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Global Health and Otolaryngology

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32 papers 100 to 500 followers
Glenn Isaacson, Abebe Melaku
OBJECTIVES/HYPOTHESIS: To determine the safety and effectiveness of pediatric tympanoplasty performed on short-term international medical missions. STUDY DESIGN: Prospective observational study. METHODS: Ethiopian children who had dry or nearly dry tympanic perforations and bilateral conductive hearing losses underwent postauricular tympanoplasties with underlain temporalis fascia grafts. Pre- and postoperative air and bone audiometry was performed...
June 2016: Laryngoscope
Foster Tochukwu Orji, Benjamin O Dike, Onuoha Oji
The major burden of chronic suppurative otitis media (CSOM) is the embarrassing ear discharge which may last for few months to many years or even a lifetime with increasing risks of complications. We conducted this study to determine the risk factors for protracted non-healing ear discharge among CSOM patients. We carried out a retrospective analysis of non-cholesteatomatous CSOM patients treated in a tertiary hospital in a developing country. Comparison was made between 128 patients with ear discharge persisting beyond 24 months and 58 patients whose otorrhoea resolved within 6 months in terms of socio-demographic and other potential risk factors...
October 2015: European Archives of Oto-rhino-laryngology
Susan D Emmett, Debara L Tucci, Magteld Smith, Isaac M Macharia, Serah N Ndegwa, Doreen Nakku, Kaitesi B Mukara, Mukara B Kaitesi, Titus S Ibekwe, Wakisa Mulwafu, Wenfeng Gong, Howard W Francis, James E Saunders
HYPOTHESIS: Cochlear implantation and deaf education are cost effective in Sub-Saharan Africa. BACKGROUND: Cost effectiveness of pediatric cochlear implantation has been well established in developed countries but is unknown in low resource settings, where access to the technology has traditionally been limited. With incidence of severe-to-profound congenital sensorineural hearing loss 5 to 6 times higher in low/middle-income countries than the United States and Europe, developing cost-effective management strategies in these settings is critical...
September 2015: Otology & Neurotology
Travis T Tollefson, David Shaye, Blythe Durbin-Johnson, Omid Mehdezadeh, Leonard Mahomva, Midion Chidzonga
OBJECTIVES/HYPOTHESIS: To evaluate the prevalence and unmet need for cleft lip-cleft palate reconstructive surgery by using incidence. Our hypotheses were that the age of presentation to screening clinics will decrease between 2006 and 2012, and the geospatial distribution of cases will expand to a more rural catchment area. STUDY DESIGN: Longitudinal cross-sectional/geospatial distribution study. METHODS: An online, secure database was created from intake forms for children with cleft lip-cleft palate (N=604) in Zimbabwe (2006-2012)...
February 2015: Laryngoscope
Kyle J Chambers, Joyce Aswani, Asmeeta Patel, Christopher Fundakowski, Kyle Mannion, Derrick T Lin, James Netterville
OBJECTIVES/HYPOTHESIS: To determine the value of a collaborative course for advanced head and neck surgery in East Africa. STUDY DESIGN: Survey of participants. METHODS: A 3-day course in head and neck surgery was designed for otolaryngologists and trainees from Kenya and surrounding countries through a collaborative effort between Kenyatta National Hospital, the University of Nairobi, and the Head and Neck Divisions from the Vanderbilt Bill Wilkerson Center and the Massachusetts Eye and Ear Infirmary...
April 2015: Laryngoscope
William P Magee, Haley M Raimondi, Mark Beers, Maryanne C Koech
Background. Humanitarian medical missions may be an effective way to temporarily overcome limitations and promote long-term solutions in the local health care system. Operation Smile, an international medical not-for-profit organization that provides surgery for patients with cleft lip and palate, not only provides surgery through short-term international missions but also focuses on developing local capacity. Methods. The history of Operation Smile was evaluated globally, and then on a local level in 3 countries: Colombia, Bolivia, and Ethiopia...
2012: Plastic Surgery International
Ngiep Oucheng, Frédéric Lauwers, Jim Gollogly, Louisa Draper, Bruno Joly, Franck-Emmanuel Roux
OBJECT: Frontoethmoidal mengingoencephaloceles (fMECs) are frequently observed in Cambodia, especially in poor families. The authors describe issues related to the surgical treatment of fMECs in Cambodia at the end of a humanitarian program that provided surgery free of charge to patients and their families. METHODS: The authors reviewed 257 cases of fMEC involving patients who presented to their institution, the Children's Surgical Center in Phnom Penh, between 2004 and 2009...
December 2010: Journal of Neurosurgery. Pediatrics
Elizabeth Whitehead, Valerie Dorfman, Glendora Tremper, Amanda Kramer, Alicia Sigler, Amanda Gosman
Providing long-term multidisciplinary care for cleft lip/palate is a challenge for international humanitarian organizations that perform surgery across borders. The use of telemedicine as a means of evaluating speech in patients with cleft lip/palate has not been studied previously. We looked at determining whether a speech evaluation performed by a speech-language pathologist (SLP) using telemedicine would be equivalent to a speech evaluation performed in-person, in an international setting between Tijuana, Mexico and San Diego, CA...
April 2012: Annals of Plastic Surgery
Jonathan L Chadwick, Shankar Sridhara, Jennifer Goodrich, Allen O Mitchell, Eric M Gessler
The USNS Comfort (T-AH-20) is 1 of 2 United States Navy hospital ships. In 2011, she deployed to 9 countries in Central and South America including Jamaica, Peru, Colombia, Ecuador, Nicaragua, Guatemala, El Salvador, Costa Rica, and Haiti. Eight surgical specialties including otolaryngology were involved, for a combined total of about 150 cases per country. An advance team coordinated patients with the Host Nation to be seen for presurgical screening. Selected patients were then taken aboard the ship for surgery and recovered in either the ship's intensive care unit or ward...
December 2014: Otolaryngology—Head and Neck Surgery
I G Wright, I A Walker, M H Yacoub
Patients suffering from conditions requiring specialist intervention cannot obtain treatment when facilities do not exist locally. Specialist visiting teams in a number of surgical disciplines have attempted to address these issues in collaboration with local clinicians. These interventions require careful planning and communication to achieve optimum results. Several teams have been successful in building long-term relationships that have lead to important clinical developments in the local country.
December 2007: Anaesthesia
Kyle J Chambers, Francis Creighton, Dunia Abdul-Aziz, Mack Cheney, Gregory W Randolph
OBJECTIVES/HYPOTHESIS: Determine trends in global health-related publication in otolaryngology. STUDY DESIGN: A review of research databases. METHODS: A search of publications available on PubMed and nine additional databases was undertaken reviewing two time periods 10 years apart for the timeframes 1998 to 2002 (early time period) and 2008 to 2012 (recent time period) using specific search terms to identify global health-related publications in otolaryngology...
April 2015: Laryngoscope
Kumaresh Krishnamoorthy, Ravi N Samy, Nael Shoman
PURPOSE OF REVIEW: Deafness is indeed a silent disability in many parts of the world, and the majority of people who have hearing impairment live in developing countries. With rising economy and developing nations becoming hub of industrialization, hearing loss may increase in these countries. In this review, the authors have elected to focus the discussion on India to frame the challenges of cochlear implants in a developing country. This article reviews the common causes of hearing loss, the challenges faced by those with hearing impairment and why the penetration of these devices is low and also reviews some reasons for the inability of the government to support the implant programme in India...
October 2014: Current Opinion in Otolaryngology & Head and Neck Surgery
Glenn Isaacson
The American Academy of Otolaryngology--Head and Neck Surgery and its members have shown continuing commitment to improving global otolaryngology care through humanitarian and international outreach programs. These efforts, based on a surgical mission model, have produced only modest improvements in otolaryngologic care in Ethiopia. In cooperation with the Ethiopian Ministry of Health and 2 Ethiopian medical schools, we present a framework for otolaryngology education for the next decade. It recognizes the limitations of the current didactic paradigm and aims to use available domestic and international resources to improve the quality and availability of head and neck surgical and medical services...
October 2014: Otolaryngology—Head and Neck Surgery
Derek J Rogers, Corey Collins, Ryan Carroll, Phoebe Yager, Brian Cummings, Nikhila Raol, Jennifer Setlur, Stephen Maturo, Sarah Tremblay, Ernesto Quinones, Natan Noviski, Christopher J Hartnick
OBJECTIVE: This study aimed to describe the development and implementation of the first sustainable, multidisciplinary, pediatric airway surgical mission in an underserved country. METHODS: This prospective, qualitative study was conducted for the first 4 Operation Airway missions in Quito, Ecuador. The major goals of the missions were to assist children with aerodigestive abnormalities, create a sustainable program where the local team could independently provide for their own patient population, develop an educational curriculum and training program for the local team, and cultivate a collaborative approach to provide successful multidisciplinary care...
October 2014: Annals of Otology, Rhinology, and Laryngology
A O Suleiman, B M Suleiman, U F Abdulmajid, M R Suleiman, A Y Mustapha, O A Afolabi, Leko H Yakubu, C Nathal, G M Mohammed, A O Lasisi
OBJECTIVE: To report the commencement of cochlear implantation (CI) in children in Northern Nigeria and review the challenges encountered with a view to establishing CI programme. CASES: Two children with post-meningitic sensorineural hearing loss had standard pre-implantation assessment and cochlear implantation surgery in Nigeria in conjunction with surgeons from another developing country. Post-implantation meningitis was encountered and managed in one of the patients...
February 2014: International Journal of Pediatric Otorhinolaryngology
Peter G Volsky, John T Sinacori
OBJECTIVES/HYPOTHESIS: The objectives of this work were to quantify the involvement of US otolaryngology residency programs in global health endeavors, identify goals and services provided, and determine the participation of residents and fellows. STUDY DESIGN: Cross-sectional survey of US otolaryngology faculty. METHODS: A 10-point online questionnaire was distributed to 103 US otolaryngology residency program directors; all faculty involved in global health volunteerism were invited to participate...
November 2012: Laryngoscope
Gretchen Stevens, Seth Flaxman, Emma Brunskill, Maya Mascarenhas, Colin D Mathers, Mariel Finucane
BACKGROUND: Hearing impairment is a leading cause of disease burden, yet population-based studies that measure hearing impairment are rare. We estimate regional and global hearing impairment prevalence from sparse data and calculate corresponding uncertainty intervals. METHODS: We accessed papers from a published literature review and obtained additional detailed data tabulations from investigators. We estimated the prevalence of hearing impairment by region, sex, age and hearing level using a Bayesian hierarchical model, a method that is effective for sparse data...
February 2013: European Journal of Public Health
James Saunders, David Barrs
OBJECTIVE: To make recommendations concerning cochlear implantation during humanitarian medical trips by exploring the attitudes of US cochlear implant surgeons. STUDY DESIGN: Cross-sectional survey. SETTING: Academic. SUBJECTS AND METHODS: Questionnaires were sent to 405 members of the William House Cochlear Implant Study Group. The 198 respondents (49%), all active cochlear implant surgeons, were divided into 3 groups depending on their level of experience working in a developing country...
July 2011: Otolaryngology—Head and Neck Surgery
Elaine Pienaar, Natalie Stearn, De Wet Swanepoel
Hearing impairment has far-reaching consequences for affected individuals, in terms of quality of life indicators. In the public health care sector of South Africa the hearing-impaired population is faced with limited aural rehabilitation services. This study evaluated self-reported outcomes of aural rehabilitation in a group of adults in the public health care sector with a standardised outcomes measurement tool (IOI-HA). Sixty-one participants were included (44% male; sample mean age 69.7 years) through face-to-face or telephonic interviews...
December 2010: South African Journal of Communication Disorders. die Suid-Afrikaanse Tydskrif Vir Kommunikasieafwykings
Drew Horlbeck, Mark Boston, Ben Balough, Ben Sierra, Guillermo Saenz, Julio Heinichen, Laurie Duckworth
OBJECTIVE: The purpose of this study was to determine the efficacy of treating chronic ear disease by performing a single surgical intervention in the austere environment of a developing nation. SUBJECTS AND METHODS: Data were collected from retrospective chart reviews on 121 patients who underwent surgical treatment of chronic ear disease during humanitarian surgical missions in South and Central America. Surgical outcomes and clinical course were assessed at 10 to 12 months after the initial surgery...
April 2009: Otolaryngology—Head and Neck Surgery
2014-11-28 15:26:36
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