Publications by authors named "Kyle T Fletcher"
Audiology Telemedicine Evaluations: Potential Expanded Applications.
Otolaryngol Head Neck Surg
July 2019
Article Synopsis
- Cochlear implants are underutilized, particularly in rural areas where patients face delays due to distance from specialists, but telemedicine offers a potential solution.
- A pilot study tested telemedicine for cochlear implant evaluations, involving both participants with normal hearing and those with varying degrees of hearing loss, comparing in-person assessments with remote testing.
- Results showed minimal differences in most tests between methods, indicating telemedicine could be a viable option, but further research is needed to confirm its effectiveness for a larger group of cochlear implant candidates.
Article Synopsis
- This study reviews the literature on sensorineural hearing loss (SNHL) linked to congenital cytomegalovirus (cCMV) infections, focusing on natural history and rehabilitation outcomes.* -
- A systematic search identified 36 relevant studies, revealing that 0.2 to 1% of newborns have cCMV, with SNHL affecting 8 to 32% of infants, often progressively and sometimes developing later in life.* -
- Cochlear implantation (CI) is shown to significantly enhance hearing and language skills for children with cCMV-related hearing loss, and ongoing audiologic follow-up is crucial due to the risk of delayed hearing loss.*
Article Synopsis
- - Perineural invasion (PNI) and lymphovascular invasion (LVI) are factors that negatively impact survival in patients undergoing salvage laryngectomy for laryngeal cancer.
- - A study of 78 patients found that PNI was present in 61.54%, and it was linked to a median overall survival of only 32 months, with a significant hazard ratio of 2.69.
- - The research concluded that PNI, LVI, and other factors like nodal disease and extracapsular spread greatly reduce survival chances for these patients.