A Systematic Review of Local Flaps Utilized for External Auditory Canal Defects.

Study Design: Systematic review of the literature.

Objective: The goal of this study is to review and summarize current literature on local flap reconstruction of external auditory canal (EAC) defects.

Methods: PubMed and Ovid databases were queried utilizing search term combinations of "external auditory canal," "defects," "flaps," "local," and "reconstruction.

Deoxycholic Acid for Submental Convexity: A MAUDE Database Analysis.

Study Design: The study was a retrospective cross-sectional database analysis.

Objective: Deoxycholic acid (DOC) injections are a novel, in-office procedural alternative to submental liposuction or submentoplasty to address excess submental fat. Post-market safety data regarding this treatment is currently limited.

Auditory brainstem implants: an analysis of adverse events in the MAUDE database.

Objective: Auditory Brainstem Implants (ABI) are used to restore hearing in patients lacking appropriate cochlear anatomy and/or cochlear nerve. The objective of this study was to examine the Manufacture and User Facility Device Experience (MAUDE) database to analyze adverse events.

Study Design: This is a study of a multi-institutional database maintained by the US FDA.

Actigraphy measures show sleep improvement after parathyroidectomy for primary hyperparathyroidism.

Importance: The symptoms of primary hyperparathyroidism are often subtle, such as fatigue, mood changes, and sleep disturbances. After parathyroidectomy, patients often report improvement in sleep and mood; however, objective data supporting these improvements is lacking.

Objective: This prospective study uses standard measures to objectively and subjectively assess sleep in patients with primary hyperparathyroidism before and after parathyroidectomy.

Diagnosis and management of facial nerve palsy secondary to granulomatosis with polyangiitis - A systematic review.

Objective: Granulomatosis with polyangiitis is associated with otolaryngologic complaints in 70-95 % of cases, with the most common being serous otitis media. In rare cases, patients may experience facial nerve palsy in conjunction with otologic or nasal symptoms; and, often, initially present to an otolaryngologist. It is important for healthcare professionals to be able to recognize the nuisances of facial nerve palsy as a potential presentation of granulomatosis with polyangiitis.

Nasal Epistaxis Balloons: A Comprehensive MAUDE Database Analysis.

Background: While nasal epistaxis balloons are generally seen as safe and routinely utilized by both surgical and nonsurgical providers, the complication profile related to this type of device has not been well defined.

Objective: The objective of this study was to utilize the FDA MAUDE (Manufacturer and User Facility Device Experience) database to better assess adverse events (AE) related to use of nasal epistaxis balloons. Reports were individually tabulated and events were categorized with special attention to AEs.

Eustachian Tube Balloon Dilation: A Comprehensive Analysis of Adverse Events.

Background: Eustachian tube balloon dilation (ETBD) has been Food and Drug Administration (FDA) approved for refractory Eustachian tube dysfunction since 2016. While ETBD is generally seen as safe, the complication profile has not been well defined.

Objective: The objective of this study was to utilize the FDA manufacturer and user facility device experience (MAUDE) database to better assess adverse events (AE) related to ETBD.

Otologic use of porcine small intestinal submucosal graft (biodesign): A MAUDE database review.

Objective: To review and summarize reported adverse events related to the use of porcine small intestine submucosal grafts (Biodesign™) in otologic procedures.

Study Design: Retrospective cross-sectional analysis.

Setting: Food and Drug Administration's Manufacturer and User Facility Device Experience (MAUDE) database.

Association of Practice Setting and Scholarly Activity With Medicolegal Claims in Otolaryngology-Head and Neck Surgery.

Objective: To characterize the association between scholarly activity, academic rank, practice setting, and malpractice claims among otolaryngologists over the past decade.

Methods: Data was extracted from the two legal databases, WestLaw and LexisNexis. The records were obtained from January 2010 to January 2020.

Postoperative Outcomes in Pediatric Septoplasty.

Objective: Identify risk factors and perioperative morbidity for pediatric patients undergoing septoplasty.

Methods: The American College of Surgeons National Surgical Quality Improvement Program Pediatric (NSQIP-P) database was retrospectively queried to identify patients who underwent septoplasty (CPT 30520) for a diagnosis of deviated nasal septum (ICD J34.2) from 2018 to 2019.

Headache Diagnosis in Children and Adolescents.

Pediatric headache is a common medical complaint managed across multiple subspecialties with a myriad of unique factors (clinical presentation and disease phenotype) that make accurate diagnosis particularly elusive. A thorough understanding of the stepwise approach to headache disorders in children is essential to ensure appropriate evaluation, timely diagnosis, and efficacious treatment. This work aims to review key components of a comprehensive headache assessment as well as discuss primary and secondary headache disorders observed in children, with a particular focus on clinical pearls and "red flag" symptoms necessitating ancillary diagnostic testing.

Utility of Temporal Bone Computed Tomography in Pediatric Emergency Medicine.

Objective: Temporal bone computed tomography (CT) requires a relatively high radiation dose to produce high-resolution images required to define surgical anatomy. In the acute setting, the need for this detailed evaluation of temporal bone pathology may not be required for nonsurgical management and clinical decision-making. We performed a retrospective review of the clinical characteristics and subsequent management of children who underwent CT of the temporal bone with the goal of optimizing clinical decision-making and mitigating the risks of radiation exposure in children.

Predictive Patient Factors for Poor Outcomes Following Stapedotomy for Otosclerosis.

Objective: To assess patient-related risk factors associated with poor outcomes following stapedotomy for otosclerosis.

Study Design: Retrospective study.

Setting: Academic tertiary care center.

A Systematic Review of Surgical Techniques for Management of Severe Rhinophyma.

Study Design: Systematic review of the literature.

Objective: The goal of this study is to review the current literature on severe rhinophyma requiring operative management for significant cosmetic deformity or nasal obstruction. We aim to provide a treatment algorithm for the various surgical techniques employed in the treatment of severe rhinophyma.

Securing the Airway in Maxillofacial Trauma Patients: A Systematic Review of Techniques.

Study Design: The present study is a systematic review of the literature.

Objective: The goal of this study is to review our experience and the current literature on airway management techniques in maxillofacial trauma.

Methods: Independent searches of the PubMed and MEDLINE databases were performed from January 1, 2019 to February 1, 2019.

Postoperative outcomes of autologous rib graft for microtia repair in children: A NSQIP study.

Objective: To compare the effect of surgical specialty and patient factors on 30-day postoperative outcomes and complications for children undergoing autologous costochondral grafting for microtia reconstruction.

Methods: The American College of Surgeons National Surgical Quality Improvement Program Pediatric (NSQIP-P) database was searched from 2012 through 2017 for patients who underwent autologous rib grafting (CPT 21230). The group was further filtered for coexisting ICD 9 or 10 code for microtia (744.