Publications by authors named "Joshua A Stramiello"

Actinomycosis infection in the nasal cavity, especially an actinomyces rhinolith, is extremely rare. It should be considered in cases where a heterogenous calcified mass is found within the nasal cavity on endoscopy and radiographically. Treatment includes surgical debridement and a prolonged course of antibiotics, unique from the more typically encountered fungus ball.

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Objective: The purpose of this study is to assess the anatomical appropriateness of a three-dimensional (3D) printed pediatric middle ear model with a replaceable middle ear unit as an endoscopic ear surgery (EES) simulator.

Methods: Single-blinded, prospective, proof-of-concept study conducted in a simulation operative suite. A simulator was developed through segmentation of source images and multi-material 3D printing.

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Objective: Multi-level fall (MLF) accounts for 26.5%-37.7% of traumatic pediatric basilar skull fractures (BSFs).

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Objective: To report a single-institution's experience of symptomatic aortopulmonary collaterals presenting as tracheostomy tube hemorrhage.

Study Design: Retrospective case series and Contemporary Review.

Setting: Tertiary care children's hospital.

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Objective: To assess the effect of local anesthetic injection on subjective pain scores for pediatric tonsillectomies on postoperative days (PODs) 0 and 1.

Data Sources: A comprehensive literature search was conducted with the PubMed, Embase, Web of Science, and Scopus databases.

Review Methods: A 2-researcher team following the PRISMA guidelines performed a systematic review and meta-analysis.

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Article Synopsis
  • - The study aimed to create and evaluate a personal protective equipment (PPE) mask that protects healthcare providers during endoscopy procedures from droplet and airborne diseases.
  • - The mask was tested using a cough simulator and an airway trainer mannequin, showing a high filtration efficiency of 97.31% and no significant difference in performance or effort required for endoscopy with or without the mask.
  • - The results indicate that the PPE is effective in preventing viral transmission while allowing healthcare providers to conduct endoscopy easily, with the study classified as level 3 evidence.
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Objective: To assess the effect of local anesthetic injection on post-operative analgesia and complications for pediatric tonsillectomies on post-operative day (POD) 0 and 1.

Methods: A 2-researcher team following the PRISMA guidelines performed a systematic review and meta-analysis. The databases Pubmed.

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Background: Best-practice guidelines for head and neck cancer patients advise postoperative radiation therapy (PORT) initiation within 6 weeks of surgery. We report our institutional experience improving timeliness of adjuvant radiation in free-flap patients.

Methods: Thirty-nine patients met inclusion criteria in the 2017-2019 study period.

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Introduction: Tracheal stenosis and tracheobronchomalacia are complicated, patient-specific diseases that can be treated with intraluminal stenting. Most commonly, silicone and metal stents are utilized, however, they pose significant early and late morbidity and are further complicated by growth of the airway in the pediatric population. Given recent improvements in materials science, there is a growing body of evidence suggesting a strong role for bioresorbable intraluminal stents in treating pediatric tracheobronchial obstruction.

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Objectives: To evaluate the specific mechanism and trend of injury resulting in pediatric basilar skull fractures.

Study Design: Retrospective chart review of a trauma database.

Setting: Tertiary care children's hospital.

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Purpose Of Review: The purpose of this review is to summarize best practices in facial nerve management for patients with head and neck cancer. In addition, we provide a review of recent literature on novel innovations and techniques in facial reanimation surgery.

Recent Findings: Although recommended when tumor ablation surgery requires facial nerve sacrifice, facial reanimation procedures are not always performed.

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Background: Tracheomalacia and tracheal stenosis are complicated, patient-specific diseases that require a multidisciplinary approach to diagnose and treat. Surgical interventions such as aortopexy, slide tracheoplasty, and stents potentially have high rates of morbidity. Given the emergence of three-dimensional (3D) printing as a versatile adjunct in managing complex pathology, there is a growing body of evidence that there is a strong role for 3D printing in both surgical planning and implant creation for pediatric airway obstruction.

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