A5052861487- Head and Neck Surgical Oncology
- Meningioma and schwannoma management
- Pituitary Gland Disorders and Treatments
- Sinusitis and nasal conditions
- Venous Thromboembolism Diagnosis and Management
- Airway Management and Intubation Techniques
- Head and Neck Cancer Studies
- Salivary Gland Tumors Diagnosis and Treatment
- Growth Hormone and Insulin-like Growth Factors
- Esophageal and GI Pathology
- Vestibular and auditory disorders
- Olfactory and Sensory Function Studies
- Opioid Use Disorder Treatment
- Reconstructive Surgery and Microvascular Techniques
- Cerebrospinal fluid and hydrocephalus
- Anesthesia and Sedative Agents
- Bone Tumor Diagnosis and Treatments
- IgG4-Related and Inflammatory Diseases
- Systemic Lupus Erythematosus Research
- Infectious Diseases and Mycology
- Vasculitis and related conditions
- Tracheal and airway disorders
- Facial Trauma and Fracture Management
- Adrenal and Paraganglionic Tumors
- Oral and Maxillofacial Pathology
Duke University
2019-2021
Rutgers New Jersey Medical School
2013-2018
Rutgers, The State University of New Jersey
2013-2018
Wayne State University
2015
Background Sinonasal melanoma (SNM) is a rare malignancy that commonly presents at an advanced age and has slight male predominance. Local recurrence been implicated as major reason for treatment failure, there are poor reported 5‐year survival rates. We analyzed the impact of specific location within sinonasal region on this malignancy. Methods The U.S. National Cancer Institute's Surveillance, Epidemiology, End Results (SEER) registry was used to extract data SNM between 1973 2009....
Objective The impact of diabetes mellitus (DM) on surgical outcomes and cost care for patients undergoing surgery head neck cancer (HNCA) is not well established. We used the Nationwide Inpatient Sample to analyze postoperative DM HNCA patients. Study Design Population‐based inpatient registry analysis. Setting Academic medical center. Subjects Methods Discharge data from were analyzed 2002 2010. Patient demographics, comorbidities, length stay, hospital charges, complications compared...
Orbital cellulitis represents a spectrum of diseases, some which may progress to potentially serious complications. The authors used the Nationwide Inpatient Sample (NIS) database analyze epidemiologic features pediatric and adult patients admitted for treatment orbital examine associations with surgical management.The NIS was queried from 2002 2010. Patient demographics, length stay, hospital charges, concomitant diagnoses were analyzed.There 14,149 cases identified 1,717 (12.1%) having...
Objective To compare comorbidities and in-hospital complications between elderly nonelderly patients undergoing vestibular schwannoma (VS) surgery. examine average length of stay (LOS) hospital charges among patients. Study Design Population-based inpatient registry analysis. Setting Academic medical center. Subjects Methods Retrospective analysis the National Inpatient Sample for VS surgery from 2002 to 2010: 4137 met inclusion criteria, with 519 (12.5%) in cohort (≥65 years). Outcomes (<65...
Objectives/Hypothesis Responsible prescribing of postoperative pain medications is necessary in combatting the current opioid epidemic United States. The goal this study was to determine which clinical factors affect usage following functional endoscopic sinus surgery (FESS). Study Design Retrospective medical records study. Methods This a single‐institution retrospective subjects undergoing FESS by senior author between September 2016 and December 2017. Opioid assessed for each patient at...
Objectives/Hypothesis Our objectives included using a nationally representative resource to evaluate charges, demographics, and complication rates among diabetics undergoing surgical repair of facial fractures. Methods We evaluated the Nationwide Inpatient Sample, database encompassing nearly 8 million hospitalizations, for patients with diagnosis fracture who underwent intervention during their hospitalization. Patients were organized by whether they had diabetes mellitus (DM). Results Of...
Objectives/Hypothesis In 2008, the Centers for Medicare and Medicaid Services discontinued reimbursement postoperative venous thromboembolism (VTE) events such as deep thrombosis pulmonary embolism, citing them preventable complications. We examined impact of VTE on patients undergoing pituitary surgery. Methods The Nationwide Inpatient Sample (NIS) was evaluated resection from 2002 to 2010. Patient demographics, comorbidities, length stay, hospital charges, complications were analyzed....
<b>Background</b> The Nationwide Inpatient Sample (NIS) database was used to analyze the demographic features and concomitant diagnoses in patients admitted with cerebrospinal fluid (CSF) rhinorrhea. <b>Methods</b> We analyzed NIS for all hospital admissions of CSF rhinorrhea between 2002 2010. Patient demographics, length stay, charges, diagnoses, level characteristics, complications were undergoing surgical repair (group I) those treated without II). <b>Results</b> Patients group I...
Background Transsphenoidal surgery (TSS) is a common procedure for variety of pituitary lesions. This can be associated with complications related to the or specific pathology. In this study, we evaluate inpatient postoperative among patients who underwent TSS growth hormone adenomas using nationally representative database, and compare patient characteristics other benign neoplasms. Methods Analysis Nationwide Inpatient Sample revealed 13,070 (including 892 acromegaly) between 2002 2010....
Objective: Transsphenoidal surgery (TSS) harbors a potential for hypopituitarism, cerebrospinal fluid (CSF) leaks, and other complications. We utilized the Nationwide Inpatient Sample Database (NIS) to compare inpatient complication rates between Cushing’s disease (CD) non-Cushing’s (NCD) patients undergoing TSS. Methods: hospitalization data 960 CD 12 110 NCD who underwent TSS 2002 2010 were accessed. Demographic information, outcomes, evaluated. Results: Patients with had female...
Transsphenoidal surgery (TSS) has emerged as the standard approach for pituitary resection due to its minimally invasive nature. There been little analysis examining impact of diabetes mellitus (DM) on patients undergoing TSS. In this study, we characterize DM's association with postoperative TSS complications. addition associated charges and patient demographics, performed comparison complication rates between DM non-DM who have undergone in recent years.The Nationwide Inpatient Sample, a...
Objectives/Hypothesis Postoperative pneumonia (PNA) has been identified as a preventable never event by the Centers for Medicare and Medicaid Services (CMS). The CMS discussed possibly discontinuing reimbursement this postoperative complication. In study, risk factors, patient outcomes, hospital charges of care associated with PNA in patients undergoing pituitary surgery were evaluated. Methods Discharge data who underwent between 2002 2010 obtained from National Inpatient Sample database....
To assess olfactory outcomes as measured by an olfactory-specific quality of life (QOL) questionnaire in patients undergoing EESBS for sellar lesions.Retrospective case series.Tertiary academic medical center.In total, 36 lesions limited to the sella were evaluated.The following performed before and three months after surgery: 22-Item Sinonasal Outcomes Test (SNOT-22), University Pennsylvania Smell Identification (UPSIT), Assessment Self-reported Olfactory Functioning (ASOF), which has...
Background Fewer than 4% of pituitary tumors are malignant lesions. These predominantly represent metastatic disease from elsewhere. This study evaluates inpatient complications, demographics, and hospitalization characteristics patients who underwent transsphenoidal surgery (TSS) for Methods The Nationwide Inpatient Sample was evaluated TSS 1998 to 2010. Demographics, characteristics, complications were among with lesions compared those benign tumors. Results There 17,425 records, 1.0%...
Nonchordomatous lesions of the clivus are rare entities. Nasopharyngeal radium irradiation (NRI) treatment consists application to posterior nasopharynx near orifice Eustachian tubes, an area adjacent clivus. Here we present a unique case patient with history NRI 70 years prior presentation space-occupying clival lesion suspicion for skull-based malignancy. This was resected using endoscopic endonasal approach. Histopathological analysis revealed keloid, entity not previously reported in literature.