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  1. Article ; Online: Novel Case of Profound Hearing Loss and Cochlear Implantation From New-Generation Iron Chelation Therapy.

    Ryan, Mathew T / Riley, Charles A / Tolisano, Anthony M

    OTO open

    2021  Volume 5, Issue 4, Page(s) 2473974X211061408

    Language English
    Publishing date 2021-11-22
    Publishing country United States
    Document type Case Reports
    ISSN 2473-974X
    ISSN (online) 2473-974X
    DOI 10.1177/2473974X211061408
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Operating Room Waste Generated Across Otolaryngology Cases.

    Ryan, Mathew T / Malmrose, Jonathan / Riley, Charles A / Tolisano, Anthony M

    Military medicine

    2021  

    Abstract: Background: Hospital waste adds to the ecological footprint of the healthcare system, whereas inattention to recyclables may increase costs. The primary objective of this study was to assess the amount of recyclable and nonrecyclable intraoperative ... ...

    Abstract Background: Hospital waste adds to the ecological footprint of the healthcare system, whereas inattention to recyclables may increase costs. The primary objective of this study was to assess the amount of recyclable and nonrecyclable intraoperative waste produced across representative otolaryngology surgical procedures.
    Methods: Representative surgical cases across four otolaryngology subspecialties at a tertiary care military medical institution were prospectively identified. Waste was collected, divided, and weighed across two categories: recyclable and nonrecyclable. This study was performed in conjunction with a hospital-approved quality improvement project.
    Results: The study included 22 otolaryngology surgeries performed across four otolaryngology subspecialties: facial plastics, pediatrics, otology, and head and neck oncology. Overall, 197.4 kg of waste was collected of which 40.2 kg (20%) was recyclable and 157.2 kg (80%) was nonrecyclable. An average of 1.8 kg of recyclable materials and 7.1 kg of nonrecyclable materials were collected per case.
    Conclusion: This study supports that otolaryngology surgical procedures generate a significant amount of waste, a large component of which is recyclable. It highlights the need for proper disposal of this waste and the implementation of a recycling program at our institution with the potential for both ecologic and economic benefits.
    Language English
    Publishing date 2021-12-30
    Publishing country England
    Document type Journal Article
    ZDB-ID 391061-1
    ISSN 1930-613X ; 0026-4075
    ISSN (online) 1930-613X
    ISSN 0026-4075
    DOI 10.1093/milmed/usab548
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Creating customized oral stents for head and neck radiotherapy using 3D scanning and printing

    Mohamed Zaid / Nimit Bajaj / Hannah Burrows / Ryan Mathew / Annie Dai / Christopher T. Wilke / Stephen Palasi / Ryan Hergenrother / Caroline Chung / Clifton D. Fuller / Jack Phan / G. Brandon Gunn / William H. Morrison / Adam S. Garden / Steven J. Frank / David I. Rosenthal / Michael Andersen / Adegbenga Otun / Mark S. Chambers /
    Eugene J. Koay

    Radiation Oncology, Vol 14, Iss 1, Pp 1-

    2019  Volume 8

    Abstract: Abstract Background To evaluate and establish a digital workflow for the custom designing and 3D printing of mouth opening tongue-depressing (MOTD) stents for patients receiving radiotherapy for head and neck cancer. Methods We retrospectively identified ...

    Abstract Abstract Background To evaluate and establish a digital workflow for the custom designing and 3D printing of mouth opening tongue-depressing (MOTD) stents for patients receiving radiotherapy for head and neck cancer. Methods We retrospectively identified 3 patients who received radiation therapy (RT) for primary head and neck cancers with MOTD stents. We compared two methods for obtaining the digital impressions of patients’ teeth. The first method involved segmentation from computed tomography (CT) scans, as previously established by our group, and the second method used 3D scanning of the patients’ articulated stone models that were made during the conventional stent fabrication process. Three independent observers repeated the process to obtain digital impressions which provided data to design customized MOTD stents. For each method, we evaluated the time efficiency, dice similarity coefficient (DSC) for reproducibility, and the 3D printed stents’ accuracy. For the 3D scanning method, we evaluated the registration process using manual and automatic approaches. Results For all patients, the 3D scanning method demonstrated a significant advantage over the CT scanning method in terms of time efficiency with over 60% reduction in time consumed (p < 0.0001) and reproducibility with significantly higher DSC (p < 0.001). The printed stents were tested over the articulated dental stone models, and the trueness of fit and accuracy of dental anatomy was found to be significantly better for MOTD stents made using the 3D scanning method. The automated registration showed higher accuracy with errors < 0.001 mm compared to manual registration. Conclusions We developed an efficient workflow for custom designing and 3D-printing MOTD radiation stents. This workflow represents a considerable improvement over the CT-derived segmentation method. The application of this rapid and efficient digital workflow into radiation oncology practices can expand the use of these toxicity sparing devices to practices that do not currently have the support to make them.
    Keywords Radiation therapy ; 3D printing ; 3D scanning ; Oral stents ; Head and neck cancer ; Medical physics. Medical radiology. Nuclear medicine ; R895-920 ; Neoplasms. Tumors. Oncology. Including cancer and carcinogens ; RC254-282
    Subject code 600
    Language English
    Publishing date 2019-08-01T00:00:00Z
    Publisher BMC
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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