2023
Portable MRI to assess optic chiasm decompression after endoscopic endonasal resection of sellar and suprasellar lesions.
Hong C, Lamsam L, Yadlapalli V, Parasuram N, Mazurek M, Chavva I, Lalwani D, Zabinska J, Schiff S, Manes R, Vining E, Rimmer R, Kimberly W, Sheth K, Omay S. Portable MRI to assess optic chiasm decompression after endoscopic endonasal resection of sellar and suprasellar lesions. Journal Of Neurosurgery 2023, 139: 1664-1670. PMID: 37347618, DOI: 10.3171/2023.5.jns23174.Peer-Reviewed Original ResearchMeSH KeywordsDecompressionHumansMagnetic Resonance ImagingOptic ChiasmPituitary NeoplasmsReproducibility of ResultsRetrospective StudiesConceptsEndoscopic endonasal surgeryOptic nerve decompressionEndonasal surgerySuprasellar lesionsNerve decompressionOptic chiasmThird ventricleConventional MRIOptic chiasm compressionEndoscopic endonasal resectionChiasm compressionPreoperative imagingSingle institutionEndonasal resectionMRI availabilityRoutine MRISignificant interrater reliabilitySuprasellar pathologiesSurgeryNeurosurgical oncologyLinear mixed-effects modelsPortable MRIPatientsMRIMixed-effects models
2022
Trends in Billing and Medicare Reimbursement for In-Office Cerumen Removal by Otolaryngologists and Other Providers
Patel R, Torabi S, Kasle D, Kayastha D, Manes R. Trends in Billing and Medicare Reimbursement for In-Office Cerumen Removal by Otolaryngologists and Other Providers. Annals Of Otology Rhinology & Laryngology 2022, 132: 410-416. PMID: 35894062, DOI: 10.1177/00034894221096980.Peer-Reviewed Original ResearchMeSH KeywordsAgedCerumenHumansMedicareOtolaryngologistsPractice Patterns, Physicians'Retrospective StudiesUnited StatesConceptsAdvanced practice providersGeneral physiciansProvider typeCerumen removalMedicare reimbursementRural settingsTotal Medicare reimbursementRetrospective studyPractice providersMedicare Part BOtolaryngologistsNumber of otolaryngologistsBilling patternsNumber of providersPhysiciansProvider UtilizationPatientsReimbursementMedical practiceMedicare Utilization and Reimbursement Variation Between Rural and Urban Otolaryngologists
Patel R, Torabi S, Kayastha D, Kuan E, Manes R. Medicare Utilization and Reimbursement Variation Between Rural and Urban Otolaryngologists. Otolaryngology 2022, 168: 528-535. PMID: 35852873, DOI: 10.1177/01945998221113550.Peer-Reviewed Original ResearchMeSH KeywordsAgedCross-Sectional StudiesHumansMedicareOtolaryngologistsOtolaryngologyRetrospective StudiesUnited StatesConceptsMedicare patientsRetrospective cross-sectional studyPatient's comorbidity profileHealthcare Common Procedure Coding System codesNumber of patientsCross-sectional studyReimbursement variationComorbidity profilesPatient populationRisk scoreMedicare Provider UtilizationLarge urban settingUrban settingsOlder ageMore Medicare patientsPhysician populationPatientsPhysiciansComplexity of proceduresHCPCS codesProvider UtilizationReimbursement ratesOtolaryngologyRural practiceMedicare utilization
2021
Clinical outcomes, Kadish-INSICA staging and therapeutic targeting of somatostatin receptor 2 in olfactory neuroblastoma
Lechner M, Takahashi Y, Turri-Zanoni M, Liu J, Counsell N, Hermsen M, Kaur RP, Zhao T, Ramanathan M, Schartinger VH, Emanuel O, Helman S, Varghese J, Dudas J, Riechelmann H, Sprung S, Haybaeck J, Howard D, Engel NW, Stewart S, Brooks L, Pickles JC, Jacques TS, Fenton TR, Williams L, Vaz FM, O'Flynn P, Stimpson P, Wang S, Hannan SA, Unadkat S, Hughes J, Dwivedi R, Forde CT, Randhawa P, Gane S, Joseph J, Andrews PJ, Royle G, Franchi A, Maragliano R, Battocchio S, Bewicke-Copley H, Pipinikas C, Webster A, Thirlwell C, Ho D, Teschendorff A, Zhu T, Steele CD, Pillay N, Vanhaesebroeck B, Mohyeldin A, Fernandez-Miranda J, Park KW, Le QT, West RB, Saade R, Manes RP, Omay SB, Vining EM, Judson BL, Yarbrough WG, Sansovini M, Silvia N, Grassi I, Bongiovanni A, Capper D, Schüller U, Thavaraj S, Sandison A, Surda P, Hopkins C, Ferrari M, Mattavelli D, Rampinelli V, Facchetti F, Nicolai P, Bossi P, Henriquez OA, Magliocca K, Solares CA, Wise SK, Llorente JL, Patel ZM, Nayak JV, Hwang PH, Lacy PD, Woods R, O'Neill JP, Jay A, Carnell D, Forster MD, Ishii M, London NR, Bell DM, Gallia GL, Castelnuovo P, Severi S, Lund VJ, Hanna EY. Clinical outcomes, Kadish-INSICA staging and therapeutic targeting of somatostatin receptor 2 in olfactory neuroblastoma. European Journal Of Cancer 2021, 162: 221-236. PMID: 34980502, PMCID: PMC9554673, DOI: 10.1016/j.ejca.2021.09.046.Peer-Reviewed Original ResearchConceptsPeptide radionuclide receptor therapyProphylactic neck irradiationDisease-free survivalOlfactory neuroblastomaSomatostatin receptor 2Stable diseaseAdjuvant radiotherapyNeck irradiationOverall survivalReceptor 2Potential efficacyPeptide receptor radionuclide therapyReceptor radionuclide therapyMultivariable survival analysisPertinent clinical dataClinical trial dataKey prognostic markersNodal recurrenceClinical outcomesClinicopathological characteristicsT stagePrognostic valueReceptor therapyDisease stageNeuroblastoma patientsAmbulatory surgery centers: A 2012 to 2018 analysis on growth in number of centers, utilization, Medicare services, and Medicare reimbursements
Torabi S, Patel R, Birkenbeuel J, Nie J, Kasle D, Manes R. Ambulatory surgery centers: A 2012 to 2018 analysis on growth in number of centers, utilization, Medicare services, and Medicare reimbursements. Surgery 2021, 172: 2-8. PMID: 34973814, DOI: 10.1016/j.surg.2021.11.033.Peer-Reviewed Original ResearchMeSH KeywordsAgedAmbulatory Surgical ProceduresFee-for-Service PlansHumansMedicareRetrospective StudiesUnited StatesRhinology Medicare reimbursements have not been keeping up with inflation
Torabi SJ, Patel RA, Kasle DA, Fujita K, Bhandarkar ND, Kuan EC, Manes RP. Rhinology Medicare reimbursements have not been keeping up with inflation. International Forum Of Allergy & Rhinology 2021, 12: 714-725. PMID: 34783462, DOI: 10.1002/alr.22912.Peer-Reviewed Original ResearchAgedCurrent Procedural TerminologyEndoscopyHumansMedicarePhysiciansRetrospective StudiesUnited StatesCharacterizing Medicare Reimbursements and Clinical Activity Among Female Otolaryngologists
Panth N, Torabi SJ, Kasle DA, Savoca EL, Zogg CK, O’Brien E, Manes RP. Characterizing Medicare Reimbursements and Clinical Activity Among Female Otolaryngologists. Annals Of Otology Rhinology & Laryngology 2021, 131: 749-759. PMID: 34467771, DOI: 10.1177/00034894211042445.Peer-Reviewed Original ResearchMeSH KeywordsAgedCross-Sectional StudiesFemaleHumansMedicareOtolaryngologistsRetrospective StudiesUnited StatesConceptsFemale otolaryngologistsClinical volumeCurrent Procedural Terminology codesUnique Current Procedural Terminology (CPT) codesProcedural Terminology codesMedicare reimbursementClinical activityRetrospective analysisTerminology codesMedicare feeOtolaryngologistsPatientsBilling patternsMedianMedicare PhysicianUrban settingsRural settingsReimbursementService billingTemporal trendsSettingRural areasAdverse Events Associated With Corticosteroid-Eluting Sinus Stents: A MAUDE Database Analysis
Narwani V, Torabi SJ, Kasle DA, Patel RA, Lerner MZ, Manes RP. Adverse Events Associated With Corticosteroid-Eluting Sinus Stents: A MAUDE Database Analysis. Otolaryngology 2021, 166: 179-182. PMID: 33848437, DOI: 10.1177/01945998211006930.Peer-Reviewed Original ResearchConceptsCommon adverse eventsAdverse eventsPostoperative infectionMAUDE databasePatient-related adverse eventsRetrospective cross-sectional studyFungal infectionsMAUDE Database AnalysisDevice-related eventsEndoscopic sinus surgeryDrug Administration MAUDE databaseCross-sectional studyPeriorbital cellulitisSinus surgeryRevision surgerySurgical decisionSinus stentsUS FoodDrug AdministrationComplicationsPatientsInfectionStentsOperating roomDatabase analysisRole and Growth of Independent Medicare-Billing Otolaryngologic Advanced Practice Providers
Patel R, Torabi S, Kasle D, Pivirotto A, Manes R. Role and Growth of Independent Medicare-Billing Otolaryngologic Advanced Practice Providers. Otolaryngology 2021, 165: 809-815. PMID: 33687283, DOI: 10.1177/0194599821994820.Peer-Reviewed Original ResearchConceptsAdvanced practice providersPractice providersRetrospective cross-sectional studyMedicare FFS patientsNumber of patientsCross-sectional studyMedicare reimbursementScope of practiceFFS patientsRetrospective reviewService patientsSex distributionMedicare populationMedicare feeMedicare Provider UtilizationPatientsCurrent ProceduralTotal MedicareProvider UtilizationTotal numberPhysiciansRural settingsMedicareReimbursementMedian
2020
Outpatient Otolaryngology in the Era of COVID‐19: A Data‐Driven Analysis of Practice Patterns
Kasle DA, Torabi SJ, Savoca EL, Judson BL, Manes RP. Outpatient Otolaryngology in the Era of COVID‐19: A Data‐Driven Analysis of Practice Patterns. Otolaryngology 2020, 163: 138-144. PMID: 32393101, PMCID: PMC7218354, DOI: 10.1177/0194599820928987.Peer-Reviewed Original ResearchMeSH KeywordsAdolescentAdultAgedAged, 80 and overBetacoronavirusChildChild, PreschoolCoronavirus InfectionsCOVID-19Data AnalysisDisease Transmission, InfectiousFemaleHumansMaleMiddle AgedOtolaryngologistsOtorhinolaryngologic DiseasesOutpatientsPandemicsPneumonia, ViralPractice Patterns, Physicians'Retrospective StudiesSARS-CoV-2TelemedicineUnited StatesYoung AdultConceptsDivision of OtolaryngologyTelehealth visitsOlder adultsHospital policy changesSingle-institution studyCoronavirus disease 2019Quantity of patientsOutpatient otolaryngologyRetrospective reviewAcute carePerson visitsOutpatient appointmentsPractice patternsDisease 2019Week 1Week 3VisitsYoung adultsOtolaryngologyCOVID-19Completion ratesOtolaryngologistsAdultsAssociated increaseTelehealthMedicare Reimbursement for Balloon Catheter Dilations Among Surgeons Performing High Volumes of the Procedures to Treat Chronic Rhinosinusitis
Kasle DA, Torabi SJ, Narwani V, Manes RP. Medicare Reimbursement for Balloon Catheter Dilations Among Surgeons Performing High Volumes of the Procedures to Treat Chronic Rhinosinusitis. JAMA Otolaryngology - Head & Neck Surgery 2020, 146: 264-269. PMID: 31971549, PMCID: PMC6990810, DOI: 10.1001/jamaoto.2019.4357.Peer-Reviewed Original ResearchConceptsBalloon catheter dilationCatheter dilationChronic rhinosinusitisENT surgeonsEndoscopic sinus surgeryPercentage of proceduresMedicare Part B National Summary Data FilesRetrospective reviewCostly conditionSurgical interventionSinus surgeryBalloon catheterThroat surgeonsInvasive alternativeParanasal sinusesMedian numberMAIN OUTCOMEMedicare populationMedical treatmentMedicare Provider UtilizationProcedure volumeOverall reimbursementRhinosinusitisSurgeonsPhysicians
2019
Margins in Sinonasal Squamous Cell Carcinoma: Predictors, Outcomes, and the Endoscopic Approach
Torabi SJ, Spock T, Cardoso B, Chao J, Morse E, Manes RP, Judson BL. Margins in Sinonasal Squamous Cell Carcinoma: Predictors, Outcomes, and the Endoscopic Approach. The Laryngoscope 2019, 130: e388-e396. PMID: 31755988, DOI: 10.1002/lary.28315.Peer-Reviewed Original ResearchConceptsSinonasal squamous cell carcinomaHigh-volume facilitiesNational Cancer DatabaseSquamous cell carcinomaPositive marginsOverall survivalSurgical approachMargin statusCell carcinomaEthmoid sinusEndoscopic approachMultivariable binary logistic regressionDecreased overall survivalHigher T stageBinary logistic regressionAdditional therapySelect patientsAdult patientsEndoscopic treatmentMultivariable analysisSurgical managementT stageTherapy administrationDifferentiated tumorsOpen surgery
2016
Survival Outcomes for Combined Modality Therapy for Sinonasal Undifferentiated Carcinoma
Kuo P, Manes RP, Schwam ZG, Judson BL. Survival Outcomes for Combined Modality Therapy for Sinonasal Undifferentiated Carcinoma. Otolaryngology 2016, 156: 132-136. PMID: 27703092, DOI: 10.1177/0194599816670146.Peer-Reviewed Original ResearchConceptsSinonasal undifferentiated carcinomaCombined modality therapyNational Cancer DatabaseUndifferentiated carcinomaChemoradiotherapy groupModality therapyOverall survivalSurvival outcomesTreatment modalitiesCancer DatabaseSurvival rateAdjuvant chemotherapy groupImproved survival outcomesMultivariate Cox regressionCumulative survival rateKaplan-Meier analysisMulti-institutional studyCases of SNUCAdjuvant chemotherapyChemotherapy groupMultimodality therapyModality treatmentPrognostic factorsCox regressionAggressive malignancy
2014
Electromagnetic Image-Guided Orbital Decompression: Technique, Principles, and Preliminary Experience with 6 Consecutive Cases
Servat JJ, Elia MD, Gong D, Manes RP, Black EH, Levin F. Electromagnetic Image-Guided Orbital Decompression: Technique, Principles, and Preliminary Experience with 6 Consecutive Cases. Orbit 2014, 33: 433-436. PMID: 25207388, DOI: 10.3109/01676830.2014.950284.Peer-Reviewed Original ResearchConceptsOrbital decompressionWall orbital decompressionNon-contrast CTElectromagnetic image guidanceDisease inactivityConsecutive patientsHertel exophthalmometryConsecutive casesMaxillary sinusReduced riskElectromagnetic guidance systemInferior aspectPatientsPreliminary experienceFrontal sinusSuperior aspectOrbital surgeryRoutine useNasal tipDecompressionImage guidance systemSurgical navigation systemImage guidanceSinus
2010
Initial Clinical Experience with Balloon Dilation in Revision Frontal Sinus Surgery
Wycherly BJ, Manes RP, Mikula SK. Initial Clinical Experience with Balloon Dilation in Revision Frontal Sinus Surgery. Annals Of Otology Rhinology & Laryngology 2010, 119: 468-471. PMID: 20734968, DOI: 10.1177/000348941011900707.Peer-Reviewed Original ResearchConceptsRevision frontal sinus surgeryFrontal sinus surgeryLund-Mackay scoreBalloon dilationFrontal ostiumSinus surgeryPostoperative infectionAverage Lund-Mackay scoreEndoscopic frontal sinus surgeryFrontal sinus diseaseInitial clinical experienceEndoscopic patencyPersistent sinusitisRadiographic improvementFrontal headacheSinus diseasePatency ratesTomography scanInvasive techniquesOutcome measurementsPatientsClinical experienceOstiumAdditional proceduresSurgery