Wen Jiang's research while affiliated with University of California, San Diego and other places
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Publications (30)
Objective
We assessed patterns in the national incidence of pediatric acute sinusitis and associated complications surrounding the initial COVID‐19 lockdown.
Study Design
Retrospective National Database review.
Setting
The Pediatric Health Information System.
Methods
Acute sinusitis and associated complication incidence data from 2015 to 2022 we...
Objective:
The optimal management of acute mastoiditis remains controversial. Most existing studies are retrospective single-institutional experiences with small cohorts. Our objectives were to analyze the treatment of acute mastoiditis by pediatric centers across the United States and changes in management over time.
Study design:
Retrospective...
Objective
Thyroidectomy is the most commonly performed pediatric endocrine surgery. Our objective is to measure the short-term outcome of pediatric thyroidectomies, and report on factors associated with postoperative complications.
Methods
This is a retrospective cohort study, performed using the Pediatric Health Information System (PHIS) database...
OBJECTIVES
To compare the effectiveness of dexamethasone versus prednisone or prednisolone on hospital resource utilization for children hospitalized with acute croup.
METHODS
This is a retrospective cohort study of the Pediatric Health Information System database on children aged 6 months to <6 years who were hospitalized with acute croup between...
Objective
Pediatric patients with severe obstructive sleep apnea (OSA) are at risk for residual OSA following tonsillectomy with/without adenoidectomy (T ± A). We initiated a quality improvement (QI) project to increase the percentage of postoperative (postop) polysomnography (PSG) completion to identify residual OSA.
Methods
This is a prospective...
Background
Same-day surgery cancellation results in decreased operating room (OR) utilization, reduced productivity, and inconvenience for patients. We aim to assess the cancellation rates of elective surgeries, identify common causes, and evaluate changes due to the COVID pandemic.
Methods
A retrospective cohort study was conducted identifying al...
Objective
Transcutaneous laryngeal ultrasonography has been utilized to document vocal cord mobility in the adult perioperative thyroidectomy setting with variable success. The aims of this study were to assess the feasibility of using transcutaneous ultrasound in vocal cord visualization in children, to determine the accuracy in detecting vocal co...
Background
We previously described mutation rates of BRAFV600E, RAS, RET-PTC and PAX8-PPARγ in pediatric subjects with well-differentiated thyroid cancer (WDTC). We expanded the cohort adding next-generation sequencing (NGS) and assessed genotype-phenotype correlations.
Methods
Single-center retrospective cohort examining thyroidectomy tissue bloc...
Objective
Both tonsillar hypertrophy and obesity contribute to pediatric sleep-disordered breathing (SDB). Tonsillectomy addresses anatomical obstruction causing SDB; however, it may adversely affect the obesity profile postoperatively. Herein, we investigate posttonsillectomy body mass index (BMI) changes in pediatric patients.
Study Design
Retro...
Objectives
The Bethesda system for reporting cytopathology (TBSRTC) has been widely adopted in the management of thyroid nodules. Based on the limited pediatric data available, the implied malignancy risk for each of the categories may be significantly different in pediatrics vs. adults, especially in the indeterminate categories (Bethesda Class II...
Autoinflammatory disorders of the innate immune system present with recurrent episodes of inflammation often beginning in early childhood. While there are now more than 30 genetically-defined hereditary fever disorders, many patients lack a clear diagnosis. Many pediatric patients are often grouped with patients with periodic fever, aphthous stomat...
Objectives:
During the current COVID-19 pandemic, the demand for direct-to-home telemedicine services has risen to an unprecedented level. Equal access to specialty care was assessed to identify potential barriers that may negatively impact telemedicine utilization.
Methods:
We examined the 6-week period between March and May 2020 when the only...
Introduction
With nationwide effort to increase breastfeeding rates in newborns and infants in recent years, there has been a dramatic increase in the diagnosis of ankyloglossia, and the resultant otolaryngology referral for frenotomy. Overall, there is a paucity of data on the expected benefit of frenotomy in this population and the subsequent bre...
Periodic Fever, Aphthous stomatitis, Pharyngitis and Adenitis (PFAPA) syndrome is an inflammatory disorder of childhood classically characterized by recurrent fevers, pharyngitis, stomatitis, cervical adenitis, and leukocytosis. While the mechanism is unclear, previous studies have shown that tonsillectomy can be a therapeutic option with improveme...
Introduction:
Hypocalcemia is a common complication after thyroidectomy. Intact parathyroid hormone (PTH) has been successfully used as a predictive indicator for hypocalcemia in adults during the postoperative period. We aim to demonstrate the utility of PTH in predicting and managing postoperative hypocalcemia following thyroidectomy in pediatri...
Inflammatory myofibroblastic tumor (IMT) is a rare soft tissue tumor characterized by proliferation of fibroblastic cells associated with an inflammatory infiltrate. Inflammatory myofibroblastic tumors have a predilection for the pediatric population and are usually found in the lung parenchyma but rarely at the carina. They rarely metastasize but...
Granulomatosis with Polyangiitis (GPA), formally termed Wegener's Granulomatosis, is characterized by necrotizing granulomatous inflammation affecting the upper and lower respiratory tract and the kidneys. We report a case of a 10-year-old female who presented with a complete right facial paralysis preceded by a 6-week history of intermittent fever...
Objectives
To compare clinical variables and outcomes for children with subperiosteal abscesses of the orbit (SPAO) managed medically vs surgically to identify clinical prognosticators.
Study Design
Case series with chart review.
Setting
Tertiary children’s academic institution.
Subjects and Methods
The study included 48 children between the age...
A 4-year-old white girl presented with left jaw pain and signs and symptoms of an upper respiratory tract infection. Her medical history included recurrent acute otitis media requiring tympanostomy tube placement. On physical examination, the left parotid gland was diffusely full and firm, which was consistent with viral parotitis. Gland massage, w...
Objective:
To test the ability of a handheld metal detector (HHMD) to identify the presence and location of ingested metallic foreign bodies (MFBs) in children.
Methods:
Prospective case series enrolling children suspected of metallic foreign body ingestion presenting to the Emergency Department. Thirty-eight children were enrolled and the HHMD...
We report a case of a ten-year-old girl with a large posterior neck mass, an aneurysmal bone cyst involving the upper cervical spine.
Patient underwent tumor resection through a posterior approach and required subsequent anterior fusion and instrumentation of C2-C4 for stability. We describe a challenging transcervical submandibular approach that a...
Background:
We reviewed our institutional experience in the diagnosis and management of pediatric thyroid nodules and well-differentiated thyroid carcinoma (WDTC), highlighting the unique challenges in this population.
Methods:
IRB approved retrospective chart review was conducted on patients who underwent fine needle aspiration (FNA) or thyroid...
Background:
Well-differentiated thyroid cancer (WDTC) incidence in pediatrics is rising, most being papillary thyroid carcinoma (PTC). The objective of the study was to assess the prevalence of different mutations in pediatric WDTC and correlate the genotype with the clinical phenotype.
Methods:
This is a single-center retrospective study. Thyro...
The management of airway obstruction in children is often challenging with acute presentation and uncertainty in the diagnosis. We report a case of a young child with acute onset biphasic stridor who was found to have a large subglottic lesion causing significant airway obstruction. We were able to successfully resect it to achieve a pathologic dia...
Citations
... With the changing epidemiological and clinical patterns of infectious diseases following the COVID-19 pandemic [27,28], it is becoming increasingly important to continue to monitor the burden of ENT infections in particular patient populations in order to provide actionable clinical data and to develop algorithms for appropriate management and followup, as is already available for other patient populations and other ENT involvements [29]. ...
... There is an extensive literature on adult thyroidectomy but relatively few reports on thyroidectomy in pediatric patients. There are known and important differences between these two populations, such as a higher incidence of postoperative complications in pediatric patients (1)(2)(3)(4). Hypocalcemia, the most frequent complication, is caused by the Abbreviations ASA, american society of anesthesiologists' physical status classification; Calcidiol, 25-hydroxyvitamin D; Calcitriol, 1,25-(OH)2-vitamin D; Cholecalciferol, vitamin D3; CT-Ca 2+ , corrected total serum calcium; MEN 2, multiple endocrine neoplasia type 2; iPTH, intact parathyroid hormone; PACU, post-anaesthesia care unit. removal of the parathyroid glands or a compromise to their vasculature (5,6). ...
... Furthermore, improvements in communication channels between hospitals and patients due to the pandemic may have encouraged more careful patient selection and screening of patients for surgeries, resulting in fewer cancellations. The same results were observed in a previous study [21]. ...
... A polysomnographic study (PSG) is the diagnostic technique of choice for quantifying sleep-disordered breathing and sleep architecture. PSG can be performed in children of all ages [29]. PSG is not only useful for diagnosis, but also allows the severity of the disease to be estimated, despite certain limitations: PSG is intrusive, cumbersome, and cost-prohibitive, and facilities that can provide PSG-based diagnostic services in children are not widely available. ...
... However, almost all ALK fusions share a breakpoint at exon 20, just upstream of the tyrosine kinase domain [10]. STRN::ALK gene fusions have been identified in a small percentage of thyroid, lung, renal, colorectal, prostate and breast cancers, as well as in mesotheliomas and pancreatic intraductal tubulopapillary neoplasms [11][12][13][14][15][16][17][18][19][20][21][22][23]. Two recent reports also show STRN::ALK fusion is a driver in some cases of salivary intraductal carcinoma; one arose within an intraparotid lymph node and the other was a frankly invasive carcinoma ex-intraductal carcinoma [24,25]. ...
... We want to stress the importance of the thorough diagnostic of patients with undefined autoinflammatory phenotype and if necessary, re-evaluate them with a time new information and updates are available. Such results potentially may improve treatment outcomes, as far most of defined SAIDs present favourable response to steroids, colchicine or IL1-blocking therapy [28][29][30]. Contrary to the favourable effect observed in PFAPA to tonsillectomy, or aberrant effect of steroids, patients with undefined SAIDs rarely will perform the same response. But uSAID/SURF patients perform a favourable response to colchicine therapy, where in severe cases IL-1 therapy may dramatically resolve clinical presentation [31]. ...
... In 2019, Cherella et al. reported malignancy rates of 44% and 71% for AUS and SFN nodules, respectively (4). Published pediatric studies show that the malignancy rates for Bethesda 3 nodules range from 8.3% to 44% (4,21-23) and for Bethesda 4 nodules range from 35% to 100% (23)(24)(25). These studies suggest that the rates of malignancy both groups have been different rates but the risk of malignancy in pediatric patients with Bethesda 4 nodules is relatively high compared to Bethesda 3. Multiple ultrasound scoring systems are available to categorize nodules for fine-needle biopsy (FNB) indications, including fine-needle cytology (10,26). ...
... 3 In general, one of the goals of telemedicine is to expand healthcare access by providing remote monitoring and consultation to patients. 4,5 Therefore, the adoption of telemedicine increased in different countries during the COVID-19 pandemic due to a context of reduced personal contacts. [6][7][8] According to the 2020 report by the Portuguese Directorate General of Health (DGS), there was a significant increase in telemedicine consultations during the initial months of the COVID-19 pandemic compared to the corresponding period of the previous year. ...
... In short, all the authors report that it is a simple procedure, with a positive outcome for the symptoms presented and reinforce the importance of a complete, careful and multidisciplinary assessment with a view to correcting posture, latch and any other factor that may influence breastfeeding, before indicating the intervention. The authors found a positive outcome mainly for babies with severe ankyloglossia (classes III and IV of the Kotlow classification) ( Barberá-Pérez et al., 2021;Bundogji et al., 2020;Dollberg et al., 2006;Donati-Bourne et al., 2015;Ferrés-Amat et al., 2016;Jamani et al., 2020;Lam et al., 2020;Martinelli et al., 2015;Nogueira et al., 2021). ...
... Conversely, these conditions can also result in a significant decrease in levels of albumin and lymphocytes. [7][8][9][10][11][12] Positive acute phase reactants, such as c-reactive protein (CRP), have intricate pathophysiological processes that result in stress-induced leukocytosis, with or without clinically significant hypoalbuminemia. Measuring neutrophil levels in a sequential manner, particularly after the onset of stress-related illness, is a useful independent risk factor for evaluating the mechanism of acute infections. ...