Sandra Stinnett

37 statements · 3 topics · summaries given as host listed separately

Featured statements

▶ Ep 7 · 1:14:11
Reinnervation advantages include single general anesthetic (no awake thyroplasty needed for children), one-and-done if successful, low risk, allows other procedures later, and uses patient's own tissue; disadvantages include lack of long-term pediatric data, 6-9 months to final results, and neck incision.
clinical · Aerodigestive / ENT
▶ Ep 7 · 2:08:10
The Cincinnati endoscopic cleft repair technique uses laser (KTP or CO2) to remove a wide swath of mucosa on both sides of the cleft, creating raw-against-raw surfaces, then places 2-3 sutures (60 PDS on bent BV1 for babies, 40 PDS on P2 for older children) and releases aryepiglottic folds.
clinical · Aerodigestive / ENT
▶ Ep 1 · 16:33
Video swallow study (VFSS) and functional endoscopic evaluation of swallowing (FEES) are complementary tests that show different things and evaluate different parts of the swallow—it is important to explain to families they are not the same test.
clinical · Aspiration
▶ Ep 1 · 1:17:07
Sensory reinnervation (great auricular nerve to superior laryngeal nerve) can restore sensation and is valuable when the sensory component is the primary deficit, allowing recognition of secretions and swallowing.
clinical · Aspiration
▶ Ep 2 · 50:54
CHARGE patients frequently need tracheostomy or interventions for salivary aspiration at young age but often develop compensatory strategies over time and can be decannulated as they mature.
clinical · CHARGE Syndrome
▶ Ep 2 · 1:11:40
For injection materials, radiance gels dissipate within weeks in animal models and do not work well; Restylane is used as a bridge and fat for longer-term injection.
clinical · CHARGE Syndrome

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Sandra's statements about Aerodigestive / ENT 21 statements

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Aerodigestive Management of Pediatric Aspiration - FULL SHOW

▶ Ep 7 · 16:33
clinical Video swallow study (VFSS) and functional endoscopic evaluation of swallowing (FEES) are complementary tests that show different things and evaluate different parts of the swallow—it is important to explain to families they are not the same test. ↗
▶ Ep 7 · 16:33
clinical Video swallow study (VFSS) and functional endoscopic evaluation of swallowing (FEES) are complementary tests that show different things and evaluate different parts of the swallow—it is important to explain to families they are not the same test. ↗
▶ Ep 7 · 50:54
clinical CHARGE patients frequently need tracheostomy or interventions for salivary aspiration at young age but often develop compensatory strategies over time and can be decannulated as they mature. ↗
▶ Ep 7 · 50:54
clinical CHARGE patients frequently need tracheostomy or interventions for salivary aspiration at young age but often develop compensatory strategies over time and can be decannulated as they mature. ↗
▶ Ep 7 · 1:10:04
clinical Temporary laryngeal injection is a useful test-drive procedure before permanent medialization, can be repeated, and serves as a bridge between more permanent operations. ↗
▶ Ep 7 · 1:10:28
clinical Early injection (1-3 months after recurrent nerve injury) may lead to less need for permanent procedures based on adult literature, though pediatric data is limited. ↗
▶ Ep 7 · 1:11:40
clinical For injection materials, radiance gels dissipate within weeks in animal models and do not work well; Restylane is used as a bridge and fat for longer-term injection. ↗
▶ Ep 7 · 1:11:40
clinical For injection materials, radiance gels dissipate within weeks in animal models and do not work well; Restylane is used as a bridge and fat for longer-term injection. ↗
▶ Ep 7 · 1:12:46
clinical Reinnervation (ansa-to-recurrent laryngeal nerve) is not a new concept but has gained popularity in the last few years; ideal candidates are <40 years old, within 1-2 years of injury, with known injury location. ↗
▶ Ep 7 · 1:14:11
clinical Reinnervation advantages include single general anesthetic (no awake thyroplasty needed for children), one-and-done if successful, low risk, allows other procedures later, and uses patient's own tissue; disadvantages include lack of long-term pediatric data, 6-9 months to final results, and neck incision. ↗
▶ Ep 7 · 1:14:11
clinical Reinnervation advantages include single general anesthetic (no awake thyroplasty needed for children), one-and-done if successful, low risk, allows other procedures later, and uses patient's own tissue; disadvantages include lack of long-term pediatric data, 6-9 months to final results, and neck incision. ↗
▶ Ep 7 · 1:15:46
clinical Reinnervation is a misnomer—it does not restore movement but provides tone and better closure, with outcomes measured by voice and swallowing improvement. ↗
▶ Ep 7 · 1:15:46
clinical Reinnervation is a misnomer—it does not restore movement but provides tone and better closure, with outcomes measured by voice and swallowing improvement. ↗
▶ Ep 7 · 1:17:07
clinical Sensory reinnervation (great auricular nerve to superior laryngeal nerve) can restore sensation and is valuable when the sensory component is the primary deficit, allowing recognition of secretions and swallowing. ↗
▶ Ep 7 · 1:17:07
clinical Sensory reinnervation (great auricular nerve to superior laryngeal nerve) can restore sensation and is valuable when the sensory component is the primary deficit, allowing recognition of secretions and swallowing. ↗
▶ Ep 7 · 2:08:10
clinical The Cincinnati endoscopic cleft repair technique uses laser (KTP or CO2) to remove a wide swath of mucosa on both sides of the cleft, creating raw-against-raw surfaces, then places 2-3 sutures (60 PDS on bent BV1 for babies, 40 PDS on P2 for older children) and releases aryepiglottic folds. ↗
▶ Ep 7 · 2:08:10
clinical The Cincinnati endoscopic cleft repair technique uses laser (KTP or CO2) to remove a wide swath of mucosa on both sides of the cleft, creating raw-against-raw surfaces, then places 2-3 sutures (60 PDS on bent BV1 for babies, 40 PDS on P2 for older children) and releases aryepiglottic folds. ↗
▶ Ep 7 · 2:09:02
clinical Open cleft repair is reserved for failed endoscopic repairs (some type 2s and type 3s), type 4 clefts (cervical approach), and type 4 long clefts (which present anesthetic challenges requiring double lumen tube, single lung ventilation, ECMO, or bypass). ↗
▶ Ep 7 · 2:09:46
clinical Type 4 long laryngeal clefts have very high mortality rate hovering around 50%, and families must be counseled about this before attempting repair. ↗
▶ Ep 7 · 2:11:18
clinical Endoscopic cleft repair has become a fellow-level case in Cincinnati due to the volume performed (at least 20, likely way more). ↗
▶ Ep 7 · 2:11:18
clinical Endoscopic cleft repair has become a fellow-level case in Cincinnati due to the volume performed (at least 20, likely way more). ↗
Sandra's statements about Aspiration 8 statements

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Aerodigestive Management of Pediatric Aspiration - FULL SHOW

▶ Ep 1 · 16:33
clinical Video swallow study (VFSS) and functional endoscopic evaluation of swallowing (FEES) are complementary tests that show different things and evaluate different parts of the swallow—it is important to explain to families they are not the same test. ↗
▶ Ep 1 · 50:54
clinical CHARGE patients frequently need tracheostomy or interventions for salivary aspiration at young age but often develop compensatory strategies over time and can be decannulated as they mature. ↗
▶ Ep 1 · 1:11:40
clinical For injection materials, radiance gels dissipate within weeks in animal models and do not work well; Restylane is used as a bridge and fat for longer-term injection. ↗
▶ Ep 1 · 1:14:11
clinical Reinnervation advantages include single general anesthetic (no awake thyroplasty needed for children), one-and-done if successful, low risk, allows other procedures later, and uses patient's own tissue; disadvantages include lack of long-term pediatric data, 6-9 months to final results, and neck incision. ↗
▶ Ep 1 · 1:15:46
clinical Reinnervation is a misnomer—it does not restore movement but provides tone and better closure, with outcomes measured by voice and swallowing improvement. ↗
▶ Ep 1 · 1:17:07
clinical Sensory reinnervation (great auricular nerve to superior laryngeal nerve) can restore sensation and is valuable when the sensory component is the primary deficit, allowing recognition of secretions and swallowing. ↗
▶ Ep 1 · 2:08:10
clinical The Cincinnati endoscopic cleft repair technique uses laser (KTP or CO2) to remove a wide swath of mucosa on both sides of the cleft, creating raw-against-raw surfaces, then places 2-3 sutures (60 PDS on bent BV1 for babies, 40 PDS on P2 for older children) and releases aryepiglottic folds. ↗
▶ Ep 1 · 2:11:18
clinical Endoscopic cleft repair has become a fellow-level case in Cincinnati due to the volume performed (at least 20, likely way more). ↗
Sandra's statements about CHARGE Syndrome 8 statements

Open the CHARGE Syndrome collection →

Aerodigestive Management of Pediatric Aspiration - FULL SHOW

▶ Ep 2 · 16:33
clinical Video swallow study (VFSS) and functional endoscopic evaluation of swallowing (FEES) are complementary tests that show different things and evaluate different parts of the swallow—it is important to explain to families they are not the same test. ↗
▶ Ep 2 · 50:54
clinical CHARGE patients frequently need tracheostomy or interventions for salivary aspiration at young age but often develop compensatory strategies over time and can be decannulated as they mature. ↗
▶ Ep 2 · 1:11:40
clinical For injection materials, radiance gels dissipate within weeks in animal models and do not work well; Restylane is used as a bridge and fat for longer-term injection. ↗
▶ Ep 2 · 1:14:11
clinical Reinnervation advantages include single general anesthetic (no awake thyroplasty needed for children), one-and-done if successful, low risk, allows other procedures later, and uses patient's own tissue; disadvantages include lack of long-term pediatric data, 6-9 months to final results, and neck incision. ↗
▶ Ep 2 · 1:15:46
clinical Reinnervation is a misnomer—it does not restore movement but provides tone and better closure, with outcomes measured by voice and swallowing improvement. ↗
▶ Ep 2 · 1:17:07
clinical Sensory reinnervation (great auricular nerve to superior laryngeal nerve) can restore sensation and is valuable when the sensory component is the primary deficit, allowing recognition of secretions and swallowing. ↗
▶ Ep 2 · 2:08:10
clinical The Cincinnati endoscopic cleft repair technique uses laser (KTP or CO2) to remove a wide swath of mucosa on both sides of the cleft, creating raw-against-raw surfaces, then places 2-3 sutures (60 PDS on bent BV1 for babies, 40 PDS on P2 for older children) and releases aryepiglottic folds. ↗
▶ Ep 2 · 2:11:18
clinical Endoscopic cleft repair has become a fellow-level case in Cincinnati due to the volume performed (at least 20, likely way more). ↗

Summaries Sandra gave as host · 15 summaries

Recaps of other experts' statements, not Sandra's own clinical position.

Summaries Sandra gave as host · Aerodigestive / ENT 5 summaries

Open the Aerodigestive / ENT collection →

Aerodigestive Management of Pediatric Aspiration - FULL SHOW

▶ Ep 7 · 1:10:04
host summary Sandra Stinnett summarizing the discussion: Temporary laryngeal injection is a useful test-drive procedure before permanent medialization, can be repeated, and serves as a bridge between more permanent operations. ↗
▶ Ep 7 · 1:10:28
host summary Sandra Stinnett summarizing the discussion: Early injection (1-3 months after recurrent nerve injury) may lead to less need for permanent procedures based on adult literature, though pediatric data is limited. ↗
▶ Ep 7 · 1:12:46
host summary Sandra Stinnett summarizing the discussion: Reinnervation (ansa-to-recurrent laryngeal nerve) is not a new concept but has gained popularity in the last few years; ideal candidates are <40 years old, within 1-2 years of injury, with known injury location. ↗
▶ Ep 7 · 2:09:02
host summary Sandra Stinnett summarizing the discussion: Open cleft repair is reserved for failed endoscopic repairs (some type 2s and type 3s), type 4 clefts (cervical approach), and type 4 long clefts (which present anesthetic challenges requiring double lumen tube, single lung ventilation, ECMO, or bypass). ↗
▶ Ep 7 · 2:09:46
host summary Sandra Stinnett summarizing the discussion: Type 4 long laryngeal clefts have very high mortality rate hovering around 50%, and families must be counseled about this before attempting repair. ↗
Summaries Sandra gave as host · Aspiration 5 summaries

Open the Aspiration collection →

Aerodigestive Management of Pediatric Aspiration - FULL SHOW

▶ Ep 1 · 1:10:04
host summary Sandra Stinnett summarizing the discussion: Temporary laryngeal injection is a useful test-drive procedure before permanent medialization, can be repeated, and serves as a bridge between more permanent operations. ↗
▶ Ep 1 · 1:10:28
host summary Sandra Stinnett summarizing the discussion: Early injection (1-3 months after recurrent nerve injury) may lead to less need for permanent procedures based on adult literature, though pediatric data is limited. ↗
▶ Ep 1 · 1:12:46
host summary Sandra Stinnett summarizing the discussion: Reinnervation (ansa-to-recurrent laryngeal nerve) is not a new concept but has gained popularity in the last few years; ideal candidates are <40 years old, within 1-2 years of injury, with known injury location. ↗
▶ Ep 1 · 2:09:02
host summary Sandra Stinnett summarizing the discussion: Open cleft repair is reserved for failed endoscopic repairs (some type 2s and type 3s), type 4 clefts (cervical approach), and type 4 long clefts (which present anesthetic challenges requiring double lumen tube, single lung ventilation, ECMO, or bypass). ↗
▶ Ep 1 · 2:09:46
host summary Sandra Stinnett summarizing the discussion: Type 4 long laryngeal clefts have very high mortality rate hovering around 50%, and families must be counseled about this before attempting repair. ↗
Summaries Sandra gave as host · CHARGE Syndrome 5 summaries

Open the CHARGE Syndrome collection →

Aerodigestive Management of Pediatric Aspiration - FULL SHOW

▶ Ep 2 · 1:10:04
host summary Sandra Stinnett summarizing the discussion: Temporary laryngeal injection is a useful test-drive procedure before permanent medialization, can be repeated, and serves as a bridge between more permanent operations. ↗
▶ Ep 2 · 1:10:28
host summary Sandra Stinnett summarizing the discussion: Early injection (1-3 months after recurrent nerve injury) may lead to less need for permanent procedures based on adult literature, though pediatric data is limited. ↗
▶ Ep 2 · 1:12:46
host summary Sandra Stinnett summarizing the discussion: Reinnervation (ansa-to-recurrent laryngeal nerve) is not a new concept but has gained popularity in the last few years; ideal candidates are <40 years old, within 1-2 years of injury, with known injury location. ↗
▶ Ep 2 · 2:09:02
host summary Sandra Stinnett summarizing the discussion: Open cleft repair is reserved for failed endoscopic repairs (some type 2s and type 3s), type 4 clefts (cervical approach), and type 4 long clefts (which present anesthetic challenges requiring double lumen tube, single lung ventilation, ECMO, or bypass). ↗
▶ Ep 2 · 2:09:46
host summary Sandra Stinnett summarizing the discussion: Type 4 long laryngeal clefts have very high mortality rate hovering around 50%, and families must be counseled about this before attempting repair. ↗