A5008944587- Tracheal and airway disorders
- Airway Management and Intubation Techniques
- Surgical Simulation and Training
- Voice and Speech Disorders
- Dysphagia Assessment and Management
- Head and Neck Surgical Oncology
- Reconstructive Surgery and Microvascular Techniques
- Facial Nerve Paralysis Treatment and Research
- Simulation-Based Education in Healthcare
- Reconstructive Facial Surgery Techniques
- Healthcare Systems and Technology
- Facial Rejuvenation and Surgery Techniques
- Innovations in Medical Education
- Otolaryngology and Infectious Diseases
- Radiology practices and education
- Obstructive Sleep Apnea Research
- Infective Endocarditis Diagnosis and Management
- Sinusitis and nasal conditions
- Cardiovascular Issues in Pregnancy
- Diversity and Career in Medicine
- Streptococcal Infections and Treatments
- Cardiovascular Function and Risk Factors
- Meningioma and schwannoma management
- Nasal Surgery and Airway Studies
- Neuroscience of respiration and sleep
University of Washington
2013-2024
Harborview Medical Center
2017
Seattle University
2011-2012
University of Toronto
2008-2010
London Health Sciences Centre
2008
St Joseph's Health Care
2007
Queen's University
2001-2003
Kingston General Hospital
2001
Abstract Objectives/Hypothesis: To define the prevalence of tracheotomy tube complications and evaluate risk factors (RFs) associated with their occurrence. Study Design: Multi‐institution historical cohort. Methods: Data regarding from consecutive surgeries performed across eight participating institutions between January 1, 2008 December 31, 2009 were retrospectively collected. Patient demographics, comorbidities, physician specialty, surgical technique recorded statistically analyzed to...
Objective : Otolaryngic disorders are very common in primary care, comprising 20–50% of presenting complaints to a care provider. There is limited otolaryngology training undergraduate and postgraduate medical education for care.Footnote Continuing may be the next opportunity train our providers (PCPs). The objective this study was assess knowledge group PCPs attending an update course. Methods enrolled course completed web-based anonymous survey on demographics pre-course test. This test...
Transnasal endoscopic surgery has remained at the forefront of surgical management sinogenic complications involving frontal sinus, orbit, and anterior skull base. However, difficulty in accessing certain areas these anatomical regions can potentially limit its use. Transorbital neuroendoscopic (TONES) was recently introduced to transgress limits transnasal surgery; access that it provides could add additional pathways for treating cranial fossa. We describe a prospective series 13 patients...
Objective To evaluate changes in dermal characteristics with subdermal fat grafting of cutaneous scars. DESIGN Prospective cohort. METHODS Fourteen patients various scar types were treated over 30 months. Dermal elasticity, vascularity, pigmentation, patient perception and satisfaction, observer assessment evaluated preoperatively 1 year after treatment validated objective subjective measures. RESULTS Significant improvements observed thickness, stiffness, relief pliability ( P < 0.05). A...
Objectives/Hypothesis In‐office percutaneous injection laryngoplasty is a common treatment for glottal insufficiency. Our objective was to prospectively study voice outcomes and patient tolerance of the procedure. Study Design Prospective case series. Methods Consecutive adult patients undergoing awake were recruited. Voice Handicap Index (VHI)‐30; Consensus Auditory‐Perceptual Evaluation (CAPE‐V); vocal Grade, Roughness, Breathiness, Asthenia Strain (GRBAS) evaluated prior 2 months...
Background The purpose of this study was to evaluate face and content validity a low‐cost, low‐technology, non‐biologic endoscopic sinus surgery (ESS) task trainer knowledge‐based curriculum followed by construct validation the trainer. Methods A were developed. Attending otolaryngologists surveyed regarding utility curriculum. cross‐sectional performed including medical students, residents, attending otolaryngologists. Nine tasks on graded using global rating scale (GRS). Predictors...
Objective Although the literature adequately identifies current gender inequality that exists in academic otolaryngology and describes barriers to advancement of women medicine, there is little information regarding daily details how successful achieve work‐life balance. This study was designed better understand balance while negotiating family childrearing commitments, clinical workload, scholarly activity, as well highlight coping strategies behaviors have used these successes. Study...
As habitual snoring affects a large percentage of the population and is associated with various medical social complications, we examined whether loud also noise-induced hearing loss for snorers and/or their bed partners.Healthy adults between ages 35 55 years subjective symptoms severe were screened to exclude those past history noise exposure (e.g., factory workers, army personnel), use ototoxic medications, previously diagnosed disorder.Behavioural audiograms otoacoustic emission testing...
Abstract Objectives/Hypothesis: To evaluate the influence of age and gender on required dose resulting efficacy botulinum toxin injection for adductor laryngeal dystonia. Design: Retrospective chart review. Methods: All patients treated with dystonia at University Washington Medical Center between 1991 2008 were identified from a large clinical database. Only undergoing thyroarytenoid muscle included in this study. Each patient's gender, treatment, stable toxin, patient‐reported duration...
Abstract Objectives Tracheotomy complications can be life‐threatening. Many of these may avoided with proper education health care providers. Unfortunately, access to high‐quality tracheotomy curricula is limited. We developed a program address this gap in for inpatient This study aimed assess the efficacy training improving trainee knowledge and comfort care. Methods The curriculum includes asynchronous online modules coupled self‐directed hands‐on simulation activity using low‐cost task...
Objectives/Hypothesis To determine whether the timing of tracheotomy placement impacts ventilation weaning status and mortality. Study Design Multi‐institution retrospective cohort study. Methods Demographic data, procedural details, clinical outcomes were recorded for patients undergoing prolonged mechanical across eight sites. The study group was divided into two groups: those within 14 days initiation at or after days. Groups compared primary outcome measures mortality ability to wean...
Craniofacial Actinomyces osteomyelitis progression is rare, as patients are soon treated. A 56-year-old male smoker presented with sinusitis and was managed medically. This patient failed to follow up 1 year later erosive bony disease. He medically surgically; however, his disease evolved include midface, skull base, cranium. underwent staged debridement free tissue reconstruction. His controlled but not cured. The literature includes case reports small series describing limited treated...
In-office percutaneous injection laryngoplasty (IL) is a common treatment for glottal insufficiency. The objective of this prospective study was to determine if voice outcomes from IL are affected by age, gender, or initial disease severity.Prospective case series.Consecutive adult patients undergoing awake were recruited subspecialty laryngology clinic. Voice Handicap Index (VHI-30); Consensus Auditory-Perceptual Evaluation (CAPE-V); and Grade, Roughness, Breathiness, Asthenia Strain...
Background: Effective control and refinement of the nasal tip is an integral component rhinoplasty operation. A multitude techniques exist to complement surgeon's approach, but attaining consistent long-lasting results still challenging due complex interplay between anatomy surgical technique.
Physician-patient interactions influence the immediate encounter and leave lasting impressions for future health care encounters. We aimed to understand patient experiences decision-making considering sleep surgery, in terms of barriers communication behaviors that facilitate or hinder referral consideration surgery management obstructive apnea (OSA) when continuous positive airway pressure (CPAP) therapy has failed.
Work meaning has gained attention as an important contributor to physician job engagement and well-being but little is known about how faculty participation in medical school learning communities might influence this phenomena. Our study goals were determine members may derive from serving mentors for longitudinal of students, understand that impact other areas their work, relate our findings existing literature theoretical frameworks.The research team conducted, recorded, transcribed, coded...
In Brief BACKGROUND Hypertrophic cardiomyopathy is recognized in infants of diabetic mothers, and when it occurs generally benign transient. We describe a case fetal cardiac death caused by hypertrophic an infant mother. CASE Hydrops fetalis resulted the macrosomic male fetus young woman who had well-controlled diabetes mellitus was treated with insulin therapy during pregnancy. CONCLUSION It important to monitor heart function mothers. might explain otherwise unexplained deaths women...
Patients with recurrent respiratory papillomatosis (RRP) have significant vocal dysfunction which affects their performance at work. This study aimed to evaluate voice-related work productivity before and after ablative treatment for RRP.This is a prospective case series conducted 2 academic laryngology outpatient clinics. Adult employed patients RRP completed the Work Productivity & Activity Impairment instrument (WPAI), Voice Handicap Index (VHI-10), WorkHoarse, Hospital Anxiety Depression...