A5086953145- Voice and Speech Disorders
- Tracheal and airway disorders
- Sinusitis and nasal conditions
- Dysphagia Assessment and Management
- Allergic Rhinitis and Sensitization
- Head and Neck Surgical Oncology
- Asthma and respiratory diseases
- Nasal Surgery and Airway Studies
- Respiratory and Cough-Related Research
- Head and Neck Cancer Studies
- Medical Malpractice and Liability Issues
- Pneumonia and Respiratory Infections
- Airway Management and Intubation Techniques
- Epigenetics and DNA Methylation
- Oral and Maxillofacial Pathology
- Phonetics and Phonology Research
- Diversity and Career in Medicine
- Healthcare cost, quality, practices
- Botulinum Toxin and Related Neurological Disorders
- Salivary Gland Tumors Diagnosis and Treatment
- Obstructive Sleep Apnea Research
- Esophageal and GI Pathology
- RNA modifications and cancer
- Drug-Induced Adverse Reactions
- Ear and Head Tumors
Cleveland Clinic
2015-2024
University of Rochester
2023
Cleveland Clinic Lerner College of Medicine
2014-2023
Case Western Reserve University
2015-2023
New York University
2023
Triological Society
2020
University of California, San Francisco
2013
Henry Ford Hospital
2001-2010
Henry Ford Health System
1999-2009
University of Michigan
1995-2008
To date, no instruments exist to quantify the psychosocial consequences of voice disorders. The aim present investigation was development a statistically robust Voice Handicap Index (VHI). An 85-item version this instrument administered 65 consecutive patients seen in Clinic at Henry Ford Hospital. data were subjected measures internal consistency reliability and initial reduced 30-item final version. This 63 on two occasions an attempt assess test-retest stability, which proved be strong....
Abstract Evidence-based guidelines for the diagnosis and initial management of suspected acute bacterial rhinosinusitis in adults children were prepared by a multidisciplinary expert panel Infectious Diseases Society America comprising clinicians investigators representing internal medicine, pediatrics, emergency otolaryngology, public health, epidemiology, adult pediatric infectious disease specialties. Recommendations diagnosis, laboratory investigation, empiric antimicrobial adjunctive...
Abstract Evidence-based guidelines for the diagnosis and initial management of suspected acute bacterial rhinosinusitis in adults children were prepared by a multidisciplinary expert panel Infectious Diseases Society America comprising clinicians investigators representing internal medicine, pediatrics, emergency otolaryngology, public health, epidemiology, adult pediatric infectious disease specialties. Recommendations diagnosis, laboratory investigation, empiric antimicrobial adjunctive...
To determine the current etiology of vocal fold immobility, identify changing trends over last 20 years, and compare results to historical reports.The present study is a retrospective analysis all patients seen within tertiary care institution between 1996 2005 with immobility. The were combined previous same from 1985 through 1995. Results compared literature.The medical records assigned primary or additional diagnostic code for cord paralysis obtained electronic database.Eight hundred...
Objective Thyroidectomy may be performed for clinical indications that include malignancy, benign nodules or cysts, suspicious findings on fine needle aspiration biopsy, dysphagia from cervical esophageal compression, dyspnea airway compression. About 1 in 10 patients experience temporary laryngeal nerve injury after surgery, with longer lasting voice problems up to 25. Reduced quality of life thyroid surgery is multifactorial and the need lifelong medication, suppression, radioactive...
Assessment of patient perception disability and outcomes from treatment has become an integral part medical care. General quality-of-life measurement tools have led to the development disease-specific quality instruments. Conventional methods for evaluating nasal-sinus disease are inadequate assess impact these disorders on everyday life. Therefore, using that well established validated creating instruments, Rhinosinusitis Disability Index was created evaluate self-perceived head neck...
Scarring of the vocal folds can occur as result blunt laryngeal trauma or, more commonly, surgical, latrogenic injury after excision or removal fold lesions. The scarring results in replacement healthy tissue by fibrous and irrevocably alter function lead to a decreased absent mucosal wave. assessment treatment persistent dysphonia patients with presents both diagnostic therapeutic challenges voice team. common causes are described, prevention during lesions is stressed. anatomic histologic...
We characterized the breakpoints, gains, and losses of chromosome material in squamous cell carcinomas head neck region from 29 patients. Cell lines were karyotyped 1/3 cases, direct preparations or early vitro harvests 1/3, both cases. GTG-banding was employed all as C-banding RBG- AgNOR-staining most. Some tumors near-diploid others near-tetraploid, but many had mixed populations, with diploid, tetraploid, octoploid subclones representing essentially same karyotypic pattern. The most...
Surgical treatment comparisons in rare diseases are difficult secondary to the geographic distribution of patients. Fortunately, emerging technologies offer promise reduce these barriers for research.To prospectively compare outcomes 3 most common surgical approaches idiopathic subglottic stenosis (iSGS), a airway disease.In this international, prospective, 3-year multicenter cohort study, 810 patients with untreated, newly diagnosed, or previously treated iSGS were enrolled after undergoing...
Objectives/Hypothesis Idiopathic subglottic stenosis (iSGS) is a rare and potentially life‐threatening disease marked by recurrent progressive airway obstruction frequently requiring repeated surgery to stabilize the airway. Unknown etiology low prevalence have limited ability characterize natural history of iSGS resulted in variability surgical management. It uncertain how this variation relates clinical outcomes. Study Design Medical record abstraction. Methods Utilizing an international,...
Abstract Standard surgical management for benign tumors of the parotid gland requires either superficial, subtotal, or total parotidectomy with preservation facial nerve. Although this approach is effective in minimizing recurrence, resultant nerve morbidity seldom addressed. Two hundred fifty‐six consecutive patients who underwent surgery neoplasia at institution past 15 years are reviewed, attention to postoperative function. Immediate dysfunction was frequently encountered (46.1%), but...
OBJECTIVE The effectiveness of topical intranasal steroids (INS) sprays for the treatment allergic and nonallergic rhinitis may be limited by lack instruction in optimal spray technique. To determine whether technique used affects efficacy safety product, this review evidence had goal identifying establishing a preferred method applying INS sprays. STUDY DESIGN A MEDLINE search pertinent literature on 7 1 antihistamine preparations conducted with use appropriate terms, yielded an initial 121...