Publications by authors named "Kristen L Kraimer"
Prevalence and Risk Factors for Multifocality in Pediatric Thyroid Cancer.
JAMA Otolaryngol Head Neck Surg
December 2021
Article Synopsis
- Pediatric thyroid cancer often requires total thyroidectomy due to high rates of multifocal disease, but there is limited understanding of its prevalence and risk factors.
- A study analyzed 212 patients under 18 who underwent thyroidectomy for papillary thyroid carcinoma to identify demographic and clinical factors associated with multifocal disease.
- Findings indicated that 46% of the patients had multifocal disease, with specific predictors identified such as age (10 years or younger), T3 tumor stage, and N1b nodal stage, which may help improve management strategies.
Opioid Prescribing in Patients Undergoing Neck Dissections With Short Hospitalizations.
Otolaryngol Head Neck Surg
April 2021
Article Synopsis
- The study aimed to assess opioid prescribing patterns for patients who had neck dissections and short hospital stays, focusing on strategies to reduce opioid use.
- A retrospective analysis was conducted on 407 patients, comparing those treated before and after implementing interventions aimed at decreasing opioid utilization, such as counseling and pain management techniques.
- Results showed a significant reduction in opioid prescriptions, from an average of about 354 MME to around 113 MME after the interventions, indicating effective strategies to minimize opioid use without increasing the need for refills.
Objective: During deep brain stimulation (DBS) surgery, microelectrode recording (MER) leads to target refinement from the initial plan in 30% to 47% of hemispheres; however, it is unclear whether the DBS lead ultimately resides within the MER-optimized target in relation to initial radiographic target coordinates in these hemispheres. This study aimed to determine the frequency of discordance between radiographic and neurophysiologic nucleus and whether target optimization with MER leads to a significant change in DBS lead location away from initial target.
Methods: Consecutive cases of DBS surgery with MER using intraoperative computed tomography were included.
Updated Medical and Surgical Treatment for Common Benign Laryngeal Lesions.
Otolaryngol Clin North Am
August 2019
Benign laryngeal lesions are often the result of phonotraumatic forces on the vocal folds and thus classically are treated with a combination of voice therapy and phonomicrosurgical techniques to minimize inadvertent additional trauma. Newer management strategies expand on these techniques with the use of the pKTP laser as well as intralesional injections, both in the operating room and in the awake outpatient setting.
View Article and Find Full Text PDFAbdominal Epilepsy Treated With Vagal Nerve Stimulation: A Case Report.
Oper Neurosurg (Hagerstown)
August 2019
Background And Importance: Abdominal epilepsy is a rare seizure disorder characterized by episodic gastrointestinal symptoms with electroencephalogram abnormalities. It is typically well treated with anti-epileptic medications; however, little is known about treatment of refractory cases.
Clinical Presentation: The patient is a 16-yr-old male who began experiencing episodic abdominal pain and distension at the age of 2.