Challenges Facing Otolaryngologists in Low- and Middle-Income Countries During the COVID-19 Pandemic
Publication date: Available online 18 August 2020Source: International Journal of Pediatric OtorhinolaryngologyAuthor(s): Maxwell P. Kligerman, Shaina Lamour, Samuel Okerosi, Blake Alkire, Mary Xu, Robbie Patterson, Johan Fagan, Mahmood Bhutta, Mark Shrime, Patrick Jean Gilles, Titus Ibekwe, Ncogoza Isaei, Travis Tollefson, David Shaye, Josephine Czeckowitz, James Suanders, Mark Zafereo, Doreen Nakku, Theodore Klug, Avelyne Kahinga
Publication date: Available online 18 August 2020Source: International Journal of Pediatric OtorhinolaryngologyAuthor(s): Kathrine Nordblad Fenger, Ida Gillberg Andersen, Louise Aas Holm, Jens Christian Holm, Preben Homøe
Publication date: Available online 18 August 2020Source: International Journal of Pediatric OtorhinolaryngologyAuthor(s): Matthew Ku, Shirley Cheung, William Slattery, Erik Pierstorff
Publication date: Available online 18 August 2020Source: International Journal of Pediatric OtorhinolaryngologyAuthor(s): Isuru Dharmarathna, Anna Miles, Laura Fuller, Jacqui Allen
Publication date: Available online 17 August 2020Source: International Journal of Pediatric OtorhinolaryngologyAuthor(s): Kelsey A. Loy, Austin S. Lam, Jeffrey P. Otjen, John P. Dahl
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Objectives/Hypothesis Disturbed perilymph behind a labyrinth fistula can lead to hearing deterioration; thus, delicate manipulation is required during surgery for cholesteatomatous fistulae with matrix extension to the perilymphatic space (EPS). However, it remains challenging to identify the EPS preoperatively. This study aimed to evaluate the diagnostic value of computed tomography (CT) for preoperative prediction of the EPS of cholesteatomatous fistulae. Study Design Retrospective study....
Objectives/Hypothesis Prevertebral fascia invasion is a feature of advanced hypopharyngeal squamous cell carcinoma (HPSCC) that predicts surgical futility. Magnetic resonance and computed topography imaging are used to identify prevertebral involvement, but reliable prediction remains a challenge. Our aims were to describe a new indication for esophagrams and assess its ability to detect prevertebral invasion preoperatively. Study Design Retrospective Review. Methods A retrospective...
Objective Macrophages exhibit distinct phenotypes and are dysregulated in a model of iatrogenic laryngotracheal stenosis (iLTS). Increased populations of alternatively activated or M2 macrophages have been demonstrated. However, the role of these macrophages is unknown. The aims of this study are: 1) define the macrophage population in iLTS in the context of classically activated or M1 and M2 macrophage phenotypes, and 2) characterize the effect of monocyte‐derived M1 and M2 macrophages on normal...
Objectives/Hypothesis Otolaryngology instructional videos available online are often of poor quality. The objective of this article was to establish international consensus recommendations for the production of educational surgical videos in otolaryngology. Study Design DELPHI survey. Methods Twenty‐seven international respondents participated in this study from 12 countries. Consensus was reached after three rounds of questionnaires following the Delphi methodology. The proposals having...
Objectives/Hypothesis Virtual surgical planning (VSP) for reconstructions of advanced mandibular neoplasms that have distorted the contour of the mandible is challenging, as the premorbid shape of the mandible is unknown. We introduce a novel modeling technique, based on a statistical shape model (SSM), that has learned the shape of a normal mandible from a set of 84 mandibles, such that given a diseased mandible, the model can determine its premorbid shape. Methods Eighty‐four control mandibles...
Objectives Our objective was to identify gender differences in work‐life balance, professional advancement, workload, salary, and career satisfaction among facial plastic and reconstructive surgeons. Study Design Cross‐Sectional Survey Methods American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) members were invited by email to respond to a confidential 25‐question online survey. The survey had a response rate of 12%. There were a total of 139 participants; 23 participants...
Objective Recently, treatment decision making for large vestibular schwannomas (VS) in patients with neurofibromatosis type 2 (NF2) has become increasingly challenging due to the availability of multiple therapeutic options including surgery, bevacizumab (an anti‐VEGF), radiosurgery, and observation; and it often remains an arbitrary decision based on local practices without firm recommendations. Our objective is to discuss the multimodal treatment options for Koos IV VS in a national reference...
Objectives Physician compensation for procedures is typically rooted in the work relative value unit (wRVU) system. Operative time is one of the factors that goes into the determination of wRVU assignment. There should be consistency between the wRVU/hr rate, irrespective of average operative time required to perform certain procedures. We investigate if wRVU assignment for otolaryngology procedures adequately accounts for increased operative time. Study Design Retrospective analysis of a...
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