Kevin J Sykes

Learn More
Short-term medical service trips (MSTs) aim to address unmet health care needs of low- and middle-income countries. The lack of critically reviewed empirical evidence of activities and outcomes is a concern. Developing evidence-based recommendations for health care delivery requires systematic research review. I focused on MST publications with empirical(More)
OBJECTIVES To evaluate functional swallowing outcomes in patients undergoing transoral robotic surgery vs primary chemoradiotherapy for the management of advanced-stage oropharynx and supraglottis cancers. DESIGN Prospective nonrandomized clinical trial. SETTING Academic research. PATIENTS We studied 40 patients with stage III or stage IVA oropharynx(More)
OBJECTIVES/HYPOTHESIS Chronic rhinosinusitis(CRS) results in significant morbidity and health care expenditure. Safety and efficacy of nasal irrigation use in the treatment of pediatric CRS have been demonstrated, but long-term outcomes are unknown. We reviewed characteristics and treatment outcomes after 6 weeks of once daily nasal irrigation in pediatric(More)
IMPORTANCE Limited donor and recipient site complications support the osteocutaneous radial forearm free flap (OCRFFF) for mandibular reconstruction as a useful option for single-stage mandibular reconstruction. OBJECTIVE To examine and report long-term outcomes and complications at the donor and recipient sites for patients undergoing the OCRFFF for(More)
BACKGROUND One of the most significant recent advances in cochlear implantation is the implantation of patients with residual hearing. These patients have a downsloping sensorineural hearing loss with poor speech discrimination and perform poorly with standard amplification. Studies using a variety of different electrode designs have demonstrated that it is(More)
OBJECTIVES To report survey results of members of the American Society of Pediatric Otolaryngology (ASPO) on the practice patterns of surveillance endoscopy and management of suprastomal granuloma (SSG) in children younger than 2 years with indwelling tracheostomy tubes and to review our internal practice patterns. PATIENTS All patients younger than 2(More)
OBJECTIVE The objective of this study was to review our pediatric emergency department's (ED's) utilization of computed tomography (CT) in the diagnosis of peritonsillar abscess (PTA) and treatment outcomes. METHODS This study used case series with chart review. RESULTS From January 2007 to January 2009, 148 patients were seen in our ED for possible(More)
IMPORTANCE Otolaryngology residents need concise, easily accessible modules to expand educational opportunities between surgical cases. These modules should be inexpensive to create and improve learning outcomes. OBJECTIVE The purpose of this pilot study was to assess whether otolaryngology residents at multiple institutions used online video modules to(More)
OBJECTIVE The objective of this study was to examine the role of endoscopic approaches to the resection of anterior skull base and paranasal sinus malignancies at one tertiary care medical center. STUDY DESIGN The authors conducted a retrospective chart review over a period of 17 years. METHODS Patients undergoing anterior skull base resections for(More)
OBJECTIVE To report our experience in the care of patients treated for velopharyngeal insufficiency (VPI) with sphincter pharyngoplasty (SP) with or without the addition of palatal lengthening by Furlow palatoplasty (FP). DESIGN Retrospective analysis. SETTING Tertiary care cleft palate and craniofacial clinic. PATIENTS Forty-six children with VPI,(More)