Biomedical subjects
Gregory A Grillone
Publications and source records attributed to Gregory A Grillone.
Organ preservation surgery for intermediate size (T2 and T3) laryngeal cancer.
This article discusses the surgical options, both open and endoscopic,developed to preserve voice, maintain swallowing, and avoid permanent tracheotomy in patients with intermediate-sized laryngeal lesions.
Isolated sphenoid sinus disease.
Disease of the sphenoid sinus is often vague and nonspecific in its clinical presentation. Therefore, the otolaryngologist must maintain a high index of suspicion when evaluating patients who present with such nonspecific symptoms. A thorough understanding of the radiologic characteristics of sphenoid sinus disease is essential in the proper evaluation and management of these patients.
Standardizing adult tracheostomy tube styles: what is the clinical and cost-effective impact?
Tracheostomy tubes are made of a variety of materials, components, and styles. In a recent merger of our hospitals, we noted a large assortment of tubes available for clinicians. The different tubes resulted in complaints from staff, which included confusion, delays in obtaining preferred tubes, and inconsistent shelf stock. A multidisciplinary task force was formed to recommend standardizing the styles of tracheostomy tubes. A comparison of tracheotomy procedures, tracheostomy tube usage, and tube costs were done 6 months before and 6 months after the standardization. The number of tube styles decreased from 9 to 4; specialty extra-long tubes decreased from 3 to 2. There were no cost savings in standardizing the tracheostomy tubes.