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  1. Article ; Online: Improving HPV-Related Oropharyngeal Cancer Knowledge and HPV Vaccination Rates via Virtual Workshops.

    Evans, Lauran K / Azar, Shaghauyegh S / Chen, Haidee / Saad, Miryam / Subhash, Sneha / Su-Velez, Brooke M / St John, Maie A

    The Laryngoscope

    2024  

    Abstract: Objective: To validate the efficacy of a virtual, interdisciplinary workshop in improving HPV knowledge, and vaccination practices among primary care and dental trainees.: Methods: A virtual platform was utilized to hold HPV educational workshops ... ...

    Abstract Objective: To validate the efficacy of a virtual, interdisciplinary workshop in improving HPV knowledge, and vaccination practices among primary care and dental trainees.
    Methods: A virtual platform was utilized to hold HPV educational workshops with primary care and dental trainees. Online surveys were distributed before and after the 1-h interactive workshop, led by otolaryngology residents. Surveys included the workshop's impact on (a) improving knowledge of HPV-associated oropharyngeal squamous cell carcinoma (OPSCC) and (b) affecting change in HPV vaccination practices. The vaccination rates of trainees were recorded prior to and after workshop attendance.
    Results: After the workshop, participants demonstrated significantly improved scores related to knowledge of HPV in the head and neck (p = 0.003) and showed an increased comfort level with counseling on HPV vaccination (p = 0.002). Respondents were also more aware that the HPV vaccine is approved to prevent OPSCC (61% vs. 95%, p < 0.05). Ninety-seven percent of respondents stated that the workshop changed their HPV vaccination practices, and 95% of those not fully vaccinated stated they would now be more likely to receive the vaccine themselves. There was a significant increase in the average number of HPV vaccines administered at the studied trainee clinic, from 16.83 vaccines/month to 37.6 vaccines/month (percent increase = 123%) in 5 months following the workshop (p = 0.002).
    Conclusion: The present interactive virtual workshop demonstrates efficacy in improving HPV-related knowledge and vaccination practices among trainees. The virtual nature of the course facilitates knowledge transfer and can be used to foster multi-institutional partnerships regarding medical education and vaccination efforts.
    Level of evidence: 4 Laryngoscope, 2024.
    Language English
    Publishing date 2024-02-24
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80180-x
    ISSN 1531-4995 ; 0023-852X
    ISSN (online) 1531-4995
    ISSN 0023-852X
    DOI 10.1002/lary.31351
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  2. Article ; Online: To Vaccinate or Not to Vaccinate: Should Adults Aged 26 to 45 Years Receive the Human Papillomavirus Vaccine?

    Su-Velez, Brooke M / St John, Maie A

    The Laryngoscope

    2020  Volume 131, Issue 1, Page(s) 1–2

    MeSH term(s) Adult ; Attitude to Health ; Female ; Humans ; Male ; Middle Aged ; Papillomavirus Infections/prevention & control ; Papillomavirus Vaccines/administration & dosage
    Chemical Substances Papillomavirus Vaccines
    Language English
    Publishing date 2020-04-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80180-x
    ISSN 1531-4995 ; 0023-852X
    ISSN (online) 1531-4995
    ISSN 0023-852X
    DOI 10.1002/lary.28666
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  3. Article ; Online: A Minimally Invasive Endoscopic Transnasal and Transorbital Approach to Sinonasal Tumor Resection.

    Goodyear, Kendall / Roelofs, Kelsey A / Su-Velez, Brooke M / Cohen, Liza M / Vadehra, Kumkum / Beswick, Daniel M / Rootman, Daniel B

    The Laryngoscope

    2023  Volume 134, Issue 3, Page(s) 1308–1312

    Abstract: A 35-year-old female with an extensive biphenotypic sinonasal sarcoma (BSNS) eroding through the left frontal sinus into the orbit required gross total resection of the tumor. We wanted to forgo an open approach and provide a less invasive alternative ... ...

    Abstract A 35-year-old female with an extensive biphenotypic sinonasal sarcoma (BSNS) eroding through the left frontal sinus into the orbit required gross total resection of the tumor. We wanted to forgo an open approach and provide a less invasive alternative via combined endonasal and transorbital endoscopic techniques to allow for tumor removal through small, well-disguised incisions. We utilized three portals-nasal, transorbital, and anterior table window-to create interconnected orbit-sinonasal corridors, thus generating alternate pathways for visualization and manipulation of this extensive tumor. Laryngoscope, 134:1308-1312, 2024.
    MeSH term(s) Female ; Humans ; Adult ; Endoscopy/methods ; Nose ; Paranasal Sinus Neoplasms/diagnostic imaging ; Paranasal Sinus Neoplasms/surgery ; Orbit/surgery ; Surgical Wound
    Language English
    Publishing date 2023-08-22
    Publishing country United States
    Document type Case Reports
    ZDB-ID 80180-x
    ISSN 1531-4995 ; 0023-852X
    ISSN (online) 1531-4995
    ISSN 0023-852X
    DOI 10.1002/lary.30960
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  4. Article ; Online: Risk factors, causes, and rates associated with hospital readmission after pediatric neck mass surgery.

    Singer, Alisse / Goel, Alex / Su-Velez, Brooke M / West, Alisha

    International journal of pediatric otorhinolaryngology

    2021  Volume 142, Page(s) 110607

    Abstract: Background: To understand rates, risk factors, and costs associated with hospital readmission in pediatric patients who underwent neck mass excision.: Methods: This was a retrospective review of the Nationwide Readmissions Database (NRD) between 2010 ...

    Abstract Background: To understand rates, risk factors, and costs associated with hospital readmission in pediatric patients who underwent neck mass excision.
    Methods: This was a retrospective review of the Nationwide Readmissions Database (NRD) between 2010 and 2014 of select neck mass procedures, defined as affecting the following: thyroid, salivary gland, cervical lymph nodes, branchial cleft, thymus, and head and neck vessels. We analyzed rates and causes of 30-day readmissions using univariate and multivariate logistic regression.
    Results: There were a total of 11,824 weighted cases identified with a 30-day readmission rate of 9.0% and a mean age of 9.5 years old. The sex distribution of patients undergoing neck mass procedures was 55.8% female and 44.2% male. The most common cause of readmission was associated with a comorbid condition likely unrelated to the neck mass procedure (53%). The most common procedure-related readmission causes were associated with a postoperative neck mass (14.4%), wound (13%), and infection (6.5%). In the multivariate model, number of procedures≥5 (OR: 2.11, 95% CI: 1.28-3.49), number of chronic conditions≥1 (OR: 2.33, 95% CI: 1.16-4.66), length of hospital stay of≥7 days (OR: 2.43, 95% CI: 1.48-0.3.98), and cervical lymph node procedure (OR:2.61, 95% CI: 1.47-4.63) were associated with higher readmission risk.
    Conclusion: Readmission after surgery for pediatric neck masses is relatively common, with an average of 9.0%. Risk factors associated with readmission include length of initial hospital stay, number of chronic conditions, number of procedures performed, and undergoing a cervical lymph node procedure.
    MeSH term(s) Child ; Female ; Humans ; Length of Stay ; Male ; Patient Readmission ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Retrospective Studies ; Risk Factors
    Language English
    Publishing date 2021-01-01
    Publishing country Ireland
    Document type Journal Article
    ZDB-ID 754501-0
    ISSN 1872-8464 ; 0165-5876
    ISSN (online) 1872-8464
    ISSN 0165-5876
    DOI 10.1016/j.ijporl.2020.110607
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  5. Article ; Online: Parathyroid Autofluorescence in Pediatric Thyroid Surgery: Experience With False Positive and False Negative Results.

    Su-Velez, Brooke M / Hartman, Gary E / Seeley, Hilary / Orloff, Lisa A / Noel, Julia E / Meister, Kara D

    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

    2023  Volume 169, Issue 1, Page(s) 185–189

    Abstract: Devices for near-infrared light stimulation of autofluorescence (NIRAF) allow for intraoperative identification of parathyroid glands with high sensitivity in adults. However, their performance in the pediatric population is unknown. In this case series ... ...

    Abstract Devices for near-infrared light stimulation of autofluorescence (NIRAF) allow for intraoperative identification of parathyroid glands with high sensitivity in adults. However, their performance in the pediatric population is unknown. In this case series with chart review at a tertiary academic children's hospital, we investigated pediatric patients undergoing thyroid surgery and concurrent use of a probe-based NIRAF device. Thirteen patients (ages 6-18 years) underwent thyroid and/or neck dissection procedures, and 2 patients had revision procedures for a total of 15 cases with the NIRAF device. Eight cases had NIRAF values that matched surgeon opinion of parathyroid tissue or histology when available. Six cases had false positive NIRAF readings (40.0%) and 1 case had false negative readings (6.7%). Compared with surgeon opinion or histology, the NIRAF device confirmed 26 of 34 parathyroid gland candidates (76.5%). These devices need further investigation in pediatric patients, whose tissues may have different autofluorescence characteristics.
    MeSH term(s) Adult ; Humans ; Child ; Parathyroid Glands/diagnostic imaging ; Parathyroid Glands/surgery ; Thyroid Gland/surgery ; Parathyroidectomy/methods ; Thyroidectomy/methods ; Optical Imaging/methods
    Language English
    Publishing date 2023-01-29
    Publishing country England
    Document type Journal Article
    ZDB-ID 392085-9
    ISSN 1097-6817 ; 0161-6439 ; 0194-5998
    ISSN (online) 1097-6817
    ISSN 0161-6439 ; 0194-5998
    DOI 10.1002/ohn.272
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  6. Article ; Online: Imaging in Cutaneous Melanoma: Which Test to Order and When?

    Patel, Vishal / Su-Velez, Brooke M / Hannabass, Kyle / St John, Maie A

    The Laryngoscope

    2021  Volume 131, Issue 12, Page(s) 2636–2638

    MeSH term(s) Brain Neoplasms/diagnosis ; Brain Neoplasms/secondary ; Diagnostic Imaging/standards ; Head and Neck Neoplasms/diagnosis ; Head and Neck Neoplasms/pathology ; Humans ; Lymph Nodes/pathology ; Melanoma/diagnosis ; Melanoma/secondary ; Neoplasm Staging ; Practice Guidelines as Topic ; Skin/pathology ; Skin Neoplasms/diagnosis ; Skin Neoplasms/pathology
    Language English
    Publishing date 2021-02-19
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 80180-x
    ISSN 1531-4995 ; 0023-852X
    ISSN (online) 1531-4995
    ISSN 0023-852X
    DOI 10.1002/lary.29460
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  7. Article ; Online: Human Temporal Bone Study of Vestibular Histopathology in Cochlear Implant Patients With Cochlear Hydrops.

    Su-Velez, Brooke M / Lopez, Ivan A / Ishiyama, Akira / Ishiyama, Gail

    Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology

    2020  Volume 41, Issue 5, Page(s) e607–e614

    Abstract: Hypothesis: Endolymphatic hydrops (EH) associated with cochlear implantation are associated with vestibular dysfunction.: Background: Vestibular dysfunction is a known risk after cochlear implantation (CI). CI has been shown to cause cochlear hydrops ...

    Abstract Hypothesis: Endolymphatic hydrops (EH) associated with cochlear implantation are associated with vestibular dysfunction.
    Background: Vestibular dysfunction is a known risk after cochlear implantation (CI). CI has been shown to cause cochlear hydrops due to fibrosis surrounding the ductus reuniens. However, the association of cochlear hydrops with vestibular hydrops and the relationship to vestibular symptoms remain unknown.
    Methods: Histopathological analysis and clinical evaluation of the vestibular end organs of 17 human temporal bones (HTB)s exhibiting cochlear hydrops from 15 CI recipients.
    Results: Eight of 15 patients with cochlear hydrops due to CI had complaints of dizziness, vertigo, or imbalance following CI. In all 17 HTBs with cochlear hydrops, there was fibrosis, atrophy, or obstruction of the ductus reuniens, and all had straight electrode CI via cochleostomy. In one of the eight reporting postoperative dizziness, labyrinthitis ossificans was deemed causative. Six of the seven remaining patients had EH of both the saccule and utricle. Fifteen of 17 HTBs (88.2%) had saccular EH. In contrast, 8 of 17 HTBs (47.0%) in 7 patients had utricular EH, of which 6 patients had postoperative vertigo spells. It seems that hydrops of the utricle closely corresponds to postoperative vertigo spells and vestibular complaints.
    Conclusion: Implantation of the CI, when complicated by ductus reuniens fibrosis, may cause both cochlear hydrops and vestibular endolymphatic hydrops. Hydrops of the vestibular periphery when involving the utricle seems to be more likely associated with disabling vertigo symptoms. This study supports the round window technique of insertion rather than cochleostomy.
    MeSH term(s) Cochlear Implantation ; Cochlear Implants ; Edema ; Endolymphatic Hydrops/complications ; Humans ; Temporal Bone/surgery
    Language English
    Publishing date 2020-03-08
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 2036790-9
    ISSN 1537-4505 ; 1531-7129
    ISSN (online) 1537-4505
    ISSN 1531-7129
    DOI 10.1097/MAO.0000000000002609
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  8. Article ; Online: Barriers to Receiving Necessary Hearing Care Among US Children.

    Su-Velez, Brooke M / Khoury, Habib / Azar, Shaghauyegh S / Shapiro, Nina L / Bhattacharyya, Neil

    Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

    2021  Volume 166, Issue 6, Page(s) 1085–1091

    Abstract: Objective: We aim to clarify the national scope of unmet pediatric hearing care needs and identify specific barriers to hearing care.: Study design: Cross-sectional study of a nationally representative data set.: Setting: This study is based on ... ...

    Abstract Objective: We aim to clarify the national scope of unmet pediatric hearing care needs and identify specific barriers to hearing care.
    Study design: Cross-sectional study of a nationally representative data set.
    Setting: This study is based on the combined 2016 and 2017 National Survey of Children's Health. This survey covers the physical and emotional health, access to care, and social context of US children and adolescents aged 0 to 17 years.
    Methods: Analysis of parent-reported responses of children's hearing status, access to care, and perceived barriers.
    Results: Overall, 0.3% (n = 206,200) of US children surveyed reported needing hearing care, which was not received. A further 1.3% (n = 934,000) reported deafness or problems with hearing, and of these, 6.4% (n = 60,000) reported not receiving necessary hearing care. Rates of insurance coverage between children with deafness/hearing problems and the general population were similar (91.7% vs 93.9%); however, deaf or hard-of-hearing children with unmet hearing care needs were more likely to be from non-White backgrounds (P = .009) and to lack health insurance coverage (P = .001). Rates of unfulfilled hearing care by reason were as follows: 57.5% without eligibility for the service, 45.4% reporting the service was not available in their area, 53.7% with difficulty obtaining an appointment, and 53.5% reporting issues with cost.
    Conclusion: Over 200,000 children annually do not receive necessary hearing-related care despite high rates of insurance coverage, and nearly 60,000 of these children are deaf or hard of hearing. Cost, eligibility for and distribution of services, and timely appointments are the primary barriers to hearing health care.
    MeSH term(s) Adolescent ; Child ; Cross-Sectional Studies ; Deafness/therapy ; Health Services Accessibility ; Hearing ; Humans ; Insurance, Health
    Language English
    Publishing date 2021-07-27
    Publishing country England
    Document type Journal Article
    ZDB-ID 392085-9
    ISSN 1097-6817 ; 0161-6439 ; 0194-5998
    ISSN (online) 1097-6817
    ISSN 0161-6439 ; 0194-5998
    DOI 10.1177/01945998211032113
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  9. Article ; Online: Single Layer Biomaterial Repair of Frontal Sinus Encephalocele in a Pediatric Patient.

    Su-Velez, Brooke M / Hsu, David W / West, Alisha N / Suh, Jeffrey D

    The Laryngoscope

    2020  Volume 131, Issue 6, Page(s) E1750–E1752

    Abstract: Introduction: Reconstruction of skull base defects are determined by size, location, and complexity of the defect.: Methods: Case report.: Case discussion: An 11-year old girl presented with a right frontoethmoidal encephalocele after an episode ... ...

    Abstract Introduction: Reconstruction of skull base defects are determined by size, location, and complexity of the defect.
    Methods: Case report.
    Case discussion: An 11-year old girl presented with a right frontoethmoidal encephalocele after an episode of meningitis. An endoscopic approach was performed with a Draf III to provide exposure. The skull base defect extended superolateral over the orbit, which limited the choice of reconstructive options. The defect was successfully repaired with a single layer onlay graft of bovine collagen matrix.
    Conclusions: Single layer repairs using commercial biomaterials should be considered where multilayer closure or vascularized flaps may not be possible. Laryngoscope, 131:E1750-E1752, 2021.
    MeSH term(s) Bone Matrix/transplantation ; Bone Transplantation/methods ; Child ; Encephalocele/microbiology ; Encephalocele/surgery ; Female ; Frontal Sinus/surgery ; Humans ; Meningitis/complications ; Skull Base/surgery
    Language English
    Publishing date 2020-10-27
    Publishing country United States
    Document type Case Reports
    ZDB-ID 80180-x
    ISSN 1531-4995 ; 0023-852X
    ISSN (online) 1531-4995
    ISSN 0023-852X
    DOI 10.1002/lary.29198
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  10. Article ; Online: Decontamination Methods for Reuse of Filtering Facepiece Respirators.

    Su-Velez, Brooke M / Maxim, Tom / Long, Jennifer L / St John, Maie A / Holliday, Michael A

    JAMA otolaryngology-- head & neck surgery

    2020  Volume 146, Issue 8, Page(s) 734–740

    Abstract: Importance: The novel coronavirus disease 2019 (COVID-19) has proven to be highly infectious, putting health care professionals around the world at increased risk. Furthermore, there are widespread shortages of necessary personal protective equipment ( ... ...

    Abstract Importance: The novel coronavirus disease 2019 (COVID-19) has proven to be highly infectious, putting health care professionals around the world at increased risk. Furthermore, there are widespread shortages of necessary personal protective equipment (PPE) for these individuals. Filtering facepiece respirators, such as the N95 respirator, intended for single use, can be reused in times of need. We explore the evidence for decontamination or sterilization of N95 respirators for health care systems seeking to conserve PPE while maintaining the health of their workforce.
    Observations: The filtration properties and fit of N95 respirators must be preserved to function adequately over multiple uses. Studies have shown that chemical sterilization using soap and water, alcohols, and bleach render the respirator nonfunctional. Decontamination with microwave heat and high dry heat also result in degradation of respirator material. UV light, steam, low-dry heat, and commercial sterilization methods with ethylene oxide or vaporized hydrogen peroxide appear to be viable options for successful decontamination. Furthermore, since the surface viability of the novel coronavirus is presumed to be 72 hours, rotating N95 respirator use and allowing time decontamination of the respirators is also a reasonable option. We describe a protocol and best practice recommendations for redoffing decontaminated N95 and rotating N95 respirator use.
    Conclusions and relevance: COVID-19 presents a high risk for health care professionals, particularly otolaryngologists, owing to the nature of viral transmission, including possible airborne transmission and high viral load in the upper respiratory tract. Proper PPE is effective when used correctly, but in times of scarce resources, institutions may turn to alternative methods of preserving and reusing filtering facepiece respirators. Based on studies conducted on the decontamination of N95 respirators after prior outbreaks, there are several options for institutions to consider for both immediate and large-scale implementation.
    MeSH term(s) COVID-19/transmission ; Clinical Protocols ; Decontamination/methods ; Eye Protective Devices ; Gloves, Protective ; Hand Disinfection ; Humans ; Infectious Disease Transmission, Patient-to-Professional/prevention & control ; N95 Respirators/supply & distribution ; N95 Respirators/virology ; SARS-CoV-2 ; Time Factors
    Keywords covid19
    Language English
    Publishing date 2020-07-02
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2701825-8
    ISSN 2168-619X ; 2168-6181
    ISSN (online) 2168-619X
    ISSN 2168-6181
    DOI 10.1001/jamaoto.2020.1423
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