39 timestamped statements
across 2 collections
— auto-found in recorded discussions, each timestamp jumps to the exact moment.
Featured diaries
▶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.
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.
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.
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.
Aerodigestive Management of Pediatric Aspiration - FULL SHOW
▶Ep 7 · 16:33
clinicalVideo 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
clinicalVideo 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
clinicalCHARGE 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
clinicalCHARGE 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
clinicalTemporary 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 · 1:10:04
host_summaryTemporary 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_summaryEarly 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 · 1:10:28
clinicalEarly 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
clinicalFor 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
clinicalFor 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
clinicalReinnervation (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 · 1:12:46
host_summaryReinnervation (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
clinicalReinnervation 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
clinicalReinnervation 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
clinicalReinnervation 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
clinicalReinnervation 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
clinicalSensory 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
clinicalSensory 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
clinicalThe 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
clinicalThe 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
clinicalOpen 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 · 2:09:02
host_summaryOpen 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_summaryType 4 long laryngeal clefts have very high mortality rate hovering around 50%, and families must be counseled about this before attempting repair.↗
▶Ep 7 · 2:09:46
clinicalType 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
clinicalEndoscopic 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
clinicalEndoscopic cleft repair has become a fellow-level case in Cincinnati due to the volume performed (at least 20, likely way more).↗
Aerodigestive Management of Pediatric Aspiration - FULL SHOW
▶Ep 2 · 16:33
clinicalVideo 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
clinicalCHARGE 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 · 1:10:04
host_summaryTemporary 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_summaryEarly 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 · 1:11:40
clinicalFor 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 · 1:12:46
host_summaryReinnervation (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 · 1:14:11
clinicalReinnervation 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
clinicalReinnervation 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
clinicalSensory 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
clinicalThe 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 · 2:09:02
host_summaryOpen 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_summaryType 4 long laryngeal clefts have very high mortality rate hovering around 50%, and families must be counseled about this before attempting repair.↗
▶Ep 2 · 2:11:18
clinicalEndoscopic cleft repair has become a fellow-level case in Cincinnati due to the volume performed (at least 20, likely way more).↗