Publications by authors named "Kelly L Groom"

4 Publications

  • Page 1 of 1

Sterno-omohyoid Free Flap for Dual-Vector Dynamic Facial Reanimation.

Ann Otol Rhinol Laryngol 2020 Feb 3;129(2):195-200. Epub 2019 Oct 3.

Otolaryngology-Head and Neck Surgery, Madigan Army Medical Center, Tacoma, WA, USA.

Background: Dynamic rehabilitation of longstanding facial palsy with damaged, atrophied, or absent facial muscles requires replacement of neural and muscular components. The ideal reconstruction would include a fast-twitch muscle that is small, a reliable donor vessel and nerve, and the potential to provide a natural, synchronous, dentate smile with minimal donor site morbidity. Many flaps have been successfully used historically, but none has produced ideal rehabilitation.

Objective: To evaluate the novel sterno-omohyoid, dual-vector flap in rehabilitation of chronic facial paralysis.

Results: We performed sterno-omohyoid free tissue transfer for smile reanimation in a 39-year-old male with a history of longstanding right facial palsy following resection of a skull base tumor several years previously. We transferred both muscles with the superior thyroid artery, middle thyroid vein, and ansa cervicalis. The patient developed a dynamic smile by 6 months postoperatively, and he had improved objective facial symmetry.

Conclusion: Herein, we demonstrate the first use of the sterno-omohyoid flap for successful facial reanimation. Overall, it is a novel flap in facial reanimation with many advantages over traditional flaps, including the potential to produce a more synchronous, dynamic smile while adding minimal bulk to the face. Future series will better elucidate the potential of the sterno-omohyoid flap.
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http://dx.doi.org/10.1177/0003489419875473DOI Listing
February 2020

Effects of carotid body tumor resection on the blood pressure of essential hypertensive patients.

J Am Soc Hypertens 2015 Jun 19;9(6):435-42. Epub 2015 Mar 19.

Division of Clinical Pharmacology, Department of Medicine, The Vanderbilt Comprehensive Hypertension Center, Vanderbilt University School of Medicine, Nashville, TN, USA.

Removal of carotid body (CB) improves animal models of hypertension (HTN) and heart failure, via withdrawal of chemoreflex-induced sympathetic activation. Effect of CB tumor (CBT) resection on blood pressure (BP) in subjects with HTN is unknown. A retrospective analysis of 20 subjects with HTN (BP≥140/90 mmHg or anti-hypertensives use) out of 134 with CBT resection. Short-term (30 days from surgery) and long-term (slope of regressions on time over the entire follow-up) changes in BP and heart rate were adjusted for covariates (interval between readings, total follow-up, number of readings and changes in therapy). Age and duration of HTN were 56±4 and 9±5 years. Adjusted short-term decreases in systolic (SBP: -9.9±3.1, p<0.001) and pulse pressures (PP: -7.9±2.7, p<0.002) were significant and correlated with their respective long-term changes (SBP: r=0.47, p=0.047; PP: r=0.54, p=0.019). There was a strong relationship between adjusted short-term changes in SBP and PP (r=0.64, p<0.004). Six (50% of responders or 33% of the total) had short-term falls of SBP ≥10 mmHg and of PP ≥ 5 mmHg. First study to show that unilateral CBT resection is associated with sustained reduction of BP in hypertensive patients. Targeted CB chemoreflex removal could play a role in the therapy of human HTN.
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http://dx.doi.org/10.1016/j.jash.2015.03.006DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4785596PMC
June 2015

Telehealth and humanitarian assistance in otolaryngology.

Otolaryngol Clin North Am 2011 Dec 2;44(6):1251-8, vii. Epub 2011 Oct 2.

Division of Otolaryngology, Tripler Army Medical Center, 1 Jarrett White Road, Tripler AMC, Honolulu, HI 96859, USA.

A significant worldwide need exists for humanitarian assistance in the specialty of otolaryngology. The field of telehealth has provided applications that have successfully expanded access to care in many fields of medicine, in both developed and developing countries. Collaboration, planning, and persistence are essential to developing successful telehealth applications. This article describes the need for otolaryngologic specialty care, current humanitarian outreach within the field of otolaryngology, and examples of successful programs that incorporate telehealth in otolaryngology care.
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http://dx.doi.org/10.1016/j.otc.2011.08.002DOI Listing
December 2011

Mantle cell lymphoma presenting as a saccular cyst.

Otolaryngol Head Neck Surg 2012 Jan 20;146(1):173-4. Epub 2011 Jun 20.

Department of Otolaryngology-Head & Neck Surgery, Tripler Army Medical Center, Hawaii, USA.

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http://dx.doi.org/10.1177/0194599811412927DOI Listing
January 2012