Publications by authors named "Shawn Izadi"
Objective: To investigate the effectiveness of intraoperative nerve monitoring at decreasing vocal fold movement impairment in children undergoing at-risk procedures.
Background: Children undergoing aerodigestive or cardiovascular procedures are at risk for recurrent laryngeal nerve injury, leading to vocal fold movement impairment. Although intraoperative nerve monitoring has been shown to decrease recurrent laryngeal nerve injury in adults, there is paucity of data in children.
Background: The management of neonates with long-gap esophageal atresia (LGEA) combined with distal congenital esophageal strictures (CES) is challenging. We sought to review our approach for this rare set of anomalies.
Methods: We reviewed children with LGEA + CES surgically treated at two institutions (2018-2024).
Background: The traction-induced esophageal growth (Foker) process for the treatment of long gap esophageal atresia (LGEA) relies on applying progressive tension to the esophagus to induce growth. Due to its anti-fibrotic and muscle-relaxing properties, we hypothesize that Botulinum Toxin A (BTX) can enhance traction-induced esophageal growth.
Methods: A retrospective two-center cohort study was conducted on children who underwent a BTX-enhanced Foker process for LGEA repair from 2021 to 2023.
Introduction Transitioning into medical school is challenging, particularly in the first year, with a notable support gap. This study aimed to evaluate a mentorship program at a new medical school. Methods Initiated in 2017 at the University of Texas Rio Grande Valley School of Medicine, the mentorship program had two iterations: initial random pairings and subsequent formative pairings based on matching criteria.
View Article and Find Full Text PDFArticle Synopsis
- In the past, kids with a serious condition called long gap esophageal atresia (LGEA) had limited treatment options and often relied on feeding through a tube.
- In 1997, a doctor named John Foker created a new method to help these kids grow their own esophagus using a special system that stretched it over time.
- This new approach faced some skepticism, but it helped start a movement towards better care for children with esophageal issues, leading to the creation of specialized treatment centers and new medical techniques.
Purpose: In neonates with suspected type C esophageal atresia and tracheoesophageal fistula (EA/TEF) who require preoperative intubation, some texts advocate for attempted "deep" or distal-to-fistula intubation. However, this can lead to gastric distension and ventilatory compromise if a distal fistula is accidently intubated. This study examines the distribution of tracheoesophageal fistula locations in neonates with type C EA/TEF as determined by intraoperative bronchoscopy.
View Article and Find Full Text PDFPurpose: Esophageal atresia with tracheoesophageal fistula (EA/TEF) is often associated with tracheobronchomalacia (TBM), which contributes to respiratory morbidity. Posterior tracheopexy (PT) is an established technique to treat TBM that develops after EA/TEF repair. This study evaluates the impact of primary PT at the time of initial EA/TEF repair.
View Article and Find Full Text PDFPurpose: Identifying the number of cases required for a fellow to achieve competence has been challenging. Workplace-based assessment (WBA) systems make collecting performance data practical and create the opportunity to translate WBA ratings into probabilistic statements about a fellow's likelihood of performing to a given standard on a subsequent assessment opportunity.
Methods: We compared data from two pediatric surgery training programs that used the performance rating scale from the Society for Improving Medical Professional Learning (SIMPL).
Purpose: Vocal fold movement impairment (VFMI) secondary to recurrent laryngeal nerve (RLN) injury is a common source of morbidity after pediatric cervical, thoracic, and cardiac procedures. Flexible laryngoscopy (FL) is the gold standard to diagnose VFMI yet can be challenging to perform and/or risks possible clinical decompensation in some children and is an aerosolizing procedure. Laryngeal ultrasound (LUS) is a potential non-invasive alternative, but limited data exists in the pediatric surgical population regarding its efficacy.
View Article and Find Full Text PDFBackground: Anastomotic strictures (AS) after esophageal atresia (EA) repair are common. While most respond to endoscopic therapy, some become refractory and require surgical intervention, for which the outcomes are not well established.
Methods: All EA children with AS who were treated surgically at two institutions (2011-2022) were retrospectively reviewed.
Article Synopsis
- Children undergoing cervical and thoracic surgeries are at a high risk of recurrent laryngeal nerve injury, which can lead to vocal fold movement impairment (VFMI).
- A study conducted from 2017 to 2021 analyzed 297 patients, revealing that 24% had VFMI, and notably, almost half of those did not show common symptoms.
- The findings suggest that all at-risk patients should be routinely screened for VFMI, especially those with a history of relevant surgeries or specific medical devices like tracheostomies or feeding tubes.
Racial inequality in the trauma of women: A disproportionate decade.
J Trauma Acute Care Surg
July 2020
Background: Historically, women have been largely underrepresented in the body of medical research. Given the paucity of data regarding race and trauma in women, we aimed to evaluate the most common types of traumas incurred by women and analyze temporal racial differences.
Methods: A 10-year review (2007-2016) of the National Trauma Data Bank was conducted to identify common mechanisms of injuries among women.