Publications by authors named "Lyndsay L Madden"

Objective: Examine the association between age and treatment outcomes in conditions causing single- versus multilevel airway restriction.

Study Design: Multi-institutional retrospective cohort study.

Setting: Tertiary laryngology centers.

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  • This study looked at why some patients don't feel better after surgery for Zenker Diverticulum, a throat condition.
  • Researchers followed 184 patients and found that 12% of them didn't improve much.
  • They discovered that having another problem called a hiatal hernia was common in those who didn't improve, suggesting that doctors should check for other issues before surgery to help these patients.
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  • People diagnosed with throat problems often search online for info about conditions like subglottic stenosis and vocal fold paralysis.
  • The study looked at questions people frequently ask on Google and checked how reliable the websites with answers are.
  • Most questions were about causes and treatment, and government websites provided the most trustworthy information.
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Objective: This scoping review aims to provide an overview of the literature investigating the efficacy of speech-language pathology (SLP) interventions in the treatment of globus pharyngeus (GP), identify gaps in knowledge, and guide future research.

Study Design: Scoping review.

Methods: Search terms were selected for five databases (PubMed, Embase, Web of Science, CINAHL, and Google Scholar).

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Objectives: The aim of the study was to identify trends in postoperative management of persons undergoing surgery for Zenker diverticula (ZD) by evaluating length of stay (LOS), diet on discharge, and imaging with or without surgical complication.

Methods: Prospectively enrolled adult patients with cricopharyngeal muscle dysfunction with diverticula undergoing surgery from August 1, 2017 to February 1, 2023 were included. Data were extracted from a multi-institutional REDCap database, summarizing means, medians, percentages, and frequencies.

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Objective: An interdisciplinary model of care for the evaluation and treatment of voice, swallowing, and upper airway disorders with laryngologists and specialized speech-language pathologists is known to increase revenue, attendance to visits, patient adherence, and most importantly, improve patient outcomes. Individuals who live outside of areas with high population density often have reduced geographic access to this specialized care. The primary aim of this study is to identify the percentage of the population that has an "extended drive time" to access an interdisciplinary clinic in the Southeast region of the United States.

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Article Synopsis
  • * Results showed significant improvement in eating-related symptoms, with 66% of patients reporting complete improvement, and endoscopic treatments had a median improvement of 93.3%, while open procedures reported 100%.
  • * The findings suggest that while both methods are effective, open surgery might offer slightly better symptom relief but comes with a higher complication rate compared to endoscopic management.
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Background: There is a paucity of literature examining the effect of Ventral Intermediate Nucleus (VIM) deep brain stimulation (DBS) on voice in patients with vocal tremor (VT).

Objective: Investigate the effect of unilateral and bilateral VIM DBS on voice in patients with Essential Tremor (ET) and VT.

Methods: All patients receiving VIM DBS surgery underwent voice evaluation pre- and six-months post-operatively.

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Introduction: Few studies have evaluated complications from chondrolaryngoplasty related to postoperative changes in voicing. This study adds to the literature a presentation of voice changes experienced by a patient following chondrolaryngoplasty.

Methods: Case-report.

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Objectives: The objective of this study was to examine the types of accounts that create posts related to laryngology on Instagram, using hashtags derived from common diagnoses and procedures within the field, in order to assess the source and ownership of laryngology social media discussions.

Methods: Fellowship-trained laryngologists were surveyed to determine the most common diagnoses treated and procedures performed in laryngology. These terms were then queried as hashtags on Instagram.

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Background: In the past decade, there has been a rise in social media applications and usage among individuals in the otolaryngology- head and neck surgery (OHNS) community. Hashtags (#), used to identify posts relating to similar topics, are utilized to search medical information, build a network, find providers, and discuss research. Previous OHNS literature in this arena includes a standard ontology, or list of hashtags, developed for the otology subspecialty.

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Objective: Airway stenosis-particularly multi-level-presents complex management challenges. This study assessed rates of tracheostomy, decannulation, and the number of surgeries required in patients with posterior glottic stenosis (PGS), multi-level airway stenosis (MLAS), and bilateral vocal fold paralysis (BVFP).

Methods: Airway stenosis patients treated between 2016 and 2021 at three tertiary medical centers were identified.

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Introduction: Chronic cough is a persistent cough lasting greater than eight weeks. The prevalence rate is estimated to be 9% to 33% in the United States. There are several treatment modalities described in current literature including medical, surgical, and behavioral interventions.

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Background: Laryngologists use patient-reported outcome measures (PROM) to determine the efficacy of an intervention or to evaluate a patient's symptomatology. PROMs should be developed for a diverse target audience, including patients of all literacy levels. The American Medical Association (AMA) recommends that PROMs are written at or below the sixth- grade level.

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Background: Pediatric otolaryngology encompasses interactions with a young patient, parent and/or guardian, and the provider. As healthcare transitions toward patient-centered care, clinicians are using direct tools of measurement such as patient-reported outcome measures (PROM) as a modality of communication between the patient and healthcare provider. Therefore, literacy levels of both the patient and their parent or guardian must be considered.

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Objectives: Patient-reported outcome measures (PROMs) are used to evaluate patients' symptoms and clinical improvement after an intervention. Advocacy efforts and increased provider awareness regarding health literacy have helped to improve the readability of PROMs. Recent studies in otolaryngology in rhinology, pediatric otolaryngology, and head and neck reported PROM readability scores above the sixth-grade level.

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Objectives/hypothesis: Few studies address the demographics/epidemiology/socioeconomic status of patients presenting to a laryngologist at a tertiary care center for treatment. To identify any possible disparities in voice, airway, and swallowing care, we sought to analyze the aforementioned data for new patients presenting to the voice center at an academic medical center.

Methods: This is a retrospective cohort study of prospectively collected data from an institutional database of 4,623 new adult patients presenting for laryngological care at a tertiary care, academic medical center from 2015 to 2020.

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Objectives/hypothesis: The Laryngopharyngeal Measure of Perceived Sensation (LUMP) is a recently validated patient-reported outcome measure (PROM) aimed at evaluating the symptom severity of patients with globus pharyngeus (GP). The objective of this study was to define the normative values for the LUMP questionnaire.

Study Design: Prospectively collected, descriptive research/scale development.

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Purpose: Laryngeal dystonia is a chronic neurologic disorder characterized by intention-induced spasms of the vocal folds driven by aberrant central motor processing. The use of in-office transcervical botulinum toxin injection for the treatment of laryngeal disorders, such as laryngeal dystonia, has been deemed safe and efficacious. There is, however, no available data outlining the hemodynamic changes experienced by patients undergoing this frequently performed procedure.

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Introduction: Bulbar symptoms are frequent in patients with rapid-onset dystonia-parkinsonism (RDP). RDP is caused by ATP1A3 mutations, with onset typically within 30 days of stressor exposure. Most patients have impairments in speech (dysarthria) and voice (dysphonia).

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Objective: Deep brain stimulation (DBS) is a treatment for medically refractory essential tremor (ET), but there is a paucity of literature examining the effects of DBS on voice in patients with ET pre-DBS and post-DBS. This study aimed to report a comprehensive evaluation of voice in patients with ET pre-DBS and 6-months post-DBS.

Study Design: Case series.

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Needle biopsy is a well-established component in the evaluation of thyroid nodules. The biopsy is usually performed with an ultrasound guidance and consists of either fine-needle aspiration or core needle biopsy. Although these terms are often used interchangeably, their difference is important.

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Objectives: Globus pharyngeus (GP) is described as the subjective sensation of having a "lump" in the throat in the absence of correlating physical findings or dysphagia. Historically, despite the frequency of patient complaints, GP has been difficult to quantify with current outcome measures. This is in large part due to lack of a user-friendly, modernized, objective patient-reported outcome measure (PROM) of symptom severity.

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