Publications by authors named "J R Skoner"
Purpose: National Comprehensive Cancer Network Guidelines recommend initiating postoperative radiation therapy (PORT) within 6 weeks of surgery for patients with head and neck squamous cell carcinoma (HNSCC), but delays affect 50% of patients, disproportionately burden minoritized groups, and contribute to worse oncologic outcomes. This trial evaluates the efficacy of Navigation for Disparities and Untimely Radiation thErapy (NDURE), an enhanced navigation-based intervention, relative to usual care (UC) patient navigation for starting timely PORT.
Methods: Adults with locally advanced HNSCC planning to undergo surgery and PORT were randomly assigned 1:1 to standard multidisciplinary head and neck oncology care and either NDURE, a multilevel navigation-based intervention to enhance key processes of care and overcome barriers to timely PORT, or UC, which consisted of standard patient navigation.
Objective: The Hispanic health paradox (HHP), the observation that Hispanic people in the United States often experience better health outcomes than non-Hispanic people despite having worse prognostic factors, has not been evaluated for patients with head and neck squamous cell carcinoma (HNSCC), a malignancy with marked racial disparities in outcomes. The objective of this study is to evaluate the HHP within the context of HNSCC.
Data Sources: CINAHL, PubMed, and Scopus.
Speech Intelligibility in Patients with Facial Paralysis.
Facial Plast Surg Aesthet Med
September 2024
Patients with facial paralysis often report frustration with communication; however, there are limited data regarding intelligibility deficiencies. To compare speech intelligibility in patients with severe and non-severe facial paralysis, and in patients with or without synkinesis. Video and audio data were reviewed retrospectively.
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- Laryngopharyngectomy defects can be reconstructed using various flaps, but the latissimus dorsi myocutaneous free flap (LDMFF) is highlighted as a strong option for high-risk patients with complex defects.
- A study involving 24 patients showed a 100% flap survival rate, with some complications such as pharyngocutaneous and tracheo-esophageal fistulas, but most patients were able to sustain some oral intake.
- The findings suggest that LDMFF is effective and has manageable complications, making it a viable choice for patients, especially those who have experienced radiation treatment.
Background: Patients on chronic pharmacologic immunosuppressive therapy are at increased risk of wound infection and complications after surgery. There is a paucity of data examining perioperative complications after microvascular free tissue transfer (MVFTT) reconstruction of the head and neck in this patient population.
Methods: Retrospective cohort study performed at two tertiary referral centers between August 2016 and May 2020.