2015 HSC Section 1 Book of Articles

Osborn AJ, de Alarcon A, Tabangin ME, et al. Swallowing function after laryngeal cleft repair: more than just fixing the cleft. Laryngoscope . 2014; 124(8):1965-1969. EBM level 4...........................................................................................................................16-20 Summary: This retrospective review of swallowing outcomes after laryngeal cleft repair provides a detailed postoperative characterization using a validated swallowing scale applied to video fluoroscopic and video endoscopic swallowing examinations. The authors conclude that most children achieve resolution of dysphagia or require minimal dietary modification while a subset of children with developmental disorders is at increased risk for persistent dysphagia. This data is important given the increasing recognition of laryngeal cleft as a cause of dysphagia.

Rogers DJ, Setlur J, Raol N, et al. Evaluation of true vocal fold growth as a function of age. Otolaryngol Head Neck Surg . 2014; 151(4):681-686. EBM level 4.................21-26

Summary: This article provides an in vivo evaluation of vocal fold length as a function of age and gender. The authors found that vocal fold length increases linearly as a function of age with no difference between genders. Ultimately, the study concludes that the critical developmental vocal changes that occur during adolescence are not attributable to vocal fold length differences.

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Craniofacial Abnormalities and Trauma Boyette JR. Facial fractures in children. Otolaryngol Clin North Am . 2014; 47(5):747- 761. EBM level 5.........................................................................................................27-41 Summary: This articles provides an overview of the unique aspects of diagnosis and management of facial fractures in children. Because of their growing facial skeletons, facial fractures in children can present differently than in adults, and potential surgical treatments must be appropriately modified based on the patient’s age. Different facial subsites are reviewed in detail, and the article provides a current protocol for managing pediatric facial fractures. In addition, long-term awareness of facial growth changes must be considered in this patient population. Lam DJ, Tabangin ME, Shikary TA, et al. Outcomes of mandibular distraction osteogenesis in the treatment of severe micrognathia. JAMA Otolaryngol Head Neck Surg . 2014; 140(4):338-345. EBM level 3.................................................................42-49 Summary: Children with severe micrognathia are often afflicted with upper airway obstruction, and management is both difficult and controversial. This article reviews the outcomes of mandibular distraction osteogenesis, both with and without preexisting tracheotomy, in a study of 123 patients with severe micrognathia who underwent mandibular distraction and examines the long-term success rates with each approach. In addition, specific patient populations are examined for their success rates.