Publications by authors named "L Akst"
Refractory Chronic Cough: A State-of-the-Art Review for Otolaryngologists.
Otolaryngol Head Neck Surg
November 2024
Article Synopsis
- Patients with refractory chronic cough (RCC) are increasingly visiting otolaryngology clinics, requiring better evaluation and management after standard treatments have failed.
- This review highlights new treatment options for RCC, focusing on disrupting the hypersensitive cough reflex through various methods such as neuromodulators, nerve blockades, and behavioral therapies.
- Understanding these emerging strategies is essential for improving treatment outcomes as more patients seek specialized care for RCC in otolaryngology.
Evaluation and Treatment of Acute Laryngeal Injury at Time of Tracheostomy for Prolonged Intubation.
Ann Otol Rhinol Laryngol
November 2024
Objectives: The primary objective was to assess incidence and severity of acute laryngeal injury (ALgI) following intubation at time of tracheostomy using a proposed grading scale. The secondary objective was to evaluate what factors influence the rate of decannulation.
Methods: Single institution cohort study with review of prospectively maintained database including patients from October 2021 to October 2022 who underwent tracheostomy for prolonged intubation/critical illness.
Are Otolaryngologists Seeing More Cough? Longitudinal Trends and Patterns.
Otolaryngol Head Neck Surg
September 2024
Objective: Otolaryngologists play an increasing role in managing cough, but little data exists examining the demographics of this patient population and the referral patterns that influence their access to care. This study sought to elucidate these factors using a longitudinal, nationwide database to minimize sampling bias and identify trends representative of the national population.
Study Design: Nationally representative survey.
Article Synopsis
- The study examines treatment preferences among laryngologists, head-and-neck surgeons, and radiation oncologists for early glottic carcinoma (EGC) using a survey based on varying case complexities.
- Most specialists favored transoral laser microsurgery (TLMS) over radiotherapy (XRT) for early-stage lesions, with laryngologists showing a strong preference even in more advanced cases.
- Key factors influencing treatment decisions included tumor location, voice quality, and survival outcomes, indicating a need for clearer communication and understanding between specialties regarding treatment choices.
Objective: Use microscopic video-based tracking of laryngeal surgical instruments to investigate the effect of robot assistance on instrument tremor.
Study Design: Experimental trial.
Setting: Tertiary Academic Medical Center.