The effect of nutritional status on post-operative outcomes in pediatric otolaryngology-head and neck surgery

Author(s):  
Jordan Luttrell ◽  
Matthew Spence ◽  
Hiba Al-Zubeidi ◽  
Michael J. Herr ◽  
Madhu Mamidala ◽  
...  
2020 ◽  
Author(s):  
Chang Woo Lee ◽  
Angelos Mantelakis ◽  
Bhavesh Vijay Tailor ◽  
Ankur Khajuria

Abstract Background: Machine learning describes a subfield of artificial intelligence which utilises statistical algorithms to identify patterns in large datasets. Based on previous learning, inferences or predictions can be made given novel data. Alongside its promising potential to revolutionise consumer technology, there has been growing interest in the application of machine learning algorithms to medical practice. The aim of this study is to evaluate the applications of machine learning in Otolaryngology-Head and Neck surgery.Methods: A systematic search of EMBASE, MEDLINE and CENTRAL will be conducted from January 1990 to June 2020. Studies utilising machine learning as a tool for diagnosis, or to predict disease prognosis or post-operative outcomes in the field of Otolaryngology-Head and Neck surgery will be included. The primary outcome of interest is the accuracy of machine learning models for clinical diagnosis, disease prognostication, and in predicting post-operative outcomes. This protocol adheres to the Preferred Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P) guidelines.Discussion: To our knowledge, this will be the first systematic review to assimilate and critically appraise original research on the applications of machine learning across the field of Otolaryngology-Head and Neck surgery. This review has the potential to inform the current state of this technology and guide future study of machine learning approaches within the specialty.Systematic review registration: PROSPERO CRD42020192493


2018 ◽  
Vol 22 (04) ◽  
pp. 404-407 ◽  
Author(s):  
Chandala Chitguppi ◽  
Tripti Brar

Introduction Otorhinolaryngology has always been considered a gender-neutral specialty, whereas in several other specialties, such as obstetrics, gynecology and urology, gender preference has been consistently shown by patients when choosing their treating surgeon. To date, no study has been performed to analyze whether this practice of gender preference is prevalent in otorhinolaryngology patients too. Objectives To identify if gender preference exists in the field of otorhinolaryngology, specifically in its four subspecialties, namely otology, pediatric otolaryngology, laryngology and head and neck surgery. Methods Patients attending our outpatient department were asked to complete a preformed proforma. The pro forma consisted of two parts, demographic details of the subjects and gender preference in the following subspecialties: otology, pediatric otolaryngology, laryngology and head and neck oncosurgery. Results A total of 1,112 subjects took part in the study, out of which 1,089 subjects were included in the final analysis. Female gender preference was highest in the field of pediatric otolaryngology, while male preference was highest for head and neck oncosurgery. Conclusion Though otorhinolaryngology and head and neck surgery has been considered a gender-neutral field, subspecialties of this field show considerable gender preference.


2000 ◽  
Vol 122 (3) ◽  
pp. 313-318 ◽  
Author(s):  
Craig S. Derkay ◽  
Jeffrey D. Carron ◽  
Brian J. Wiatrak ◽  
Sukgi S. Choi ◽  
Jacqueline E. Jones

Postsurgical follow-up of children with tympanostomy tubes is becoming a contentious issue in this era of managed care. Primary care providers believe themselves to be capable of evaluating these children. Otolaryngologists, on the other hand, have more specialized equipment available to them (suction apparatus, otomicroscopes, audiology devices, etc) for treating suppurative infections and monitoring the tympanic membrane for structural changes. In addition, the otolaryngologist is placed in an uncomfortable legal and ethical position if access to the patient with a tube-related complication is denied by the primary care provider. Attempts to develop an American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) policy statement have been hampered by a lack of data on the incidence and severity of tube-related complications and the role that otolaryngologists can play in reducing these sequelae. A survey designed by the AAO-HNS Pediatric Otolaryngology Committee was distributed to 1000 board-certified otolaryngologists and all members of the American Society of Pediatric Otolaryngologists and the American Academy of Pediatrics-Otolaryngology Section regarding current practice patterns and practitioners' experiences with tympanostomy tube complications. Specific information regarding complications that could have been avoided with earlier otolaryngology referral was also obtained. The results of the survey and its implications for AAO-HNS policy are presented.


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