Publications by authors named "Kelly C Landeen"

6 Publications

  • Page 1 of 1

Otolaryngology Residency Program Rankings and Social Media Usage: A Longitudinal Analysis.

Laryngoscope 2021 May 17. Epub 2021 May 17.

Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, U.S.A.

Objective: Social media is a powerful networking tool among health care organizations. This study determines correlations between program reputation and social media activity and popularity, specifically among otolaryngology residency programs.

Methods: Accredited programs, excluding military and osteopathic, in the United States were included. Activity and popularity on Facebook, Twitter, and Instagram were assessed during the same 7-month period from 2016 to 2020. Doximity Residency reputation scores (dividing programs into quartiles) and US News & World Report (comparing programs affiliated with top hospitals versus those with unranked hospitals) were utilized to compare differences based on reputation.

Results: Of 104 programs, 91 (88%) had social media accounts. Instagram and Twitter were more commonly used than Facebook, with 78 (75%), 49 (47%), and 42 (40%) accounts, respectively. The cumulative use of all three platforms grew yearly, while Twitter (R  = 0.9863) and Instagram (R  = 0.9955) presence increased exponentially. Doximity's top quartile programs had more Facebook (P = .020), Twitter (P < .001), and Instagram (P = .102) accounts. First-quartile programs also adopted each platform months before fourth-quartile programs. Stratified by US News & World Report, ranked programs had more social media accounts, with 24 (53%) on Facebook (P = .028), 32 (71%) on Twitter (P < .001), and 37 (82%) on Instagram (P = .155). Programs with higher reputations were more active and exhibited increased likes and followers over time.

Conclusion: Social media use among otolaryngology programs has grown exponentially, with Instagram and Twitter becoming the dominant platforms. Higher ranked programs are more active on social media, have more followers, and adopt social media earlier.

Level Of Evidence: Level 4 Laryngoscope, 2021.
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http://dx.doi.org/10.1002/lary.29621DOI Listing
May 2021

A Rare Laryngeal Presentation of Stevens-Johnson Syndrome.

Laryngoscope 2021 May 4. Epub 2021 May 4.

Department of Otolaryngology - Head & Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, U.S.A.

Stevens-Johnson syndrome (SJS) is a rare but severe mucocutaneous epidermolysis commonly triggered by medications. SJS is characterized by mucocutaneous lesions of the trunk, face, and limbs, as well as the oral cavity, gastrointestinal tract, and respiratory tract. Although uncommon, laryngeal involvement in SJS can lead to severe respiratory, phonatory and deglutitive complications. Providers caring for patients with SJS should maintain a high index of suspicion for laryngeal involvement and low threshold to solicit Otolaryngology consultation. Laryngeal complications can be more expediently managed when anticipated early in the course of disease. Laryngoscope, 2021.
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http://dx.doi.org/10.1002/lary.29598DOI Listing
May 2021

Novel Technologies in Airway Diseases: With Greater Power Comes Greater Responsibility.

J Bronchology Interv Pulmonol 2021 Apr;28(2):95-97

Center for Biomedical Ethics and Society.

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http://dx.doi.org/10.1097/LBR.0000000000000760DOI Listing
April 2021

Bilateral Ocular Necrotizing Fasciitis in an Immunosuppressed Patient on Prescription Eye Drops.

Cureus 2020 Jul 11;12(7):e9129. Epub 2020 Jul 11.

Otolaryngology, University of Cincinnati College of Medicine, Cincinnati, USA.

Preseptal cellulitis is an infection of ocular tissue that is often unilateral and caused by extension of sinonasal disease. In rare instances it can lead to life-threatening necrotizing fasciitis. We present here a unique case of bilateral preseptal cellulitis incited by local conjunctivitis caused by prescription eye drops. The patient was immunosuppressed, which allowed her local inflammation to progress to severe infection and, ultimately, to necrotizing fasciitis. This necessitated serial debridement by ophthalmology and otolaryngology teams and a prolonged course of intravenous antibiotics monitored by an infectious disease team. Despite these interventions, the patient's vision did not return to baseline and she had persistent cosmetic and functional deformity. This case is unique due to the inciting incident of new prescription eye drops, the patient's immunosuppressed state leading to severity of infection, and the severe bilateral disease burden.
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http://dx.doi.org/10.7759/cureus.9129DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7417090PMC
July 2020

Spontaneous Rupture of the Internal Carotid Artery Owing to an Aberrant Styloid Process in an Identical Twin.

JAMA Otolaryngol Head Neck Surg 2020 04;146(4):385-386

Division of Head and Neck, Department of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee.

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http://dx.doi.org/10.1001/jamaoto.2019.4790DOI Listing
April 2020

Topical superoxide dismutase in posttreatment fibrosis in patients with head and neck cancer.

Head Neck 2018 07 13;40(7):1400-1405. Epub 2018 May 13.

Department of Otolaryngology - Head and Neck Surgery, Sanford University of South Dakota Medical Center, Sanford Research, Sioux Falls, South Dakota.

Background: Topical superoxide dismutase (SOD) has been shown to decrease postradiation fibrosis in some cancers but has not demonstrated an effect in patients with head and neck cancer. The purpose of this study was to determine if topical SOD is an effective treatment for postradiation neck fibrosis.

Methods: This was a randomized prospective blinded clinical study of topical SOD versus placebo for the treatment of neck fibrosis. Measures of fibrosis grade and quality of life were obtained at baseline and after 3 months of treatment.

Results: Improvement in fibrosis score was comparable between the 2 study arms at 3 months.

Conclusion: Both study groups showed improvement but the differences between groups was not statistically significant. Topical SOD likely has limited benefit for posttreatment neck fibrosis but this study confirms other published evidence of benefit from active physical therapy of posttreatment fibrosis in patients with head and neck cancer.
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http://dx.doi.org/10.1002/hed.25119DOI Listing
July 2018