A5064142725- Thyroid Cancer Diagnosis and Treatment
- Thyroid and Parathyroid Surgery
- Salivary Gland Tumors Diagnosis and Treatment
- Head and Neck Anomalies
- BRCA gene mutations in cancer
- Patient-Provider Communication in Healthcare
- Medical Imaging and Pathology Studies
- Cardiac, Anesthesia and Surgical Outcomes
- Parathyroid Disorders and Treatments
- Radiomics and Machine Learning in Medical Imaging
- Voice and Speech Disorders
- Tracheal and airway disorders
- Opioid Use Disorder Treatment
- Airway Management and Intubation Techniques
- Diversity and Career in Medicine
- Patient Satisfaction in Healthcare
- Head and Neck Cancer Studies
- Global Cancer Incidence and Screening
- Cancer Diagnosis and Treatment
- Cerebrospinal fluid and hydrocephalus
- Pain Management and Opioid Use
- Body Contouring and Surgery
- Medical Education and Admissions
- Ear and Head Tumors
- Health Literacy and Information Accessibility
Thomas Jefferson University
2019-2025
Thomas Jefferson University Hospital
2017-2025
Harvard University
2024
Temple University
2024
American Academy of Otolaryngology — Head and Neck Surgery
2024
Medical University of South Carolina
2023
Jefferson University Hospitals
2018-2023
Penn State Milton S. Hershey Medical Center
2017-2019
Pennsylvania State University
2017
University of Pennsylvania
2013-2016
ChatGPT, an artificial intelligence (AI) chatbot, is the fastest growing consumer application in history. Given recent trends identifying increasing patient use of Internet sources for self-education, we seek to evaluate quality ChatGPT-generated responses education on thyroid nodules.
Data connecting PTEN mutations with thyroid cancer risk for indeterminate nodules remain limited due to the rare nature of these mutations. The aim this study was determine relationship between identified in cytologically and final pathology clinical outcomes. This 8-year retrospective includes adults positive a mutation available correlative surgical histopathology. Twenty-three patients 24 total met inclusion criteria. cytology specimens were characterized as Bethesda III (n = 19) IV 5)....
Objectives In otolaryngology, postoperative pain management lacks evidence‐based guidelines. We designed a prospective, multiphasic study aimed to develop guidelines for within our institution. this first phase of project, we investigated opioid prescription and consumption as well trends common otolaryngologic procedures. Methods Patients (n = 161) who underwent procedures between July 2018 February 2019 were surveyed on their usage from day discharge clinic visit. Opioid prescriptions...
<h3>Importance</h3> Thyroid nodules are common incidental findings. Ultrasonography and molecular testing can be used to assess risk of malignant neoplasm. <h3>Objective</h3> To examine whether a model developed through automated machine learning stratify thyroid as high or low genetic by ultrasonography imaging alone compared with stratification for high- low-risk mutations. <h3>Design, Setting, Participants</h3> This diagnostic study was conducted at single tertiary care urban academic...
Evaluation of potential gender gaps among Head and Neck (H&N) surgeons can highlight areas for increased support female H&N improve diversity within the subspecialty. To evaluate trends in representation career trajectory recent surgery fellowship graduates.This cross-sectional analysis included graduates from Surgery fellowships accredited by American Society (AHNS) 2008 to 2018. Additional demographic data was collected via publicly available websites including gender, years practice,...
The role of next generation sequencing (NGS) for identifying high risk mutations in thyroid nodules following fine needle aspiration (FNA) biopsy continues to grow. However, ultrasound diagnosis even using the American College Radiology's Thyroid Imaging Reporting and Data System (TI-RADS) has limited ability stratify genetic risk. purpose this study was incorporate an artificial intelligence (AI) algorithm with object detection within TI-RADS scoring system improve prediction these...
The thyroid gland is an uncommon site of metastatic disease. Renal cell carcinoma the most common primary source, while metastasis from breast very rare. However, given that nodules are more in women, and women with a history cancer at higher risk developing cancer, possibility must be considered when evaluating nodule. We present case 67-year-old woman who presented dysphonia dysphagia secondary to multinodular goiter was found have multifocal her surgical resection specimen. histologic...
Warthin's tumor is the second most common benign lesion of parotid gland. It commonly encountered in male smokers fifth to seventh decades life. Uniquely, among lesions gland, it can be seen bilaterally 7-10% cases. Very rarely, also mimic malignant or metastatic disease by presenting within cervical lymph nodes. We present a rare case 71-year old smoker with bilateral addition progressively enlarging and mediastinal lymphadenopathy. Excisional biopsy node ultimately revealed tumor.
Traditionally, most thyroid surgery utilizes a curvilinear cervical incision with resulting permanent scar. Minimally invasive and remote access techniques continue to evolve. Transoral approaches through vestibular have been developed at several centers throughout the world, obviating need for cutaneous optimizing aesthetics. To date this technique has performed using rigid endoscopes or linear robotic platform. The goal of study was test feasibility novel flexible system perform...
Background Antimicrobial peptides (AMPs) produced by the epithelium are important for innate immune defense. In 2001, a novel AMP dermcidin (DCD) was described with no homology to other AMPs and an expression pattern restricted eccrine sweat glands. contrast AMPs, DCD has not been shown be induced under inflammatory conditions in skin. After identifying mass spectrometry protein sample isolated from human nasal secretions, we sought determine role of defense sinonasal airway. Methods...
Aberrant migration of parathyroid glands from their embryologic origin may result in undescended glands. We present a case an ectopic adenoma at the level pyriform sinus. A 41-year-old female was evaluated for primary hyperparathyroidism. Following non-localizing ultrasound and planar sestamibi imaging, patient underwent SPECT/CT 4-D computed tomography demonstrating evidence adenoma. The surgical approach modified based on location. extirpation, PTH fell 80 to 16 pg/mL, 15-min post-excision...
Abstract Background Our goal was to elucidate the differences in degree of technical difficulty thyroidectomy patients with autoimmune thyroid diseases. Methods Charts adult who had undergone were reviewed. Patients Hashimoto's Thyroiditis (HT) or Graves' Disease (GD) individually compared a control group early stage malignancy goiter. Results The HT (n = 65) significantly more likely have friable ( P .001) and fibrotic < thyroids, longer operative times .02), 22‐modifier .005). GD 169)...
Background, Motivation and Objective: Thyroid nodules with indeterminate or suspicious cytology are commonly encountered in clinical practice their management is controversial. Recently, genetical analysis of thyroid fine needle aspiration (FNAs) was implemented at some institutions to differentiate as high low risk based on the presence certain oncogenes associated aggressive tumor behavior poor patient outcomes. Our group recently detailed performance a machine-learning model...
Abstract Background When performing thyroidectomy, knowledge of normal anatomy and variants is vital to avoid injuring nearby structures. Typically, the bilateral carotids course posterolateral thyroid gland. We describe a rare variant an intrathyroidal carotid artery, not previously described in literature. Methods A 23‐year‐old woman with strong family history cancer presented left nodule, fine‐needle aspiration biopsy revealing papillary carcinoma. She underwent total thyroidectomy....
Graduate medical education programs typically set up call under the assumption that residents will have similar experiences. The terms black cloud and white frequently been used to describe with more difficult (black) or less (white) This study followed in department of head neck surgery during determine whether certain a significantly different experience than norm. It is prospective observational conducted over 16 months tertiary care center resident training program otolaryngology....
Abstract Objectives We previously reported that >50% of postoperative opioids prescribed at our institution went unused for common otolaryngologic procedures. Based on these findings, we instituted multimodal, evidence‐based guidelines pain management. In the second part multiphasic study, evaluated effects (1) quantity opioids, (2) patient satisfaction, and (3) institutional perceptions toward opioid epidemic prescribing guidelines. Methods Standardized, procedure‐specific prescription...