- Hearing Loss and Rehabilitation
- Ear Surgery and Otitis Media
- Hearing, Cochlea, Tinnitus, Genetics
- Nasal Surgery and Airway Studies
- Vestibular and auditory disorders
- Neurofibromatosis and Schwannoma Cases
- Delphi Technique in Research
- Ophthalmology and Eye Disorders
- Neurological disorders and treatments
- Meningioma and schwannoma management
- Noise Effects and Management
- Emergency and Acute Care Studies
- Vagus Nerve Stimulation Research
- Mycobacterium research and diagnosis
- Sinusitis and nasal conditions
- Plasma Applications and Diagnostics
- Pituitary Gland Disorders and Treatments
- Cerebral Venous Sinus Thrombosis
- Telemedicine and Telehealth Implementation
- Frailty in Older Adults
- Medicinal plant effects and applications
- Animal Behavior and Welfare Studies
- Intraperitoneal and Appendiceal Malignancies
- Intensive Care Unit Cognitive Disorders
- Menstrual Health and Disorders
University of Cincinnati Medical Center
2025
University of Utah
2021-2024
New York University
2020-2022
American Academy of Arts and Sciences
2020
Baton Rouge General
2018
Cleveland Clinic
2017
Virginia Commonwealth University
2015-2016
Olive View-UCLA Medical Center
2014
University of California, Los Angeles
2010-2013
Keck Hospital of USC
2013
To explore the safety and efficacy of external trigeminal nerve stimulation (eTNS) in patients with drug-resistant epilepsy (DRE) using a double-blind randomized controlled trial design, to test suitability treatment control parameters preparation for phase III multicenter clinical trial.This is active-control DRE. Fifty subjects 2 or more partial onset seizures per month (complex tonic-clonic) entered 6-week baseline period, then were evaluated at 6, 12, 18 weeks during acute period....
In patients with COVID-19, granulocyte-macrophage colony stimulating factor (GM-CSF) might be a mediator of the hyperactive inflammatory response associated respiratory failure and death. We aimed to evaluate whether mavrilimumab, monoclonal antibody GM-CSF receptor, would improve outcomes in COVID-19 pneumonia systemic hyperinflammation.This investigator-initiated, multicentre, double-blind, randomised trial was done at seven hospitals USA. Inclusion required hospitalisation, pneumonia,...
Objective To describe our experience with children undergoing unilateral cochlear implantation (CI) for treatment of single‐sided deafness (SSD). Study Design Retrospective case series. Methods A retrospective review from a tertiary referral center involving 14 pediatric patients (<18 years) SSD who underwent CI. Speech perception testing in quiet and noise the CI‐only bimodal conditions at least 1 year device use usage data logs represent main outcome measures. Results The mean age CI...
Objectives (1) To describe the benefits of minimally invasive punch technique without soft tissue reduction (PT) for placement percutaneous osseointegrated auditory implants. (2) compare and contrast techniques outcomes from PT with linear (LT). Study Design Case series chart review Setting Performed at a tertiary otology practice an academic medical center. Subjects Methods LT was used until 2012 when switch made all patients to PT. Preoperative variables recorded included age, sex, BMI,...
Objectives: Teprotumumab, a novel monoclonal antibody, targets the insulin-like growth factor 1 (IGF-1) receptor. IGF-1 receptors, found in muscle and fat adjacent to eye implicated Graves Ophthalmopathy, are also cochlea. In clinical trials, 5 participants reported self-limited audiologic symptoms but there no objective data literature. The aim of this report is describe one first known cases teprotumumab-induced irreversible sensorineural hearing loss. Methods: Case at tertiary referral...
To evaluate whether frailty or age increases the risk of postoperative complications following cochlear implant (CI) surgery.Retrospective cohort study.Tertiary academic center.An evaluation all adult patients undergoing implantation between 2006 and 2020 was performed. The 5-item Modified Frailty Index (mFI-5, comprising preoperative history pulmonary disease, heart failure, hypertension, diabetes, partially/totally dependent functional status) calculated for included in analysis addition...
Background: The misuse and abuse of opioids, including overprescription, has led to the current opioid epidemic national crisis. There is a effort eliminate unnecessary prescription opioids for analgesia. Methods: Seventy patients were randomized receive postoperative analgesia with either 5 mg hydrocodone 325 acetaminophen (opioid control group) or 400 ibuprofen [nonsteroidal antiinflammatory drug (NSAID) experimental group]. Pain levels assessed on days 1, 2, 7. Outcome measures included...
The middle fossa approach is an effective option for the treatment of small (Koos grade I and II) vestibular schwannomas (VSs) when goal hearing preservation. authors evaluated rates preservation examined factors associated with improved outcomes after VSs.
To evaluate factors affecting quality of life (QOL) in caregivers older cochlear implant (CI) recipients.
Describe the preoperative decision-making, intraoperative electrocochleographic (ECoG) findings, and outcome of cochlear implantation (CI) in a patient with auditory neuropathy spectrum disorder (ANSD) normal pure-tone thresholds.
We conducted a quality improvement project to increase the rate of discharges before noon (DBN) in otolaryngology department at tertiary care center.Based on Plan-Do-Study-Act framework, monthly discharge data and observed-to-expected (O:E) length stay were collected shared with members monthly. A target 43% DBN was predetermined by center (Plan). The following interventions implemented (Do): planning starting time admission, focus early attending-to-resident team communication, placement...
Objective: To evaluate the extent of benefit second processor provides and to better understand utilization patterns regarding cochlear implant (CI) sound processors. Background Institutional contracts determine external CI hardware that a patient is eligible for. Despite high prevalence worldwide, there paucity in literature preferences how patients utilize provided hardware. Methods: A close-ended, multiple-choice survey was mailed all over age 18 years who underwent between 2016 2020 at...
To evaluate the outcomes of cochlear implantation (CI) in adults with preoperatively diagnosed cognitive impairment.Retrospective cohort study.Tertiary-care academic center.Adults undergoing CI preexisting impairment.Cochlear implantation.1) Hearing improvement after CI; 2) morbidity and mortality associated surgery.Eight patients met inclusion criteria mean age 77.8 years (SD, 9.6 y) at time implantation; 7 were included subsequent analysis as one did not have speech recognition scores....
Describe a series of cases idiopathic chronic auricular chondritis refractory to antibiotics and steroids treated successfully with surgery.Case series.Two tertiary academic medical centers.We analyzed four patients diagnosed deformity, pain, drainage for period 1 5 years who had failed prolonged treatment consisting antibiotics, corticosteroids, incision drainage. All were smokers, three diabetic, two history bariatric surgery.Operative subcutaneous partial auriculectomy (removal diseased...
Critical Care Medicine: December 2015 - Volume 43 Issue 12 p 217 doi: 10.1097/01.ccm.0000474692.11983.d7
Objectives: (1) Describe the benefits of minimally invasive Punch Method without soft tissue reduction (PM) for placement percutaneous osteointegrated auditory implants. (2) Compare and contrast techniques outcomes from PM with Linear (LM). Methods: A retrospective chart review was conducted all patients who received a bone‐anchored implant 2009 to 2013 at tertiary otology practice by single surgeon. LM used until 2011 when switch made PM. Preoperative variables recorded included age, sex,...