Tony Chung, Shiven Sharma, Eric M Genden, Jacob M Appel
{"title":"Ethics of Elective Whole-Body Magnetic Resonance Imaging With Head and Neck Findings.","authors":"Tony Chung, Shiven Sharma, Eric M Genden, Jacob M Appel","doi":"10.1002/ohn.1137","DOIUrl":"10.1002/ohn.1137","url":null,"abstract":"","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":"1480-1483"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Iman S Iqbal, Elizabeth M Puyo, Jonathan M Carnino, Hardeep Tiwana, Jessica R Levi
{"title":"Pediatric Acute Otitis Media Clinical Trials: An Analysis of Diversity.","authors":"Iman S Iqbal, Elizabeth M Puyo, Jonathan M Carnino, Hardeep Tiwana, Jessica R Levi","doi":"10.1002/ohn.1110","DOIUrl":"10.1002/ohn.1110","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to assess the diversity and equity of pediatric acute otitis media (AOM) trials using ClinicalTrials.gov, focusing on participant demographics and representation to identify gaps in inclusivity and inform strategies for promoting diversity in future pediatric AOM studies.</p><p><strong>Study design: </strong>Retrospective analysis.</p><p><strong>Setting: </strong>ClinicalTrials.gov.</p><p><strong>Methods: </strong>A retrospective analysis was performed on completed clinical trials enrolling pediatric patients with AOM, registered to ClinicalTrials.gov. Only trials that reported results were included. There were 48 trials, excluding duplicates, that matched these criteria. These trials were analyzed for data including study demographics (age, sex, race, ethnicity) and trial characteristics (location, sponsor/funder).</p><p><strong>Results: </strong>The analysis revealed that of the 48 trials, a significant portion underreported race and ethnicity, with 43.7% of trials reporting race and 25% reporting ethnicity. A majority of the participants identified as white (69.9%), showcasing notable disparities in representation. Domestic trials were more likely to report on race (50%) and ethnicity (30%) compared to international trials (22.3% and 0%, respectively). Privately funded trials reported at higher rates (53.3%) compared to publicly funded ones (38.9%), while the reporting of ethnicity was comparably low between both (20% and 33.3%, respectively).</p><p><strong>Conclusion: </strong>The study highlights the urgent need for more inclusive representation in pediatric clinical research, particularly in AOM trials. Despite guidelines aimed at improving demographic reporting, significant gaps remain. Future research efforts must prioritize the inclusion of diverse populations to ensure clinical trials are generalizable and equitable, thereby advancing toward developing more effective and universally applicable health care solutions for pediatric AOM.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":"1394-1402"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142907464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Robin Zhao, Linh He, Sara W Albert, Alexandra Li, Anaïs Rameau
{"title":"Dysphagia Care in the United States: Examining the Impact of the Affordable Care Act on Access to Care.","authors":"Robin Zhao, Linh He, Sara W Albert, Alexandra Li, Anaïs Rameau","doi":"10.1002/ohn.1239","DOIUrl":"https://doi.org/10.1002/ohn.1239","url":null,"abstract":"<p><strong>Objective: </strong>To report the odds of dysphagia treatment among adults with self-reported dysphagia before and after the implementation of the Affordable Care Act (ACA).</p><p><strong>Study design: </strong>Cross-sectional analysis.</p><p><strong>Setting: </strong>National Health Interview Survey (NHIS).</p><p><strong>Methods: </strong>Multivariate logistic regression.</p><p><strong>Results: </strong>This study included 490 million individuals from the 2012 and 2022 NHIS in weighted responses. Among 235 million individuals in 2012, 9.4 million (4.0%) reported dysphagia (median age, 56.0 years; interquartile range [IQR], 40.0-68.0 years; 60% female). Among 255 million adults in 2022, 15 million (5.9%) reported dysphagia (median age, 58.0 years; IQR, 40.0-71.0 years; 57% female). After adjusting for sociodemographic factors, adults in 2022 were significantly more likely than those in 2012 to report dysphagia (adjusted odds ratio [aOR], 1.64; CI, 1.43-1.87). However, there was no significant difference in the odds of reporting dysphagia treatment between 2012 and 2022. Subgroup analyses by age, race and ethnicity, and insurance type also revealed no significant differences when comparing the 2012 and 2022 cohorts. When examining general access to care, adults reporting dysphagia in 2022 were significantly less likely to delay medical care due to the cost compared to adults reporting dysphagia in 2012 (aOR, 0.52; 95% CI, 0.43-0.62).</p><p><strong>Conclusion: </strong>Although more adults reported dysphagia in 2022 than in 2012, our results show no significant improvement in access to dysphagia treatment. This suggests that, although the ACA reduced cost-related barriers, it has not adequately addressed access to dysphagia care.</p><p><strong>Level of evidence: </strong>IV.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143753889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Rahul K Sharma, Michael R Papazian, Rory J Lubner, Alexander J Barna, Shiayin F Yang, Scott J Stephan, Priyesh N Patel
{"title":"Novel Machine-Learning Modeling of Facial Trauma Volume With Regional Event and Weather Data.","authors":"Rahul K Sharma, Michael R Papazian, Rory J Lubner, Alexander J Barna, Shiayin F Yang, Scott J Stephan, Priyesh N Patel","doi":"10.1002/ohn.1103","DOIUrl":"10.1002/ohn.1103","url":null,"abstract":"<p><strong>Objective: </strong>Facial trauma volume is difficult to predict accurately. We aim to understand the capacity of climate and regional events to predict daily facial trauma volume. This can provide epidemiologic understanding and subsequently tailor workforce distribution and scheduling.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>Single Tertiary Academic Medical Center.</p><p><strong>Methods: </strong>Facial trauma consults between 2017 and 2023 were extracted from a single Level I Trauma Center. Publicly accessible data on local concerts, National Hockey League games, National Football League games, and weather data from the National Oceanic and Atmospheric Administration data were merged with trauma data. Machine-learning random-forest (RF) plot feature identification was used to identify variables to model high-volume facial trauma days (greater than 75th percentile).</p><p><strong>Results: </strong>For analysis, 2342 days were included. The median number of facial trauma consults was 3.0 (interquartile range: 2.0-5.0). The month of May exhibited the highest rate of high-volume trauma days (13% of days, P < .001). On RF feature identification, the strongest predictive factors included weekend day status, average temperature, precipitation, hail, high/damaging winds, and holidays. Regional events were not included in the final models. On stepwise logistic regression modeling with pertinent variables, weekend day (odds ratio [OR]: 2.20, 95% confidence interval [CI]: 1.80-2.69, P < .001), average temperature (OR: 1.02, 95% CI: 1.01-1.02, P < .001), and wind speed (0.97, 0.93-1.00, P = .049) were the only statistically significant variables.</p><p><strong>Conclusion: </strong>Climate data were the primary factor that had predictive capacity for high-volume facial trauma days, more so than regional events. Testing models prospectively will help validate such models and help inform staffing for facial trauma coverage.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":"1208-1213"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Joseph K Han, Jon N Rosenthal, Chad M McDuffie, David M Yen, Nadim B Bikhazi, Venkata Vasu Kakarlapudi, Stacey L Silvers
{"title":"Temperature-Controlled Radiofrequency Treatment of the Nasal Valve in Patients With Nasal Obstruction: Long-Term Outcomes.","authors":"Joseph K Han, Jon N Rosenthal, Chad M McDuffie, David M Yen, Nadim B Bikhazi, Venkata Vasu Kakarlapudi, Stacey L Silvers","doi":"10.1002/ohn.1118","DOIUrl":"10.1002/ohn.1118","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy, safety, and durability of temperature-controlled radiofrequency (TCRF) treatment of the nasal valve in patients with severe or extreme nasal airway obstruction (NAO).</p><p><strong>Study design: </strong>A long-term, prospective, multicenter, single-blind, randomized controlled trial.</p><p><strong>Setting: </strong>Sixteen otolaryngologic clinics and academic centers.</p><p><strong>Methods: </strong>Patients received TCRF treatment on the lateral nasal valve. All patients were followed through 3 years. Outcome measures included the Nasal Obstruction Symptom Evaluation (NOSE) Scale, Epworth Sleepiness Scale (ESS), and adverse events (AEs). Treatment responders were defined as a ≥1 reduction in severity class or ≥20% reduction in NOSE score.</p><p><strong>Results: </strong>Out of 108 patients who received TCRF treatment, 54 reached the 3-year follow-up timepoint. The baseline mean NOSE score was 76.3 (95% confidence interval [CI], 73.6 to 79.1). The 3-year NOSE score treatment effect was -49.4 ([95% CI, -56.5 to -42.4]; P < .001) a 64.7% improvement from baseline; 88.7% of patients were responders. Most patients reported significant improvements in sleep post-treatment with a mean ESS score of 4.5 (95% CI, 3.4 to 5.7) at 3 years compared to 10.3 (95% CI, 9.2 to 11.4) at baseline.</p><p><strong>Conclusion: </strong>Treatment with the TCRF device for nasal valve obstruction resulted in sustained improvements in nasal obstruction symptoms and sleep quality over a 3-year period without any serious AEs. These findings support the long-term benefits and sustained improvements in symptoms in patients with NAO.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":"1214-1223"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947858/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Andrew Meci, F Jeffrey Lorenz, Neerav Goyal, David Goldenberg
{"title":"Elevated Risk of Thyroid Malignancy in Biological Males Taking Estrogen Hormone Therapy.","authors":"Andrew Meci, F Jeffrey Lorenz, Neerav Goyal, David Goldenberg","doi":"10.1002/ohn.1128","DOIUrl":"10.1002/ohn.1128","url":null,"abstract":"<p><strong>Objective: </strong>The role of estrogen in developing thyroid malignancy is poorly understood. Epidemiological studies have shown exogenous estrogen is associated with increased risk in females. Still, no studies to date have investigated this association among biological males undergoing estrogen hormone therapy.</p><p><strong>Study design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>TriNetX Research Network.</p><p><strong>Methods: </strong>Biologically male patients prescribed estrogen with at least 5 years of follow-up were queried from the database. Rates of diagnosis of malignant neoplasm of the thyroid gland within 5 years of estrogen hormone therapy prescription were determined, and statistics were conducted within the TriNetX platform.</p><p><strong>Results: </strong>We identified 6394 biologically male patients from 65 health care organizations prescribed estrogen hormone treatment. The average age was 44.4 years. When balanced for demographic factors as well as known risk factors for thyroid malignancy, the estrogen treatment cohort had a 0.64% risk for diagnosis of thyroid malignancy within 5 years, compared to a 0.27% risk among patients not taking estrogen (relative risk: 2.35, 95% confidence interval: 1.34-4.15, P = .002).</p><p><strong>Conclusion: </strong>We found a higher risk of developing thyroid cancer in biologically male patients prescribed estrogen hormone therapy. This is the first association found between estrogen and thyroid malignancy in this group.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":"1192-1198"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142952693","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Elliott M Sina, Somya Shankar, Maurits S Boon, Colin T Huntley
{"title":"Risk of Motor Vehicle Accidents in Obstructive Sleep Apnea: Comparative Analysis of CPAP Versus Surgery.","authors":"Elliott M Sina, Somya Shankar, Maurits S Boon, Colin T Huntley","doi":"10.1002/ohn.1131","DOIUrl":"10.1002/ohn.1131","url":null,"abstract":"<p><strong>Objective: </strong>To compare the incidence of motor vehicle accidents (MVAs) among patients with obstructive sleep apnea (OSA) undergoing continuous positive airway pressure (CPAP) therapy and sleep surgery.</p><p><strong>Study design: </strong>Retrospective cohort study using the TriNetX national clinical database.</p><p><strong>Setting: </strong>Analysis of a nationwide patient cohort.</p><p><strong>Methods: </strong>The database was queried for patients with OSA (International Classification of Diseases, 10th Revision: G47.33) treated with CPAP (Current Procedural Terminology [CPT]: 94660), sleep surgery (CPT: 42145, 64568, 64582), or no treatment. Sleep surgeries included uvulopalatopharyngoplasty and hypoglossal nerve stimulation. 1:1 Propensity score matching (PSM) ensured cohort comparability by age, sex, and race. MVA incidence rates were analyzed, along with a subanalysis of OSA-related comorbidities as a surrogate of OSA severity.</p><p><strong>Results: </strong>A total of 2,832,437 patients with OSA were identified. Patients with OSA undergoing sleep surgery demonstrated a significantly lower incidence of MVAs (3.403%) compared to the OSA + CPAP cohort (6.072%) and the no-treatment group (4.662%). The odds ratio (OR) for MVA incidence in the no-treatment group compared to the OSA + sleep surgery cohort was 1.214 (95% confidence interval [CI]: 1.060-1.391, P = .0051). The OR in the OSA + sleep surgery cohort compared to the CPAP cohort was 0.545 (95% CI: 0.480-0.618, P < .0001). Patients with OSA who experienced MVAs were more likely to have comorbidities such as hypertension, diabetes, and heart failure following the accident.</p><p><strong>Conclusion: </strong>Sleep surgery significantly reduces the risk of MVAs in patients with OSA compared to CPAP and no treatment. In appropriate candidates, surgery should be considered to mitigate personal and public health risks associated with OSA.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":"1459-1467"},"PeriodicalIF":2.6,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11947857/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143009258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Isaac L Alter, Alexander Chern, Michael W Denham, Alexis Leiderman, Jessica Galatioto, Jennifer Jones, Amanda J Ucci, Dean Mancuso, Anil K Lalwani
{"title":"Longitudinal Assessment of Music Enjoyment in Hearing Aid Users Based on Music Listening Preferences.","authors":"Isaac L Alter, Alexander Chern, Michael W Denham, Alexis Leiderman, Jessica Galatioto, Jennifer Jones, Amanda J Ucci, Dean Mancuso, Anil K Lalwani","doi":"10.1002/ohn.1242","DOIUrl":"https://doi.org/10.1002/ohn.1242","url":null,"abstract":"<p><strong>Objective: </strong>Hearing loss is associated with deterioration of music enjoyment that can be mitigated with hearing aids (HAs). In this study, we assess HA users' music enjoyment and listening habits over time.</p><p><strong>Study design: </strong>Longitudinal.</p><p><strong>Setting: </strong>Tertiary academic medical center and community.</p><p><strong>Methods: </strong>Adult HA users reported music listening habits and music enjoyment using 10-point Likert scales and underwent a melody discernment listening task, once in 2020 and again in 2023. Paired t-tests were used to compare individuals' responses across time points, and unpaired t-tests were performed to juxtapose participants who preferred music sound quality with HAs (\"prefer HA\") versus without (\"prefer unaided\").</p><p><strong>Results: </strong>Forty-three HA users participated, with an average (SD) of 24.3 (18.3) years of HA use as of 2023. Despite an increase in pure tone average from 2020 to 2023 (47.2-52.6, P < .001), there was no significant change in time spent listening to music, overall music enjoyment, or melody discernment ability. In 2023, the \"prefer unaided\" group reported worse music enjoyment with HAs (5.7 vs 7.5, P = .022) and higher music enjoyment before their HL diagnosis (9.7 vs 7.6, P = .007); they also spent less time listening to music (4.0 vs 5.4, P = .038). Similar differences were also observed in 2020.</p><p><strong>Conclusion: </strong>In individual HA users, worsening hearing over time may not translate to changes in music enjoyment or listening habits. However, HA users with higher levels of music enjoyment before HL diagnosis are more dissatisfied with aided music listening and spend less time listening to music.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143730654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Neil S Kondamuri, Raj C Dedhia, Kathleen L Yaremchuk
{"title":"Ten-Year Update: The State of Sleep Surgery Training for Otolaryngologists.","authors":"Neil S Kondamuri, Raj C Dedhia, Kathleen L Yaremchuk","doi":"10.1002/ohn.1174","DOIUrl":"https://doi.org/10.1002/ohn.1174","url":null,"abstract":"<p><p>A decade ago, the field of sleep surgery was on the brink of extinction after changes in certification requirements. Though improving, many otolaryngology programs still do not have dedicated sleep faculty, and residents feel they have not received adequate sleep medicine experience. The field of sleep surgery can expand on a pipeline of sleep-trained otolaryngology fellows by increasing residency exposure to faculty with subcertification in sleep medicine and increasing visibility of fellowship opportunities. Mini-mentorship programs for residents without sleep programs/faculty and inclusion of sleep surgery procedures as key indicator cases during residency may increase interest and exposure to sleep procedures. Maintaining current lists of sleep medicine fellowship programs that include Otolaryngology-Head and Neck Surgery faculty is critical to ensuring accessibility and transparency. Without intervention, the field may be limited to selecting sleep surgery fellows from programs with established sleep surgeons and/or training programs, creating a narrow path for future growth.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143710639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Caleb M Allred, John P Dahl, Sanjay Parikh, Xing Wang, Juliana Bonilla-Velez
{"title":"Effect of Race, Ethnicity, and Language on Adenotonsillectomy Outcomes in Pediatric Otolaryngology.","authors":"Caleb M Allred, John P Dahl, Sanjay Parikh, Xing Wang, Juliana Bonilla-Velez","doi":"10.1002/ohn.1230","DOIUrl":"https://doi.org/10.1002/ohn.1230","url":null,"abstract":"<p><strong>Objective: </strong>Disparities have been described across racial and socioeconomic groups in adenotonsillectomy access and surgical outcomes, but little is known about the impact of language. We studied the effect of race, ethnicity, and language on the frequency of postoperative rates of visits to the emergency department, hospital admissions, and return to the operating room. We hypothesized that non-white, Hispanic, and patients speaking a non-English language would have higher rates of emergency department visits, readmissions, and return to the operating room.</p><p><strong>Study design: </strong>Retrospective cohort analysis.</p><p><strong>Setting: </strong>Tertiary care academic center.</p><p><strong>Methods: </strong>Demographic and encounter data were abstracted from the hospital's data warehouse for patients who underwent adenotonsillectomy over 12 years (May 2011-June 2023). Continuous variables were compared using the Kruskal-Wallis test or Mann-Whitney U test as indicated. Categorical variables were compared using Fisher's exact test.</p><p><strong>Results: </strong>Our study included 7945 patients. Non-white patients had higher 30-day emergency department visit rates than white patients (8.6% vs 6.8%; P = .003) but comparable 30-day hospital admissions and 30-day return to the operating room rates. Hispanic and other ethnic groups had higher rates of postoperative emergency department visits (8.0%, 8.6%) compared to non-Hispanic white patients (6.8%; P = .026). Patients speaking Spanish or a different non-English language had higher 30-day emergency department visits (8.7%, 10.6%) than English-speaking patients (7.3%; P = .038). Rates of hospital admission and return to the operating room were similar across race and ethnic groups.</p><p><strong>Conclusion: </strong>Higher rates of postoperative emergency department visits were present for our patient population across racial, ethnic, and linguistic cohorts.</p>","PeriodicalId":19707,"journal":{"name":"Otolaryngology- Head and Neck Surgery","volume":" ","pages":""},"PeriodicalIF":2.6,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143701105","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}