Cros Or Hearing Aid? Selecting The Ideal Solution For Unilateral Ci Patients With Limited Aidable Hearing In The Contralateral Ear, 2024 Thomas Jefferson University
Cros Or Hearing Aid? Selecting The Ideal Solution For Unilateral Ci Patients With Limited Aidable Hearing In The Contralateral Ear, Sarah Lively, Smita Agrawal, Matthew Stewart, Robert Dwyer, Laura Strobel, Paula Marcinkevich, Chris Hetlinger, Julia Croce
Department of Otolaryngology - Head and Neck Surgery Faculty Papers
A hearing aid or a contralateral routing of signal device are options for unilateral cochlear implant listeners with limited hearing in the unimplanted ear; however, it is uncertain which device provides greater benefit beyond unilateral listening alone. Eighteen unilateral cochlear implant listeners participated in this prospective, within-participants, repeated measures study. Participants were tested with the cochlear implant alone, cochlear implant + hearing aid, and cochlear implant + contralateral routing of signal device configurations with a one-month take-home period between each in-person visit. Audiograms, speech perception in noise, and lateralization were evaluated. Subjective feedback was obtained via questionnaires. Marked improvement in …
Standardized Pre-Clinical Surgical Animal Model Protocol To Investigate The Cellular And Molecular Mechanisms Of Ischemic Flap Healing, 2024 Thomas Jefferson University
Standardized Pre-Clinical Surgical Animal Model Protocol To Investigate The Cellular And Molecular Mechanisms Of Ischemic Flap Healing, Edita Aksamitiene, Ryan Heffelfinger, Jan Hoek, Edmund Pribitkin
Department of Otolaryngology - Head and Neck Surgery Faculty Papers
BACKGROUND: Some of the most complex surgical interventions to treat trauma and cancer include the use of locoregional pedicled and free autologous tissue transfer flaps. While the techniques used for these reconstructive surgery procedures have improved over time, flap complications and even failure remain a significant clinical challenge. Animal models are useful in studying the pathophysiology of ischemic flaps, but when repeatability is a primary focus of a study, conventional in-vivo designs, where one randomized subset of animals serves as a treatment group while a second subset serves as a control, are at a disadvantage instigated by greater subject-to-subject variability. …
On The Discontinuation Of Enteral Feeding In Head And Neck Cancer: A Case Report, 2023 HCA Florida Orange Park Hospital
On The Discontinuation Of Enteral Feeding In Head And Neck Cancer: A Case Report, Kyle Fisk, Ana Sanchez
HCA Healthcare Journal of Medicine
Introduction
The goal of palliative care is to preserve the quality of life or patient “comfort” in patients with serious diseases. Palliative care providers serve a wide range of patients: from those who seek curative treatment to those who are actively dying. Given this range, palliative care must mirror the dynamic goals of the patient at different stages of life and treatment. Throughout these stages, a goal of the palliative care provider would be to avoid hastening death; however, this often leads to clinical decisions that directly pit the patient’s comfort against the patient’s life span. This is most salient …
Assessing Tracheostomy As A Risk Factor For Hearing Loss In Neonates With Bronchopulmonary Dysplasia, 2023 University of Michigan
Assessing Tracheostomy As A Risk Factor For Hearing Loss In Neonates With Bronchopulmonary Dysplasia, Emma Hershey, Terrence Pleasant, Andrew Benvenuto, Katie Kuboushek, Clare Furuta, Patricia Purcell
Journal of Early Hearing Detection and Intervention
Objectives: This study compares the risk of hearing loss in children with bronchopulmonary dysplasia (BPD) based upon whether the child required tracheostomy.
Method: A retrospective chart review was conducted that included all children diagnosed with BPD from 2013–2020 at a single tertiary medical institution. Primary outcome was presence of hearing loss. Children without follow-up audiogram were excluded from analysis. Risk comparison was made using hazard analysis; Cox regression model controlled for exposure to ototoxic medications.
Results: There were 177 infants diagnosed with BPD who had sufficient follow-up for inclusion. Thirty-two children (18%) underwent tracheostomy placement. Children with tracheostomy were at …
Proceedings Of The 2023 Iaom Convention, 2023 International Association of Orofacial Myology
Proceedings Of The 2023 Iaom Convention, International Association Of Orofacial Myology
International Journal of Orofacial Myology and Myofunctional Therapy
The International Association of Orofacial Myology (IAOM) held its 2023 Convention in Chandler, Arizona from October 13 - 15. The Proceedings of the Convention contain abstracts and summaries of podium and poster presentations.
How Long Does It Take To Master Laryngeal Visualization Using Flexible Nasolaryngoscopy In Children?, 2023 University of Nebraska Medical Center
How Long Does It Take To Master Laryngeal Visualization Using Flexible Nasolaryngoscopy In Children?, Kieran Boochoon, Julina Ongkasuwan, Annie Ahn, Mary Musso, Yi-Chun Carol Liu
Graduate Medical Education Research Journal
Background: To assess when residents become proficient in performing flexible nasolaryngoscopy (FNL) in the pediatric population.
Objective: To objectively evaluate the quality of FNL by year of residency training.
Methods: Ninety-five pediatric FNL’s were performed by otolaryngology residents and pediatric otolaryngology fellows (postgraduate year [PGY] 1 – 6). Three pediatric otolaryngologists rated the FNL videos (anonymized and without sound) using the Modified Cormack-Lehane scoring system (MCLS). Data analysis was performed using two-way ANOVA and Tukey-Kramer adjustment.
Results: Overall, there was a significant difference in the quality of the FNL based on the year of training (p
Conclusion: The quality …
Characterization Of Oral Cavity And Oropharyngeal Cancer In The Texas Rio Grande Valley, 2023 The University of Texas Rio Grande Valley
Characterization Of Oral Cavity And Oropharyngeal Cancer In The Texas Rio Grande Valley, Jared A. Sperling, Rachel Giese
Research Symposium
Background: Cancers of the oral cavity (OC) and oropharynx (OP) account for 3% of cancers diagnosed in the United States each year. A primary cause of death among the Hispanic population in the United States is cancer, accounting for 20% of annual mortality. The Rio Grande Valley (RGV) is a medically-underserved area of South Texas with a large Hispanic population facing health disparities. In this study, we examine the incidence and mortality of OC and OP cancer in the RGV.
Methods: CDC population-level incidence and mortality rate per 100,000 of OC/OP cancer among patients in the RGV counties of Hidalgo …
Social Determinants Of Health And Stage Of Presentation Of Oral Cavity Squamous Cell Carcinoma, 2023 The University of Texas Rio Grande Valley
Social Determinants Of Health And Stage Of Presentation Of Oral Cavity Squamous Cell Carcinoma, Taha Al Hassan, Saba Suleman, Adam Bender-Heine, Rachel A. Giese
Research Symposium
Objectives: The purpose of this study is to investigate the risk factors that contribute to the development of oral cavity squamous cell carcinoma (SCC) in the Rio Grande Valley and understand factors that may be associated with advance stage at presentation.
Methods: Initially 1,609 charts from the University of Texas Rio Grande Valley outpatient clinics were evaluated for a diagnosis of SCC and 69 patients were identified for potential inclusion. 44 patients were included for final analysis. Data were analyzed using SPSS 28.0.0. Descriptive and inferential statistics were conducted.
Results: Patients without insurance coverage were more likely to present with …
The Effectiveness Of Serotonin And Tricyclic Antidepressants In Tinnitus Management: A Rapid Review, 2023 Nova Southeastern University
The Effectiveness Of Serotonin And Tricyclic Antidepressants In Tinnitus Management: A Rapid Review, Dr. Emilie Vos, Dr. Nannette Nicholson, Melinda Johnson, Dr. Karah Gottschalk
Internet Journal of Allied Health Sciences and Practice
Background: Tinnitus can be defined as a health condition characterized by the perception of sound, either in the head and/or ears, in the absence of any external acoustic stimulus. Perception is often quantified by self-report, or the use of patient reported outcome measures (PROMs). The purpose of this rapid review was to evaluate the level and quality of evidence regarding the use of serotonin and norepinephrine reuptake inhibitors (SNRI), selective serotonin reuptake inhibitors (SSRI), and tricyclic antidepressants as measured by tinnitus patient-reported outcome measures (PROMs) and/or Visual Analog Scales (VAS). Methods: The Cochrane Rapid Review guidelines were followed. The PICO …
Perioperative Opioids And Survival Outcomes In Resectable Head And Neck Cancer: A Systematic Review., 2023 Philadelphia College of Osteopathic Medicine
Perioperative Opioids And Survival Outcomes In Resectable Head And Neck Cancer: A Systematic Review., Eric V Mastrolonardo, Derek S Mann, Harleen K. Sethi, Bo H Yun, Elliott M Sina, Maria Armache, Brooke Worster, Christopher E Fundakowski, Leila J Mady
Otolaryngology (ENT) Resident Research
BACKGROUND: Opioids are a mainstay in pain control for oncologic surgery. The objective of this systematic review is to evaluate the associations of perioperative opioid use with overall survival (OS) and disease-free survival (DFS) in patients with resectable head and neck cancer (HNC).
METHODS: A systematic review of PubMed, SCOPUS, and CINAHL between 2000 and 2022 was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Studies investigating perioperative opioid use for patients with HNC undergoing surgical resection and its association with OS and DFS were included.
RESULTS: Three thousand three hundred seventy-eight studies met initial inclusion …
Implementation Of A Vestibular Disorder Screening Tool In An Urgent Care, 2023 University of Missouri-St. Louis
Implementation Of A Vestibular Disorder Screening Tool In An Urgent Care, Kathleen A. Probst
Dissertations
Implementation of a Vestibular Disorder Screening Tool in an Urgent Care
Kathleen A. Probst
M.S.N., University of Missouri-Columbia, 2007
B.S.N., University of Missouri-Columbia, 2004
A Dissertation Submitted to The Graduate School at the University of Missouri-St. Louis in partial fulfillment of the requirements for the degree
Doctor of Nursing Practice
August 2023
Advisory Committee
Susan Dean-Baar, PhD, RN, CENP, FAAN
Chairperson
Jennifer Vines, DNP, MSN, RN
Troy Dinkel, MD
Copyright, Kathleen A. Probst, 2023
Abstract
Problem: Vestibular disorders disrupt everyday living and can cause reduced quality of life. Guidelines developed to screen for vestibular disorders are not efficient to use …
Tracing Of Local Atopy Among Apparently Non Atopic Asthmatics With Nasal Polyps, 2023 Internal Medicine department , Faculty of Medicine Al-Azhar University, Cairo , Egypt
Tracing Of Local Atopy Among Apparently Non Atopic Asthmatics With Nasal Polyps, Abdallah Mohamed Ali Elezawey, Farag Khalil Farag, Mohamed Ahmed Elsharkawey, Dalia Mahmoud Eldewi, Abdel Wahab Mohamed Lotfy
Al-Azhar International Medical Journal
Background: Asthma is still a main etiology of complaining all over the world. Much indirect evidence recommends that immunoglobulin E (IgE) and Eosinophil could have an essential role in asthma irrespective of conventional atopic condition.
objective: To trace the expression of local Eosinophil (%) and local IgE in the absence of systemic IgE in asthmatic cases with nasal polyps.
Subjects and methods: 90 subjects were included and were divided into 3 groups: Group A: consists of 30 patients had non-atopic bronchial asthma and nasal polyps. Group B: consists of 30 patients with nasal polyps only. Group C: consists of 30 …
Oropharyngeal Teratoma: Five-Month-Old Presenting With Failure To Thrive And Severe Obstructive Sleep Apnea., 2023 Children's Mercy Kansas City
Oropharyngeal Teratoma: Five-Month-Old Presenting With Failure To Thrive And Severe Obstructive Sleep Apnea., Anna Lawrence, Melissa Gener, Shao Jiang, Jill M. Arganbright
Manuscripts, Articles, Book Chapters and Other Papers
Oropharyngeal teratomas are an extremely rare congenital tumor. They are often diagnosed prenatally and can cause significant airway obstruction and feeding difficulties at birth. We present a five-month-old female that was diagnosed with a palatal teratoma that presented with failure to thrive, difficulty feeding, and eventually with severe obstructive sleep apnea. We present a five-month-old term, otherwise healthy female who became stridulous after an episode of the respiratory syncytial virus at one month old. At three months old, an otolaryngologist diagnosed mild laryngomalacia with no mass identified, and no surgical intervention was recommended. Due to continued poor weight gain, at …
Systemic Inflammation Is Associated With Disease Extent And Survival In Oral Cavity Squamous Cell Carcinoma, 2023 University of Nebraska Medical Center
Systemic Inflammation Is Associated With Disease Extent And Survival In Oral Cavity Squamous Cell Carcinoma, Brendan Coutu, Dallin N. Christensen, Evan Ryan, Elizabeth Bradford Bell, Weining Zhen, Zafar Sayed
Graduate Medical Education Research Journal
Background: Although systemic immune-inflammation index (SII) correlates with patient survival in various solid malignancies limited information is available in the setting of oral cavity squamous cell carcinoma (OCSCC).
Methods: We retrospectively reviewed 222 patients who underwent a resection of curative intent for patients with OCSCC. SII was determined prior to surgical resection as platelet count × neutrophil count/lymphocyte count.
Results: At a median follow-up of 30.6 months, 2-year disease-free survival (DFS) and overall survival (OS) rates were 63.9% and 76.4%, respectively. A high SII (>1047) was associated with poor performance status and disease extent. A low SII was independently …
A Narrative Review Of Scars After Surgery: What To Expect, 2023 Thomas Jefferson University
A Narrative Review Of Scars After Surgery: What To Expect, Kathryn Landers, Michelle Hwang, Elizabeth Cottrill
Department of Otolaryngology - Head and Neck Surgery Faculty Papers
Background and Objective: For most surgical procedures, postoperative scars are inevitable. Scars that heal with poor cosmetic appearance or physical symptoms such as pain, pruritis, or tethering can have a negative impact on a patient’s quality of life. This review aims to identify current techniques for prevention of unfavorable scar formation and treatment of unfavorable scars.
Methods: A narrative review of the literature was conducted using our institution’s Primo search engine to search online databases including PubMed and EBSCO, among others. Included references were selected by the first author based on relevance to the subject matter and availability in English. …
A Rare Case Of Combined Immunodeficiency Syndrome With Otomastoiditis, Parotitis & Facial Nerve Palsy, 2023 JSS MEDICAL COLLEGE AND HOSPITAL, JSSAHER
A Rare Case Of Combined Immunodeficiency Syndrome With Otomastoiditis, Parotitis & Facial Nerve Palsy, Parth Garg, Amulya T M, Prakash B.G., Sandhya D
Digital Journal of Clinical Medicine
This article presents a case study of a 4-month-old female baby with combined immunodeficiency syndrome complicated by bilateral otomastoiditis, right-sided parotitis, and facial nerve palsy. The patient presented with symptoms of fever, cold, earache, and ear discharge. Clinical examination revealed redness and swelling in the post-auricular region, along with bloody discharge from the right ear. Further investigations, including blood tests, culture sensitivity, ultrasound scans, and imaging studies, confirmed the diagnosis. The patient was treated with appropriate antibiotics, antifungals, and supportive care. The article discusses the challenges in diagnosing and managing primary immunodeficiency diseases (PIDs), emphasising the importance of early recognition …
Postoperative Radiotherapy And Facial Nerve Outcomes Following Nerve Repair: A Systematic Review, 2023 Thomas Jefferson University
Postoperative Radiotherapy And Facial Nerve Outcomes Following Nerve Repair: A Systematic Review, Hannah L. Kenny, Rachel H. Jonas, Samuel L. Oyer
Department of Otolaryngology - Head and Neck Surgery Faculty Papers
OBJECTIVE: To compare outcomes of facial nerve repair or grafting following facial nerve-sacrificing procedures among patients treated with and without postoperative radiotherapy (RT).
DATA SOURCES: PubMed, OVID, Conference Papers Index, Cochrane Library, ClinicalTrials.gov.
REVIEW METHODS: Databases were searched using terms including "facial nerve," "graft," "repair," and "radiotherapy." Abstracts mentioning facial nerve repair and evaluation of facial nerve function were included for full-text review. Studies that utilized the House-Brackmann or similar validated scale for evaluation of postoperative facial nerve function were selected for review. All identified studies were included in a pooled t test analysis.
RESULTS: Twelve studies with 142 patients …
Sinus Tract Vs. Fistula: There Is A Difference, 2023 New York University College of Dentistry
Sinus Tract Vs. Fistula: There Is A Difference, Mea Weinberg Dmd, Msd, Rph, Stuart Segelnick Dds, Ms, Christine Chu Dds, Asgeir Sigurdsson Dds, Ms
The New York State Dental Journal
The terms sinus and fistula have been used interchangeably in clinical dentistry, but it may be inconsistent with past and current literature. The primary difference between the two is the number of anatomic spaces or openings involved. There is often confusion regarding the lining of a sinus tract and of a fistula. This article will review the clinical and histological features of a sinus and a fistula in both dentistry and medicine.
Improving Surgeon-Patient Communication In Thyroid Cancer Diagnosis And Treatment Discussions: A Narrative Review, 2023 Thomas Jefferson University
Improving Surgeon-Patient Communication In Thyroid Cancer Diagnosis And Treatment Discussions: A Narrative Review, Lauren Schlegel, Roberta S. Perry, Elizabeth Cottrill
Department of Otolaryngology - Head and Neck Surgery Faculty Papers
Background and Objective: Patient experience is greatly influenced by physician-patient communication. Yet, unmet communication needs continue to be well documented in patients with thyroid cancer. This review discusses factors that may impact this communication and presents communication interventions that are currently being used with thyroid cancer patients.
Methods: A narrative review of articles on the physician-patient relationship and communication in thyroid cancer published between 1985 and 2022 was conducted through PubMed and Google. An additional review of the articles referenced in the bibliography of the included articles was performed.
Key Content and Findings: This review discusses communication components impacting the …
Tracheostomy Dependance Patterns In Children With 22q11 Deletion Syndrome, 2023 Children's Mercy Kansas City
Tracheostomy Dependance Patterns In Children With 22q11 Deletion Syndrome, Elie Khalifee, Meghan Tracy, Jill M. Arganbright
Research Days
Background: 22q11.2 deletion syndrome (22q11DS) is the most common chromosomal microdeletion syndrome and presentation often includes congenital heart disease (CHD), palate anomalies, and developmental delay. Due to the medical complexity of this syndrome, some patients require tracheostomy. To date, there is little in the literature regarding tracheostomy for these patients.
Objectives/Goal: our aim is to better delineate patients with 22q11DS who require tracheostomy, assess outcomes including decannulation and complications.
Methods/Design: This is a retrospective chart review of patients in our 22q Center’s repository. Inclusion criteria were a diagnosis of 22q11DS with a current or previous history of tracheostomy. Data collected …