Publications by authors named "Andrew J Kleinberger"

Chondrolaryngoplasty is a well-described surgical procedure most commonly performed as part of facial feminization surgery for transgender patients with a diagnosis of gender dysphoria. A complete understanding of relevant neck anatomy and laryngeal function is critical to optimizing surgical outcomes. The overall goal of the procedure is to maximally reduce the thyroid cartilage prominence while preserving laryngeal integrity and minimizing the risk of external scarring.

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Objective: To evaluate the safety of a modified coronal approach to the upper craniofacial skeleton with dissection deep to the temporalis fascia for enhanced preservation of the frontal branch of the facial nerve.

Study Design: Case series with chart review.

Setting: Tertiary academic medical center.

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We present the case of a 17-year-old boy who developed a deep space neck infection following cervical trauma. He was initially managed conservatively with broad-spectrum antibiotics, but when he failed to improve clinically, he required surgical drainage. Wound cultures grew Fusobacterium necrophorum, an uncommon pathogen that can cause pediatric deep neck space infections, especially when it is not associated with Lemierre syndrome.

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Objective: To examine the impact of early tracheotomy in nontrauma patients on duration of mechanical ventilation (MV), intensive care unit (ICU) stay, and overall hospital stay.

Design: Case series with chart review.

Setting: Tertiary care medical center.

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The relationship between systemic corticosteroids and central serous chorioretinopathy (CSCR) has been well established; however, there also appears to be an association with intranasal corticosteroids. A search of the English literature revealed only three reported cases of CSCR linked to intranasal corticosteroid use, and in each, clinical improvement was observed after cessation of the steroid agent. We present an additional case of bilateral CSCR resulting from intranasal corticosteroid use and review the literature regarding this uncommon side effect.

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Synopsis of recent research by authors named "Andrew J Kleinberger"

  • - Andrew J Kleinberger's research primarily focuses on surgical techniques and their safety in the context of facial feminization surgery and other otolaryngological procedures, emphasizing the importance of anatomical understanding for optimized surgical outcomes
  • - His work includes a detailed exploration of chondrolaryngoplasty, a procedure significant for transgender patients, highlighting the need to minimize thyroid cartilage prominence while preserving laryngeal function
  • - Kleinberger also addresses the implications of surgical approaches in various cases, such as pediatric infections and the effects of intranasal corticosteroids, contributing to the broader understanding of treatment protocols and complications in otolaryngology