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  1. Article ; Online: Frontal Osteomyelitis and Sinusitis Complication After Type III Frontal Bone Cranioplasty for Facial Feminization.

    Brown, Adam E / Shrout, Max A / Howard, Brittany E

    Facial plastic surgery & aesthetic medicine

    2023  Volume 26, Issue 1, Page(s) 79–82

    Abstract: Background: ...

    Abstract Background:
    MeSH term(s) Female ; Humans ; Anti-Bacterial Agents/therapeutic use ; Feminization ; Frontal Bone/surgery ; Frontal Sinus/surgery ; Osteomyelitis/etiology ; Osteomyelitis/surgery ; Osteomyelitis/drug therapy ; Sinusitis/complications ; Sinusitis/drug therapy
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2023-12-15
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 3006458-2
    ISSN 2689-3622 ; 2689-3614
    ISSN (online) 2689-3622
    ISSN 2689-3614
    DOI 10.1089/fpsam.2022.0397
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: High-Risk Aerosol-Generating Procedures in COVID-19: Respiratory Protective Equipment Considerations.

    Howard, Brittany E

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

    2020  Volume 163, Issue 1, Page(s) 98–103

    Abstract: The correct selection and utilization of respiratory personal protective equipment is of the utmost importance in the current COVID-19 pandemic. This is especially true for health care workers exposed to high-risk aerosol-generating procedures, including ...

    Abstract The correct selection and utilization of respiratory personal protective equipment is of the utmost importance in the current COVID-19 pandemic. This is especially true for health care workers exposed to high-risk aerosol-generating procedures, including otolaryngologists, ophthalmologists, neurosurgeons, maxillofacial surgeons, and laparoscopic surgeons. This communication provides a review of approved forms of respiratory protection and compares their characteristics, including surgical masks, N95 respirator, elastomeric respirators, powered air-purifying respirators, and controlled air-purifying respirators. For standard airborne precautions, N95 respirator are appropriate for respiratory protection. However, high-risk aerosol-generating procedures may create aerosolization of high viral loads that represent increased risk to health care workers. In these situations, enhanced respiratory protection with filters certified as 99, 100, or HEPA (high-efficiency particulate air) may be appropriate.
    MeSH term(s) Aerosols/administration & dosage ; Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/transmission ; Disease Transmission, Infectious/prevention & control ; Humans ; Pandemics ; Personal Protective Equipment/standards ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/transmission ; Respiratory Protective Devices/standards ; Risk Factors ; SARS-CoV-2
    Chemical Substances Aerosols
    Keywords covid19
    Language English
    Publishing date 2020-05-12
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 392085-9
    ISSN 1097-6817 ; 0161-6439 ; 0194-5998
    ISSN (online) 1097-6817
    ISSN 0161-6439 ; 0194-5998
    DOI 10.1177/0194599820927335
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Total Nasal Reconstruction: Advances in Free Tissue Transfer for Internal Lining and Structural Support.

    Howard, Brittany E / Patel, Samip / Shockley, William W / Clark, Joseph Madison

    Facial plastic surgery clinics of North America

    2024  Volume 32, Issue 2, Page(s) 247–259

    Abstract: Total nasal reconstruction is a complex challenge due to the need to establish new internal lining, internal structural support, and external skin covering that is both functional and esthetic. The medial femoral condyle corticoperiosteal free flap ... ...

    Abstract Total nasal reconstruction is a complex challenge due to the need to establish new internal lining, internal structural support, and external skin covering that is both functional and esthetic. The medial femoral condyle corticoperiosteal free flap represents an innovative option for restoration internal structure and internal nasal lining. When used in conjunction with a paramedian forehead flap, acceptable results in both function and esthetics can be achieved.
    MeSH term(s) Humans ; Surgical Flaps ; Nose Neoplasms/surgery ; Forehead/surgery ; Rhinoplasty/methods ; Nose/surgery
    Language English
    Publishing date 2024-02-08
    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.2024.01.004
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Reconstructive repair of decreased nasal aperture.

    Harvey, Jamison A / Howard, Brittany E / Ochoa, Shari A

    JAAD case reports

    2022  Volume 21, Page(s) 84–86

    Language English
    Publishing date 2022-01-19
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2834220-3
    ISSN 2352-5126
    ISSN 2352-5126
    DOI 10.1016/j.jdcr.2021.12.036
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Actinomyces: An Under Appreciated Cause of Postoperative Infection in Rhinoplasty.

    Eitan, Dana N / Grunebaum, Lisa D / Howard, Brittany E

    The Laryngoscope

    2023  Volume 133, Issue 11, Page(s) 2948–2950

    Abstract: Objective: To discuss a case series of Actinomyces infection post-rhinoplasty and review the literature for correct diagnosis and management.: Study design: Case series with chart review.: Methods: Three cases are presented of patients with a ... ...

    Abstract Objective: To discuss a case series of Actinomyces infection post-rhinoplasty and review the literature for correct diagnosis and management.
    Study design: Case series with chart review.
    Methods: Three cases are presented of patients with a history of recurrent infectious symptoms post revision rhinoplasty later being diagnosed as Actinomyces.
    Results: Three patients were identified having undergone revision rhinoplasty and later being diagnosed with Actinomyces infection. They initially presented with underwhelming physical exams, mild erythema, slight swelling, yet extreme pain. They also had periods of recurrent infection once antibiotics were stopped. Aerobic, anaerobic, fungal, and Actinomyces cultures were sent to pathology and returned positive for Actinomyces. Treatment typically involved a combination of prolonged antibiotics, incision and drainage, and/or surgical debridement.
    Conclusions: Awareness of Actinomyces as a possible cause of infection post-rhinoplasty is significant as this pathogen can lead to extensive tissue destruction and fistula formation which could be detrimental for a rhinoplasty. Duration of treatment is beyond typical lengths for other infections and a specific culture for Actinomyces is required to be sent as it isn't captured in standard aerobic/anaerobic cultures. Therefore, a high index of suspicion is required by physicians to ensure that patients are evaluated thoroughly. Laryngoscope, 133:2948-2950, 2023.
    MeSH term(s) Humans ; Rhinoplasty/adverse effects ; Actinomyces ; Postoperative Complications ; Actinomycosis/etiology ; Actinomycosis/microbiology ; Anti-Bacterial Agents/therapeutic use
    Chemical Substances Anti-Bacterial Agents
    Language English
    Publishing date 2023-03-13
    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.30639
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: High-Risk Aerosol-Generating Procedures in COVID-19: Respiratory Protective Equipment Considerations

    Howard, Brittany E

    Otolaryngol Head Neck Surg

    Abstract: The correct selection and utilization of respiratory personal protective equipment is of the utmost importance in the current COVID-19 pandemic. This is especially true for health care workers exposed to high-risk aerosol-generating procedures, including ...

    Abstract The correct selection and utilization of respiratory personal protective equipment is of the utmost importance in the current COVID-19 pandemic. This is especially true for health care workers exposed to high-risk aerosol-generating procedures, including otolaryngologists, ophthalmologists, neurosurgeons, maxillofacial surgeons, and laparoscopic surgeons. This communication provides a review of approved forms of respiratory protection and compares their characteristics, including surgical masks, N95 respirator, elastomeric respirators, powered air-purifying respirators, and controlled air-purifying respirators. For standard airborne precautions, N95 respirator are appropriate for respiratory protection. However, high-risk aerosol-generating procedures may create aerosolization of high viral loads that represent increased risk to health care workers. In these situations, enhanced respiratory protection with filters certified as 99, 100, or HEPA (high-efficiency particulate air) may be appropriate.
    Keywords covid19
    Publisher WHO
    Document type Article
    Note WHO #Covidence: #244959
    Database COVID19

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  7. Article ; Online: High-Risk Aerosol-Generating Procedures in COVID-19

    Howard, Brittany E.

    Otolaryngology–Head and Neck Surgery

    Respiratory Protective Equipment Considerations

    2020  Volume 163, Issue 1, Page(s) 98–103

    Abstract: The correct selection and utilization of respiratory personal protective equipment is of the utmost importance in the current COVID-19 pandemic. This is especially true for health care workers exposed to high-risk aerosol-generating procedures, including ...

    Abstract The correct selection and utilization of respiratory personal protective equipment is of the utmost importance in the current COVID-19 pandemic. This is especially true for health care workers exposed to high-risk aerosol-generating procedures, including otolaryngologists, ophthalmologists, neurosurgeons, maxillofacial surgeons, and laparoscopic surgeons. This communication provides a review of approved forms of respiratory protection and compares their characteristics, including surgical masks, N95 respirator, elastomeric respirators, powered air-purifying respirators, and controlled air-purifying respirators. For standard airborne precautions, N95 respirator are appropriate for respiratory protection. However, high-risk aerosol-generating procedures may create aerosolization of high viral loads that represent increased risk to health care workers. In these situations, enhanced respiratory protection with filters certified as 99, 100, or HEPA (high-efficiency particulate air) may be appropriate.
    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 10.1177/0194599820927335
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  8. Article ; Online: Rhinologic Practice Special Considerations During COVID-19: Visit Planning, Personal Protective Equipment, Testing, and Environmental Controls.

    Howard, Brittany E / Lal, Devyani

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

    2020  Volume 163, Issue 4, Page(s) 676–681

    Abstract: As rhinologists return to practice amid SARS-CoV-2, special considerations are warranted given the unique features of their subspecialty. Rhinologist manipulation of nasal tissue, proximity, and frequent aerosol-generating procedures (AGPs) create high ... ...

    Abstract As rhinologists return to practice amid SARS-CoV-2, special considerations are warranted given the unique features of their subspecialty. Rhinologist manipulation of nasal tissue, proximity, and frequent aerosol-generating procedures (AGPs) create high risk for infection transmission. There are 4 areas of special consideration to mitigate risk: (1) previsit planning for risk stratification/mitigation, (2) appropriate personal protective equipment, (3) preprocedural testing, and (4) environmental controls. During previsit planning, risk factors of the patient and procedures are considered. High-risk AGPs are identified by duration, proximity, manipulation of high-viral load tissue, and use of powered instrumentation. Appropriate personal protective equipment includes selection of respiratory and eye protection. COVID-19 testing can screen for asymptomatic carriers prior to high-risk procedures; however, alternative testing methods are required in rhinologic patients not eligible for nasopharyngeal testing due to nasal obstruction or skull base defects. Last, AGPs in rhinologic practices require considerations of room air handling and environmental controls.
    MeSH term(s) Betacoronavirus ; COVID-19 ; Coronavirus Infections/epidemiology ; Coronavirus Infections/transmission ; Delivery of Health Care/organization & administration ; Disease Transmission, Infectious/prevention & control ; Humans ; Otolaryngology/organization & administration ; Pandemics ; Personal Protective Equipment/supply & distribution ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/transmission ; SARS-CoV-2
    Keywords covid19
    Language English
    Publishing date 2020-06-02
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 392085-9
    ISSN 1097-6817 ; 0161-6439 ; 0194-5998
    ISSN (online) 1097-6817
    ISSN 0161-6439 ; 0194-5998
    DOI 10.1177/0194599820933169
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Regioselection in the synthesis of 4-benzyltetral-1-ones and the new 4-arylbenzosuber-1-ones

    Truong, Daniel / Howard, Brittany L. / Thompson, Philip E.

    Tetrahedron. 2021 Apr. 09, v. 85

    2021  

    Abstract: The intramolecular Friedel-Crafts acylation of 4,5-diarylpentanoic acids has the possibility to cyclise to either a 6-membered ring to give 4-benzyltetral-1-one or a 7-membered ring to give 4-arylbenzosuber-1-one. Of these, only the former compound class ...

    Abstract The intramolecular Friedel-Crafts acylation of 4,5-diarylpentanoic acids has the possibility to cyclise to either a 6-membered ring to give 4-benzyltetral-1-one or a 7-membered ring to give 4-arylbenzosuber-1-one. Of these, only the former compound class has previously been reported. The impact of the substituents positioning on the outcome of the cyclisation has been investigated. The complete formation of either the tetralone or the benzosuberone regioisomer was possible under the same reaction conditions, dependent upon the ring activation and/or deactivation of the chosen substituents. Selected bromo or methoxy substituents could be used as auxiliaries, included in precursors to afford the desired regioisomer and then subsequently removed.
    Keywords acids ; acylation ; positional isomers
    Language English
    Dates of publication 2021-0409
    Publishing place Elsevier Ltd
    Document type Article
    ZDB-ID 204285-x
    ISSN 1464-5416 ; 0040-4020 ; 0563-2064
    ISSN (online) 1464-5416
    ISSN 0040-4020 ; 0563-2064
    DOI 10.1016/j.tet.2021.132034
    Database NAL-Catalogue (AGRICOLA)

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  10. Article ; Online: Assessing the Breadth of Laryngology Training in Otolaryngology Residency Programs.

    Abdel-Aty, Yassmeen / Howard, Brittany E / Lott, David G

    Journal of voice : official journal of the Voice Foundation

    2020  Volume 35, Issue 6, Page(s) 936.e9–936.e15

    Abstract: Introduction: Laryngology is an expanding field with incorporation in resident training nationwide. However, the breadth of training in laryngology reported by residents has not been previously evaluated. This project assesses the variability in ... ...

    Abstract Introduction: Laryngology is an expanding field with incorporation in resident training nationwide. However, the breadth of training in laryngology reported by residents has not been previously evaluated. This project assesses the variability in laryngology training among otolaryngology residents.
    Methods: A cross sectional, multi-institutional study was performed with an anonymous survey sent to residents and laryngology fellows nationally to assess different laryngology training practices.
    Results: There were 151 responses to the survey with 9.6% response rate. 49 (32.9%) did not have a designated laryngology rotation. 134 (89.3%) had a fellowship-trained laryngologist as part of their institution. The greatest percentage of respondents intended to pursue general ENT (31; 20.7%). PGY5 responses were analyzed for total residency exposure showing, 66.7% of PGY5s received training to identify different types of dysphonic voices through auditory findings alone. 61.9% could interpret a videoflouroscopic swallow study.  Regarding surgical cases, 52.4% had been involved in open cricopharyngeal myotomies, 76.2% in endoscopic cricopharyngeal myotomies, and 100% in subglottic stenosis cases. Residents pursuing a career in laryngology and those with a designated laryngology rotation had more exposure to laryngeal surgeries and office-based procedures than their peers.
    Conclusion: Laryngology training and exposure varies across the country. Residents are more familiar with airway than voice and swallowing related pathology. Residents with a designated laryngology rotation and those pursing laryngology fellowships were more likely to have exposure to laryngeal surgery and office-based procedures. Programs with a laryngologist likely had higher response rates so the true laryngology exposure may be more limited than our data suggests.
    MeSH term(s) Cross-Sectional Studies ; Fellowships and Scholarships ; Humans ; Internship and Residency ; Otolaryngology/education ; Surveys and Questionnaires ; United States
    Language English
    Publishing date 2020-05-20
    Publishing country United States
    Document type Journal Article
    ZDB-ID 17459-2
    ISSN 1873-4588 ; 1557-8658 ; 0892-1997
    ISSN (online) 1873-4588 ; 1557-8658
    ISSN 0892-1997
    DOI 10.1016/j.jvoice.2020.03.015
    Database MEDical Literature Analysis and Retrieval System OnLINE

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