A5015119370- Head and Neck Surgical Oncology
- Sinusitis and nasal conditions
- Meningioma and schwannoma management
- Pituitary Gland Disorders and Treatments
- Head and Neck Cancer Studies
- Nasal Surgery and Airway Studies
- Cerebrospinal fluid and hydrocephalus
- Pain Management and Treatment
- Myofascial pain diagnosis and treatment
- Medical Imaging and Pathology Studies
- Teratomas and Epidermoid Cysts
- Tracheal and airway disorders
- Craniofacial Disorders and Treatments
- Ear Surgery and Otitis Media
- Melanoma and MAPK Pathways
- Genetic Syndromes and Imprinting
- Bone Tumor Diagnosis and Treatments
- Reconstructive Surgery and Microvascular Techniques
- Vascular Anomalies and Treatments
- Medical and Biological Sciences
- Parathyroid Disorders and Treatments
- Musculoskeletal pain and rehabilitation
- Oral and Maxillofacial Pathology
- Colorectal and Anal Carcinomas
- Cutaneous Melanoma Detection and Management
Cleveland Clinic
2019-2023
Triological Society
2020
Charlotte Eye Ear Nose & Throat Associates
2020
University of Louisville Hospital
2018-2019
University of Louisville
2011-2016
Objective Studies have demonstrated improvement in Eustachian tube dysfunction (ETD) symptomatology after functional endoscopic sinus surgery (FESS); however, factors associated with ETD symptom alteration not been elucidated. This study evaluated and normalization of symptoms FESS. Methods A case‐control was performed FESS patients who had clinically significant based on the Tube Dysfunction Questionnaire‐7 (ETDQ‐7 ≥ 2.1) without middle ear effusion (MEE) preoperatively. Study were...
Objectives/Hypothesis To compare clinicopathologic and prognostic factors associated with scalp melanomas nonscalp of the head neck (H&N). Study Design Post hoc analysis database from a multi‐institutional, prospective, randomized study. Methods Clinicopathologic were assessed correlated survival recurrence. Univariate multivariate affecting disease‐free overall performed. Results Of 405 patients H&N ≥1.0 mm Breslow thickness, 109 had melanoma scalp. All Caucasian (100%), most being...
Introduction The nasoseptal flap (NSF) is the reconstructive workhorse for endoscopic skull base surgery (ESBS). However, there morbidity associated with its use and it not always required reconstruction. bilateral “rescue” (NSRF) technique offers a quicker alternative to upfront NSF harvest, yet permits of tailored if needed after defect has been created. utility implications this strategy have well studied. Methods We retrospectively analyzed 125 consecutive transsphenoidal cases where an...
Objective: Determine prevalence of viable malignancy in patients undergoing neck dissection (ND) for residual disease following concomitant chemotherapy and irradiation (chemo/xrt) upper aerodigestive squamous carcinoma. To determine survival groups with a complete response to those who had requiring dissection. Study Design: Retrospective chart review. Methods: review 230 underwent definitive chemo/xrt primary cell carcinoma cancer (SCCa) the head from 2005 2009 one institution. Results:...
Objectives Inadvertent intracranial injury from nasogastric tube (NGT) placement is a described and potentially fatal complication following endoscopic transsphenoidal hypophysectomy (TSH). This cadaver study assessed the role of middle turbinate (MT) preservation medialization in preventing accidental skull base NGT insertion after TSH. Methods: Standard approach for TSH was performed on 3 human cadavers. MTs were placed into neutral position (MTN), then medialized via suture pexy to septum...
We report the case of a 25-year-old woman who developed tracheocarotid fistula secondary to an infected endovascular stent placed in right carotid artery after patient experienced hemorrhage on her first tracheostomy change. The originally had at outside hospital September 2014, due prolonged intubation motor vehicle accident. presented otolaryngology service with acute tracheal hemorrhage. This necessitated neck exploration, median sternotomy, removal subclavian bypass, and...
Objectives: Cerebrospinal fluid (CSF) leak is the most common complication of endoscopic endonasal skull base surgery. Given an inability to secure grafts with sutures, surgeons often utilize a variety dural sealants augment multi-layered reconstructions. Dural can fail when they cannot resist physiologic burst pressure for adequate healing time period. In addition, suboptimal application due effects gravity also lead failure. The objective this study was describe initial experience novel...
Petroclival chondrosarcomas are a formidable surgical challenge given the close relationship to critical neurovascular structures. The endoscopic endonasal approach can be utilized for many petroclival chondrosarcomas. However, tumors that extend inferior petrous apex require working behind internal carotid artery (ICA). We present case of 33-year-old with 1-year history complete abducens palsy, imaging showing an enhancing mass centered at left fissure and paraclival extending down into...
Introduction: Endoscopic endonasal skull base surgery (EESBS) provides a safe and minimally invasive approach to treat variety of benign malignant lesions. Preoperative imaging is routinely obtained essential for evaluation anatomy, surgical planning, intraoperative image guided neuronavigation. Often, sinonasal disease concurrently noted can potentially alter the plan care. The significance concomitant pathology on in patients with lesions undergoing endoscopic approaches its effect...