Scholars@Duke
Charles Woodard

Charles Woodard

Professor of Head and Neck Surgery & Communication Sciences
Facial Plastics & Reconstructive Surgery

Selected Publications

Evaluating the Impact of Gender and Race on Otolaryngology Resident Experiences Across the United States.

Journal Article Otolaryngol Head Neck Surg · September 3, 2024 OBJECTIVE: Otolaryngology residents often encounter work-related stress and challenges during training. Sociodemographic factors influence experiences during residency; however, the impact of race and gender on otolaryngology trainee well-being during resi ... Full text Link to item Cite

Otolaryngology residency program factors associated with female resident representation.

Journal Article World J Otorhinolaryngol Head Neck Surg · March 2024 OBJECTIVE: Female representation in the field of otolaryngology is lacking. Residency is the first point at which medical school graduates specialize in a chosen field and thus represents an opportunity to recruit and train more female otolaryngologists. T ... Full text Link to item Cite

Language Patterns in Letters of Recommendation for Residency Applicants in Otolaryngology.

Journal Article Otolaryngol Head Neck Surg · March 2024 OBJECTIVE: Assess for gender and race patterns in agentic and communal language used in letters of recommendation for Otolaryngology-Head and Neck Surgery (OHNS) residency applicants. STUDY DESIGN: Retrospective content analysis. SETTING: Applications from ... Full text Link to item Cite

Value-based healthcare

Chapter · February 16, 2024 Cite

Soft Tissue Trauma: Critical Recognition and Timing of Intervention in Emergency Presentations.

Journal Article Otolaryngol Clin North Am · December 2023 The facial trauma surgeon will see a variety of facial injuries. Recognition of emergency cases and proper intervention is and this article aims to highlight those cases and the respective proper interventions. ... Full text Link to item Cite

Computational Analyses of Physiologic Effects After Midvault Repair Techniques in Rhinoplasty

Journal Article Face · March 1, 2023 Background: Midvault reconstruction is an essential element of functional rhinoplasty. An improved understanding of airflow patterns after spreader graft (SG) or spreader flap (SF) techniques can inform surgical techniques based on individual anatomy. Obje ... Full text Open Access Cite

Parents' Knowledge and Education of Retinopathy of Prematurity in Four California Neonatal Intensive Care Units.

Journal Article Am J Ophthalmol · July 2018 PURPOSE: Retinopathy of prematurity (ROP) may cause visual impairment in infants with very low birth weight. Lack of parent knowledge may contribute to gaps in screening and treatment. We studied parents' knowledge and education of ROP. DESIGN: Cross-secti ... Full text Link to item Cite

The Role of Postoperative Imaging after Orbital Floor Fracture Repair.

Journal Article Craniomaxillofac Trauma Reconstr · June 2018 Obtaining postoperative images of maxillofacial fractures does not affect the clinical management of asymptomatic patients; however, few studies have evaluated the role of postoperative imaging in the context of orbital floor fractures. In this study, we e ... Full text Link to item Cite

Noninvasive optical spectroscopy for identification of non-melanoma skin cancer: Pilot study.

Journal Article Lasers Surg Med · March 2018 OBJECTIVE: Optical spectroscopy offers a noninvasive alternative to biopsy as a first-line screening tool for suspicious skin lesions. This study sought to define several optical parameters across malignant and benign tissue types. STUDY DESIGN: Prospectiv ... Full text Link to item Cite

Hearing and Mortality Outcomes following Temporal Bone Fractures.

Journal Article Craniomaxillofac Trauma Reconstr · December 2017 The aim of this article is to determine hearing and mortality outcomes following temporal bone fractures. Retrospective chart review was performed of 152 patients diagnosed with a temporal bone fracture presenting to the emergency room at a tertiary care r ... Full text Link to item Cite

Survey of Current Practice Patterns in the Management of Frontal Sinus Fractures.

Journal Article Craniomaxillofac Trauma Reconstr · June 2017 The management of frontal sinus fractures has evolved in the endoscopic era. The development of functional endoscopic sinus surgery (FESS) has been incorporated into management algorithms proposed by otolaryngologists, but the extent of its influence on pl ... Full text Link to item Cite

A Collective Review on Hazards of Powder on Surgical and Examination Gloves.

Journal Article J Long Term Eff Med Implants · 2017 This article reviews information on the hazards associated with dusting powders on latex surgical and examination gloves. Dusting powders were first applied to latex gloves to facilitate donning. After 1980, manufacturers devised innovative techniques to m ... Full text Link to item Cite

Influence of Successful Chronic Hepatitis C Virus Treatment with Ledipasvir/Sofosbuvir on Warfarin Dosing Requirements in Four Veterans.

Journal Article Pharmacotherapy · November 2016 STUDY OBJECTIVE: To describe international normalized ratio (INR) trends and warfarin dosage adjustments required for four veterans who were receiving warfarin therapy and started treatment for hepatitis C virus (HCV) with ledipasvir/sofosbuvir with or wit ... Full text Link to item Cite

Update on reconstructive options for nasal Mohs defects 1.5 cm or less.

Journal Article Curr Opin Otolaryngol Head Neck Surg · August 2016 PURPOSE OF REVIEW: The article reviews the current literature to provide an overview on contemporary reconstructive options for closure of Mohs defects of the nose that are 1.5 cm or less. RECENT FINDINGS: Although some of the techniques described in the l ... Full text Link to item Cite

Massive open online laboratories? Ongoing work with microelectronics experiments performed outside of the traditional laboratory

Conference ASEE Annual Conference and Exposition, Conference Proceedings · June 26, 2016 With the advent of open source hardware and software, students are able to perform advanced microelectronic experiments outside of the laboratory setting using low-cost components and equipment. Offering experiments outside of a traditional lab accommodate ... Cite

A Computational Study of Nasal Spray Deposition Pattern in Four Ethnic Groups.

Journal Article J Aerosol Med Pulm Drug Deliv · April 2016 BACKGROUND: Very little is known about the role of nasal morphology due to ethnic variation on particle deposition pattern in the sinonasal cavity. This preliminary study utilizes computational fluid dynamics (CFD) modeling to investigate sinonasal airway ... Full text Link to item Cite

Opportunity Cost of Surgical Management of Craniomaxillofacial Trauma.

Journal Article Craniomaxillofac Trauma Reconstr · March 2016 The provision of trauma care is a financial burden, continually associated with low reimbursement, and shifts the economic burden to major trauma centers and providers. Meanwhile, the volume of craniomaxillofacial (CMF) trauma and the number of surgically ... Full text Link to item Cite

Surgical Correction of an Extensive Skull Base Defect as a Result of Pneumocele.

Journal Article J Craniofac Surg · January 2016 Pneumocele is a condition involving the pathologic expansion of paranasal sinuses with corresponding bony erosion of the skull base. Extensive pneumocele can lead to pneumocephalus, especially in patients with long-term cerebrospinal fluid shunts. Here, th ... Full text Link to item Cite

Dysphagia, hoarseness, and globus in a postoperative patient.

Journal Article Am J Otolaryngol · 2015 Sore throat, hoarseness, and dysphagia are known and recognized postoperative complications of laryngeal mask airway use during operative procedures. The patient's symptoms, present immediately after surgery, are thought related to airway manipulation. Air ... Full text Link to item Cite

Complications in facial flap surgery.

Journal Article Facial Plast Surg Clin North Am · November 2013 Local flaps are a common reconstructive technique of the head and neck. Consequently, knowledge of fundamental concepts and pitfalls to avoid will reduce surgical complications. These complications result from tension-related, ischemic, hematologic, and in ... Full text Link to item Cite

Surgical Training and Education in Promoting Professionalism: a comparative assessment of virtue-based leadership development in otolaryngology-head and neck surgery residents.

Journal Article Med Educ Online · October 29, 2013 INTRODUCTION: Surgical Training and Education in Promoting Professionalism (STEPP) was developed in 2011 to train tomorrow's leaders during residency. It is based on virtue ethics and takes an approach similar to West Point military academy. The purpose of ... Full text Link to item Cite

Middle ear effusion in adult ICU patients: a cohort study.

Journal Article Ear Nose Throat J · August 2013 We conducted a prospective study of 74 adults-34 men and 40 women, aged 18 to 90 (mean: 60.2)-to determine the prevalence of middle ear effusion (MEE) among patients in the setting of an intensive care unit (ICU) and to compare the findings with those of a ... Full text Link to item Cite

Surgical Training and Education in Promoting Professionalism: a comparative assessment of virtue-based leadership development in otolaryngology-head and neck surgery residents.

Journal Article Med Educ Online · January 2013 Introduction Surgical Training and Education in Promoting Professionalism (STEPP) was developed in 2011 to train tomorrow's leaders during residency. It is based on virtue ethics and takes an approach similar to West Point military academy. The purpose of ... Full text Link to item Cite

Preservation of the nasal valve area with a lateral crural hinged flap: a cadaveric study.

Journal Article Aesthetic Plast Surg · April 2012 BACKGROUND: Overresection of the lateral crura of the lower lateral cartilages is referred to as the most common cause of nasal valve collapse after rhinoplasty. The modern approach to functional rhinoplasty recognizes the importance of the tip framework's ... Full text Link to item Cite

Intraoperative angiography using laser-assisted indocyanine green imaging to map perfusion of forehead flaps.

Journal Article Arch Facial Plast Surg · 2012 OBJECTIVE: To quantify the perfusion of forehead flaps and compare blood flow from the supratrochlear artery with vascular in-growth at the recipient bed. METHODS: Patients with nasal defects necessitating forehead flap closure were prospectively enrolled ... Full text Link to item Cite

Trends in common rhinologic illnesses: analysis of U.S. healthcare surveys 1995-2007.

Journal Article Int Forum Allergy Rhinol · 2011 BACKGROUND: Up to date information on the epidemiology of, and recent changes in, allergic rhinitis (AR), acute sinusitis (AS), and chronic sinusitis (CS) office and emergency department (ED) visits and prevalence is sparse. Current studies may quote data ... Full text Link to item Cite

Reconstruction of nasal defects 1.5 cm or smaller.

Journal Article Arch Facial Plast Surg · 2011 OBJECTIVES: To review the repair of smaller nasal defects (≤1.5 cm) and their associated complications, elaborating on nasal obstruction and techniques to avoid it, and to determine outcomes with functional cartilage grafting. METHODS: The medical records ... Full text Link to item Cite

Nasal and facial analysis.

Journal Article Clin Plast Surg · April 2010 Rhinoplasty remains one of the most challenging aesthetic procedures to master. Astute surgeons must consider a continually evolving societal perception of beauty with their own sense of aesthetic proportion when planning surgical intervention. Optimal res ... Full text Link to item Cite

Role of hypoxia in inflammatory upper airway disease.

Journal Article Curr Opin Allergy Clin Immunol · February 2008 PURPOSE OF REVIEW: Hypoxia is a potent stimulus for inflammation and remodeling. Hypoxia develops in chronic sinusitis as shown via tissue oxygen concentrations and colonization with obligate anaerobes. This hypoxia reflects occlusion of the sinus ostia an ... Full text Link to item Cite

Dual action of TGF-beta1 on nasal-polyp derived fibroblasts.

Journal Article Laryngoscope · February 2008 OBJECTIVES: Transforming growth factor beta-1 (TGF-beta1) is a known fibrogenic factor with immunosuppressive properties. We wanted to determine the effect of stimulation with TGF-beta1 on nasal polyp-derived fibroblasts and assess the role this molecule w ... Full text Link to item Cite

Massive soft tissue infections: necrotizing fasciitis and purpura fulminans.

Journal Article J Long Term Eff Med Implants · 2005 Necrotizing fasciitis and purpura fulminans are two destructive infections that involve both skin and soft tissue. Necrotizing fasciitis is characterized by widespread necrosis of subcutaneous tissue and the fascia. Historically, group A beta-hemolytic str ... Full text Link to item Cite

Pressure ulcer prevention.

Journal Article J Long Term Eff Med Implants · 2004 The purpose of this collective review is to outline the predisposing factors in the development of pressure ulcers and to identify a pressure ulcer prevention program. The most frequent sites for pressure ulcers are areas of skin overlying bony prominences ... Full text Link to item Cite

Calcium phosphate bone cements: a comprehensive review.

Journal Article J Long Term Eff Med Implants · 2003 Calcium phosphate cements (CPCs) augment the healing of bone following craniofacial and maxillofacial surgery. Their ability to function as bone substitutes has accelerated the healing processes from bone fractures or defects. Although CPCs all possess the ... Full text Link to item Cite

Latex allergy: a life-threatening epidemic for scientists, healthcare personnel, and their patients.

Journal Article J Long Term Eff Med Implants · 2003 Latex allergy has become a global epidemic, affecting patients, healthcare workers, and scientific personnel. Today, the incidence of latex allergy in healthcare and scientific personnel varies from 17-36%, costing billions of dollars annually to treat. Co ... Full text Link to item Cite

Revolutionary advances in skin stapling: a collective review.

Journal Article J Long Term Eff Med Implants · 2001 The purpose of this article is to provide a collective review of the literature on skin staplers. On the basis of this review, the Auto Suture Multifire Premium, with its regular and wide metal staples, is recommended for skin closure. The Auto Suture Mult ... Link to item Cite

Hazards of powder on surgical and examination gloves: a collective review.

Journal Article J Long Term Eff Med Implants · 2001 This article reviews information on the hazards associated with dusting powders on latex surgical and examination gloves. Dusting powders were first applied to latex gloves to facilitate donning. After 1980, manufacturers devised innovative techniques to m ... Link to item Cite

Neonatal rat pinealocytes: typical and atypical characteristics of [125I]iodohydroxybenzylpindolol binding and adenosine 3',5'-monophosphate accumulation.

Journal Article Endocrinology · February 1981 Techniques are described which make it possible to study beta-adrenergic receptors on intact neuroendocrine cells. Receptors were characterized on neonatal pinealocytes using the radioligand [125I]iodohydroxybenzylpindolol ([125I]IHYP). Specific binding of ... Full text Link to item Cite