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  1. Article ; Online: Trials, Tribulations, and Techniques for Transitioning to an Extended Deep Plane Facelift for All Patients: Insight from a Very Experienced Surgeon's Perspective.

    Williams, Edwin F / Urban, Matthew J

    Facial plastic surgery : FPS

    2024  

    Abstract: The extended deep plane facelift is a powerful technique to correct aging of the midface and neck. After many years of superficial muscular aponeurotic system lift techniques, the senior author transitioned to an extended deep plane facelift for all ... ...

    Abstract The extended deep plane facelift is a powerful technique to correct aging of the midface and neck. After many years of superficial muscular aponeurotic system lift techniques, the senior author transitioned to an extended deep plane facelift for all patients. The primary catalyst for this shift in practice was the pursuit of superior rejuvenation of the midface. Consistent uniform elevation of the deep plane with complete ligament release and management of the soft tissue flap were the most significant challenges in the early adoption period. Navigating the transition was facilitated by consultation with experienced colleagues and frequent cadaver dissections. This manuscript details the authors' current technique. Complications and recovery from this technique are similar to those reported with historical techniques and are minimized with proper preparation, precision, and perioperative management. In our experience the results from this procedure are extremely reproducible, durable, and natural, and patients are overwhelmingly extremely satisfied.
    Language English
    Publishing date 2024-02-15
    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-0044-1779626
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Vascular Lesions.

    Urban, Matthew J / Williams, Edwin F

    Facial plastic surgery clinics of North America

    2023  Volume 32, Issue 1, Page(s) 13–25

    Abstract: Vascular lesions impact up to 5% of children and range in clinical impact from minor cutaneous aberrations to large masses impacting both form and function. Vascular lesions may be characterized as tumors or malformations. Establishing a clear diagnosis ... ...

    Abstract Vascular lesions impact up to 5% of children and range in clinical impact from minor cutaneous aberrations to large masses impacting both form and function. Vascular lesions may be characterized as tumors or malformations. Establishing a clear diagnosis is imperative to understanding the natural history of a vascular lesion and developing a treatment plan. Medical, surgical, intralesional, and laser therapy are all effective and indicated on a case-by-case basis. There are a number of important surgical considerations for operative management of these lesions.
    MeSH term(s) Child ; Humans ; Hemangioma/diagnosis ; Hemangioma/surgery ; Port-Wine Stain/surgery ; Laser Therapy ; Skin/pathology ; Low-Level Light Therapy
    Language English
    Publishing date 2023-10-21
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 1315178-2
    ISSN 1558-1926 ; 1064-7406
    ISSN (online) 1558-1926
    ISSN 1064-7406
    DOI 10.1016/j.fsc.2023.09.003
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  3. Article: Trials, Tribulations, and Techniques for Transitioning to an Extended Deep Plane Facelift for All Patients: Insight from a Very Experienced Surgeon's Perspective

    Williams, Edwin F. / Urban, Matthew J.

    Facial Plastic Surgery

    (Issue Theme Facial Rejuvenation: Comprehensive Experts' Update)

    2024  

    Abstract: The extended deep plane facelift is a powerful technique to correct aging of the midface and neck. After many years of superficial muscular aponeurotic system lift techniques, the senior author transitioned to an extended deep plane facelift for all ... ...

    Series title Issue Theme Facial Rejuvenation: Comprehensive Experts' Update
    Abstract The extended deep plane facelift is a powerful technique to correct aging of the midface and neck. After many years of superficial muscular aponeurotic system lift techniques, the senior author transitioned to an extended deep plane facelift for all patients. The primary catalyst for this shift in practice was the pursuit of superior rejuvenation of the midface. Consistent uniform elevation of the deep plane with complete ligament release and management of the soft tissue flap were the most significant challenges in the early adoption period. Navigating the transition was facilitated by consultation with experienced colleagues and frequent cadaver dissections. This manuscript details the authors' current technique. Complications and recovery from this technique are similar to those reported with historical techniques and are minimized with proper preparation, precision, and perioperative management. In our experience the results from this procedure are extremely reproducible, durable, and natural, and patients are overwhelmingly extremely satisfied.
    Keywords extended deep plane ; facelift ; facial aging ; complications ; technique
    Language English
    Publishing date 2024-02-15
    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-0044-1779626
    Database Thieme publisher's database

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  4. Article ; Online: Infratemporal Fossa Abscess Drainage via a Trans-Oral Image Guided Approach.

    Morin, Adam / Urban, Matthew J / Al-Khudari, Samer

    Turkish archives of otorhinolaryngology

    2023  Volume 61, Issue 2, Page(s) 91–94

    Abstract: Deep neck space infections can cause antibiotic-resistant abscesses that can impinge on vital anatomical structures. Image-guided surgery systems using preoperative computed tomography (CT) imaging can be utilized to characterize pathology and assist ... ...

    Abstract Deep neck space infections can cause antibiotic-resistant abscesses that can impinge on vital anatomical structures. Image-guided surgery systems using preoperative computed tomography (CT) imaging can be utilized to characterize pathology and assist surgeons in avoiding iatrogenic injury. This manuscript explores the presentation and unique CT-guided surgical management of an infratemporal fossa abscess in a 48-year-old male who presented with left-sided dental pain and facial swelling that had progressed despite antibiotics and dental extraction. CT-guided imaging can assist in localizing and protecting vital anatomical structures during deep neck abscess drainage and can prevent the potential risks and complications of classic surgical approaches.
    Language English
    Publishing date 2023-09-18
    Publishing country Turkey
    Document type Case Reports
    ISSN 2667-7474
    ISSN (online) 2667-7474
    DOI 10.4274/tao.2023.2022-10-10
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  5. Article ; Online: Color VISION for improved ultrasound visualization of brachytherapy needles.

    Dupere, Justine M / Brost, Eric E / Hainy, Matthew E / Lee, Christine U / Urban, Matthew W / Stish, Bradley J / Deufel, Christopher L

    Medical physics

    2024  

    Abstract: Background: High dose rate brachytherapy is commonly used in the treatment of prostate cancer. Treatment planning is often performed under transrectal ultrasound (US) guidance, but brachytherapy needles can be challenging to digitize due to the presence ...

    Abstract Background: High dose rate brachytherapy is commonly used in the treatment of prostate cancer. Treatment planning is often performed under transrectal ultrasound (US) guidance, but brachytherapy needles can be challenging to digitize due to the presence of poor US conspicuity and imaging artifacts. The plan accuracy and quality, however, are dependent on the proper visualization of the needles with millimeter accuracy.
    Purpose: This work describes a technique for generating a color overlay of needle locations atop the grayscale US image. Prototype devices were developed to produce vibrations in the brachytherapy needles that generate a high contrast color Doppler (CD) signal that highlights the needle locations with superior contrast and reduced artifacts. Denoted by the acronym color VISION (Vibrationally Induced Shimmering for Identifying an Object's Nature), the technology has the potential to improve applicator conspicuity and facilitate automated applicator digitization.
    Methods: Three prototype vibrational devices with frequencies between 200-450 Hz were designed in-house and evaluated with needle implants in a phantom and cadaveric male pelvis using: (1) an actuator attached to the front of a prostate needle template; (2) an actuator attached to the top of the needle template; and (3) a hand-held actuator with a stylet, inserted directly into a needle's inner lumen. Acquired images were postprocessed in MATLAB to evaluate the potential for automated digitization.
    Results: All prototype devices produced localized shimmering in implanted brachytherapy needles in both the axial and sagittal planes. The template mounted actuators provided better vibrational coupling and ease of operation than the stylet prototype. The Michelson contrast, or visibility, of the shimmering CD signal was 100% compared with ≤40% for B-mode imaging of a single needle. Proof-of-principle for automated applicator digitization using only the CD signal was demonstrated.
    Conclusions: The color VISION prototype devices successfully coupled mechanical vibrations into brachytherapy needles to generate US CD shimmering and accurately highlight brachytherapy needle locations. The high contrast and natively registered signal are promising for future work to automate the needle digitization and provide a real-time visual overlay of the applicator on the B-mode US image.
    Language English
    Publishing date 2024-04-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 188780-4
    ISSN 2473-4209 ; 0094-2405
    ISSN (online) 2473-4209
    ISSN 0094-2405
    DOI 10.1002/mp.17083
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  6. Article ; Online: Successful Reimplantation of Extruded Lead after Hypoglossal Nerve Stimulation Surgery.

    Grond, Sarah E / Urban, Matthew J / Hutz, Michael J / LoSavio, Phillip

    The Laryngoscope

    2023  Volume 133, Issue 10, Page(s) 2821–2822

    Abstract: Infection and extrusion of hardware are known complications of hypoglossal nerve stimulation surgery. We present a unique case of an extruded hardware lead successfully managed with reimplantation without need for explantation and new device placement. ... ...

    Abstract Infection and extrusion of hardware are known complications of hypoglossal nerve stimulation surgery. We present a unique case of an extruded hardware lead successfully managed with reimplantation without need for explantation and new device placement. The topic will be discussed in context of the body of literature related to extruded medical device management. Laryngoscope, 133:2821-2822, 2023.
    MeSH term(s) Humans ; Hypoglossal Nerve/surgery ; Replantation ; Device Removal ; Reoperation ; Electric Stimulation Therapy
    Language English
    Publishing date 2023-04-10
    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.30681
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  7. Article ; Online: Letter Response: Design and Implementation of a Global Health and Underserved Care Track.

    Urban, Matthew J / Jagasia, Ashok A / Batra, Pete S / LoSavio, Phillip

    OTO open

    2022  Volume 6, Issue 2, Page(s) 2473974X221100548

    Language English
    Publishing date 2022-05-13
    Publishing country United States
    Document type Journal Article
    ISSN 2473-974X
    ISSN (online) 2473-974X
    DOI 10.1177/2473974X221100548
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  8. Article ; Online: Challenges in the Delivery of Rural Otolaryngology Care During the COVID-19 Pandemic.

    Losenegger, Tasher / Urban, Matthew J / Jagasia, Ashok J

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

    2021  Volume 165, Issue 1, Page(s) 5–6

    Abstract: Though initially spared from the brunt of the COVID-19 pandemic, rural areas in the United States have been ravaged by the disease. With a higher-risk population at baseline and an already strained health care system, rural hospitals face severe ... ...

    Abstract Though initially spared from the brunt of the COVID-19 pandemic, rural areas in the United States have been ravaged by the disease. With a higher-risk population at baseline and an already strained health care system, rural hospitals face severe challenges in delivering care during the pandemic. In otolaryngology specifically, there has been difficulty in ensuring patient access to care while maintaining safe environments for patients and staff. Partnership between academic medical centers and critical access rural hospitals is urgently needed to help improve care for vulnerable rural populations.
    MeSH term(s) COVID-19 ; Delivery of Health Care ; Humans ; Otorhinolaryngologic Diseases/therapy ; Rural Health Services ; United States
    Language English
    Publishing date 2021-02-16
    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 10.1177/0194599821995146
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  9. Article ; Online: Asymmetric Laryngopharyngeal Reflux Findings Following Sleep in the Lateral Recumbent Position.

    Urban, Matthew J / Sataloff, Robert T

    Ear, nose, & throat journal

    2019  Volume 99, Issue 4, Page(s) NP44–NP45

    MeSH term(s) Adult ; Erythema/etiology ; Erythema/pathology ; Esophageal pH Monitoring ; Humans ; Laryngeal Diseases/etiology ; Laryngeal Diseases/pathology ; Laryngopharyngeal Reflux/complications ; Laryngopharyngeal Reflux/physiopathology ; Larynx/pathology ; Male ; Medical Illustration ; Posture/physiology ; Sleep
    Language English
    Publishing date 2019-04-09
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 750153-5
    ISSN 1942-7522 ; 0145-5613
    ISSN (online) 1942-7522
    ISSN 0145-5613
    DOI 10.1177/0145561319838406
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  10. Article ; Online: Inpatient Otolaryngology Consultations and COVID-19: The Surge and Lasting Effects at an Urban, Academic Institution.

    Owen, Grant S / Urban, Matthew J / Calder, Alyssa N / Husain, Inna A / LoSavio, Phillip S / Revenaugh, Peter C / Batra, Pete S

    Ear, nose, & throat journal

    2023  , Page(s) 1455613231182295

    Abstract: Objective: ...

    Abstract Objective:
    Language English
    Publishing date 2023-06-17
    Publishing country United States
    Document type Journal Article
    ZDB-ID 750153-5
    ISSN 1942-7522 ; 0145-5613
    ISSN (online) 1942-7522
    ISSN 0145-5613
    DOI 10.1177/01455613231182295
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