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Neff K, McKean E, Miller M, Fitzgerald JT, Owens L, Morgan HK. How medical students' trauma histories affect their clinical clerkship experiences. Clin Teach 2024:e13734. [PMID: 38247167 DOI: 10.1111/tct.13734] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2023] [Accepted: 11/29/2023] [Indexed: 01/23/2024]
Abstract
BACKGROUND As the gender demographics of medical students have evolved over the past decades, it is important to understand potential stressors and challenges that may affect clinical learning experiences. This study investigated the prevalence of prior sexual assault (SA) and interpersonal violence (IPV) in medical students and how these affect their clinical clerkship experiences. METHODS A survey was distributed to third- and fourth-year medical students at a single institution in August 2022 querying respondents on demographics and prior experiences with SA/IPV at any point in their lives. Respondents who indicated they had previously experienced SA/IPV were directed to questions about how these experiences affected clerkships. FINDINGS Of 419 students, 125 responded to the survey (30.8% response rate). Forty (31.1%) reported a history of SA/IPV-32 (80.0%) women, five (12.5%) men, and three (7.5%) who did not report gender or identified as non-binary. Of the 40 respondents with a history of SA/IPV, 20 (50.0%) reported that their prior history affected their overall clinical experience, and nine (22.5%) felt that it affected their performance. Only seven (17.5%) reported using any resources, such as counselling, during their clerkships. Narrative responses discussed significant effects on performing physical exams, taking a history, interacting with team members, and engaging during clerkships. DISCUSSION This work demonstrates the high number of students affected by SA/IPV and how these prior experiences affected core components of their clerkship experiences. CONCLUSIONS Institutions must be proactive to create better supports for learners with histories of trauma, including SA/IPV.
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Affiliation(s)
- Katherine Neff
- Medical School, University of Michigan, Ann Arbor, Michigan, USA
| | - Erin McKean
- Department of Otolaryngology, University of Michigan, Ann Arbor, Michigan, USA
| | - Madison Miller
- Department of Obstetrics and Gynecology, Henry Ford Health, Detroit, Michigan, USA
| | - James T Fitzgerald
- Department of Learning Health Sciences, University of Michigan, Ann Arbor, Michigan, USA
| | - Lauren Owens
- Department of Obstetrics and Gynecology, University of Washington, Seattle, Washington, USA
| | - Helen K Morgan
- Department of Obstetrics and Gynecology, Department of Learning Health Sciences, University of Michigan, Ann Arbor, Michigan, USA
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Parikh KP, Motiwala M, Beer-Furlan A, Michael LM, Rangarajan SV, Choby GW, Kshettry VR, Saleh S, Mukherjee D, Kirsch C, McKean E, Sorenson JM. Erratum: Skull Base Registries: A Roadmap. J Neurol Surg B Skull Base 2023; 83:e1. [PMID: 36644671 PMCID: PMC9839424 DOI: 10.1055/s-0043-1760842] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2022] [Accepted: 08/29/2022] [Indexed: 01/15/2023] Open
Abstract
[This corrects the article DOI: 10.1055/a-1934-9191.].
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Affiliation(s)
- Kara P. Parikh
- Department of Neurosurgery, The University of Tennessee Health Science Center, Memphis, Tennessee, United States
| | - Mustafa Motiwala
- Department of Neurosurgery, The University of Tennessee Health Science Center, Memphis, Tennessee, United States
| | - Andre Beer-Furlan
- Department of Neurosurgery, Moffitt Cancer Center, Tampa, Florida, United States
| | - L. Madison Michael
- Department of Neurosurgery, The University of Tennessee Health Science Center, Memphis, Tennessee, United States
| | - Sanjeet V. Rangarajan
- Department of Otolaryngology-Head and Neck Surgery, The University of Tennessee Health Science Center College of Medicine Memphis, Memphis, Tennessee, United States
| | - Garret W. Choby
- Department of Otorhinolaryngology, Mayo Clinic Rochester, Rochester, Minnesota, United States
| | - Varun R. Kshettry
- Brain Tumor and Neuro-Oncology Center Cleveland Clinic, Cleveland, Ohio, United States
| | - Sara Saleh
- Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan, United States
| | - Debraj Mukherjee
- Department of Neurosurgery, Johns Hopkins Medical Institutions Campus, Baltimore, Maryland, United States
| | - Claudia Kirsch
- Yale University School of Medicine Department of Radiology and Biomedical Imaging, New Haven, Connecticut, United States,Department of Clinical Dentistry, University of Sheffield, Sheffield, South Yorkshire, England,Mount Sinai Biomedical Engineering and Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, New York, United States
| | - Erin McKean
- Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan, United States,Department of Otolaryngology–Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
| | - Jeffrey M. Sorenson
- Department of Neurosurgery, University of Tennessee Health Science Center College of Medicine, Memphis, Tennessee, United States,Address for correspondence Jeffrey M. Sorenson, MD Department of Neurosurgery, University of Tennessee Health Science Center College of Medicine6325 Humphreys Boulevard Memphis, TN 38120United States
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Parikh KP, Motiwala M, Beer-Furlan A, Michael LM, Rangarajan SV, Choby GW, Kshettry VR, Saleh S, Mukherjee D, Kirsch C, McKean E, Sorenson JM. Skull Base Registries: A Roadmap. J Neurol Surg B Skull Base 2022; 83:561-578. [PMID: 36393883 PMCID: PMC9653294 DOI: 10.1055/a-1934-9191] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2022] [Accepted: 08/29/2022] [Indexed: 01/17/2023] Open
Abstract
Hospitals, payors, and patients increasingly expect us to report our outcomes in more detail and to justify our treatment decisions and costs. Although there are many stakeholders in surgical outcomes, physicians must take the lead role in defining how outcomes are assessed. Skull base lesions interact with surrounding anatomy to produce a complex spectrum of presentations and surgical challenges, requiring a wide variety of surgical approaches. Moreover, many skull base lesions are relatively rare. These factors and others often preclude the use of prospective randomized clinical trials, thus necessitating alternate methods of scientific inquiry. In this paper, we propose a roadmap for implementing a skull base registry, along with expected benefits and challenges.
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Affiliation(s)
- Kara P. Parikh
- Department of Neurosurgery, The University of Tennessee Health Science Center, Memphis, Tennessee, United States
| | - Mustafa Motiwala
- Department of Neurosurgery, The University of Tennessee Health Science Center, Memphis, Tennessee, United States
| | - Andre Beer-Furlan
- Department of Neurosurgery, Moffitt Cancer Center, Tampa, Florida, United States
| | - L. Madison Michael
- Department of Neurosurgery, The University of Tennessee Health Science Center, Memphis, Tennessee, United States
| | - Sanjeet V. Rangarajan
- Department of Otolaryngology-Head and Neck Surgery, The University of Tennessee Health Science Center College of Medicine Memphis, Memphis, Tennessee, United States
| | - Garret W. Choby
- Department of Otorhinolaryngology, Mayo Clinic Rochester, Rochester, Minnesota, United States
| | - Varun R. Kshettry
- Brain Tumor and Neuro-Oncology Center Cleveland Clinic, Cleveland, Ohio, United States
| | - Sara Saleh
- Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan, United States
| | - Debraj Mukherjee
- Department of Neurosurgery, Johns Hopkins Medical Institutions Campus, Baltimore, Maryland, United States
| | - Claudia Kirsch
- Yale University School of Medicine Department of Radiology and Biomedical Imaging, New Haven, Connecticut, United States
- Department of Clinical Dentistry, University of Sheffield, Sheffield, South Yorkshire, England
- Mount Sinai Biomedical Engineering and Imaging Institute, Icahn School of Medicine at Mount Sinai, New York, New York, United States
| | - Erin McKean
- Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan, United States
- Department of Otolaryngology–Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
| | - Jeffrey M. Sorenson
- Department of Neurosurgery, University of Tennessee Health Science Center College of Medicine, Memphis, Tennessee, United States
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McKean E. Response to Elmaraghi et al. re: "Maxillofacial Trauma Management During COVID-19: Multidisciplinary Recommendations". Facial Plast Surg Aesthet Med 2020; 22:314. [PMID: 32525716 DOI: 10.1089/fpsam.2020.0307] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Erin McKean
- Departments of Otolaryngology-Head and Neck Surgery and Neurosurgery, University of Michigan-Michigan Medicine, Ann Arbor, Michigan, USA
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Edwards SP, Kasten S, Nelson C, Elner V, McKean E. Maxillofacial Trauma Management During COVID-19: Multidisciplinary Recommendations. Facial Plast Surg Aesthet Med 2020; 22:157-159. [PMID: 32255713 DOI: 10.1089/fpsam.2020.0158] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Affiliation(s)
- Sean P Edwards
- Section of Oral and Maxillofacial Surgery, Department of Surgery, University of Michigan-Michigan Medicine, Ann Arbor, Michigan, USA
| | - Steve Kasten
- Section of Plastic Surgery, Department of Surgery, University of Michigan-Michigan Medicine, Ann Arbor, Michigan, USA
| | - Christine Nelson
- Section of Plastic Surgery, Department of Surgery, University of Michigan-Michigan Medicine, Ann Arbor, Michigan, USA
- Department of Ophthalmology, Oculoplastics Division, University of Michigan-Michigan Medicine, Ann Arbor, Michigan, USA
| | - Vic Elner
- Department of Ophthalmology, Oculoplastics Division, University of Michigan-Michigan Medicine, Ann Arbor, Michigan, USA
| | - Erin McKean
- Department of Otolaryngology-Head and Neck Surgery, University of Michigan-Michigan Medicine, Ann Arbor, Michigan, USA
- Sections of Neurosurgery, University of Michigan-Michigan Medicine, Ann Arbor, Michigan, USA
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Haring C, Swiecicki P, Jewell B, Worden F, Casper K, Chinn S, Shuman A, Spector M, Malloy K, Prince M, Bradford C, Stucken C, McKean E, Rosko A, Mclean S, Eisbruch A, Chapman C, Cao Y, Mierzwa M, Brenner J. Circulating Tumor HPV DNA Characteristics in High Risk Oropharyngeal Squamous Cell Carcinoma. Int J Radiat Oncol Biol Phys 2020. [DOI: 10.1016/j.ijrobp.2019.11.120] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Fessell D, McKean E, Wagenschutz H, Cole M, Santen SA, Cermak R, Zurales K, Kukora S, Lantz-Gefroh V, Kaplan-Liss E, Alda A. Medical Improvisation Training for all Medical Students: 3-Year Experience. Med Sci Educ 2020; 30:87-90. [PMID: 34457643 PMCID: PMC8368574 DOI: 10.1007/s40670-019-00885-0] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/13/2023]
Abstract
INTRODUCTION Effective communication has been shown to improve patients' health outcomes. This study utilizes medical improvisation techniques to teach communication skills to an entire medical school class. METHODS Required workshops were held for entering third-year students from 2005 to 2017. Workshop evaluations were obtained immediately following each session and at 3 months post-workshop for one cohort. RESULTS Four hundred ninety-four medical students participated in the improvisation workshops. Over 90% of students rated the workshops as above average or excellent. Students reported a gain in insights regarding their role as a physician (≥ 90%), an improvement in their ability to demonstrate effective communication (80-87%), and a positive impact on teamwork (91-93%). At 3 months post-workshop, 84% of students reported they had used at least 1 improvisation skill on their clinical wards (50% response rate). CONCLUSIONS This study demonstrates that medical improvisation exercises can be scaled to an entire class of medical students versus a self-selected group of students. Further, we found that students felt that it improved their communication. This study also provides new insights regarding specific improvisation exercises that are most useful for the clinical environment.
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Affiliation(s)
- David Fessell
- University of Michigan Medical School, Ann Arbor, MI USA
| | - Erin McKean
- University of Michigan Medical School, Ann Arbor, MI USA
| | | | - Michael Cole
- University of Michigan Medical School, Ann Arbor, MI USA
| | - Sally A. Santen
- Virginia Commonwealth University School of Medicine, Richmond, VA USA
| | | | - Katie Zurales
- University of Michigan Medical School, Ann Arbor, MI USA
| | | | - Valeri Lantz-Gefroh
- Texas Christian University and University of North Texas Health Science Center School of Medicine, Fort Worth, TX USA
| | - Evonne Kaplan-Liss
- Texas Christian University and University of North Texas Health Science Center School of Medicine, Fort Worth, TX USA
| | - Alan Alda
- Stony Brook University, Stony Brook, NY USA
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8
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Manton T, Tillman B, McHugh J, Bellile E, McLean S, McKean E. Sinonasal Melanoma: A Single Institutional Analysis and Future Directions. J Neurol Surg B Skull Base 2018; 80:484-492. [PMID: 31534890 DOI: 10.1055/s-0038-1676355] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2018] [Accepted: 10/06/2018] [Indexed: 12/20/2022] Open
Abstract
Background Sinonasal melanoma is a rare disease with a high mortality rate. The surgical management paradigm has significantly changed over the past decade with the introduction of expanded endonasal techniques. There have also been advances in management of metastatic and locally advanced disease with the advent of immunotherapy. Methods Single-institution retrospective review of adult patients with sinonasal melanoma, surgically managed at the University of Michigan over a 9-year period. Thirty-one patients met inclusion criteria. All patients were retrospectively staged according to the 7th Edition AJCC staging system for mucosal melanoma. Parameters that may affect survival were analyzed using Cox's proportional hazard models and survival outcomes were analyzed with the Kaplan-Meier method. Additionally, a review of three patients with distant metastatic disease receiving immunotherapy is presented. Results Most patients were managed endoscopically (67%), and had stage III disease (71%). However, 57% of stage IVB tumors were successfully managed endoscopically. Stage statistically impacted overall survival whereas distant control was impacted by stage, site of origin, mitotic rate, and necrosis. The 2-year overall survival for all stages was 77% which declined with advanced disease. Two-year locoregional control and distant control showed similar trends. Conclusion Treatment of sinonasal melanoma has drastically changed over the past decade with increased use of expanded endonasal techniques. Our review revealed excellent 2-year overall survival in stage III disease with an appreciable decline in survival in more advanced disease. Immunotherapy may play a large role is future management given the high-risk of distant metastasis.
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Affiliation(s)
- Taylor Manton
- Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
| | - Brittny Tillman
- Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
| | - Jonathan McHugh
- Michigan Medicine Department of Pathology, Ann Arbor, Michigan, United States
| | - Emily Bellile
- The Center for Cancer Biostatistics, University of Michigan, M2030-28 SPH II, School of Public Health II, Ann Arbor, Michigan, United States
| | - Scott McLean
- Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
| | - Erin McKean
- Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
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Abstract
PURPOSE Hypopituitary patients are assumed to have decreased QoL due to GHD. However, in placebo controlled trials, the effects of GH replacement are no different from placebo. Hydrocortisone dose > 20 mg/day and pituitary radiation are independently associated with poorer QoL. We assessed QoL in panhypopituitary GH- deficient patients never treated with GH. METHODS Study group was divided into: (a) surgery followed by radiation (n = 21) and (b) surgery alone (n = 32). Mean duration of GHD was 71.4 ± 7.8 months and mean daily hydrocortisone dose was 15 ± 0.7 mg. Control group had transnasal surgery for benign sinus conditions (n = 54). RESULTS AGHDA scores were significantly worse in the entire study group compared to controls (8.1 ± 1.0 vs. 5.1 ± 0.9, p = 0.03). In patients with history of radiation therapy AGHDA scores were significantly worse than in controls (9.1 ± 1.5, p = 0.02) and SNOT-22 (Sino-Nasal Outcome Test) scores were also significantly worse (15.8 ± 2.0 vs. 23.2 ± 3.5, p = 0.04). However, AGHDA scores in patients without history of radiation and on "physiological" dose of hydrocortisone were similar to those in controls (5.1 ± 0.9 vs. 7.3 ± 1.3, p = 0.17). CONCLUSIONS Replacement with hydrocortisone doses not exceeding 20 mg/day and avoidance of radiation therapy was accompanied by normal QoL in patients not replaced with GH. Thus, we suggest that the decreased QoL in hypopituitary patients may not be due to GH deficiency per se, but rather to high hydrocortisone doses and to aftereffects of cranial radiation.
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Affiliation(s)
- Adnan Ajmal
- Division of Metabolism, Endocrinology and Diabetes, Department of Medicine, University of Michigan, 24 Frank Lloyd Wright Drive, G-1500, Ann Arbor, MI, 48106, USA
| | - Erin McKean
- Department of Otolaryngology, University of Michigan, Ann Arbor, MI, USA
- Department of Neurosurgery, University of Michigan, Ann Arbor, MI, USA
| | - Stephen Sullivan
- Department of Neurosurgery, University of Michigan, Ann Arbor, MI, USA
| | - Ariel Barkan
- Division of Metabolism, Endocrinology and Diabetes, Department of Medicine, University of Michigan, 24 Frank Lloyd Wright Drive, G-1500, Ann Arbor, MI, 48106, USA.
- Department of Neurosurgery, University of Michigan, Ann Arbor, MI, USA.
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Nadel J, McKean E. Geographic Distribution of Skull Base Malignancies: Using Spatial Epidemiology to Better Understand the Etiology Rare Cancers. Skull Base Surg 2018. [DOI: 10.1055/s-0038-1633796] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Jeffrey Nadel
- University of Michigan Medical School, Ann Arbor, Michigan, United States
| | - Erin McKean
- Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
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Hanks J, Kovatch K, Ali S, Stucken E, Spector M, McKean E. Numerous Severe Long-Term Sequelae of Skull Base Proton Beam Radiation for Infantile Clival Chordoma: An Illustrative Case Report. Skull Base Surg 2018. [DOI: 10.1055/s-0038-1633699] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- John Hanks
- Department of Otolaryngology Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
| | - Kevin Kovatch
- Department of Otolaryngology Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
| | - Syed Ali
- Department of Otolaryngology Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
| | - Emily Stucken
- Department of Otolaryngology Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
| | - Matthew Spector
- Department of Otolaryngology Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
| | - Erin McKean
- Department of Otolaryngology Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
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Heft Neal M, Birkeland A, VanKoevering K, Brenner J, Lawence M, Sullivan S, McKean E. Sinonasal Undifferentiated Carcinoma: An Update on Survival and Prognostic Markers. Skull Base Surg 2018. [DOI: 10.1055/s-0038-1633606] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
| | | | | | - J. Brenner
- University of Michigan, Ann Arbor, Michigan, United States
| | | | | | - Erin McKean
- University of Michigan, Ann Arbor, Michigan, United States
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Kovatch K, Heft Neal M, Michmerhuizen N, Owen J, Ali S, Brenner J, Prince M, Sullivan S, McKean E. Pediatric Clival Chordoma: A Case Series and Rationale for Next-Generation Sequencing. Skull Base Surg 2018. [DOI: 10.1055/s-0038-1633588] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Kevin Kovatch
- Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
| | - Molly Heft Neal
- Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
| | - Nicole Michmerhuizen
- Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
| | - John Owen
- Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
| | - S. Ali
- Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
| | - J. Brenner
- Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
| | - Mark Prince
- Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
| | - Stephen Sullivan
- Department of Neurosurgery, University of Michigan, Ann Arbor, Michigan, United States
| | - Erin McKean
- Department of Otolaryngology-Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
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Ali S, Kovatch K, Hanks J, Sullivan S, McKean E. Single-Center Experience of Solitary Bone Plasmacytoma of the Vertebral Column in Comparison with Extramedullary Plasmacytoma of the Skull Base. Skull Base Surg 2018. [DOI: 10.1055/s-0038-1633794] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- S. Ali
- University of Michigan Health System, Ann Arbor, Michigan, United States
| | - Kevin Kovatch
- University of Michigan Health System, Ann Arbor, Michigan, United States
| | - John Hanks
- University of Michigan Health System, Ann Arbor, Michigan, United States
| | - Stephen Sullivan
- University of Michigan Health System, Ann Arbor, Michigan, United States
| | - Erin McKean
- University of Michigan Health System, Ann Arbor, Michigan, United States
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Ibrahim N, Hollon T, Trobe J, Barkan A, Sullivan S, McKean E. Visual Acuity Outcome in Patients with Acute Pituitary Apoplexy after Hyperacute Transsphenoidal Surgery. Skull Base Surg 2018. [DOI: 10.1055/s-0038-1633552] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Nadine Ibrahim
- University of Michigan, Ann Arbor, Michigan, United States
| | - Todd Hollon
- University of Michigan, Ann Arbor, Michigan, United States
| | - Jonathan Trobe
- University of Michigan, Ann Arbor, Michigan, United States
| | - Ariel Barkan
- University of Michigan, Ann Arbor, Michigan, United States
| | | | - Erin McKean
- University of Michigan, Ann Arbor, Michigan, United States
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Manton T, Tillman B, McHugh J, Bellile E, McKean E, McLean S. Sinonasal Melanoma: A Single-Institution Analysis and Future Directions. Skull Base Surg 2018. [DOI: 10.1055/s-0038-1633454] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- Taylor Manton
- University of Michigan, Ann Arbor, Michigan, United States
| | | | | | - Emily Bellile
- University of Michigan, Ann Arbor, Michigan, United States
| | - Erin McKean
- University of Michigan, Ann Arbor, Michigan, United States
| | - Scott McLean
- University of Michigan, Ann Arbor, Michigan, United States
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VanKoevering K, Sabetsavestani K, Lee J, Barkan A, Mierzwa M, McKean E. Radiation-Induced Hypopituitarism in Cranial Base Malignancies: Clinical Outcomes, Screening, and Dosimetric Analysis. Skull Base Surg 2018. [DOI: 10.1055/s-0038-1633597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
| | | | - Jae Lee
- Princeton University, Princeton, New Jersey, United States
| | - Ariel Barkan
- University of Michigan, Ann Arbor, Michigan, United States
| | | | - Erin McKean
- University of Michigan, Ann Arbor, Michigan, United States
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18
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Hanks J, Kovatch K, Ali S, McHugh J, McKean E. Highly Variable Presentation, Natural History, and Treatment in Sinonasal Phosphaturic Mesenchymal Tumors: Two Markedly Contrasting Cases. Skull Base Surg 2018. [DOI: 10.1055/s-0038-1633799] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Affiliation(s)
- John Hanks
- Department of Otolaryngology - Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
| | - Kevin Kovatch
- Department of Otolaryngology - Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
| | - Syed Ali
- Department of Otolaryngology - Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
| | - Jonathan McHugh
- Department of Pathology, University of Michigan, Ann Arbor, Michigan, United States
| | - Erin McKean
- Department of Otolaryngology - Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan, United States
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Marini BL, Benitez LL, Zureick AH, Salloum R, Gauthier AC, Brown J, Wu YM, Robinson DR, Kumar C, Lonigro R, Vats P, Cao X, Kasaian K, Anderson B, Mullan B, Chandler B, Linzey JR, Camelo-Piragua SI, Venneti S, McKeever PE, McFadden KA, Lieberman AP, Brown N, Shao L, Leonard MAS, Junck L, McKean E, Maher CO, Garton HJL, Muraszko KM, Hervey-Jumper S, Mulcahy-Levy JM, Green A, Hoffman LM, Dorris K, Vitanza NA, Wang J, Schwartz J, Lulla R, Smiley NP, Bornhorst M, Haas-Kogan DA, Robertson PL, Chinnaiyan AM, Mody R, Koschmann C. Blood-brain barrier-adapted precision medicine therapy for pediatric brain tumors. Transl Res 2017; 188:27.e1-27.e14. [PMID: 28860053 PMCID: PMC5584679 DOI: 10.1016/j.trsl.2017.08.001] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/17/2017] [Revised: 07/24/2017] [Accepted: 08/04/2017] [Indexed: 10/19/2022]
Abstract
Targeted chemotherapeutics provide a promising new treatment option in neuro-oncology. The ability of these compounds to penetrate the blood-brain barrier is crucial for their successful incorporation into patient care. "CNS Targeted Agent Prediction" (CNS-TAP) is a multi-institutional and multidisciplinary translational program established at the University of Michigan for evaluating the central nervous system (CNS) activity of targeted therapies in neuro-oncology. In this report, we present the methodology of CNS-TAP in a series of pediatric and adolescent patients with high-risk brain tumors, for which molecular profiling (academic and commercial) was sought and targeted agents were incorporated. Four of five of the patients had potential clinical benefit (partial response or stable disease greater than 6 months on therapy). We further describe the specific drug properties of each agent chosen and discuss characteristics relevant in their evaluation for therapeutic suitability. Finally, we summarize both tumor and drug characteristics that impact the ability to successfully incorporate targeted therapies into CNS malignancy management.
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Affiliation(s)
- Bernard L Marini
- Michigan Medicine, Department of Pharmacy Services, Ann Arbor, Mich
| | - Lydia L Benitez
- Michigan Medicine, Department of Pharmacy Services, Ann Arbor, Mich; University of Kentucky Healthcare, Department of Pharmacy, Lexington, Ky
| | | | - Ralph Salloum
- Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio
| | | | - Julia Brown
- Michigan Medicine, Department of Pharmacy Services, Ann Arbor, Mich
| | - Yi-Mi Wu
- University of Michigan Medical School, Ann Arbor, Mich
| | | | - Chandan Kumar
- University of Michigan Medical School, Ann Arbor, Mich
| | | | - Pankaj Vats
- University of Michigan Medical School, Ann Arbor, Mich
| | - Xuhong Cao
- University of Michigan Medical School, Ann Arbor, Mich
| | | | | | | | | | | | | | | | | | | | | | - Noah Brown
- University of Michigan Medical School, Ann Arbor, Mich
| | - Lina Shao
- University of Michigan Medical School, Ann Arbor, Mich
| | | | - Larry Junck
- University of Michigan Medical School, Ann Arbor, Mich
| | - Erin McKean
- University of Michigan Medical School, Ann Arbor, Mich
| | | | | | | | | | | | - Adam Green
- University of Colorado Denver School of Medicine, Denver, Colo
| | | | - Katie Dorris
- University of Colorado Denver School of Medicine, Denver, Colo
| | | | - Joanne Wang
- Children's Hospital of Michigan, Detroit, Mich
| | | | - Rishi Lulla
- Anne and Robert H. Lurie Children's Hospital of Chicago, Chicago Ill
| | | | | | | | | | | | - Rajen Mody
- University of Michigan Medical School, Ann Arbor, Mich
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VanKoevering K, Sabetsarvestani K, Sullivan S, Barkan A, McKean E. Pituitary Dysfunction after Radiation for Anterior Skull Base Malignancies: Incidence and Screening. Skull Base Surg 2017. [DOI: 10.1055/s-0037-1600619] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
| | | | | | - Ariel Barkan
- University of Michigan, Ann Arbor, Michigan, United States
| | - Erin McKean
- University of Michigan, Ann Arbor, Michigan, United States
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21
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Zhao X, McKean E, Basura G, Marentette L. Multidisciplinary Approach to Inflammatory Pseudotumors of the Skull Base. Skull Base Surg 2017. [DOI: 10.1055/s-0037-1600784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Xue Zhao
- University of Michigan, Ann Arbor, Michigan, United States
| | - Erin McKean
- University of Michigan, Ann Arbor, Michigan, United States
| | - Gregory Basura
- University of Michigan, Ann Arbor, Michigan, United States
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22
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Parikh A, Rosko A, Pynnonen M, Sullivan S, McKean E. 30 Day Metrics Following Endoscopic Expanded Endonasal Approach for Pituitary Adenomas. Skull Base Surg 2017. [DOI: 10.1055/s-0037-1600570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Affiliation(s)
- Adish Parikh
- University of Michigan, Ann Arbor, Michigan, United States
| | - Andrew Rosko
- University of Michigan, Ann Arbor, Michigan, United States
| | | | | | - Erin McKean
- University of Michigan, Ann Arbor, Michigan, United States
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Walline HM, Goudsmit CM, McHugh JB, Tang AL, Owen JH, Teh BT, McKean E, Glover TW, Graham MP, Prince ME, Chepeha DB, Chinn SB, Ferris RL, Gollin SM, Hoffmann TK, Bier H, Brakenhoff R, Bradford CR, Carey TE. Integration of high-risk human papillomavirus into cellular cancer-related genes in head and neck cancer cell lines. Head Neck 2017; 39:840-852. [PMID: 28236344 DOI: 10.1002/hed.24729] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/31/2016] [Revised: 11/16/2016] [Accepted: 12/29/2016] [Indexed: 12/11/2022] Open
Abstract
BACKGROUND Human papillomavirus (HPV)-positive oropharyngeal cancer is generally associated with excellent response to therapy, but some HPV-positive tumors progress despite aggressive therapy. The purpose of this study was to evaluate viral oncogene expression and viral integration sites in HPV16- and HPV18-positive squamous cell carcinoma lines. METHODS E6/E7 alternate transcripts were assessed by reverse transcriptase-polymerase chain reaction (RT-PCR). Detection of integrated papillomavirus sequences (DIPS-PCR) and sequencing identified viral insertion sites and affected host genes. Cellular gene expression was assessed across viral integration sites. RESULTS All HPV-positive cell lines expressed alternate HPVE6/E7 splicing indicative of active viral oncogenesis. HPV integration occurred within cancer-related genes TP63, DCC, JAK1, TERT, ATR, ETV6, PGR, PTPRN2, and TMEM237 in 8 head and neck squamous cell carcinoma (HNSCC) lines but UM-SCC-105 and UM-GCC-1 had only intergenic integration. CONCLUSION HPV integration into cancer-related genes occurred in 7 of 9 HPV-positive cell lines and of these 6 were from tumors that progressed. HPV integration into cancer-related genes may be a secondary carcinogenic driver in HPV-driven tumors. © 2017 Wiley Periodicals, Inc. Head Neck 39: 840-852, 2017.
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Affiliation(s)
- Heather M Walline
- Cancer Biology Program, Program in the Biomedical Sciences, Rackham Graduate School, University of Michigan, Ann Arbor, Michigan.,Department of Otolaryngology/Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan
| | - Christine M Goudsmit
- Department of Otolaryngology/Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan
| | - Jonathan B McHugh
- Department of Pathology, University of Michigan, Ann Arbor, Michigan
| | - Alice L Tang
- Department of Otolaryngology/Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan.,Department of Otolaryngology, University of Cincinnati, Cincinnati, Ohio
| | - John H Owen
- Department of Otolaryngology/Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan
| | - Bin T Teh
- National Cancer Centre - Cancer Science Institute of Singapore, Duke-NUS Graduate Medical School, Singapore
| | - Erin McKean
- Department of Otolaryngology/Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan
| | - Thomas W Glover
- Department of Human Genetics, University of Michigan, Ann Arbor, Michigan
| | - Martin P Graham
- Department of Otolaryngology/Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan
| | - Mark E Prince
- Department of Otolaryngology/Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan
| | - Douglas B Chepeha
- Department of Otolaryngology/Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan
| | - Steven B Chinn
- Department of Otolaryngology/Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan
| | - Robert L Ferris
- Department of Otolaryngology, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Susanne M Gollin
- Department of Human Genetics, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Thomas K Hoffmann
- Department of Otolaryngology, Heinrich Heine University, Dusseldorf, Germany.,Department of Otolaryngology, University of Ulm, Ulm, Germany
| | - Henning Bier
- Department of Otolaryngology, Heinrich Heine University, Dusseldorf, Germany.,Department of Otolaryngology, Technical University Medical Center, Munich, Germany
| | - Ruud Brakenhoff
- Department of Otolaryngology/Head and Neck Surgery, VU University Medical Center, Amsterdam, The Netherlands
| | - Carol R Bradford
- Department of Otolaryngology/Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan
| | - Thomas E Carey
- Department of Otolaryngology/Head and Neck Surgery, University of Michigan, Ann Arbor, Michigan
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Spector ME, Pepper JP, Sullivan S, Marentette L, McKean E. Nasopharyngeal airway to prevent tension pneumocephalus after open resection of anterior skull base tumors. Ear Nose Throat J 2016; 95:E32-E35. [PMID: 27929605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/06/2023] Open
Abstract
We conducted a retrospective study to assess the efficacy of using a nasopharyngeal airway in lieu of a tracheotomy or prolonged intubation for the diversion of airflow to prevent tension pneumocephalus after an open resection of anterior skull base tumors. Our study population was made up of 120 patients-74 males and 46 females, aged 12 to 84 years (mean: 48.7)-who had undergone an anterior skull base resection with documented nasopharyngeal airway placement from 1996 through 2009. Our main outcome measure was the presence of tension pneumocephalus while controlling for the placement of a lumbar drain, the development of a cerebrospinal fluid (CSF) leak, and the type of reconstruction. All patients had been extubated on the day of surgery, and their nasopharyngeal airway had remained in place for 3 days. No documented complications of nasopharyngeal airway placement (e.g., nasal septum pressure necrosis or the displacement of tubes) had been documented. Tension pneumocephalus occurred in 3 patients (2.5%). A total of 33 patients (27.5%) received a lumbar drain, 14 (11.7%) experienced a CSF leak, and 5 (4.2%) had both. There was a statistically significant difference in the rate of tension pneumocephalus between patients who did and did not receive a lumbar drain placement (p = 0.02), between those who did and did not experience a CSF leak (p = 0.04), and between those who did and did not meet both criteria (p = 0.004). We conclude that resection of anterior skull base tumors does not necessitate a prophylactic tracheotomy or prolonged intubation and that the use of a nasopharyngeal airway to divert airflow is well tolerated and highly successful. Lumbar drainage, the development of a CSF leak, or both may increase the risk of tension pneumocephalus.
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Affiliation(s)
- Matthew E Spector
- Department of Otolaryngology-Head and Neck Surgery, 1904 Taubman Center, 1500 E. Medical Center Dr., Ann Arbor, MI 48109, USA.
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Sabetsarvestani K, VanKoevering K, Marentette L, Sullivan S, McKean E. Effects of Smoking on Quality of Life in Patients with Malignancies of the Anterior Cranial Base. Skull Base Surg 2016. [DOI: 10.1055/s-0036-1580036] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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27
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Glazer T, Marentette L, Sullivan S, McKean E. Retrospective Review of Surgical and Adjuvant Treatment Modalities that Affect Skull Base Chordoma Recurrence Rates. Skull Base Surg 2016. [DOI: 10.1055/s-0036-1579803] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Birkeland A, Burgin S, Nor J, McHugh J, McLean S, McKean E, Brenner C. Pathogenetic Analysis of Sinonasal Teratocarcinosarcomas Reveal Beta-catenin Overexpression and an Actionable Beta-catenin Mutation. Skull Base Surg 2016. [DOI: 10.1055/s-0036-1579881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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29
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Swiecicki P, Dickerson E, Srinivasan A, Zhao L, Bellile E, Sacco A, Chepeha D, Dobrosotskaya I, Spector M, Shuman A, Malloy K, Moyer J, McKean E, Wolf G, Eisbruch A, Prince M, Bradford C, Carey T, Worden F. A Phase 2 Study Evaluating Axitinib in Patients With Unresectable, Recurrent, or Metastatic Head and Neck Cancer. Int J Radiat Oncol Biol Phys 2016. [DOI: 10.1016/j.ijrobp.2015.12.269] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Swiecicki PL, Zhao L, Belile E, Sacco AG, Chepeha DB, Dobrosotskaya I, Spector M, Shuman A, Malloy K, Moyer J, McKean E, McLean S, Wolf GT, Eisbruch A, Prince M, Bradford C, Carey T, Worden FP. A phase II study evaluating axitinib in patients with unresectable, recurrent or metastatic head and neck cancer. Invest New Drugs 2015; 33:1248-56. [DOI: 10.1007/s10637-015-0293-8] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2015] [Accepted: 10/02/2015] [Indexed: 10/23/2022]
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31
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Tillman B, Glazer T, Kroeker A, Sebetsarvastani K, Sullivan S, McLean S, Marentette L, McKean E. Endoscopic versus Open Approaches in Management of Sinonasal Melanoma. Skull Base Surg 2015. [DOI: 10.1055/s-0035-1546594] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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32
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Kroeker A, McKean E, VanKoevering K, Sullivan S, Marentette L. Perioperative and Long-Term Outcome Comparison of Pericranial versus Free Tissue Transfer Reconstruction of the Anterior Cranial Base. Skull Base Surg 2015. [DOI: 10.1055/s-0035-1546542] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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VanKoevering K, Sullivan S, McKean E. Case Report of Meckel Cave Mass and Unilateral Masseter Hypertrophy Managed with Serial Botox Injections. Skull Base Surg 2015. [DOI: 10.1055/s-0035-1546635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022]
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34
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Kroeker A, Chinn S, McKean E, Brown D, Sullivan S, Marentette L. Endoscopic versus Traditional Craniofacial Approaches in Management of Juvenile Nasopharyngeal Angiofibromas. Skull Base Surg 2014. [DOI: 10.1055/s-0034-1370443] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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35
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Glazer T, McKean E, Marentette L. Retrospective Case Series of Inflammatory Pseudotumor of the Skull Base. Skull Base Surg 2014. [DOI: 10.1055/s-0034-1370601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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36
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Tillman B, Kroeker A, Brinkmeier J, McKean E. Minimally Invasive Approaches for Resection of Parameningeal Rhabdomyosarcomas. Skull Base Surg 2014. [DOI: 10.1055/s-0034-1370605] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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37
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McKean E, Burgin S, Sullivan S, Nor J, Brenner C. Targetable Pathway Genome Sequencing for a Sinonasal Teratocarcinosarcoma and Xenograft Chemotherapeutic Testing for Personalized Medicine. Skull Base Surg 2014. [DOI: 10.1055/s-0034-1370602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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Burgin S, McDaniel A, McHugh J, Sullivan S, McKean E. ACTH-Secreting Esthesioneuroblastoma Occurring after Treatment for Crooke's Cell Adenoma. Skull Base Surg 2014. [DOI: 10.1055/s-0034-1370640] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
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39
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Tai B, Wang A, Plott J, Shih A, McKean E, Sullivan S. Design of Physical Surgical Simulator for Drilling in the Expanded Endonasal Approach to the Skull Base. Skull Base Surg 2013. [DOI: 10.1055/s-0033-1336219] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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40
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Al-Holou W, Stetler W, Wilson T, Chinn S, McKean E, Sullivan S. Skull Base Plasmacytomas: Surgical Approach and Review of Management. Skull Base Surg 2013. [DOI: 10.1055/s-0033-1336271] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Wang A, Abuzeid W, Hervey-Jumper S, Altshuler D, Owen J, Carey T, Prince M, McKean E, Sullivan S. FLLL32 STAT3 Inhibition Is Effective Against Chordoma in Vitro. Skull Base Surg 2013. [DOI: 10.1055/s-0033-1336260] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Kroeker A, Kang S, Wilson T, Sullivan S, McKean E. Patient and Perioperative Factors Influencing Blood Loss in Endoscopic Transsphenoidal Resection of Pituitary Tumors. Skull Base Surg 2013. [DOI: 10.1055/s-0033-1336161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Stetler W, Sullivan S, McKean E. A Case of Isolated Intracranial Rosai-Dorfman Disease Presenting as a Middle Fossa Mass. Skull Base Surg 2013. [DOI: 10.1055/s-0033-1336263] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Wilson T, McKean E, Barkan A, Chandler W, Sullivan S. Repeat Endoscopic Transsphenoidal Surgery for Acromegaly: Remission and Complications. Skull Base Surg 2013. [DOI: 10.1055/s-0033-1336243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Gemmete J, Gao M, Pandey A, Chaudhary N, Sullivan S, McKean E, Marentette L. P-040 A comparison between particulate and Onyx embolization for devascularization of Juvenile angiofibromas prior to surgical resection. J Neurointerv Surg 2012. [DOI: 10.1136/neurintsurg-2012-010455b.40] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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46
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Gallagher K, Pepper J, Light E, McKean E, Marentette L, McHugh J. Esthesioneuroblastoma: Updating Histologic Grading as It Relates to Prognosis. Skull Base Surg 2012. [DOI: 10.1055/s-0032-1312161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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47
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Tai B, Shih A, McKean E, Sullivan S. A Thermal Injury Alarm System in the Expanded Endonasal Approach to the Skull Base. Skull Base Surg 2012. [DOI: 10.1055/s-0032-1312092] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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48
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Abuzeid W, Akbar N, Sullivan S, Marentette L, McKean E. Skull Base Chordoma: Results and Outcomes of Minimally Invasive Approaches in a Single Institution. Skull Base Surg 2012. [DOI: 10.1055/s-0032-1312061] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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49
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Kang S, Spector M, Sullivan S, McKean E. Concurrent Pituitary Adenoma and Chordoma. Skull Base Surg 2012. [DOI: 10.1055/s-0032-1312222] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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50
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Garrana S, McKean E, Marentette L. Inflammatory Pseudotumor Involving the Parapharyngeal Space and Skull Base. Skull Base Surg 2012. [DOI: 10.1055/s-0032-1312255] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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