<h3>Importance</h3> Practice guidelines recommend nonopioid medications in children after tonsillectomy, but to date, studies have not used recent national data assess perioperative opioid prescribing patterns or the factors associated with these this population. Closing knowledge gap may help assessing whether such and prescription duration could be safely reduced. <h3>Objective</h3> To patterns, clinical demographic association between complications tonsillectomy compared using opioids....

Senior medical students are facing an unparalleled experiential gap left by COVID‐19 restrictions. Due to a shared commitment safety, equity, and well‐being, away rotations actively being discouraged or even prohibited. As result, transitioning residency encounter reduced clinical training experiences decreased access advising, mentorship, research opportunities. In addition, limited exposure life across subspecialties institutions poses unique challenges during the current application...

Background There is a paucity of evidence to guide decision-making regarding continuation virtual interviews. Objective To evaluate residency applicant preferences for Methods This retrospective, cross-sectional analysis utilized data from the Texas Seeking Transparency in Application Residency (STAR) survey (1) what percentage applicants favor interviews 2021 2023, and (2) factors predict preference The STAR distributed annually graduating medical students United States. It contains...

22q11.2 deletion syndrome (22q11.2DS) is a common genetic disorder with enormous phenotypic heterogeneity. Despite the established prevalence of developmental and neuropsychiatric issues in this syndrome, its neuroanatomical correlates are not as well understood. A retrospective chart review was performed on 111 patients diagnosed 22q11.2DS. Of patients, 24 genetically confirmed brain MRI or MRA were included study. The most indications for imaging unexplained delay (6/24), seizures unknown...

Abstract Objective To identify differences in timing of exposure and demographic characteristics between medical students who did not consider Otolaryngology as a career choice. Methods This cross‐sectional study involved developing distributing survey by an interdisciplinary team to assess individual consideration pursuing Otolaryngology. The was administered electronically third‐ fourth‐year at single school, with small monetary incentive for completion. Descriptive statistics, Fisher's...

Objective To compare surgical outcomes between pharyngeal flap, sphincter pharyngoplasty, and combined Furlow palatoplasty pharyngoplasty in the management of pediatric velopharyngeal insufficiency. Study Design Case series with chart review. Setting Tertiary care hospital. Subjects Methods After exclusion children velocardiofacial syndrome, 96 patients who underwent intervention 2008 2012 were identified. Surgical interventions categorized as pharyngoplasty. Main outcome measures included...

To evaluate the management and outcomes of children with invasive fungal sinonasal disease treated radical surgery.Retrospective case series.From 1994 to 2007, 11 pediatric patients were identified surgically by same otolaryngologist. Collected data included demographics, oncologic diagnoses, absolute neutrophil counts, symptoms, computed tomography scan findings, biopsy culture results, surgical procedures, concurrent medical therapies, complications, survival.The studied patient population...

To assess the impact of applicant and program characteristics on preference signaling outcomes during 2021 2022 application cycles in otolaryngology.

Abstract Purpose To assess the impact of applicant and residency program characteristics on preference signaling outcomes in Match during first 2 years implementation across 6 specialties. Method Data were obtained from Texas Seeking Transparency Application to Residency survey for applicants applying into otolaryngology 2020–2021 2021–2022 application cycles dermatology, internal medicine (categorical preliminary year), general surgery, urology cycle. The primary outcome was signal yield,...

This study seeks to determine the potential use and reliability of a large language learning model for answering questions in sub-specialized area medicine, specifically practice exam otolaryngology-head neck surgery assess its current efficacy surgical trainees learners.All available from public, paid-access question bank were manually input through ChatGPT.Outputs ChatGPT compared against benchmark answers explanations bank. Questions assessed 2 domains: accuracy comprehensiveness...

The COVID-19 pandemic has introduced a period of social isolation that challenged the ability providers to uphold in-person patient care. Although commonplace in pediatric otolaryngology, multidisciplinary clinics pose unique challenge during this time due increased infection risk from multiple patient-provider interactions. Guidance on application telemedicine for otolaryngology is limited.We provide comprehensive guidance best practices conducting visits number using our experiences at...

This study aims to assess trends in applicant-reported costs of the otolaryngology residency application process between 2019 and 2021 evaluate impact on number interview offers.

Objectives: Telemedicine was increasingly adopted in otolaryngology as a result of the COVID-19 pandemic, but how it compares to in-person visits over longitudinal course pandemic has not been characterized. This study telemedicine on measures clinical efficiency and patient satisfaction. Methods: We examined all encounters that occurred during 13-month period from April 1, 2020 30, 2021 at pediatric clinic associated with large tertiary care children’s hospital. compared demographics,...

Appropriate timing of subspecialty simulation is critical to maximize learner benefit and guide resource utilization. We aimed determine optimal a simulation-based curriculum designed teach entry-level procedural skills for otolaryngology residency.Simulation intervention tested among 3 comparison groups varying clinical levels.Academic training program medical school.We developed technical incorporating the following task trainers: flexible laryngoscopy, peritonsillar abscess drainage,...

This study aimed to compare outcomes of concomitant palatoplasty and sphincter pharyngoplasty with pharyngeal flap alone for the treatment velopharyngeal insufficiency in patients 22q11.2 deletion syndrome. Thirty-one cases were identified inclusion study. Patients separated into 3 surgical groups: combined (n = 11), 7), 13). Outcome measures included perceptual speech analyses, complications, revision rates. There no differences preoperative analysis scores (P .31). The procedure had...

Abstract Objective To identify barriers and facilitators to implementing shared decision making (SDM) in pediatric otolaryngology. Study Design A qualitative study. Setting Semistructured interviews of otolaryngologists. Methods The Theoretical Domains Framework (TDF) was used as a guide for data collection analysis consider capability, opportunity, motivation (COM‐B) factors. focal surgical procedures were tonsillectomy, adenoidectomy, tympanostomy tube placement. Deductive inductive coding...

Abstract Objective: To determine the importance of prelinguistic babbling by studying patterns speech and language development after cricotracheal resection in aphonic children. Study Design: Retrospective review seven previously children who underwent our pediatric thoracic airway team. The analyzed variables include age, sex, comorbidity, grade stenosis, length resected trachea, communication methods. Methods: Data regarding children's pre‐ postsurgical methods, along with their...

This survey-based pilot study evaluates app-driven postoperative care in the pediatric tonsillectomy population.

Objectives/Hypothesis Residency preparation courses (RPCs) have become a widely adopted practice to ease the transition of medical students into residency, but these often lack training in skills expected subspecialty interns. To fill this gap, simulation‐based curriculum otolaryngology (ORL) was implemented at University Michigan Medical School. The aimed improve confidence and perceived ability perform common ORL for graduating prior internship. Study Design Cross‐sectional study. Methods...

Objective To examine whether a service guideline reducing postoperative opioid prescription quantities and caregiver‐reported education to use nonopioid analgesics first are associated with pain control after pediatric tonsillectomy. Study Design Prospective cohort study (July 2018–April 2019). Setting Pediatric otolaryngology at tertiary academic children’s hospital. Subjects Methods Caregivers of patients aged 1 11 years undergoing tonsillectomy (N = 764) were surveyed 7 21 days surgery...