Macario Camacho
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From aura to semi-aura: reframing authenticity in AI-generated art—a systematic literature review Open
The advent of AI-generated art necessitates a re-examination of the concept of “aura,” as originally posited by Walter Benjamin, and challenges prevailing perceptions of authenticity and originality in art. This systematic review addresses…
View article: Randomized Trials Comparing Inferior Turbinoplasty Techniques for Nasal Obstruction: A Meta‐analysis
Randomized Trials Comparing Inferior Turbinoplasty Techniques for Nasal Obstruction: A Meta‐analysis Open
Objective This study aims to systematically review the international literature for randomized trials presenting subjective, long‐term outcomes (1‐3 years) for nasal obstruction treated with inferior turbinoplasties, followed by a meta‐ana…
Drug Induced Sleep Endoscopy‐Directed Tongue Surgery to Treat Persistent Pediatric Obstructive Sleep Apnea: A Systematic Review and Meta‐Analysis Open
Objective To systematically review the literature for articles evaluating outcomes of drug‐induced sleep endoscopy (DISE) directed tongue surgery in children with prior adenotonsillectomy and persistent or recurrent obstructive sleep apnea…
View article: Management of Persistent, Post-adenotonsillectomy Obstructive Sleep Apnea in Children: An Official American Thoracic Society Clinical Practice Guideline
Management of Persistent, Post-adenotonsillectomy Obstructive Sleep Apnea in Children: An Official American Thoracic Society Clinical Practice Guideline Open
Background: Obstructive sleep apnea (OSA) is the most common sleep-related breathing disorder. Although adenotonsillectomy is first-line management for pediatric OSA, up to 40% of children may have persistent OSA. This document provides an…
Social Media Use by Residents and Faculty in Otolaryngology Training Programs Open
Objectives: Despite the growth of social media in healthcare, the appropriateness of online friendships between otolaryngological residents and attendings is poorly defined in the current literature. This issue is of growing importance, pa…
Implementing a Protocol to Reduce Opioid Prescriptions in Military Otolaryngology: A Quality Improvement Initiative Open
Introduction To compare pain medication refill rates for adult septoplasty and rhinoplasty patients before and after initiating a multimodal analgesic protocol for reducing opioid prescriptions (PROP). Materials and Methods Data from 58 ad…
0893 Myofunctional Therapy in Children With Mild Obstructive Sleep Apnea: A Meta-Analysis Open
Introduction OSA affects 2-4% of children and untreated OSA can have adverse behavior and quality of life outcomes. 40% of children can have residual obstructive sleep apnea (OSA)despite first line treatment (adenotonsillectomy). Alternati…
Genial tubercle position and genioglossus advancement in obstructive sleep apnea (OSA) treatment: a systematic review Open
Background To systematically review the literature for methods to localize the genial tubercle as a means for performing an advancement of the genioglossus muscle. Methods PubMed, Google Scholar, CRISP, EMBASE, CINAHL, and Scopus were sear…
View article: Lingual frenuloplasty with myofunctional therapy: Exploring safety and efficacy in 348 cases
Lingual frenuloplasty with myofunctional therapy: Exploring safety and efficacy in 348 cases Open
Background Ankyloglossia is a condition of altered tongue mobility due to the presence of restrictive tissue between the undersurface of the tongue and the floor of mouth. Potential implications of restricted tongue mobility (such as mouth…
Laser-assisted uvulopalatoplasty (LAUP) complications and side effects: a systematic review Open
Objective: Laser-assisted uvulopalatoplasty (LAUP) has been used as a treatment option for snoring and obstructive sleep apnea for almost three decades. It has been previously reported that some patient's sleep-disordered breathing worsene…
Laser-assisted uvulopalatoplasty (LAUP) complications and side effects: a systematic review Open
Jeffrey Wischhusen,1 Uneeb Qureshi,2 Macario Camacho31School of Medicine, Uniformed Services University of the Health Sciences, Bethesda, MD, USA; 2United States Public Health Service, Indian Health Service, Uniformed Services University, …
The effect of nonbenzodiazepines sedative hypnotics on apnea–hypopnea index: A meta-analysis Open
The majority of patients using NBSH did not develop any worsening of existing AHI, when using NBSH, regardless of their baseline AHI values (mild, moderate, severe, or no OSA). On average, the AHI improved minimally with NBSH and eszopiclo…
Cautery‐assisted palatal stiffening operation for obstructive sleep apnea: A systematic review and meta‐analysis Open
Objective To systematically review outcomes for cautery‐assisted palatal stiffening operation (CAPSO) as a treatment for adult obstructive sleep apnea (OSA). Methods Five databases (including PubMed/MEDLINE) were searched through July 12, …
Inner ear barotrauma in divers: an evidence-based tool for evaluation and treatment Open
Objective: To systematically search the literature for studies evaluating the typical presentation and testing that is performed for divers with inner ear symptoms and then to create a tool for clinicians when evaluating a diver with inner…
The effect of tonsillectomy on obstructive sleep apnea: an overview of systematic reviews Open
Tonsillectomy as an isolated treatment modality is rarely performed in pediatric patients with OSA; however, tonsillectomy is commonly performed in combination with adenoidectomy and the combination has demonstrated efficacy as the primary…
Exploring sleep disorders in patients with chronic kidney disease Open
Kidney disorders have been associated with a variety of sleep-related disorders. Therefore, researchers are placing greater emphasis on finding the role of chronic kidney disease (CKD) in the development of obstructive sleep apnea and rest…
Double Barrel Nasal Trumpets to Prevent Upper Airway Obstruction after Nasal and Non-Nasal Surgery Open
Objectives . During anesthesia emergence, patients are extubated and the upper airway can become vulnerable to obstruction. Nasal trumpets can help prevent obstruction. However, we have found no manuscript describing how to place nasal tru…
Natural history of treatment-emergent central sleep apnea on positive airway pressure: A systematic review Open
Overall, TECSA developed in 3.5%-19.8% of PAP-treated patients with OSA. The vast majority will experience complete resolution of central apneas over a few weeks to months. Unfortunately, about a third of patients with TECSA may continue t…
From nuclear submarines to graduate medical education: applying David Marquet’s intent-based leadership model Open
L. David Marquet, a decorated Navy Captain, transformed an underperforming submarine crew by empowering his subordinates to be leaders and reach their full potential. He called this intent-based leadership (IBL). What would happen if Marqu…
Health in Residency: The Dilemma of Caring for Yourself Open
Residency is a unique experience that physicians have in their professional lives. While residency can offer priceless memories and lifelong relationships with colleagues and patients alike, the grueling battle between absorbing knowledge …
Resident First Author Publications Open
Resident physicians in the United States are expected to participate in scholarly activities. Such activities often prompt residency programs to offer “research blocks” for residents. The intent is for trainees to not only effectively inte…
Laser-Assisted Uvulopalatoplasty for Obstructive Sleep Apnea: A Systematic Review and Meta-Analysis Open
In this meta-analysis, LAUP reduced AHI by 32% among all patients; while the LSAT only changed minimally. Individual data demonstrated a success rate of 23%, cure rate of 8%, and worsening of the AHI among 44% of patients. We recommend tha…
Prion Proteins and Sleep Disturbances Open
Prions normally exist as cellular membrane proteins. In humans, 209 amino acids with one disulfide bond form a primarily alpha-helical prion protein structure with a molecular mass of 35 to 36 kDa. The specific role and function of the pri…