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  1. Article: Oropharynx cancer after sleep apnea surgery.

    Shires, Courtney Brooke / Sebelik, Merry

    Clinical case reports

    2022  Volume 10, Issue 4, Page(s) e05686

    Abstract: Surgery can treat sleep apnea. An elderly male underwent lingual/palatine tonsillectomy for OSA. He was then found to have T3N2 p16+ squamous cell carcinoma. He is receiving chemoradiation. Recognition of occult malignancy in tonsillectomy specimens may ... ...

    Abstract Surgery can treat sleep apnea. An elderly male underwent lingual/palatine tonsillectomy for OSA. He was then found to have T3N2 p16+ squamous cell carcinoma. He is receiving chemoradiation. Recognition of occult malignancy in tonsillectomy specimens may facilitate early diagnosis and treatment for patients following sleep apnea surgery.
    Language English
    Publishing date 2022-04-08
    Publishing country England
    Document type Case Reports
    ZDB-ID 2740234-4
    ISSN 2050-0904
    ISSN 2050-0904
    DOI 10.1002/ccr3.5686
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Oropharynx cancer after sleep apnea surgery

    Courtney Brooke Shires / Merry Sebelik

    Clinical Case Reports, Vol 10, Iss 4, Pp n/a-n/a (2022)

    2022  

    Abstract: Abstract Surgery can treat sleep apnea. An elderly male underwent lingual/palatine tonsillectomy for OSA. He was then found to have T3N2 p16+ squamous cell carcinoma. He is receiving chemoradiation. Recognition of occult malignancy in tonsillectomy ... ...

    Abstract Abstract Surgery can treat sleep apnea. An elderly male underwent lingual/palatine tonsillectomy for OSA. He was then found to have T3N2 p16+ squamous cell carcinoma. He is receiving chemoradiation. Recognition of occult malignancy in tonsillectomy specimens may facilitate early diagnosis and treatment for patients following sleep apnea surgery.
    Keywords base of tongue ; HPV ; oropharynx cancer ; sleep apnea surgery ; tonsil ; UPPP ; Medicine ; R ; Medicine (General) ; R5-920
    Language English
    Publishing date 2022-04-01T00:00:00Z
    Publisher Wiley
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article: Feasibility of machine-delivered sequential massage for the management of lymphedema in the head and neck cancer survivor.

    Shires, Courtney Brooke / Harris, Patricia / Dewan, Karuna

    Laryngoscope investigative otolaryngology

    2022  Volume 7, Issue 3, Page(s) 774–778

    Abstract: Background: Lymphedema after treatment for head and neck cancer negatively impacts the quality of life and can produce neck tissue stiffness, dysphagia, pain, and swelling. One form of treatment for lymphedema is machine-delivered sequential lymphedema ... ...

    Abstract Background: Lymphedema after treatment for head and neck cancer negatively impacts the quality of life and can produce neck tissue stiffness, dysphagia, pain, and swelling. One form of treatment for lymphedema is machine-delivered sequential lymphedema massage, which is home based and self administered. This study was undertaken to determine economic and system access to home-based lymphedema therapy and to measure patient-reported outcomes among those able to access therapy.
    Methods: This study is a retrospective cohort study of 84 head and neck cancer patients who met the criteria for referral for home-based lymphedema treatment. Patients who were able to access lymphedema therapy were surveyed prior to initiation of therapy and again after therapy.
    Results: Thirty-five out of 84 patients were approved for home-based therapy and received the equipment. Medicare denial of coverage (21/84) was the most common cause of the inability to access therapy. Of the 35 patients who accessed therapy, presenting complaints included: stiffness (31), pain (29), dysphagia (20), and swelling (19). The average time from completion of cancer treatment to initiation of lymphedema therapy was 9 months. Thirty-four (97%) reported compliance with prescribed therapy, 33 (94%) reported reduced fibrosis, and 30 (89%) reported improvement in activities of daily living. All reported symptoms improved with therapy in 30 (86%) patients. Thirty-two (91%) reported overall satisfaction with home-based lymphedema treatment.
    Conclusions: Stiffness and pain were the most common complaints of our patients with head and neck lymphedema. Forty-two percent of patients who were recommended home lymphedema machine use were able to obtain this with cost coverage by their insurance company or by donation from the company. We found a high compliance rate and a highly reported improvement in symptoms with the machine. The only identifiable factor for the patients with less improvement in symptoms was a greater time gap between treatment and initiation of use of home lymphedema machine.
    Level of evidence: 2 Retrospective cohort analysis.
    Language English
    Publishing date 2022-05-09
    Publishing country United States
    Document type Journal Article
    ISSN 2378-8038
    ISSN 2378-8038
    DOI 10.1002/lio2.810
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Multiplanar Computed Tomography Reconstruction to Diagnose Lemierre's Syndrome.

    Shires, Courtney Brooke / Klug, Theodore / Shete, Mona / Sebelik, Merry

    OTO open

    2020  Volume 4, Issue 3, Page(s) 2473974X20940692

    Language English
    Publishing date 2020-07-08
    Publishing country United States
    Document type Case Reports
    ISSN 2473-974X
    ISSN (online) 2473-974X
    DOI 10.1177/2473974X20940692
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Anomalous Right Subclavian Artery-Esophageal Fistulae.

    Shires, Courtney Brooke / Rohrer, Michael J

    Case reports in vascular medicine

    2018  Volume 2018, Page(s) 7541904

    Abstract: An aberrant right subclavian artery (ARSA) is the most common aortic arch anomaly, but only 19 previous cases of ARSA-esophageal fistula have been reported. Six patients have survived their bleeding episode. We describe the case of a 44-year-old woman ... ...

    Abstract An aberrant right subclavian artery (ARSA) is the most common aortic arch anomaly, but only 19 previous cases of ARSA-esophageal fistula have been reported. Six patients have survived their bleeding episode. We describe the case of a 44-year-old woman who developed massive hemoptysis. Laryngoscopy, bronchoscopy, head and neck angiogram, and median sternotomy did not reveal what was presumed initially to be a tracheoinnominate fistula. Contrasted CT showed an anomalous subclavian artery posterior to the esophagus. Given the technical challenge of approaches for this pathology, the patient was unfit for open surgical repair. Therefore, endovascular covered stent grafts were deployed spanning the segment of the subclavian artery in continuity with the esophagus, via a right brachial artery approach. Unfortunately, the patient died after successful placement of the grafts.
    Language English
    Publishing date 2018-03-01
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2629916-1
    ISSN 2090-6994 ; 2090-6986
    ISSN (online) 2090-6994
    ISSN 2090-6986
    DOI 10.1155/2018/7541904
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: Quality of life in obese patients after thyroidectomy for goiter.

    Shires, Courtney Brooke / Beckmann, Nic / Klug, Theodore / Boughter, John D

    Gland surgery

    2021  Volume 10, Issue 4, Page(s) 1339–1346

    Abstract: Background: Compressive symptoms are common in thyroid disease. Many studies have focused on the size of the gland and its effects on patients. However, few have taken into account the body mass of the patient. The aim of our study was to examine ... ...

    Abstract Background: Compressive symptoms are common in thyroid disease. Many studies have focused on the size of the gland and its effects on patients. However, few have taken into account the body mass of the patient. The aim of our study was to examine whether or not a patient's body mass index (BMI) influences symptomatic outcomes following thyroid surgery for benign disease.
    Methods: We conducted a prospective analysis evaluating 60 patients that underwent thyroidectomy for benign goiter (single or multinodular) disease. Patients were classified as obese, overweight, or normal based on BMI. Pre- and post-operative surveys were administered including the MRC breathlessness scale, M.D. Anderson Dysphagia Inventory (MDADI), and the ThyPRO quality of life questionnaire to evaluate dysphagia, dyspnea, and quality of life respectively.
    Results: Patients classified as obese (n=37) scored significantly worse pre-operatively on MRC, MDADI, and ThyPRO surveys when compared to overweight (n=13) or normal weight (n=10) counterparts. Subjects in the obese group, but not the other groups, showed post-surgical improvement on both the MRC and MDADI surveys (P<0.0001). Similarly, obese subjects showed significant improvement on all 11 domains of the ThyPRO survey following surgery (P<0.0001), and overall degree of improvement was highly correlated with BMI among all subjects (r=0.60; P=0.0005).
    Conclusions: Obesity, as determined by BMI, is a critical factor to consider in the alleviation of compressive symptoms before and after thyroidectomy for goiter. Our analysis of survey data indicates obese subjects have increased benefit of surgery compared to their lighter counterparts.
    Language English
    Publishing date 2021-04-04
    Publishing country China (Republic : 1949- )
    Document type Journal Article
    ZDB-ID 3016969-0
    ISSN 2227-8575 ; 2227-684X
    ISSN (online) 2227-8575
    ISSN 2227-684X
    DOI 10.21037/gs-20-441
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Unusual cause of acute sinusitis and orbital abscess in COVID-19 positive patient: Case report.

    Shires, Courtney Brooke / Klug, Theodore / Dryden, Stephen / Ford, Joshua

    International journal of surgery case reports

    2021  Volume 79, Page(s) 164–168

    Abstract: Background: Peptoniphilus indolicus is not usually seen in the eye or paranasal sinuses but is a commensal of the human vagina and gut. However, with COVID-19, eye infections and other unusual complications are possible with such unsuspected bacteria.!## ...

    Abstract Background: Peptoniphilus indolicus is not usually seen in the eye or paranasal sinuses but is a commensal of the human vagina and gut. However, with COVID-19, eye infections and other unusual complications are possible with such unsuspected bacteria.
    Case presentation: The patient is a 76-year-old white male from a nursing home tested positive for COVID-19 and was sent from a nursing facility for left eye drainage and psychiatric evaluation. Upon presentation, the patient was not fully oriented and could not provide a history of the eye drainage. CT scan showed sinusitis with left orbital and periorbital abscess formation, cellulitis, and extensive osteomyelitis. He underwent endoscopic transnasal drainage and orbiotomy. Cultures returned positive for methicillin-resistant Stapholococcus aureus (MRSA), Streptococcus constellatus, and Peptoniphilus indolicus. He was maintained on several days of IV antibiotics and returned to the nursing home. He then presented 2 months later and required enucleation of his globe, due to the presence of multiple scleral perforations in the setting of orbital abscess, as well as removal of necrotic orbital bone.
    Conclusions: Given the concomitant infection with COVID-19 and unusual presentation, the patient's sinus cultures support the notion that COVID-19 can affect the presence of bacteria within certain anatomical regions. Specifically, Peptoniphilus indolicus is not normally found outside of the vagina or gut biome. Avascular, pale mucosa and bone of the nasal cavity was noted during surgery of this COVID-19 infected patient, which is in contrast to the friable and edematous tissue typically found in acutely infected sinuses. Our patient's orbital abscess began to drain spontaneously through the skin, which is rare for orbital abscesses. Also uncommon with orbital abscesses is the need for enucleation, which in this case was deemed necessary given that the abscess had perforated the sclera in multiple locations.
    Language English
    Publishing date 2021-01-15
    Publishing country Netherlands
    Document type Case Reports
    ISSN 2210-2612
    ISSN 2210-2612
    DOI 10.1016/j.ijscr.2021.01.043
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Thyroid surgery YouTube videos: estimating quality by surgeon characteristics and view rate.

    Shires, Courtney Brooke / Wilson, Caleb D / Sebelik, Merry

    Gland surgery

    2019  Volume 8, Issue 3, Page(s) 207–211

    Abstract: Background: With readily available material online we aimed: (I) to estimate the volume of thyroid surgery-related video content readily available to the surgical trainee; (II) to stratify the sources of thyroid surgery-related video content by source ( ... ...

    Abstract Background: With readily available material online we aimed: (I) to estimate the volume of thyroid surgery-related video content readily available to the surgical trainee; (II) to stratify the sources of thyroid surgery-related video content by source (patient, institution, surgeon, or other) and (III) to estimate the quality of the surgeon source by related scholarly output.
    Methods: A search of YouTube, a widely used source of open-access video content, was undertaken using "thyroidectomy" as the search term. The first 100 "hits" were analyzed for source. When the video was surgeon-sourced, the surgeon's name was used in a PubMed author query for "thyroidectomy" and publications noted.
    Results: Approximately 7,260 videos were returned using "thyroidectomy" as the search term. The first 100 "hits" were stratified by source, assuming the typical surgical trainee would not delve further into the list. The sources were primarily surgeons, followed by patient testimonials, and institutions. The surgeons were stratified by related publications listed in PubMed. The majority of surgeons were not published in thyroid surgery-related topics.
    Conclusions: Internet video content is an increasingly utilized source of surgical education. Since video content can be posted without peer review or confirmation of veracity, this study measures the variety of sources of thyroid surgery information. Individuals without thyroid surgery publication history posted the majority of surgeon-sourced video content, although this history serves only as a surrogate for an academic career. Trainees and educators alike should critically analyze the quality of video content.
    Language English
    Publishing date 2019-06-30
    Publishing country China (Republic : 1949- )
    Document type Journal Article
    ZDB-ID 3016969-0
    ISSN 2227-8575 ; 2227-684X
    ISSN (online) 2227-8575
    ISSN 2227-684X
    DOI 10.21037/gs.2018.10.01
    Database MEDical Literature Analysis and Retrieval System OnLINE

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