Publication date: Available online 15 December 2016
Source:International Journal of Pediatric Otorhinolaryngology
Author(s): Mohammad Majid Oryadi-Zanjani, Maryam Vahab, Zahra Rahimi, Anis Mayahi
ObjectivesIt is important for clinician such as speech-language pathologists and audiologists to develop more efficient procedures to assess the development of auditory, speech and language skills in children using hearing aid and/or cochlear implant compared to their peers with normal hearing. So, the aim of study was the comparison of the performance of 5-to-7-year-old Persian-language children with and without hearing loss in visual-only, auditory-only, and audiovisual presentation of sentence repetition task.MethodsThe research was administered as a cross-sectional study. The sample size was 92 Persian 5-7 year old children including: 60 with normal hearing and 32 with hearing loss. The children with hearing loss were recruited from Soroush rehabilitation center for Persian-language children with hearing loss in Shiraz, Iran, through consecutive sampling method. All the children had unilateral cochlear implant or bilateral hearing aid. The assessment tool was the Sentence Repetition Test. The study included three computer-based experiments including visual-only, auditory-only, and audiovisual. The scores were compared within and among the three groups through statistical tests in α=0.05.ResultsThe score of sentence repetition task between V-only, A-only, and AV presentation was significantly different in the three groups; in other words, the highest to lowest scores belonged respectively to audiovisual, auditory-only, and visual-only format in the children with normal hearing (P<0.01), cochlear implant (P<0.01), and hearing aid (P<0.01). In addition, there was no significant correlationship between the visual-only and audiovisual sentence repetition scores in all the 5-to-7-year-old children (r = 0.179, n = 92, P = 0.088), but audiovisual sentence repetition scores were found to be strongly correlated with auditory-only scores in all the 5-to-7-year-old children (r = 0.943, n = 92, P = 0.000).ConclusionsAccording to the study's findings, audiovisual integration occurs in the 5-to-7-year-old Persian children using hearing aid or cochlear implant during sentence repetition similar to their peers with normal hearing. Therefore, it is recommended that audiovisual sentence repetition should be used as a clinical criterion for auditory development in Persian-language children with hearing loss.
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Πέμπτη 15 Δεκεμβρίου 2016
Audiovisual Sentence Repetition as a Clinical Criterion for Auditory Development in Persian-Language Children with Hearing Loss
The risk of postoperative bleeding – A (DErmatoSurgical Study Initiative) DESSI-Study
Anapafseos 5 . Agios Nikolaos
Crete.Greece.72100
2841026182
Supraglottoplasty for Neonatal Laryngomalacia
Kevin and Karla Urrutia were born at term, but as twins they were both underweight – the boy weighing in at 4 pounds 10 ounces and the girl at 4 pounds 15 ounces. "Karla was eating fine after birth, but Kevin had stridor caused by a soft, immature cartilage of the upper larynx that obstructed the airway during inhalation, which made the necessary coordination between breathing and eating very difficult," says their aunt Yamilet Fernandez, MD , who spoke on behalf of the twins' mother Yadira Espindola. "We took him to three different pediatricians, all of whom said he was having trouble eating because he was so tiny."
Zi Yang Jiang, MD
When an upper respiratory infection worsened his condition, the Urrutias took him to Memorial Hermann Memorial City Medical Center, where the pediatric emergency team started an IV and arranged a transfer to Children's Memorial Hermann Hospital in the Texas Medical Center. Fellowship-trained pediatric otolaryngologist Zi Yang Jiang, MD, was called in to evaluate Kevin's airway in February 2016. "We noticed right away that his chin was a little small, and on endoscopic examination we saw that he had laryngomalacia," says Dr. Jiang, an assistant professor in the Department of Otorhinolaryngology-Head and Neck Surgery at UTHealth's McGovern Medical School. "To combat the combination of laryngomalacia, retrognathia and a viral infection, our pediatrics team put him on a CPAP machine to increase pressure in his airway and keep it from collapsing."
A few days later, Dr. Jiang attempted a supraglottoplasty but Kevin's mouth was too small to accommodate the instruments. He recommended waiting a month to give the infant time to grow.
"Kevin was in a cycle of continual worsening," Dr. Jiang says. "He was using so many calories trying to breathe that he was unable to gain weight, which meant that he was not going to outgrow the problem. We wanted him get over the viral infection and grow, and that just takes time."
In total, Kevin, his mother and his aunt spent two months at Children's Memorial Hermann Hospital, where the infant was given supplemental calories through a feeding tube through his nose. "Ultimately we repeated our attempt at a supraglottoplasty, which was successful," Dr. Jiang says. "We released the mucosal band that tethered the vocal cords in order to strengthen the airway. Kevin used a breathing tube immediately after the surgery because of swelling, but after a day and a half the Pediatric Intensive Care team was able to extubate him. We got him off the CPAP and on a nasal cannula, and eventually back to breathing normally without any supplemental oxygen."
Kevin was discharged two weeks after the surgery and returned home with a feeding tube. "After being fed through the tube without a proper meal for so long, he had to relearn how to eat, which took about a month," Dr. Fernandez says. "He's still underweight but breathing and eating well without the feeding tube. He's the loveliest little thing. We're grateful to the staff at the hospital – they were awesome. Dr. Jiang is our savior and we love him for that. We have so much appreciation for what he did for our baby."
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Eight ORL Specialists Named to Top Doctors Lists for 2016
Six members of the Department of Otorhinolaryngology-Head and Neck Surgery have been selected by their peers as Super Doctors® in Texas. Following an extensive independent nomination and research process, the results were published in the June 2016 issue of Texas Monthly magazine.
Martin J. Citardi, MD
Martin J. Citardi, MD , FACS, who specializes in the treatment of complicated sinus and nasal disease and is a core member of the Texas Sinus Institute and Texas Skull Base Physicians, has been named to Super Doctors list for the sixth consecutive year. Dr. Citardi is chief of otorhinolaryngology-head and neck surgery at Memorial Hermann-Texas Medical Center and professor and chair of the Department of Otorhinolaryngology-Head and Neck Surgery at McGovern Medical School. An internationally recognized ear, nose and throat surgeon, he has specialty interests that include difficult-to-treat chronic sinusitis, revision sinus surgery and minimally invasive surgery for tumors of the nose and sinuses.
Ronda Alexander, MD
Ronda E. Alexander, MD , FACS, was named a Super Doctor for the second consecutive year. An assistant professor in the Department of Otorhinolaryngology, Dr. Alexander helped establish the Texas Voice Performance Institute, which she directs. Her clinical interests include evaluation of hoarseness, spasmodic dysphonia, vocal tremor, vocal cord paralysis, extra-esophageal reflux and swallowing disorders. She is specially trained to manage the unique needs of professional voice users. She also has interests in neuromuscular disorders of the head and neck, including tension and migraine headache.
Named to the Super Doctor Rising Stars list for 2016 are Tang Ho, MD , Ron Karni, MD , Amber Luong, MD , PhD, FACS, and Ibrahim "Trey" Alava, MD.
Tang Ho, MD
Dr. Tang Ho is chief of facial plastic and reconstructive surgery and an assistant professor in the Department of Otorhinolaryngology-Head and Neck Surgery. He is double board-certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology-Head and Neck Surgery. His clinical interests include aesthetic and reconstructive surgeries of the face, including facial rejuvenation procedures (facelift, brow lift, Botox® injection, injectable fillers), rhinoplasty, facial reanimation procedures for patients with facial paralysis, reconstructive surgery of skin cancer defects, and complex microvascular facial reconstruction.
Ron Karni, MD
Dr. Ron Karni, who specializes in transoral robotic surgery (TORS) and thyroid/parathyroid surgery, is chief of the division of Head and Neck Surgical Oncology and an associate professor in the Department. His practice focuses on the management of benign and malignant tumors of the head and neck, including throat cancer, oral cancer, larynx cancer, locally advanced skin cancer, salivary gland tumors and thyroid/parathyroid disease. He also leads a multidisciplinary ultrasound-guided fine needle aspiration clinic for thyroid nodules and neck masses, as well as a survivorship clinic for head and neck cancer patients.
Amber Luong, MD, PhD
Dr. Amber Luong is an associate professor and research director in the Department and also directs a laboratory at the Brown Foundation Institute of Molecular Medicine for the Prevention of Human Diseases. Her primary research interest focuses on understanding the role of the innate immune response in the pathophysiology of chronic rhinosinusitis, with a particular interest in the role of environmental fungi in initiating these innate immune responses. Dr. Luong's clinical interest parallels her research interest in allergic fungal rhinosinusitis as well as the medical and surgical management of refractory chronic rhinosinusitis, sinonasal tumors, CSF leak repairs, and endoscopic orbital and dacryocystorhinostomy surgery.
Dr. Alava, Dr. Citardi, Dr. Ho, and Dr. Karni were also named to Houstonia magazine's 2016 listing of Top Doctors in Houston. Joining them on the list for the second consecutive year are Soham Roy, MD , FACS, FAAP, and Sancak Yuksel, MD MD . Physicians named to the 2016 list were selected based on nominations solicited from nearly 16,000 medical professionals practicing in eight counties in the Greater Houston area.
Soham Roy, MD
Dr. Soham Roy serves as director of pediatric otolaryngology at Children's Memorial Hermann Hospital and is a professor of otorhinolaryngology at McGovern Medical School. An internationally renowned speaker and author, Dr. Roy is a recognized expert in operating room safety issues and serves as a consultant in the development of innovative and safer surgical devices. He has become a recognized thought leader on the subject of operating room fires and lectures around the world about fire prevention during surgery.
Sancak Yuksel, MD
Dr. Sancak Yuksel is an associate professor in the Department of Otorhinolaryngology-Head and Neck Surgery. His clinical interests include pediatric ear diseases, cochlear implantation, newborn and pediatric swallowing and airway problems, and congenital head and neck lesions. He is also an expert in pediatric and adult complex ear and hearing problems and sialendoscopy, minimally invasive endoscopic management of salivary gland stones.
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2016 International Presentations
Martin J. Citardi, MD , FACS
Professor and Chair of Otorhinolaryngology-Head and Neck Surgery
McGovern Medical School at UTHealth
Martin J. Citardi, MD
Dr. Citardi lectured on "Surgical Navigation: Past, Present and Future" and "Endoscopic Management of CSF Rhinorrhea" at the Endoscopic Endonasal Surgery of the Rhinosinus and Cranial Base Course 2016, sponsored by Sun Yat-sen University Otorhinolaryngology Hospital and Institute in Guangzhou, China, March 21-24. In May, he was a prosector and lecturer on "Maximizing Chronic Rhinosinusitis Care with In-office Procedures" and panelist on "In-office Procedures and Balloon Sinuplasty" at the Seventh Singapore Allergy and Rhinology Course/Third SARC FESS Workshop, sponsored by the Singapore Society of Otolaryngology-Head and Neck Surgery and the Singapore Medical Association. The meeting was held in Singapore on May 5-8. In addition, Dr. Citardi was a prosector and lecturer at the 2nd International Symposium on Navigated Sinus and Skull Base Surgery sponsored by Academus Academy Services in Havana, Cuba, June 11-12. He spoke on "An Integrated Approach to Frontal Sinus Surgery" and "Inverted Papilloma."
Tang Ho, MD , M.Sc., FACS
Chief of Facial Plastic and Reconstructive Surgery
Assistant Professor of Otorhinolaryngology-Head and Neck Surgery
McGovern Medical School at UTHealth
Tang Ho, MD
Dr. Ho was a visiting professor at West China Medical Center and Chengdu Osteology Hospital in Chengdu, China, in March 2016, where he conducted workshops and exchanged experiences on reconstruction following head and neck cancer surgery. On behalf of the Department, he hopes to establish future collaborative relationships with the goal of improving the patient experience and outcomes. Dr. Ho is fluent in Mandarin.
Amber Luong, MD , PhD, FACS
Associate Professor and Research Director of Otorhinolaryngology-Head and Neck Surgery
McGovern Medical School at UTHealth
Amber Luong, MD, PhD
Dr. Luong presented invited lectures on four topics at the 2016 Middle East Otolaryngology Annual Conference held May 24-26 in Dubai, United Arab Emirates: "Novel Means of Diagnosing and Treating Allergic and Non-allergic Irritant Rhinitis," "What is Appropriate Medical Therapy for Non-operated CRS," "In-office Rhinology Procedures" and "From Impactful Research to Innovation in CRS." She was also a panelist discussing "Local Treatment: What Works?" at the European Rhinologic Meeting in Stockholm, Sweden, July 3-7.
Soham Roy, MD , FACS, FAAP
Professor and Vice Chair of Otorhinolaryngology-Head and Neck Surgery
McGovern Medical School at UTHealth
Director of Pediatric Otolaryngology
Children's Memorial Hermann Hospital
Soham Roy, MD
Dr. Roy presented an invited lecture entitled "Supraglottoplasty for All Cases of Laryngomalacia? The Debate" and a peer-reviewed abstract on "Coblation for Glottic Webs" at the European Society of Pediatric Otolaryngology, the largest gathering of pediatric otolaryngologists in the world. T he meeting was held June 18-21 in Lisbon, Portugal.
William C. Yao, MD
Assistant Professor of Otorhinolaryngology-Head and Neck Surgery
McGovern Medical School at UTHealth
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ORL Department Announces Faculty Promotions
Soham Roy, MD
In recognition of his exemplary track record of clinical care, teaching and research, Soham Roy, MD, FACS, FAAP, has been promoted from associate professor to professor of otorhinolaryngology-head and neck surgery with tenure. Dr. Roy received his undergraduate degree with highest distinction from Stanford University, received a full scholarship for medical education at Washington University School of Medicine in St. Louis and subsequently completed his residency in otolaryngology at the University of Miami. He went on to complete a fellowship in pediatric otolaryngology at the Children's Hospital of Pittsburgh in 2002 prior to joining the faculty at the University of Miami, where he was named Professor of the Year in 2003. Dr. Roy serves as director of pediatric otolaryngology at Children's Memorial Hermann Hospital. He is board certified by the American Board of Otolaryngology-Head and Neck Surgery and is a fellow of the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS), the American College of Surgeons and the American Academy of Pediatrics. An internationally recognized speaker and author, Dr. Roy has given hundreds of lectures and published numerous scientific articles, book chapters and national research presentations. He serves on specialty committees and is an annual course instructor at the meeting of the AAO-HNS. He has received multiple awards for teaching, clinical care and original scientific research, and received the Honor Award from the AAO-HNS in 2008 for his contributions in research and teaching. He is a recognized expert in operating room safety issues and serves as a consultant in the development of innovative and safer surgical devices. Dr. Roy has become a recognized thought leader on the subject of operating room fires and lectures around the world about fire prevention during surgery.
Ron Karni, MD
Ron J. Karni, MD, who specializes in transoral robotic surgery (TORS) and thyroid/parathyroid surgery and is chief of the division of Head and Neck Surgical Oncology in the Department of Otorhinolaryngology-Head and Neck Surgery, has been promoted to associate professor. He received his medical degree at Baylor College of Medicine and completed residency training at Washington University School of Medicine in St. Louis. Dr. Karni is the author of publications on the novel treatment of occult primary oropharyngeal cancer (the unknown primary) and practical tools to integrate evidence-based methods into the daily practice of medicine. His current research focus includes de-escalation treatment strategies for throat cancer, morphoproteomic analysis of head and neck cancer, and human papillomavirus-related malignancies of the head and neck. Dr. Karni is co-principal investigator of a CPRIT grant studying new treatments for head and neck lymphedema using near-infrared fluorescent technology. He is board certified by the American Board of Otolaryngology-Head and Neck Surgery. Dr. Karni's practice focuses on the management of benign and malignant tumors of the head and neck, including throat cancer, oral cancer, larynx cancer, locally advanced skin cancer, salivary gland tumors and thyroid/parathyroid disease. He also leads a multidisciplinary ultrasound-guided fine needle aspiration clinic for thyroid nodules and neck masses, as well as a survivorship clinic for head and neck cancer patients.
Sancak Yuksel, MD
Sancak Yuksel, MD, has been promoted to associate professor of otorhinolaryngology-head and neck surgery. Dr. Yuksel received his medical degree at the Hacettepe University School of Medicine in Ankara, Turkey. He completed his otorhinolaryngology residency at the Istanbul University Cerrahpasa School of Medicine in Istanbul, Turkey. After residency, he pursued advanced training in head and neck and skull base surgery as a fellow in the same Department. Dr. Yuksel served as a research fellow in the Basic Science Laboratory at Children's Hospital of Pittsburgh and worked in numerous National Institutes of Health-funded projects focused on the middle ear and Eustachian tube pathophysiology. He completed a two-year clinical fellowship in the Department of Pediatric Otolaryngology at Children's Hospital of Pittsburgh and also served as an instructor at the University of Pittsburgh School of Medicine. Dr. Yuksel is a member of the American Academy of Otolaryngology-Head and Neck Surgery. His clinical interests include complex pediatric and adult ear diseases, the Cochlear™ Baha® system and cochlear implantation, complex lateral skull base surgery, sialendoscopy, newborn and pediatric swallowing and airway problems and congenital head and neck lesions
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Dr. Yuksel and Dr. Ho Receive Dean’s Teaching Excellence Awards
The Dean's Teaching Excellence Award is an annual recognition presented to faculty and volunteers for outstanding teaching performance. Those chosen to receive the award have exhibited outstanding teaching, incited intellectual curiosity in their students, engaged them in the learning process, helped them develop lifelong skills or otherwise served with distinction.
"Sharing my knowledge hones my medical skills," Dr. Yuksel says. "I feel privileged to be in a position to make a lasting impact on our residents' careers and the lives of their future patients."
"It's a special pleasure to train residents," Dr. Ho says. "As faculty we are privileged to have the opportunity to teach our residents and learn from them at the same time."
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