- Vascular Malformations and Hemangiomas
- Tracheal and airway disorders
- Vascular Malformations Diagnosis and Treatment
- Tumors and Oncological Cases
- Dysphagia Assessment and Management
- Head and Neck Anomalies
- Vascular Anomalies and Treatments
- Airway Management and Intubation Techniques
- Voice and Speech Disorders
- Ear Surgery and Otitis Media
- Teratomas and Epidermoid Cysts
- Laser Design and Applications
- Esophageal and GI Pathology
- Vascular Tumors and Angiosarcomas
- Laser-Matter Interactions and Applications
- Vascular anomalies and interventions
- Congenital Ear and Nasal Anomalies
- Quantum optics and atomic interactions
- Eosinophilic Esophagitis
- Central Venous Catheters and Hemodialysis
- Reconstructive Surgery and Microvascular Techniques
- Obstructive Sleep Apnea Research
- Quantum Information and Cryptography
- Congenital Diaphragmatic Hernia Studies
- Semiconductor Lasers and Optical Devices
University of Arkansas for Medical Sciences
2016-2025
University of Arkansas at Little Rock
2025
Arkansas Children's Hospital
2015-2024
University of Arkansas at Fayetteville
2016
Division of Chemistry
2011
Cochlear (United States)
2010
Cincinnati Children's Hospital Medical Center
2007-2009
University of Cincinnati Medical Center
2009
University of New Mexico
2009
Brigham and Women's Hospital
2009
Vascular anomalies are a heterogeneous group of congenital blood vessel disorders more typically referred to as birthmarks. Subcategorized into vascular tumors and malformations, each anomaly is characterized by specific morphology, pathophysiology, clinical behavior, management approach. Hemangiomas the most common tumor. Lymphatic, capillary, venous, arteriovenous malformations make up majority malformations. This paper reviews current theory practice in etiology, diagnosis, treatment...
Abstract Objectives/Hypothesis: Propranolol has recently been introduced as a novel pharmacologic treatment for infantile hemangiomas. Systematic examination of this in tertiary care setting not described. This study explores the impact propranolol on both proliferative and involuting hemangiomas at vascular anomalies center. Study Design: Retrospective single institution review. Materials Methods: We reviewed children treated with problematic followed by blinded prospective analysis serial...
Abstract Infantile hemangiomas arising in the trachea are rare. These lesions pose a management dilemma as several treatment options can provide safe management. Propranolol, nonselective beta‐blocker, has recently been introduced novel modality for of proliferating hemangiomas. This report illustrates successful tracheal using oral propranolol young patient with otherwise treatment‐resistant airway lesions. Despite various endoscopic therapeutic attempts, remained stridulous disease that...
We sought to determine the incidence of secondary airway lesions in infants with laryngomalacia and compare incidences these concomitant severe, moderate, mild laryngomalacia; whether or moderate have a higher surgical intervention when lesion is present; gastroesophageal reflux disease (GERD) affected by presence lesion.We performed retrospective review database consisting 201 diagnosis treated at pediatric tertiary referral center between June 1998 2003. Data pertaining demographic...
Objectives: We examined the incidence and significance of aspiration in infants with severe laryngomalacia (LM) who undergo supraglottoplasty. Methods: performed a 5-year retrospective review prospective database from 2 tertiary care pediatric institutions. The studied patients were 50 consecutive LM underwent supraglottoplasty (median age, 4.5 months) functional endoscopic evaluation swallowing (FEES) or without laryngopharyngeal stimulation testing. intervention was cold-knife...
<h3>Objective</h3> To identify and describe the features of laryngomalacia (LM) in a cohort older children, with goal providing an approach to diagnosis management these patients. Laryngomalacia is common congenital disorder characterized by decreased laryngeal tone, supraglottic collapse, stridor during inspiration rarely seen children. However, presence LM this population may be obscured related but uncommon clinical features. <h3>Design</h3> Prospective collection retrospective evaluation...
To demonstrate, in a case series, the relentless growth of arteriovenous malformations (AVMs) head and neck importance their vigilant management within context modified staging system.Retrospective review.Tertiary care institution, Vascular Anomalies Center.Subjects were patients with advanced AVMs presenting to our Center. Medical records examined for age at first diagnosis, disease course, prior treatments, presentation, management, therapeutic outcomes, stage disease, impact on quality...
To evaluate the use of bone-anchored hearing aids (Bahas) in children with single-sided deafness.Retrospective 3-year chart review.Arkansas Children's Hospital, Little Rock, pediatric hospital serving from birth to 21 years age.The study included 23 (14 girls and 9 boys) deafness (mean age, 12.6 years; age range, 6-19 years).Two-stage Baha surgery 6-month osseointegration was performed on 5 older at a single institution. The processor placed 2 weeks after second-stage surgery.Results Hearing...
An important limitation in vascular malformation research is the heterogeneity outcome measures used for evaluation of treatment outcome. To reach international consensus on a core set (COS) clinical peripheral malformations: lymphatic (LM), venous (VM) and arteriovenous malformations (AVM). In this study, we determined what domains should constitute COS. Thirty‐six possibly relevant were proposed to an group physicians, patients parents patients. three‐round e‐Delphi process using online...
To develop general and site-specific treatment effect outcome measures to standardize the reporting of head neck lymphatic malformation (HNLM) treatments.Consensus statement/expert opinion.Multiple tertiary academic institutions.The modified Delphi method is an iterative process collecting expert opinions, refining opinions through discussion feedback, statistically aggregating using these aggregates generate consensus opinion in absence other data. The was used by a multi-institutional...
Stagnant blood flow present in slow-flow vascular malformations can lead to localized intravascular coagulopathy (LIC), measured by elevated D-dimer levels, low fibrinogen, and/or thrombocytopenia. LIC thrombosis bleeding, resulting pain, swelling, and functional limitations. Patients with complex treated sirolimus show clinical improvement these symptoms. We hypothesized that the benefits of may correlate improvements coexisting LIC.A retrospective chart review was performed, including...
A three-week-old baby presents with an infantile hemangioma in segmental beard distribution and evidence of PHACES syndrome. Due to the progressive symptomatic growth hemangioma, this patient required a multimodal treatment approach, including beta-blocker therapy, intralesional steroid injections, periorbital surgical debulking, airway interventions, embolization. This report highlights successful case complex that illustrates significance phased multidisciplinary care emphasizes importance...
Abstract Objectives/Hypothesis: To understand the long‐term impact on quality of life (QOL) in patients undergoing mastoid obliteration surgery for a chronically draining cavity, using Glascow Benefit Inventory (GBI) QOL survey, and to correlate these findings perceived changes drainage hearing. Study Design: Retrospective chart review. Methods: Adult restoration middle ear space with cartilage reconstruction tympanic membrane, at least 3‐year follow‐up, were contacted by phone solicit...