Publications by authors named "Joel Howlett"

Background: Cannabis has been rapidly legalized in North America; however, limited evidence exists around its side effects. Health Canada defines side effect as a harmful and unintended response to a health product. Given drug safety concerns, this study's purpose was to review the unintended side effects of cannabis in otolaryngology.

View Article and Find Full Text PDF

Background: Chronic rhinosinusitis with nasal polyposis (CRSwNP) in the setting of aspirin-exacerbated respiratory disease (AERD) is a disease that is difficult to treat and prone to recurrence. Dupilumab is a promising treatment for these patients, but its cost-effectiveness has not yet been compared with aspirin (acetylsalicyclic acid, or ASA) desensitization, a known and effective treatment. We aimed to compare the cost-effectiveness of ASA desensitization with dupilumab therapy for the treatment of CRSwNP in AERD.

View Article and Find Full Text PDF

Objective: Nasopharyngeal carcinoma (NPC) is common in Southeast Asia. Due to the influx of immigrants from this region, the incidence in British Columbia is increasing. Current literature from non-endemic populations encompasses heterogeneous cohorts.

View Article and Find Full Text PDF

Objectives: To determine if a Canadian voice center is meeting the recommended time to laryngoscopy for hoarseness per the clinical practice guideline of the American Academy of Otolaryngology-Head and Neck Surgery.

Study Design: Retrospective chart audit.

Setting: Tertiary referral Canadian voice center.

View Article and Find Full Text PDF
Article Synopsis
  • The study explores a geometric algorithm to optimize the reconstruction of mandibular defects after surgical resection, addressing the lack of robust data on effective reconstruction methods.
  • The analysis involves 48 CT scans, resulting in 720 simulated mandibular defects examined through three classification schemes to determine the required number of bony segments for reconstruction.
  • Findings reveal substantial variation in the required segments across classifications, with a six-segment reconstruction proving most effective, highlighting the limitation of current classification systems in predicting reconstruction needs.
View Article and Find Full Text PDF

Objective: The purpose of this study was to examine the relationship between multiple object tracking (MOT) and simulated laparoscopic surgery skills.

Methods: A total of 29 second-year medical students were recruited for this study. The participants completed 3 rounds of a three-dimensional MOT and a simulated laparoscopic surgery task.

View Article and Find Full Text PDF