- Nasal Surgery and Airway Studies
- Sinusitis and nasal conditions
- Cleft Lip and Palate Research
- Obstructive Sleep Apnea Research
- Ear and Head Tumors
- Global Health and Surgery
- Body Contouring and Surgery
- Cerebrospinal fluid and hydrocephalus
- Head and Neck Surgical Oncology
- Craniofacial Disorders and Treatments
- Surgical Simulation and Training
- Facial Rejuvenation and Surgery Techniques
- Spinal Dysraphism and Malformations
- Clinical practice guidelines implementation
- Traumatic Brain Injury and Neurovascular Disturbances
- Reconstructive Facial Surgery Techniques
- Olfactory and Sensory Function Studies
- Ear Surgery and Otitis Media
- Simulation-Based Education in Healthcare
- Anesthesia and Pain Management
- Pneumothorax, Barotrauma, Emphysema
- Myofascial pain diagnosis and treatment
- Global Healthcare and Medical Tourism
- Congenital Ear and Nasal Anomalies
- Dermatologic Treatments and Research
Loma Linda University
2020-2025
Loma Linda University Medical Center
2025
Harvard University
2016-2020
Massachusetts Eye and Ear Infirmary
2016-2020
University of Minnesota
2019-2020
Bristol Royal Infirmary
2017
University of California, Los Angeles
2012-2016
Royal United Hospital
2016
Beth Israel Deaconess Medical Center
2015
Alameda Hospital
2013
Nasal airway obstruction is a common presenting complaint among patients in otolaryngology practices, and its treatment necessitates critical outcomes evaluation cost-utility analysis.To evaluate the utility applicability of EuroQol 5-Dimension (EQ5D) global health-related quality-of-life (HRQoL) questionnaire for assessment clinical functional septorhinoplasty.Prospective cohort study at university-based tertiary medical center undergoing septorhinoplasty nasal obstruction.Patient...
Spreader grafts have been shown to improve nasal airway obstruction in patients with valve dysfunction; however, their use has limited by concerns over aesthetic penalty of widening the dorsum.To evaluate association functional septorhinoplasty (FSRP) using spreader graft placement patient satisfaction appearance postoperatively.This prospective cohort study was conducted a university-based tertiary care medical center. All participants were undergoing FSRP for treatment who had placed...
Objective To evaluate the utility of peak nasal inspiratory flow (PNIF) as a measure airflow and functional septorhinoplasty (FSRP) outcomes. Methods Patients with obstruction were administered Nasal Obstruction Symptom Evaluation (NOSE) questionnaire PNIF testing between January 2015 2018. Surgical patients repeated these tests at 2, 4, 6, 12, 24 months postoperatively. Patient demographics operative techniques recorded. Results A total 610 evaluated for mean (standard deviation [SD]) NOSE...
This study identifies a novel relationship between cerebrospinal fluid (CSF) stroke volume through the cerebral aqueduct and characteristic peaks of intracranial pulse (ICP) waveform. ICP waveform analysis has become much more advanced in recent years; however, clinical practice remains restricted to mean ICP, mainly due lack physiological understanding Therefore, present set out shed some light on meaning morphological metrics derived by clustering continuous (MOCAIP) algorithm...
Objectives/Hypothesis To evaluate the safety, efficacy, and result stability of polydioxanone (PDS) plate use for L‐strut stabilization. Study Design Retrospective analysis a prospective cohort. Methods Patients who underwent functional septorhinoplasty with PDS plates between January 2013 2017 were administered Nasal Obstruction Symptom Evaluation (NOSE) scale pre‐ postoperatively at 2, 4, 6, 12 months. Patient demographics, reason use, graft type, complications, outcomes analyzed. Results...
Abstract In functional septorhinoplasty (FSRP), alternative grafting material is used if septal cartilage insufficient for reconstructive needs. Autologous costal (ACC) and irradiated homologous (IHCC) are compared via the Nasal Obstruction Symptom Evaluation (NOSE) scale. One-hundred forty-one patients who underwent FSRP with ACC or IHCC between January 2013 March 2018 were administered NOSE scale pre- postoperatively at 2, 4, 6, 12 months. There was no significant difference in mean scores...
Abstract Objective Saddle nose deformity is a well‐described condition that most commonly results from trauma or prior surgery. For larger saddle defects, bone grafts are reconstructive option provide adequate structure for repair. One new technique repair of these deformities vomerian onlay graft. We aim to review literature on autogenous deformities, as well introduce in which the vomer used an Methods Literature and case series. Five cases were reviewed between January 2013 December 2015....
Background: The question of whether or not abdominoplasty is associated with permanent weight reduction remains controversial. In coalition, should be used as an adjunct for in the overweight/obese patient? Methods: This retrospective patient case series attempts to determine most important factors reduction. Results: All patients undergoing had loss beyond that their resected pannus, a minimum body mass index reached 11.6 ± 1.7 weeks after surgery. Weight attributed increase satiety by 75...
By measuring health utility values (HUVs) for patients with nasal obstruction after septorhinoplasty, the association of congestion overall can be measured and functional outcomes septorhinoplasty determined. To use EuroQol 5-Dimension (EQ-5D) questionnaire to evaluate determine HUVs. This prospective cohort study included who underwent at a single institution by surgeon from January 1, 2013, through December 31, 2017. Participants completed EQ-5D immediately before surgery postoperatively...
Using health utility values (HUVs) as an outcome measure for surgical procedures, including rhinoplasty, allows a standardized measurement of the qualitative and financial benefit that procedure on overall health.To use Euroqol 5-Dimension (EQ-5D)-derived HUVs to evaluate nasal obstruction outcomes following surgery between primary rhinoplasty (PSRP) with previous (RNS) in prospective cohort study.A single-institution study 2013 2017 was carried out 185 patients who underwent RNS before...
Patients' lack of awareness available services is a significant barrier to delivering surgical care in resource-limited settings. Short message service (SMS) text messaging potential means disseminate this information settings, where rates mobile phone usage are high.A blast SMS informing local populations upcoming cleft lip-palate (CLP) was distributed 25% the subscriber base 1 week prior arrival team Zimbabwe. A retrospective cohort analysis comparing characteristics patients presenting...
Objective To identify characteristics of patients presenting preoperatively for functional septorhinoplasty associated with increased Nasal Obstruction Symptom Evaluation (NOSE) scores. Study Design Retrospective analysis a prospective cohort at tertiary medical center. Only baseline assessments were analyzed in this cross‐sectional study. Methods 1,338 completed nasal evaluation, resulting 1,034 NOSE Demographics, history, surgical and physical exam findings recorded. Results The average...
Necrotizing sialometaplasia (NSM) is a benign, reactive metaplastic condition of the minor salivary gland tissue typically seen in setting injury, chemical or traumatic, and nonneoplastic self-limited. The diagnosis may be challenging as it clinically mimic malignancy. We present case 74-year-old male with 1 pack per day smoking history for 60 years who presented reported 20-pound weight loss, dysphagia, dysphonia progressing over course 6 months found to have 3.5-cm hypopharyngeal mass on...