A5034822320- Head and Neck Surgical Oncology
- Sinusitis and nasal conditions
- Nasal Surgery and Airway Studies
- Pituitary Gland Disorders and Treatments
- Allergic Rhinitis and Sensitization
- Cerebrospinal fluid and hydrocephalus
- Neurosurgical Procedures and Complications
- Tracheal and airway disorders
- Meningioma and schwannoma management
- Olfactory and Sensory Function Studies
- Cerebral Venous Sinus Thrombosis
- Indoor Air Quality and Microbial Exposure
- Ear and Head Tumors
- Delphi Technique in Research
- LGBTQ Health, Identity, and Policy
- Voice and Speech Disorders
- Craniofacial Disorders and Treatments
- Pulmonary Hypertension Research and Treatments
- Adrenal and Paraganglionic Tumors
- Spine and Intervertebral Disc Pathology
- Salivary Gland Tumors Diagnosis and Treatment
- Head and Neck Anomalies
- Growth Hormone and Insulin-like Growth Factors
- Vascular Malformations Diagnosis and Treatment
- Full-Duplex Wireless Communications
Emory University
2022-2023
Cleveland Clinic Florida
2023
University of Pittsburgh
2017-2022
University of Pittsburgh Medical Center
2019-2021
Stanford University
2015-2019
Lucile Packard Children's Hospital
2018
Zero to Three
2016
Empty nose syndrome (ENS) is considered an acquired condition that remains difficult to diagnose objectively. Defining specific symptoms can be reliably associated with this disorder would essential identifying possible ENS patients. We sought validate ENS-specific, 6-item questionnaire as adjunct the standard Sino-Nasal Outcome Test 22 (SNOT-22) discriminate patients suspected of having ENS.The Nose Syndrome Questionnaire (ENS6Q) paired 6 common (nasal suffocation, nasal burning, openness,...
Objectives/Hypothesis The validated Empty Nose Syndrome 6‐Item Questionnaire (ENS6Q) identifies empty nose syndrome (ENS) patients. unvalidated cotton test assesses improvement in ENS‐related symptoms. By first validating the using ENS6Q, we define minimal clinically important difference (MCID) score for ENS6Q. Study Design Individual case–control study. Methods Fifteen patients diagnosed with ENS and 18 controls non‐ENS sinonasal conditions underwent office placement. Both groups completed...
Gender dysphoria is estimated to occur in over 1 million people the United States. With decreasing stigma regarding transgender population, it likely more patients will seek medical and surgical gender transition as parts of their treatment. However, otolaryngologists may lack training gender-confirming surgery. This study aims determine current state transgender-related education States otolaryngology programs evaluate trainee perceptions importance such training.A cross-sectional survey...
Background Previous work has shown that chronic rhinosinusitis (CRS) severity may be associated with particulate matter 2.5 (PM ) and black carbon (BC) in CRS patients without nasal polyps (CRSsNP). Data regarding occupational exposures, however, are lacking. We assessed the impact of PM , BC, as well airborne exposure on disease severity. Methods Patients (CRSwNP), CRSsNP, aspirin‐exacerbated respiratory (AERD) were identified from an institutionwide database. Spatial modeling 37 pollutant...
We describe the surgical technique for use of small intestine submucosal (SIS) xenograft implant inferior turbinate reconstruction and report our early results in a pilot case series patients suffering from symptoms consistent with empty nose syndrome (ENS).We an observational prospective cohort study ENS undergoing using porcine SIS xenograft. Effects procedure on quality life (QOL) were assessed through serial 25-item Sino-Nasal Outcome Test (SNOT-25) scores analyzed by 1-way analysis...
Given the lack of basic diagnostic criteria for empty nose syndrome (ENS), we sought to define whether consistent radiographic characteristics could be identified aid in development such criteria.Computed tomography (CT) scans were collected from 65 patients diagnosed with ENS, a history submucosal inferior turbinate reduction (ITR) without and sinonasal procedures. Measurements taken at level nasolacrimal duct, including (IT) mucosal thickness, widest distances between septum-IT, nasal...
Background To better understand upper airway tissue regeneration, the exposed cartilage and bone at donor sites of flaps may serve as in vivo “Petri dishes” for active wound healing. The pedicled nasoseptal flap (NSF) skull‐base reconstruction creates an site within nasal airway. objective this study is to evaluate whether grafting with a sinonasal repair cover graft effective promoting Methods In multicenter, prospective trial, subjects were randomized intervention (graft) or control (no...
Our understanding of empty nose syndrome (ENS) continues to evolve. Prior studies evaluating airway augmentation treat ENS did not use validated disease‐specific questionnaires, making the true impact these surgeries unclear. We present a case series 10 patients with (11 procedures) who underwent inferior meatus procedure (IMAP) between September 2014 and May 2017. Subjective outcomes IMAP included comparisons preoperative postoperative assessments (1 week, 1 month, 3 months, 6 months) using...
Air pollution directly interacts with airway mucosa, yet little is known about how pollutants affect upper inflammation. Studies have shown increased incidence of chronic rhinosinusitis (CRS), rhinitis, and asthma in areas higher traffic pollution, these neighborhoods are often associated lower socioeconomic status (SES). The Area Deprivation Index (ADI) assesses neighborhood-level SES by zip code. purpose this study was to assess the relationship between exposure inhaled CRS disease...
Inadvertent perioperative hypothermia (IPH) leads to surgical complications and increases length of stay. IPH rates are high with the current standard care, forced air warming (FAW). Our hypothesis is that a prototype thermal compression device heats popliteal fossa soles feet, lower leg compression, temperatures reduces compared care. Thirty six female breast surgery patients, at tertiary academic hospital, were randomized or intraoperative FAW (stage I) further 18 patients single heating...
Ferumoxytol, an "off-label" contrast agent, allows for better cardiac MRI quality as compared with gadolinium-based agents. However, hypotension has been reported the use of ferumoxytol indications other than MRI. The purpose our investigation was to evaluate safety in children undergoing general anaesthesia MRI.Medical records were reviewed. Baseline demographic and medical characteristics, well imaging anaesthetic duration technique, collected. incidence or adverse events', need vasoactive...
Background A nasal access guide (NAG) for endoscopic endonasal approaches (EEAs) to the skull-base has been developed and approved clinical use but its utility not formally investigated. Objective The study aims assess effect of a NAG on visualization during cadaveric dissection perform workflow analysis with process-based performance measures in operating room their outcomes. Methods Skull-base course participants were observed hands-on without NAG. Instances endoscope withdrawal lens...
Sinonasal malignancies are a rare subset of head and neck tumors, surveillance strategies after definitive tumor treatment often generalized from those for overall cancer outcomes data. However, recent literature suggests that the posttreatment period in sinonasal is fundamentally different more tailored approach may be beneficial. Although rates symptomatology high recurrence patient-driven follow-up common, unknown specifically.Patients with malignancy were identified at 3 academic...
Objectives/Hypothesis Current rhinologic practice is devoid of minimally invasive procedures dedicated to the treatment ethmoid sinusitis improve ventilation and topical drug delivery. We have recently described a handheld spiral punch create sinusotomy (EPS) sites into bulla basal lamella, which significantly increased irrigant access sinuses in cadaver models. Here, we conducted clinical feasibility study determine initial safety evaluation EPS chronic rhinosinusitis without polyposis...
Background High-flow skull base dural defects are associated with an increased risk of postoperative cerebrospinal fluid (CSF) leaks. Objective This study aimed to identify the factors for persistent CSF leak after endoscopic endonasal surgery (EES) and determine ideal reconstruction strategy initial failed repair. Methods Patients intradural EES between October 2000 February 2017 were identified. Cases compared patients similar pathologic diagnosis without a additional factors. Results Two...
Currently, clinical assessment of olfaction is largely reliant on subjective methods that require patient participation. The objective method for measuring olfaction, using electroencephalogram (EEG) readings, can be supplemented with the improved temporal resolution magnetoencephalography (MEG) olfactory measurement delineate cortical and peripheral loss. MEG provides high spatial which enhance our understanding central processing compared to EEG alone.To determine feasibility building an...
Frontal sinusitis in the pediatric population is a disease that has not been thoroughly studied or characterized. The goals of this study are to characterize clinical presentation, radiologic variables, treatment modalities, complications, and prognosis associated with acute chronic frontal sinus population.IRB-approved retrospective cohort patients who were diagnosed (AFS) (CFS) underwent surgery at tertiary level Children's Hospital from 2006 2016. Patients AFS compared CFS. Statistical...
Porto, Edoardo MD*; Revuelta Barbero, J. Manuel MD, PhD*; Velasquez, Nathalia MD‡; Cosgrove, Megan Medina, Eduardo BS*; Barrow, Emily Pradilla, Gustavo MD* Author Information
Ethmoid punch sinusotomy (EPS) is a feasible treatment for ethmoid sinusitis in subset of chronic rhinosinusitis (CRS) patients per recent report. This adjunctive work investigates the technical characteristics EPS and determines if measurably alters topical delivery irrigant into sinuses cadaveric model.The sinonasal cavities 10 human cadaver heads were irrigated with solution containing methylene blue radio-opaque contrast prior to following EPS. Procedural distribution assessed by...