A5102947219- Tracheal and airway disorders
- Tumors and Oncological Cases
- Sinusitis and nasal conditions
- Head and Neck Surgical Oncology
- Head and Neck Anomalies
- Ear and Head Tumors
- Ear Surgery and Otitis Media
- Salivary Gland Tumors Diagnosis and Treatment
- Nasal Surgery and Airway Studies
- Otolaryngology and Infectious Diseases
- Airway Management and Intubation Techniques
- Oral and Maxillofacial Pathology
- Voice and Speech Disorders
- Pneumonia and Respiratory Infections
- Bone Tumor Diagnosis and Treatments
- Teratomas and Epidermoid Cysts
- Obstructive Sleep Apnea Research
- Nasolacrimal Duct Obstruction Treatments
- Congenital Ear and Nasal Anomalies
- Head and Neck Cancer Studies
- Cerebral Venous Sinus Thrombosis
- Advanced MEMS and NEMS Technologies
- Cancer and Skin Lesions
- Dysphagia Assessment and Management
- Vascular Malformations and Hemangiomas
Harvard University
2016-2025
Boston Children's Hospital
2016-2025
Boston Children's Museum
2023
Quality Enhancement Research Initiative
2018-2023
Cummins (United States)
2020-2021
University of Massachusetts Chan Medical School
2019
Massachusetts Eye and Ear Infirmary
2003-2017
University of Cincinnati
2016
Cincinnati Children's Hospital Medical Center
2014
University of Vermont
2013
Between October 1, 1985, and April 1988, we performed balloon aortic valvuloplasty in 170 patients (mean age [±SD], 77±5 years) who had symptomatic stenosis. The procedure was completed successfully 168 resulted significant increases the mean (±SD) aortic-valve area (from 0.6±0.2 to 0.9±0.3 cm2) cardiac output 4.6±3.4 4.8±1.4 liters per minute) decreases peak pressure gradient 71±20 36±14 mm Hg) (P<0.01 for all three comparisons). There were six in-hospital deaths, five required early...
<h3>Background</h3> The objective benefits of tympanostomy tubes for otitis media are well established, but the subjective impact surgery on child quality life (QOL) has not been systematically studied. <h3>Objectives</h3> To determine QOL, and to compare variability in QOL before with that observed after surgery. <h3>Design</h3> Prospective, observational, before-and-after trial. <h3>Setting</h3> Fourteen referral-based pediatric otolaryngology practices United States. <h3>Patients</h3>...
To validate the Pediatric Voice-Related Quality-of-Life (PVRQOL) survey, which was designed to assess voice changes over time in pediatric population.Prospective longitudinal study.Outpatient otolaryngology office practice.One hundred twenty parents of children aged 2 through 18 years having a variety otolaryngological diagnoses including disorders that affect voice.The previously validated Voice Outcomes Survey and PVRQOL were jointly administered study participants. Test-retest reliability...
To report and quantify the health-related quality of life children who require surgical intervention for chronic recurrent rhinosinusitis to assess perspective child vs that parent.Prospective, observational.Twenty-one a consecutive sample 35 undergoing endoscopic sinus surgery infectious indications completed, along with their parents, Child Health Questionnaire. The Questionnaire measures in parallel both parent perceptions health by means separate proxy (Child Questionnaire-Parent Form...
Background Myocardial uptake of either 201 Tl or 99m Tc-sestamibi (sestamibi) is known to plateau at high coronary flow rates. However, few direct comparisons have been made between these tracers determine what effect differences in the for two may on detection stenoses various severities. Methods and Results Twenty-two dogs were instrumented with transducers left anterior descending (LAD) circumflex (LCx) arteries. In 6 nonstenotic dogs, adenosine was infused directly into LAD, whereas 16...
During a construction project, delays may result from many circumstances. Delays be caused by the owner, contractor, acts of God, or third party. They occur early late in job, alone with other delays. Negotiating fair and timely damage settlement is beneficial to all parties. Network-based scheduling an excellent vehicle for negotiating changes, disputes, throughout project. In industry, however, there no single, standard, "accepted" procedure determine impact schedule due change orders...
Computed tomography is routinely used in the evaluation of patients suspected to have deep neck infections. This 10-year retrospective study compares preoperative computed scan reports with intraoperative findings 38 who underwent surgical exploration parapharyngeal or retropharyngeal space within 48 hours their radiographic assessment. Overall, confirmed interpretation 76.3% patients. The false-positive rate was 13.2%, and false-negative 10.5%. sensitivity for detection abscess 87.9%....
An 85-year-old, nondiabetic man is described with necrotizing (malignant) otitis externa. The patient developed facial nerve paralysis in the presence of a progressive cellulitis and chondritis external auditory meatus. Destruction bony meatus mastoid obliteration normal soft-tissue planes at skull base were documented by computed tomographic scans. Aspergillus fumigatus was isolated from deep tissue specimens. Fungal invasion bone soft confirmed histopathologically. Pseudomonas aeruginosa...
To examine whether microdebrider intracapsular tonsillotomy (MT) results in less postoperative pain compared with electrosurgical extracapsular tonsillectomy (ET).Prospective, randomized, double-blind, matched pair, clinical trial.Specialty care hospital. Patients Twelve male (48%) and 13 female (52%) children aged 5 to 15 years, obstructive tonsillar hyperplasia were randomized have one tonsil removed by MT the other ET.An angled endoscopic was used perform MT, ET performed standard...
We studied thyroid abnormalities in 50 patients with dermatitis herpetiformis. Two had a history of hyperthyroidism, and 5 hypothyroidism were on replacement therapy. Three thyroidectomies for nodules, asymptomatic goiter. clinically euthyroid elevated thyrotrophin low normal thyroxine levels, indicating early insufficiency. Thyroid microsomal antibodies seen 38% herpetiformis compared to 12% controls. The presence clinical or serologic 26 shows significant but unexplained association...
Objectives/Hypothesis To identify characteristics and disparities associated with presentation of pediatric acute bacterial sinusitis (ABS) complications. Study Design A cross‐sectional study the 2008 Nationwide Emergency Department Sample database. Methods total 101,660 children 18 years age or younger diagnosed ABS, 696 whom had orbital intracranial complications, were identified. Patient hospital‐specific investigated for association childhood ABS Results Orbital complications occurred in...
ABSTRACT Objective Recurrence is the primary complication of Sistrunk procedure performed for resection thyroglossal duct cysts (TGDC). We aim to more confidently identify patients who may be predisposed recurrence or other postoperative complications based on their clinical presentation and (or) perioperative course. Methods Our institution's electronic medical record was queried over a 23‐year period (2000–2023) with TGDC underwent procedure. Demographics, presentation, outcomes data were...
To differentiate pediatric chronic rhinosinusitis (CRS) into clinically relevant primary and secondary phenotypes based on clinical, radiographic, laboratory findings. Retrospective chart review of patients with CRS who underwent endoscopic sinus surgery over a 5-year period. Tertiary referral children's hospital. Relevant medical surgical history inclusive disease onset, clinical radiographic findings, data, operative culture results was recorded. Data analysis resulted, where appropriate,...
To determine both the short- and long-term risks of meningitis in children adolescents undergoing transsphenoidal skull base surgery. Retrospective analysis Pediatric Health Information System (PHIS) database over a 10-year period. The PHIS was reviewed to identify individuals ≤ 18 years age who underwent endoscopic surgery from 2012 2022. Data regarding patient demographics, length stay, need for revision recorded. assess risk postoperative meningitis, query performed all readmissions...