Danny Meslemani

State University of New York Upstate Medical University, Syracuse, New York, United States

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Publications (8)14.96 Total impact

  • Danny Meslemani · Robert M Kellman
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    ABSTRACT: Fixation of the craniomaxillofacial skeleton is an evolving aspect for facial plastic, oral and maxillofacial, and plastic surgery. This review looks at the recent advances that aid in reduction and fixation of the craniomaxillofacial skeleton. More surgeons are using resorbable plates for craniomaxillofacial fixation. A single miniplate on the inferior border of the mandible may be sufficient to reduce and fixate an angle fracture. Percutaneous K-wires may assist in plating angle fractures. Intraoperative computed tomography (CT) may prove to be useful for assessing reduction and fixation. Resorbable plates are becoming increasingly popular in orthognathic surgery and facial trauma surgery. There are newer operative techniques for fixating the angle of the mandible. Also, the utilization of the intraoperative CT provides immediate feedback for accurate reduction and fixation. Prebent surgical plates save operative time, decrease errors, and provide more accurate fixation.
    No preview · Article · May 2012 · Current opinion in otolaryngology & head and neck surgery
  • Danny Meslemani · Lamont R Jones
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    ABSTRACT: Obstructive sleep apnea (OSA) is a common condition, increasing in incidence along with obesity in Americans. This review looks at skeletal surgery to treat sleep apnea and recent advancements. Skeletal surgery for OSA has improved with recent advancements in surgical genioplasty now able to advance the genioglossus as well as inferior mandible muscles without changing aesthetics. Some investigators have called for maxillomandibular advancement to be considered as a first-line therapy over continuous positive airway pressure. Maxillomandibular advancement appears safe and effective for consideration as a first-line therapy for select patients with OSA.
    No preview · Article · Jun 2011 · Current opinion in otolaryngology & head and neck surgery
  • Danny M. Meslemani · Vanessa G. Schweitzer
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    ABSTRACT: OBJECTIVES: Case report of an adult male with a 5 year history of undiagnosed frontal sinusitis presenting with "doughy" left frontal forehead swelling that required frontal osteoplastic flap approach for frontal sinus osteomyelitis despite prior endoscopic maxillary/ethmoid surgery. Study Design: Surgical case report with digital pictorial perioperative displays. Methods: Literature review completed for causation, diagnosis, radiologic imaging, treatment, and potential complications of Pott's Puffy tumor since first described by Sir Percival Pott (1771). Results: Preoperative CT/MRI imaging demonstrated ground glass opacifications of the frontal sinuses, anterior table wall erosion with fluid in the left scalp soft tissues with posterior table wall dehiscence without intracranial involvement. Management of the large frontal mucopyocoele included intravenous antibiotics (Vancomycin and ertapenum) for 8 weeks, endoscopic surgical debridement and cultures, emergency frontal sinus trephination, and osteoplastic flap approach for mucopurulent drainage and culture, frontal sinus reconstruction with mesh graft, and fat obliteration Traditional 6 foot Caldwell Luc template view was NOT accurate for surgical bone flap mapping and elevation due to severe reactive neo osteogenesis. Inadvertent misplaced twist drill created a pinhole CSF leak repaired with bone wax. Conclusion: Pott's Puffy tumor is rare with new century antibiotic therapy and sophisticated radiologic imaging. However, with increasing outpatient antibiotic use and subsequent microbial resistance, and frontal sinus disease refractory to endoscopic sinus surgery, patients may require combined anterior skull base/neurosurgical treatment.
    No preview · Article · Jan 2011 · The Laryngoscope
  • Danny Meslemani · Kathleen Yaremchuk · Michael Rontal
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    ABSTRACT: We conducted a prospective observational study of tracheostomy tubes with three primary goals: (1) to identify the presence and location of bacterial biofilms on adult tubes, (2) to determine how soon after insertion of a tube the presence of a biofilm could be identified, and (3) to identify the bacterial organisms that formed the biofilms on these tubes. Our study materials consisted of 7 adult tracheostomy tubes that had been changed during a routine outpatient clinic visit or hospital consultation. The tubes were examined for the presence of biofilms on the posterior aspect of the outer cannula; also, specimens were obtained from the posterosuperior aspect of the cuff on the 3 tubes that had a cuff. Samples of 2 to 3 mm were taken from each site and analyzed by scanning electron microscopy. Bacterial biofilms were found on 4 of the 7 tubes; they were present on the outer cannula of 3 cuffless tubes that had been inserted 14 days, 4 months, and 2 years previously and on the cuff of 1 tube that had been inserted 10 days previously. The biofilms were composed of gram-positive cocci in pairs that were likely consistent with Staphylococcus epidermidis.
    No preview · Article · Oct 2010 · Ear, nose, & throat journal
  • Danny M. Meslemani · Michael S Benninger
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    ABSTRACT: Objective: At the conclusion of this presentation, the participants should be able to demonstrate the application of a coblator wand to successfully removal laryngeal Teflon granulomata with minimal invasiveness. The purpose of this study was to remove laryngeal Teflon granulomata transglottically using the coblator wand, and to preserve and improve each patient's voice handicap index. Three patients were selected to undergo removal of their laryngeal Teflon granulomas using the coblator wand. Each patient was followed post-operatively to measure their respective voice handicap indices pre- and post-operatively. The Arthrocare Procise LW Coblator was used to remove laryngeal Teflon granulomas of three patients using a microlaryngoscopic approach. Each patient's voice handicap indices were measure before and after surgery. After removal of the laryngeal Teflon granuloma, each three patients short term results have revealed substantial subjective improvement of voice quality and statistically significant improvement in quality of life as measured by the voice handicap index. The removal of laryngeal Teflon granuloma can be safely and effectively removed with the Procise LW Coblator. The use of the coblator wand can save operating room time, decrease risk of bleeding, effectively and improve a patient's voice handicap index.
    No preview · Article · Oct 2010 · The Laryngoscope
  • Danny M Meslemani · Lamont Jones
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    ABSTRACT: Case report of a male with a rare nasal type NK/T cell lymphoma that presented as an aggressive nasal infection superimposed with squamous and basal cell carcinoma. A review of the diagnosis, management, and prognosis nasal type NK/T cell lymphoma will be presented. Case report and literature review. Review of the literature for cases of nasal type NK/T cell lymphoma, with particular attention to its presentations. Differential diagnosis includes aggressive infection of the nasal skin, carcinoma, and lymphoma. No cases in the literature of NK/T cell lymphoma have been reported that presented with an aggressive infection with initial biopsies that revealed squamous cell and basal cell carcinoma, which led to surgical management and a definitive diagnosis of Nasal type NK/T cell lymphoma.
    No preview · Article · Jan 2010 · The Laryngoscope
  • Danny M. Meslemani · Kathleen L. Yaremchuk · Michael Rontal
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    ABSTRACT: Objective: To 1) identify the presence and location of bacterial biofilms on adult tracheotomy tubes 2) determine length of time from placement of tracheotomy tubes that biofilms develop 3) identify bacterial organisms that form biofilms on adult tracheotomy tubes. Study Design: Prospective observational study with collection of seven adult tracheotomy tubes that were changed during a routine outpatient clinic visit or hospital consultation. The tubes were examined for the presence of biofilms at the location of the cuff, if present, and the posterior aspect of the outer cannula of the tracheotomy tube. Methods: Seven tracheotomy tubes had 2-3 mm samples taken from the posterior aspect of the outer cannula and three cuffed tracheotomy tubes had samples taken additionally from the cuff to test for the presence of biofilms by scanning electron microscopy. Results: Bacterial biofilms were found to be present on four adult tracheotomy tubes. Biofilms were found on a cuffed tube that had been inserted 10 days previously and on the outer cannulas of 3 cuffless tubes that had been inserted 14 days, 4 months, and 2 years previously. The biofilms were composed of gram-positive cocci in pairs likely consistent with S. epidermidis. Conclusions: Bacterial biofilms are present on adult tracheotomy tubes in an outpatient and inpatient setting. Both cuffed and cuffless tubes had development of biofilms as early as 10 days and as long as 2 years after placement. Biofilms have been found on indwelling catheters elsewhere in the body as a source of chronic inflammation and infection with the formation of granulation tissue. This study demonstrates the presence and location of bacterial biofilms found on adult tracheotomy tubes at the time of routine tracheotomy tube changes.
    No preview · Article · Jan 2009 · The Laryngoscope
  • Danny Meslemani · Robert M Kellman

    No preview · Article · Jan 2003 · Archives of facial plastic surgery: official publication for the American Academy of Facial Plastic and Reconstructive Surgery, Inc. and the International Federation of Facial Plastic Surgery Societies

Publication Stats

31 Citations
14.96 Total Impact Points

Institutions

  • 2003-2012
    • State University of New York Upstate Medical University
      Syracuse, New York, United States
  • 2010-2011
    • Henry Ford Hospital
      Detroit, Michigan, United States
  • 2009-2011
    • Henry Ford Health System
      • Department of Otolaryngology – Head and Neck Surgery (ENT)
      Detroit, Michigan, United States