Wayne D. Hsueh

Incorporation of antibiotics and systemic steroids by sinus surgeons: is there widespread consensus?: Antibiotics and steroids in rhinosinusitis

The objective of this work was to evaluate factors associated with antibiotic and oral corticosteroid (OCS) prescription among otolaryngologists regularly performing sinus surgery.

Endoscopic and external approaches for orbital decompression: an analysis of trends from a U.S. perspective: Trends in endoscopic orbital decompression

Although the endoscopic approach has been increasingly utilized for a variety of sinonasal and skull base pathologies, there has been little inquiry into its adoption in the surgical management of orbital disease. Our objective was to evaluate nationwide temporal and geographic trends in approaches for orbital decompression.

Do geographic differences or socioeconomic disparities affect survival in sinonasal squamous cell carcinoma

Squamous cell carcinoma (SCC) is the most common malignancy in the sinonasal tract. We present the first population‐based analysis that examines geographic differences in demographic and clinical characteristics, socioeconomic factors, treatment modality, and disease‐specific survival (DSS) of this entity.

Pituitary Apoplexy following Endoscopic Retrograde Cholangiopancreatography

BACKGROUNDnPituitary apoplexy is an uncommon neurosurgical emergency that may be the initial presentation of undiagnosed pituitary adenomas. Though the exact pathogenesis is unclear, there appears to be an association between pituitary apoplexy and medical interventions that disturb the blood supply and venous drainage of the abnormal sellar region. We present the first case of pituitary apoplexy occurring after an endoscopic retrograde cholangiopancreatography (ERCP).nnnCASE DESCRIPTIONnA 43-year-old male who was several hours status post ERCP presented with a severe headache, bilateral ptosis, and multidirectional ophthalmoplegia. Computed tomography scan and magnetic resonance imaging of the brain revealed a hemorrhagic and necrotic sellar mass with suprasellar extension compressing the optic chiasm and bilateral extension displacing the cavernous carotid arteries laterally. The patient underwent emergent endoscopic endonasal transsphenoidal resection of the underlying pituitary tumor apoplexy with eventual resolution of his cranial nerve palsies.nnnCONCLUSIONSnAlthough pituitary apoplexy has been recognized as a sequela of surgical and laparoscopic procedures, it should also be considered in less invasive gastrointestinal procedures which may alter the intraabdominal pressures, such as ERCP. Early detection of this unusual complication allows for rapid diagnosis and timely surgical intervention in select cases to prevent debilitating cranial nerve palsies, preserve visual function, and retain normal pituitary function.

The Otolaryngology Match: A Bibliometric Analysis of 222 First-Year Residents: Bibliometric Analysis of 222 ENT Interns

Research has long been acknowledged as important to successfully matriculate into an otolaryngology residency position. The objective of this study is to perform a bibliometric analysis to quantify the importance of scholarly productivity in the otolaryngology match process.

The Impact of Resident and Fellow Participation in Transsphenoidal Pituitary Surgery: Effect of Training Level on Pituitary Surgery

Postoperative complications is an important marker of healthcare quality. The aim of this study was to analyze the impact of resident and fellow participation on postoperative complications in transsphenoidal pituitary surgery in a multi‐institutional setting.

Endoscopic Posterior Cricoid Split With Graft in an Adult With Posterior Cricoid Fracture: Endoscopic Split to Repair Cricoid Fracture

A 45‐year‐old man presented with bilateral vocal fold immobility (BVFI) following a remote history of assault. He was found to have a comminuted, telescoped, and ossified posterior cricoid fracture on imaging. Electromyography revealed normal cricothyroid and thyroarytenoid muscle function, but moderate chronic denervation of bilateral posterior cricoarytenoid muscles. The patient underwent endoscopic posterior cricoid split with rib graft (EPCS/RG), and he regained moderate vocal abduction and full vocal adduction, resolution of dysphonia, and was decannulated. This report describes the only case of an adult with BVFI due to a posterior cricoid fracture that was successfully treated with EPCS/RG. Laryngoscope, 128:2864–2866, 2018

Examining the “July effect” on patients undergoing pituitary surgery: July Effect in pituitary surgery

Our aim in this study was to assess the impact of the turnover of residents in July on patients undergoing pituitary surgery.

Radiotherapy modality as a predictor of survival in hypopharyngeal cancer

The impact of radiotherapy (RT) modality and dose on survival in hypopharyngeal cancer managed with definitive RT is unclear.

Mobile Applications for Allergic Rhinitis

Objective: To study and review the currently available mobile applications relating to allergic rhinitis. Methods: The Apple and Google mobile app stores were queried with search terms relating to allergic rhinitis. Apps were assigned to categories and analyzed based on description and characteristics such as popularity, reviews, cost, platform, and physician involvement in development. Results: A total of 72 apps related to allergic rhinitis were identified. Fifty-four apps were unique, with 18 apps found on both operating systems. Forty (55.5%) apps were available in the Apple App store, and 32 (44.4%) apps were available in the Google Play app store. They were grouped into the following categories: patient education (18; 25%), journals (15; 20.8%), symptom tracking (14; 19.4%), clinical/private practice (13; 18.1%), pollen forecast (7; 9.7%), medical education (4; 5.6%), and other (1; 1.4%). The majority of apps were free of charge (67; 93.1%), with paid apps ranging from