A5024091856- Tracheal and airway disorders
- Voice and Speech Disorders
- Dysphagia Assessment and Management
- Esophageal and GI Pathology
- Head and Neck Cancer Studies
- Airway Management and Intubation Techniques
- Diversity and Career in Medicine
- Vascular Anomalies and Treatments
- Respiratory and Cough-Related Research
- Ear and Head Tumors
- Interstitial Lung Diseases and Idiopathic Pulmonary Fibrosis
- Gastroesophageal reflux and treatments
- Surgical Simulation and Training
- Interpreting and Communication in Healthcare
- Medical Education and Admissions
- Otolaryngology and Infectious Diseases
- Head and Neck Anomalies
- Global Health Workforce Issues
- IgG4-Related and Inflammatory Diseases
- Anatomy and Medical Technology
- Cancer Diagnosis and Treatment
- Pain Management and Treatment
- Vasculitis and related conditions
- Inflammatory Myopathies and Dermatomyositis
- Vagus Nerve Stimulation Research
Mayo Clinic
2019-2025
WinnMed
2019-2025
Mayo Clinic in Arizona
2019-2024
Mayo Clinic in Florida
2022-2023
University of Minnesota Rochester
2023
Pioneer (United States)
2023
University of Chicago
2017-2019
Massachusetts General Hospital
2018
Harvard University
2018
University of Iowa Hospitals and Clinics
2012-2014
Analyze the duration of symptom-free intervals following laser wedge excision (LWE) for recurrent idiopathic subglottic stenosis (iSGS). Secondary aim includes evaluating influence patient-related or disease factors.
To evaluate the impact of age on disease recurrence in idiopathic subglottic stenosis (iSGS) patients.
Objective(s): To quantify and compare pre-procedure worry versus the experience of pain, gagging, dyspnea during in-office laryngoscopy procedures in patients who did or not receive anxiolytics, to explore patient perception intra-procedure interventions. Methods: Patients undergoing awake laryngology at a quaternary care center were enrolled. The State-Trait Anxiety Inventory (STAI) Y1 Y2 questionnaires administered establish baseline levels state anxiety trait anxiety, respectively....
Abstract Purpose The small and complex space of the intranasal cavity poses a challenge to teaching learning sinonasal anatomy in undergraduate medical education. Evidence suggests that utilizing 3D‐printed (3DP) models is an effective means comprehend anatomical structures their spatial relationships. In this study, we introduce evaluate educational value rigid nasal endoscopy on realistic 3DP silicone‐cast sinus as method teach students anatomy. Methods Twelve first‐year participated...
Abstract Objective This study aims to evaluate the impact of parity on severity and recurrence rates idiopathic subglottic stenosis (iSGS) in premenopausal females. Study Design A retrospective cohort study. Setting Two tertiary care centers from 2002 2024. Methods We analyzed iSGS patients under 40 years who underwent balloon dilation or laser wedge excision. Clinical features, including demographics pregnancy history, were examined. Recurrence between nulliparous parous compared using...
ABSTRACT Objective While endoscopic laser wedge excision (LWE) for iSGS demonstrated lower surgical recurrence rates compared to dilation (ED), ED remains the primary technique employed. Additionally, serial intralesional steroid injections (SILSIs) also demonstrate benefits in controlling disease. We aimed compare following ED, + SILSI, and LWE a patient's first operation. Methods This was two‐center retrospective analysis of patients who underwent either or LWE. Patients were followed...
ABSTRACT Objective There is currently not a marker of disease severity in idiopathic subglottic stenosis (iSGS). Our objective was to characterize iSGS patients' using endoscopic surgery rates. Methods This two‐center retrospective analysis patients with minimum 4 years follow up following an initial procedure (laser wedge excision (LWE) or dilation (ED)). Disease classified into Groups A–C, based on whether had fewer (Group A), the same number B), more surgeries C) 3–5 compared 1 and 2....
Idiopathic subglottic stenosis (iSGS) is a challenging and recurrent disease affecting Caucasian females with an unknown etiology multiple potential contributing factors.1 The most common method of management SGS includes endoscopic balloon or rigid dilation, often carbon dioxide (CO2) laser radial incisions prior to dilation.1 Balloon dilation does carry some risk including tracheal laceration, cricoid fracture, healthy trachea leading disruption normal mucosal tissue.2 First described in...
Objective We present the outcomes for patients with idiopathic subglottic stenosis (iSGS) following their first carbon dioxide laser wedge excision (LWE) procedure, additionally examining effect of compliance adjuvant medical therapy (triple therapy) after operation. Study Design Retrospective chart review. Setting Tertiary center. Methods A retrospective review was performed on 183 iSGS LWE and to (inhaled corticosteroid, proton pump inhibitor, trimethoprim‐sulfamethoxazole) operation, all...
To describe the outcomes of patients undergoing open stapler versus transoral rigid and flexible endoscopic therapies for symptomatic Zenker's diverticulum.Single institution retrospective review.Tertiary care academic hospital.We retrospectively evaluated 424 consecutive who underwent diverticulotomy via an stapler, CO2 laser, harmonic scalpel, or technique from January 2006 to December 2020.A total (173 females, mean age 73.1 ± 11.2 years) a single were included. A 142 (33%) laser...
To report on a series of patients with cANCA/PR3-positive, granulomatosis polyangiitis (GPA)-associated subglottic stenosis (SGS) and evaluate response to medical maintenance therapy rituximab versus other immunosuppressants following initial endoscopic laser excision.
Objective To evaluate the impact of methotrexate and rituximab therapy on highly recurrent idiopathic subglottic stenosis (iSGS) patients with a negative antineutrophil cytoplasmic antibody titer cANCA(−). Methods This was retrospective cohort study iSGS who recurred within 1 year or less were treated (MTX), (RTX), combination both at different time points (MTX/RTX). Average surgical durations before after drug treatment summarized, differences calculated. Results A total 21 female median...
Introduction: Recent reported evidence indicates that vocal cord carcinoma is evolving similarly to oropharyngeal cancer with an increasing number of patients without a smoking history having human papillomavirus (HPV) disease. Observations also suggest who present glottic are younger than has been in the past. Therefore, investigation was done examine incidence 30 years old (y/o) or younger. Methods: A retrospective review Institutional Review Board approval evaluate y/o presenting 2...
Objective To compare improvement in patient‐reported outcomes (PROM) persons undergoing endoscopic and open surgical management of Zenker diverticula (ZD). Methodology Prospective, multicenter cohort study all individuals enrolled the Prospective OUtcomes Cricopharyngeus Hypertonicity (POUCH) Collaborative who underwent surgery for ZD. Patient survey, radiography reports, 10‐item Eating Assessment Tool (EAT‐10) pre‐ post‐procedure were abstracted from a REDCap database, which summarized...
Objectives: To identify the utility of peak inspiratory flow (PIF) in assessment and management subglottic stenosis through correlation clinical presentation with PIF. Study Design: Case report. Methods: Review course a 31-year-old woman diagnosis granulomatosis polyangiitis. Repeated PIF measurements at clinic visits were obtained over 30-month follow-up. Results: Twenty-seven 31 otolaryngology visits. Correlations identified between low symptom shortness breath (2.04 ± 0.38 L/s, n = 10),...
Objective Inclusion body myositis (IBM) is a progressive inflammatory myopathy with dysphagia as debilitating sequalae. Otolaryngologists are consulted for surgical candidacy when there findings of cricopharyngeal dysfunction. We aim to compare transcervical myotomy (TCPM) versus endoscopic (ECPM) in the IBM population particular focus on objective swallow study outcomes, complications, and recurrence rates. Methods A retrospective cohort was performed patients who underwent TCPM or ECPM...
Objective To describe demographics and imaging compare findings symptoms at presentation in a large cohort of persons with cricopharyngeus muscle dysfunction (CPMD) without hypopharyngeal diverticula. Methodology Prospective, multicenter study all individuals enrolled the Prospective OUtcomes Cricopharyngeal Hypertonicity (POUCH) Collaborative. Patient survey, comorbidities, radiography, laryngoscopy findings, patient‐reported outcome measures (e.g., Eating Assessment Tool [EAT‐10]) data...
Objectives Many summer research programs (SRPs) for URiM students exist; however, only a few have been established by otolaryngology programs, who unique opportunity to provide diverse experience. We sought assess undergraduate student perspectives on the most valuable program features that influence decision‐making and how this might be useful seeking establish pathway programs. Materials Methods An externally facing REDCap survey composed of 37 questions in scaled, multiple‐choice,...
Objectives The aim of the study was to identify trends in postoperative management persons undergoing surgery for Zenker diverticula (ZD) by evaluating length stay (LOS), diet on discharge, and imaging with or without surgical complication. Methods Prospectively enrolled adult patients cricopharyngeal muscle dysfunction from August 1, 2017 February 2023 were included. Data extracted a multi‐institutional REDCap database, summarizing means, medians, percentages, frequencies. Fisher's exact...
Objectives: Prognostic information about the return of vocal fold mobility in patients with iatrogenic unilateral immobility (UVFI) can help informed decisions temporary and permanent treatment options. Although many variables influence likelihood recovery, clinical experience suggests that cervical versus thoracic injury is a determining factor. The purpose this study was to compare recovery rates from UVFI between injuries. Methods: A retrospective review medical record performed on all...
Recurrent laryngeal nerve injury is a potential complication of cardiothoracic surgery and cause unilateral vocal fold paralysis (UVFP). Injection laryngoplasty (IL) an intervention offered to patients with UVFP alleviate symptoms including dysphagia, dysphonia weak cough. There no definitive evidence that IL prevents pneumonia. In this study, we compare rates pneumonia in secondary who did or not undergo IL.A retrospective chart review identified diagnosed by otolaryngologist using flexible...
To our knowledge, we report the first series to analyze use of Montgomery cannula as an airway management tool for indications other than obstructive sleep apnea.To and outcomes placement identify placement.Retrospective review 20 patients who received a from 2003 through 2012 at University Iowa Hospitals Clinics.Montgomery placement.Indications placement, comorbidities, body mass index, reasons failure use, complications.Indications included glottic stenosis (n = 7), apnea 5), bilateral...