Carolyn L. Mulvey

0571 Comparison Of Ahi And Ess Outcomes Between Patients Undergoing Palatal Surgery Versus Upper Airway Stimulation Adhere Registry

Clemens Heiser, Janki Shah, Alan H. Kominsky, Benedikt Gabriel Hofauer et autres

CPAP intolerance occurs in 30-50% of obstructive sleep apnea patients, and some seek surgical alternatives. Palatal surgery is a common alternative. Upper Airway Stimulation (UAS), using an implantable hypoglossal nerve stimulator is another recent option. We retrospectively compared post-operative outcomes between the …

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A case of supraglottic involvement in CROHN’S disease

Carolyn L. Mulvey, Bruce Pawel, Karen B. Zur

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The Microbiology of Complicated Acute Sinusitis among Pediatric Patients: A Case Series

Carolyn L. Mulvey, Eleanor P. Kiell, Mark D. Rizzi, Adva Buzi

OBJECTIVE: The microbiology of pediatric complicated acute rhinosinusitis (ARS) has evolved, and our current understanding of pathogenic organisms is limited. The objectives of this study are to describe the incidence of pathogens causing complicated ARS requiring surgical intervention at our institution over …

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Predictive ability of bedside nasal endoscopy to diagnose invasive fungal sinusitis in a pediatric population

Carolyn L. Mulvey, Mark D. Rizzi, Adva Buzi

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Complications Associated with Mortality after Head and Neck Surgery: An Analysis of the NSQIP Database

Carolyn L. Mulvey, Jason A. Brant, Andrés M. Bur, Jinbo Chen et autres

Objective To determine which complications, as defined by the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database, correlate with 30-day mortality in surgery for malignancies of the head and neck. Study Design Retrospective review of prospectively collected national database. …

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Association of Clinical Risk Factors and Postoperative Complications With Unplanned Hospital Readmission After Head and Neck Cancer Surgery

Andrés M. Bur, Jason A. Brant, Carolyn L. Mulvey, Elizabeth A. Nicolli et autres

Importance: Unplanned hospital readmission is costly and in recent years has become a focus of health care legislation intended to reduce health care expenditures. Greater understanding of which perioperative complications are associated with hospital readmission after surgery for head and neck cancer …

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Detection of somatic mutations and HPV in the saliva and plasma of patients with head and neck squamous cell carcinomas

Yuxuan Wang, Simeon U. Springer, Carolyn L. Mulvey, Natalie Silliman et autres

To explore the potential of tumor-specific DNA as a biomarker for head and neck squamous cell carcinomas (HNSCC), we queried DNA from saliva or plasma of 93 HNSCC patients. We searched for somatic mutations or human papillomavirus genes, collectively referred to as …

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Hospital Volume and Failure to Rescue after Head and Neck Cancer Surgery

Carolyn L. Mulvey, Peter J. Pronovost, Christine Gail Gourin

OBJECTIVE: To investigate the relationship between hospital volume and mortality, complications, and failure-to-rescue rates among patients undergoing head and neck cancer (HNCA) surgery. STUDY DESIGN: Cross-sectional analysis. SETTING: Nationwide Inpatient Sample. SUBJECTS AND METHODS: Discharge data for 159,301 patients who underwent an …

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Use of inpatient palliative care services in patients with metastatic incurable head and neck cancer

Carolyn L. Mulvey, Thomas J. Smith, Christine Gail Gourin

BACKGROUND: Substantial health care resources are used on aggressive end-of-life care, despite an increasing recognition that palliative care improves quality of life and reduces health care costs. We examined the incidence of palliative care encounters in in-patients with incurable head and neck …

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Hospital Volume and Failure to Rescue in Head and Neck Cancer Surgery

Carolyn L. Mulvey, Christine Gail Gourin

Objectives: (1) Apply the concept of failure to rescue to outcomes research in head and neck cancer (HNCA) surgery. (2) Understand the relationship between hospital volume and failure to rescue. Methods: Discharge data from the Nationwide Inpatient Sample for 159,301 patients who …

Venous Thromboembolism Prophylaxis in the Massive Weight Loss Patient

Joseph Michaels, Devin Coon, Carolyn L. Mulvey, J. Peter Rubin

BACKGROUND: Measures that can reduce the incidence of venous thromboembolism (VTE) are of great clinical importance. In addition to the use of sequential compression devices (SCDs), chemoprophylaxis with low-molecular-weight heparin (LMWH) has been recommended by the American College of Chest Physicians for …

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Increased Flap Weight and Decreased Perforator Number Predict Fat Necrosis in DIEP Breast Reconstruction

Carolyn L. Mulvey, Carisa M M Cooney, Francis F. Daily, Elizabeth Colantuoni et autres

BACKGROUND: Compromised perfusion in autologous breast reconstruction results in fat necrosis and flap loss. Increased flap weight with fewer perforator vessels may exacerbate imbalances in flap perfusion. We studied deep inferior epigastric perforator (DIEP) and muscle-sparing transverse rectus abdominis myocutaneous (MS-TRAM) flaps …

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