A5049859934- Reconstructive Surgery and Microvascular Techniques
- Head and Neck Cancer Studies
- Tracheal and airway disorders
- Head and Neck Surgical Oncology
- Cleft Lip and Palate Research
- Olfactory and Sensory Function Studies
- Dysphagia Assessment and Management
- Craniofacial Disorders and Treatments
- Nasal Surgery and Airway Studies
- Air Quality and Health Impacts
- Streptococcal Infections and Treatments
- Sinusitis and nasal conditions
- Smoking Behavior and Cessation
- Sarcoma Diagnosis and Treatment
- Congenital Ear and Nasal Anomalies
- Neuroblastoma Research and Treatments
- Endoplasmic Reticulum Stress and Disease
- Lipid metabolism and biosynthesis
- Tumors and Oncological Cases
- Vascular Anomalies and Treatments
- Oral health in cancer treatment
- Otolaryngology and Infectious Diseases
- Bone fractures and treatments
- Sphingolipid Metabolism and Signaling
- Lung Cancer Research Studies
Medical University of South Carolina
2010-2021
Wake Forest University
2014-2015
Wofford College
2011
The COVID-19 pandemic has resulted in the implementation of rapidly changing protocols and guidelines related to indications perioperative precautions for tracheostomy. purpose this study was evaluate current tracheostomy during provide a framework health systems prepare as science evolves over upcoming months years.
Data regarding outcomes after major head and neck ablation reconstruction in the growing geriatric population (specifically ≥80 years of age) are limited. Such information would be extremely valuable preoperative discussions with elderly patients about their surgical risks expected functional outcomes.To identify patient factors associated 30-day postoperative complications, 90-day mortality, decline; to explore whether an association exists between type reconstructive procedure outcome;...
Objective In cancer patients, cigarette smoking causes poorer response to treatment, treatment toxicity, increased risk of recurrence, higher surgical complication rates, and overall survival. As such a significant determinant patient prognosis, accurate classification current status is important. Self‐reported may lead misclassification if patients conceal their true status. The purpose this study was assess the validity self‐reported tobacco use during previous 48 hours in head neck on day...
Identifying high-risk patients in the preoperative period can allow physicians to optimize nutritional status early for better outcomes after head and neck cancer resections.To develop a model predict preoperatively need gastrostomy tube (G-tube) placement undergoing surgery of upper aerodigestive tract.This retrospective medical record review included all adult diagnosed with cancers who underwent tumor resection from 2007 through 2012 at Wake Forest Baptist Health, level 1 tertiary care...
To investigate the associations between patient age, sociological factors, and microbiology of pediatric neck infections.Retrospective chart review children up to 5 years old who underwent surgical management suppurative cervical lymphadenitis.A total 76 individuals met inclusion criteria; 93% culture-positive infections were caused by Staphylococcus aureus in infants, compared with 59% 13 months age (P = .002). Of S isolates, 51% methicillin-resistant (MRSA) 49% methicillin-sensitive...
Recently, the incidence of bronchopulmonary carcinoid has increased substantially, whereas survival associated with both subtypes declined. We reviewed our experience to identify factors long-term survival. cancer registry from 1985 2009 for all patients undergoing surgical resection carcinoid. Cox regression analysis was used evaluate prognostic factors. Fifty-two met criteria inclusion. Forty-three (82%) presented typical histology. The likelihood lymph node metastasis similar histology...
Radiologic changes in the aging nasal cavity
Abstract Background Characteristics of 30‐day unplanned readmissions after head and neck microvascular reconstruction remain poorly understood. Methods We conducted a retrospective cohort patients who underwent between 2010 2015. Results The readmission rate was 13.0% (64/493). most common diagnoses were dehiscence, surgical site infection, or fistula (45.3%; n = 29). Of the readmissions, 46.9% (30/64) occurred within 7 days discharge from hospital. Risk factors for on multivariable analysis...
Following salvage total laryngectomy (STL) with microvascular-free tissue transfer (MFTT), patients are at high risk for swallowing dysfunction, but factors persistent gastrostomy tube (G-tube) dependence unknown.Retrospective review of 33 who underwent STL MFTT.A oral diet was achieved by 81% ≥6 months postoperative follow-up. Approximately 27% were G-tube dependent preoperatively 67% achieving a postoperatively. Factors associated included pT4 tumor, pN2+ status, more extensive...
Background The cribriform plate (CP) is a common site of spontaneous cerebrospinal fluid (SCSF) leaks. Radiographic assessment the anterior and lateral skull base has shown thinner bone in patients with SCSFs; however, prior CP required postmortem cadaver dissection. Objective To develop novel radiographic techniques to assess anatomy CP. Methods Computed tomography (CT) scans were performed on cadaveric specimens. Bone density predefined volume interest posterior assessed by two independent...
Objectives/Hypothesis There is a growing need to understand the underlying mechanisms of age‐related olfactory dysfunction with increasing proportion older adults over next 20 years. Despite importance cleft (OC) volumes on odorant deposition and function, little known about changes OC volume. The goal this study was use automated techniques in cross‐sectional design investigate extent which vary age determine spatial specificity any effects. Study Design Retrospective study. Methods...
Objective To describe swallowing outcomes in elderly patients undergoing microvascular reconstruction of the upper aerodigestive tract and identify risk factors for poor postoperative function. Study Design Case series with chart review. Setting Academic medical center. Subjects Methods Sixty‐six aged ≥70 years underwent tract. The primary outcome measure was Functional Oral Intake Scale (FOIS); preoperative scores were dichotomized to define “good swallowing” “poor swallowing.” Logistic...
The chimeric anterolateral thigh osteomyocutaneous (ALTO) free flap is a recently described microvascular option for head and neck osseous defects associated with complex soft-tissue requirements. To date, the association of ALTO harvest femur structural integrity need routine prophylactic fixation following has been incompletely described.To investigate harvest, without fixation, on as measured by 4-point bend torsional biomechanical testing.At research laboratory, 24 synthetic...
Alveolar soft part sarcoma (ASPS) is a rare malignant neoplasm that tends to occur in the deep tissues of both adults and children. ASPS has progressive clinical course unfortunately characterised by late metastases an overall poor prognosis. Although tumour been reported wide range anatomic sites, few cases primary laryngeal are literature. Here, we report case 24-year-old man with no significant medical history who presented mild dysphonia hoarseness. Imaging studies revealed...