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Presentation schedule is subject to change. The Official Program Abstracts supplement does not reflect changes made after August 10, 2020.
cutting/piercing instrument (10%, 9/90), unarmed fight/brawl
(10%, 9/90), and assault by firearm/explosive (8.9%, 8/90).
Unintentional injuries accounted for 55.56% (50/90), whereas
6.67% (6/90) of injuries were self-inflicted. Blunt trauma was
responsible for 67.78% (61/90) of injuries, whereas 31.11%
(28/90) of cases were due to penetrating trauma.
Conclusions: Although relatively rare, laryngeal trauma is
associated with serious injury. An understanding of laryngeal
trauma may be important for evaluating existing and developing novel initiatives for injury treatment and prevention.
Etiologies and Risk Factors of Dysphonia:
A Retrospective Study of 998 Patients
Feras Mohammed Alkholaiwi, MD (Presenter)
Laryngology
Objectives: This study aimed to identify the etiologies and
risk factors of dysphonia in a treatment-seeking population.
Methods: A retrospective study, conducted from January
2013 to December 2017, included 998 patients who presented
for the first time to the otolaryngology clinic complaining of
dysphonia. Video laryngeal stroboscopy was performed on all
the patients. Information about the patients' age, sex, occupation, smoking history, and laryngeal pathology was included.
Patients were divided into the following age groups: 0 to
14 years (childhood), 15 to 24 years (adolescence), 25 to
44 years (young adulthood), 45 to 64 years (late adulthood),
and >65 years (seniors).
Results: In the 998 patients, the male-to-female ratio was
48:52, and 16% of the patients were smokers. Most of the
patients (37%) were in the 45 to 64 age group, 31% were in
the 25 to 44 age group, and 16% were 64 or older. Housewife
was the most frequent occupation (28.3%). Vocal fold polyps
(13.5%), vocal fold cysts (12.4%), gastroesophageal reflux
disease (GERD; 11.1%), and vocal fold paralysis (9.8%) were
the most common etiologies in the study. Nodules were more
common in women than men (13.8% vs 1.4%). Reinke's
edema was the dominant etiology in smokers (18.5%).
Velopharyngeal incompetence was the most common etiology
in children aged 14 or younger.
Conclusions: Vocal fold polyps, cysts, and GERD were the
dominant etiologies in this study. Most of the patients seeking
medical attention for dysphonia in this study were in the 45 to
64 age group. Vocal fold paralysis was the dominant etiology
in the patients that were retired.
Evaluation of Current Procedural Trends for
Laryngotracheal Stenosis Management in
Medicare Patients From 2010 to 2018
Debbie Rachel Pan, MD (Presenter)
Objectives: In-office procedures, such as intralesional steroid injections, are becoming increasingly used in the treatment of laryngotracheal stenosis (LTS). In the 2017 Current
Procedural Terminology (CPT) code set, new codes were
introduced for reporting therapeutic injections and specific
open treatment options for LTS. The aim of this study is to
characterize procedural trends in LTS management among
Medicare recipients from 2010 to 2018.
Methods: Annual Medicare Part B National Summary Data
Files were analyzed for CPT codes from 2010 to 2018 related
to LTS. Procedures analyzed included office-based therapeutic injections (31573), operative endoscopic dilations (31641
and 31528-9), and open tracheal resections (31780 and
31551-4).
Results: The number of open excisions remained constant
(97-100, 1.3% average annual growth), whereas endoscopic
dilations increased (3784-5796, 6.3% average annual growth).
When initial and subsequent endoscopic dilation procedures
were compared, there was no statistically significant difference
between average annual increase before and after the year
2016 for initial endoscopic dilations (P = .2518). However, the
average annual increase in subsequent endoscopic dilations
significantly dropped from 20.3% to 1.9% (P = .0093) after the
year 2016. The average payment per open excision surgery
was $788.70 compared with endoscopic dilation at $183.55
and therapeutic injections with laryngoscopy at $199.77.
Conclusions: The number of endoscopic dilations increased
from 2010 to 2018, outpacing open tracheal resection surgeries. Considering recent trends toward office-based therapeutic
injections reflected in new CPT codes, there is a correlating,
appreciable decline in the annual growth rate for repeat endoscopic dilation procedures.
Evaluation of Dysphagia After Anterior
Cervical Discectomy and Fusion
Rachel Kominsky, MD (Presenter); Claudia I. Cabrera, MD, MS;
Nelson Scott Howard, MD
Objectives: Dysphagia is a known complication after anterior cervical discectomy and fusion (ACDF), with an incidence up to 71% within the first 2 weeks after surgery and
12% to 14% of patients developing dysphagia greater than
1 year. There has not been a comparison made in incidence of
dysphagia in patients undergoing an equivalent surgery that is
not performed on the neck. Furthermore, the evaluation of
dysphagia after neck surgery has not been compared with the
evaluation of dysphagia after a surgery performed elsewhere.
Methods: A retrospective chart review was conducted at an
academic medical center to include patients who between
January 2014 and December 2019 carried a diagnosis of lumbar spinal fusion and dysphagia or cervical spinal fusion and
dysphagia. Chart review was performed to further characterize each patient's dysphagia, and its evaluation.
Results: In the time frame of the study, a total of 740 patients
had undergone either a lumbar spinal fusion surgery or a cervical spinal fusion surgery. There were 290 patients who had a
lumbar spinal fusion, with 10.3% who also experienced dysphagia. There were 450 patients who underwent an ACDF,
with 17.7% also diagnosed with dysphagia. In the lumbar spinal fusion and dysphagia group, 16% underwent a bedside
swallow evaluation, 16% underwent a modified barium swallow study (MBSS), and 3% underwent an esophagram. In the
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Table of Contents for the Digital Edition of Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
Contents
Accreditation Information
2020 President Duane J. Taylor, MD
2020 Annual Meeting Program Committee
2020 Star Reviewers
2020 Distinguished Service Award Recipients
2020 Honor Award Recipients
Honorary Guest Lecturers 2020
Panel Presentations
Oral Presentations
Poster Presentations
Author Index
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Intro
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A1
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A2
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A3
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Contents
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A5
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - A6
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Accreditation Information
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 President Duane J. Taylor, MD
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Annual Meeting Program Committee
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P4
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Star Reviewers
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - 2020 Honor Award Recipients
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P7
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Honorary Guest Lecturers 2020
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Panel Presentations
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Oral Presentations
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Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P268
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P269
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P270
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P271
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P272
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P273
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P274
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P275
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P276
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P277
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P278
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P279
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P280
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P281
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P282
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P283
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P284
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P285
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P286
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P287
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P288
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P289
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P290
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P291
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P292
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P293
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P294
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P295
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P296
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P297
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P298
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P299
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P300
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P301
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P302
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P303
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P304
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P305
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P306
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P307
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P308
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P309
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P310
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P311
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P312
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Author Index
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P316
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P317
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P318
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P319
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P320
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P321
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P322
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P323
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P324
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P325
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P326
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P327
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P328
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P329
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P330
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P331
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - P332
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Cover3
Otolaryngology - Head & Neck Surgery Supplement - 2020 Official Program Abstracts - Cover4
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