Jonathan Skirko

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Courses

Scholarly Contributions

Chapters

• Gleadhill, M., & Skirko, J. (2023). Pierre Robin Sequence. In Goldenberg: Handbook of Otolaryngology: Head and Neck Surgery, 3rd edition.
• Skirko, J., & Gleadhill, M. (2023). Pierre Robin Sequence. In KJ Lee’s Essential Pediatric Otolaryngology, 1st edition.
• Skirko, J., & Muntz, H. R. (2022). Current techniques for the treatment of velopharyngeal insufficiency. In Sleep Apnea and Snoring -Surgical and Non-Surgical Therapy (2nd edition). In Flint P, O.
• Skirko, J., Sauder, C., Meier, J. D., & Muntz, H. (2019). Velopharyngeal Dysfunction. In In: Cummings Otolaryngology–Head and Neck Surgery (6thedition).
• Skirko, J. R., & Sie, K. C. (2015). Validated Patient-Reported Outcome Instruments for Velopharyngeal Insufficiency. In Surgery for Pediatric Velopharyngeal Insufficiency. doi:10.1159/000368012
• Skirko, J., Sie, K. C., Roal, N., & Hartnick, C. (2014). Validated Velopharyngeal Insufficiency Patient-Reported Outcomes Instruments. In In: Surgery for Pediatric Velopharyngeal Insufficiency. Kruger Publishing.

Journals/Publications

• Donovan, M. R., Skirko, J., Lee, J., & Scheffler, P. (2023). Morbidity and mortality among neonates with esophageal atresia and/or tracheoesophageal fistula in the United States. International journal of pediatric otorhinolaryngology, 172, 111643.
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  Although rare, esophageal atresia (EA) and/or tracheoesophageal fistula (TEF) can lead to severe morbidity and mortality. A known complication of EA and/or TEF repair is vocal fold motion impairment (VFMI).
• McCrary, H., Torrecillas, V., Pollard, S. H., Collingridge, D. S., Yamashiro, D., & Skirko, J. R. (2022). Risk of Malocclusion Among Patients Undergoing Single-Stage Versus Two-Stage Cleft Palate Repair. The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 59(10), 1271-1278.
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  Evaluate impact of single-stage versus staged palate repair on the risk of developing malocclusion among patients with cleft palate (CP).
• Skirko, J. (2022). Childhood Respiratory Conditions: Stridor. FP essentials, 513, 25-31.
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  The most important issue in diagnosing stridor in infants and children is determining whether it is acute or chronic. The most common cause of acute stridor is croup, a viral infection with a straightforward diagnosis when patients have typical signs and symptoms (ie, inspiratory or biphasic stridor, barking cough, hoarse voice or cry, chest wall retractions). Management of mild and severe cases includes steroids. Patients with severe croup should undergo evaluation in an urgent care center or emergency department; hospital admission may be required. When symptoms are atypical for croup, physicians should consider other causes of acute stridor, including foreign body aspiration, bacterial tracheitis, and epiglottitis. The most common cause of chronic stridor is laryngomalacia, an abnormality in the laryngeal structures that causes the collapse of supraglottic structures over the airway. Symptoms typically develop in the first 1 to 2 months of life, are positional, and do not interfere with growth and development. However, if the diagnosis is in doubt or if the laryngomalacia is severe and the patient has cyanosis, worsening stridor after feeding, or inadequate weight gain, consultation with an otolaryngology subspecialist can be helpful. Most infants outgrow symptoms as the airway enlarges, but some may need pharmacotherapy for gastroesophageal reflux disease and careful feeding until this occurs. Others may need supraglottoplasty. Other causes of chronic stridor include vocal fold paralysis, subglottic hemangiomas, and glottic webs.
• Lee, J. M., Roy, N., Park, A., Muntz, H., Meier, J., Skirko, J., & Smith, J. M. (2021). Personality in Children With Vocal Fold Nodules: A Multitrait Analysis.. J Speech Lang Hear Res, 1-17. doi:10.1044/2021_JSLHR-21-00144
• Skirko, J. R., Collingridge, D. S., Lyon, N. F., Yamashiro, D., Reinemer, H. C., Dance, D., & Pollard, S. H. (2021). Oronasal Fistula Risk After Palate Repair. The Cleft Palate-Craniofacial Journal. doi:10.1177/1055665620931707
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  Objective: To assess risk factors for oronasal fistula, including 2-stage palate repair. Design: Retrospective analysis. Setting: Tertiary children’s hospital. Patients: Patients with non-submucosal cleft palate whose entire cleft repair was completed at the study hospital between 2005 and 2013 with postsurgical follow-up. Interventions: Hierarchical binary logistic regression assessed predictive value of variables for fistula. Variables tested for inclusion were 2 stage repair, Veau classification, sex, age at surgery 1, age at surgery 2, surgeon volume, surgeon, insurance status, socioeconomic status, and syndrome. Variables were added to the model in order of significance and retained if significant at a .05 level. Main Outcome Measure: Postoperative fistula. Results: Of 584 palate repairs, 505 (87%) had follow-up, with an overall fistula rate of 10.1% (n = 51). Among single-stage repairs (n = 211), the fistula rate was 6.7%; it was 12.6% in 2-stage repairs (n = 294, P = .03). In the final model utilizing both single-stage and 2-stage patient data, significant predictors of fistula were 2-stage repair (odds ratio [OR]: 2.5, P = .012), surgeon volume, and surgeon. When examining only single-stage patients, higher surgeon volume was protective against fistula. In the model examining 2-stage patients, surgeon and age at hard palate repair were significant; older age at hard palate closure was protective for fistula, with an OR of 0.82 ( P = .046) for each additional 6 months in age at repair. Conclusions: Two-stage surgery, surgeon, and surgeon volume were significant predictors of fistula occurrence in all children, and older age at hard palate repair was protective in those with 2-stage repair.
• Skirko, J., & McCrary, H. (2021). Bone of Alveolar Clefts. Oral Maxillofacial Clinics in OMFS, 231-238.
• Skirko, J., Lee, J. M., Roy, N., Park, A., Muntz, H., Meier, J., & Smith, M. (2021). Personality in Children With Vocal Fold Nodules: A Multitrait Analysis. J Speech Lang Hear Res., 1-17. doi:10.1044/2021_JSLHR-21-00144
• Skirko, J., Mooney, K. L., Brooks Peterson, M., & Friedman, N. R. (2021). The Quest for a DISE Protocol. Otolaryngol Head Neck Surg. doi:10.1177/01945998211036645
• Skirko, J., Pollard, S., Dance, D., Reinemer, H., Yamashiro, D., Lyon, N., & Collingridge, D. (2021). Risk Factors for Oronasal Fistula: Impact of Staged Palate Repair. Cleft Palate-Craniofacial Journal, 35-41.
• Skirko, J., Prussin, A., Babajanian, E., Grimmer, F., Meier, J., Muntz, H., Error, M., McRae, B., Burke, A., Stevens, A., & Ku, J. (2021). Radiofrequency Ablation verus Electrocautery Blinded Randomized Trial: Impact on Clinically Meaningful Outomes. Oto HSN, 1186-1192.
• Skirko, J., Torrecillas, V., McCrary, H., Pollard, S. H., Muntz, H., & Meier, J. (2021). Management of Velopharyngeal Insufficiency in Cleft Patients with and without Multidisciplinary Team Care. Cleft Palate Craniofac J, 479-488. doi:10.1177/1055665620954063
• Casazza, G. C., Graham, M. E., Asfour, F., O'Gorman, M., Skirko, J., & Meier, J. D. (2020). Aspiration in the otherwise healthy Infant-Is there a natural course for improvement?. The Laryngoscope, 130(2), 514-520.
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  Timing and indication for surgical intervention is a major challenge in managing pediatric oropharyngeal dysphagia. No study has evaluated a natural course of swallowing dysfunction in otherwise healthy infants. Our objective was to review the outcomes and time to resolution of abnormal swallow in infants with aspiration.
• Skirko, J. R., Graham, M. E., McCrary, H. C., & Fuller, A. K. (2020). The Case of the Missing Nose: Congenital Arhinia Case Presentation and Management Recommendations. Annals of Otology, Rhinology, and Laryngology. doi:10.1177/0003489420909415
• Skirko, J. R., Weaver, E. M., Garrison, L. P., & James, K. T. (2020). Development of a Sleep Apnea–Specific Health State Utility Algorithm. JAMA otolaryngology-- head & neck surgery. doi:10.1001/jamaoto.2019.4469
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  Importance With the increasing emphasis on economic evaluations, there is a need for additional methods of measuring patient utility in the obstructive sleep apnea population. Objective To develop and validate a utility scoring algorithm for a sleep apnea–specific quality-of-life instrument. Design, Setting, and Participants Development and validation were conducted at 2 tertiary referral sleep centers and associated sleep clinics and included patients with newly diagnosed obstructive sleep apnea from a randomized clinical trial and an associated observational cohort study. Baseline participants were randomly divided into a model development group (60%) and a cross-validation group (40%). Main Outcomes and Measures Utility scoring of the Symptoms of Nocturnal Obstruction and Related Events (SNORE-25) was mapped from the SF-6D utility index through multiple linear regression in the development sample using the Akaike information criterion to determine the best model. Results A total of 500 participants (development, n = 300; validation, n = 200) were enrolled; the analyzed sample of 500 participants included 295 men (59%), and the mean (SD) age was 48.6 (12.8) years, with a range of 18 to 90 years. The mean (SD) SF-6D utility among participants with untreated sleep apnea was 0.61 (0.08; range, 0.40-0.85) with similar utility across sleep apnea severity groups. The best-fit model (the SNORE Utility Index) was the natural log conversion of the instrument subscales (r2 = 0.32 in the development sample). The SNORE Utility Index retained this association within the validation sample (r2 = 0.33). Conclusions and Relevance The SNORE Utility Index provides a validated, disease-specific, preference-weighted utility instrument that can be used in future studies of patients with obstructive sleep apnea.
• Skirko, J. R., Weaver, E. M., Shusterman, D., & James, K. T. (2020). Association of Allergic Rhinitis With Change in Nasal Congestion in New Continuous Positive Airway Pressure Users. JAMA otolaryngology-- head & neck surgery. doi:10.1001/jamaoto.2020.0261
• Skirko, J. R., Weir, C. R., Hung, M., Slager, S., & Pollard, S. H. (2020). Family Experience With Pierre Robin Sequence: A Qualitative Study. The Cleft Palate-Craniofacial Journal. doi:10.1177/1055665620910331
• Skirko, J., James, K. T., Garrison, L., & Weaver, E. M. (2020). Development and Validation of the Utility Scoring of the Symptoms of Nocturnal Obstruction and Related Events (SNORE)-25 Instrument. JAMA Oto HSN. doi:10.1001/jamaoto.2019.4469
• Skirko, J., McCrary, H., & Graham, E. (2020). The Case of the Missing Nose: Presentation of a Congenital Arhinia Case and Review of Current Management Recommendations. Ann Otol Rhinol Laryngol. doi:10.1177/0003489420909415
• Skirko, J., McCrary, H., Torrecillas, V., Pollard, S. H., & Muntz, H. (2020). Increased Risk of Velopharyngeal Insufficiency in Patients Undergoing Staged Palate Repair. American Cleft Palate-Craniofacial Journal. doi:10.1177/1055665620913440
• Skirko, J., Newberry, C. L., Carpenter, P., McCrary, H., Casazza, G., & Meier, J. (2020). Inter-rater reliability in diagnosis and treatment of type one laryngeal cleft: A blinded observational study. Int J Pediatr Otorhinolaryngol, 139. doi:10.1016/j.ijporl.2020.110475
• Skirko, J., Ridgel, L., Roth, C. T., Bow, M., Hares-Helou, R., Mayorga Arias, K., Pollard, S. H., Hamdan, U., & Tollefson, T. T. (2020). Spanish Translation and Validation of a Velopharyngeal Insufficiency Quality of Life Instrument. International Journal of Pediatric Otolaryngology, 138. doi:10.1016/j.ijporl.2020.110312
• Denadai, R., Raposo-Amaral, C. E., Sabbag, A., Ribeiro, R. A., Buzzo, C. L., Raposo-Amaral, C. A., Hung, M., & Skirko, J. R. (2019). Brazilian-Portuguese Linguistic Validation of the Velopharyngeal Insufficiency Effects on Life Outcome Instrument. The Journal of craniofacial surgery, 30(8), 2308-2312.
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  The purpose of this study was to conduct a linguistic validation of the velopharyngeal insufficiency (VPI) Effects on Life Outcome (VELO) instrument for use in Brazilian-Portuguese patients with VPI.
• Denadai, R., Raposo-Amaral, C. E., Sabbag, A., Ribeiro, R. A., Buzzo, C. L., Raposo-Amaral, C. A., Hung, M., & Skirko, J. R. (2019). Measuring Patient-Reported Health-Related Quality of Life in Velopharyngeal Insufficiency: Reliability and Validity of the Brazilian Portuguese Version of the VELO Instrument. The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association, 56(9), 1195-1205.
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  To test the Brazilian Portuguese velopharyngeal insufficiency (VPI) Effects on Life Outcome (VELO) instrument for reliability and validity.
• Graham, M. E., Loveridge, K. M., Pollard, S. H., Moore, K. R., & Skirko, J. R. (2019). Infant Midnasal Stenosis: Reliability of Nasal Metrics. AJNR. American journal of neuroradiology, 40(3), 562-567.
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  Midnasal stenosis is a poorly defined entity that may be a component of other conditions of nasal obstruction contributing to respiratory distress in infants. We sought to establish whether midnasal vault narrowing is a component of well-defined syndromes of nasal narrowing, such as bilateral choanal atresia and pyriform aperture stenosis, and to characterize the nasal anatomy of patients with syndromic craniosynostosis.
• Graham, M. E., Yamashiro, D., & Skirko, J. R. (2019). Management of midnasal stenosis with infant surgically assisted rapid palatal expansion (iSARPE). The Laryngoscope, 129(5), 1211-1214.
• Huang, H., Chen, N., Yin, H., Skirko, J. R., Guo, C., Ha, P., Li, J., & Shi, B. (2019). Validation of the Chinese Velopharyngeal Insufficiency Effects on Life Outcomes Instrument. The Laryngoscope, 129(11), E395-E401.
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  To translate the Velopharyngeal Insufficiency Effects on Life Outcomes (VELO) instrument into Chinese and test its psychometric properties.
• Purcell, P. L., Edwards, T. C., Wisneski, M., Chan, D. K., Ou, H., Horn, D. L., Skirko, J. R., & Sie, K. C. (2018). Unilateral Hearing Loss in Youth: Development of Candidate Items for a Condition-Specific Validated Instrument. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 194599818797092.
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  Objective This study interviewed youth with unilateral hearing, utilizing their responses to generate candidate items for a condition-specific patient-reported instrument. Study Design Mixed methods, cross-sectional. Setting Tertiary care children's hospital. Participants and Methods Youth with unilateral hearing loss and normal hearing in the contralateral ear were identified and recruited for participation through query of an audiometric database and through hearing loss clinics. Interviews with the youth were qualitatively analyzed to identify common themes and generate items related to functional impact. A multi-institutional expert panel reviewed items with prespecified item selection criteria. Participants rated items for impact on daily life. For preliminary criterion validity assessment, statistical analyses explored correlations between functional scores and type and severity of hearing loss. Results Thirty-nine youth aged 9 to 18 years with unilateral hearing loss participated; 31% used a hearing device. Fifteen youth participated in interviews; thematic analysis, item crafting, and expert panel item review resulted in 41 items. Twenty-six youth responded to the items, reporting low functional scores in the domains of sound localization, ear positioning, and noise environment. They reported better levels of function in carrying out group conversations, focusing on schoolwork, and feeling safe during activities. Multivariate linear regression found that youth scored 0.4 points (or approximately 8%) lower on the functional impact scale with every 20-dB HL increase in pure tone average in the abnormal ear. Conclusion Youth with unilateral hearing loss report functional impact, particularly related to sound localization, ear positioning, and noise environment; therefore, they may benefit from a condition-specific functional assessment instrument.
• Santillana, R., Skirko, J., Roth, C., & Tollefson, T. T. (2018). Spanish Linguistic Validation for the Velopharyngeal Insufficiency Effects on Life Outcomes. JAMA facial plastic surgery, 20(4), 331-332.
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  This Research Letter describes the methodology of developing a Spanish translation of the VPI Effects on Life Outcomes (VELO) instrument through the linguistic validation.
• Skirko, J. R., Jensen, E. L., & Friedman, N. R. (2018). Lingual tonsillectomy in children with Down syndrome: Is it safe?. International journal of pediatric otorhinolaryngology, 105, 52-55.
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  Evaluate peri-operative course and morbidity in children with Down syndrome (DS) who underwent a lingual tonsillectomy (LT) for residual obstructive sleep apnea (rOSA).
• Skirko, J. R., Santillana, R. M., Roth, C. T., Dunbar, C., & Tollefson, T. T. (2018). Spanish Linguistic Validation of the Velopharyngeal Insufficiency Effects on Life Outcomes: VELO-Spanish. Plastic and reconstructive surgery. Global open, 6(11), e1986.
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  Quality of life (QOL) assessments are useful tools that measure a patient's health status and monitor patient-reported outcome measures. This study highlights the process of linguistic validation of a QOL assessment to serve Spanish-speaking families and ultimately help decrease language barriers in the treatment of velopharyngeal insufficiency (VPI).
• Skirko, J. R., Tollefson, T. T., Dunbar, C., Roth, C. T., & Santillana, R. (2018). Spanish Linguistic Validation of the Velopharyngeal Insufficiency Effects on Life Outcomes. Plastic and reconstructive surgery. Global open. doi:10.1097/gox.0000000000001986
• Bhuskute, A., Skirko, J. R., Roth, C., Bayoumi, A., Durbin-Johnson, B., & Tollefson, T. T. (2017). Association of Velopharyngeal Insufficiency With Quality of Life and Patient-Reported Outcomes After Speech Surgery. JAMA facial plastic surgery, 19(5), 406-412.
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  Patients with cleft palate and other causes of velopharyngeal insufficiency (VPI) suffer adverse effects on social interactions and communication. Measurement of these patient-reported outcomes is needed to help guide surgical and nonsurgical care.
• Sjogren, P. P., Arnold, R. W., Skirko, J. R., & Grimmer, J. F. (2017). Anatomic distribution of cervicofacial lymphatic malformations based on lymph node groups. International journal of pediatric otorhinolaryngology, 97, 72-75.
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  To evaluate radiographic characteristics and to identify locations of cervicofacial lymphatic malformations in children based on known lymph node groupings.
• Skirko, J. R., Weaver, E. M., Perkins, J. A., Kinter, S., Eblen, L., Martina, J., & Sie, K. C. (2015). Change in Quality of Life with Velopharyngeal Insufficiency Surgery. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 153(5), 857-64.
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  (1) To define the minimal clinically important difference (MCID) of the Velopharyngeal Insufficiency (VPI) Effects on Life Outcomes (VELO) instrument, and (2) to test for the change in quality of life (QOL) after VPI surgery.
• Skirko, J. R., Weaver, E. M., Perkins, J. A., Kinter, S., Eblen, L., & Sie, K. C. (2013). Validity and responsiveness of VELO: a velopharyngeal insufficiency quality of life measure. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery, 149(2), 304-11.
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  Test the Velopharyngeal Insufficiency (VPI) Effects on Life Outcomes (VELO) instrument for validity, reliability, and responsiveness.
• Skirko, J. (2012). Sleep Surgery Treatment Outcomes and Policy:Cost Effectiveness of Uvulopalatopharyngoplasty. Otolaryngology-Head and Neck Surgery. doi:10.1177/0194599812449008a90
• Skirko, J. R., Sie, K. C., Eblen, L. E., Kinter, S., Perkins, J. A., & Weaver, E. M. (2012). Validity and Responsiveness of VELO: A VPI QoL Instrument. Otolaryngology-Head and Neck Surgery. doi:10.1177/0194599812451438a219
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  Objective: In a study of patients with velopharyngeal insufficiency (VPI) diagnosed by pediatric speech pathologists, test the VPI Effects on Life Outcomes (VELO) instrument for criterion validity, construct validity, reliability, and responsiveness (ability to detect change in quality of life). Method: VPI subjects/parents completed the VELO at baseline, 2 weeks later, and 3 months posttreatment. Criterion-validity tested correlation between VELO score and VPI severity; construct-validity tested correlation with speech intelligibility. Test-retest reliability tested intraclass-correlation between baseline VELO score and 2-week score. Responsiveness tested mean baseline and posttreatment scores with the paired t test. Results: Parental responses are reported (n = 83); youth responses (obtained in 8+ year-olds only; n = 24) showed similar results. VPI severity (minimal n = 11, mild n = 31, moderate n = 27, severe n = 14) and speech intelligibility were rated by pediatric speech pathologists. The VELO instrument did not meet criterion validity (Spearman r = −0.21, P = .07) but did meet construct validity (Spearman r = −0.36, P = .001). VELO scores demonstrated excellent test-retest reliability ( r = 0.85, P < .001, n = 40). Treatments included Furlow palatoplasty (n = 20), sphincter pharyngoplasty (n = 14), or an obturator (n = 2) with n = 28 (78%) completing the VELO posttreatment. The VELO showed responsiveness to treatment improving from baseline 54 ± 15 to posttreatment 70 ± 18 ( P < .001). Conclusion: VELO provides a VPI specific quality of life instrument that demonstrates construct validity, test-retest reliability, and responsiveness to change in quality of life with treatment.
• Skirko, J. R., Weaver, E. M., Perkins, J., Kinter, S., & Sie, K. C. (2012). Modification and evaluation of a Velopharyngeal Insufficiency Quality-of-Life instrument. Archives of otolaryngology--head & neck surgery, 138(10), 929-35.
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  To modify the existing 45-item Velopharyngeal Insufficiency (VPI) Quality-of-Life (QOL) instrument (VPIQL), to assess the modified instrument for reliability, and to provide further validation.
• Skirko, J. R., Weaver, E. M., Shusterman, D., Levine, C. G., & James, K. T. (2012). Allergic Rhinitis and Changing Nasal Congestion after Continuous Positive Airwary Pressure. Otolaryngology-Head and Neck Surgery. doi:10.1177/0194599812451426a425
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  Objective: Among continuous positive airway pressure (CPAP) users, self-reported allergic rhinitis has been associated with relative worsening of subjective nasal congestion. This study’s aims were to test the associations between objective allergic rhinitis status and 1) change in objective nasal congestion after CPAP initiation, or 2) objective CPAP use. Method: Objective allergic rhinitis status was established by skin-prick test of 17 region-specific aeroallergens in CPAP patients with baseline turbinate hypertrophy. Objective nasal congestion was measured by acoustic rhinometry (combined bilateral minimal cross-sectional area, MCA) at baseline and 3-months later in subjects using CPAP. Objective CPAP use was measured at 12 months. Results: This cohort study included n = 81 subjects from a larger parent trial on turbinate hypertrophy in CPAP patients. In this cohort, MCA did not change significantly in subjects with allergic rhinitis (n = 51, paired t-test P = .18) or in controls (n = 30, paired t-test P = .67) after initiation of CPAP, and there was no significant difference in change between groups ( t-test P = .28). CPAP use in allergic rhinitis subjects (1.9 ± 2.7 h/night) was not significantly different from controls (2.4 ± 3.0 h/night; Mann-Whitney U test, P = .28), but statistical power was limited for the observed difference (power 12%). Conclusion: Allergic rhinitis did not predict worsening of objective nasal congestion with CPAP initiation or decreased CPAP use, but confounding, eligibility criteria, limits of objective nasal measurements, and insufficient statistical power may have blunted a true effect. Further studies are needed.

Presentations

• Skirko, J. (2023). Comprehensive Care of Robin Sequence. American Society of Pediatric Otolaryngology (ASPO).
• Skirko, J. (2023, February). Pediatric Tonsillectomy - Tools, Techniques & Guidelines. ENT in the Desert. Tucson, AZ: University of Arizona.
• Skirko, J. (2023, May). Developing a patient centered research priority list for children with Pierre Robin sequence – A Delphi Ranking Study. ACPA 80th Annual Meeting.
• Skirko, J. (2023, May). Development and Item Reduction of a Pierre Robin Sequence Quality of Life Instrument. ACPA 80th Annual Meeting.
• Skirko, J. (2023, May). Patient Centered Research in Robin Sequence – Experiences from the Stakeholder Alliance for children with RS (StARS) Project. ACPA 80th Annual Meeting.
• Skirko, J. (2022, March). Comprehensive Care for Kids with Orofacial Clefts . Pediatric Resident Conference, Banner Tucson Medical Center. Tucson, AZ.
• Skirko, J. (2022, May). Development of a Pierre Robin Sequence Quality of Life Instrument. Data Blitz, University of Arizona – College of Medicine. Tucson, AZ.
• Skirko, J. (2022, October). Micrognathia – Evaluation & Management. Pediatric Resident Conference, Banner Tucson Medical Center. Tucson, AZ.
• Skirko, J. (2022, September). Cleft Speech - Multidisciplinary Care, Evaluation & Surgical Management. Department of Speech Pathology – Cleft Conference, University of Arizona.
• Skirko, J. (2020). Pediatric Septoplasty. University of Colorado Winter Meeting. Vail, Co..
• Skirko, J. (2020, November). Comprehensive Cleft Care. Maternal Fetal Fellow Conference, Banner Tucson Medical Center.
• Skirko, J. (2020, November). Snorty to Squeaky Infants-Evaluation & Management of Infant Airway Obstruction. Tucson Feeding Coalition.
• Skirko, J., McCrary, H., Torrecillas, V., Pollard, S. H., Meier, J., & Muntz, H. (2019, April). Risk of Velopharyngeal Insufficiency in Patients Undergoing Staged-Palate Repair. American Society of Pediatric Otolaryngology (ASPO). Austin, TX.
• Skirko, J., Ridgel, L., Roth, C. T., Bow, M., Hares-Helou, R., Mayorga Arias, K., Pollard, S. H., Hamdan, U., Almas, F., & Tollefson, T. T. (2019, April). Spanish Translation and Validation of a Velopharyngeal Insufficiency Quality of Life Instrument. American Society of Pediatric Otolaryngology (ASPO). Austin, TX.
• Goudy, S., Skirko, J., Kummer, A., & Andrews, B. (2018). “Revision Surgery for Velopharyngeal Insufficiency: Thinking Outside Of The Box Without Crossing The Line". American Cleft Palate & Craniofacial Association’s 75th Annual Meeting.
• Skirko, J. (2018). Infant Airway Obstruction - Evaluation and Management. Conferencias Medicas Worldwide Class, Hospital Leon Becerra De Guayaquil, Ecuador.
• Skirko, J. (2018). Pierre Robin Sequence. NICU Fellow Conference, Primary Children's Hospital.
• Skirko, J. (2018). Snorty to Squeaking Infants - Evaluation & Management of Infant Airway Obstruction" & “Comprehensive Cleft Care – From Infancy to Adulthood. Neonatal Nurse Practitioner Graduate School.
• Skirko, J., Goudy, S., Scott, A., Roth, C., & Sie, K. (2018). Minding the Gap: Controversies in Velopharyngeal Insufficiency Evaluation and Surgical Planning. American Society of Pediatric Otolaryngology (ASPO).
• Skirko, J., Goudy, S., Sie, K., & Scott, A. (2018). Minding the Gap:  Velopharyngeal Insufficiency Evaluation and Treatment. AAO-HNS Annual Meeting.
• Skirko, J., Santillana, R., Roth, C., & Tollefson, T. T. (2018). VPI Effects on Life Outcomes (VELO): Spanish Linguistic Validation. American Cleft Palate & Craniofacial Association’s 75th Annual Meeting.
• Skirko, J., Van Der Watt, N., Hatch-Pollard, S., Hung, M., & Weir, C. (2018). Experiences of Parents of Children with Robin Sequence: Quality of Life and Quality of Care. American Cleft Palate & Craniofacial Association’s 75th Annual Meeting..

Poster Presentations

• Donovan, M., Skirko, J., & Scheffler, P. (2022). Predictors of Morbidity and Mortality in Children with Esophageal Atresia and/or Tracheoesophageal Fistula. AAO-HNSF 2022 Annual Meeting & OTO Experience.
• Skirko, J., Camillon, R., Torrecillas, V., McCrary, H., Pollard, S. H., Meier, J., & Muntz, H. (2020). Increased Risk of VPI in Cleft Palate Patients with Pierre Robin Sequence. American Society of Pediatric Otolaryngology (ASPO).
• Skirko, J., Torrecillas, V., McCrary, H., Pollard, S. H., Meier, J., & Muntz, H. (2019, April). Early Identification of Velopharyngeal Dysfunction in Patients with Multidisciplinary Team Care. American Society of Pediatric Otolaryngology (ASPO).