A5042934115- Thyroid and Parathyroid Surgery
- Thyroid Cancer Diagnosis and Treatment
- Airway Management and Intubation Techniques
- Parathyroid Disorders and Treatments
- Voice and Speech Disorders
- Reconstructive Surgery and Microvascular Techniques
- Pancreatic and Hepatic Oncology Research
- Head and Neck Cancer Studies
- Salivary Gland Tumors Diagnosis and Treatment
- Dysphagia Assessment and Management
- Medical Imaging and Pathology Studies
- Tracheal and airway disorders
- Nasal Surgery and Airway Studies
- Opioid Use Disorder Treatment
- Cancer and Skin Lesions
- Ureteral procedures and complications
- Ear Surgery and Otitis Media
- Nonmelanoma Skin Cancer Studies
- Radiology practices and education
- Reconstructive Facial Surgery Techniques
- Social Media in Health Education
- Cancer Diagnosis and Treatment
- Cardiovascular Syncope and Autonomic Disorders
- Birth, Development, and Health
- Neuroendocrine Tumor Research Advances
Brigham Young University
2025
Loma Linda University
2016-2024
Loma Linda University Medical Center
2020-2024
University of California, San Diego
2024
Loma Linda University Health Care
2019-2024
University of California, Irvine
2016
Kaiser Permanente San Diego Medical Center
2014
Unrecognized malposition of the endotracheal tube (ETT) can lead to severe complications in patients under general anesthesia. The focus this double-blinded randomized study was assess accuracy point-of-care ultrasound verifying correct position ETT and compare it with auscultation.Forty-two adult requiring anesthesia were consented. Patients right main bronchus, left or tracheal intubation. After randomization, placed via fiber-optic visualization. Next, location assessed using auscultation...
Preeclampsia (PE) is a complex pregnancy-specific disorder characterized by hypertension, proteinuria, and systemic inflammation, posing significant risks to maternal fetal health. This study investigates the role of growth arrest-specific protein 6 (Gas6) in PE pathogenesis using rat model. Gas6 administration induces hallmark features, including alterations placental gene expression. Transcriptomic analysis revealed changes pathways related extracellular matrix remodeling, interleukin...
Epidermal inclusion cysts are common lesions that rarely develop into squamous cell carcinoma (SCC). Neoplastic change in these can be associated with prominent symptoms such as pain, rapid growth, or ulceration. This study describes the case of a 64-year-old woman 4-year history largely asymptomatic neck mass, which after routine excision was found to an epidermal cyst harboring well-differentiated SCC. The diagnosis made incidentally bisection and hematoxylin eosin staining. Given...
Vasovagal syncope, a contributing factor to elderly falls, is the transient loss of consciousness caused by decreased cerebral perfusion. syncope characterized hypotension, bradycardia, and reduced blood flow, resulting in fatigue, altered coordination, fainting. The purpose this study develop an animal model which similar human vasovagal establish awake syncope. Male Sprague-Dawley rats were subjected sinusoidal galvanic vestibular stimulation (sGVS). Blood pressure, heart rate, flow...
To determine whether advanced imaging is cost-effective compared to primary bilateral neck exploration in the management of non-localizing hyperparathyroidism.Cost-effectiveness analysis.Cost-effectiveness analysis based on decision tree model and available Medicare financial data using from 347 consecutive patients having parathyroidectomy for hyperparathyroidism with either 1) positive, concordant ultrasound sestamibi or 2) negative ultrasound.Bilateral (BNE) costs $9578 has a success rate...
Abstract Background While use of total thyroidectomy has increased in management hyperthyroidism, concerns exist about surgical complication rates; most notably, hematoma, recurrent laryngeal nerve (RLN) injury, and hypocalcemia. Methods Retrospective cohort study 454 patients undergoing between 2003 2015. All had surgery for benign euthyroid disease, or thyroid malignancy. Results Total hyperthyroidism was not associated with an risk any postoperative complication. Transient hypocalcemia,...
Introduction Quantitative measurement and analysis of glottic abduction is used to assess laryngeal function success interventions; however, the consistency over time has not been established. This study assesses measurements across visits in healthy patients anatomic factors impacting these measurements. Methods Review with two sequential flexible stroboscopic exams seven months from 2019–2022. Images maximal were captured uploaded into measured ImageJ. Cadaver heads impact visualization...
Abstract Background The purpose of this study was to evaluate our surgical experience in patients with primary hyperparathyroidism (PHPT) nonlocalizing sestimibi and ultrasound scans. Methods A retrospective review 521 treated from April 2005 July 2017 at Loma Linda University Medical Center who received parathyroidectomy for PHPT. One hundred forty‐seven (28%) had double negative localization (nonlocalizing sestamibi ultrasound). Results Surgical cure PHPT 97.3% 99.2% nonlocalized localized...
Outpatient thyroidectomy has become slowly accepted with various published reports predominantly examining partial or subtotal thyroidectomy. Concerns regarding the safety of outpatient total and completion remain, especially regard to vocal fold paralysis, hypocalcemia, catastrophic hematoma. We aimed evaluate thyroid surgery in a large cohort by retrospectively comparing outcomes those who underwent (n = 251) versus inpatient 291) between February 2009 2015. had lower rates temporary...
Minimally invasive video-assisted thyroidectomy (MIVAT) has gained acceptance as an alternative to conventional thyroidectomy. This technique results in less bleeding, postoperative pain, shorter recovery time, and better cosmetic without increasing morbidity. We retrospectively assessed outcomes 583 patients having MIVAT from May 2005 September 2014. The study population was divided into groups according periods: 2009 2010 Operative data, complications, length of stay were collected...
Patients with nonlocalizing hyperparathyroidism pose a significant challenge to surgeons when undergoing neck exploration for parathyroidectomy.
To enhance understanding in patterns of discordance between clinical and pathological T N staging multiple sites head neck squamous cell cancer.
Abstract Objective To evaluate patients' satisfaction with opioid versus opioid‐sparing postoperative analgesia in patients undergoing outpatient head and neck surgery. Study Design Prospective randomized trial. Setting Tertiary care academic hospital. Methods Adult surgery were randomly assigned to 1 of 3 analgesic regimens. First‐ second‐line medications the following by group (1) Hydrocodone‐acetaminophen ibuprofen, (2) ibuprofen hydrocodone‐acetaminophen, (3) acetaminophen. Preoperative...
To determine whether time interval between hemi-thyroidectomy and subsequent completion thyroidectomy impacts outcomes.Retrospective review of 68 patients having from August 2012 to December 2019. Patients were separated into two groups based on the surgeries: early (≤10 days) or delayed (≥90 days).Patients who underwent (n = 17) had significantly higher rates hypocalcemia and/or hypoparathyroidism (P .03) requiring postoperative hospitalization (P=.07) compared those 51). Delayed lower risk...
After thyroid surgery, protocols based on postoperative parathyroid hormone (PTH) levels may prevent symptoms of hypocalcemia, while avoiding unnecessary prophylactic calcium and/or vitamin D supplementation. We examined the value an initial management protocol solely a single PTH level measured one hour after completion or total thyroidectomy to symptomatic hypocalcemia by conducting retrospective review 697 consecutive patients treated from July 2003 April 2015. The proportion who...
Minimally invasive video-assisted thyroidectomy (MIVAT) is among the most common alternatives to conventional open thyroidectomy. Previous reports have shown it be safe and effective in patients without neck surgery history. However, this contraindication has been called into question more recent small series. This study aims evaluate efficacy safety of MIVAT with prior surgery. We retrospectively reviewed data 178 who underwent completion Department Otolaryngology-Head Neck Surgery at Loma...