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  1. Article ; Online: The Smart Use of Smart Technologies in Teaching and Learning: Where we are and Where we Need to be.

    Steehler, Andrew J / Pettitt-Schieber, Brian / Alexander, Patricia A

    Ear, nose, & throat journal

    2023  Volume 101, Issue 9_suppl, Page(s) 29S–36S

    Abstract: Objective: The advantages and popularity of technology among learners have vaulted it to the forefront of medical education. The current state of learning and teaching intertwined with technology in medical education and residency is described. ... ...

    Abstract Objective: The advantages and popularity of technology among learners have vaulted it to the forefront of medical education. The current state of learning and teaching intertwined with technology in medical education and residency is described. Following these characterizations, consideration is given to changes worth exploring in the habits of mind and habits of action that medical students and residents exhibit to deepen their learning and improve their performance.
    Methods: Review of literature was conducted to summarize relevant transformations in instructional practices in medical school and residency that can contribute to more effective learning environments.
    Results: Learners have different approaches that will include differing uses of technology. Technology encourages multitasking, information overload, and the increasing prevalence of invalid information. Implementing bite-sized learning approaches, problem-based or case-based formats, questions, and alternative hypotheses encourages learners to channel technological innovations into their own styles of learning.
    Conclusion: To build knowledge in the technological era of learning, do not take learners' digital readiness for granted. Approach technology as a tool to be wielded when required and
    MeSH term(s) Humans ; Learning ; Internship and Residency ; Education, Medical ; Students, Medical ; Technology ; Teaching
    Language English
    Publishing date 2023-01-28
    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 10.1177/01455613231154037
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  2. Article ; Online: Tapia's Syndrome After Cardiac Surgery: A Case Report and Review of Literature.

    Steehler, Andrew J / Rothman, Ryan / Sadhar, Birkaran / Saran, Manick / Lipman, Sidney P / Lipman, Ruthann I

    Ear, nose, & throat journal

    2022  , Page(s) 1455613221113807

    Abstract: Tapia's syndrome is considered a neuropraxic injury of the recurrent laryngeal nerve and hypoglossal nerve which commonly presents after postoperative general anesthesia as hoarseness and dysphagia. Clinicians should consider this diagnosis in those ... ...

    Abstract Tapia's syndrome is considered a neuropraxic injury of the recurrent laryngeal nerve and hypoglossal nerve which commonly presents after postoperative general anesthesia as hoarseness and dysphagia. Clinicians should consider this diagnosis in those presenting with symptoms of cranial nerve X and cranial nerve XII injury in the post-extubation setting for prompt diagnosis and management. Here, we report a rare case of Tapia's syndrome following cardiac surgery which was then treated with carboxymethylcellulose gel implant injection.
    Language English
    Publishing date 2022-07-13
    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 10.1177/01455613221113807
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  3. Article ; Online: Central compartment atopic disease: outcomes compared with other subtypes of chronic rhinosinusitis with nasal polyps.

    Steehler, Andrew J / Vuncannon, Jackson R / Wise, Sarah K / DelGaudio, John M

    International forum of allergy & rhinology

    2021  Volume 11, Issue 11, Page(s) 1549–1556

    Abstract: Background: Central compartment atopic disease (CCAD) is a variant of chronic rhinosinusitis (CRS) with nasal polyps (CRSwNP) characterized by polypoid changes of the superior nasal septum, middle (MT), and/or superior turbinates (ST). This study ... ...

    Abstract Background: Central compartment atopic disease (CCAD) is a variant of chronic rhinosinusitis (CRS) with nasal polyps (CRSwNP) characterized by polypoid changes of the superior nasal septum, middle (MT), and/or superior turbinates (ST). This study evaluates surgical outcomes in patients with CCAD compared with other CRSwNP subtypes.
    Methods: Retrospective analysis was performed at Emory University from May 2012 to November 2019. Patients undergoing primary endoscopic sinus surgery (ESS) for CCAD, aspirin-exacerbated respiratory disease (AERD), allergic fungal rhinosinusitis (AFRS), and CRSwNP not otherwise specified (CRSwNP NOS) were included consecutively, beginning with the earliest date of CCAD patient. Outcome measures included polyp recurrence, revision ESS, oral steroid use, and oral antibiotic use. Pearson chi-square and univariate analysis of variance (ANOVA) were performed for group comparisons.
    Results: Data was collected for 132 patients (CCAD = 38, AERD = 20, AFRS = 37, CRSwNP NOS = 37; 58 females, mean age 42.9 years [range, 13-85 years]). CCAD patients demonstrated polyp recurrence less frequently than expected, whereas AFRS patients had polyp recurrence more frequently than expected (p = 0.003; phi 0.32). CCAD patients underwent revision ESS less frequently than expected; AFRS and CRSwNP NOS underwent revision ESS more frequently than expected (p = 0.03; phi 0.26). CRSwNP NOS patients received more total antibiotic courses than those with CCAD (p = 0.01; eta-squared 0.09) and more courses of antibiotics per month than those with AFRS (p = 0.03; eta-squared 0.07). There was no significant difference in follow-up measures across groups (number of visits, total months, or visits per month).
    Conclusion: Rates of polyp recurrence and revision ESS were significantly lower in CCAD patients compared with patients with other CRSwNP subtypes, suggesting durable benefit of ESS and postoperative medical therapy in CCAD patients.
    MeSH term(s) Adult ; Chronic Disease ; Endoscopy ; Female ; Humans ; Nasal Polyps/surgery ; Retrospective Studies ; Rhinitis/epidemiology ; Rhinitis/surgery ; Sinusitis/epidemiology ; Sinusitis/surgery
    Language English
    Publishing date 2021-06-02
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2625826-2
    ISSN 2042-6984 ; 2042-6976
    ISSN (online) 2042-6984
    ISSN 2042-6976
    DOI 10.1002/alr.22819
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  4. Article ; Online: Observation of Retropharyngeal Fluid Collection in 2 COVID-19 Positive Patients.

    Steehler, Andrew J / Ballestas, Samir A / Scarola, Danielle / Henriquez, Oswaldo A / Moore, Charles E

    Ear, nose, & throat journal

    2020  Volume 101, Issue 8, Page(s) NP345–NP347

    Abstract: Our understanding of the novel coronavirus, COVID-19, is growing; yet, there remains much we do not understand, and unique presentations are abundant. One potential presentation is retropharyngeal edema, defined as fluid in the retropharyngeal space. ... ...

    Abstract Our understanding of the novel coronavirus, COVID-19, is growing; yet, there remains much we do not understand, and unique presentations are abundant. One potential presentation is retropharyngeal edema, defined as fluid in the retropharyngeal space. Multiplanar imaging with computed tomography or magnetic resonance imaging is ideal for characterizing and diagnosing these fluid collections rapidly as possible life-threatening complications may develop (eg, airway obstruction and mediastinitis). Here, we discuss the presentation, imaging identification, treatment, and recovery of retropharyngeal fluid collection in 2 COVID-19 cases. The significance of this article is to suggest conservative management as a viable treatment option for retropharyngeal fluid collection, as opposed to incision and drainage, in the setting of COVID-19.
    MeSH term(s) COVID-19/complications ; Drainage/methods ; Humans ; Mediastinitis/therapy ; Retropharyngeal Abscess/diagnostic imaging ; Retropharyngeal Abscess/therapy ; Tomography, X-Ray Computed/methods
    Keywords covid19
    Language English
    Publishing date 2020-11-06
    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 10.1177/0145561320971370
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  5. Article ; Online: Implementation and Evaluation of a Virtual Elective in Otolaryngology in the Time of COVID-19.

    Steehler, Andrew J / Pettitt-Schieber, Brian / Studer, Matthew B / Mahendran, Geetha / Pettitt, Barbara J / Henriquez, Oswaldo A

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

    2020  Volume 164, Issue 3, Page(s) 556–561

    Abstract: Objective: To develop and evaluate a virtual otolaryngology medical student elective created during the COVID-19 crisis with the intention of teaching the basic tenets of otolaryngology and increasing exposure to the specialty.: Study design: Cross- ... ...

    Abstract Objective: To develop and evaluate a virtual otolaryngology medical student elective created during the COVID-19 crisis with the intention of teaching the basic tenets of otolaryngology and increasing exposure to the specialty.
    Study design: Cross-sectional survey.
    Setting: Emory University School of Medicine.
    Methods: A 1-week virtual otolaryngology curriculum was offered to third- and fourth-year medical students that centered on the American Academy of Otolaryngology-Head and Neck Surgery Foundation's handbook
    Results: Twelve students participated; 67% reported their baseline precourse understanding of otolaryngology in the "poor-fair" range. After the course, 92% of students reported increased understanding, with 42% and 58% reporting "good" and "very good" understanding, respectively. Following completion of the course, posttest scores on summative assessments were significantly higher than pretest scores (
    Conclusions: An otolaryngology elective administered through a virtual format can be effective at providing an educational experience and garnering interest in the field. Positive exposure to otolaryngology can increase medical students' interest in pursuing the specialty and expand their general knowledge of consultation, diagnosis, and management in otolaryngology.
    MeSH term(s) COVID-19 ; Cross-Sectional Studies ; Curriculum ; Education, Medical, Undergraduate/methods ; Otolaryngology/education ; Virtual Reality
    Keywords covid19
    Language English
    Publishing date 2020-08-11
    Publishing country England
    Document type Evaluation Study ; Journal Article
    ZDB-ID 392085-9
    ISSN 1097-6817 ; 0161-6439 ; 0194-5998
    ISSN (online) 1097-6817
    ISSN 0161-6439 ; 0194-5998
    DOI 10.1177/0194599820951150
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  6. Article ; Online: Observation of Retropharyngeal Fluid Collection in 2 COVID-19 Positive Patients

    Steehler, Andrew J. / Ballestas, Samir A. / Scarola, Danielle / Henriquez, Oswaldo A. / Moore, Charles E.

    Ear, Nose & Throat Journal

    2020  , Page(s) 14556132097137

    Abstract: Our understanding of the novel coronavirus, COVID-19, is growing; yet, there remains much we do not understand, and unique presentations are abundant. One potential presentation is retropharyngeal edema, defined as fluid in the retropharyngeal space. ... ...

    Abstract Our understanding of the novel coronavirus, COVID-19, is growing; yet, there remains much we do not understand, and unique presentations are abundant. One potential presentation is retropharyngeal edema, defined as fluid in the retropharyngeal space. Multiplanar imaging with computed tomography or magnetic resonance imaging is ideal for characterizing and diagnosing these fluid collections rapidly as possible life-threatening complications may develop (eg, airway obstruction and mediastinitis). Here, we discuss the presentation, imaging identification, treatment, and recovery of retropharyngeal fluid collection in 2 COVID-19 cases. The significance of this article is to suggest conservative management as a viable treatment option for retropharyngeal fluid collection, as opposed to incision and drainage, in the setting of COVID-19.
    Keywords Otorhinolaryngology ; covid19
    Language English
    Publisher SAGE Publications
    Publishing country us
    Document type Article ; Online
    ZDB-ID 750153-5
    ISSN 1942-7522 ; 0145-5613
    ISSN (online) 1942-7522
    ISSN 0145-5613
    DOI 10.1177/0145561320971370
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  7. Article: Implementation and Evaluation of a Virtual Elective in Otolaryngology in the Time of COVID-19

    Steehler, Andrew J / Pettitt-Schieber, Brian / Studer, Matthew B / Mahendran, Geetha / Pettitt, Barbara J / Henriquez, Oswaldo A

    Otolaryngol Head Neck Surg

    Abstract: OBJECTIVE: To develop and evaluate a virtual otolaryngology medical student elective created during the COVID-19 crisis with the intention of teaching the basic tenets of otolaryngology and increasing exposure to the specialty. STUDY DESIGN: Cross- ... ...

    Abstract OBJECTIVE: To develop and evaluate a virtual otolaryngology medical student elective created during the COVID-19 crisis with the intention of teaching the basic tenets of otolaryngology and increasing exposure to the specialty. STUDY DESIGN: Cross-sectional survey. SETTING: Emory University School of Medicine. METHODS: A 1-week virtual otolaryngology curriculum was offered to third- and fourth-year medical students that centered on the American Academy of Otolaryngology-Head and Neck Surgery Foundation's handbook Primary Care in Otolaryngology (fourth edition). The course covered a variety of topics and was conducted remotely via online video conferencing software. We applied multiple teaching modalities and surveyed students regarding the effectiveness of the course. Mixed methods analysis was employed to analyze the course data. RESULTS: Twelve students participated; 67% reported their baseline precourse understanding of otolaryngology in the "poor-fair" range. After the course, 92% of students reported increased understanding, with 42% and 58% reporting "good" and "very good" understanding, respectively. Following completion of the course, posttest scores on summative assessments were significantly higher than pretest scores (P < .001). Ninety-two percent of students reported either "increased" or "greatly increased" interest in otolaryngology postcourse. Qualitative survey results revealed students' appreciation of course organization, formative assessments, and case-based learning. CONCLUSIONS: An otolaryngology elective administered through a virtual format can be effective at providing an educational experience and garnering interest in the field. Positive exposure to otolaryngology can increase medical students' interest in pursuing the specialty and expand their general knowledge of consultation, diagnosis, and management in otolaryngology.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #707227
    Database COVID19

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  8. Article ; Online: Implementation and Evaluation of a Virtual Elective in Otolaryngology in the Time of COVID-19

    Steehler, Andrew J. / Pettitt-Schieber, Brian / Studer, Matthew B. / Mahendran, Geetha / Pettitt, Barbara J. / Henriquez, Oswaldo A.

    Otolaryngology–Head and Neck Surgery

    2020  , Page(s) 19459982095115

    Abstract: Objective To develop and evaluate a virtual otolaryngology medical student elective created during the COVID-19 crisis with the intention of teaching the basic tenets of otolaryngology and increasing exposure to the specialty. Study Design Cross- ... ...

    Abstract Objective To develop and evaluate a virtual otolaryngology medical student elective created during the COVID-19 crisis with the intention of teaching the basic tenets of otolaryngology and increasing exposure to the specialty. Study Design Cross-sectional survey. Setting Emory University School of Medicine. Methods A 1-week virtual otolaryngology curriculum was offered to third- and fourth-year medical students that centered on the American Academy of Otolaryngology–Head and Neck Surgery Foundation’s handbook Primary Care in Otolaryngology (fourth edition). The course covered a variety of topics and was conducted remotely via online video conferencing software. We applied multiple teaching modalities and surveyed students regarding the effectiveness of the course. Mixed methods analysis was employed to analyze the course data. Results Twelve students participated; 67% reported their baseline precourse understanding of otolaryngology in the “poor-fair” range. After the course, 92% of students reported increased understanding, with 42% and 58% reporting “good” and “very good” understanding, respectively. Following completion of the course, posttest scores on summative assessments were significantly higher than pretest scores ( P < .001). Ninety-two percent of students reported either “increased” or “greatly increased” interest in otolaryngology postcourse. Qualitative survey results revealed students’ appreciation of course organization, formative assessments, and case-based learning. Conclusions An otolaryngology elective administered through a virtual format can be effective at providing an educational experience and garnering interest in the field. Positive exposure to otolaryngology can increase medical students’ interest in pursuing the specialty and expand their general knowledge of consultation, diagnosis, and management in otolaryngology.
    Keywords Surgery ; Otorhinolaryngology ; covid19
    Language English
    Publisher SAGE Publications
    Publishing country us
    Document type Article ; Online
    ZDB-ID 392085-9
    ISSN 1097-6817 ; 0161-6439 ; 0194-5998
    ISSN (online) 1097-6817
    ISSN 0161-6439 ; 0194-5998
    DOI 10.1177/0194599820951150
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  9. Article ; Online: Pediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcus Immunology: A Pilot Study.

    Walls, Andrew / Cubangbang, Maricel / Wang, Hongkun / Raiji, Manish / Knight, Josh / Steehler, Matthew / Latimer, Elizabeth / Harley, Earl H

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

    2015  Volume 153, Issue 1, Page(s) 130–136

    Abstract: Objective: To elucidate specific cytokine and chemokine markers in patients diagnosed with pediatric autoimmune neuropsychiatric disorder associated with streptococcus (PANDAS).: Study design: Prospective cohort study.: Study setting: Academic ... ...

    Abstract Objective: To elucidate specific cytokine and chemokine markers in patients diagnosed with pediatric autoimmune neuropsychiatric disorder associated with streptococcus (PANDAS).
    Study design: Prospective cohort study.
    Study setting: Academic university hospital.
    Methods: Tonsil tissue was collected from 24 patients and organized into 3 groups: experimental PANDAS cohort (12 patients), group A beta hemolytic streptococcus control cohort (6 patients), and obstructive sleep apnea control cohort (6 patients). Each tissue sample was extracted with MSD Tris lysis buffer, and protein lysates were analyzed for human chemokines and cytokines by the Human Cytokine 30-Plex Assay on the Mesoscale System.
    Results: We identified a significant difference in expression regarding the 8 following cytokines when comparing the experimental PANDAS, group A beta hemolytic streptococcus, and obstructive sleep apnea control cohorts: tumor necrosis factor-α and eotaxin-3. In addition, our group also identified a significant reduction in the expression of interleukin (IL)-8, interferon inducible protein-10, IL-17a, interferon-γ, IL-10, and IL-12 across the aforementioned groups.
    Conclusions: Patients diagnosed with PANDAS appear to maintain significantly different concentrations of cytokines when compared with patients afflicted by chronic group A beta hemolytic streptococcus infections and obstructive sleep apnea. As a result, one could potentially use the described characterization of immunologic markers as a basis for future mechanistic and epidemiological studies.
    MeSH term(s) Adolescent ; Autoimmune Diseases/complications ; Autoimmune Diseases/metabolism ; Autoimmune Diseases/surgery ; Case-Control Studies ; Child ; Child, Preschool ; Cohort Studies ; Cytokines/metabolism ; Female ; Humans ; Male ; Pilot Projects ; Sleep Apnea, Obstructive/complications ; Sleep Apnea, Obstructive/surgery ; Streptococcal Infections/complications ; Streptococcal Infections/metabolism ; Streptococcal Infections/surgery ; Streptococcus pyogenes ; Tonsillectomy ; Tonsillitis/etiology ; Tonsillitis/metabolism ; Tonsillitis/surgery
    Chemical Substances Cytokines
    Language English
    Publishing date 2015-07
    Publishing country England
    Document type Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 392085-9
    ISSN 1097-6817 ; 0161-6439 ; 0194-5998
    ISSN (online) 1097-6817
    ISSN 0161-6439 ; 0194-5998
    DOI 10.1177/0194599815577784
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