Maurits Boon - Academia.edu (original) (raw)

Papers by Maurits Boon

Ear, nose, & throat journal

Rupture of the extracranial carotid arteries or their major branches is known as carotid blowout ... more Rupture of the extracranial carotid arteries or their major branches is known as carotid blowout syndrome (CBS). CBS is a well-recognized complication of cancer of the head and neck and subsequent radiation therapy. A few treatment modalities are available, including open ligation and different endovascular techniques, but questions regarding both the immediate and delayed complications of these procedures persist. In this case report, we describe the management of acute CBS in a 54-year-old man who had previously been treated for follicular thyroid carcinoma. The patient was hemorrhaging from a pseudoaneurysm of the left common carotid artery. A self-expanding polytetrafluoroethylene (Teflon) -covered stent was successfully deployed endovascularly, and this resulted in cessation of the bleeding and restoration of flow through the vessel. We examine the covered-stent approach to treating acute CBS, and we discuss other treatment approaches that have been described in the literature.

Objectives: 1) Describe the clinical and radiologic presentation of supraglottic cyst 2) Discuss ... more Objectives: 1) Describe the clinical and radiologic presentation of supraglottic cyst 2) Discuss the management of this condition. 3) Review the existing literature.

Otolaryngology - Head and Neck Surgery, 2010

Two patients were treated for congenital glottic webs. Both patients required only one procedure ... more Two patients were treated for congenital glottic webs. Both patients required only one procedure to obtain symptomatic relief. 17 of the 26 patients treated for RRP manifested anterior webs prior to our treatment. 41 percent of patients that developed a web prior to mitomycin therapy ...

The Laryngoscope, 2014

The ideal animal experimental tracheostomy technique is one that is 1) safe and easy to perform, ... more The ideal animal experimental tracheostomy technique is one that is 1) safe and easy to perform, 2) requires no tracheostomy tube, and 3) requires minimal cleaning or suctioning to maintain patency. The leporine model for airway injury has been well established and offers an inexpensive and practical animal model for experimental evaluation. However, previous research has demonstrated a high mortality rate with survival airway surgery in rabbits. This study demonstrates the feasibility of airway management in the leporine model using a simple maturing suture tracheostomy that avoids a tracheostomy tube. Tracheostomy was performed in six New Zealand white rabbits in the setting of survival surgery over a 2-week study period. A vertical tracheal incision was made from the second to the sixth tracheal ring. The anterior portion of the tracheal rings was removed and the skin surrounding the stoma was sutured down to the tracheal wall. The lateral tracheal wall was then suspended to the soft tissue in the lateral neck. All six rabbits survived the study period with minimal care and maintained stoma patency until sacrifice. Granulation tissue and edema were noted during the first week and largely resolved by the second week. An average of 5-mm-diameter stoma was measured 14 days after surgery without intraluminal stenosis or laryngeal edema. This method meets the defined criteria for the ideal experimental tracheostomy, demonstrating potential benefit in a laryngotracheal stenosis model and a rabbit model of evoked phonation. NA Laryngoscope, 125:680-684, 2015.

Facial Plastic Surgery, 2010

Parotid trauma can lead to both short and long-term complications such as bleeding, infection, fa... more Parotid trauma can lead to both short and long-term complications such as bleeding, infection, facial nerve injury, sialocele, and salivary fistula, resulting in pain and disfigurement. Facial injuries inferior to a line extended from the tragus to the upper lip should raise concern for parotid injury. These injuries can be stratified into three regions as they relate to the masseter muscle. Injuries posing the greatest risk of damage to Stensen's duct include those anterior to the posterior border of the masseter and necessitate exploration. When the duct is disrupted, emphasis should be placed on primary repair or re-creation of the papilla; however, proximal ductal lacerations can be treated by ligation of the proximal segment. Isolated parenchymal injury can be treated with more conservative means. Sialocele and salivary fistula can frequently be managed nonoperatively with antibiotics, pressure dressings, and serial aspiration. Anticholinergic medications and the injection of botulinum toxin represent additional measures before resorting to surgical therapies such as tympanic neurectomy or parotidectomy.

Otolaryngology - Head and Neck Surgery, 2009

To evaluate the readability of patient-oriented online health information (OHI) presented on the ... more To evaluate the readability of patient-oriented online health information (OHI) presented on the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) website. STUDY DESIGN: Review of the Flesch-Kincaid (FK) grade level for 104 articles on the AAO-HNS website.

The Laryngoscope, 2007

Approximately 6 weeks after an uncomplicated tonsillectomy for chronic tonsillitis, a 37-year-old... more Approximately 6 weeks after an uncomplicated tonsillectomy for chronic tonsillitis, a 37-year-old woman presented to our emergency department with complaints of odynophagia and cervical pain persistent since surgery. Computed tomographic and magnetic resonance imaging revealed cervical spinal osteomyelitis with epidural abscess at C2 to 3. The patient underwent treatment with intravenous antibiotics, operative debridement, and cervical spinal stabilization. She recovered with no neurologic deficit.

The Laryngoscope, 2009

... Correspondence: Dr Brian D. Nicholas, MD, Thomas Jefferson University ... No initial attempt ... more ... Correspondence: Dr Brian D. Nicholas, MD, Thomas Jefferson University ... No initial attempt was made to perform the diverticulostomy without the temporary diverticulopexy in these cases, leading to some uncertainty as to whether the endosuture was absolutely necessary. ...

The Laryngoscope, 2011

To investigate patient outcomes with large-diameter bougienage in isolated cricopharyngeal dysfun... more To investigate patient outcomes with large-diameter bougienage in isolated cricopharyngeal dysfunction and understand how esophageal dilatation can be used as an effective diagnostic and therapeutic modality in treating dysphagia. Retrospective review. A retrospective chart review was performed on 46 patients meeting the criteria for cricopharyngeal dysphagia from 2004 to 2008 presenting in the outpatient setting. Patients were treated with 60 French esophageal dilators. Outcomes were analyzed as a function of symptomatology, manometry, duration of benefit, and safety. Over the period reviewed, 59 dilatations were performed on 46 patients with cricopharyngeal dysfunction. Eight patients were dilated more than once. Four patients were lost to follow-up. The average starting Functional Outcome Swallowing Score (FOSS) was 2.07. Of the patients reviewed, 64.29% experienced an improvement in their FOSS with a median duration of 741 days. There were five minor complications and no major complications. In the largest series of esophageal dilatation for cricopharyngeal dysfunction in the literature, we found large-bore bougienage to have significant utility due to its efficacy, ease of use, and safety when compared to other modalities such as botulinum injection, balloon dilatation, and cricopharyngeal myotomy.

The Laryngoscope, 2008

Objectives: Percutaneous dilational tracheotomy procedures have been used successfully as a bedsi... more Objectives: Percutaneous dilational tracheotomy procedures have been used successfully as a bedside alternative to open surgical tracheotomy. At our institution, we have seen patients with tracheal injuries following this procedure. In this paper, we review those cases to demonstrate that tracheal stenosis is a potential long-term complication of percutaneous dilational tracheotomy.

Otolaryngology -- Head and Neck Surgery, 2000

The Laryngoscope, 2009

1. Describe the clinical presentation of a lingual abscess secondary to a foreign body. 2) Discus... more 1) Describe the clinical presentation of a lingual abscess secondary to a foreign body. 2) Discuss the workup of glossopharyngeal neuralgia (GN). 3) Review existing literature. Illustrative case report and literature review generated by PubMed citation search. This is a report of a patient who presented with severe tongue and ear pain, initially diagnosed with glossopharyngeal neuralgia. He subsequently returned with acute neck swelling, altered mental status, and rapidly progressive airway edema. After securing his airway, radiographic imaging confirmed a lingual abscess with a linear foreign body. He was taken emergently to the operating room for neck exploration with incision and drainage of the abscess. Despite inability to locate the foreign body, he had complete resolution of the abscess and airway edema. Subsequent CT scanning confirms the continued presence of the foreign body consistent with a grill cleaning brush bristle. Lingual abscesses are extremely uncommon. Diagnosis may be difficult and as a consequence, when they occur, they may result in airway compromise or sepsis. Major textbooks often omit description of this entity, which has been associated with oral trauma and with retained foreign bodies such as fish bones. This is the first case report of a near fatal lingual abscess due to a bristle from a grill cleaning brush. To date, there has been no published literature describing the development of a lingual abscess secondary to a bristle from a grill cleaning brush. We describe the presentation and management of this condition and how it may mimic glossopharyngeal neuralgia.

Ear, nose, & throat journal

Rupture of the extracranial carotid arteries or their major branches is known as carotid blowout ... more Rupture of the extracranial carotid arteries or their major branches is known as carotid blowout syndrome (CBS). CBS is a well-recognized complication of cancer of the head and neck and subsequent radiation therapy. A few treatment modalities are available, including open ligation and different endovascular techniques, but questions regarding both the immediate and delayed complications of these procedures persist. In this case report, we describe the management of acute CBS in a 54-year-old man who had previously been treated for follicular thyroid carcinoma. The patient was hemorrhaging from a pseudoaneurysm of the left common carotid artery. A self-expanding polytetrafluoroethylene (Teflon) -covered stent was successfully deployed endovascularly, and this resulted in cessation of the bleeding and restoration of flow through the vessel. We examine the covered-stent approach to treating acute CBS, and we discuss other treatment approaches that have been described in the literature.

Objectives: 1) Describe the clinical and radiologic presentation of supraglottic cyst 2) Discuss ... more Objectives: 1) Describe the clinical and radiologic presentation of supraglottic cyst 2) Discuss the management of this condition. 3) Review the existing literature.

Otolaryngology - Head and Neck Surgery, 2010

Two patients were treated for congenital glottic webs. Both patients required only one procedure ... more Two patients were treated for congenital glottic webs. Both patients required only one procedure to obtain symptomatic relief. 17 of the 26 patients treated for RRP manifested anterior webs prior to our treatment. 41 percent of patients that developed a web prior to mitomycin therapy ...

The Laryngoscope, 2014

The ideal animal experimental tracheostomy technique is one that is 1) safe and easy to perform, ... more The ideal animal experimental tracheostomy technique is one that is 1) safe and easy to perform, 2) requires no tracheostomy tube, and 3) requires minimal cleaning or suctioning to maintain patency. The leporine model for airway injury has been well established and offers an inexpensive and practical animal model for experimental evaluation. However, previous research has demonstrated a high mortality rate with survival airway surgery in rabbits. This study demonstrates the feasibility of airway management in the leporine model using a simple maturing suture tracheostomy that avoids a tracheostomy tube. Tracheostomy was performed in six New Zealand white rabbits in the setting of survival surgery over a 2-week study period. A vertical tracheal incision was made from the second to the sixth tracheal ring. The anterior portion of the tracheal rings was removed and the skin surrounding the stoma was sutured down to the tracheal wall. The lateral tracheal wall was then suspended to the soft tissue in the lateral neck. All six rabbits survived the study period with minimal care and maintained stoma patency until sacrifice. Granulation tissue and edema were noted during the first week and largely resolved by the second week. An average of 5-mm-diameter stoma was measured 14 days after surgery without intraluminal stenosis or laryngeal edema. This method meets the defined criteria for the ideal experimental tracheostomy, demonstrating potential benefit in a laryngotracheal stenosis model and a rabbit model of evoked phonation. NA Laryngoscope, 125:680-684, 2015.

Facial Plastic Surgery, 2010

Parotid trauma can lead to both short and long-term complications such as bleeding, infection, fa... more Parotid trauma can lead to both short and long-term complications such as bleeding, infection, facial nerve injury, sialocele, and salivary fistula, resulting in pain and disfigurement. Facial injuries inferior to a line extended from the tragus to the upper lip should raise concern for parotid injury. These injuries can be stratified into three regions as they relate to the masseter muscle. Injuries posing the greatest risk of damage to Stensen's duct include those anterior to the posterior border of the masseter and necessitate exploration. When the duct is disrupted, emphasis should be placed on primary repair or re-creation of the papilla; however, proximal ductal lacerations can be treated by ligation of the proximal segment. Isolated parenchymal injury can be treated with more conservative means. Sialocele and salivary fistula can frequently be managed nonoperatively with antibiotics, pressure dressings, and serial aspiration. Anticholinergic medications and the injection of botulinum toxin represent additional measures before resorting to surgical therapies such as tympanic neurectomy or parotidectomy.

Otolaryngology - Head and Neck Surgery, 2009

To evaluate the readability of patient-oriented online health information (OHI) presented on the ... more To evaluate the readability of patient-oriented online health information (OHI) presented on the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS) website. STUDY DESIGN: Review of the Flesch-Kincaid (FK) grade level for 104 articles on the AAO-HNS website.

The Laryngoscope, 2007

Approximately 6 weeks after an uncomplicated tonsillectomy for chronic tonsillitis, a 37-year-old... more Approximately 6 weeks after an uncomplicated tonsillectomy for chronic tonsillitis, a 37-year-old woman presented to our emergency department with complaints of odynophagia and cervical pain persistent since surgery. Computed tomographic and magnetic resonance imaging revealed cervical spinal osteomyelitis with epidural abscess at C2 to 3. The patient underwent treatment with intravenous antibiotics, operative debridement, and cervical spinal stabilization. She recovered with no neurologic deficit.

The Laryngoscope, 2009

... Correspondence: Dr Brian D. Nicholas, MD, Thomas Jefferson University ... No initial attempt ... more ... Correspondence: Dr Brian D. Nicholas, MD, Thomas Jefferson University ... No initial attempt was made to perform the diverticulostomy without the temporary diverticulopexy in these cases, leading to some uncertainty as to whether the endosuture was absolutely necessary. ...

The Laryngoscope, 2011

To investigate patient outcomes with large-diameter bougienage in isolated cricopharyngeal dysfun... more To investigate patient outcomes with large-diameter bougienage in isolated cricopharyngeal dysfunction and understand how esophageal dilatation can be used as an effective diagnostic and therapeutic modality in treating dysphagia. Retrospective review. A retrospective chart review was performed on 46 patients meeting the criteria for cricopharyngeal dysphagia from 2004 to 2008 presenting in the outpatient setting. Patients were treated with 60 French esophageal dilators. Outcomes were analyzed as a function of symptomatology, manometry, duration of benefit, and safety. Over the period reviewed, 59 dilatations were performed on 46 patients with cricopharyngeal dysfunction. Eight patients were dilated more than once. Four patients were lost to follow-up. The average starting Functional Outcome Swallowing Score (FOSS) was 2.07. Of the patients reviewed, 64.29% experienced an improvement in their FOSS with a median duration of 741 days. There were five minor complications and no major complications. In the largest series of esophageal dilatation for cricopharyngeal dysfunction in the literature, we found large-bore bougienage to have significant utility due to its efficacy, ease of use, and safety when compared to other modalities such as botulinum injection, balloon dilatation, and cricopharyngeal myotomy.

The Laryngoscope, 2008

Objectives: Percutaneous dilational tracheotomy procedures have been used successfully as a bedsi... more Objectives: Percutaneous dilational tracheotomy procedures have been used successfully as a bedside alternative to open surgical tracheotomy. At our institution, we have seen patients with tracheal injuries following this procedure. In this paper, we review those cases to demonstrate that tracheal stenosis is a potential long-term complication of percutaneous dilational tracheotomy.

Otolaryngology -- Head and Neck Surgery, 2000

The Laryngoscope, 2009

1. Describe the clinical presentation of a lingual abscess secondary to a foreign body. 2) Discus... more 1) Describe the clinical presentation of a lingual abscess secondary to a foreign body. 2) Discuss the workup of glossopharyngeal neuralgia (GN). 3) Review existing literature. Illustrative case report and literature review generated by PubMed citation search. This is a report of a patient who presented with severe tongue and ear pain, initially diagnosed with glossopharyngeal neuralgia. He subsequently returned with acute neck swelling, altered mental status, and rapidly progressive airway edema. After securing his airway, radiographic imaging confirmed a lingual abscess with a linear foreign body. He was taken emergently to the operating room for neck exploration with incision and drainage of the abscess. Despite inability to locate the foreign body, he had complete resolution of the abscess and airway edema. Subsequent CT scanning confirms the continued presence of the foreign body consistent with a grill cleaning brush bristle. Lingual abscesses are extremely uncommon. Diagnosis may be difficult and as a consequence, when they occur, they may result in airway compromise or sepsis. Major textbooks often omit description of this entity, which has been associated with oral trauma and with retained foreign bodies such as fish bones. This is the first case report of a near fatal lingual abscess due to a bristle from a grill cleaning brush. To date, there has been no published literature describing the development of a lingual abscess secondary to a bristle from a grill cleaning brush. We describe the presentation and management of this condition and how it may mimic glossopharyngeal neuralgia.