Chen JX

[BACKGROUND] Reconstructing the vessel-depleted neck (VDN) is challenging due to prior surgeries and radiation compromising recipient vessels. The deep epigastric composite vascular autograft (DECVA) offers a novel solution by providing bot…

[OBJECTIVE] Modern surgical education faces duty hour limits, productivity pressures, and growing subspecialization. Otolaryngology-head and neck surgery (OHNS) has experienced a shift to competency-based training creating challenges and op…

[BACKGROUND] Hair restoration surgery (HRS) is a commonly performed elective procedure but to date lacks a review of the full scope of complications. [OBJECTIVES] To provide a comprehensive overview of observed complications associated wit…

[OBJECTIVES] To assess potential risk factors influencing diet outcomes after reconstruction of subtotal hypopharyngeal defects using free patch- or tube-shaped anterolateral thigh (ALT) fasciocutaneous flaps. [STUDY DESIGN] Retrospective …

[BACKGROUND] There is a rare need for postoperative non-invasive positive pressure ventilation (NIPPV) following microvascular reconstruction of the head and neck. In midface reconstruction, the free flap vascular pedicle is especially vuln…

[OBJECTIVES] Opioids are highly addictive medications and otolaryngologists have a responsibility to practice opioid stewardship. We investigated postoperative opioid prescribing patterns among resident and attending physicians as an educat…

[OBJECTIVE] We surveyed otolaryngology program directors (PDs) and recent otolaryngology residency graduates on the operative autonomy of graduating residents and their comfort with independent practice. [METHODS] An anonymous survey was s…

[BACKGROUND] In the era of duty hour restrictions, otolaryngology residents may not gain the operative experience necessary to function autonomously by the end of training. This study quantifies residents' autonomy during key indicator case…

Lateral osteotomies are essential to rhinoplasty and are performed through percutaneous or intranasal approaches. Both techniques are difficult to teach as they rely on tactile feedback. Thus, it is critical to understand trainee learning c…

[PURPOSE] Lateral osteotomies are important during rhinoplasty and represent a challenging technique that otolaryngology and plastic surgery trainees must learn. The approaches for osteotomies are difficult to teach as they are accomplished…