Scholars@Duke
Seth Morris Cohen

Seth Morris Cohen

Professor of Head and Neck Surgery & Communication Sciences
Laryngology
seth.cohen@duke.edu
3480 Wake Forest Road, Suite 404, Raleigh, NC 27609
3480 Wake Forest Road, Suite 404, Raleigh, NC 27609

Selected Publications

Self-Reported Dysphagia and Psychosocial Health Among Community-Dwelling Older Adults: Results of a National Study.

Journal Article J Gen Intern Med · November 2023 BACKGROUND: The risk of dysphagia increases with age, affecting up to 33% of adults over the age of 65. Older adults with dysphagia are at increased risk for negative physical health outcomes such as aspiration pneumonia and death. However, the relationshi ... Full text Link to item Cite

Impact of Serial Intralesional Steroid Injections on Idiopathic Subglottic Stenosis.

Journal Article Laryngoscope · September 2023 OBJECTIVES: Serial intralesional steroid injection (SILSI) has been increasingly used to treat idiopathic subglottic stenosis (iSGS). Prior studies have shown effectiveness, but not in all patients. This multi-institutional study evaluates the effect of SI ... Full text Link to item Cite

Dysphagia in Older Adults is Associated With Food Insecurity and Being Homebound.

Journal Article J Appl Gerontol · September 2023 Objective: Our aim was to evaluate relationships between swallowing difficulty (dysphagia) and social determinants of health (SDOH) in older adults ≥65 years. Method: Cross-sectional analyses were performed in community-dwelling Medicare beneficiaries from ... Full text Link to item Cite

Comparative Treatment Outcomes for Idiopathic Subglottic Stenosis: 5-Year Update.

Journal Article Otolaryngol Head Neck Surg · June 2023 The North American Airway Collaborative (NoAAC) previously published a 3-year multi-institutional prospective cohort study showing variation in treatment effectiveness between 3 primary surgical techniques for idiopathic subglottic stenosis (iSGS). In this ... Full text Link to item Cite

Comparison of Inhaled Drug Delivery in Patients With One- and Two-level Laryngotracheal Stenosis.

Journal Article Laryngoscope · February 2023 OBJECTIVES/HYPOTHESIS: Laryngotracheal stenosis (LTS) is a functionally devastating condition with high respiratory morbidity and mortality. This preliminary study investigates airflow dynamics and stenotic drug delivery in patients with one- and two-level ... Full text Link to item Cite

Preoperative dysphagia risk in community-dwelling adults aged ≥50 years: Prevalence and risk factors.

Journal Article Nutr Clin Pract · February 2023 BACKGROUND: Preoperative dysphagia screening is rare. The purpose of this study was to assess the prevalence and potential risk factors of preoperative dysphagia risk in adults preparing for surgery. METHODS: The Eating Assessment Tool (EAT-10), Patient-Ge ... Full text Open Access Link to item Cite

A systematic review and meta-analysis of neuromodulators to treat chronic airway hypersensitivity.

Journal Article Am J Otolaryngol · 2023 OBJECTIVES: Chronic laryngitis can present with numerous symptoms, including chronic cough. Patients who do not respond to standard treatment are sometimes diagnosed with chronic airway hypersensitivity (CAH). In many centers, neuromodulators are prescribe ... Full text Link to item Cite

A computational analysis on the impact of multilevel laryngotracheal stenosis on airflow and drug particle dynamics in the upper airway.

Journal Article Exp Comput Multiph Flow · 2023 Laryngotracheal stenosis (LTS) is a type of airway narrowing that is frequently caused by intubation-related trauma. LTS can occur at one or multiple locations in the larynx and/or trachea. This study characterizes airflow dynamics and drug delivery in pat ... Full text Link to item Cite

Management of Chronic Rhinosinusitis Prior to Otolaryngology Referral: An Opportunity for Quality Improvement.

Journal Article Otolaryngol Head Neck Surg · March 2022 OBJECTIVE: The management of chronic rhinosinusitis (CRS) by a nonotolaryngologist prior to otolaryngology referral is an important component of the patient care pathway. The purpose of this study is to characterize CRS management during this period and to ... Full text Link to item Cite

Tranexamic acid administration practice in otolaryngology head & neck surgery; international survey.

Journal Article Am J Otolaryngol · 2022 PURPOSE: Tranexamic acid (TXA) is a potent pro-coagulation drug. Pre-operative, preventive TXA administration and TXA use for active bleeding are established treatments in many medical situations; yet, less is known about its use in otolaryngology head and ... Full text Link to item Cite

Geographic Variations in Healthcare Utilization and Expenditure for Chronic Rhinosinusitis: A Population-Based Approach.

Journal Article Laryngoscope · December 2021 OBJECTIVES/HYPOTHESIS: Chronic rhinosinusitis (CRS) is a common and costly health problem in the United States. A better understanding of healthcare resource utilization (HCRU) and healthcare expenditure (HCE) pertaining to CRS is required. The objective o ... Full text Link to item Cite

Modeling Recurrence in Idiopathic Subglottic Stenosis With Mobile Peak Expiratory Flow.

Journal Article Laryngoscope · December 2021 OBJECTIVES/HYPOTHESIS: We sought to establish normative peak expiratory flow (PEF) data for patients with idiopathic subglottic stenosis (iSGS), evaluate whether immediate changes in PEF after a procedure predict long-term treatment response, and test if a ... Full text Link to item Cite

Impact of Adjuvant Medical Therapies on Surgical Outcomes in Idiopathic Subglottic Stenosis.

Journal Article Laryngoscope · December 2021 OBJECTIVES/HYPOTHESIS: Adjuvant medications including proton pump inhibitors (PPI), antibiotics (trimethoprim/sulfamethoxazole [TMP-SMX]), and inhaled corticosteroids (ICS) may be prescribed for patients with idiopathic subglottic stenosis (iSGS). We descr ... Full text Link to item Cite

Association of Social Determinants of Health with Time to Diagnosis and Treatment Outcomes in Idiopathic Subglottic Stenosis.

Journal Article Ann Otol Rhinol Laryngol · October 2021 OBJECTIVES: To examine whether social determinants of health (SDH) factors are associated with time to diagnosis, treatment selection, and time to recurrent surgical intervention in idiopathic subglottic stenosis (iSGS) patients. METHODS: Adult patients wi ... Full text Link to item Cite

A preliminary assessment of guideline adherence and clinical variation in oral cancer treatment: a MarketScan database study.

Journal Article BMC Oral Health · May 17, 2021 BACKGROUND: To assess variations in adherence to guideline-recommended processes of care for oral cavity cancer patients. METHODS: Retrospective study using a U.S. healthcare research database (MarketScan). Index diagnoses were considered from 2010 to 2012 ... Full text Link to item Cite

Orally Inhaled Drug Particle Transport in Computerized Models of Laryngotracheal Stenosis.

Journal Article Otolaryngol Head Neck Surg · April 2021 OBJECTIVE: Adjuvant management for laryngotracheal stenosis (LTS) may involve inhaled corticosteroids, but metered dose inhalers are designed for pulmonary drug delivery. Comprehensive analyses of drug particle deposition efficiency for orally inhaled cort ... Full text Link to item Cite

Perceived Control, Voice Handicap, and Barriers to Voice Therapy.

Journal Article J Voice · March 2021 OBJECTIVE: To characterize the associations of perceived control with voice outcomes and self-reported likelihood of attending voice therapy using a national practice-based research network. STUDY DESIGN: Cross-sectional study of prospectively enrolled adu ... Full text Link to item Cite

Association between Dysphagia and Surgical Outcomes across the Continuum of Frailty.

Journal Article J Nutr Gerontol Geriatr · 2021 This study examined the relationship between dysphagia and adverse outcomes across frailty conditions among surgical patients ≥50 years of age. A retrospective cohort analysis of surgical hospitalizations in the Healthcare Cost and Utilization Project's Na ... Full text Open Access Link to item Cite

A Novel Laryngoscope With an Adjustable Distal Tip.

Journal Article Laryngoscope · December 2020 OBJECTIVES: Various laryngoscopes are currently available for supraglottic, glottic, and cervical esophageal exposure, yet none allow for adjustable articulation of the laryngoscope distal tip. We sought to create a new laryngoscope to improve anatomic fie ... Full text Link to item Cite

Association Between Dysphagia and Inpatient Outcomes Across Frailty Level Among Patients ≥ 50 Years of Age.

Journal Article Dysphagia · October 2020 Frail patients may have heightened risk of dysphagia, a potentially modifiable health factor. Our aim is to examine whether the relationship between dysphagia and adverse health outcomes differs by frailty conditions among inpatients ≥ 50 years of age. Med ... Full text Link to item Cite

Dysphagia prevalence and associated survival differences in older patients with lung cancer: A SEER-Medicare population-based study.

Journal Article J Geriatr Oncol · September 2020 INTRODUCTION: The impact of dysphagia in persons with lung cancer is unknown. The objective of this study is to measure the prevalence and survival differences associated with dysphagia in older adults with lung cancer. MATERIALS AND METHODS: Linked SEER c ... Full text Link to item Cite

Association of voice and mental health diagnoses with differences in voice-related care utilization.

Journal Article Laryngoscope · June 2020 OBJECTIVE: To compare healthcare utilization in voice patients with versus without mental health (MH) diagnoses STUDY DESIGN: Retrospective study using electronic medical records from large regional healthcare system. METHODS: We examined data on sociodemo ... Full text Link to item Cite

Mental Health and Dysphonia: Which Comes First, and Does That Change Care Utilization?

Journal Article Laryngoscope · May 2020 OBJECTIVES: Voice patients with voice disorders have a high prevalence of distress and mental health (MH) comorbidities, but it is unknown to what extent distress precedes or follows voice disorder diagnoses. Objectives were to compare 1) proportions of vo ... Full text Link to item Cite

Comparative Treatment Outcomes for Patients With Idiopathic Subglottic Stenosis.

Journal Article JAMA Otolaryngol Head Neck Surg · January 1, 2020 IMPORTANCE: Surgical treatment comparisons in rare diseases are difficult secondary to the geographic distribution of patients. Fortunately, emerging technologies offer promise to reduce these barriers for research. OBJECTIVE: To prospectively compare the ... Full text Link to item Cite

Vocal Fold Paralysis/Paresis as a Marker for Poor Swallowing Outcomes After Thoracic Surgery Procedures.

Journal Article Dysphagia · December 2019 (1) To examine the association between vocal fold paresis/paralysis (VFP) and poor swallowing outcomes in a thoracic surgery cohort at the population level, and (2) to assess utilization of ENT/speech-language pathology intervention in these cases. The Nat ... Full text Open Access Link to item Cite

Associations between Community-Acquired Pneumonia and Proton Pump Inhibitors in the Laryngeal/Voice-Disordered Population.

Journal Article Otolaryngol Head Neck Surg · March 2019 OBJECTIVES: To examine the relationship between community-acquired pneumonia (CAP) and proton pump inhibitor (PPI) treatment among patients with laryngeal/voice disorders. STUDY DESIGN: Retrospective cohort analysis. SETTING: Large national administrative ... Full text Link to item Cite

Prevalence and resource utilization for vocal fold paralysis/paresis after esophagectomy.

Journal Article Laryngoscope · December 2018 OBJECTIVES/HYPOTHESIS: Vocal fold paralysis/paresis (VFP) is an uncommon but serious complication following esophagectomy. The objectives of this study were to: 1) identify the prevalence of VFP and associated complications after esophagectomy in the Unite ... Full text Open Access Link to item Cite

Investigating the effects of laryngotracheal stenosis on upper airway aerodynamics.

Journal Article Laryngoscope · April 2018 OBJECTIVE: Very little is known about the impact of laryngotracheal stenosis (LTS) on inspiratory airflow and resistance, especially in air hunger states. This study investigates the effect of LTS on airway resistance and volumetric flow across three diffe ... Full text Link to item Cite

Pharmacologic management of voice disorders by general medicine providers and otolaryngologists.

Journal Article Laryngoscope · March 2018 OBJECTIVES: 1) To compare laryngeal diagnoses from general medical providers (GMP) to otolaryngologists following GMP-based medication trial, and 2) to evaluate associations between GMP medication trials and pharmacologic treatment by otolaryngologists. ME ... Full text Link to item Cite

Voice disorders and associated risk markers among young adults in the United States.

Journal Article Laryngoscope · September 2017 OBJECTIVES/HYPOTHESIS: To examine the prevalence of voice disorders in young adults and identify sociodemographic factors, health conditions, and behaviors associated with voice disorder prevalence. STUDY DESIGN: Cross-sectional analysis of data from the N ... Full text Link to item Cite

Trends in Otolaryngology Consultation Patterns at an Academic Quaternary Care Center.

Journal Article JAMA Otolaryngol Head Neck Surg · May 1, 2017 IMPORTANCE: The consultation patterns of an otolaryngology-head and neck surgery service have not previously been reported. The time, resources, and attention required to operate such a consultation service are unknown. OBJECTIVE: To assess trends in otola ... Full text Link to item Cite

National Database Analysis of Single-Level versus Multilevel Sleep Surgery.

Journal Article Otolaryngol Head Neck Surg · May 2017 Objective Recent evidence suggests that multilevel sleep surgery improves outcomes when compared with palate surgery alone for most patients. The study objective was to compare demographic and outcomes data for palate surgery (uvulopalatopharyngoplasty [UP ... Full text Link to item Cite

Chronicity of Voice-Related Health Care Utilization in the General Medicine Community.

Journal Article Otolaryngol Head Neck Surg · April 2017 Objectives To examine voice-related health care utilization of patients in the general medical community without otolaryngology evaluation and explore factors associated with prolonged voice-related health care. Study Design Retrospective cohort analysis. ... Full text Link to item Cite

Factors Influencing Likelihood of Voice Therapy Attendance.

Journal Article Otolaryngol Head Neck Surg · March 2017 Objective To identify factors associated with the likelihood of attending voice therapy among patients referred for it in the CHEER (Creating Healthcare Excellence through Education and Research) practice-based research network infrastructure. Study Design ... Full text Link to item Cite

Long-term follow-up of amitriptyline treatment for idiopathic cough.

Journal Article Laryngoscope · December 2016 OBJECTIVES/HYPOTHESIS: To evaluate short- and long-term treatment outcomes of amitriptyline for idiopathic cough. STUDY DESIGN: Retrospective chart review and anonymous survey of a patient cohort. METHODS: We evaluated a cohort of adults treated for cough ... Full text Link to item Cite

Multi-institutional Study of Voice Disorders and Voice Therapy Referral: Report from the CHEER Network.

Journal Article Otolaryngol Head Neck Surg · July 2016 OBJECTIVES: To assess perspectives of patients with voice problems and identify factors associated with the likelihood of referral to voice therapy via the CHEER (Creating Healthcare Excellence through Education and Research) practice-based research networ ... Full text Link to item Cite

Otolaryngology utilization of speech-language pathology services for voice disorders.

Journal Article Laryngoscope · April 2016 OBJECTIVES/HYPOTHESIS: To examine the utilization of speech-language pathology (SLP) services by otolaryngology for outpatients with laryngeal/voice disorders. STUDY DESIGN: Retrospective analysis of a large, national, administrative US claims database. ME ... Full text Link to item Cite

Validation of the Cepstral Spectral Index of Dysphonia (CSID) as a Screening Tool for Voice Disorders: Development of Clinical Cutoff Scores.

Journal Article J Voice · March 2016 OBJECTIVES: The purposes of this study were to (1) evaluate the performance of the Cepstral Spectral Index of Dysphonia (CSID--a multivariate estimate of dysphonia severity) as a potential screening tool for voice disorder identification and (2) identify p ... Full text Link to item Cite

Voice disorders in the elderly: A national database study.

Journal Article Laryngoscope · February 2016 OBJECTIVES/HYPOTHESIS: To determine the type, frequency, and factors associated with voice disorders in the elderly. STUDY DESIGN: Retrospective analysis of data from a large national administrative US claims database. METHODS: Elderly outpatients (>65 yea ... Full text Link to item Cite

Change in diagnosis and treatment following specialty voice evaluation: A national database analysis.

Journal Article Laryngoscope · July 2015 OBJECTIVE: We evaluated the association between specialty voice evaluation and changes in laryngeal diagnosis and treatment in patients with laryngeal/voice disorders. STUDY DESIGN: Retrospective analysis of a large, national administrative U.S. claims dat ... Full text Link to item Cite

Neurogenic cough.

Journal Article Laryngoscope · July 2015 We review contemporary concepts of the pathophysiology of neurogenic cough, and its evaluation and treatment based on scientific publications addressing neurogenic cough. Neurogenic cough is thought to be the result of sensory neuropathy, most commonly idi ... Full text Link to item Cite

Management of chronic laryngopharyngeal neuropathy in the United States and Europe.

Journal Article Ann Otol Rhinol Laryngol · April 2015 OBJECTIVE: This study aimed to analyze differences in the evaluation of laryngopharyngeal neuropathy by laryngologists in the United States and Europe. METHODS: Members of the American Laryngological Association (ALA) and the European Laryngological Societ ... Full text Link to item Cite

Frequency and factors associated with use of videolaryngostroboscopy in voice disorder assessment.

Journal Article Laryngoscope · September 2014 OBJECTIVES/HYPOTHESIS: Videolaryngostroboscopy (VLS) is considered an important diagnostic tool in the evaluation of patients with laryngeal/voice disorders. We evaluated the frequency of, diagnoses associated with, and factors related to VLS use in the ev ... Full text Link to item Cite

Singing voice handicap and videostrobolaryngoscopy in healthy professional singers.

Journal Article J Voice · September 2014 OBJECTIVES: This study correlates the Singing Voice Handicap Index (SVHI) scores with videostrobolaryngoscopy in healthy professional singers as a measure of self-perceived vocal health versus actual pathology seen on examination. The objective was to meas ... Full text Link to item Cite

Pediatrician approach to dysphonia.

Journal Article Int J Pediatr Otorhinolaryngol · August 2014 OBJECTIVE: The prevalence of voice disorders reaches up to 23.4% in the pediatric population and has a negative impact on quality of life. The objective of this study is to examine how pediatricians assess and manage patients with voice disorders and barri ... Full text Link to item Cite

U.S. practice variations in the treatment of chronic laryngopharyngeal neuropathy.

Conference Laryngoscope · April 2014 OBJECTIVES/HYPOTHESIS: To evaluate differences in evaluation and workup of laryngopharyngeal neuropathy in a population of general otolaryngologists and fellowship-trained laryngologists. STUDY DESIGN: Survey. METHODS: Members of the American Laryngologica ... Full text Link to item Cite

Diagnosis change in voice-disordered patients evaluated by primary care and/or otolaryngology: a longitudinal study.

Journal Article Otolaryngol Head Neck Surg · January 2014 OBJECTIVE: Accurate diagnosis of a voice disorder is an essential first step toward its appropriate treatment. We examined differences in laryngeal diagnosis over time in outpatients evaluated by primary care physicians (PCPs) and/or otolaryngologists. STU ... Full text Link to item Cite

Prescribing patterns of primary care physicians and otolaryngologists in the management of laryngeal disorders.

Journal Article Otolaryngol Head Neck Surg · July 2013 Featured Publication OBJECTIVE: To examine how primary care physicians (PCPs) and otolaryngologists use proton pump inhibitors (PPIs), antibiotics, antihistamines, oral and inhaled steroids, and histamine 2 antagonists in the treatment of laryngeal disorders. STUDY DESIGN AND ... Full text Link to item Cite

Assessing factors related to the pharmacologic management of laryngeal diseases and disorders.

Journal Article Laryngoscope · July 2013 OBJECTIVES/HYPOTHESIS: To examine how age, gender, comorbidity, geography, provider type, and laryngeal pathology influence the use of pharmacological treatment in managing patients with laryngeal disorders. STUDY DESIGN: Retrospective analysis of data fro ... Full text Link to item Cite

Recurrent laryngopyocele: CT-guided hookwire localization for re-excision surgery.

Journal Article AJNR Am J Neuroradiol · April 2013 Featured Publication Laryngopyocele recurrence after initial surgical resection is a very rare occurrence. We present a case of recurrent laryngopyocele in which CT fluoroscopy-guided hookwire placement was used to facilitate resection. In this article, we illustrate the imagi ... Full text Link to item Cite

Use of specific neuromodulators in the treatment of chronic, idiopathic cough: a systematic review.

Journal Article Otolaryngol Head Neck Surg · March 2013 Featured Publication OBJECTIVE: The goal of this systematic review was to examine the evidence for the use of the neuromodulating agents, amitriptyline, gabapentin, pregabalin, and baclofen, in the management of chronic, idiopathic cough patients. DATA SOURCES: Online database ... Full text Link to item Cite

Factors influencing the health care expenditures of patients with laryngeal disorders.

Journal Article Otolaryngol Head Neck Surg · December 2012 Featured Publication OBJECTIVE: To identify factors related to the health care spending of patients with laryngeal disorders. STUDY DESIGN AND SETTING: Retrospective analysis of data from a large, nationally representative administrative US claims database. SUBJECTS AND METHOD ... Full text Link to item Cite

Evaluation of dysphonic patients by general otolaryngologists.

Journal Article J Voice · November 2012 Featured Publication OBJECTIVE: To investigate the instruments used by general otolaryngologists to visualize the larynx, assess the perception of the instruments' capabilities, and understand their comfort diagnosing specific etiologies of dysphonia. STUDY DESIGN: Cross-secti ... Full text Link to item Cite

Hypopharyngeal surgery in obstructive sleep apnea: practice patterns, perceptions, and attitudes.

Journal Article Otolaryngol Head Neck Surg · November 2012 Featured Publication OBJECTIVE: To characterize factors that surgeons perceive as affecting selection of procedures designed to treat hypopharyngeal obstruction in adults with obstructive sleep apnea (OSA) and to compare those factors among 2 groups of American Academy of Otol ... Full text Link to item Cite

The impact of laryngeal disorders on work-related dysfunction.

Journal Article Laryngoscope · July 2012 Featured Publication OBJECTIVES/HYPOTHESIS: To determine the short-term disability (STD) and lost work productivity related to laryngeal disorders. STUDY DESIGN: A retrospective analysis of a national database of work absence and STD claims was performed. METHODS: Patients wit ... Full text Link to item Cite

Direct health care costs of laryngeal diseases and disorders.

Journal Article Laryngoscope · July 2012 Featured Publication OBJECTIVES/HYPOTHESIS: To estimate the annual direct costs associated with the diagnosis and management of laryngeal disorders. STUDY DESIGN: Retrospective analysis of data from a large, nationally representative, administrative US claims database. METHODS ... Full text Link to item Cite

Treatment-induced changes in vocal cord mobility and subsequent local recurrence after organ preservation therapy for laryngeal carcinoma.

Journal Article Head Neck · June 2012 Featured Publication BACKGROUND: As multidisciplinary cancer treatment evolves, strategies to identify patients needing early resection/salvage are necessary. Some have suggested that vocal cord function after organ-preservation treatment may be an indicator. METHODS: A retros ... Full text Link to item Cite

Nasal tetracaine spray-induced methemoglobinemia.

Journal Article Otolaryngol Head Neck Surg · April 2012 Full text Link to item Cite

Prevalence and causes of dysphonia in a large treatment-seeking population.

Journal Article Laryngoscope · February 2012 Featured Publication OBJECTIVES/HYPOTHESIS: To determine the prevalence and common causes of dysphonia as diagnosed by primary care physicians (PCPs) and otolaryngologists and to evaluate differences in etiologies offered by these providers. STUDY DESIGN: Retrospective analysi ... Full text Link to item Cite

Voice disorders in primary school teachers and barriers to care.

Journal Article J Voice · January 2012 Featured Publication INTRODUCTION: Teachers have an increased prevalence of voice disorders that result in reduced activities, missed workdays, and occupation changes. However, only a small fraction of these teachers have sought professional help for their disorders. The purpo ... Full text Link to item Cite

Role of rhinitis in laryngitis: another dimension of the unified airway.

Journal Article Ann Otol Rhinol Laryngol · August 2011 Featured Publication OBJECTIVES: We evaluated the prevalence of dysphonia and secondary laryngeal symptoms among patients with allergic rhinitis (AR), nonallergic rhinitis (NAR), and no rhinitis symptoms (controls). METHODS: Patients with rhinitis symptoms with positive and ne ... Full text Link to item Cite

Compliance and quality of life in patients on prescribed voice rest.

Journal Article Otolaryngol Head Neck Surg · January 2011 Featured Publication OBJECTIVES: To determine patient compliance with voice rest and the impact of voice rest on quality of life (QOL). STUDY DESIGN: Prospective. SETTING: University hospital. SUBJECTS AND METHODS: Demographics, self-reported compliance, QOL impact on a 100-mm ... Full text Link to item Cite

Self-reported impact of dysphonia in a primary care population: an epidemiological study.

Journal Article Laryngoscope · October 2010 Featured Publication OBJECTIVES/HYPOTHESIS: This study's objectives are to 1) to assess the prevalence of dysphonia in the primary care community, 2) evaluate the severity of dysphonia, 3) explore potential risk factors for dysphonia, 4) examine the treatment of dysphonic pati ... Full text Link to item Cite

Vocal fold injection as a treatment for glottic insufficiency: pro.

Journal Article Arch Otolaryngol Head Neck Surg · August 2010 Featured Publication Full text Link to item Cite

Acute dysphonia secondary to vocal fold hemorrhage after vardenafil use.

Journal Article Ear Nose Throat J · June 2010 Featured Publication Owing to their vasodilatory effects, the phosphodiesterase-5 inhibitors have become widely used for the treatment of erectile dysfunction. Among the reported adverse events of these agents are epistaxis, variceal bleeding, intracranial hemorrhage, and hemo ... Link to item Cite

Primary care approach to dysphonia.

Journal Article Otolaryngol Head Neck Surg · March 2010 Featured Publication OBJECTIVE: To understand how primary care physicians manage patients with dysphonia and the barriers they face when evaluating patients for voice problems. STUDY DESIGN: Cross-sectional survey. SETTING: Primary care community. SUBJECTS AND METHODS: A total ... Full text Link to item Cite

Coprevalence and impact of dysphonia and hearing loss in the elderly.

Journal Article Laryngoscope · September 2009 Featured Publication OBJECTIVES/HYPOTHESIS: To determine the coprevalence of voice problems and hearing loss in the elderly, to assess whether hearing loss is a risk factor for dysphonia, and to evaluate the quality-of-life impact of dysphonia and hearing loss among the elderl ... Full text Link to item Cite

Clinical practice guideline: hoarseness (dysphonia).

Journal Article Otolaryngol Head Neck Surg · September 2009 Featured Publication OBJECTIVE: This guideline provides evidence-based recommendations on managing hoarseness (dysphonia), defined as a disorder characterized by altered vocal quality, pitch, loudness, or vocal effort that impairs communication or reduces voice-related quality ... Full text Link to item Cite

Development and validation of the Singing Voice Handicap-10.

Journal Article Laryngoscope · September 2009 Featured Publication OBJECTIVES/HYPOTHESIS: To develop a shortened version of the validated health status instrument for singers, the Singing Voice Handicap Index (SVHI). STUDY DESIGN: Prospective item analysis of the SVHI in patients with singing voice problems and creation a ... Full text Link to item Cite

Human papillomavirus in early laryngeal carcinoma.

Journal Article Laryngoscope · August 2009 Featured Publication OBJECTIVES/HYPOTHESIS: To examine the role of HPV status in the etiology, prognosis, and treatment of head and neck squamous cell carcinoma in early larynx malignancies. STUDY DESIGN: Retrospective. METHODS: Thirty-eight cases of T1 or carcinoma in situ (C ... Full text Link to item Cite

Palliative treatment of dysphonia and dysarthria.

Journal Article Otolaryngol Clin North Am · February 2009 Featured Publication The focus of this article is the palliative treatment of a variety of dysphonic conditions. Symptomatic relief of hoarseness can be achieved by voice therapy, augmentative alternative communication modalities, and surgery. The causes of dysphonia addressed ... Full text Link to item Cite

Impact of voice and swallowing problems in the elderly.

Journal Article Otolaryngol Head Neck Surg · January 2009 Featured Publication OBJECTIVES: 1) Evaluate the prevalence and quality-of-life impact of voice and swallowing problems in the elderly; 2) determine treatment trends and barriers to treatment. STUDY DESIGN: Cross-sectional study of independent-living residents in two retiremen ... Full text Link to item Cite

Treatment responsiveness of the Singing Voice Handicap Index.

Journal Article Laryngoscope · September 2008 Featured Publication OBJECTIVES/HYPOTHESIS: To examine the responsiveness of the previously validated Singing Voice Handicap Index (SVHI) to treatment related changes in patients' singing voice. STUDY DESIGN: Prospective. METHODS: Thirty singing patients at a tertiary voice cl ... Full text Link to item Cite

Otolaryngological perspective on patients with throat symptoms and laryngeal irritation.

Journal Article Curr Gastroenterol Rep · June 2008 Featured Publication The diagnosis of laryngopharyngeal reflux (LPR) is increasingly common in otolaryngology practice. Patients with nonspecific throat and voice symptoms, such as throat clearing, hoarseness, cough, sore throat, and globus, are frequently treated empirically ... Full text Link to item Cite

Factors associated with perception of singing voice handicap.

Journal Article Otolaryngol Head Neck Surg · April 2008 Featured Publication OBJECTIVE: This study will determine factors that influence the self-perceived handicap associated with singing voice problems. STUDY DESIGN: A prospective cohort. SUBJECT AND METHODS: Singers presenting to a voice clinic prospectively completed the Singin ... Full text Link to item Cite

Hoarseness: is it really laryngopharyngeal reflux?

Journal Article Laryngoscope · February 2008 Featured Publication OBJECTIVE/HYPOTHESIS: This study will test the hypothesis that proton pump inhibitor (PPI) use is prevalent among patients referred for hoarseness and will assess the ultimate diagnosis and factors associated with patients' voice outcomes. STUDY DESIGN: Re ... Full text Link to item Cite

Preparation techniques for the injection of human autologous cartilage: an ex vivo feasibility study.

Journal Article Laryngoscope · January 2008 Featured Publication OBJECTIVES: To determine the optimum donor site and preparation technique for injecting human autologous cartilage as a potentially permanent implant material for vocal fold medialization. STUDY DESIGN: Prospective ex vivo experimental model. METHODS: Huma ... Full text Link to item Cite

Early prediction of hypocalcemia after thyroidectomy using parathyroid hormone: an analysis of pooled individual patient data from nine observational studies.

Journal Article J Am Coll Surg · December 2007 Featured Publication BACKGROUND: Monitoring for hypocalcemia after thyroidectomy, using only symptoms and serum calcium levels, can delay the discharge of patients who will remain normocalcemic and can delay the treatment of hypocalcemic patients. STUDY DESIGN: We conducted a ... Full text Link to item Cite

Creation and validation of the Singing Voice Handicap Index.

Journal Article Ann Otol Rhinol Laryngol · June 2007 Featured Publication OBJECTIVES: We developed and validated a disorder-specific health status instrument (Singing Voice Handicap Index; SVHI) for use in patients with singing problems. METHODS: Prospective instrument validation was performed. Of 81 original items, those with p ... Full text Link to item Cite

Utility of voice therapy in the management of vocal fold polyps and cysts.

Journal Article Otolaryngol Head Neck Surg · May 2007 Featured Publication OBJECTIVE: To evaluate the efficacy of voice therapy in the management of vocal fold polyps and cysts. STUDY DESIGN AND SETTING: Retrospective review of vocal fold cysts and polyps undergoing voice therapy in a tertiary care center. Symptom resolution or p ... Full text Link to item Cite

Intratympanic dexamethasone for sudden sensorineural hearing loss after failure of systemic therapy.

Journal Article Laryngoscope · January 2007 Featured Publication OBJECTIVE: Intratympanic steroids are increasingly used in the treatment of inner ear disorders, especially in patients with sudden sensorineural hearing loss (SNHL) who have failed systemic therapy. We reviewed our experience with intratympanic steroids i ... Full text Link to item Cite

Voice-related quality of life in T1 glottic cancer: irradiation versus endoscopic excision.

Journal Article Ann Otol Rhinol Laryngol · August 2006 Featured Publication OBJECTIVES: Several studies have explored posttreatment voice outcomes for early glottic cancer with varying results. To further clarify the voice-related quality of life (QOL) of T1 glottic cancer patients treated by external beam radiotherapy (EBRT) comp ... Full text Link to item Cite

Laryngoscopy in bilateral vocal fold immobility: can you make a diagnosis?

Journal Article Ann Otol Rhinol Laryngol · June 2006 Featured Publication OBJECTIVES: This study explores whether videoendoscopic findings and patient history help make the diagnosis in bilateral vocal fold immobility (BVFI). METHODS: Medical records from 1995 to 2003 were searched to identify patients with posterior glottic ste ... Full text Link to item Cite

Quality-of-life impact of non-neoplastic voice disorders: a meta-analysis.

Journal Article Ann Otol Rhinol Laryngol · February 2006 Featured Publication OBJECTIVES: We undertook to explore the relationship between non-neoplastic voice disorders and patients' quality of life. METHODS: A PubMed search (1966 to 2003) for the terms Voice Handicap Index (VHI), Short Form-36 (SF-36), voice disorders, voice quali ... Full text Link to item Cite

Use of AlloDerm in type I tympanoplasty: a comparison with native tissue grafts.

Journal Article Laryngoscope · September 2005 Featured Publication OBJECTIVES: AlloDerm, an acellular human dermis allograft, has been shown to be an effective option as a tympanic membrane (TM) graft in animals and humans and has several potential advantages, including eliminating donor site morbidity, reducing operative ... Full text Link to item Cite

Surgical management of parapharyngeal space masses.

Journal Article Head Neck · August 2005 Featured Publication BACKGROUND: We sought to examine surgical techniques used to remove parapharyngeal space (PPS) masses. METHODS: This retrospective search was conducted from 1980 to 2003. Age, sex, diagnosis, surgical approach, complications, and outcome were collected. RE ... Full text Link to item Cite

Acute histologic effects of extraesophageal reflux on vocal fold healing.

Journal Article Ann Otol Rhinol Laryngol · April 2005 Featured Publication This study evaluates how extraesophageal reflux affects membranous vocal fold healing in a canine model. We created membranous vocal fold injuries in the animals and randomly assigned them to topical application of acid and pepsin at pH 2 or pH 6 or of nor ... Full text Link to item Cite

Squamous cell carcinoma of the oropharynx and hypopharynx.

Journal Article Otolaryngol Clin North Am · February 2005 Featured Publication Oropharyngeal and hypopharyngeal squamous cell carcinomas require an interdisciplinary approach to manage patients appropriately. Tumor stage and histology, functional outcome, and patient comorbidities are important factors to consider. Various surgical a ... Full text Link to item Cite

Primary care approach to hearing loss: the hidden disability.

Journal Article Ear Nose Throat J · January 2005 Featured Publication We report the results of a survey designed to investigate audiologic referral patterns of primary care physicians and, more specifically, their referral of patients for hearing aids and cochlear implants. Three hundred internal medicine and family medicine ... Link to item Cite

Quality of life in hearing-impaired adults: the role of cochlear implants and hearing aids.

Journal Article Otolaryngol Head Neck Surg · October 2004 Featured Publication OBJECTIVE: To compare the quality-of-life (QOL) benefit received from cochlear implants (CIs) and hearing aids (HAs) among hearing-impaired adults. STUDY DESIGN: Health-related questionnaire. METHODS: Twenty-seven CI users compared to control group of 54 H ... Full text Link to item Cite

Laryngeal schwannoma: diagnosis and management.

Journal Article Otolaryngol Head Neck Surg · March 2004 Featured Publication Full text Link to item Cite

Surgical management of vagal paragangliomas

Journal Article Operative Techniques in Otolaryngology - Head and Neck Surgery · January 1, 2004 Vagal paragangliomas are uncommon, vascular tumors that can present in the head and neck region. They may involve the lower neck, parapharyngeal space, or extend intracranially and often involve the lower cranial nerves. An appropriate preoperative evaluat ... Full text Cite

Pediatric orbital floor fractures: Nausea/vomiting as signs of entrapment

Journal Article Otolaryngology–Head and Neck Surgery · July 2003 OBJECTIVEWe sought to explore whether nausea and vomiting are predictive of entrapment.STUDY DESIGN AND SETTINGWe retrospectively evaluated the data r ... Full text Cite

Pediatric orbital floor fractures: nausea/vomiting as signs of entrapment.

Journal Article Otolaryngol Head Neck Surg · July 2003 Featured Publication OBJECTIVE: We sought to explore whether nausea and vomiting are predictive of entrapment. Study design and setting We retrospectively evaluated the data regarding orbital floor fractures in children younger than 19-years-old presenting at a tertiary care c ... Full text Link to item Cite

Surgical management of the pediatric cochlear implant patient

Journal Article Topics in Language Disorders · January 1, 2003 Featured Publication Cochlear implants have become an important tool for the treatment of individuals with hearing impairment. A preoperative approach consisting of a multidisciplinary team that fully assesses each cochlear implant candidate will allow the selection of those p ... Full text Cite

Use of rigid and flexible bronchoscopy among pediatric otolaryngologists.

Journal Article Arch Otolaryngol Head Neck Surg · May 2001 Featured Publication OBJECTIVE: To explore how rigid and flexible bronchoscopy are used in pediatric otolaryngologic practice. DESIGN: Survey. PARTICIPANTS: Members of the American Society of Pediatric Otolaryngology who practice in the United States and Canada and were listed ... Full text Link to item Cite