Patricia A. Loftus
Albert Einstein College of Medicine
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Featured researches published by Patricia A. Loftus.
Laryngoscope | 2014
Patricia A. Loftus; Melin Tan; Gunj Patel; Juan Lin; Sam Helman; Arvind K. Badhey; Eugenie Du; Richard V. Smith; Marvin P. Fried; Thomas J. Ow
To evaluate the etiology and risk factors for severe manifestation and recurrent episodes of angioedema; to evaluate efficacy of short‐term and long‐term management strategies for angioedema among a high‐risk population.
International Forum of Allergy & Rhinology | 2016
Patricia A. Loftus; Juan Lin; Abtin Tabaee
The incidence and potential disease impact of paranasal sinus anatomic variants in patients with recurrent acute rhinosinusitis (RARS) has important implications for management, including surgery, but is incompletely defined.
Annals of Otology, Rhinology, and Laryngology | 2014
Patricia A. Loftus; Thomas J. Ow; Bianca Siegel; Andrew B. Tassler; Richard V. Smith; Hillel W. Cohen; Bradley A. Schiff
Objective: The objective was to determine patient and gland characteristics associated with difficult intubation in patients undergoing thyroidectomy for goiter and to assess different methods of intubation in these patients. Methods: This study was an IRB-approved, retrospective chart review of 112 consecutive patients undergoing hemithyroidectomy or total thyroidectomy for thyroid goiter from 2009-2012 at an academic tertiary care facility in Bronx, New York. Patient demographics, thyroid gland characteristics (gland weight and nodule size), presence of preoperative symptoms (dyspnea, dysphagia, and hoarseness), and radiographical findings (tracheal compression, tracheal deviation, and substernal extension of the thyroid gland) were recorded. Anesthesia records were reviewed for method of intubation, as well as success or failure of intubation attempts. Results: Nineteen patients (17.0%) were men and 93 (83.0%) were women. The age of the patients included in the study ranged from 14 to 86 years with a mean ± SD age of 53.5 ± 14.7 years. Difficult intubation was noted with 13 (11.6%) patients. Only patient age was significantly associated with difficult intubation. The mean age of patients with airway difficulty was 60.7 ± 3.7 years compared to 52.1 ± 1.5 years in those who did not experience airway difficulty (P = .04). No other reviewed risk factors were found to be significantly associated with difficult intubation. Fiberoptic intubation (FOI) was used in 38 patients and difficult intubation occurred in 18.4% (7/38). Direct laryngoscopy with transoral intubation (LTOI) was used in 58 patients, in whom 3.4% (2/58) experienced a difficult intubation. FOI was aborted 6 times and LTOI was subsequently successful in each of these cases. Conclusions: Our results suggest that benign nodular goiter disease does not pose significant challenges to intubation in our patient cohort. The technique of intubation deviated from the initial plan several times in the FOI group, whereas LTOI was ultimately successful in every case. Our data suggest that the role of fiberoptic intubation for patients with large goiters should be further refined.
Annals of Otology, Rhinology, and Laryngology | 2016
Patricia A. Loftus; Arsen Stegnjajic; Kathleen M. Tibbetts; Arvind K. Badhey; Jeffrey Glicksman
Objective: A subset of patients previously diagnosed with idiopathic chronic cough were found to have an elongated uvula contacting the laryngeal surface of the epiglottis and inducing a cough reflex. These patients were successfully treated with an in-office modified uvulopalatoplasty procedure (mUPP) at our institution. We aim to further categorize this subset of patients and describe the mUPP that can potentially offer this group of patients cure for their chronic cough. Study Design: Institutional Review Board–approved retrospective chart review. Methods: Patient demographics, medical history, associated symptoms, prior treatment remedies, and response to mUPP were recorded and analyzed for 30 patients who underwent an in-office mUPP. Results: The majority of patients were middle-aged, nonsmoking females with symptoms of globus sensation and a gag reflex when lying supine. 96.7% of patients reported complete resolution or noticeable improvement of their cough following mUPP. There were no complications from this in-office procedure in our study. Conclusions: The authors’ main goals are to make other physicians aware of this under-recognized subset of patients with chronic cough who have an identifiable and treatable cause for their symptoms and to provide the steps of a simple and effective surgical solution to chronic cough in this group of patients.
Laryngoscope | 2017
Bianca Siegel; Thomas J. Ow; Suzanne S. Abraham; Patricia A. Loftus; Andrew B. Tassler; Richard V. Smith; Bradley A. Schiff
To identify compressive symptomatology in a patient cohort with benign thyroid disease who underwent thyroidectomy. To determine radiographic/clinicopathologic features related to and predictive of a compressive outcome.
Laryngoscope | 2016
Rebecca J. Kamil; Elina Jerschow; Patricia A. Loftus; Melin Tan; Marvin P. Fried; Richard V. Smith; David Foster; Thomas J. Ow
Black race is a risk factor for angioedema. The primary aim was to examine the relationship between race–ethnicity and risk factors for angioedema.
Annals of Otology, Rhinology, and Laryngology | 2014
Patricia A. Loftus; Thomas J. Ow; Bianca Siegel; Andrew B. Tassler; Richard V. Smith; Bradley A. Schiff
Loftus PA, Ow TJ, Siegel B, Tassler AB, Smith RV, Schiff BA. Risk factors for perioperative airway difficulty and evaluation of intubation approaches among patients with benign goiter. Ann Otol Rhinol Laryngol. 2014;123(4):279-285. (Original DOI: 10.1177/0003489414524171)
Head and Neck Pathology | 2016
Vaidehi Avadhani; Patricia A. Loftus; Daniel Meltzer; Beverly Wang; Abtin Tabaee
Annals of Otology, Rhinology, and Laryngology | 2017
Patricia A. Loftus
Archive | 2016
Patricia A. Loftus; Alexis Jackman