reconstruction: Limitations of Predictive Models8
Cochlear Implantation After Traumatic Brain Injury8
The Value of the Nutritional Indicators in Predicting Free Flap Failure From a Multicentre Database8
Intratympanic Gels for Inner Ear Disorders: A Scoping Review of Clinical Trials8
Serum Levels of Stereocilin as a Hearing Biomarker8
Using Generative Artificial Intelligence in the Production and Dissemination of Innovation in Otolaryngology—Ethical Considerations8
Y‐Chromosome‐Linked Genes Are Associated With Sex‐Related Head‐Neck Squamous Cell Carcinoma Survival8
Author Index8
Balloon Dilation Eustachian Tuboplasty for Dilatory Dysfunction With and Without Effusion: A Comprehensive Outcome Analysis8
Complications Associated with AMBU™ Scope Use: An FDA MAUDE Analysis8
Management of Flap Failure After Head and Neck Reconstruction: A Systematic Review and Meta‐analysis8
A Closer Look at “Taller‐Than‐Wide” Thyroid Nodules: Examining Dimension Ratio to Predict Malignancy8
Effectiveness of Platelet‐Rich Plasma for COVID‐19‐Related Olfactory Dysfunction: A Controlled Study8
Longitudinal Patient‐Reported Voice Quality in Early‐Stage Glottic Cancer8
Patient Satisfaction With Otolaryngology Care: Stratification by Race, Age, Gender, Income, and Language8
Myringoplasty Using Human Birth Tissue Allografts to Repair Large Tympanic Membrane Perforations8
Postoperative Respiratory Complications After Adenotonsillectomy in Children With High‐Risk Obstructive Sleep Apnea7
Emerging Relations among Cognitive Constructs and Cochlear Implant Outcomes: A Systematic Review and Meta‐Analysis7
Butterfly Cartilage Inlay Technique for Repairing Medium‐to‐Large‐Sized Tympanic Membrane Perforations7
Pathologic Characteristics and Surgical Outcomes of Pediatric Versus Adult Well‐Differentiated Thyroid Cancer7
External Carotid Artery Ligation Versus Selective Artery Ligation in Transoral Surgery for Oropharyngeal Cancer7
Combination Tonsillectomy and Hypoglossal Nerve Stimulation for Sleep Apnea Patients With Oropharyngeal Lateral Wall Collapse7
A National Study of Emotional Intelligence Among Otolaryngology Residents and Fellows Using the TEIQue‐Short Form7
Impact of Reduced Acidic Earwax pH and Earwax‐Determinant Genotypes in Acquired Middle Ear Cholesteatoma7
A commentary on broader use of preoperative polysomnography in pediatric patients with obstructive sleep apnea7
Relationship Between Industry Funding and Otologists7
Considering the Costs: Resin 3D Printing for a Temporal Bone Dissection Course7
Videofluoroscopic Measures of Swallowing After Partial Epiglottidectomy for Dysphagia7
Thyroid Cancer Incidence, Clinical Presentation, and Survival Among Native Hawaiian and Other Pacific Islanders7
Modern Trends in Otologic Surgery and Implications for Residency Training7
Long‐Term Functional Outcomes in Pediatric Head and Neck Cancer Patients: A Systematic Review7
Postoperative Radiotherapy and Facial Nerve Outcomes Following Nerve Repair: A Systematic Review7
Association of COVID‐19 Vaccination With Changes in Smell and Taste7
Biologic Therapy in Pediatric Chronic Rhinosinusitis: A Systematic Review7
Flow Analysis of Central Venous Outflow Tract: A New Approach to Understanding Pulse‐Synchronous Tinnitus7
3D Genial Tubercle Anatomic Considerations in Genioglossus Advancement Surgery7
A Retrospective Study of Cricotracheostomy: Indications, Techniques, and Clinical Outcomes7
Long‐term Quality of Life After Thyroidectomy: Transoral Endoscopic Thyroidectomy Vestibular Approach Versus Transcervical Approach7
Letter Regarding “A Commentary on Broader Use of Preoperative Polysomnography in Pediatric Patients With Obstructive Sleep Apnea”7
Cochlear Implantation and Risk of Falls in Older Adults7
Needs Assessment of Gender‐Affirming Face, Neck, and Voice Procedures and the Role of Gender Dysphoria7
Misestimating Misattribution of Mortality to Otolaryngology Departments in US News & World Report Rankings7
Effect of Perioperative Antithrombotics on Head and Neck Microvascular Free Flap Survival After Anastomotic Revision7
Long‐Term Laryngeal Function and Quality of Life Following Treatment of Early Glottic Cancer: A Meta‐Analysis7
A Label‐Efficient Framework for Automated Sinonasal CT Segmentation in Image‐Guided Surgery7
Long‐Term Outcomes of Temporal Bone Aneurysmal Bone Cysts: Ambispective Study With Systematic Review and Pooled Analysis7
Clinical Applications and Outcomes of the Supraclavicular Osteocutaneous Flap for Head and Neck Reconstruction7
Over‐The‐Counter Hearing Aids: Trends in Information‐Seeking Behavior7
Evidence‐Based Medicine in Otolaryngology Part 15: Introduction to Peer Review—A Framework for Clinicians7
Treatment vs Prevention of Head and Neck Cancer: Are We Doing Our Best for Patients?7
Effects of Mucosal Decongestion on Nasal Aerodynamics: A Pilot Study7
Cochlear Implantation in Neurofibromatosis Type 2‐Related Schwannomatosis: Long‐Term Hearing Outcomes6
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AI Model Versus Clinician Otoscopy in the Operative Setting for Otitis Media Diagnosis6
Dizziness and Imbalance Across the Lifespan: Findings of a Pediatric and Adult Vestibular Clinic6
Upper Airway Stimulation Therapy Effect on Blood Pressure6
Autologous Adipose Tissue Injection of Vocal Cords in Presbyphonia6
Health Disparities in Rhinology—A Scoping Review6
Surgical Removal of Construction Cement From the Middle Ear6
6
Sociodemographic Differences in Care Plans and Time to Treatment Among Children Being Considered for Adenotonsillectomy6
Rural Otolaryngology Care Disparities: A Scoping Review6
Comparing Approaches for Repair of Superior Semicircular Canal Dehiscence6
Current Management of Subcondylar Fractures: A Systematic Review6
Outcomes of Mesh Cranioplasty in Scalp‐Free Tissue Reconstruction: A Systematic Review and Meta‐analysis6
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Predictors of Hypoglossal Nerve Stimulator Usage: A Growth Curve Analysis Study6
Availability and Pricing of Drugs Prescribed by Otolaryngologists Through a Direct‐to‐Consumer Pharmacy: Medicare Savings Implications6
Issue Information6
The Use of Deep Learning Software in the Detection of Voice Disorders: A Systematic Review6
Comparison of Remimazolam and Propofol for Drug‐Induced Sleep Endoscopy: A Randomized Clinical Trial6
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