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Jeffrey Cheng
Professor of Head and Neck Surgery & Communication Sciences
Journal ArticleAnn Otol Rhinol Laryngol · August 2025
PURPOSE: There is emerging evidence showing even a single episode of transient acute kidney injury (AKI) in children can have negative long-term health consequences. AKI may be under-recognized in children undergoing tonsillectomy because of unique risk fa ...
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Journal ArticleOtolaryngol Head Neck Surg · December 2024
OBJECTIVE: To determine the impact of the release of updated American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNSF) Clinical Practice Guidelines (CPG) for Tonsillectomy in Children in 2019 on adherence to evidence-based practice. METHODS: Pati ...
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Journal ArticleInt J Pediatr Otorhinolaryngol · August 2024
OBJECTIVE: To describe a quality improvement (QI) method to decrease pediatric accidental decannulation (AD) in the early postoperative period for children under age 3. METHODS: A retrospective chart review was conducted on children under age 3 who underwe ...
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Journal ArticleInt J Pediatr Otorhinolaryngol · August 2023
OBJECTIVE: Children with cleft palate are at increased risk for Eustachian tube dysfunction (ETD) and conductive hearing loss from chronic otitis media. While it has been proposed that the severity of ETD is related to the severity of cleft palate, data ar ...
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Journal ArticleLaryngoscope Investig Otolaryngol · June 2023
OBJECTIVES: Tonsillectomy is a common pediatric surgery, and pain is an important consideration in recovery. Due to the opioid epidemic, individual states, medical societies, and institutions have all taken steps to limit postoperative opioids, yet few stu ...
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Journal ArticleOtolaryngol Case Rep · September 2022
Complications of acute rhinosinusitis(ARS) in the pediatric population can include intra- and extracranial involvement from spread of infection. Though these infections are most commonly preceded by a URI, infection with Sars-CoV-2 (COVID-19) as the inciti ...
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Journal ArticleOtolaryngol Head Neck Surg · December 2021
This proof-of-concept study demonstrates that sinonasal microbiome sequencing with suctioned nasal secretions in children is technically feasible. Eighteen children were enrolled: 11 with symptoms of rhinosinusitis and 7 controls. Samples were collected vi ...
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Journal ArticleInt J Pediatr Otorhinolaryngol · July 2021
OBJECTIVES: We aimed to assess procedural trends for tracheostomy placement in the management of children with subglottic stenosis. We hypothesize that with increased use of less invasive airway interventions for subglottic stenosis, tracheostomy may be pe ...
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Journal ArticleHealthcare (Basel) · June 25, 2021
OBJECTIVES: Chronic rhinosinusitis (CRS) is a common and costly health problem in the United States. While often associated with younger adults, CRS can affect the elderly. As the aging population increases in the United States, the cost burden of CRS in o ...
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Journal ArticleJ AAPOS · October 2020
A 2-month-old boy developed a protuberant, blue nodule inferomedial to the left medial canthus. It was unresponsive to oral and intramuscular antibiotics. After developing difficulty breathing, he was admitted, with the diagnosis of a dacryocele, and, afte ...
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Journal ArticleOtolaryngol Head Neck Surg · March 2020
To describe proof of concept and pilot data for a cryotherapy application in the subglottis in a rabbit airway model. Four New Zealand white rabbits (3 experimental, 1 control) underwent general anesthesia and laryngoscopy and bronchoscopy. Experimental an ...
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Journal ArticleInt J Pediatr Otorhinolaryngol · January 2020
OBJECTIVE: Identify current trends, adverse events, and clinical predictors in children treated with thyroglossal duct cyst surgery. METHODS: Cross-sectional analysis using American College of Surgeons (ACS) National Surgical Quality Improvement Program® ( ...
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Journal ArticleJ Craniofac Surg · 2020
Clinical factors associated with the behavior and outcomes of nonbenign, head, and neck vascular tumors in children are not well described. Our aim is to provide descriptive information and identify prognostic factors associated with lower overall survival ...
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Journal ArticleClin Otolaryngol · May 2019
OBJECTIVE: Identify risk factors associated with airway foreign bodies in children in the United States and report observed trends over time. DATA SOURCE: KID database (2000-2009). METHODS: ICD-9-CM codes for airway foreign bodies were used to identify pat ...
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Journal ArticleInt J Pediatr Otorhinolaryngol · May 2019
OBJECTIVE: Quantify the rates influenza vaccination and RSV prophylaxis for children with airway stenosis and/or other disorders and assess impact on resource utilization. METHODS: This was a retrospective study with data extracted from Duke Enterprise Dat ...
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Journal ArticleInt J Pediatr Otorhinolaryngol · March 2019
OBJECTIVE: Identify adverse events associated with surgical management of head and neck lymphatic malformations in children by investigating a US national database. DATA SOURCE: Pediatric American College of Surgeons (ACS) National Surgical Quality Improve ...
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Journal ArticlePediatr Dermatol · March 2019
OBJECTIVE: To quantify complications and rates of adverse events associated with surgical excision of hemangiomas in children using a national surgical database. DATA SOURCE: Pediatric American College of Surgeons (ACS) National Surgical Quality Improvemen ...
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Journal ArticleOtolaryngol Head Neck Surg · June 2018
Objective To identify predictors of adverse events and highlight areas for quality improvement for children who underwent laryngeal or tracheal dilation, without prior tracheostomy placement. Study Design Cross-sectional analysis using a US national databa ...
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Journal ArticleInt J Pediatr Otorhinolaryngol · May 2018
OBJECTIVE: To examine preoperative risk factors, postoperative 30-day outcomes and adverse events of acute mastoiditis using a national pediatric surgical database. METHODS: We explored our objectives using a cross-sectional analysis of a hospital-based re ...
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Journal ArticleJ Pediatr Hematol Oncol · April 2018
With ever increasing demands to manage finite resources for health care utilization, we performed an investigation to identify inpatient clinical characteristics and trends in children with lymphatic malformations using the Kids' Inpatient Database, years ...
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Journal ArticleOtolaryngol Head Neck Surg · October 2017
Objective Identify predictors of adverse events for children who underwent endoscopic sinus surgery for treatment of orbital complications associated with sinusitis. Study Design Cross-sectional analysis of a US national database. Setting American College ...
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Journal ArticleLymphat Res Biol · September 2017
OBJECTIVE: Describe inpatient resource utilization trends in children with lymphatic malformations using a national database. DATA SOURCE: Kids' inpatient database, years 2000-2009. METHODS: Subjects included children 18 years and under with International ...
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Journal ArticleJ Pediatr Surg · May 2017
OBJECTIVE: Systematic review of blunt pediatric laryngeal and tracheal trauma and development of proposed evaluation and management strategy. STUDY DESIGN: Systematic review and proposed clinical consideration algorithm. DATA SOURCES: PubMed, EMBASE, Web o ...
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Journal ArticleInt J Pediatr Otorhinolaryngol · May 2017
OBJECTIVE: Quantify the resource utilization associated with airway foreign bodies in children in the United States using a national database and report observed trends over time. STUDY TYPE: Cross-sectional analysis of national inpatient database with wei ...
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Journal ArticleInt J Pediatr Otorhinolaryngol · October 2016
OBJECTIVE: Systematic review of surgical techniques for tracheocutaneous fistula closure in children and successful closure or development of adverse events. DATA SOURCES: PubMed, EMBASE, Web of Science, and Cochrane Library. REVIEW METHODS: A medical libr ...
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Journal ArticleInt J Pediatr Otorhinolaryngol · September 2016
OBJECTIVE: To identify predictors of post-operative respiratory complications in children undergoing tonsillectomy. METHODS: Consecutive case series with chart review of children who underwent polysomnography (PSG) and subsequent tonsillectomy with or with ...
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Journal ArticleJ Craniofac Surg · June 2016
OBJECTIVE: There exist inherent problems with previously described classification schemes for head and neck lymphatic malformations in children and lack of guidance for management. An organization scheme and management recommendations are proposed to impro ...
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Book · January 1, 2016
This volume is an invaluable reference for the practicing pediatrician, audiologist, speech pathologist, nurse practitioner, physician assistant, and other allied health professionals, as well as the pediatric otolaryngologist, including pediatric otolaryn ...
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Chapter · January 1, 2016
“Pediatric airway” is a general term that encompasses a significant amount of territory and pathology. We have organized the pediatric airway by anatomic subsite—supraglottis, glottis, subglottis, trachea, hypopharynx, and pathologies that may affect multi ...
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Chapter · January 1, 2016
The oral cavity and oropharynx play an important role in speech, swallowing, respiration, and other vital physiologic functions. Any visit to a medical professional that includes a physical examination often includes the classic instruction to open the mou ...
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Journal ArticleJ Pediatr Surg · December 2015
OBJECTIVE: This is a systematic review of the literature describing doxycycline sclerotherapy (DS) to treat pediatric head and neck lymphatic malformations and examine patient factors associated with treatment success. DATA SOURCES: PubMed, EMBASE, and Ovi ...
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Journal ArticleInternational Journal of Pediatric Otorhinolaryngology Extra · December 1, 2015
Nd:YAG LASER therapy is traditionally used for the treatment of superficial cutaneous and mucosal venous malformations. Venous malformations of the endolaryngeal airway may complex and difficult to manage given the sensitivity and access to this anatomic a ...
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Journal ArticleInt J Pediatr Otorhinolaryngol · November 2015
OBJECTIVE: Children with cystic fibrosis (CF) are uniquely vulnerable to the pulmonary complications of chronic aspiration. We present a case series of children with CF and evidence of chronic aspiration who underwent injection laryngoplasty to improve the ...
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Journal ArticleAnn Otol Rhinol Laryngol · October 2015
INTRODUCTION: Cervical lymphatic malformations in children rarely present with acute airway compromise. During an acute exacerbation or hemorrhage, lymphatic malformations involving the deep neck spaces may precipitate critical airway obstruction. These ar ...
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Journal ArticleInt J Pediatr Otorhinolaryngol · May 2015
OBJECTIVE: To evaluate the results of our multidisciplinary approach to recurrent croup and chronic cough. METHODS: Retrospective chart review of all patients with recurrent croup and chronic cough managed at a tertiary care children's hospital by our Comp ...
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Journal ArticleInt J Pediatr Otorhinolaryngol · May 2015
Inclusion-cell disease (mucolipidosis II/I-cell disease) is a lysosomal storage disease characterized by a constellation of physical findings which complicate airway management. There is currently a deficit of published literature describing appropriate st ...
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Journal ArticleInt J Pediatr Otorhinolaryngol · February 2015
PURPOSE: Congenital nasal pyriform aperture stenosis (CNPAS) is a rare cause of respiratory distress in neonates that may necessitate early surgical intervention. Restenosis and granulation are postoperative concerns that may prompt a return to the operati ...
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Book · January 1, 2015
Congenital and acquired pediatric vocal fold disorders are remarkably different than in adults. The histopathologic structure and continuing maturation of a child’s larynx limit our current understanding of the principles and techniques of management of pe ...
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Journal ArticleAm J Otolaryngol · 2015
OBJECTIVE: Compare the incidence of endoscopic surgical treatment of patients with laryngomalacia to other aerodigestive pathology who may present with similar symptoms. METHODS: Consecutive case series with chart review of endoscopic surgical intervention ...
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Journal ArticleAm J Otolaryngol · 2015
OBJECTIVE: Subglottic hemangiomas may present a diagnostic challenge in the stridorous infant without a cutaneous lesion. METHODS: Consecutive case series with chart review of isolated subglottic hemangiomas without cutaneous lesions. RESULTS: Two patients ...
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Journal ArticleEar Nose Throat J · December 2014
We present the case of a 17-year-old boy who developed a deep space neck infection following cervical trauma. He was initially managed conservatively with broad-spectrum antibiotics, but when he failed to improve clinically, he required surgical drainage. ...
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Journal ArticleOtolaryngol Head Neck Surg · August 2014
The evaluation and treatment of vascular anomalies is rapidly evolving. In recent years, improved imaging, medical therapies, interventional radiology procedures, and technical advances have led to improved functional and aesthetic outcomes with reduced mo ...
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Journal ArticleOtolaryngol Head Neck Surg · July 2014
Nasal abscesses of the tip or soft tissues are uncommon in children. We describe an endonasal surgical approach for nasal abscesses based on our experience with 3 children at our tertiary care, academic children's hospital. All presented with significant n ...
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Journal ArticleInt J Pediatr Otorhinolaryngol · March 2014
Independently, obstructive sleep apnea (OSA) and infectious mononucleosis are not uncommon in the pediatric population, but acute onset of OSA, as a respiratory complication in the setting of acute EBV infection is extremely uncommon. Previous reports of t ...
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Journal ArticleInternational Journal of Pediatric Otorhinolaryngology Extra · January 1, 2014
We present a case of a pediatric patient with a schwannoma of the palate. An 11-year-old girl presented with a one-year history of a slowly enlarging right palate mass, which was otherwise asymptomatic. An MRI showed a well-marginated legion with prominent ...
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Journal ArticleInt J Pediatr Otorhinolaryngol · January 2014
Rarely do orthopedic injuries in children present with dysphagia. Acute onset dysphagia after falling or getting tackled with subtle symptoms or unremarkable physical examination findings should raise suspicion for posterior dislocation of the sternoclavic ...
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Journal ArticleAm J Rhinol Allergy · 2014
BACKGROUND: The signs and symptoms of sinonasal sarcoidosis are diverse and nonspecific. It easily mimics more common sinonasal disorders such as allergic rhinitis, bacterial sinusitis, and atrophic rhinitis. The purpose of this study was to develop a clas ...
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Journal ArticleInt J Pediatr Otorhinolaryngol · November 2013
OBJECTIVE: To examine if timing of tracheostomy placement in premature infants affects the rates of decannulation and length of time required for mechanical ventilatory support. MATERIALS AND METHODS: Consecutive case series with chart review of premature ...
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Journal ArticleLaryngoscope · September 2013
OBJECTIVES/HYPOTHESIS: To evaluate the incidence, safety, and efficacy of adenotonsillectomy for the treatment of sleep-disordered breathing (SDB) or obstructive sleep apnea (OSA) in infants 12 months of age and younger. STUDY DESIGN: Case series study. ME ...
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Journal ArticleOtolaryngol Head Neck Surg · June 2013
OBJECTIVE: To identify clinical features associated with unsuccessful medical therapy in children with deep space neck infections (DSNIs). STUDY DESIGN: Consecutive case series with chart review. SETTING: Tertiary-care, academic children's hospital. SUBJEC ...
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Journal ArticleOtolaryngol Head Neck Surg · April 2013
OBJECTIVE: To describe the senior author's surgical technique and discuss his experience with endolaryngeal hookwire electrodes for intraoperative, recurrent laryngeal nerve monitoring during pediatric thyroid surgery. STUDY DESIGN: Consecutive case series ...
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Journal ArticleEar Nose Throat J · March 2013
We describe the case of a 22-year-old woman who presented with a slowly growing osseous lesion of the mastoid cortex. On computed tomography, the lesion was found to involve the mastoid cortex, with which it demonstrated similar attenuation. The indication ...
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Journal ArticleInternational Journal of Pediatric Otorhinolaryngology Extra · January 1, 2013
We describe a rare case of a postcricoid infantile hemangioma (IH) and treatment with propranolol. A newborn female was found to have a large, postcricoid submucosal mass. The patient was brought to the operating theater for endoscopy and biopsy. The histo ...
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Journal ArticleInternational Journal of Pediatric Otorhinolaryngology Extra · January 1, 2013
To describe an interesting clinical and histopathologic case of a neonate presenting with respiratory distress and a laryngeal hamartoma with ectopic thymus and parathyroid tissue. Case report and PubMed review of the English literature. A full term, newbo ...
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Journal ArticleInt J Pediatr Otorhinolaryngol · January 2013
We describe a novel technique for closure of a large, persistent, pediatric tracheocutaneous fistula using a thyroid ala cartilage graft. Case report and review of the literature. We report 2 cases of large (>4mm), pediatric tracheocutaneous fistulas, in w ...
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Journal ArticleInt J Pediatr Otorhinolaryngol · December 2012
OBJECTIVES: To describe our experience and clinical outcomes with the management of pediatric tympanostomy tube otorrhea secondary to methicillin-resistant Staphylococcus aureus (MRSA). METHODS: Retrospective review of pediatric patients (age <18) diagnose ...
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Journal ArticleInt J Pediatr Otorhinolaryngol · November 2012
OBJECTIVE: To describe the surgical management of second branchial fistulae that extend to the pharynx, specifically to determine whether tonsillectomy, along with surgical excision of the tract affects the rate of recurrence. METHODS: Retrospective chart ...
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Journal ArticleJ Voice · September 2012
OBJECTIVE: To discuss four techniques used to overcome the problem of difficult exposure during operative microlaryngoscopy (microdirect laryngoscopy [MDL]). The protocol uses four techniques in escalating fashion. These techniques are: high-frequency jet ...
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Journal ArticleInt J Pediatr Otorhinolaryngol · May 2012
Report 2 cases of coat hanger floor of mouth injuries in children. We describe 2 cases of children who presented with coat hanger impalement injuries of the floor of mouth and their management. Removal under anesthesia is safe with a period of observation ...
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Journal ArticleInternational Journal of Pediatric Otorhinolaryngology Extra · January 1, 2012
We describe two cases at the Children's Hospital of Philadelphia of neonates requiring surgical drainage of head and neck infections. The patients consisted of 2 males, presenting 9 and 13 days of life, respectively. Both were born via Caesarean section an ...
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Journal ArticleLaryngoscope · August 29, 2011
Educational Objective: At the conclusion of this presentation, the participant should be able to recognize trauma as a potential cause of sinus mucoceles and discuss the options for management. Objectives: To highlight a unique presentation and subsequent ...
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Journal ArticleLaryngoscope · August 29, 2011
Objectives: To examine and report results for tympanoplasties performed in a tertiary-care city teaching hospital serving one of the most ethnically diverse neighborhoods in the United States. Study Design: Retrospective chart review. Methods: Adult patien ...
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ConferenceLaryngoscope · January 1, 2011
We present a case of a 17 yearold male who developed a deep space neck infection after cervical trauma. The patient was managed conservatively with broad-spectrum antibiotics, but after failing to improve clinically required operative drainage. Wound cultu ...
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Journal ArticleAm Heart J · November 2010
BACKGROUND: Lowering low-density lipoprotein (LDL) cholesterol with statin therapy has been shown to reduce the incidence of atherosclerotic events in many types of patient, but it remains uncertain whether it is of net benefit among people with chronic ki ...
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Journal ArticleEar Nose Throat J · April 2010
Phonosurgery is an effective treatment for some vocal fold pathologies, and the Voice Handicap Index (VHI) survey has been shown to be a useful instrument for evaluating treatment effectiveness. We conducted a nonrandomized, prospective study of 21 patient ...
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