Daniel Gert Deschler, M.D.
| Title | Professor of Otology and Laryngology |
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| Institution | Massachusetts Eye and Ear Infirmary |
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| Department | Otology and Laryngology |
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| Address | Massachusetts Eye & Ear Infrm Otolaryngology/Head-Neck Surg. 243 Charles St Boston MA 02114
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| Phone | 617/573-4100 |
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| Fax | 617/573-4131 |
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Mentoring Tracheoesophageal Puncture for Voice Restoration: Retrospective Chart Review of
All Cases at MEEI, 2000-2011
Summer, 06/13/11 - 06/13/12 Characteristics of Cervical Metastasis in HPV-related Oropharyngeal Squamous
Cell Carcinoma
Summer, 06/13/11 - 07/29/11 Voice Restoration through Tracheoesophageal Puncture (TEP) following total Laryngectomy: A comparison of Primary and Secondary TEP Summer, 05/21/12 - 08/17/12 The Effect of Health Insurance Reform Laws on the Rate of Upper Extremity
Elective Surgery
Summer, 01/31/11 - 06/10/11 Bibliographic
Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications.
Faculty can login to make corrections and additions.
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Leuin SC, Deschler DG. The missing tracheoesophageal puncture prosthesis: Evaluation and management. Ear Nose Throat J. 2013 Feb; 92(2):E14-6.
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Garg S, Deschler D. Saving a free flap with close clinical postoperative monitoring. JAAPA. 2013 Jan; 26(1):47-9.
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Nardi V, Sadow PM, Juric D, Zhao D, Cosper AK, Bergethon K, Scialabba VL, Batten JM, Borger DR, Iafrate AJ, Heist RS, Lawrence DP, Flaherty KT, Bendell JC, Deschler D, Li Y, Wirth LJ, Dias-Santagata D. Detection of novel actionable genetic changes in salivary duct carcinoma helps direct patient treatment. Clin Cancer Res. 2013 Jan 15; 19(2):480-90.
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Naunheim MR, Abbott MM, Lin HW, Faquin WC, Deschler DG. Pathology quiz case 3. Carcinoma ex pleomorphic adenoma(CXPA), salivary duct carcinoma type, noninvasive. Arch Otolaryngol Head Neck Surg. 2012 Aug 1; 138(8):781.
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Kakarala K, Emerick KS, Lin DT, Rocco JW, Deschler DG. Free flap reconstruction in 1999 and 2009: changing case characteristics and outcomes. Laryngoscope. 2012 Oct; 122(10):2160-3.
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Cianchetti M, Varvares MA, Deschler DG, Liebsch NJ, Wang JJ, Chan AW. Risk of sinonasal-cutaneous fistula after treatment for advanced sinonasal cancer. J Surg Oncol. 2012 Mar; 105(3):261-5.
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Chien W, Lin HW, Deschler DG. Serial suture ligation glossectomy for squamous cell carcinoma in the setting of a massive lymphovascular malformation. Head Neck. 2013 May; 35(5):E157-60.
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Divi V, Deschler DG. Re-animation and rehabilitation of the paralyzed face in head and neck cancer patients. Clin Anat. 2012 Jan; 25(1):99-107.
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Deschler DG, Emerick KS, Lin DT, Bunting GW. Simplified technique of tracheoesophageal prosthesis placement at the time of secondary tracheoesophageal puncture (TEP). Laryngoscope. 2011 Sep; 121(9):1855-9.
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Kakarala K, Richmon JD, Lin DT, Deschler DG. Vacuum-assisted closure in revision free flap reconstruction. Arch Otolaryngol Head Neck Surg. 2011 Jun; 137(6):622-4.
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Nichols AC, Kneuertz PJ, Deschler DG, Lin DT, Emerick KS, Clark JR, Busse PW, Rocco JW. Surgical salvage of the oropharynx after failure of organ-sparing therapy. Head Neck. 2011 Apr; 33(4):516-24.
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Jung D, Hasserjian RP, Faquin WC, Deschler DG. Pathology quiz case 2. Myeloid sarcoma (MS) of the submandibular gland. Arch Otolaryngol Head Neck Surg. 2011 Apr; 137(4):411, 414-5.
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Moore MG, Lin DT, Deschler DG, Wang JJ, Chan AW. Risk of incisional recurrence after midface and anterior skull base surgery in sinonasal malignancies. Skull Base. 2011 Mar; 21(2):87-92.
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Divi V, Lin DT, Emerick K, Rocco J, Deschler DG. Primary TEP placement in patients with laryngopharyngeal free tissue reconstruction and salivary bypass tube placement. Otolaryngol Head Neck Surg. 2011 Mar; 144(3):474-6.
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Abdul-Aziz D, Tierney HT, Deschler DG. Surgical management of cervical chyloma following parathyroidectomy. Auris Nasus Larynx. 2011 Aug; 38(4):528-31.
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Roberts DS, Faquin WC, Deschler DG. Temporal bone giant cell tumour: report of a second primary giant cell tumour of the temporal bone and infratemporal fossa. B-ENT. 2011; 7(4):301-3.
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Kakarala K, Faquin WC, Deschler DG. Effect of glossectomy technique on histopathologic assessment in a rat model. Head Neck. 2011 Nov; 33(11):1576-80.
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Benoit MM, Handzel O, McKenna MJ, Deschler DG. A 42-year-old man with facial nerve weakness and multiple recurrent pleomorphic adenoma. Otol Neurotol. 2010 Sep; 31(7):1157-9.
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Silver AL, Masia R, Hasserjian RP, Deschler DG. Pathology quiz case 1. Diffuse large B-cell lymphoma (DLBCL). Arch Otolaryngol Head Neck Surg. 2010 Aug; 136(8):840, 842-3.
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Kakarala K, Richmon JD, Durand ML, Borges LF, Deschler DG. Reconstruction of a nasopharyngeal defect from cervical spine osteoradionecrosis. Skull Base. 2010 Jul; 20(4):289-92.
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Nicolau Y, Faquin WC, Deschler DG. Hamartoma of the parotid gland: report of a unique case. Ear Nose Throat J. 2010 May; 89(5):E8-10.
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Scott AR, Faquin WC, Deschler DG. Parotid mass in a woman with multiple cutaneous cylindromas. Head Neck. 2010 May; 32(5):684-7.
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Silver AL, Faquin WC, Caruso PA, Deschler DG. Follicular dendritic cell sarcoma presenting in the submandibular region in an 11 year-old. Laryngoscope. 2010; 120 Suppl 4:S183.
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Fink DS, Benoit MM, Lamuraglia GM, Deschler DG. Paraganglioma of the hypoglossal nerve. Laryngoscope. 2010; 120 Suppl 4:S147.
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Roberts DS, Faquin WC, Deschler DG. Giant cell tumors of the temporal bone and infratemporal fossa: a case report and review of the literature. Laryngoscope. 2010; 120 Suppl 4:S180.
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Kakarala K, Faquin WC, Deschler DG. A comparison of histopathologic margin assessment after steel scalpel, monopolar electrosurgery, and ultrasonic scalpel glossectomy in a rat model. Laryngoscope. 2010; 120 Suppl 4:S155.
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Tierney HT, Abdul-Aziz D, Kolman O, Deschler DG. Surgical management of cervical chyloma following parathyroidectomy. Laryngoscope. 2010; 120 Suppl 4:S187.
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Lin HW, Lister MT, Deschler DG. Cystic masses of the supraclavicular fossa: clinical features and diagnostic strategies. Am J Otolaryngol. 2010 Nov-Dec; 31(6):435-41.
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Burton MJ, Deschler DG, Rosenfeld RM. Extracts from The Cochrane Library: Erythropoietin as an adjuvant treatment with (chemo) radiation therapy for head and neck cancer. Otolaryngol Head Neck Surg. 2009 Oct; 141(4):438-41.
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Lin HW, Rho MB, Amin-Hanjani S, Barker FG, Deschler DG. Glossopharyngeal and limited vagal neurectomy for cancer-related carotid sinus syncope. Skull Base. 2009 Sep; 19(5):369-73.
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Lin HW, Tierney HT, Richmon JD, Mark EJ, Deschler DG. Extrusion of embolization coils through the carotid artery in a radiated neck. Auris Nasus Larynx. 2010 Jun; 37(3):390-3.
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Richmon JD, Samji HA, Deschler DG. National laryngopharyngectomy and reconstructive surgery survey. Laryngoscope. 2009 Aug; 119(8):1472-8.
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Deschler DG, Bunting GW, Lin DT, Emerick K, Rocco J. Evaluation of voice prosthesis placement at the time of primary tracheoesophageal puncture with total laryngectomy. Laryngoscope. 2009 Jul; 119(7):1353-7.
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Yi K, Mujat M, Sun W, Burnes D, Latina MA, Lin DT, Deschler DG, Rubin PA, Park BH, de Boer JF, Chen TC. Imaging of optic nerve head drusen: improvements with spectral domain optical coherence tomography. J Glaucoma. 2009 Jun-Jul; 18(5):373-8.
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Purdon PL, Pierce ET, Bonmassar G, Walsh J, Harrell PG, Kwo J, Deschler D, Barlow M, Merhar RC, Lamus C, Mullaly CM, Sullivan M, Maginnis S, Skoniecki D, Higgins HA, Brown EN. Simultaneous electroencephalography and functional magnetic resonance imaging of general anesthesia. Ann N Y Acad Sci. 2009 Mar; 1157:61-70.
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Lawenda BD, Arnold MG, Tokarz VA, Silverstein JR, Busse PM, McIntyre JF, Deschler DG, Baldini EH, Kachnic LA. Analysis of radiation therapy for the control of Merkel cell carcinoma of the head and neck based on 36 cases and a literature review. Ear Nose Throat J. 2008 Nov; 87(11):634-43.
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Silverman JB, Deschler DG. A novel approach for dilation of neopharyngeal stricture following total laryngectomy using the tracheoesophageal puncture site. Laryngoscope. 2008 Nov; 118(11):2011-3.
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Nichols AC, Chan AW, Curry WT, Barker FG, Deschler DG, Lin DT. Esthesioneuroblastoma: the massachusetts eye and ear infirmary and massachusetts general hospital experience with craniofacial resection, proton beam radiation, and chemotherapy. Skull Base. 2008 Sep; 18(5):327-37.
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Lewis CM, Lin DT, Curry WT, Barker FG, Deschler DG. The use of nasopharyngeal airways for airway diversion in anterior craniofacial resection. Am J Rhinol. 2008 Sep-Oct; 22(5):529-32.
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Lewis CM, Deschler DG. Desirudin reduces the rate of microvenous thrombosis in a rat model. Laryngoscope. 2008 Jul; 118(7):1149-52.
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Mehta RP, Deschler DG. Intraoperative diagnosis of facial nerve schwannoma at parotidectomy. Am J Otolaryngol. 2008 Mar-Apr; 29(2):126-9.
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Resto VA, Chan AW, Deschler DG, Lin DT. Extent of surgery in the management of locally advanced sinonasal malignancies. Head Neck. 2008 Feb; 30(2):222-9.
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Moore MG, Deschler DG, McKenna MJ, Varvares MA, Lin DT. Management outcomes following lateral temporal bone resection for ear and temporal bone malignancies. Otolaryngol Head Neck Surg. 2007 Dec; 137(6):893-8.
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Emerick KS, Deschler DG. Incidence of donor site skin graft loss requiring surgical intervention with the radial forearm free flap. Head Neck. 2007 Jun; 29(6):573-6.
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Resto VA, McKenna MJ, Deschler DG. Pectoralis major flap in composite lateral skull base defect reconstruction. Arch Otolaryngol Head Neck Surg. 2007 May; 133(5):490-4.
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Emerick KS, Fabian RL, Deschler DG. Clinical presentation, management, and outcome of high-grade mucoepidermoid carcinoma of the parotid gland. Otolaryngol Head Neck Surg. 2007 May; 136(5):783-7.
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Moore MG, Deschler DG. Clopidogrel (Plavix) reduces the rate of thrombosis in the rat tuck model for microvenous anastomosis. Otolaryngol Head Neck Surg. 2007 Apr; 136(4):573-6.
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Emerick KS, Deschler DG. The effect of low-molecular-weight heparin on microvenous thrombosis in a rat model. Arch Facial Plast Surg. 2007 Jan-Feb; 9(1):19-21.
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White WM, McKenna MJ, Deschler DG. Use of the thoracodorsal nerve for facial nerve grafting in the setting of pedicled latissimus dorsi reconstruction. Otolaryngol Head Neck Surg. 2006 Dec; 135(6):962-4.
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Pommier P, Liebsch NJ, Deschler DG, Lin DT, McIntyre JF, Barker FG, Adams JA, Lopes VV, Varvares M, Loeffler JS, Chan AW. Proton beam radiation therapy for skull base adenoid cystic carcinoma. Arch Otolaryngol Head Neck Surg. 2006 Nov; 132(11):1242-9.
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Emerick KS, Deschler DG. Common ENT disorders. South Med J. 2006 Oct; 99(10):1090-9; quiz 1100-2, 1126.
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Lewis D, Goldztein H, Deschler D. Use of hyperbaric oxygen to enhance auricular composite graft survival in the rabbit model. Arch Facial Plast Surg. 2006 Sep-Oct; 8(5):310-3.
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Chen TC, Cense B, Miller JW, Rubin PA, Deschler DG, Gragoudas ES, de Boer JF. Histologic correlation of in vivo optical coherence tomography images of the human retina. Am J Ophthalmol. 2006 Jun; 141(6):1165-8.
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Emerick KS, Mehta A, Pilch BZ, Deschler DG, Busse PM, Rocco JW. Pathology quiz case 1. Adenocarcinoma with features of mucinous adenocarcinoma (MAC) and cystadenocarcinoma (CAC). Arch Otolaryngol Head Neck Surg. 2005 Dec; 131(12):1120, 1122-3.
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Amrein PC, Clark JR, Supko JG, Fabian RL, Wang CC, Colevas AD, Posner MR, Deschler DG, Rocco JW, Finkelstein DM, McIntyre JF. Phase I trial and pharmacokinetics of escalating doses of paclitaxel and concurrent hyperfractionated radiotherapy with or without amifostine in patients with advanced head and neck carcinoma. Cancer. 2005 Oct 1; 104(7):1418-27.
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Nayak VK, Deschler DG. Clopidogrel use for reducing the rate of thrombosis in a rat model of microarterial anastomosis. Arch Otolaryngol Head Neck Surg. 2005 Sep; 131(9):800-3.
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Cohen EG, Deschler DG, Walsh K, Hayden RE. Early use of a mechanical stretching device to improve mandibular mobility after composite resection: a pilot study. Arch Phys Med Rehabil. 2005 Jul; 86(7):1416-9.
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Chien W, Varvares MA, Hadlock T, Cheney M, Deschler DG. Effects of aspirin and low-dose heparin in head and neck reconstruction using microvascular free flaps. Laryngoscope. 2005 Jun; 115(6):973-6.
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Varvares MA, Lin D, Hadlock T, Azzizadeh B, Gliklich R, Rounds M, Rocco J, Deschler DG, Fabian R, Cheney ML. Success of multiple, sequential, free tissue transfers to the head and neck. Laryngoscope. 2005 Jan; 115(1):101-4.
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Nayak VK, Deschler DG. Pedicled temporoparietal fascial flap reconstruction of select intraoral defects. Laryngoscope. 2004 Sep; 114(9):1545-8.
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Mehta RP, Deschler DG. Mandibular reconstruction in 2004: an analysis of different techniques. Curr Opin Otolaryngol Head Neck Surg. 2004 Aug; 12(4):288-93.
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Deschler DG, Gray ST. Tracheoesophageal speech following laryngopharyngectomy and pharyngeal reconstruction. Otolaryngol Clin North Am. 2004 Jun; 37(3):567-83.
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Mehta RP, Faquin WC, Deschler DG. Pathology quiz case 1. Acinic cell carcinoma of the parotid gland with ductal extension. Arch Otolaryngol Head Neck Surg. 2004 Jun; 130(6):790, 792-3.
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Bayles SW, Deschler DG. Operative prevention and management of voice-limiting pharyngoesophageal spasm. Otolaryngol Clin North Am. 2004 Jun; 37(3):547-58.
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Resto VA, Deschler DG. Sinonasal malignancies. Otolaryngol Clin North Am. 2004 Apr; 37(2):473-87.
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Deschler DG, Walsh K, Hayden RE. Follow-up quality of life assessment in patients after head and neck surgery as evaluated by lay caregivers. ORL Head Neck Nurs. 2004; 22(1):26-32.
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Nayak LM, Deschler DG. Lymphomas. Otolaryngol Clin North Am. 2003 Aug; 36(4):625-46.
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Robb GL, Lewin JS, Deschler DG, Haughey BH, Brown DH, Langmore SE, Lewin JS. Speech and swallowing outcomes in reconstructions of the pharynx and cervical esophagus. Head Neck. 2003 Mar; 25(3):232-44.
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Hadlock TA, Kim J, Deschler DG. The effect of subcutaneously administered low-molecular-weight heparin on microarterial thrombosis in the rat. Arch Facial Plast Surg. 2003 Jan-Feb; 5(1):36-9.
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Ayala C, Watkins L, Deschler DG. Tension orbital pneumocele secondary to nasal obstruction from cocaine abuse: a case report. Otolaryngol Head Neck Surg. 2002 Dec; 127(6):572-4.
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Ung F, Rocco JW, Deschler DG. Temporary intraoperative external fixation in mandibular reconstruction. Laryngoscope. 2002 Sep; 112(9):1569-73.
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DePasquale K, Deschler DG. First report of a lipoblastoma of the parapharyngeal space. Ear Nose Throat J. 2002 Aug; 81(8):564-8.
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DiMuzio J, Deschler DG. Emergency department management of foreign bodies of the external ear canal in children. Otol Neurotol. 2002 Jul; 23(4):473-5.
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Leon ME, Deschler D, Wu SS, Galindo LM. Fine needle aspiration diagnosis of lipoblastoma of the parotid region. A case report. Acta Cytol. 2002 Mar-Apr; 46(2):395-404.
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Buchinsky FJ, Gennarelli TA, Strome SE, Deschler DG, Hayden RE. Sphenoid sinus mucocele: a rare complication of transsphenoidal hypophysectomy. Ear Nose Throat J. 2001 Dec; 80(12):886-8.
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Hohn DJ, Deschler DG, Tucker JA. Central incisor width as a predictor of appropriate curette size in adenoidectomy. Ann Otol Rhinol Laryngol. 2001 Sep; 110(9):841-3.
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Spiegel JH, Deschler DG, Cheney ML. Microvascular transplantation and replantation of the rabbit submandibular gland. Arch Otolaryngol Head Neck Surg. 2001 Aug; 127(8):991-6.
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Kim MK, Deschler DG, Hayden RE. Flexible esophagoscopy as part of routine panendoscopy in ENT resident and fellowship training. Ear Nose Throat J. 2001 Jan; 80(1):49-50.
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Deschler DG, Hayden RE. The optimum method for reconstruction of complex lateral oromandibular-cutaneous defects. Head Neck. 2000 Oct; 22(7):674-9.
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Deschler DG, DeLassus Gress C, Singer MI. Outpatient retrograde placement of the indwelling voice prosthesis. Laryngoscope. 2000 Jun; 110(6):1063-5.
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Deschler DG, Doherty ET, Reed CG, Hayden RE, Singer MI. Prevention of pharyngoesophageal spasm after laryngectomy with a half-muscle closure technique. Ann Otol Rhinol Laryngol. 2000 May; 109(5):514-8.
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Hayden RE, Kirby SD, Deschler DG. Technical modifications of the latissimus dorsi pedicled flap to increase versatility and viability. Laryngoscope. 2000 Mar; 110(3 Pt 1):352-7.
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Kandula MN, Deschler DG, Hayden RE. Chest wall mass after pectoralis major myocutaneous flap reconstruction. Otolaryngol Head Neck Surg. 2000 Feb; 122(2):267-8.
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Pollock TG, Deschler DG, Wu SS. Quiz case 2. Burkitt lymphoma (BL) of the nasopharynx. Arch Otolaryngol Head Neck Surg. 2000 Feb; 126(2):237, 239-40.
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Agarwal A, Deschler DG, Baker KB. Exostoses of the external auditory canal. Am J Otol. 1999 Nov; 20(6):807-8.
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Deschler DG. Nocardiasis in patients with HIV infection. AIDS Patient Care STDS. 1999 Oct; 13(10):585, author reply 586.
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Amin MR, Deschler DG, Hayden RE. Straight midline mandibulotomy revisited. Laryngoscope. 1999 Sep; 109(9):1402-5.
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Hayden RE, Deschler DG. Lateral thigh free flap for head and neck reconstruction. Laryngoscope. 1999 Sep; 109(9):1490-4.
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Deschler DG, Doherty ET, Reed CG, Singer MI. Effects of sound pressure levels on fundamental frequency in tracheoesophageal speakers. Otolaryngol Head Neck Surg. 1999 Jul; 121(1):23-6.
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Sajjadian A, Deschler DG, Hayden RE. Free flap reconstruction after near-total glossectomy in the child. Otolaryngol Head Neck Surg. 1999 Apr; 120(4):614-6.
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Deschler DG, Walsh KA, Friedman S, Hayden RE. Quality of life assessment in patients undergoing head and neck surgery as evaluated by lay caregivers. Laryngoscope. 1999 Jan; 109(1):42-6.
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DiLeo MD, Baker KB, Deschler DG, Hayden RE. Metastatic papillary thyroid carcinoma presenting as a retropharyngeal mass. Am J Otolaryngol. 1998 Nov-Dec; 19(6):404-6.
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Lustig LR, Lee KC, Murr A, Deschler D, Kingdom T. Doxycycline sclerosis of benign lymphoepithelial cysts in patients infected with HIV. Laryngoscope. 1998 Aug; 108(8 Pt 1):1199-205.
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Deschler DG, Doherty ET, Reed CG, Singer MI. Quantitative and qualitative analysis of tracheoesophageal voice after pectoralis major flap reconstruction of the neopharynx. Otolaryngol Head Neck Surg. 1998 Jun; 118(6):771-6.
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Greene D, Deschler D, Kaplan MJ. Dermal metastases of pectoralis major flap donor site from a laryngeal squamous cell carcinoma. Ear Nose Throat J. 1998 Feb; 77(2):102-4.
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Blevins NH, Deschler DG, Kingdom TT, Lee KC. Chiari-I malformation presenting as vocal cord paralysis in the adult. Otolaryngol Head Neck Surg. 1997 Dec; 117(6):S191-4.
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Deschler DG, Hayden RE. Bone spur presenting as a submandibular mass following free fibula reconstruction of the mandible. Am J Otolaryngol. 1997 Nov-Dec; 18(6):425-7.
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Deschler DG, Blevins NH, Ellison DE. Postlaryngectomy dysphagia caused by an anterior neopharyngeal diverticulum. Otolaryngol Head Neck Surg. 1996 Jul; 115(1):167-9.
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Deschler DG, Singer MI. Preservation of spinal accessory nerve in modified neck dissections. Laryngoscope. 1996 May; 106(5 Pt 1):664-6.
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Deschler DG, Hayden RE. Head and neck reconstruction. Neuroimaging Clin N Am. 1996 May; 6(2):505-14.
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Deschler DG, Lustig L, Singer MI. Gelcap-assisted fiberoptic nasogastric feeding tube placement. Ear Nose Throat J. 1996 Feb; 75(2):102-3.
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Deschler DG, Gutin PH, Mamelak AN, McDermott MW, Kaplan MJ. Complications of anterior skull base surgery. Skull Base Surg. 1996; 6(2):113-8.
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Deschler DG, Hayden RE. Lateral thigh free flap. Facial Plast Surg. 1996 Jan; 12(1):75-9.
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Deschler DG, Osorio R, Ascher NL, Lee KC. Posttransplantation lymphoproliferative disorder in patients under primary tacrolimus (FK 506) immunosuppression. Arch Otolaryngol Head Neck Surg. 1995 Sep; 121(9):1037-41.
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Deschler DG, Doherty ET, Reed CG, Anthony JP, Singer MI. Tracheoesophageal voice following tubed free radial forearm flap reconstruction of the neopharynx. Ann Otol Rhinol Laryngol. 1994 Dec; 103(12):929-36.
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Anthony JP, Singer MI, Deschler DG, Dougherty ET, Reed CG, Kaplan MJ. Long-term functional results after pharyngoesophageal reconstruction with the radial forearm free flap. Am J Surg. 1994 Nov; 168(5):441-5.
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Deschler DG, McKenna JA, Tami TA. Aberrant reinnervation of the internal branch of the superior laryngeal nerve after total laryngectomy. Otolaryngol Head Neck Surg. 1994 Jan; 110(1):122-5.
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Deschler DG, Lee K, Tami TA. Laryngeal infiltrating intramuscular lipoma. Otolaryngol Head Neck Surg. 1993 Apr; 108(4):374-7.
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Deschler DG, Kaplan MJ, Boles R. Treatment of large juvenile nasopharyngeal angiofibroma. Otolaryngol Head Neck Surg. 1992 Mar; 106(3):278-84.
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