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Article ; Online: A Comparison of Otolaryngology Residency Applicants Over Time and to Other Surgical Applicants.

Lin, Matthew E / Kharidia, Khush / Choe, Deborah / Bagrodia, Neelesh / Luu, Neil N / Chambers, Tamara

OTO open

2024 Volume 8, Issue 1, Page(s) e115

Abstract: Objective: Understand how otolaryngology residency applicant characteristics have changed over time and compare them to those of other surgical subspecialties.: Study design: Retrospective analysis of academic, extracurricular, and application data ... ...

Abstract	Objective: Understand how otolaryngology residency applicant characteristics have changed over time and compare them to those of other surgical subspecialties. Study design: Retrospective analysis of academic, extracurricular, and application data in the Texas Seeking Transparency in Application to Residency databases. Setting: Applicants to otolaryngology, neurological surgery, ophthalmology, plastic surgery, urology, and orthopedic surgery applicants from 2019 to 2023. Methods: Kruskal-Wallis, Wilcoxon rank sum, Fischer's exact, and Mann-Whitney Results: Across 4 match cycles and 541 otolaryngology applicants, significant differences were found in the average number of honored clerkships per applicant ( Conclusion: Matching into otolaryngology has become increasingly competitive and is as competitive as peer surgical subspecialties. Strong academic performance, judicious program signaling, increased research involvement, and holistic factors like letters of recommendation may help applicants successfully match.
Language	English
Publishing date	2024-02-22
Publishing country	United States
Document type	Journal Article
ISSN	2473-974X
ISSN (online)	2473-974X
DOI	10.1002/oto2.115
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Facelift Surgery: History, Anatomy, and Recent Innovations.

Luu, Neil N / Friedman, Oren

Facial plastic surgery : FPS

2020 Volume 37, Issue 5, Page(s) 556–563

Abstract: Facelift surgery has become a beautifully predictable, safe, and extremely effective operation. Our patients can expect natural and long-lasting results as a direct outcome of our improved understanding and applications of surgical facial anatomy. ... ...

Abstract	Facelift surgery has become a beautifully predictable, safe, and extremely effective operation. Our patients can expect natural and long-lasting results as a direct outcome of our improved understanding and applications of surgical facial anatomy. Rhytidectomy, once an operation of simple well-placed elliptical skin excisions, evolved to include longer skin flaps, skin and platysma flaps with various superficial muscular aponeurotic system (SMAS) manipulations, and various deep plane techniques involving the skin and SMAS as a single unit composite flap. Extended deep plane rhytidectomy and vertical vector neck and SMAS lifting have emerged in recent years as techniques that extend the traditional deep plane dissection into the neck in a subplatysmal plane to allow for release of the platysma from the cervical retaining ligaments. This, ultimately, allows for the creation of a dramatically more youthful appearing face, neck, and jawline.
MeSH term(s)	Face ; Humans ; Neck/surgery ; Rhytidoplasty ; Superficial Musculoaponeurotic System/surgery ; Surgical Flaps
Keywords	covid19
Language	English
Publishing date	2020-09-16
Publishing country	United States
Document type	Journal Article
ZDB-ID	630090-x
ISSN	1098-8793 ; 0736-6825
ISSN (online)	1098-8793
ISSN	0736-6825
DOI	10.1055/s-0040-1715616
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Article ; Online: Septal Deviation after Septorhinoplasty: Causes and Surgical Management.

Luu, Neil N / Friedman, Oren

Facial plastic surgery : FPS

2020 Volume 36, Issue 1, Page(s) 72–77

Abstract: Revision rhinoplasty exists because the perfect primary rhinoplasty technique does not. The benefit of revision surgery is that it offers us the opportunity to study and identify what did not work well during previous surgery. Thoughtful approaches to ... ...

Abstract	Revision rhinoplasty exists because the perfect primary rhinoplasty technique does not. The benefit of revision surgery is that it offers us the opportunity to study and identify what did not work well during previous surgery. Thoughtful approaches to technique and outcomes allow us to recognize which maneuvers are dependable and worth repeating, and which are not reliable and therefore worth avoiding. As surgeons seek safer, more predictable results to improve patient outcomes, new techniques emerge which we then apply, study, and modify again, based on what works and what does not over the short term and the long term. There is no substitute for experience or for learning from trusted surgeons' experiences. Revision rhinoplasty presents many challenges including surgically induced anatomical changes, weakened structural support, a lack of available tissue for reconstruction, tissue remodeling responses, and other iatrogenic and wound healing complications. The septum, as the primary source of structural nasal integrity, forms the foundation for functional and aesthetic rhinoplasty. Herein, we describe strategies in septorhinoplasty for patients who have undergone prior nasal septal surgery.
MeSH term(s)	Esthetics, Dental ; Humans ; Nasal Septum/surgery ; Nose Deformities, Acquired/surgery ; Reoperation ; Rhinoplasty
Language	English
Publishing date	2020-03-19
Publishing country	United States
Document type	Journal Article
ZDB-ID	630090-x
ISSN	1098-8793 ; 0736-6825
ISSN (online)	1098-8793
ISSN	0736-6825
DOI	10.1055/s-0040-1701642
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Article ; Online: The Role of Complementary and Alternative Medicine in Facial Plastic Surgery.

Luu, Neil N / Soldatova, Liuba / Friedman, Oren

Facial plastic surgery : FPS

2021 Volume 38, Issue 1, Page(s) 88–93

Abstract: Complementary and alternative medicine (CAM) has become increasingly popular among facial plastic surgery patients. Over the last few decades, there has been a surge in the use of CAM. Despite the increasing prevalence of CAM, patients may feel ... ...

Abstract	Complementary and alternative medicine (CAM) has become increasingly popular among facial plastic surgery patients. Over the last few decades, there has been a surge in the use of CAM. Despite the increasing prevalence of CAM, patients may feel uncomfortable discussing these therapies with their physicians, and physicians feel under-equipped to engage in meaningful discussions regarding these nontraditional therapies. This article reviews recent literature on the use of CAM for skin treatment in an attempt to provide additional resource. To date, the evidence to support statistically significant symptom improvement with use of non-traditional therapies remains limited. While preliminary data supports essential oil therapy in some cases, the results of the studies investigating other CAM therapies (traditional Chinese medicine, Ayurveda, and homeopathy) have been mixed and inconclusive.
MeSH term(s)	Complementary Therapies ; Humans ; Surgery, Plastic
Language	English
Publishing date	2021-11-08
Publishing country	United States
Document type	Journal Article ; Review
ZDB-ID	630090-x
ISSN	1098-8793 ; 0736-6825
ISSN (online)	1098-8793
ISSN	0736-6825
DOI	10.1055/s-0041-1736582
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Article: Facelift Surgery: History, Anatomy, and Recent Innovations

Luu, Neil N / Friedman, Oren

Facial plast. surg

Abstract	Facelift surgery has become a beautifully predictable, safe, and extremely effective operation. Our patients can expect natural and long-lasting results as a direct outcome of our improved understanding and applications of surgical facial anatomy. Rhytidectomy, once an operation of simple well-placed elliptical skin excisions, evolved to include longer skin flaps, skin and platysma flaps with various superficial muscular aponeurotic system (SMAS) manipulations, and various deep plane techniques involving the skin and SMAS as a single unit composite flap. Extended deep plane rhytidectomy and vertical vector neck and SMAS lifting have emerged in recent years as techniques that extend the traditional deep plane dissection into the neck in a subplatysmal plane to allow for release of the platysma from the cervical retaining ligaments. This, ultimately, allows for the creation of a dramatically more youthful appearing face, neck, and jawline.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #32937672
Database	COVID19

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Article: Facelift Surgery: History, Anatomy, and Recent Innovations

Luu, Neil N. / Friedman, Oren

Facial Plastic Surgery

(Facial Plastic Surgery Original Research)

2020 Volume 37, Issue 05, Page(s) 556–563

Series title	Facial Plastic Surgery Original Research
Abstract	Facelift surgery has become a beautifully predictable, safe, and extremely effective operation. Our patients can expect natural and long-lasting results as a direct outcome of our improved understanding and applications of surgical facial anatomy. Rhytidectomy, once an operation of simple well-placed elliptical skin excisions, evolved to include longer skin flaps, skin and platysma flaps with various superficial muscular aponeurotic system (SMAS) manipulations, and various deep plane techniques involving the skin and SMAS as a single unit composite flap. Extended deep plane rhytidectomy and vertical vector neck and SMAS lifting have emerged in recent years as techniques that extend the traditional deep plane dissection into the neck in a subplatysmal plane to allow for release of the platysma from the cervical retaining ligaments. This, ultimately, allows for the creation of a dramatically more youthful appearing face, neck, and jawline.
Keywords	extended deep plane rhytidectomy ; vertical neck lift ; facelift surgery ; facial anatomy
Language	English
Publishing date	2020-09-16
Publisher	Thieme Medical Publishers, Inc.
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	630090-x
ISSN	1098-8793 ; 0736-6825
ISSN (online)	1098-8793
ISSN	0736-6825
DOI	10.1055/s-0040-1715616
Database	Thieme publisher's database

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Article: Septal Deviation after Septorhinoplasty: Causes and Surgical Management

Luu, Neil N. / Friedman, Oren

Facial Plastic Surgery

(Challenges in Rhinoplasty)

2020 Volume 36, Issue 01, Page(s) 72–77

Series title	Challenges in Rhinoplasty
Abstract	Revision rhinoplasty exists because the perfect primary rhinoplasty technique does not. The benefit of revision surgery is that it offers us the opportunity to study and identify what did not work well during previous surgery. Thoughtful approaches to technique and outcomes allow us to recognize which maneuvers are dependable and worth repeating, and which are not reliable and therefore worth avoiding. As surgeons seek safer, more predictable results to improve patient outcomes, new techniques emerge which we then apply, study, and modify again, based on what works and what does not over the short term and the long term. There is no substitute for experience or for learning from trusted surgeons' experiences. Revision rhinoplasty presents many challenges including surgically induced anatomical changes, weakened structural support, a lack of available tissue for reconstruction, tissue remodeling responses, and other iatrogenic and wound healing complications. The septum, as the primary source of structural nasal integrity, forms the foundation for functional and aesthetic rhinoplasty. Herein, we describe strategies in septorhinoplasty for patients who have undergone prior nasal septal surgery.
Keywords	revision rhinoplasty ; septoplasty ; nasal septum ; nasoseptal reconstruction
Language	English
Publishing date	2020-02-01
Publisher	Thieme Medical Publishers
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	630090-x
ISSN	1098-8793 ; 0736-6825
ISSN (online)	1098-8793
ISSN	0736-6825
DOI	10.1055/s-0040-1701642
Database	Thieme publisher's database

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Article: The Role of Complementary and Alternative Medicine in Facial Plastic Surgery

Luu, Neil N. / Soldatova, Liuba / Friedman, Oren

Facial Plastic Surgery

(Why Not Endonasal Rhinoplasty?)

2021 Volume 38, Issue 01, Page(s) 88–93

Series title	Why Not Endonasal Rhinoplasty?
Abstract	Complementary and alternative medicine (CAM) has become increasingly popular among facial plastic surgery patients. Over the last few decades, there has been a surge in the use of CAM. Despite the increasing prevalence of CAM, patients may feel uncomfortable discussing these therapies with their physicians, and physicians feel under-equipped to engage in meaningful discussions regarding these nontraditional therapies. This article reviews recent literature on the use of CAM for skin treatment in an attempt to provide additional resource. To date, the evidence to support statistically significant symptom improvement with use of non-traditional therapies remains limited. While preliminary data supports essential oil therapy in some cases, the results of the studies investigating other CAM therapies (traditional Chinese medicine, Ayurveda, and homeopathy) have been mixed and inconclusive.
Keywords	complementary and alternative medicine ; skin care ; facial plastic
Language	English
Publishing date	2021-11-08
Publisher	Thieme Medical Publishers, Inc.
Publishing place	Stuttgart ; New York
Document type	Article
ZDB-ID	630090-x
ISSN	1098-8793 ; 0736-6825
ISSN (online)	1098-8793
ISSN	0736-6825
DOI	10.1055/s-0041-1736582
Database	Thieme publisher's database

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Article ; Online: Clinical practice guidelines in idiopathic facial paralysis: systematic review using the appraisal of guidelines for research and evaluation (AGREE II) instrument.

Luu, Neil N / Chorath, Kevin T / May, Brandon R / Bhuiyan, Nuvid / Moreira, Alvaro G / Rajasekaran, Karthik

Journal of neurology

2021 Volume 268, Issue 5, Page(s) 1847–1856

Abstract: Bell's palsy, or idiopathic facial paralysis, is a peripheral facial palsy of unknown cause that presents as sudden, unilateral weakness of the muscles of the face. Prompt treatment of Bell's palsy is critical in order for patients to achieve complete ... ...

Abstract	Bell's palsy, or idiopathic facial paralysis, is a peripheral facial palsy of unknown cause that presents as sudden, unilateral weakness of the muscles of the face. Prompt treatment of Bell's palsy is critical in order for patients to achieve complete recovery of facial function. Delays in diagnosis and management can result in permanent facial defects. A number of clinical practice guidelines (CPG) exist to guide clinical decision-making in patients presenting with idiopathic facial paralysis. However, to date, there has been no comprehensive review of the methodological rigor and quality of these CPGs. Thus, the objective of the authors is to appraise the existing CPGs to ensure safe and effective practices. A total of eight guidelines met the inclusion criteria and were appraised. Only two CPGs achieved an overall rating of 'High', having five or more quality domains scoring > 60%. Across the CPGs, the domains of rigor of development, stakeholder involvement, and applicability has the lowest overall scores with 48.1%, 43.9%, and 43.1%, respectively. Based on the AGREE II instrument, the methodological rigor and quality of CPGs for Bell's palsy is low to average. In particular, future guidelines for Bell's palsy should look to the quality domains of rigor of development, stakeholder involvement, and applicability as the greatest opportunities for improvement.
MeSH term(s)	Bell Palsy/diagnosis ; Bell Palsy/therapy ; Facial Paralysis/diagnosis ; Facial Paralysis/therapy ; Humans ; Practice Guidelines as Topic
Language	English
Publishing date	2021-01-03
Publishing country	Germany
Document type	Journal Article ; Systematic Review
ZDB-ID	187050-6
ISSN	1432-1459 ; 0340-5354 ; 0012-1037 ; 0939-1517 ; 1619-800X
ISSN (online)	1432-1459
ISSN	0340-5354 ; 0012-1037 ; 0939-1517 ; 1619-800X
DOI	10.1007/s00415-020-10345-0
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Article ; Online: Outcomes following traumatic inhalational airway injury - Predictors of mortality and effect of procedural intervention.

Luu, Neil N / Parhar, Harman S / Barrette, Louis-Xavier / Chorath, Kevin / Moreira, Alvaro / Rajasekaran, Karthik

Injury

2021 Volume 52, Issue 11, Page(s) 3320–3326

Abstract: Objective: Study outcomes, predictors of mortality, and effects of procedural interventions on patients following traumatic inhalational airway injury.: Study: Design: Retrospective study.: Setting: National Trauma Data Bank METHODS: Patients over ...

Abstract	Objective: Study outcomes, predictors of mortality, and effects of procedural interventions on patients following traumatic inhalational airway injury. Study: Design: Retrospective study. Setting: National Trauma Data Bank METHODS: Patients over the age of eighteen admitted between 2008 and 2016 to NTDB-participating sites were included. In-hospital mortality and length of stay were the primary outcomes. Results: The final study cohort included 13,351 patients. History of active smoking was negatively associated with in-house mortality with an OR of 0.33 (0.25-0.44). History of alcohol use, and presence of significant medical co-morbidities were positively associated with in-house mortality with OR of 5.28 (4.32-6.46) 2.74 (19.4-3.86) respectively. There was little to no association between procedural interventions and in-house mortality. Intubation, laryngobronchoscopy, and tracheostomy had OR of 0.90 (0.67-1.20), 1.02 (0.79-1.30), and 0.94 (0.58-1.51), respectively. However, procedural intervention did affect both the median hospital and ICU lengths of stay of patients. Median hospital and ICU length of stay were shorter for patients receiving endotracheal intubation. Median hospital length of stay was longer for patients undergoing bronchoscopy and laryngoscopy, but median ICU length of stay was shorter for patients undergoing bronchoscopy and laryngoscopy. Patients receiving a tracheostomy have both significantly increased median hospital and ICU lengths of stay. Conclusions: Active smoking was associated with decreased odds of in-hospital mortality, while presence of pre-existing medical comorbidities and history of alcohol use disorder was associated with increased odds of in-hospital mortality. Procedural intervention had little to no association with in-hospital mortality but did affect overall hospital and ICU LOS.
MeSH term(s)	Hospital Mortality ; Hospitalization ; Humans ; Intensive Care Units ; Length of Stay ; Retrospective Studies ; Tracheostomy
Language	English
Publishing date	2021-09-17
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	218778-4
ISSN	1879-0267 ; 0020-1383
ISSN (online)	1879-0267
ISSN	0020-1383
DOI	10.1016/j.injury.2021.09.013
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