Publications by authors named "J Piccirillo"
Treatment of hereditary hemorrhagic telangiectasias with sclerotherapy: A case series.
Am J Otolaryngol
December 2024
Background: Hereditary hemorrhagic telangiectasia (HHT) is characterized by abnormal blood vessel formation. One treatment for HHT-related arteriovenous malformations (AVMs) is sclerotherapy, which collapses the blood vessels by irritating the endothelial lining.
Methods: This case series describes two HHT patients undergoing in-office sodium tetradecyl sulfate sclerotherapy for non-nasal telangiectasias and AVMs.
Development and Validation of a Shortened Severity Measurement Tool for Tinnitus.
Otolaryngol Head Neck Surg
December 2024
Article Synopsis
- A new 9-item questionnaire called the Tinnitus Severity Short Form (TS-SF) is developed to effectively measure tinnitus severity for both clinicians and researchers.
- The study evaluated the TS-SF's validity and reliability through analysis methods including internal consistency and factor analysis, concluding it has a strong reliability score and validity as a predictor of tinnitus severity.
- The TS-SF is beneficial as it is concise, reducing the risk of survey fatigue, and allows for effective tracking of tinnitus severity over a 2-week period.
Objectives: Microlaryngeal surgeries require unique considerations for airway management to facilitate patient safety and adequate surgical exposure. Small-diameter endotracheal tubes (ETTs) are widely used but have raised concerns regarding patient safety, including questions about the potential for barotrauma, effective ventilation, and adequate oxygenation. We hypothesize that small ETTs will prove to be safe in a variety of cases.
View Article and Find Full Text PDFPredictors of Response to Cognitive Behavioral Therapy in Patients With Tinnitus.
JAMA Otolaryngol Head Neck Surg
September 2024
Importance: Clinical guidelines recommend cognitive behavioral therapy (CBT) as a treatment for tinnitus. However, patient response to CBT is variable, and currently, there are no known predictors of response to CBT treatment for tinnitus.
Objective: To identify the clinical predictors of patient response to CBT for treatment of tinnitus.
Article Synopsis
- This study investigates how different methods of assessing depression affect surgical outcomes in patients preparing for lumbar spine surgery, focusing on ecological momentary assessments (EMAs) compared to traditional methods like self-reported questionnaires (PHQ-9) and chart-based diagnoses.
- The research involved 122 adult patients who recorded their depressive symptoms multiple times daily for three weeks before surgery, with results showing only weak correlations between EMA scores and past depression diagnoses, while EMA scores demonstrated stronger links to surgical outcomes after six months.
- Findings revealed that patients awaiting spine surgery reported similar non-somatic symptoms of depression to the general population but had significantly more somatic symptoms; EMA assessments proved to be a more reliable indicator of