Publications by authors named "Bao Y Sciscent"

Article Synopsis
  • The study is a retrospective chart review focusing on facial trauma among the Amish population, aiming to identify demographic and clinical risk factors from 2013 to 2023.
  • Analysis revealed that of the 87 Amish patients, the median age was 9 years, with a majority being male, and most injuries occurring on roads, farms, or at home, primarily caused by buggies, falls, and animals.
  • Results showed high incidence of facial fractures, especially from buggy injuries, indicating a need for enhanced injury prevention efforts, particularly targeting buggy-related incidents.
View Article and Find Full Text PDF

Primary hyperparathyroidism (PHPT) is an endocrine disorder marked by elevated secretion of parathyroid hormone (PTH), which results in hypercalcemia and may cause complications in the kidneys and bones. Diagnosing this condition involves ruling out secondary causes and understanding the complexities of the laboratory values associated with PHPT. The disease has become more recognizable to clinicians in an earlier phase thanks to updated screening guidelines.

View Article and Find Full Text PDF

Objective: To assess adherence to the 2019 American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNSF) guidelines for the diagnosis and management of sudden hearing loss (SHL) and sudden sensorineural hearing loss (SSNHL).

Study Design: Retrospective cohort.

Setting: TriNetX, a de-identified healthcare database.

View Article and Find Full Text PDF
Article Synopsis
  • This study analyzes the distribution of otolaryngologists in urban versus rural counties in Pennsylvania using a retrospective database approach.
  • A total of 388 otolaryngologists were identified, with the majority located in metropolitan areas, leaving a significant shortage in rural counties except for those with large academic centers.
  • The findings reveal that while the average number of otolaryngologists is similar in both urban and rural settings, many nonmetropolitan counties lack any specialists, highlighting a disparity in healthcare access.
View Article and Find Full Text PDF
Article Synopsis
  • A study was conducted using the TriNetX database to compare postoperative outcomes in immunosuppressed patients versus immunocompetent patients with facial fractures within 30 days of treatment.* ! -
  • Among the 9,475 patients, those on immunosuppressants, and with conditions like diabetes and chronic kidney disease, experienced significantly higher rates of complications including infections, thromboembolic events, and hospital readmissions.* ! -
  • Diabetic patients in particular showed an increased prevalence of complications such as infections and wound disruptions, while HIV-positive patients did not exhibit significant differences in outcomes.* !
View Article and Find Full Text PDF

Background: Hemorrhagic strokes constitute 10-15% of all strokes and have the worst mortality and morbidity of all subtypes. Mortality and morbidity of spontaneous intracerebral hemorrhage (sICH) are often secondary to the effects of inflammation, brain edema, and swelling. Studies have shown that celecoxib, a selective cyclooxygenase 2 (COX-2) inhibitor, reduces perihematomal edema formation and inflammation.

View Article and Find Full Text PDF
Article Synopsis
  • - This study explores the rates of hypocalcemia (low calcium levels) in patients who underwent total laryngectomy (TL), with comparisons between those who also had thyroid surgery and those who did not.
  • - Researchers analyzed data from 870 patients who had TL alone, 158 who had a hemithyroidectomy, and 123 who had a total thyroidectomy, finding significantly higher rates of hypocalcemia and low parathyroid hormone (PTH) levels in those who had total thyroidectomy.
  • - The findings suggest that patients receiving total thyroidectomy alongside TL have a heightened risk of hypocalcemia, indicating a need for careful monitoring of PTH levels and possibly enhanced supplemental treatments after surgery.
View Article and Find Full Text PDF
Article Synopsis
  • The study aimed to assess how common inadequate health literacy is among otolaryngology patients and explore its links to various patient factors.
  • Conducted at a tertiary academic medical center, it involved adult patients who completed a health literacy questionnaire, with data collected on demographics and insurance.
  • Results showed 12% had inadequate health literacy, primarily influenced by sex and race, indicating a need for targeted interventions to enhance care delivery in this field.
View Article and Find Full Text PDF

Thyroid carcinoma with cutaneous metastases is a rare clinical finding. Cutaneous metastases from thyroid carcinoma have been associated with a poor prognosis, but these data are limited to case reports. The exact mechanism of cutaneous metastases from thyroid carcinoma is not clear.

View Article and Find Full Text PDF

Purpose: Tethered spinal cord syndrome (TCS) is characterized by cutaneous attachments on the filum terminale that stretch the spinal cord, leading to musculoskeletal and urogenital sequelae. While the neurocutaneous associations with TCS remain undefined, a recent study reports a high incidence of TCS among a pediatric neurofibromatosis (NF) cohort. This present study utilizes a population-level database to estimate TCS incidence among pediatric patients with neurofibromatosis types 1 and 2 (NF1, NF2).

View Article and Find Full Text PDF

Head and neck cancers (HNC) are a biologically diverse set of cancers that are responsible for over 660,000 new diagnoses each year. Current therapies for HNC require a comprehensive, multimodal approach encompassing resection, radiation therapy, and systemic therapy. With an increased understanding of the mechanisms behind HNC, there has been growing interest in more accurate prognostic indicators of disease, effective post-treatment surveillance, and individualized treatments.

View Article and Find Full Text PDF

Objective: Albumin is considered to be a surrogate marker for inflammation and nutritional status. Levels usually decrease after surgery but little is known about the predictive value of preoperative albumin levels in patients undergoing thyroidectomy. This study aimed to investigate the 30-day incidence of postoperative outcomes in thyroidectomy patients with and without preoperative hypoalbuminemia.

View Article and Find Full Text PDF

Hypocalcemia following thyroidectomy is a common and potentially life-threatening complication. It is caused by intraoperative injury to the parathyroid glands or their blood supply. Although several studies have shown that patients with a prior history of bariatric surgery may be at an increased risk for hypocalcemia after thyroidectomy, no clear recommendations exist for preventing and managing this condition in this population.

View Article and Find Full Text PDF

Introduction: Social media is becoming increasingly ubiquitous in the professional realm. The coronavirus disease 2019 (COVID-19) pandemic accelerated the shift towards utilizing social media to network and disseminate information, especially via Twitter. Neurosurgery programs have also leveraged Twitter to inform and attract applicants.

View Article and Find Full Text PDF

Objective: Awake craniotomy (AC) is employed to maximize tumor resection while preserving neurological function in eloquent brain tissue. This technique is used frequently in adults but remains poorly established in children. Its use has been limited due to concern for children's neuropsychological differences compared with adults and how these differences may interfere with the safety and feasibility of the procedure.

View Article and Find Full Text PDF

Objective: Although medical advances have allowed most patients with spina bifida (SB) to survive into adulthood, these patients may have physical impairments, urological complications, infections, and neurocognitive deficits. These factors can cause psychological distress and impact the transition from pediatric to adult care. There remains limited research on mental health disorders (MHDs) and substance use disorders (SUDs) in SB patients during this vulnerable transition period.

View Article and Find Full Text PDF

Background: The residency program director (PD) position is a valued leadership appointment in academic medicine. PDs are responsible for the success of their program and its residents. The objective of this study is to provide a cross-sectional analysis of baseline demographics and academic backgrounds of current neurosurgery program directors.

View Article and Find Full Text PDF

Purpose: Spina bifida (SB) is caused by a failure in neural tube closure that can present with lower extremity sensory deficits, paralysis, and hydrocephalus. Medical advances have allowed increased pregnancies among SB patients, but management and pregnancy-associated complications have not been thoroughly investigated. The objective is to delineate peripartum procedures and complications in patients with SB.

View Article and Find Full Text PDF

Background Ten percent of women of childbearing age have histologically confirmed meningioma. To date, little is known regarding pregnancy-related outcomes for women with meningioma. Methods We used a de-identified database network (TriNetX's Research Network, https://trinetx.

View Article and Find Full Text PDF

Introduction: Intracerebral hemorrhage (ICH) is a devastating complication of immune thrombocytopenic purpura (ITP). Using a large database, we sought to determine its incidence and mortality.

Methods: We used a de-identified database (TriNetX) to gather information on patients with ITP with subsequent ICH (cohort 1), propensity score-matched with patients with ITP and no ICH (cohort 2).

View Article and Find Full Text PDF

The COVID-19 pandemic has altered innumerable lives. Although recent mass vaccinations offer a glimmer of hope, the rising death toll and new variants continue to dominate the current scenario. As we begin to understand more about SARS-CoV-2 infections, the territory of reinfections with COVID-19 remains unexplored.

View Article and Find Full Text PDF