- Sinusitis and nasal conditions
- Head and Neck Surgical Oncology
- Nasal Surgery and Airway Studies
- Allergic Rhinitis and Sensitization
- Tracheal and airway disorders
- Asthma and respiratory diseases
- Obstructive Sleep Apnea Research
- Head and Neck Cancer Studies
- Salivary Gland Tumors Diagnosis and Treatment
- Dysphagia Assessment and Management
- Voice and Speech Disorders
- Respiratory and Cough-Related Research
- Ear Surgery and Otitis Media
- Vestibular and auditory disorders
- Hearing, Cochlea, Tinnitus, Genetics
- Infectious Diseases and Mycology
- Oral and Maxillofacial Pathology
- Olfactory and Sensory Function Studies
- Hearing Loss and Rehabilitation
- Airway Management and Intubation Techniques
- Ear and Head Tumors
- Thyroid Cancer Diagnosis and Treatment
- Head and Neck Anomalies
- Healthcare Systems and Technology
- Otolaryngology and Infectious Diseases
Harvard University
2016-2025
Massachusetts Eye and Ear Infirmary
1999-2025
Lemuel Shattuck Hospital
2024
Brigham and Women's Hospital
2012-2021
Triological Society
2006-2021
Impact
2021
Vanderbilt University
2020
Louisiana State University
2018
Moscow Research and Clinical Center for Neuropsychiatry
2017
John Wiley & Sons (United States)
2016
Objective This update of a 2008 guideline from the American Academy Otolaryngology-Head and Neck Surgery Foundation provides evidence-based recommendations to benign paroxysmal positional vertigo (BPPV), defined as disorder inner ear characterized by repeated episodes vertigo. Changes prior include consumer advocate added group; new evidence 2 clinical practice guidelines, 20 systematic reviews, 27 randomized controlled trials; enhanced emphasis on patient education shared decision making;...
Objective This update of a 2008 guideline from the American Academy Otolaryngology—Head and Neck Surgery Foundation provides evidence‐based recommendations to benign paroxysmal positional vertigo (BPPV), defined as disorder inner ear characterized by repeated episodes vertigo. Changes prior include consumer advocate added group; new evidence 2 clinical practice guidelines, 20 systematic reviews, 27 randomized controlled trials; enhanced emphasis on patient education shared decision making;...
Chronic pain is associated with reduced quality of life, increased medical expenditures, and significant economic costs. among the most common chronic conditions in United States, although estimates vary widely regarding its precise prevalence. Understanding scope problem using contemporaneous data therefore an important goal. This study sought to determine prevalence impacts adults States National Health Interview Survey, a household-based annual survey self-reported health status U.S. that...
To determine the incidence and predictive factors for complications after total thyroidectomy.Cross-sectional analysis of a national database on thyroidectomy cases.The National Hospital Data Survey was examined all cases performed during 1995 to 1999 were extracted. In addition demographic information, postoperative including hypocalcemia, recurrent laryngeal nerve paralysis, wound complications, medical morbidities identified. Statistical conducted potential complications.A 517 patients...
Tinnitus is a common problem for millions of individuals and can cause substantial negative effects on their quality life. A large epidemiologic study tinnitus its management patterns in the US adult population lacking.To quantify features effect to analyze United States relative 2014 American Academy Otolaryngology-Head Neck Surgery Foundation (AAO-HNSF) clinical practice guidelines.This cross-sectional analysis representative 2007 National Health Interview Survey (raw data, 75 764...
Objectives/Hypothesis Quantify the relationships between tinnitus, and anxiety depression among adults. Study Design Cross‐sectional analysis of a national health survey. Methods Adult respondents in 2007 Integrated Health Interview Series tinnitus module were analyzed. Data for symptoms severity reported extracted. Associations problems anxiety, depression, lost workdays, days alcohol consumption, mean hours sleep assessed. Results Among 21.4 ± 0.69 million adult sufferers, 26.1% with...
Objectives: I determined incremental increases in health care expenditures and utilization associated with chronic rhinosinusitis (CRS). Methods: Patients a reported diagnosis of CRS were extracted from the 2007 Medical Expenditure Panel Survey medical conditions file linked to consolidated file. The patients then compared without determine differences (office visits, emergency facility prescriptions filled), as well (total costs, office visit prescription medication self-expenditures) by...
Abstract Objectives/Hypothesis: Determine the prevalence of ambulatory sinonasal surgical procedures and perioperative outcomes in United States. Methods: The National Survey Ambulatory Surgery 2006 release was examined, extracting all cases nasal or sinus surgery. Sinonasal were grouped according to septoplasty and/or turbinate surgery, facial plastic other procedures. Overall group population‐based procedure prevalences estimated from sample. Frequency general anesthesia, discharge status,...
Objectives/Hypothesis Determine the prevalence of voice problems and types disorders among adults in United States. Study Design Cross‐sectional analysis a national health survey. Methods The 2012 National Health Interview Survey was analyzed, identifying adult cases reporting problem preceding 12 months. In addition to demographic data, specific data regarding visits healthcare professionals for problems, diagnoses given, severity were analyzed. relationship between lost workdays...
To determine the prevalence of dysphagia, reported etiologies, and impact among adults in United States.Cross-sectional analysis a national health care survey.The 2012 National Health Interview Survey was analyzed, identifying adult cases reporting swallowing problem preceding 12 months. In addition to demographic data, specific data regarding visits professionals for problems, diagnoses given, severity were analyzed. The relationship between problems lost workdays assessed.An estimated 9.44...
Objectives/Hypothesis Establish treatment patterns and economic burden in US patients with chronic rhinosinusitis nasal polyposis (CRSwNP) versus without (CRS). Determine comparative costs of subgroups high clinical burden. Study Design Observational, retrospective, case‐control study. Methods This study matched CRSwNP to CRS (1:1) using the Truven Health MarketScan claims database. Categorical continuous variables were compared McNemar test paired t (normal distribution) or Wilcoxon signed...
Mast cells in type 2 airway inflammation exhibit heterogeneous inflammation-associated phenotypes and proliferate situ.
The objective of the study was to determine associations depression and anxiety with chronic pain among U.S. adults.Nationally representative cross-sectional survey analysis.The National Health Interview Survey for 2019 analyzed respect module embedded scales (PHQ-8 GAD-7). Univariate between presence scores were determined. Similarly, adults' treating medications also Odds ratios, adjusted age sex, computed these associations.Among 244.6 million sampled adults, 50.2 (95% confidence...
Background The aim of this study was to delineate patient symptoms and economic burdens chronic rhinosinusitis (CRS). Methods Adult patients with CRS were assessed prospectively a survey instrument. Symptom scores for major minor CRS, medication use, physician visits work days missed determined. Cost analyses conducted. Results Three hundred twenty-two studied (mean age, 42.3 years). Nasal obstruction facial congestion the most common severe symptoms, headache fatigue symptoms. Patients...
Abstract Objective To determine the reliability of assessment laryngoscopic findings potentially associated with laryngopharyngeal reflux disease (LPRD). Study Design Prospective randomized blinded study. Methods One hundred twenty video segments rigid fiberoptic laryngeal examinations were prospectively analyzed by five otolaryngologists to patient information and scored according several variables LPRD. Separate assessments degree erythema edema on a five‐point scale for anterior...
The objectives of this prospective, double-blind diagnostic cohort study were to explore the relationship between patients' reported symptoms chronic rhinosinusitis (CRS) and radiographic findings in CRS define clinically based criteria for determine a classification scheme that would allow accurate diagnosis patients with CRS.A prospective series adult undergoing evaluation potential was studied. Patients' tabulated Rhinosinusitis Symptom Inventory (RSI), which records associated on Likert...
Abstract Objective To determine the sensitivity, specificity, and diagnostic accuracy of paranasal sinus computed tomography (CT) in diagnosis chronic rhinosinusitis (CRS). Study Design Prospective dual cohort study. Methods One hundred seventy‐one consecutive patients undergoing endoscopic surgery for CRS were evaluated with CT staged according to Lund system. Histopathological findings from specimens reviewed graded. A second contemporaneous control group 130 regions other reasons but...
Abstract Objectives/Hypothesis: To quantify the prevalence and determine impact of dizziness balance disorders in elderly. Study Design: Cross‐sectional analysis a national database. Methods: The problems survey module 2008 National Health Interview Survey was examined, cases reported or persons ≥65 years old were identified. associated symptoms their impacts on self‐reported functional limitations determined. related daily activities for elderly with quantified. Sex‐based differences...
Abstract Background Inflammation/polyp recurrence, adhesions, and middle turbinate lateralization are causes of suboptimal outcomes following sinus surgery lead to increased rates revision. A bioabsorbable, drug‐eluting stent was evaluated for its ability preserve patency by providing controlled steroid delivery the mucosa. The study objective assess safety efficacy a steroid‐eluting when used functional endoscopic (FESS) in patients with chronic rhinosinusitis (CRS). Methods Prospective,...