A5029165677- Tracheal and airway disorders
- Obstructive Sleep Apnea Research
- Head and Neck Surgical Oncology
- Neuroscience of respiration and sleep
- Neonatal Respiratory Health Research
- Airway Management and Intubation Techniques
- Sleep and related disorders
- Otolaryngology and Infectious Diseases
- Sleep and Wakefulness Research
- Cleft Lip and Palate Research
- Hearing Loss and Rehabilitation
- Noise Effects and Management
- Voice and Speech Disorders
- Esophageal and GI Pathology
- Child Nutrition and Feeding Issues
- Nasal Surgery and Airway Studies
- Infectious Diseases and Tuberculosis
- Congenital Heart Disease Studies
- Dysphagia Assessment and Management
- Fetal and Pediatric Neurological Disorders
- Hearing, Cochlea, Tinnitus, Genetics
- Cardiovascular and Diving-Related Complications
- Trauma Management and Diagnosis
- Asthma and respiratory diseases
- Infant Development and Preterm Care
Eastern Virginia Medical School
2016-2025
Children's Hospital of The King's Daughters
2016-2025
Office of Multidisciplinary Activities
2022-2024
Harvard University
2022-2024
Temple University
2024
American Academy of Otolaryngology — Head and Neck Surgery
2024
St. Louis County Missouri
2019-2023
Laryngograph (United Kingdom)
2023
Washington University in St. Louis
2019-2023
Fondazione Istituto Neurologico Nazionale Casimiro Mondino
2016
Objective To identify and seek consensus on issues controversies related to ankyloglossia upper lip tie in children by using established methodology for American Academy of Otolaryngology–Head Neck Surgery clinical statements. Methods An expert panel pediatric otolaryngologists was assembled with nominated representatives otolaryngology organizations. The target population aged 0 18 years, including breastfeeding infants. A modified Delphi method used distill opinion into statements that met...
Importance The utility of adenotonsillectomy in children who have habitual snoring without frequent obstructive breathing events (mild sleep-disordered [SDB]) is unknown. Objectives To evaluate early compared with watchful waiting and supportive care (watchful waiting) on neurodevelopmental, behavioral, health, polysomnographic outcomes mild SDB. Design, Setting, Participants Randomized clinical trial enrolling 459 aged 3 to 12.9 years an apnea-hypopnea index (AHI) less than enrolled at 7 US...
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...
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...
Patients with Down syndrome have a high incidence of persistent obstructive sleep apnea (OSA) and limited treatment options. Upper airway hypoglossal stimulation has been shown to be effective for adults OSA but not yet evaluated pediatric populations.
Obstructive sleep apnea is associated with neurobehavioral dysfunction, but the relationship between disease severity as measured by apnea-hypopnea index and morbidity unclear. The objective of our study to compare mild sleep-disordered breathing versus obstructive apnea.Children 3-12 years old recruited for (snoring index<3) into Pediatric Adenotonsillectomy Trial Snoring were compared children 5-9 (obstructive 2-30) Childhood Trial. Baseline demographic, polysomnographic, outcomes using...
To determine the incidence and demographic profile of children who develop complications from deep neck space abscess.Case series.Tertiary children's hospital.One hundred thirty-eight patients admitted for abscesses between 1998 2008. Inclusion criteria were age younger than 18 years computed tomography scan demonstrating an abscess in retropharyngeal, parapharyngeal, or peritonsillar spaces. Children diagnosed with if purulence was encountered on operative incision drainage.In first 5...
Noise exposure is a major cause of hearing loss in adults. Yet, noise affects people all ages, and noise-induced also problem for young people. Sensorineural caused by other toxic exposures usually irreversible. Environmental noise, such as traffic can affect learning, physiologic parameters, quality life. Children adolescents have unique vulnerabilities to noise. may be exposed beginning NICUs well-baby nurseries, at home, school, their neighborhoods, recreational settings. Personal...
The objectives of the present study were (1) to assess receptive language scores in children after cochlear implantation and compare them with normal hearing loss that use aids (2) determine how demographic factors, such as age implantation, impact outcomes.Case series.Receptive profound prelingual who received implants between 1996 2004 analyzed.Standardized assessments available for 36 children. average at was 33 months. mean implanted within 1 standard deviation individuals. Children had...
<h3>Objective</h3> To compare the use of flexible laryngeal mask airway (LMA) and endotracheal tube (ETT) in pediatric adenotonsillectomy. <h3>Design</h3> Prospective randomized trial. <h3>Setting</h3> Tertiary care hospital. <h3>Patients</h3> One hundred thirty-one children (aged 2-12 years). Exclusion criteria were body mass index (calculated as weight kilograms divided by height meters squared) greater than 35 craniofacial anomalies. Obstructive sleep apnea was most common indication for...
Objective To determine the impact of adenotonsillectomy vs observation on quality life (QOL) in children with mild obstructive sleep apnea (OSA). Study Design Prospective, nonrandomized trial. Setting Tertiary children's hospital. Subjects and Methods Sixty‐four (ages 3‐16 years) OSA (apnea hypopnea index between 1 5 polysomnogram) completed study. Caregivers chose management options validated QOL instruments (OSA‐18 Children's Health Questionnaire) at baseline, early, late follow‐ups. The...
Neighborhood disadvantage (ND) has been associated with sleep-disordered breathing (SDB) in children. However, the association between ND and SDB symptom burden quality of life (QOL) not yet studied.
Objectives To determine if there are changes in the central apnea index (CAI) when pediatric patients undergo adenotonsillectomy for obstructive sleep (OSA). Study Design Case series with chart review. Setting Two tertiary children’s hospitals. Subjects and Methods Children between 1 16 years of age who underwent OSA had both preoperative postoperative full‐night polysomnography (PSG) CAI greater than on PSG were eligible inclusion. Central was defined as absence inspiratory effort chest...
(1) To identify tracheostomy complications in institutionalized children with chronic tracheostomy. (2) determine factors that predispose to development of tracheostomy.Case series chart review over 10 years.Tertiary children's hospital.Children were included if they underwent before 21 years age and resided at a pediatric nursing facility. Most ventilator dependent had severe comorbid medical conditions, including developmental delay cerebral palsy. The number unplanned hospital admissions...
Noise affects people of all ages. Noise-induced hearing loss, a major problem for adults, is also young people. Sensorineural loss usually irreversible. Environmental noise, such as traffic can affect learning, physiologic parameters, sleep, and quality life. Children adolescents have unique vulnerabilities. Infants children must rely on adults to remove them from noisy situations; may not recognize hazardous noise exposures; teenagers often do understand consequences high exposure music...
Glucose transporter type 1 deficiency syndrome is a genetically determined, treatable, neurologic disorder that caused by an insufficient transport of glucose into the brain. It mutation in SCL2A1 gene, which so far only known to be associated with this condition. consists wide clinical spectrum usually presents cognitive impairment, epilepsy, paroxysmal exercise-induced dyskinesia, acquired microcephaly, hemolytic anemia, gait disturbance, and dyspraxia different combinations. However,...
In Reply We would like to respond the Letter by Wang et al regarding our recently published article.1 note that outdoor physical activity and sunscreen use are additional variables may be associated with vitamin D levels in children.
Importance The literature indicates that health care utilization (HCU) of children with untreated moderate-to-severe obstructive sleep apnea is greater than matched controls before diagnosis, and treatment associated a decline in HCU not observed those who remain untreated. Research on this topic has been limited to retrospective analyses observational cohort studies; little known about among the many snoring mild sleep-disordered breathing (SDB). Objective To determine whether...