A5036000536- Tracheal and airway disorders
- Obstructive Sleep Apnea Research
- Neuroscience of respiration and sleep
- Airway Management and Intubation Techniques
- Head and Neck Surgical Oncology
- Ear Surgery and Otitis Media
- Sinusitis and nasal conditions
- Esophageal and GI Pathology
- Neonatal Respiratory Health Research
- Ultrasound in Clinical Applications
- Hereditary Neurological Disorders
- Cleft Lip and Palate Research
- Clinical Reasoning and Diagnostic Skills
- Nasal Surgery and Airway Studies
- Artificial Intelligence in Healthcare and Education
- Connective tissue disorders research
- Otitis Media and Relapsing Polychondritis
- Family and Patient Care in Intensive Care Units
- Tumors and Oncological Cases
- Oral and Craniofacial Lesions
- Cardiac, Anesthesia and Surgical Outcomes
- Telemedicine and Telehealth Implementation
- Nasolacrimal Duct Obstruction Treatments
- Infection Control and Ventilation
- Teratomas and Epidermoid Cysts
Children's National
2010-2025
George Washington University
2021-2024
West Virginia University
2017-2022
Georgetown University
2010
Objective To develop an expert consensus statement on pediatric drug‐induced sleep endoscopy (DISE) that clarifies controversies and offers opportunities for quality improvement. Pediatric DISE was defined as flexible to examine the upper airway of a child with obstructive apnea who is sedated asleep. Methods Development group members expertise in followed established guidelines developing statements. A search strategist systematically reviewed literature, best available evidence used...
Abstract Objective To develop an expert consensus statement regarding persistent pediatric obstructive sleep apnea (OSA) focused on quality improvement and clarification of controversies. Persistent OSA was defined as after adenotonsillectomy or tonsillectomy when adenoids are not enlarged. Methods An panel clinicians, nominated by stakeholder organizations, used the published methodology from American Academy Otolaryngology‐Head Neck Surgery to statements for a target population children...
Over the past year, world has been captivated by potential of artificial intelligence (AI). The appetite for AI in science, specifically healthcare is huge. It imperative to understand credibility large language models assisting public medical queries.
To quantify ChatGPT's concordance with expert Otolaryngologists when posed high-level questions that require blending rote memorization and critical thinking.Cross-sectional survey.OpenAI's ChatGPT-3.5 Platform.Two board-certified otolaryngologists (HZ, RS) input 2 sets of 30 text-based (open-ended single-answer multiple-choice) into the model. Responses were rated on a scale (correct, partially correct, incorrect) by each Otolaryngologist working simultaneously AI Interrater agreement...
Children with medical complexity (CMC) often face significant barriers to accessing care, obtaining appropriate insurance coverage for devices, technology, supplies, home nursing and social services. These challenges, when viewed through the lens of determinants health, highlight concerns about healthcare inequity. inequities can impact CMC by limiting access follow-up appointments, leading disproportionate use emergency department services, restricting support reducing quality products...
Background: Chronic rhinosinusitis (CRS) is a multifaceted disease with significant genetic component. The importance of taste receptor signaling has recently been highlighted in CRS; single nucleotide polymorphisms (SNPs) bitter tastant-responsive G-protein-coupled receptors have linked CRS and altered innate immune responses to multiple bacterially derived signals. Objective: To determine the frequency six SNPs genes known tastant function. Methods: Genomic DNA was isolated from 74...
Despite an increase in pediatric patients being discharged with a tracheostomy tube (TT), morbidity and mortality rates remain considerable. The aim of this quality improvement (QI) project is to reduce the proportion documentation errors per 1000 by 50% or more, sustain for six months. Using Model Improvement Plan-Do-Study-Act (PDSA) cycle, key driver diagram (KDD) identified challenges accessing accurate TT information within electronic medical record (EMR). EMR representatives created...
Importance Acid suppression therapy is frequently administered to infants with laryngomalacia presenting stridor despite limited evidence in the literature reporting its efficacy for this subset of patients. Objective To evaluate frequency supraglottoplasty nonsevere treated gastroesophageal reflux disease (GERD) medications. Design, Setting, and Participants This retrospective cohort study included younger than 6 months a clinical diagnosis initially managed either watchful waiting or GERD...
Abstract Endoscopic transmaxillary approaches to remove juvenile nasopharyngeal angiofibromas (JNAs) have been described previously and are used for tumors that extend laterally in the pterygopalatine fossa (PPF) infratemporal (ITF). There is no previous description of robotic‐assisted JNA removal literature. The video will demonstrate success this technique. Robotic lateral PPF ITF easily achieved through an extended Caldwell‐Luc antrostomy. Total operative time was 519 minutes. robotic 283...
Drug-induced sleep endoscopy-directed lingual tonsillectomy and midline posterior glossectomy have been employed for the treatment of obstructive apnea in children. The purpose this study is to evaluate outcomes children undergoing tonsillectomy, glossectomy, or combined base tongue reduction procedures apnea.Case series with chart review.Tertiary care academic medical center.A case was performed review pediatric patients who underwent surgery as directed by drug-induced endoscopy. Pre-...
The objective of our study was to assess the long-term effectiveness balloon catheter sinuplasty in treatment pediatric chronic maxillary sinusitis following failed first-line medical and surgical management with adenoidectomy. Pediatric patients younger than 12 years were reviewed for having previous adenoidectomy undergone a between August 2006 March 2011 rhinosinusitis. Demographic data clinical characteristics recorded who met inclusion criteria. Outcomes assessed by need functional...
To examine whether in vitro exposure of mouse middle ear epithelial cells (mMEECs) to conditions that mimic physiologic reflux upregulates Muc5b gene expression and alters cell viability.In mMEEC model.Center for Genetic Medicine Research, Children's National Medical Center, Washington, DC.Cells from the immortalized line.Cell viability, quantity messenger RNA abundance, promoter activity.The 3-(4,5-dimethylthiazoyl-2-yl)-2,5-diphenyltetrazolium bromide assays demonstrated an acidic...
Objective To use objective quantification of polysomnographic (PSG) parameters in premature infants to define the severity and nature obstructions (partial hypopnea vs. total obstruction), along with impact on sleep fragmentation oxygenation patterns. Methods Retrospective comparison PSG features 207 (<12 months) referred for disordered breathing. Our study groups included term (> = 37 weeks GA, n 162) (<37 45) infants. Groups were compared OSA sleep‐stage—specific apnea (AHI)...
Objective . To establish the incidence and possible contributing factors leading to adenoid regrowth in children with pediatric sleep apnea using drug induced endoscopy (DISE). Methods Children treated for obstructive following previous adenoidectomy were evaluated DISE. Adenoid was scored by same attending physician a 5-point grading scale. Age, sex, body mass index (BMI) percent age, polysomnogram results, initial size before adenoidectomy, postoperative complications evaluated. Results...
Objective . To demonstrate lateral pharyngeal wall collapse and increased apnea-hypopnea index in a child posttonsillectomy. Background Some children have worsening of their sleep symptoms after tonsillectomy for obstructive apnea. This case report demonstrates an open airway on drug-induced endoscopy (DISE) with tonsillar hypertrophy followed by more pronounced obstruction related to tonsillectomy. Case Presentation A 7-year-old boy presented apnea underwent workup DISE. Following...