Age-dependent trends in pediatric maxillary frenum classification.

Objective: To describe maxillary frenum Kotlow scores in a pediatric population.

Methods: A retrospective chart review was performed for children ages 0-19 years old seen at a pediatric otolaryngology clinic by one surgeon from March-December 2022. Inclusion criteria required a recorded maxillary frenum Kotlow score.

Decreasing the Size of Bottle Caps: Helping or Hurting Children?

Objective: Our study aims to assess if decreasing bottle cap size was associated with more ingestions and injuries nationally. STUDY DESIGN: Retrospective chart review.

Setting: The National Electronic Injury Surveillance System (NEISS) database.

Second opinions: Do otolaryngologist demographics matter?

Objective: Pediatric patients and their caregivers may receive information from their primary care physician (PCP) that does not match current American Academy of Otolaryngology (AAO) guidelines. The purpose of this study is to evaluate the frequency of parents deciding to seek a second opinion based on the demographics of pediatric otolaryngologists who deliver guideline supported advice, contrary to advice from their child's PCP.

Methods: A survey was distributed to parents in a pediatric otolaryngology clinic between June 2021 and July 2023.

Gender distribution of Top Doctors in otolaryngology-head and neck surgery.

Introduction: Our study seeks to understand the profiles of otolaryngologists selected by Castle Connolly's Top Doctor list and how this compares to the entire field of otolaryngology.

Methods: Top Doctor lists published in Castle Connolly affiliated magazines were analyzed for Otolaryngology, Otolaryngology/Facial Plastic Surgery, or Pediatric Otolaryngology physicians. Only lists published in 2021 or representing the 2021 Top Doctor lists were analyzed.

Americans with disabilities act cases initiated by individuals with cochlear implants in the United States.

Objective: The Americans with Disabilities Act (ADA) is a federal law that forbids discrimination against individuals with certain disabilities, including hearing impairment. This study aimed to determine the nature of ADA discrimination complaints in individuals with cochlear implants.

Methods: A search for court decisions containing the terms "cochlear implant" and ("Americans with Disabilities Act" or "ADA") from 1985 to 2021 was performed with the Westlaw Campus Research legal database.

Exposure to Otolaryngology: Impact on Female Students Considering Surgery.

Introduction: Otolaryngology continues to be dominated by men. As of 2019, only 18.4% of practicing otolaryngologists were women.

How Pediatric Sleep Disordered Breathing Impacts Parental Fatigue.

Objective: Previous research has indicated that sleep disordered breathing (SDB) can lead to a decreased quality of life in children and their families as compared to children who do not have SDB. The purpose of this study was to examine fatigue levels in parents who had young children who were impacted by sleep symptoms as determined by the OSA-18 scale.

Study Design: Survey.

Parents' Opinions About Pediatric Otolaryngology on Social Media.

Objective: Social media is a novel tool that many parents turn to when looking for a new healthcare provider. The purpose of this study is to assess how parents of children attending a pediatric otolaryngology practice engage with social media.

Study Design: Survey.

Financial Toxicity for Caregivers of Pediatric Patients With Long-Term Tracheostomies.

Objective: To assess financial toxicity experienced by caregivers of children with long-term tracheostomies.

Methods: Cross-sectional survey study with comparison group conducted at a tertiary pediatric hospital and outpatient clinic. Pediatric (<18 years) patients with tracheostomies for ≥12 months were recruited for the study.

An Evaluation of Otolaryngology Residency Program Websites.

Introduction:  Otolaryngology remains one of the most competitive specialties to match into during the residency application process. Medical students often apply to many programs to increase their chances of matching into a residency program and rely on residency websites to gather information about the programs they apply to. The purpose of this study was to determine the comprehensiveness of the information on otolaryngology residency program websites.

Does Medical School Rank Impact Matching into Otolaryngology?

Objective(s): To describe how medical school rank may be associated with matriculation into otolaryngology residency programs.

Methods: A list of medical students who matched into otolaryngology residencies in 2020, 2021, and 2022 was obtained from Otomatch (Otomatch.com).

An Analysis of Postoperative Complications in Medialization Thyroplasty: NSQIP Data.

Introduction: Medialization thyroplasty is a procedure indicated for treatment of impaired vocal fold movement. The purpose of this study was to identify variables associated with length of hospital stay (LOS), reoperation, and readmission in patients who underwent a medialization thyroplasty procedure for unilateral vocal cord paralysis.

Methods: Adults who underwent unilateral medialization thyroplasty were identified using the 2017 to 2019 NSQIP databases via Current Procedural Terminology code 31591.

What Prospective Applicants Look for on Otolaryngology Residency Websites.

Objective: To determine what prospective residency applicants look for on otolaryngology residency program websites.

Study Design: Survey.

Setting: The survey was distributed in a virtual format through Google Forms.

Parental Knowledge of Obstructive Sleep Apnea Symptoms and Tonsillectomy in Children.

Objective: Obstructive sleep apnea (OSA) is present in approximately 2% to 5% of children; however, only 15% of parents are reported to be knowledgeable about OSA in children. Sleep apnea in children can lead to cardiopulmonary disease, abnormal weight gain, failure to thrive, or learning difficulties. The purpose of our study is to assess parental knowledge of pediatric OSA to identify any knowledge gaps.

A Case of Pediatric Auricular Erythromelalgia.

Erythromelalgia is a rare clinical syndrome involving erythema, warmth, and burning pain in one or more of the extremities. Primary erythromelalgia is idiopathic and can begin during childhood or adulthood. In the pediatric population, auricular erythromelalgia is rare, and its etiology is not well understood.

Pediatric Otolaryngology During COVID-19: Parental Concern About Elective Surgery.

Objective: To identify the concerns of parents whose children may need elective surgery during the COVID-19 pandemic.

Methods: In December 2020, parents of pediatric otolaryngology patients were recruited for a survey about concerns related to elective surgery during the COVID-19 pandemic. A Likert scale quantified concern.

Primary vs redo robotic pyeloplasty: A comparison of outcomes.

Introduction: Robot-assisted laparoscopic pyeloplasty (RALP) is a safe and efficacious option for repair of UPJO. We hypothesize that redo-RALP is technically more difficult but has comparable outcomes to primary RALP.

Methods: An IRB-approved single institutional registry was utilized to identify all patients undergoing primary or redo RALP from 2012 to 2019.

Patients with integrated HPV16 in head and neck cancer show poor survival.

Objectives: We previously reported identifying three categories of HPV16-positive head and neck tumors based on The Cancer Genome Atlas (TCGA) RNA and DNA sequence data. Category 1 had truly integrated HPV16 genomes, category 2 had simple episomal genomes, and category 3 had novel episomes that were a hybrid between viral and human DNA. Using our categorization, we investigated in this study survival of patients with integrated HPV16 tumors versus patients with episomal HPV16 tumors.

Integration of Human Papillomavirus Genomes in Head and Neck Cancer: Is It Time to Consider a Paradigm Shift?

Human papillomaviruses (HPV) are detected in 70-80% of oropharyngeal cancers in the developed world, the incidence of which has reached epidemic proportions. The current paradigm regarding the status of the viral genome in these cancers is that there are three situations: one where the viral genome remains episomal, one where the viral genome integrates into the host genome and a third where there is a mixture of both integrated and episomal HPV genomes. Our recent work suggests that this third category has been mischaracterized as having integrated HPV genomes; evidence indicates that this category consists of virus-human hybrid episomes.

Elimination of pain improves specificity of clinical diagnostic criteria for adult chronic rhinosinusitis.

Objective: Determine whether the elimination of pain improves accuracy of clinical diagnostic criteria for adult chronic rhinosinusitis.

Study Design: Retrospective cohort study.

Methods: History, symptoms, nasal endoscopy, and computed tomography (CT) results were analyzed for 1,186 adults referred to an academic otolaryngology clinic with presumptive diagnosis of chronic rhinosinusitis.