A5058865794- Tracheal and airway disorders
- Dysphagia Assessment and Management
- Voice and Speech Disorders
- Esophageal and GI Pathology
- Gastroesophageal reflux and treatments
- Airway Management and Intubation Techniques
- Eosinophilic Esophagitis
- Respiratory and Cough-Related Research
- Gastrointestinal disorders and treatments
- Esophageal Cancer Research and Treatment
- Foreign Body Medical Cases
- Helicobacter pylori-related gastroenterology studies
- Head and Neck Surgical Oncology
- Obstructive Sleep Apnea Research
- Head and Neck Cancer Studies
- Cervical and Thoracic Myelopathy
- Congenital Diaphragmatic Hernia Studies
- Otolaryngology and Infectious Diseases
- Oral and Maxillofacial Pathology
- Tumors and Oncological Cases
- Child Nutrition and Feeding Issues
- Bone Tumor Diagnosis and Treatments
- Trauma Management and Diagnosis
- Gastrointestinal Tumor Research and Treatment
- Head and Neck Anomalies
Augusta University
2016-2025
Augusta University Health
2012-2024
The University of Texas Health Science Center at San Antonio
2022
Georgia Regents Medical Center
2013-2016
University of Florida
2009
Wake Forest University
1998-2007
New York Proton Center
2004-2007
California State University, Sacramento
2006-2007
Indianapolis Zoo
2007
Winston-Salem State University
2007
Objectives: The Eating Assessment Tool is a self-administered, symptom-specific outcome instrument for dysphagia. purpose of this study was to assess the validity and reliability 10-item (EAT-10). Methods: investigation consisted 4 phases: 1) line-item generation, 2) reduction reliability, 3) normative data 4) analysis. All were collected prospectively. Internal consistency assessed with Cronbach alpha. Test-retest evaluated Pearson product moment correlation coefficient. Normative obtained...
Abstract Background The evaluation of medical and surgical outcomes relies on methods accurately quantifying treatment results. Currently, there is no validated instrument whose purpose to document the physical findings severity laryngopharyngeal reflux (LPR). Objective To evaluate validity reliability finding score (RFS). Methods Forty patients with LPR confirmed by double‐probe pH monitoring were evaluated pretreatment 2, 4, 6 months after treatment. RFS was documented for each patient at...
Abstract Objectives/Hypothesis: To define the prevalence of tracheotomy tube complications and evaluate risk factors (RFs) associated with their occurrence. Study Design: Multi‐institution historical cohort. Methods: Data regarding from consecutive surgeries performed across eight participating institutions between January 1, 2008 December 31, 2009 were retrospectively collected. Patient demographics, comorbidities, physician specialty, surgical technique recorded statistically analyzed to...
The objective of this work was to gather an international consensus group propose a global definition and diagnostic approach laryngopharyngeal reflux (LPR) guide primary care specialist physicians in the management LPR.
Patients with laryngopharyngeal reflux (LPR) undergoing treatment appear to have improvement in symptoms before the complete resolution of laryngeal findings.To determine whether patients LPR experience an findings.Forty consecutive documented by double-probe pH monitoring were evaluated prospectively. Symptom response therapy proton pump inhibitors was assessed at 2, 4, and 6 months a self-administered symptom index (RSI). In addition, transnasal fiberoptic laryngoscopy (TFL) performed...
Abstract Objectives/Hypothesis: To identify contemporary indications, treatment principles, technique, injection materials, complications, and success rates of vocal fold augmentation. Study Design: Multi‐institutional retrospective review. Methods: Records patients undergoing augmentation at seven university medical centers from July 2007 through June 2008 were reviewed for information regarding diagnosis, unilateral or bilateral injection, route anesthesia, site (office operating room),...
Surgical treatment comparisons in rare diseases are difficult secondary to the geographic distribution of patients. Fortunately, emerging technologies offer promise reduce these barriers for research.To prospectively compare outcomes 3 most common surgical approaches idiopathic subglottic stenosis (iSGS), a airway disease.In this international, prospective, 3-year multicenter cohort study, 810 patients with untreated, newly diagnosed, or previously treated iSGS were enrolled after undergoing...
Abstract Objectives/Hypothesis: There is a significant lack of uniform agreement regarding nomenclature for benign vocal fold lesions (BVFLs). This confusion results in difficulty clinicians communicating with their patients and each other. In addition, BVFL research comparison treatment methods are hampered by the detailed nomenclature. Study Design: Clinical consensus conferences were held to develop an initial paradigm. Perceptual video analysis was performed validate stroboscopy...
To report the prevalence of esophagitis in patients with pH-documented laryngopharyngeal reflux.Prospective study 58 consecutive documented reflux, all whom underwent transnasal esophagoscopy as part their reflux evaluations.All a diagnosis confirmed by abnormal pharyngeal pH monitoring over 5-month period were included, and subjects completed self-administered symptom index directed biopsy.Of mean age was 49 years (+/- 13 y), 53% (31 58) women. Of group, 40% (23 had heartburn 48% (28...
Objectives: The objectives of this study were to define the conditions that give rise a stress protein response in laryngeal epithelium and investigate whether how dysfunction contributes reflux-related disease. Methods: Western analysis was used measure (squamous epithelial proteins Sep70 Sep53 heat shock Hsp70) pepsin levels esophageal tissue specimens taken from both normal control subjects patients with pH-documented laryngopharyngeal reflux (LPR) who had documented lesions, some whom...
High-resolution transnasal esophagoscopy (TNE) allows comprehensive, in-office examination of the esophagus without sedation.To compare authors' present experience using TNE with our initial, previously reported experience.Retrospective review 611 consecutive patients undergoing was compared 100 reported.The most frequent indications for were screening in reflux, globus, or dysphagia (n = 490), biopsy a lesion laryngopharynx, trachea, 42), head and neck cancer 45), evaluation an esophageal...
Objectives: Unsedated office-based laryngeal laser surgery (UOLS) is now an effective alternative to traditional operating room-based suspension microdirect laryngoscopy under general anesthesia. This procedure includes pulsed dye (PDL) treatment of recurrent respiratory papillomas, granulomas, leukoplakia, and polypoid degeneration. The objective this study was determine the magnitude cost savings derived by moving these types procedures from room office setting. Methods: Retrospective...
Abstract The North American Airway Collaborative (NoAAC) previously published a 3‐year multi‐institutional prospective cohort study showing variation in treatment effectiveness between 3 primary surgical techniques for idiopathic subglottic stenosis (iSGS). In this report, we update these findings to include 5 years of data evaluating effectiveness. Patients the NoAAC were re‐enrolled 2 additional and followed using prespecified protocol. Consistent with prior data, observation 487 iSGS...
Hyperkinetic vocal function (muscle tension dysphonia) may be an indication of underlying glottal insufficiency. In the face organic voice disorder such as presbylaryngis or fold paresis. laryngeal behaviors used to achieve closure. Such compensatory mask correct diagnosis.We sought evaluate association between bowing due and abnormal muscle patterns (MTPs).One hundred consecutive volunteers >40 years old were prospectively evaluated. All underwent a comprehensive head neck examination that...
Objective: To evaluate a symptom-focused vocal impairment instrument for the evaluation of patients with voice disorders.Design: Prospective, nonrandomized study disorders undergoing treatment validation new symptom index, Glottal Function Index (GFI).Setting: Voice clinic at an academic tertiary care hospital.Patients: Consecutive therapy glottal insufficiency, adductor spasmodic dysphonia, nodules, and granuloma (40 in each group) 40 control patients. Interventions:The Pearson correlation...
Little information is available regarding the prevalence of laryngeal pathology in adults.To estimate occult a community-based cohort adults over 40 years age.One hundred consecutive volunteers age with no history voice disorders were enrolled. All completed self-administered symptom questionnaire and underwent comprehensive head neck examination including transnasal fiberoptic laryngoscopy.The mean was 61 years. Vocal fold bowing (presbylaryngis) present 72% patients, findings...
Vocal fold paresis (VFP) is a relatively common and often overlooked condition that can be difficult to diagnose based on the laryngeal examination alone. A retrospective review of records 50 consecutive adult patients with VFP was performed. In each case, diagnosis confirmed by electromyography. The presenting symptoms were dysphonia (100%), vocal fatigue (76%), diplophonia (40%), odynophonia (12%), findings unilateral hypomobility (50%), bowing (36%), bilateral (22%). Laryngoplasty and/or...