Hell and Back: Wife & Mother, Doctor & Patient, Dragon Slayer

Impossibly deep armpits, wigs named Brenda, nipples shaped like bullets and when to play the “C-card.” These are some of the things they never tell you about breast cancer. In this uplifting and poignant tale, Dr. Tali Lando Aronoff shares an honest account of her journey through the various stages of advanced breast cancer and beyond. As a pediatric ENT surgeon and mother of two toddlers and an infant just out of the Neonatal ICU, she was blind-sided by her cancer diagnosis. This well-crafted and appealing book uses small-bite storytelling to explore heavy topics such as body image and complex relationships with friends and family. Dr. Aronoff’s voice is unique and relatable combining the knowledge-base of a physician and the personal insight of a patient. This is the book for the recently diagnosed, those in the thick of it or those who are finished with the battle, their family and friends and everyone else in between, including the doctors who care for them

Case Report: Desmoglein-3 Gene Mutation Leading to Airway Compromise in Fraternal Twin Infants

The desmoglein 3 18q11 gene mutation has not been well described in humans, except for a few case reports. The desmoglein 3 gene controls a transmembrane component of the desmosome complex that mediates epidermal cell adhesion and integrity of the oropharyngeal mucosa. We present two fraternal twin infants who exhibited features of airway compromise and respiratory distress shortly after birth. These infants presented with chronic, cyclical sloughing of the upper airway, larynx, and pharynx associated with difficult airway management and eventual respiratory failure. It is imperative that practitioners be aware of the severity of this rare mutation

Indications for Surgical Repair of Type 1 Laryngeal Cleft

OBJECTIVES: Type 1 laryngeal cleft (T1LC) is a congenital deficiency in the posterior glottis, resulting in a communication between the hypopharynx and glottis. No consensus treatment paradigm exists for timing and criteria for patient selection for surgical repair. Our goal is to assess whether patient characteristics can help predict improvement after surgery. METHODS: After Institutional Review Board exemption, a retrospective chart review was performed for patients undergoing surgery to diagnose a T1LC. Charts were examined for age, presenting symptoms, comorbidities, pre/postoperative videoflouroscopic swallow study reports, and outcomes. RESULTS: Ninety-seven patients with clinical suspicion for T1LC underwent direct laryngoscopy and bronchoscopy, and 63 (64%) were diagnosed with a T1LC. Twenty-two patients (63%) undergoing surgery achieved clinical or radiographic improvement. There was no difference in average age, aspiration, or penetration between clinical improvement and no improvement groups. Of 13 patients with comorbidities that increase their risk of aspiration, 12 were significantly improved. There were 5 complications, which were managed conservatively. CONCLUSIONS: Our experience supports the repair of T1LC repair at time of diagnostic laryngoscopy if satisfactory improvement is not noted with conservative treatment. This should be performed without segregation for age, comorbidities, or degree of dysphagia. Our technique is performed with minimal complications and achieves satisfactory results