A5019656955- Tracheal and airway disorders
- Voice and Speech Disorders
- Dysphagia Assessment and Management
- Diversity and Career in Medicine
- Hospital Admissions and Outcomes
- Surgical Simulation and Training
- Infection Control and Ventilation
- Airway Management and Intubation Techniques
- COVID-19 and healthcare impacts
- Ultrasound in Clinical Applications
- Family and Disability Support Research
- Conferences and Exhibitions Management
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Healthcare professionals’ stress and burnout
- Healthcare Systems and Challenges
- Hemostasis and retained surgical items
- Traumatic Ocular and Foreign Body Injuries
- Translation Studies and Practices
- Restraint-Related Deaths
- Artificial Intelligence in Healthcare and Education
- Osteomyelitis and Bone Disorders Research
- Healthcare Systems and Technology
- Topic Modeling
- Social Media in Health Education
- Global Health Workforce Issues
Keck Hospital of USC
2024
University of Southern California
2023-2024
University of California, San Francisco
2017-2022
Objective The coronavirus 2019 (COVID‐19) pandemic has had widespread implications on clinical practice at U.S. hospitals. These changes are particularly relevant to otolaryngology–head and neck surgery (OHNS) residents because reports suggest an increased risk of contracting COVID‐19 for otolaryngologists. objectives this study were evaluate OHNS residency program characterize resident perceptions during the initial phase pandemic. Study Design A cross‐sectional survey 81 programs was...
Safe home tracheostomy care requires engagement and troubleshooting by patients, who may turn to online, AI-generated information sources. This study assessed the quality of ChatGPT responses such queries.
<h3>Importance</h3> Limited evidence is available to guide drain removal after selective lateral neck dissection (SLND). Patients may have drains left in longer than necessary, leading patient discomfort, hospitalizations, and increased costs. <h3>Objective</h3> To compare 2 output volume thresholds for SLND. <h3>Design, Setting, Participants</h3> This single-blind randomized clinical trial included a consecutive sample of all adult patients undergoing unilateral or bilateral SLND levels I...
Objective Vocal fold injection medialization (VFIM) is widely used as an initial treatment for unilateral vocal paralysis (UVFP). Current practices employ materials that share the limitation of temporary clinical effect from variable resorption rates. A novel silk protein microparticle‐hyaluronic acid‐based material (silk‐HA) has demonstrated cellular infiltration and tissue deposition may portend a durable effect. We report on ≥12 months outcomes after VFIM with silk‐HA. Methods Prospective...
Abstract Objective Surgical education is changing in an era of new regulations and evolving training cultures. We sought to understand the factors that affect operative experiences during otolaryngology residency. Methods From December 2019 2020, five programs used SIMPL OR smartphone application evaluate residents after each operation. Residents attendings rated trainee's autonomy on a 4‐level Zwisch scale, performance 5‐level case complexity 3‐level scale. examined associations between...
Objective There is concern that current otolaryngology residents may not receive adequate surgical training. We aimed to characterize residents’ experiences at 5 academic centers performing the 14 key indicator procedures (KIPs) outlined by Accreditation Council for Graduate Medical Education. Study Design Prospective study. Setting Five training programs. Methods Data were gathered from December 2019 2020 with a smartphone application Society Improving Professional Learning. After each...
Abstract Background The roles of US otolaryngology residents have changed in response to the coronavirus disease 2019 (COVID‐19) pandemic. As pandemic peaked United States, we characterized resident activities and concerns. Methods A cross‐sectional study between April 20, 2020 May 2, 2020. Results total 219 at 65/118 (55%) institutions responded. Thirty (14%) had been redeployed. Residents reported greatest concerns regarding education ( P < .00001). Assuming adequate protective...
Objective Tracheal resection (TR) and cricotracheal (CTR) are performed for patients with airway stenosis, tracheal tumor, tracheoesophageal fistula. Post‐operative complications include edema requiring reintubation, hematoma, anastomotic dehiscence, restenosis, death. Although these associated risk factors have been well described, the time where clinical suspicion should be highest post operatively has not characterized. Methods Patients who underwent TR or CTR at a single center between...
Objective Anastomotic complications after tracheal resection/cricotracheal resection (TR/CTR), such as granulation tissue formation, can lead to severe morbidity. The off‐label use of nebulized ciprofloxacin‐dexamethasone (Ciprodex) for prophylaxis has anecdotally been used TR/CTR, especially in pediatric patients. However, its the adult population, and safety side effect profile post‐TR/CTR not reported. This study aims characterize incidence adverse effects associated with Ciprodex Methods...
Objective Vocal fold scar and sulcus pose significant treatment challenges with no current optimal treatment. Platelet‐rich plasma (PRP), an autologous concentration of growth factors, holds promise for regenerating the superficial lamina propria. This study aims to evaluate potential benefits serial PRP injections on mucosal wave restoration vocal function. Methods In a prospective clinical trial across two institutions, patients underwent four injections, one month apart. Blinded...
To describe the clinical courses and interventions of symptomatic patients with bilateral vocal fold motion impairment (BVFMI) attributed to diffuse idiopathic skeletal hyperostosis (DISH).
Benign phonotraumatic lesions of the vocal folds (BVFLs) are typically seen in younger female patients with high loads. Hemorrhagic polyps (HPs) do not fit classic paradigm most BVFLs, as they tend to occur an older population, have a male predominance, and report result from accident. We present one largest cohorts HPs, reexamine their etiology clinical features.
Objectives To analyze demographic trends in laryngology fellowship training the United States from 1993 to 2022, comparing periods before and after formalization of within National Resident Matching Program (NRMP) 2012. Methods A national database fellowship‐trained laryngologists (FTLs) non‐fellowship‐trained (nFTLs) practicing primarily was created by methodically compiling via Internet search, with corroboration regional vetting senior on this manuscript. Demographic variables included...
Introduction This study queries the US laryngology workforce geographic distribution and density models trends through 2050. Methods A national database of fellowship‐trained laryngologists (FTLs) nonfellowship‐trained (nFTLs) practicing primarily was formed by identifying via internet search, with validation regional senior on this manuscript. Demographic variables included residency and/or fellowship graduation year, institutional affiliation, practice zip code. Census Bureau population...
Sex disparities exist in academia. Female attendees consistently ask fewer questions scientific meetings than male attendees, even when they constitute half of the audience.
Background: Anterolateral thigh (ALT) microvascular free tissue transfer is an integral part of head and neck reconstructive surgery, but it can be complicated by postoperative donor site fluid collections. Objective: To measure the rate hematoma seroma formation in ALT those treated with microporous polysaccharide hemosphere (MPH) without. Methods: This was a retrospective cohort study examining patients undergoing for reconstruction at single academic center between 2014 2017. Primary...
Objective The aim was to explore recent laryngology graduates' perspectives on their experience, competency, and challenges learning office‐based procedures during fellowship training in the United States Canada. Methods Anonymous 22‐item questionnaire survey distributed electronically fellowship‐trained laryngologists having completed within past 5 years. Results Ninety between 2018 2022 were surveyed. Response rate 48.9% ( n = 44), 1 declined participation, with 20 different programs...
AbstractOrganizations providing services to persons with disabilities typically conduct interventions where clients can choose participation through completion, before program or non-participation. Evaluation of these interventions, however, relies on investigating the overall achievement objectives rather than collective behavior individuals families. Framed lens complexity theory, we compared adolescents intellectual and developmental who were participating in an employment readiness using...