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The use of Montgomery salivary bypass tubes and pharyngocutaneous fistula following salvage laryngectomy

World Journal of Otorhinolaryngology-Head and Neck Surgery 2024年第1期10卷 43-48页

作者： Courtney B.Shires Mackenzie Latour merry sebelik Karuna Dewan West Cancer Center GermantownTennesseeUSA Department of Otolaryngology-Head and Neck Surgery Louisiana State University Health ShreveportShreveportLouisianaUSA Department of Otolaryngology-Head and Neck Surgery Emory UniversityAtlantaGeorgiaUSA

Objectives:Pharyngocutaneous fistula(PCF)is the most common complication to follow total laryngectomy(TL)and is associated with increases in length of hospital stay and with a need for revision surgery or readmission,as well as with delays in return to oral *** who require salvageTL(STL)or primary(chemo)radiation therapy are at higher risk for developing *** to the quality‐of‐life burden of PCF on patients,limiting this occurrence is ***:We conducted a retrospective cohort study of patients undergoing STL with placement of Montgomery salivary bypass tube(MSBT)^(TM)for at least 2 weeks duration between 2013 and 2017 at a single *** patients all underwent free flap *** primary outcome of interest was development of *** outcomes included demographics,previous treatment,base of tongue(BOT)involvement,extent of defect,concurrent neck dissection(ND),and margin ***χ^(2) analysis was used to evaluate factors associated with ***:Forty‐four patients underwent STL with Montgomery tube placement and free flap *** developed PCF(18.2%).The average age was 61.6 years;36 patients were male(81.8%),whereas eight patients were female(18.2%).There was no association between PCF and previous chemoradiation versus radiation(15.8%vs.33.3%,P<0.30),BOT involvement versus not(11.1 vs.22.2%,P<0.38),circumferential versus partial defect(18.8%vs.17.9%,P<0.94),ND versus none(10%vs.25%,P<0.20),or margin ***:PCF complicated 18.2%of STL cases at our institution and was not associated with differences in primary treatment modality,presence of concomitant ND,extent of pharyngeal defect,BOT involvement,or positive frozen or permanent surgical margin.

关键词： free flap reconstruction Montgomery pharyngocutaneous fistula salivary bypass tube salvage total laryngectomy total laryngectomy

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Factors predictive of an academic otolaryngologist’s scholarly impact

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World Journal of Otorhinolaryngology-Head and Neck Surgery 2021年第4期7卷 275-279页

作者： Courtney B.Shires Theodore D.Klug Ryan K.Meacham merry E.sebelik West Cancer Center GermantownTNUSA Tanner Clinic LaytonUTUSA Department of Otolaryngology Emory UniversityAtlantaGAUSA

Objectives:Describe the h index as a bibliometric that can be utilized to objectively evaluate scholarly *** which otolaryngology subspecialties are the most *** if NIH funding to one’s choice of medical school,residency,or fellowship has any impact on one’s scholarly *** other factors predictive of an academic otolaryngologist’s *** design:Analysis of bibliometric data of academic ***:Active grants from the National Institutes of Health(NIH)to otolaryngology departments were ascertained via the NIH Research Portfolio Online Reporting Tools Expenditures and Reports *** listings from these departments were gleaned from departmental websites.H index was calculated using the Scopus ***:Forty-seven otolaryngology programs were actively receiving NIH *** were 838 faculty members from those departments who had a mean h index of ***(h index 12.50)and head and neck(h index 11.96)were significantly(P<0.0001)more scholarly than the rest of subspecialists.H index was significantly correlative(P<0.0001)with degree of NIH funding at a given institution.H index was not significantly higher for those that attended medical school(P<0.18),residency(P<0.16),and fellowship(P<0.16)at institutions with NIH funding to otolaryngology ***:H index is a bibliometric that can be used to assess scholarly *** and head and neck are the most scholarly subspecialists within *** funding to an individual’s medical school,residency,or fellowship of origin is not correlative with one’s scholarly impact,but current institutional affiliation and choice of subspecialty are.

关键词： Bibliometric Impact h-index Citation

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