Objective: Our study aimed to both identify the incidence and clinical presentation of patients presenting with idiopathic vocal fold paralysis (IVFP). Secondarily we aimed to assess the radiographic findings of computed tomography (CT) studies along the course of the vagus and recurrent laryngeal nerves (RLN), specifically measuring for potential areas of compression at the skull base and mediastinum. We hypothesized that a proportion of patients diagnosed with IVFP would have significant differences in measurements when compared to age-gender matched controls on CT imaging.
View Article and Find Full Text PDFOtolaryngol Head Neck Surg
July 2021
Objective: To compare presenting symptoms, etiology, and treatment outcomes among dysphonic adults <65 and ≥65 years of age.
Study Design: Retrospective cohort study.
Setting: Tertiary care voice center between January 2011 and June 2016.
Introduction: Improved preoperative localization facilitates minimally invasive parathyroidectomy for removal of parathyroid lesions therefore preventing an invasive bilateral neck exploration. As 4D-CT has emerged, its high specificity has helped with preoperative parathyroid lesion localization. A high negative predictive value (NPV) would serve to further confirm parathyroid lesion localization and limit unnecessary surgical exploration.
View Article and Find Full Text PDFObjective: To evaluate the role of neurocognitive impairment on retention in care across the lifespan in antiretroviral-naïve persons newly diagnosed with HIV.
Design: A prospective observational study of 138 antiretroviral-naive newly diagnosed HIV-positive participants who presented to an urban clinic between August 2010 and April 2013.
Methods: All participants underwent a baseline evaluation that included a neuromedical examination and brief neuropsychological test battery.