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  1. 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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    Zs.B 107: Show issues Location:
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  2. 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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  3. Article ; Online: The effect of head of bed elevation on upper airway collapsibility during drug-induced sleep endoscopy.

    Owen, Grant S / Talati, Vidit M / Zhang, Yanyu / LoSavio, Phillip S / Hutz, Michael J

    Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine

    2023  Volume 20, Issue 1, Page(s) 93–99

    Abstract: ... Citation: Owen GS, Talati VM, Zhang Y, LoSavio PS, Hutz MJ. The effect of head of bed elevation on upper ...

    Abstract Study objectives: Drug-induced sleep endoscopy with positive airway pressure evaluates the collapsibility of the upper airway. It is currently unknown whether body position affects this assessment. We sought to determine whether the collapsibility of the airway may change with head of bed elevation.
    Methods: A prospective, consecutive cohort study was performed by 2 sleep surgeons at a tertiary care center. Inclusion criteria included adults 18 years of age and older with obstructive sleep apnea who were intolerant to continuous positive airway pressure therapy. Patients underwent drug-induced sleep endoscopy with positive airway pressure to evaluate them for alternative treatment options. Patients were evaluated in supine position with the head of bed both level and elevated to 30°. The airway was evaluated using the standardized VOTE scoring system in both positions.
    Results: The 61 patients included in the study were predominantly male (70.5%), middle-aged (51.2 years), and obese (body mass index, 30.2 kg/m
    Conclusions: Patients with the head of bed elevated to 30° have a significantly lower degree of airway collapsibility compared to patients in the level position but no significant change in VOTE scoring was observed.
    Citation: Owen GS, Talati VM, Zhang Y, LoSavio PS, Hutz MJ. The effect of head of bed elevation on upper airway collapsibility during drug-induced sleep endoscopy.
    MeSH term(s) Adult ; Middle Aged ; Humans ; Male ; Adolescent ; Female ; Polysomnography ; Cohort Studies ; Prospective Studies ; Sleep ; Sleep Apnea, Obstructive ; Endoscopy
    Language English
    Publishing date 2023-09-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2397213-0
    ISSN 1550-9397 ; 1550-9389
    ISSN (online) 1550-9397
    ISSN 1550-9389
    DOI 10.5664/jcsm.10824
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  4. Article ; Online: Design and Implementation of a Global Health and Underserved Care Track in an Otolaryngology Residency.

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

    OTO open

    2022  Volume 6, Issue 1, Page(s) 2473974X221078857

    Abstract: Despite widespread resident interest in global health and underserved care, few otolaryngology residency programs offer a formal global health experience. This article is the first to characterize a formal otolaryngology global health and underserved ... ...

    Abstract Despite widespread resident interest in global health and underserved care, few otolaryngology residency programs offer a formal global health experience. This article is the first to characterize a formal otolaryngology global health and underserved care track with a focus on how this curriculum integrates with and supplements resident education. Components of the track include longitudinal limited-resource field experiences in domestic and abroad settings, a related quality improvement project, and completion of a formalized global health educational curriculum. In addition to delivering humanitarian aid, residents in this track obtain a unique educational experience in all 6 core competencies of the Accreditation Council for Graduate Medical Education. Early barriers to implementation included identifying mentorship, securing funding, and managing busy resident schedules. In this work, we detail track components, schedule by track year, keys to implementation, and potential educational pitfalls.
    Language English
    Publishing date 2022-02-22
    Publishing country United States
    Document type Journal Article
    ISSN 2473-974X
    ISSN (online) 2473-974X
    DOI 10.1177/2473974X221078857
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  5. Article ; Online: Race as a risk factor for sleep timing shift and disruption in chronic rhinosinusitis.

    Mahdavinia, Mahboobeh / Kapil, Anuja / Bernstein, Joshua S / Lastra, Alejandra C / LoSavio, Phillip S

    Annals of allergy, asthma & immunology : official publication of the American College of Allergy, Asthma, & Immunology

    2020  Volume 126, Issue 4, Page(s) 429–431

    MeSH term(s) Adult ; Chronic Disease ; Female ; Humans ; Male ; Middle Aged ; Racial Groups ; Rhinitis/etiology ; Risk Factors ; Sinusitis/etiology ; Sleep/physiology ; Sleep Apnea Syndromes/etiology
    Language English
    Publishing date 2020-11-01
    Publishing country United States
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 1228189-x
    ISSN 1534-4436 ; 0003-4738 ; 1081-1206
    ISSN (online) 1534-4436
    ISSN 0003-4738 ; 1081-1206
    DOI 10.1016/j.anai.2020.10.019
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  6. Article ; Online: Improved sinonasal symptom and endoscopy sinus scores with dose-escalated intranasal mometasone irrigation in patients with refractory chronic rhinosinusitis.

    Papagiannopoulos, Peter / Brown, Hannah J / Kim, Young Jae / Houser, Thomas K / Ganti, Ashwin / Raad, Richard A / Kuan, Edward C / Losavio, Phillip / Batra, Pete S / Tajudeen, Bobby A

    International forum of allergy & rhinology

    2022  Volume 12, Issue 7, Page(s) 955–957

    MeSH term(s) Chronic Disease ; Endoscopy ; Humans ; Mometasone Furoate/therapeutic use ; Paranasal Sinuses/surgery ; Rhinitis/diagnosis ; Rhinitis/drug therapy ; Sinusitis/diagnosis ; Sinusitis/drug therapy ; Treatment Outcome
    Chemical Substances Mometasone Furoate (04201GDN4R)
    Language English
    Publishing date 2022-01-05
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2625826-2
    ISSN 2042-6984 ; 2042-6976
    ISSN (online) 2042-6984
    ISSN 2042-6976
    DOI 10.1002/alr.22940
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    Zs.A 6927: Show issues Location:
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  7. Article ; Online: Management of Upper Airway Bleeding in COVID-19 Patients on Extracorporeal Membrane Oxygenation.

    LoSavio, Phillip S / Patel, Tirth / Urban, Matthew J / Tajudeen, Bobby / Papagiannopoulos, Peter / Revenaugh, Peter C / Husain, Inna / Batra, Pete S

    The Laryngoscope

    2020  Volume 130, Issue 11, Page(s) 2558–2560

    MeSH term(s) Adult ; Airway Management/methods ; COVID-19/therapy ; Epistaxis/etiology ; Epistaxis/therapy ; Epistaxis/virology ; Extracorporeal Membrane Oxygenation/adverse effects ; Hemostatic Techniques ; Humans ; Male ; Middle Aged ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-08-03
    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.28846
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  8. Article ; Online: Association of Air Pollutant Exposure and Sinonasal Histopathology Findings in Chronic Rhinosinusitis.

    Patel, Tirth R / Tajudeen, Bobby A / Brown, Hannah / Gattuso, Paolo / LoSavio, Phillip / Papagiannopoulos, Peter / Batra, Pete S / Mahdavinia, Mahboobeh

    American journal of rhinology & allergy

    2021  Volume 35, Issue 6, Page(s) 761–767

    Abstract: Background: Ambient air pollution is well known to cause inflammatory change in respiratory epithelium and is associated with exacerbations of inflammatory conditions such as asthma and chronic obstructive pulmonary disease. However, limited work has ... ...

    Abstract Background: Ambient air pollution is well known to cause inflammatory change in respiratory epithelium and is associated with exacerbations of inflammatory conditions such as asthma and chronic obstructive pulmonary disease. However, limited work has been done on the impact of air pollution on pathogenesis of chronic rhinosinusitis and there are no reports in the literature of how pollutant exposure may impact sinonasal histopathology in patients with chronic rhinosinusitis.
    Objective: This study aims to identify associations between certain histopathologic characteristics seen in sinus tissue of patients with chronic rhinosinusitis (CRS) and levels of particulate air pollution (PM
    Methods: A structured histopathology report was created to characterize the tissues of CRS patients undergoing sinus surgery. An estimate for each patient's exposure to air pollutants including small particulate matter (PM
    Results: Data from 291 CRS patients were analyzed. Higher degree of inflammation was significantly associated with increased ozone exposure (p = 0.031). Amongst the patients with CRSwNP (n=131), presence of eosinophilic aggregates (p = 0.018) and Charcot-Leyden crystals (p = 0.036) was associated with increased ozone exposure.
    Conclusion: Exposure to ambient air pollutants may contribute to pathogenesis of CRS. Increasing ozone exposure was linked to both higher tissue inflammation and presence of eosinophilic aggregates and Charcot-Leyden crystals in CRSwNP patients.
    MeSH term(s) Air Pollutants/adverse effects ; Air Pollution/adverse effects ; Chronic Disease ; Environmental Exposure/adverse effects ; Humans ; Particulate Matter/adverse effects ; Rhinitis/epidemiology ; Sinusitis/epidemiology
    Chemical Substances Air Pollutants ; Particulate Matter
    Language English
    Publishing date 2021-02-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2482804-X
    ISSN 1945-8932 ; 1945-8924
    ISSN (online) 1945-8932
    ISSN 1945-8924
    DOI 10.1177/1945892421993655
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    Zs.A 2542: Show issues Location:
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  9. Article ; Online: Rapid implementation of COVID-19 tracheostomy simulation training to increase surgeon safety and confidence.

    LoSavio, Phillip S / Eggerstedt, Michael / Tajudeen, Bobby A / Papagiannopoulos, Peter / Revenaugh, Peter C / Batra, Pete S / Husain, Inna

    American journal of otolaryngology

    2020  Volume 41, Issue 5, Page(s) 102574

    Abstract: Objective: To determine if rapid implementation of simulation training for anticipated COVID-19 tracheostomy procedures can increase physician confidence regarding procedure competency and use of enhanced personal protective equipment (PPE).: Methods!# ...

    Abstract Objective: To determine if rapid implementation of simulation training for anticipated COVID-19 tracheostomy procedures can increase physician confidence regarding procedure competency and use of enhanced personal protective equipment (PPE).
    Methods: A brief simulation training exercise was designed in conjunction with the development of a COVID-19 Tracheostomy Protocol. The simulation training focused primarily on provider safety, pre and post-surgical steps and the proper use of enhanced PPE. Simulation training was performed in the simulation lab at the institution over 2 days. Pre and post self-evaluations were measured using standardized clinical competency questionnaires on a 5-point Likert Scale ranging from "No knowledge, unable to perform" up to "Highly knowledgeable and confident, independent."
    Results: Physicians self-reported a significant increase in knowledge and competency immediately after completing the training exercise. Resident physicians increased from a mean score of 3.00 to 4.67, p-value 0.0041, mean increase 1.67 (CI 95% 0.81 to 2.52). Attending physicians increased from a mean score of 2.89 to 4.67, p-value 0.0002, mean increase 1.78 (CI 95% 1.14 to 2.42). Overall, all participants increased from a mean score of 3.06 to 4.71, p-value 0.0001, mean increase 1.65 (CI 95% 1.24 to 2.05).
    Discussion: Implementation of this simulation training at our institution resulted in a significant increase in physician confidence regarding the safe performance of tracheostomy surgery in COVID-19 patients.
    Implications for practice: Adoption of standardized COVID-19 tracheostomy simulation training at centers treating COVID-19 patients may result in improved physician safety and enhanced confidence in anticipation of performing these procedures in real-life scenarios.
    MeSH term(s) Betacoronavirus ; COVID-19 ; Clinical Competence ; Clinical Protocols ; Coronavirus Infections/epidemiology ; Coronavirus Infections/therapy ; Coronavirus Infections/transmission ; Humans ; Pandemics ; Patient Selection ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/therapy ; Pneumonia, Viral/transmission ; SARS-CoV-2 ; Simulation Training ; Tracheostomy/education
    Keywords covid19
    Language English
    Publishing date 2020-06-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 604541-8
    ISSN 1532-818X ; 0196-0709
    ISSN (online) 1532-818X
    ISSN 0196-0709
    DOI 10.1016/j.amjoto.2020.102574
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    Zs.A 1637: Show issues Location:
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  10. Article ; Online: A Case of Bilateral Atrophy of the Inferior Vestibular Nerves.

    Gallo, Kelsey / Jhaveri, Miral D / Sharbidre, Kedar G / Winston, Amy / LoSavio, Phillip S

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

    2018  Volume 39, Issue 3, Page(s) e218–e219

    Abstract: We report a case of a 62-year-old woman who was found to have bilateral atrophy of the inferior vestibular nerves on magnetic resonance imaging (MRI) after presenting to our clinic with 6 years of intermittent vertigo and residual unsteadiness. The ... ...

    Abstract : We report a case of a 62-year-old woman who was found to have bilateral atrophy of the inferior vestibular nerves on magnetic resonance imaging (MRI) after presenting to our clinic with 6 years of intermittent vertigo and residual unsteadiness. The nerve atrophy may be associated with an episode of vestibular neuritis, a common cause of vertigo that exclusively involves the inferior vestibular nerve in less than 3% of cases. While MRI may demonstrate vestibular nerve enhancement in cases of acute vestibular neuritis, no single MRI finding has been demonstrated consistently among cases of acute or chronic vestibular neuritis. Physical therapy is likely an effective long-term treatment for this patient to achieve central compensation for symptomatic relief.
    MeSH term(s) Atrophy/pathology ; Female ; Humans ; Middle Aged ; Vertigo/etiology ; Vestibular Nerve/pathology ; Vestibular Neuronitis/complications ; Vestibular Neuronitis/pathology
    Language English
    Publishing date 2018-02-09
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2036790-9
    ISSN 1537-4505 ; 1531-7129
    ISSN (online) 1537-4505
    ISSN 1531-7129
    DOI 10.1097/MAO.0000000000001713
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