Gillian R. Diercks

Learn More
First-bite syndrome, characterized by excruciating pain in the parotid region after the first few bites of food, can be seen after surgery of the parapharyngeal space. Herein we describe a patient with no prior surgical history who presented with facial pain consistent with first-bite syndrome. Imaging and ultrasound-guided FNA revealed a nonpalpable(More)
BACKGROUND Sinonasal undifferentiated carcinoma (SNUC) is a high-grade, aggressive neoplasm. Low incidence and poor outcomes make identification of prognostic factors and treatment standardization difficult. Similarly, little is known regarding the association of human papillomavirus (HPV) with SNUC. METHODS A retrospective review was conducted. Extracted(More)
IMPORTANCE Few studies have evaluated the pediatric voice objectively using acoustic measurements. Furthermore, consistency of these measurements across time, particularly for continuous speech, has not been evaluated. OBJECTIVES (1) To evaluate normal pediatric voice frequency and perturbation using both time-based and frequency-based acoustic(More)
OBJECTIVES/HYPOTHESIS Interferon regulatory factor 6 (IRF6), the gene that causes van der Woude syndrome (VWS), is a candidate gene for nonsyndromic cleft lip with or without cleft palate (NSCLP) because a number of studies have supported an association between NSCLP and single nucleotide polymorphisms (SNPs) in IRF6 in several populations. This project(More)
IMPORTANCE Few studies have used objective measures to evaluate the development of the normal pediatric voice. Cepstral analysis of continuous speech samples is a reliable method for gathering acoustic data; however, it has not been used to examine the changes that occur with voice development. OBJECTIVE To establish and characterize acoustic patterns of(More)
Obstructive sleep apnea (OSA) is more common in children with Down syndrome, affecting up to 60% of patients, and may persist in up to 50% of patients after adenotonsillectomy. These children with persistent moderate to severe OSA require continuous positive airway pressure, which is often poorly tolerated, or even tracheotomy for severe cases. The(More)
Cleft lip with or without cleft palate (CL/P) and isolated cleft palate (CPI) are some of the most common congenital malformations, occurring in roughly 1.5-2 per 1,000 Caucasian births, with higher prevalence rates in Hispanic, Asian, and Native American populations (up to 1/500), and lower rates in African populations (1/2,000). Clefting abnormalities are(More)
A 3-MONTH-OLD GIRL PRESENTED WITH A HIStory of stridor since birth. The patient’s mother reported that her inspiratory stridor was more pronounced than her expiratory stridor, which worsened with agitation and eating. The patient also had associated mild subcostal retractions but no apnea or cyanosis. Examination of the patient’s neck revealed a vague(More)
Importance Obstructive sleep apnea (OSA) affects up to 60% of children with Down syndrome (DS) and may persist in half of patients after adenotonsillectomy. Children with DS who have persistent OSA often do not tolerate treatment with positive pressure airway support devices or tracheotomy for their residual moderate to severe OSA. The hypoglossal nerve(More)
Perinatal imaging facilitates detection of congenital head and neck masses to plan fetal procedures which secure the airway. Ex utero intrapartum therapy (EXIT) procedures are preferred to protect the neonatal airway. Herein we present a case in which a neonate with a large oropharyngeal lymphovascular malformation was delivered and the airway successfully(More)