A5040409486- Tracheal and airway disorders
- Airway Management and Intubation Techniques
- Congenital Diaphragmatic Hernia Studies
- Obstructive Sleep Apnea Research
- Neuroscience of respiration and sleep
- Neonatal Respiratory Health Research
- Esophageal and GI Pathology
- Voice and Speech Disorders
- Dysphagia Assessment and Management
- Otolaryngology and Infectious Diseases
- Head and Neck Anomalies
- Trauma Management and Diagnosis
- Teratomas and Epidermoid Cysts
- Foreign Body Medical Cases
- Head and Neck Surgical Oncology
- Ear Surgery and Otitis Media
- Cardiovascular and Diving-Related Complications
- Congenital Ear and Nasal Anomalies
- Sinusitis and nasal conditions
- Family and Patient Care in Intensive Care Units
- Emergency and Acute Care Studies
- Delphi Technique in Research
- Pediatric Hepatobiliary Diseases and Treatments
- Healthcare Systems and Technology
- Drug Transport and Resistance Mechanisms
Children's Medical Center
2016-2025
The University of Texas Southwestern Medical Center
2016-2025
Southwestern Medical Center
2013-2024
Medical City Children's Hospital
2017-2024
The University of Texas at Austin
2008
Cincinnati Children's Hospital Medical Center
2006-2008
Columbia University
2006
University of Cincinnati
2005
University of Cincinnati Medical Center
2005
Baylor College of Medicine
2003-2004
<h3>Objective</h3> To evaluate the incidence and type of intracranial inner ear abnormalities in children with sensorineural hearing loss (SNHL) identified magnetic resonance imaging (MRI) stratified by degree SNHL. <h3>Design</h3> Retrospective review medical records MRIs. <h3>Setting</h3> Tertiary care children's hospital. <h3>Patients</h3> A total 227 aged 1 month to 17 years (mean age, 5.3 years; male female ratio, 1:1) a diagnosis SNHL underwent MRI from June 1,1996, 1, 2002. Of these...
Objectives/Hypothesis To estimate the number, demographics, and outcomes of pediatric patients who underwent tracheostomy in 2012 to contrast those by age, race, gender. Study Design Cross‐sectional study. Methods The Kids Inpatient Database was queried identify using International Classification Diseases, Ninth Revision, Clinical Modification (ICD‐9‐CM) procedural codes 311, 3121, 3129. All ≤18 years age at time admission were included categorized as neonates (≤28 days), infants (>28...
Objectives To determine if socioeconomic disadvantage impacts perioperative outcomes after tracheostomy. Methods We performed a retrospective case series of children who underwent Children were divided into less and more disadvantaged groups based on their community's Area Deprivation Index (ADI), validated vulnerability measure. Primary the length stay, total cost, in‐hospital mortality, 30‐day all‐cause readmission tracheostomy placement. Length stay was further analyzed using parametric...
Objectives/Hypothesis To study rates of respiratory complications/interventions among inpatient tonsillectomy patients in the United States and identify risk factors for these events. Study Design Retrospective database review. Methods Children (age < 18 years) undergoing with or without adenoidectomy 2006, 2009, 2012 were studied using Kids Inpatient Database, Healthcare Cost Utilization Project, Agency Research Quality. Outcomes analyzed events (complications/interventions) racial...
Objectives/Hypothesis The purpose of this study is to develop consensus on key points that would support the use systemic bevacizumab for treatment recurrent respiratory papillomatosis (RRP), and provide preliminary guidance surrounding modality. Study Design Delphi method‐based survey series. Methods A multidisciplinary, multi‐institutional panel physicians with experience using RRP was established. method used identify obtain characteristics associated across five domains: 1) patient...
ABSTRACT Objective The objective of this study is to determine the impact an intensive and a less speech therapy regimen on pediatric sialorrhea patient caregiver quality life (QoL) as described by drooling scales (DIS). Methods A retrospective chart review included all patients from secretion management clinic. There were two outpatient programs: (4 sessions/week for 3 weeks) (2 months). Both regimens similar interventions including neuromuscular electrical stimulation facial taping....
To determine the prevalence of positional obstructive sleep apnea (pOSA) in children undergoing adenotonsillectomy (AT) for OSA and to assess whether pOSA improves following AT. Children with diagnosed by polysomnography (PSG) at a tertiary care children's hospital were included. Data was collected on demographics, PSG parameters, surgical management. Statistical comparisons between groups performed χ2 test or Fisher's exact test, parameters prior AT Student's t-test Mann-Whitney Rank Sum...
ABSTRACT Objective To determine the frequency of aspiration resolution after recurrent laryngeal nerve (RLN) reinnervation among children with dysphagia. Study Design Case series chart review. Methods All pediatric RLN reinnervations between January 2013 and December 2022 at a tertiary aerodigestive program were included. Only completing video fluoroscopic swallow studies (VFSS) prior to procedure analyzed. Postoperative outcomes included swallowing function from VFSS, including thin liquid...
Objectives (1) To describe the clinical, demographic and polysomnographic (PSG) characteristics of children with very severe obstructive sleep apnea (OSA) without significant comorbidities; (2) to assess outcomes following tonsillectomy adenoidectomy (T&A); (3) determine predictors persistence OSA after T&A. Study Design Case series chart review. Setting Tertiary‐level freestanding children’s hospital. Subjects Methods Seventy‐four aged 2 12 years who underwent T&A for...
To evaluate demographic, clinical, and polysomnographic features of children with Down syndrome suspected having obstructive sleep apnea. identify factors that predict severe apnea among syndrome.Case series chart review.Children's Medical Center Dallas / University Texas Southwestern Center.Demographic, data were collected for aged 2 to 18 years. Simple multivariable regression models used study predictors (apnea-hypopnea index ≥10). P≤ .05 was considered significant.A total 106 included,...
Bronchopulmonary dysplasia (BPD) and invasive respiratory support is increasing among extremely preterm neonates. Yet, it unclear if there a corresponding increase in tracheostomies. We hypothesize that neonates with BPD, the incidence of tracheostomy has increased.Retrospective cross-sectional analysis.We analyzed 2006 to 2012 Kids' Inpatient Databases (KID) for hospital discharges nonextremely (gestational age >28 weeks <37 or birth weight >1,500 g) ≤28 ≤1,500 g). studied placement trends...
Objective To evaluate for differences in time to decannulation and survival rates pediatric tracheotomy patients based on ventilator status upon discharge. Study Design Retrospective longitudinal cohort study. Methods A single‐institution study of tracheostomy was conducted. Patients were categorized mechanical ventilation discharge principal reason tracheostomy. Survival determined using the Kaplan‐Meier method. The Wilcoxon's Rank Sum test Cox regression analysis evaluated times primary...
Objectives/Hypothesis To compare perioperative outcomes after pediatric tracheostomy placement based on patient complexity. Study Design Retrospective case series. Methods All patients that underwent at a tertiary children's hospital between 2015 and 2019 were followed. Children with history of major cardiac surgery, sepsis, or total parental nutrition (TPN) grouped as complex. Admission length, tracheostomy‐related complications, in‐hospital mortality, 30‐day readmissions recorded among...
To determine the rate of tracheostomy-related complications in pediatric patients from nationally representative databases.Cross-sectional analysis.2016 Kids' Inpatient Database and 2016 Nationwide Readmission Database.All tracheostomy procedures were included. Complication type, admission outcomes, readmission rates recorded with a logistic regression analysis to patient characteristics associated complications.An estimated 5309 tracheostomies performed among 2016, 8% (n = 432) whom...
To characterize the cause of death among children with a tracheostomy.Prospective cohort.All pediatric patients (<18 years) who had tracheostomy placed at tertiary care institution between 2015 and 2020 were included. The location recorded along patient demographics age.A total 271 tracheostomies 46 mortalities reviewed for mortality rate 16.8%. Mean age placement was 1.7 years (SD: 3.4) mean 2.9 3.5). Most respiratory failure (N = 33, 72%). time to after 1.2 1.2) 28% 13) occurred during...
Recurrent respiratory papillomatosis (RRP) is a potentially lethal disease caused by the human papillomavirus (HPV) and characterized recurrent papillomas in aerodigestive tract. Cases of RRP are expected to be significantly reduced with increased acceptance HPV-9 vaccine. Currently, mainstay treatment via surgical intervention, minority patients requiring adjuvant medical therapies during their disease. Several have been administered, little consensus on which treatments most effective...
Untreated obstructive sleep apnea has severe health consequences, yet little is known about predictors of severity in the adolescent population.To evaluate clinical and demographic factors associated with adolescents.A retrospective case series 224 children (53% male), ages 12 to 17 years who underwent polysomnography from January 1, 2013, June 4, 2015. The study was carried out a large tertiary referral children's hospital an academic medical center Dallas, Texas. Children were excluded if...
To describe the demographic and clinical characteristics of children with autism spectrum disorder (ASD) referred for polysomnography (PSG) to look predictors obstructive sleep apnea (OSA) severe OSA in these children.
Mutations in the 12S rRNA gene have been associated with aminoglycoside-induced ototoxicity. Our objective was to study relationship of these mutations neonates, duration aminoglycoside exposure, and other known risk factors presence hearing loss.Prospective case-cohort study.Three neonatal intensive care units (NICUs) Cincinnati, OH.We studied a population premature, low-birth-weight (< 2500 g) infants admitted one three ICUs. Demographic, genetic, clinical, audiometric data were collected,...