A5066789488- Cleft Lip and Palate Research
- Tracheal and airway disorders
- Craniofacial Disorders and Treatments
- Ear Surgery and Otitis Media
- Hearing, Cochlea, Tinnitus, Genetics
- Hearing Loss and Rehabilitation
- Reconstructive Facial Surgery Techniques
- Congenital Ear and Nasal Anomalies
- Head and Neck Anomalies
- Obstructive Sleep Apnea Research
- Hearing Impairment and Communication
- Congenital Anomalies and Fetal Surgery
- Airway Management and Intubation Techniques
- Ocular Disorders and Treatments
- Voice and Speech Disorders
- Tumors and Oncological Cases
- Dysphagia Assessment and Management
- Vestibular and auditory disorders
- Ear and Head Tumors
- Nasal Surgery and Airway Studies
- Reconstructive Surgery and Microvascular Techniques
- Vascular Malformations and Hemangiomas
- Head and Neck Surgical Oncology
- Infectious Diseases and Tuberculosis
- Facial Nerve Paralysis Treatment and Research
University of Washington
2015-2024
Seattle Children's Hospital
2015-2024
Seattle University
1994-2020
Cincinnati Children's Hospital Medical Center
2012
Boston Children's Hospital
1997-2006
Regional Medical Center
2002
St. Joseph Medical Center
2002
Children's Hospital & Medical Center
1996-1998
To propose a staging system for patients with lymphatic malformations of the head and neck.Retrospective chart review.Fifty-six were treated from 1983 to 1993 at Children's Hospital Medical Center, Seattle, Wash. The charts reviewed anatomic location lesion, preoperative postoperative complications, number procedures control disease, long-term sequelae, persistence disease. Lesions characterized as being unilateral or bilateral suprahyoid and/or infrahyoid. five patient groups then compared...
<h3>Background</h3> During the past 50 years, changes in epidemiology of infectious diseases and capabilities medical technology have altered indications for, implications of, tracheotomy children. Given complexity health care that these patients subsequently require, monitoring performance this procedure patient outcomes across diverse US system is warranted. <h3>Objectives</h3> To characterize children who received tracheotomies 1997 to determine whether disposition mortality vary by...
The objectives of the study were to describe speech outcomes in a large series patients undergoing Furlow palatoplasty for management velopharyngeal insufficiency and test whether preoperative gap size other patient characteristics significantly affect those outcomes.Data collected included age at time surgery, surgeon, type cleft, syndrome diagnosis, as determined by videonasendoscopy, postoperative perceptual assessments. Descriptive statistics generated ordinal logistic regression on...
Craniofacial anomalies (CFA) predispose children to airway obstruction. A retrospective study was conducted describe intervention required manage patients with craniofacial syndromes and diseases involving the midface mandible (i.e., Pierre Robin, Apert, Treacher Collins, Saethre-Chotzen, CHARGE, Nager, Stickler, Goldenhar, Pfeiffer). The type of intervention, duration associated physical medical conditions were evaluated. One hundred nine had charts available for review met inclusion...
To determine the impact of adenotonsillectomy on quality life (QOL) in children with obstructive sleep disorders (OSDs) before and after surgery.Prospective, observational, before-and-after trial.Seven tertiary pediatric otolaryngology practices.Convenience sample 101 (mean age, 6.2 years) adenotonsillar hypertrophy OSD scheduled for adenotonsillectomy.Adenotonsillectomy was performed OSDs. Quality assessed using Obstructive Sleep Disorders-6 survey, a validated instrument detecting QOL...
A retrospective study was undertaken to assess speech outcomes in patients undergoing Furlow palatoplasty. Since 1994, the authors have used position of levator veli palatini musculature determine type surgical intervention recommended for management velopharyngeal insufficiency. palatoplasty has been with clinical evidence sagittally oriented musculature. Forty-eight who underwent a between June 1994 and August 1998 were included. All preoperative postoperative perceptual analyses describe...
Abstract Destruction of the cochlea causes secondary changes in central auditory pathway through transynaptic regulation. These appear to be mediated by an activity‐dependent process and can detected avian system as early 30 minutes after deafferentation. We compared cochlear nucleus neurons following deafferentation ablation with those seen activity deprivation perilymphatic tetrodotoxin (TTX) exposure. Protein synthesis size large spherical cells anteroventral (AVCN) 14‐day‐old gerbils...
To discuss principles of evaluation and treatment children with velopharyngeal insufficiency, to review recent reports surgical outcomes.Velopharyngeal insufficiency significantly impacts both quality-of-life speech intelligibility in children. Diagnosis is made through history physical, perceptual assessment, instrumental measures including nasendoscopy radiographic multiplanar videofluoroscopy. Treatment options for consist prosthetic management or surgery, supplemented therapy when...
Objective Test the Velopharyngeal Insufficiency (VPI) Effects on Life Outcomes (VELO) instrument for validity, reliability, and responsiveness. Study Design Observational cohort. Setting Academic tertiary medical center. Subjects Children with VPI (n = 59) their parents 84) were prospectively enrolled from a pediatric clinic. Methods Pediatric speech language pathologists diagnosed using perceptual analysis rated severity intelligibility deficit (each as minimal, mild, moderate, or severe)....
Importance In the US, most childhood-onset bilateral sensorineural hearing loss is genetic, with more than 120 genes and thousands of different alleles known. Primary treatments are aids cochlear implants. Genetic diagnosis can inform progression loss, indicate potential syndromic features, suggest best timing for individualized treatment. Objective To identify genetic causes characterize severity, progression, implant success associated genotype in a single large clinical cohort. Design,...
Patients with subglottic hemangioma present biphasic stridor during infancy. The natural history of this lesion is characterized by progressive airway obstruction the proliferative phase lesion, followed resolution symptoms subsequent involutive phase. Although a benign neoplasm, it can be associated fatal outcome. Treatment options have been directed at maintaining patency senior author (G.B.H.) originally described role carbon dioxide laser in management these patients 1980. Thirty-one...
1) To compare nasendoscopy (NE) and multiview fluoroscopy (MVF) in assessing velopharyngeal gap size; 2) to determine the relationship between these assessments insufficiency (VPI) severity.Retrospective review of consecutive patients with VPI at a tertiary care children's hospital, assessed NE MVF 1996 2003.177 subjects. areas were correlated (R = 0.34, 95% CI 0.26-0.41). In adjusted analysis, severity was associated with: area (OR 2.78, 1.96-3.95), 1.64, 1.37-1.95), 3) age <5 years 3.30,...
Abstract Objectives/Hypothesis: Congenital severe to profound sensorineural hearing loss (SNHL) is found in higher proportions of children with minority and/or lower socioeconomic status (SES). Cochlear implants were approved by the U.S. Food and Drug Administration for use bilateral SNHL 1990. The objectives study as follows: 1) epidemiology pediatric cochlear implantation, assessing whether implant technology provided proportion their racial/ethnic or SES, 2) compare data a national health...
Objectives: To modify the existing 45-item Velopharyngeal Insufficiency (VPI) Quality-of-Life (QOL) instrument (VPIQL), to assess modified for reliability, and provide further validation.Design: Validation convenience sample from a previously conducted pilot study.Setting: Two academic tertiary referral medical centers.Participants: Deidentified data were used 29 patients with VPI control aged 5 17 years their parents.Main Outcome Measures: Patients parents completed VPIQL generic pediatric...
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Abstract Objectives : To assess the speech outcomes and complications in children who had undergone sphincter pharyngoplasty (SP) for management of velopharyngeal insufficiency (VPI). Study Design Retrospective chart review. Methods Charts from patients between January 1993 June 1996 were reviewed. Syndrome diagnosis presence repaired cleft palate Preoperative assessment, videofluoroscopic nasopharyngoscopic evaluations, age at time surgery, postoperative assessments reviewed all patients....
We present an experience in the management of primary and recurrent thyroglossal duct cysts (TGDCs) describe a novel method for TGDC removal.We performed retrospective review surgery at Children's Hospital Seattle from 1980 to 2003. The surgical techniques TGDCs factors associated with recurrence were evaluated analyzed.During study period, 231 patients underwent 296 surgeries. Thirty-four (15%) total 88 procedures TGDCs. Successful used secondary included central neck dissection directed...