A5002133203- Reconstructive Facial Surgery Techniques
- Facial Nerve Paralysis Treatment and Research
- Hearing Loss and Rehabilitation
- Noise Effects and Management
- Reconstructive Surgery and Microvascular Techniques
- Hearing, Cochlea, Tinnitus, Genetics
- Ear Surgery and Otitis Media
- Tracheal and airway disorders
- Facial Rejuvenation and Surgery Techniques
- Crystallization and Solubility Studies
- X-ray Diffraction in Crystallography
- Nasal Surgery and Airway Studies
- Head and Neck Cancer Studies
- Voice and Speech Disorders
- Head and Neck Surgical Oncology
- Thyroid and Parathyroid Surgery
- Oral health in cancer treatment
- Hip and Femur Fractures
- Crystal structures of chemical compounds
- Frailty in Older Adults
- Cardiac, Anesthesia and Surgical Outcomes
- Metal-Organic Frameworks: Synthesis and Applications
- Climate Change and Health Impacts
- Trigeminal Neuralgia and Treatments
- Body Image and Dysmorphia Studies
Cleveland Clinic
2020-2025
Johns Hopkins Medicine
2013-2018
Johns Hopkins University
2010-2018
Oregon Health & Science University
2018
Central Michigan University
2007
To the Editor: Hearing loss (HL) is a chronic condition that affects nearly 2 of every 3 adults aged 70 years or older in United States.1 has broader implications for adults, being independently associated with poorer cognitive2 and physical functioning.3
Self-reported hearing impairment is often used to gauge objective loss in both clinical settings and research studies. The aim of this study was examine whether demographic factors affect the accuracy subjective, self-reported older adults.We examined 3557 participants aged 50 National Health Nutrition Examination Survey cycles 1999-2006 2009-2010. We relationship between subjective using percent correct classification misclassification bias analyses stratified by gender, age group,...
Hearing impairment (HI) is highly prevalent in older adults and associated with social isolation, depression, risk of dementia. Whether HI broader downstream outcomes unclear. We undertook this study to determine whether audiometric mortality adults.Prospective observational data from 1,958 ≥70 years age the Health, Aging, Body Composition Study were analyzed using Cox proportional hazards regression. Participants followed for 8 after examination. Mortality was adjudicated by obtaining death...
Objectives To determine whether hearing impairment, highly prevalent in older adults, is associated with activity levels. Design Cross‐sectional. Setting National Health and Nutritional Examination Survey (2005–06). Participants Individuals aged 70 who completed audiometric testing whose physical was assessed subjectively using questionnaires objectively body‐worn accelerometers (N = 706). Measurements Hearing impairment defined according to the speech‐frequency (0.5–4 kHz) pure‐tone average...
Objectives To determine whether hearing impairment, defined by using objective audiometry, is associated with multiple categories of self‐reported physical functioning in a cross‐sectional, nationally representative sample older adults. Design Multivariate secondary analysis cross‐sectional data. Setting The 2005–06 and 2009–10 cycles the N ational H ealth utrition E xamination S urvey. Participants Adults aged 70 who completed audiometric testing ( = 1,669). Measurements Hearing was...
Objective: The aim was to investigate whether associations of hearing impairment (HI) with functional outcomes in older adults differ when using self-report versus pure-tone audiometry. Method: We examined 1,669 participants ≥70 years National Health and Examination Survey from 2005-2006 2009-2010 whose assessed by explored associated audiometric HI (low physical activity, poor functioning, hospitalization). Results: In adjusted models, we found significant both subjective objective (e.g.,...
With increased life expectancy, there is growing awareness of the effect comorbidity on physiologic reserves in elderly patients. Data area head and neck cancer surgery lacking.Retrospective data from 61,740 patients who underwent a ablative 2001 to 2010 using Nationwide Inpatient Sample were analyzed examine associations between in-hospital mortality, postoperative complications, length hospitalization, hospital-related costs.Advanced was present 18% patients, more likely experience acute...
To determine the association between hearing impairment (HI) and risk duration of hospitalization in community-dwelling older adults United States.Prospective observational study.Health, Aging Body Composition Study.Well-functioning white black Medicare beneficiaries aged 70 to 79 at study enrollment 1997-98 were followed for a median 12 years.Incidence, annual rate, primary outcomes. Hearing was defined as pure-tone average (PTA) thresholds decibels re: level (dB HL) octave frequencies from...
Postoperative hypocalcemia is common after total thyroidectomy, and perioperative monitoring of serum calcium levels arguably the primary reason for overnight hospitalization. Confidently predicting which patients will not develop significant may allow a safe earlier discharge.To examine associations patient characteristics with hypocalcemia, duration hospitalization, postoperative intact parathyroid hormone (IPTH) level thyroidectomy.Retrospective study consecutive who underwent...
<h3>Objective</h3>To determine the association between safety-net hospital care and short-term outcomes after head neck cancer surgery.<h3>Design</h3>Cross-sectional analysis. Safety-net burden was calculated as percentage of patients with Medicaid or no insurance.<h3>Setting</h3>Nationwide Inpatient Sample database.<h3>Patients</h3>Adults who underwent an ablative procedure for a malignant oral cavity, laryngeal, hypopharyngeal, oropharyngeal neoplasm in 2001 through 2008.<h3>Main Outcome...
Thyroid and parathyroid surgery are among the most common operations in United States. Recurrent laryngeal nerve (RLN) injury is an infrequent but potentially detrimental complication.To correlate final evoked potential amplitudes on intraoperative electromyography (EMG) after stimulation of RLN with immediate postoperative vocal fold function thyroid surgery.Retrospective observational study at a tertiary academic medical center. We included 674 patients (with 1000 nerves risk) undergoing...
To assess the use of occipital vessels for microvascular anastomosis in head and neck free tissue transfer reconstruction.
Abstract Objective The repair of nasal septal perforation (NSP) is complex, with a variety described techniques and reported outcomes. At our institution, we commonly perform NSP using trilayer graft thin polydioxanone (PDS) plate wrapped on both sides temporalis fascia without intranasal flaps. We aim to report continued experience this technique. Study Design Retrospective chart review. Setting Single institution. Methods review patients undergoing fascial interposition grafting technique...
Alcohol abuse is associated with an increased incidence of postoperative complications in surgical patients and a significant risk factor for the development head neck cancer (HNCA). We sought to determine relationship between alcohol in-hospital mortality, complications, length stay, costs HNCA surgery.Retrospective cross-sectional study.Discharge data from Nationwide Inpatient Sample 92,312 aged 18 years older who underwent ablative procedure malignant oral cavity, laryngeal,...
Diagnostic molecular testing is used in the workup of thyroid nodules. While these tests appear to be promising more definitively assigning a risk malignancy, their effect on surgical decision making has yet demonstrated.To investigate diagnostic profiling nodules decision-making process.A management algorithm was developed and published after peer review that incorporated individual Bethesda System for Reporting Thyroid Cytopathology classifications with clinical, laboratory, radiological...
Facial paralysis leads to both aesthetic and functional deficits placing patients at risk for sociopsychological sequelae social impairment.
Abstract Background Resected oral cavity carcinoma defects are often reconstructed with osteocutaneous or soft‐tissue free flaps, but risk of osteoradionecrosis (ORN) is unknown. Methods This retrospective study included treated free‐tissue reconstruction and postoperative IMRT between 2000 2019. Risk‐regression assessed factors for grade ≥2 ORN. Results One hundred fifty‐five patients (51% male, 28% current smokers, mean age 62 ± 11 years) were included. Median follow‐up was 32.6 months...
Mandibular osteoradionecrosis (ORN) is a progressive disease that can be difficult to treat. Conservative measures often fail, while conventional definitive management requires morbid segmental resection with osteocutaneous reconstruction. Evidence of the anterolateral thigh fascia lata (ALTFL) rescue flap technique's safety, effectiveness, and long-term outcomes needed.