Download Otolaryngology – Head and Neck Surgery

Otolaryngology –
Head and Neck Surgery
at Weill Cornell Medical College
Otology and Neurotology
Rhinology and Sinus Disorders
Laryngology, Voice, and Dysphagia
Head and Neck Surgery
Pediatric Otolaryngology
Plastic and Reconstructive Surgery
General Otolaryngology
Fifth EDITION
Breaking the Sound Barrier
How We Are Advancing Treatment for Hearing Loss
SAVE THE DATE
7th Annual Symposium
Otolaryngology
Update in NYC
Featuring Distinguished Local and National Faculty
October 24 - 25, 2013
Course Description
This 2-day course will provide the practicing Otolaryngologist-Head
and Neck Surgeon with an update on the latest diagnostic and
therapeutic techniques, including surgical management for the
following subspecialties:
• Otology and Neurotology • Rhinology and Sinus Disorders • Laryngology, Voice,
and Dysphagia • Head and Neck Surgery
• Pediatric Otolaryngology
• Plastic and Reconstructive Surgery
• General Otolaryngology
Course Co-Directors
Special Guest Faculty
Michael G. Stewart, MD, MPH
Professor and Chairman
Department of Otolaryngology –
Head and Neck Surgery
Weill Cornell Medical College
Vice Dean
Weill Cornell Medical College
Robert C. Kern, MD
Chairman
Department of Otolaryngology –
Head and Neck Surgery
Northwestern University
Feinberg School of Medicine
Samuel H. Selesnick, MD
Professor and Vice Chairman
Department of Otolaryngology –
Head and Neck Surgery
Weill Cornell Medical College
Presented by
Weill Cornell Medical College
Location
Westin New York at Times Square
270 West 43rd Street
between 7th and 8th Avenues
New York, NY 10036
For More Information
Jessica Grajales
CME Coordinator
Tel: (212) 585-6800
Fax: (212) 297-5569
email: [email protected]
Gregory N. Postma, MD
Director
Center for Voice and
Swallowing Disorders
Medical College of Georgia
Ashok R. Shaha, MD
Chairman, Head and Neck
Surgery and Oncology
Memorial Sloan-Kettering
Cancer Center
Steven A. Telian, MD
Professor, Otolaryngology
University of Michigan
Health System
Tom D. Wang, MD
President
American Academy of
Facial Plastic and
Reconstructive Surgery
Oregon Health and
Science University
Regional Guest Faculty
Dean C. Mitchell, MD
Clinical Assistant Professor
Touro College of
Osteopathic Medicine
Weill Cornell Medical College
Department of Otolaryngology –
Head and Neck Surgery Faculty
Kevin D. Brown, MD, PhD
Marc A. Cohen, MD
Ashutosh Kacker, MBBS
Michelle L. Kraskin, AuD
William I. Kuhel, MD
David I. Kutler, MD
Joshua I. Levinger, MD
Kate E. McCarn, MD
Vikash K. Modi, MD
Joseph J. Montano, EdD
Aaron N. Pearlman, MD
Mukesh Prasad, MD
William R. Reisacher, MD
Rita M. Roure, MD
Lucian Sulica, MD
Maria V. Suurna, MD
Andrea Wang, MD
Weill Cornell Medical College
Guest Faculty
Vijay K. Anand, MD
Gina Czark
Hillary D. Johnson, MD, PhD
Gary J. Lelli, Jr., MD
C. Douglas Phillips, MD
Haviva Veler, MD
Columbia University College
of Physicians and Surgeons
Otolaryngology Residency
Guest Faculty
Lanny Garth Close, MD
Chairman, Department of
Otolaryngology – Head and
Neck Surgery
Chandra M. Ivey, MD
Anil K. Lalwani, MD
Jaclyn B. Spitzer, PhD
Monica Tadros, MD
Contents
Message From the Chair
2
New West Side Practice Opens
3
Breaking the Sound Barrier:
How We Are Advancing Treatment
for Hearing Loss4
Creating a Team Approach
to Cutaneous Oncology8
A Paradoxical Laryngeal Disorder Rooted in
a Disorder of Breathing 10
Clinical Innovation:
A New Tool to Test for Allergies11
Academic Highlights News and Notes
14
Selected Publications 16
Residency Update 20
Professional Education 20
Department Faculty 22
1
Message From the Chair
W
e are pleased to bring you the latest brochure from our
Department. Since our last report, we have celebrated
many notable events. At the Medical College, we are concluding
a $1.3 billion fundraising campaign – the largest ever by a
medical college – capped off by the construction of the new
Belfer Research Building on our Upper East Side Manhattan
campus. Weill Cornell has welcomed a new Dean, Dr. Laurie
Glimcher, who is already making a significant positive
impact on the College, including the recruitment of a Director
for our new Cancer Center. We have also opened a beautiful
new outpatient practice facility on the Upper West Side, and the
Department of Otolaryngology – Head and Neck Surgery will
play a major role at that location. Our partner hospital,
NewYork-Presbyterian Hospital, is completing a merger with
New York Downtown Hospital in lower Manhattan, which will be
another campus for the Weill Cornell faculty practice expansion and
our Department will have two faculty based there this year. I was also
honored to be appointed by Dean Glimcher as the Vice Dean of the
Medical College in 2012.
In the Department, Dr. Sam Selesnick has completed his term as
President of the American Neurotology Society, and I completed my
term as President of the Association of Academic Departments of
Otolaryngology-HNS. Several of our faculty hold leadership positions
in regional and national societies, including Dr. William Reisacher,
who was elected to the Board of the American Academy of Otolaryngic
Allergy, and Dr. David Kutler, who serves as President of the New York
Head and Neck Society. The Weill Cornell/NewYork-Presbyterian
Center for the Performing Artist – which is based in our Department
– continues to grow, and is now an official health care provider for the
Metropolitan Opera and the Juilliard School, as well as providing care
for many others in the large performing artist community in New York
City. Our clinical programs all continue to grow and prosper, and
we sponsor several highly rated and well-attended CME and CEU
programs every year.
Thanks again for your interest in our Department, and we hope you
enjoy the brochure.
Sincerely,
Michael G. Stewart, MD, MPH
Professor and Chairman
Department of Otolaryngology – Head and Neck Surgery
Vice Dean
Weill Cornell Medical College
2
Dr. Michael G. Stewart
New West Side Practice Opens
T
he Department of Otolaryngology – Head and Neck Surgery recently celebrated the
opening of its West Side Practice offices, located within the new Weill Cornell Physician
Organization’s multispecialty practice located at 84th Street and Broadway. The Department’s
West Side Practice provides the same comprehensive care available through its primary practice
site in the Weill Greenberg Center at 1305 York Avenue.
A brightly lit and spacious waiting room
provides a warm welcome to patients,
while large and modern exam rooms
enhance the patient care experience.
Hearing testing and hearing aid services
are also available in the new facilities.
Members of the Department of Otolaryngology – Head and Neck Surgery join in the opening of the new Weill Cornell
West Side Practice facility. They are (from left) Marc A. Cohen, MD; Samuel H. Selesnick, MD, Vice Chairman; Kate
E. McCarn, MD; Vikash K. Modi, MD; Joseph J. Montano, EdD; Maria V. Suurna, MD; and David I. Kutler, MD.
Breaking the Sound Barrier:
How We Are Advancing Treatment for Hearing Loss
I
n the Department of Otolaryngology – Head and Neck Surgery of Weill Cornell
Medical College, an interdisciplinary team of surgeons, audiologists, and clinicianscientists are pooling their respective expertise and resources to advance treatment for
individuals with severe to profound sensorineural hearing loss.
“Refining criteria for cochlear implant
candidates, pursuing progress in cochlear
implant surgical techniques, and researching
hearing loss at its most basic level are the key
components of the Department’s efforts to
improve the outcomes for those who are hearing
impaired,” says Samuel H. Selesnick, MD,
Vice Chairman for the Department and a
specialist in otology and neurotology. “The
collaboration among our cochlear implant
team members allows for optimal selection of
patients and the seamless exchange of relevant
information. It is particularly important in
the management of expectations on the part
of the patient and the patient’s family.”
Attacking Hearing Loss
in the Laboratory
Accumulation of free radicals, which can be
caused by environmental stress from intense
noise, aging, and trauma, plays a key role
in hearing loss and cell death in the inner
ear. Kevin D. Brown, MD, PhD, is trying to
alter these outcomes through research he
is pursuing in the laboratory on a class of
molecules called sirtuins.
Dr. Kevin D. Brown and Dr. Samuel H. Selesnick
to unravel the mechanisms of how sirtuins
exert this effect, attention has focused on
cell types that are acutely sensitive to the
effects of aging. One such cell type is the hair
cells and neurons of the inner ear, which can
degenerate leading to hearing loss associated
with aging. If you can increase the activity of
sirtuins, you can increase longevity of these
organ systems. There have been some reports
that suggest that if an animal is calorie
restricted, which activates this particular
class of enzymes – particularly sirtuin-3 –
they could actually prevent age-associated
hearing loss.”
“Sirtuins have been found to extend life in
some cell types and simple organisms,”
explains Dr. Brown. “As research has begun
From that initial research, Dr. Brown began
to look at ways to activate these sirtuins
independent of calorie restriction. “One of
the ways to sirtuin activity is to increase a
particular energetic coenzyme called NAD
found in all living cells,” says Dr. Brown.
“By increasing levels of this particular
component you can actually activate these
enzymes. I wanted to identify whether these
compounds could prevent hearing loss.”
Using genetically modified mouse models,
Dr. Kevin Brown and his colleagues found that
animals that had an increased level of sirtuin-3
were found to be protected against noise-induced
hearing loss.
Looking at noise-induced hearing loss,
Dr. Brown and his colleagues used
genetically modified mouse models to both
4
naturally produce more NAD or to have
more of sirtuin-3. They evaluated whether
these animals were less likely to have hearing
loss from a free radical injury, specifically
noise exposure. They found that this was,
in fact, the case. Animals that either had an
increased capacity for producing NAD or
an increased level of sirtuin-3 were found to
be protected against noise-induced hearing
loss. Dr. Brown, in collaboration with
Weill Cornell colleagues Samie R. Jaffrey,
MD, PhD, Professor of Pharmacology, and
Anthony A. Sauve, PhD, Associate Professor
of Pharmacology, then utilized a compound
synthesized by Dr. Sauve that could increase
to hearing loss utilize a common pathway
where there is free radical injury. We may be
able to prevent in a very logical fashion those
types of injuries – whether from Meniere’s
disease, noise exposure, aging, or other
types of injury – from leading to permanent
hearing loss.”
Advancing Cochlear Implant
Technique and Technology
In the Department’s Hearing and Speech
Center under the direction of Joseph J.
Montano, EdD, 17 certified audiologists
and speech language pathologists provide
state-of-the-art diagnostic and rehabilitative
services for disorders of hearing, speech,
language, voice, and swallowing for children
and adults. As Hannah E. Shonfield,
AuD, Supervisor, Audiology, explains,
“Many patients – especially those who
are dissatisfied with their current hearing
aid – come in seeking information about
cochlear implants in the hope that they are a
candidate for this device. But if they are not,
we examine what we can do to rehabilitate
their hearing loss through other avenues.”
“We may be able to prevent in a
very logical fashion those types of
injuries – whether from Meniere’s
disease, noise exposure, aging, or
other types of injury – from leading
to permanent hearing loss.”
— Kevin D. Brown, MD, PhD
NAD and administered it to the animals
before they were subjected to noise exposure
that would typically cause injury to the cochlea.
“We found that this drug effectively
prevented them from having both the
short-term transient loss as well as the
long-term loss of hearing that occurs with
noise exposure,” says Dr. Brown. “We were
able to demonstrate that the compound,
nicotinamide riboside, activates sirtuin-3
and prevents these animals from developing
the typical type of hearing loss that occurs
with noise exposure. This was really quite
incredible.” Dr. Brown is now evaluating
which structures within the cochlea are
protected against noise-induced injury with
this compound. The goal of this research
is to provide an alternative pharmacologic
approach to damage associated with acute
inner ear injury, whatever the cause. “What
is particularly interesting,” says Dr. Brown,
“many, if not all, of the conditions that lead
Dr. Michelle Kraskin
Michelle Kraskin, AuD, Supervisor,
Audiology, specializes in pediatric patients
needing cochlear implants, with their
youngest patient implanted at nine months.
“Children who have bilateral profound
sensorineural hearing loss are implant
candidates as long as the cochlear nerve is
present,” says Dr. Kraskin.
Drs. Shonfield and Kraskin collaborate with
Dr. Selesnick and Kevin D. Brown, MD,
PhD, not only on clinical care for adults
and children who are cochlear implant
5
pocket in the standard implant position
in light of concerns regarding migration
of the receiver-stimulator and damage
to a non-recessed electrode lead. “We
wanted to determine the incidence of these
potential complications by prospectively
evaluating a cohort of patients receiving
cochlear implants at Weill Cornell using the
subperiosteal pocket technique, which does
not require bony drilling of the calvarium or
exposure of the dura,” says Dr. Selesnick.
In traditional procedures, the receiverstimulator component is seated in its place
by drilling a well into the calvarium that
houses the receiver-stimulator unit, which
is then secured using fixation via bony tiedown sutures. This technique carries with
it a small but veritable risk of intracranial
complications, such as a cerebrospinal fluid
leak, subdural hematoma, and epidural
hematoma, and has also been associated with
instances of receiver-stimulator migration.
“Migration can lead to uncomfortable or
dysfunctional interaction with the external
speech processor and requires revision
surgery,” says Dr. Brown, who specializes in
the surgical rehabilitation of hearing loss by
cochlear implantation.
Dr. Kevin D. Brown
candidates, but also on research to further
advance this technology. When Dr. Brown
joined Weill Cornell, he brought with him
advanced training in minimally invasive
cochlear implant surgery having trained as
a fellow at the University of Miami, which
pioneered the procedure. “The faculty there
determined that you could successfully
implant the cochlear device with a much
smaller incision – 4.5 cm behind the ear
– and less invasive approaches than had
been typically performed,” says Dr. Brown.
Currently, instead of performing a specific
bony fixation of the device, Dr. Brown and
his colleagues have been using a soft-tissue
subperiosteal pocket to accommodate the
implant. “The technique works extremely
well,” says Dr. Brown. “The cochlear implant
sits in a very tight pocket between the bone
and the pericranium, which is the layer of
connective tissue over the skull, and holds
the device in place. We then suture the
bottom of the pocket to tighten it further
so that the pocket is the exact size of the
implant. Because the technique eliminates
the necessity of drilling into the skull, it is
particularly advantageous in children as
their skulls are very thin.”
Their study looked at 31 ears (18 adults, 13
children) implanted utilizing the subperiosteal
1
3
Weill Cornell faculty recently completed
a study to evaluate the placement of the
receiver-stimulator in the subperiosteal
6
2
The surgical technique of subperiosteal receiver-stimulator
implantation involves:
(1) creation of a subperiosteal pocket with a periosteal
elevator
(2) sizing of the pocket with
a silastic dummy receiverstimulator, and
(3) placement of the
receiver-stimulator in the
subperiosteal pocket
technique, with an average patient age of
22 months for children and 58 years for
adults. “Our findings support the safety and
efficacy of the subperiosteal technique,”
notes Dr. Selesnick. “There were no cases of
receiver-stimulator migration or intracranial
complications.”
The surgeons also found the technique
amenable to varied positioning of the
receiver-stimulator to accommodate
anatomical factors and the age of the patient.
Importantly, if any difficulty in fitting the
receiver-stimulator using the subperiosteal
pocket is encountered during surgery, the
approach may be converted to the standard
technique during device implantation.
However, the team has to date not needed
to convert any cases to the traditional
approach. The study is ongoing and the team
will continue to follow implanted patients, as
well as enroll new patients.
been some success with the use of steroids,
but newer compounds that can help prevent
degeneration will be extremely helpful.
“We are very excited about some of the
newer applications of cochlear implants,” notes
Dr. Brown. “One of the major applications
that I believe is going to become an important
treatment modality is for patients who have lost
hearing on one side – particularly for those who
have lost it recently – and have normal hearing
in the other ear. Although this may seem
logical to people outside the field, to people
inside the field it’s revolutionary because we
have always thought that a patient would not be
able to process both the electrical information
provided by an implant and the acoustic
information provided by normal hearing. It
would be like someone speaking in Japanese
in one ear and German in the other.”
“Our findings support the safety
and efficacy of the subperiosteal
technique. There were no cases of
receiver-stimulator migration or
intracranial complications.”
Notes Dr. Brown, important work in this
area is increasingly demonstrating that
patients who completely lose hearing in one
ear but have normal hearing in the other do
much better with a cochlear implant than
they do with basically any other treatment
modality currently available. As the brain
adapts, they are able to incorporate both
acoustical and electrical information
and use it in a way that improves speech
understanding, sound localization, and
quality of life.
— Samuel H. Selesnick, MD
According to Dr. Brown, another important
consideration during cochlear implantation
is preventing injury to the cochlea during
the procedure. “When you put a cochlear
implant in the cochlea, the hair cells that
are responsible for picking up the vibration
of sound and converting it to an electrical
signal that goes to the brain stem can
become injured or lost either immediately
or over time after the implant is placed,” says
Dr. Brown. “This is of particular concern in
patients who still have some residual hearing
– particularly in the lower frequencies. So
we are looking at interventions that help to
preserve the natural structure of the cochlea
and prevent its degeneration. There has
Dr. Brown and colleagues are currently
embarking on an extensive prospective
study evaluating changes in quality of life,
perceived hearing handicap, and tinnitus
handicap in patients that have lost hearing
on one side and receive a cochlear implant.
7
Creating a Team Approach to Cutaneous Oncology
I
t was truly a meeting of minds when a year ago Kate E. McCarn, MD, a facial plastic
surgeon; Marc A. Cohen, MD, and David I. Kutler, MD, head and neck surgeons;
Hillary D. Johnson, MD, PhD, a specialist in Mohs micrographic surgery and high-risk skin
cancer screening with Weill Cornell’s Department of Dermatology; Garrett T. Desman, MD,
a dermatopathologist in the Department of Pathology and Laboratory Medicine; along
with medical and radiation oncologists, ocular and general plastic surgeons, pathologists,
and radiologists came together to pool their expertise and resources for patients with skin
cancer by establishing the multispecialty Cutaneous Oncology Group.
The group had its origins when Drs. McCarn,
Cohen, Johnson, Desman, and others got
together to talk about a specific case. “We
thought it would be a good idea if we held
regular discussions to review difficult cases,”
recalls Dr. Cohen. “That way everyone
could be on board with all of the issues
that arise with patients who need care from
multiple experts.” The group now gathers
monthly to review and develop treatment
plans for challenging cases. It also serves
as a forum for discussing new research and
topics of common interest and provides an
educational opportunity for residents as well.
Dr. Kutler agrees. “It used to be, at least
for skin cancer, that we would work
independently. Some of these skin cancers,
especially complicated tumors with
aggressive behaviors that cross multiple
boundaries, need a multidisciplinary
approach,” says Dr. Kutler. “The group allows
us to provide better care for these more
complicated cutaneous malignancies.”
According to Dr. Kutler, head and neck
surgeons become involved in planning and
treatment when the cancer is more invasive,
reaching into deeper structures where the
eye, nose, or skull base is involved, or if
the cancer metastasizes to the neck. “With
deeper melanomas, we will also be called in
to do sentinel node biopsies to determine the
extent of the cancer,” says Dr. Kutler. “You
really need a team to care for patients with
invasive skin cancers.”
Through the Cutaneous Oncology Group,
patients receive seamless care within the
same facility on the same day. For example,
Dr. Johnson will perform Mohs surgery to
remove a cancerous growth and, depending
on the extent of tissue removed, she will refer
the patient to Dr. McCarn, whose office is
only four floors below. Dr. McCarn will then
address any facial restoration or reconstruction that is needed that same day. Appointments with a head and neck surgeon will also
take place, if necessary.
Dr. Kate E. McCarn and Dr. Hillary D. Johnson
“When people have cancer, it really
requires input and intervention by multiple
practitioners,” says Dr. Cohen. “The best
thing for the patient is a group of people with
different areas of expertise who together
develop a treatment plan. The Cutaneous
Oncology Group was formed to enable all of
us to provide that kind of collaborative and
comprehensive care for our patients.”
“It really is a collaborative effort,” says
Dr. McCarn. “For patients who have very
big cancers or complex defects, we are able
to coordinate their visits with each of the
appropriate medical or surgical specialists,
most of whom are located in the same
8
Dr. David I. Kutler and Dr. Marc A. Cohen
building. This not only optimizes the success
of treatment, including functional and
aesthetic outcomes, it also makes the overall
experience for the patient much less stressful.”
“It’s great for the patient when the doctor can
come back and say, ‘Listen, I talked to seven
other people about you, and we all agree that
this is the right thing to do,’” says Dr. Cohen.
“The more experience that you have with an
issue, the more informed your decisions will
be. So if you have multiple people with years
of experience getting together, the decisions
about how to treat the patient will be that
much better.”
aggressive than the typical skin cancer –
to identify what makes these tumors
different. According to research reported
in 2005 in The New England Journal of
Medicine, melanoma should not be classified
as one disease since it appears to have
distinct developmental pathways related
to anatomic site, degree of sun exposure,
genetics, and possibly other factors. With the
rate of cutaneous melanoma continuing to
rise and the fact that currently no effective
treatments are available for advanced
melanoma, defining differences among the
different types is of paramount importance.
Spearheaded by Weill Cornell dermatopathologist Dr. Garrett Desman, whose
research interests are focused on adnexal
neoplasia and malignant melanoma, the
team has begun investigating melanocytic
tumors of uncertain malignant potential –
a subset of rare skin cancers that are more
“We are compiling tissue samples and data
on patients with these interesting tumors
to one day allow us to identify the more
aggressive tumors,” says Dr. McCarn. “This
will enable us to predict which patients
may need treatment earlier and which
interventions will lead to the best outcomes.”
To investigate the usefulness of a novel
marker for melanocytic proliferations,
Dr. Garrett Desman and his colleagues
used a novel monoclonal antibody
against soluble adenylyl cyclase,
immunostaining various benign and
malignant melanocytic proliferations.
9
A Paradoxical Laryngeal Disorder
Rooted in a Disorder of Breathing
W
hen Thomas Murry, PhD, speaks, people
listen. An internationally recognized
voice scientist and speech-language pathologist with more than 40 years of clinical and
research expertise in voice disorders, Dr. Murry
has authored or coauthored 12 books for
speech pathologists and otolaryngologists.
asthma, but on pulmonary examination their
lungs are normal. “These kids rarely have
asthma or other pulmonary diseases. They have
an airway issue at the level of the vocal folds,”
says Dr. Murry. “In the early ‘70s the National
Jewish Hospital in Denver published a paper
that reported on patients who were refractory
to asthma treatment and instead had a voice
disorder. Pulmonologists referred to it as vocal
cord dysfunction; ENT specialists gave it the
name paradoxical vocal fold motion disorder.”
For more than a decade, Dr. Murry has had
a particular interest in paradoxical vocal fold
motion (PVFM) – a laryngeal disorder that
disrupts breathing even though the lungs may
be normal. “Paradoxical vocal fold motion
PVFM is diagnosed with laryngeal endoscopy.
“We look at the vocal folds with a flexible
endoscope, which allows us to actually see
this closing motion,” says Dr. Murry. In an
article published in the December 2011 issue
of Respiratory Medicine, Dr. Murry and his
colleagues report on a study they undertook
using both endoscopy and spirometry during
periods of no exercise to determine the differences between patients with PVFM compared
to a group of normal subjects – one of the first
studies of its kind. The data confirmed that in
patients with PVFM, inspiratory spirometric
values play a role in diagnosis. Additionally,
the majority of the PVFM subjects showed
vocal fold closure following a speech utterance while the control group did not – a finding that warrants further investigation.
Dr. Thomas Murry
disorder is an abnormal closing of the airway
with the vocal folds when somebody inhales,”
explains Dr. Murry. “When we take a breath
in, our vocal folds are supposed to be wide
open. But when patients who have PVFM
take a breath in, their vocal folds start to close.
The paradox is that the vocal folds are closing
when they should stay open.”
Treatment involves respiratory retraining
– a series of increased resistance breathing
exercises based on the rhythm of breathing
and the manner of breathing – and outcomes
reviewed on a case-by-case basis are showing success. “Once patients can maintain that
rhythm of breathing by not holding their
breath and by not taking big breaths, we start
to increase the resistance – first by putting
them on a bicycle, then by having them climb
steps and, eventually, we have them run.
Through this combination of behavior modification and physical training, breathing starts
to improve within four to eight visits.”
Dr. Murry, who sees about 50 people a year,
primary ages 12 to 25, with this unusual condition, notes that it often begins after an upper
respiratory infection and can develop into a
significant quality of life issue, causing shortness of breath and difficulty breathing upon
exertion, including during speaking. Some
patients are hypersensitive to certain odors.
The smell of diesel or certain foods may be
a trigger, profoundly affecting the ability of
patients to maintain an open airway.
Dr. Murry and his colleagues continue to raise
questions worthy of research, including
determining how often the condition occurs and
whether cases can resolve without treatment.
In young people with this disorder, the most
common misdiagnosis is exercise-induced
10
Clinical Innovation:
A New Tool to Test for Allergies
T
he work of William R. Reisacher, MD,
is “nothing to sneeze at.” Dr. Reisacher
is developing a diagnostic strategy for nonallergic rhinitis in which individuals appear
to have classic allergic symptoms but whose
skin and blood tests are negative. “The cause
of the symptoms remains unclear,” says
Dr. Reisacher. “What’s been known for many
years is that the lining of the nose, and some
of the other tissues inside the mouth and the
throat, are able to produce all of the allergy
antibodies that they need right in that area.
Many people will have those antibodies in
a local environment, such as in the nasal
cavity, but they’re not going to have any
evidence for it in the blood or in the skin.”
Local antibodies have been found to play a
role not only in non-allergic rhinitis, but in
many other conditions, such as nasal polyps,
allergic fungal sinusitis, and chronic rhinosinusitis. “These patients look like they have
allergies, but some estimates suggest that
45 to 50 percent of those patients who test
negative will have allergy antibodies in their
nose,” notes Dr. Reisacher. “So the ability to
test for these antigen-specific antibodies is of
primary importance not only for establishing
the correct diagnosis, but also to open up
other avenues of treatment.”
Dr. William R. Reisacher
a cytology brush to collect both mucus and
surface epithelial cells of the nasal lining,
he then processed those cells in a salt water
solution, testing them for antibodies using
blood serum testing equipment recalibrated
for saline. That first study was a landmark
proof of concept that antigen-specific antibodies inside the nose could be measured
using the brush biopsy.
Dr. Reisacher then embarked on additional
studies using the mucosal brush biopsy on
oral cavity mucosa to see if it might represent
a novel, non-invasive testing method for people
with food allergies, demonstrating that the
brush biopsy – especially when taken from the
vestibule – correlated much better with clinical
symptoms then blood testing.
To date, testing for local antibodies has
involved invasive and difficult procedures.
The thrust of Dr. Reisacher’s research was
to find a less invasive way of testing for local
antibodies. “I used what I call a mucosal
brush biopsy,” explains Dr. Reisacher. Using
“I would say that almost everybody who has
allergies has antibodies in the local area,”
says Dr. Reisacher. “What’s interesting is that
the patients who don’t have antibodies elsewhere, and only have antibodies in the local
area, those people tend to be missed. So it’s
important to not only do systemic testing,
but local testing as well.”
Dr. Reisacher’s invention of the mucosal brush biopsy represents a
less invasive form of testing that may appeal to more people who are
concerned about allergies, but it also has implications in sinonasal
research and any research where patients are categorized based on
their allergic status.
11
12
Academic Highlights
News and Notes
14
Selected Publications 16
Residency Update20
Professional Education20
Department Faculty
13
22
News and Notes
By Invitation Only
and as a panelist at the Sixth International
Conference on Acoustic Neuroma and
Other Cerebellopontine Angle Tumors,
Los Angeles.
Faculty of the Department of Otolaryngology
– Head and Neck Surgery are frequently
invited around the world to serve as visiting
professors or share their expertise at meetings
held by professional societies and organizations.
Following are a selection of some recent speaking
engagements – here and abroad.
Michael G. Stewart, MD, MPH, was visiting
professor and keynote speaker at resident
graduations at Georgia Health Sciences
University, Johns Hopkins University,
Vanderbilt University, and the University
of Iowa; visiting professor at Georgetown
University and Baylor College of Medicine;
invited speaker at the Washington Metro
Otolaryngology Society, Salzburg Weill
Cornell Seminar, Salzburg, Austria, and
OMI Otolaryngology Seminar, Pavlov State
Medical University, St. Petersburg, Russia;
and Guest of Honor, Annual Rhinology and
Advanced Sinus Surgery course, Department
of Otolaryngology, Third Affiliated Hospital
of Sun Yat-Sen University, Guangzhou, China.
Ashutosh Kacker, MBBS, was invited to
participate in panel discussions on sleep
apnea at The Triological Society Annual
Meeting in San Diego, and skull base
surgery at the Summer Sinus Course of the
American Rhinologic Society in Chicago;
the 2012 American Austrian Foundation
Otolaryngology Update in Salzburg, Austria;
and the 10th International Congress of
Otorhinolaryngology Head & Neck Surgery
in Ankara, Turkey.
David I. Kutler, MD, served as a member
of the faculty of the 2011 American
Austrian Foundation Otolaryngology
Update in Salzburg, Austria, and the
2011 Otolaryngology Satellite Course in
St. Petersburg, Russia.
Lucian Sulica, MD, was an invited speaker
at the International Voice Symposium at
New York University, the Robotic and
Laser Surgery in Otolaryngology course in
Hackensack, NJ, and the keynote speaker
at the Australia-Asia-Pacific Laryngology
& Dysphagia Conference in Melbourne,
Australia; and was the Elbyrne Gill lecturer
at the Virginia Society of OtolaryngologyHead & Neck Surgery Annual Meeting.
Joseph J. Montano, EdD, spoke on PatientCentered Care: Fact, Fiction or Fluff at the
Ida Institute Seminar 6A, in Skodsborg,
Denmark.
Thomas Murry, PhD, served as a visiting
professor at the University of South
Florida, Department of Speech Pathology
and Audiology, Orlando; the Santa Clara
University, Department of Bioengineering,
Santa Clara, California; and the University
of Hong Kong, Department of Speech and
Hearing Sciences.
Honors and Awards
Ashutosh Kacker, MBBS, received an
Honor Award from the American Academy
of Otolaryngology-Head and Neck Surgery.
David I. Kutler, MD, was inducted as a
Fellow in The Triological Society.
Vikash K. Modi, MD, was awarded the
Malcolm Schvey Clinical Teaching Award in
June 2012 from Weill Cornell Medical College.
Vikash K. Modi, MD, was an invited
participant at the European Society of
Pediatric Otorhinolaryngology meeting in
Amsterdam.
Joseph J. Montano, EdD, received a Service
Recognition Award from the Hearing Loss
Association of America – the nation’s leading
organization representing people with
hearing loss.
Samuel H. Selesnick, MD, was an invited
speaker at the Politzer Society of Otology
and Neurotology in Athens, Greece, at both
the University of Colorado and Vanderbilt
University meetings in Vail, and at The
New York Clinical Society in New York.
Dr. Selesnick also served as a visiting
professor at the University of Cincinnati and
the Medical University of South Carolina;
William R. Reisacher, MD, was an Honor
Award recipient of the American Academy of
Otolaryngology-Head and Neck Surgery.
14
Samuel H. Selesnick, MD, was presented
with the Vice Presidential Citation by
The Triological Society in recognition of
outstanding contributions to the Society.
Michael G. Stewart, MD, MPH
Vice Dean, Weill Cornell Medical College
Board of Directors, American Academy of
Otolaryngology-Head and Neck Surgery
Council Member and Vice President, Eastern
Section, The American Laryngological,
Rhinological, and Otological Society
Consultant to Board of Directors, American
Rhinologic Society
President, Association of Academic
Departments of Otolaryngology-Head and
Neck Surgery
Board of Directors, American Board of
Otolaryngology
Course Director, Otolaryngology
Symposium, Salzburg, Austria
Michael G. Stewart, MD, MPH, received
the 2012 Distinguished Service Award
(2nd award) from the American Academy of
Otolaryngology-Head and Neck Surgery, and
was inducted into the Alumni Hall of Honors
of St. Xavier High School, Louisville, KY.
Leadership Appointments
David I. Kutler, MD
President, New York Head and Neck Society
Kate E. McCarn, MD
Educational Committee, American Academy
of Otolaryngology-Head and Neck Surgery
Task Force, New Materials, American Board
of Otolaryngology
Editorial Appointments
Kevin D. Brown, MD, PhD
Editorial Board, Otology and Neurotology
Joseph J. Montano, EdD
Board of Trustees, Hearing Loss Association
of America
Ashutosh Kacker, MBBS
Editorial Boards: The Laryngoscope;
American Journal of Rhinology
Thomas Murry, PhD
Advisory Board, Pan-European Voice Conference
Thomas Murry, PhD
Editor, Voice and Communication Sciences,
Plural Publishing
Editorial Consultant Board, Journal of
Medical Speech-Language Pathology
Editorial Consultant, Journal of Voice
Editorial Reviewer and Consultant,
Journal of Speech and Hearing Research
Mukesh Prasad, MD
Chairman, Clinical Affairs Subcommittee
of the General Faculty Council,
Weill Cornell Medical College
William R. Reisacher, MD
Board of Directors, American Academy of
Otolaryngic Allergy
Samuel H. Selesnick, MD
Editorial Board,
Otology and Neurotology
Editorial Review Panel Member,
Otolaryngology-Head and Neck Surgery
Samuel H. Selesnick, MD
Chair, Subspecialty Advisory Council,
American Academy of Otolaryngology Head and Neck Surgery
Chairman, Nominating Committee,
Council of Scientific Trustees,
Hearing Health Foundation
Chairman, Committee on Applicants, Manhattan
District #2, American College of Surgeons
Secretary-Treasurer, Board of Directors,
Otology and Neurotology Incorporated
(parent corporation of the journal
Otology & Neurotology)
Executive Council Member,
American Neurotology Society
Executive Council Member,
American Otological Society
Senior Examiner, American Board
of Otolaryngology
Michael G. Stewart, MD, MPH
Editor-in-Chief, The Laryngoscope
Lucian Sulica, MD
Editorial Board, The Laryngoscope
15
Selected Publications – 2011-2013
Peer-Reviewed Articles
Jilani OK, Singh P, Wernicke AG, Kutler DI, Kuhel
WI, Christos P, Nori D, Sabbas A, Chao KS, Parashar
B. Radiation therapy is well tolerated and produces
excellent control rates in elderly patients with locally
advanced head and neck cancers. Journal of Geriatric
Oncology. Vol. 3, Issue 4, October 2012, 337-43.
Stucken EZ, Brown KD, Selesnick SH. The use of
KTP laser in revision stapedectomy. Otology &
Neurotology. 2012 Oct;33(8):1297-99.
Stucken EZ, Brown KD, Selesnick SH. Clinical
and diagnostic evaluation of acoustic neuromas.
Otolaryngologic Clinics of North America. 2012
Apr;45(2):269-84.
Kaplan KA, Reiffel AJ, Kutler DI, Rohde CH,
Spector JA. Sequential second free flap for head and
neck reconstruction in a patient with fanconi anemia
and metachronous squamous cell carcinoma. Plastic
and Reconstructive Surgery. 2011 Jul;128(1):18e-9e.
Cohen MA, Mirza N, Dow K, Abboud SK. Presentation and publication rates among women and men
at AAO-HNS Meetings. ORL: Journal for Otorhinolaryngology and Its Related Specialties. 2013 Jan 5;
74(6):325-29.
Kutler DI, Crummey AD, Kuhel WI. Routine central compartment lymph node dissection for patients
with papillary thyroid carcinoma. Head & Neck. 2012
Feb;34(2):260-63.
Leibowitz J, Cohen MA, Hashmi N, Mirza N, Abboud
S. Extramedullary plasmacytoma of the nasopharynx
treated with surgery and adjuvant radiation: case
report and review of the literature. The Internet
Journal of Otorhinolaryngology. 2011;12(2).
Parashar B, Wernicke AG, Pavese A, Singh P, Trichter
S, Sabbas A, Kutler DI, Kuhel WI, Port JL, Lee PC,
Nori D, Chao KS. Cesium-131 permanent seed
brachytherapy: dosimetric evaluation and radiation
exposure to surgeons, radiation oncologists, and staff.
Brachytherapy. 2011 Nov-Dec;10(6):508-13.
Quon H, Cohen MA, Montone KT, Ziober AF,
Wang LP, Weinstein GS, O’Malley BW Jr. Transoral
robotic surgery and adjuvant therapy for oropharyngeal carcinomas and the influence of p16(INK4a) on
treatment outcomes. The Laryngoscope. 2011 Jul 20.
[Epub ahead of print]
Reiffel AJ, Rohde CH, Kutler DI, Spector JA.
Sequential second free fibula flap for the reconstruction of metachronous osteoradionecrosis of
the mandible. Journal of Craniofacial Surgery. 2012
Mar;23(2):e90-91.
Liotta D, Kacker A, Schwartz TH, Anand A.
Endoscopic management of juvenile nasopharyngeal
angiofibroma. Operative Techniques in Otolaryngology.
Vol. 22, No. 4, Dec 2011;281-84.
Stucken EZ, Kutler DI, Moquete R, Kazam E, Kuhel
WI. Localization of small parathyroid adenomas using modified 4-dimensional computed tomography/
ultrasound. Otolaryngology – Head and Neck Surgery.
2012 Jan;146(1):33-39.
Sugumaran M, Cohen JC, Kacker A. Prevalence
of over-the-counter and complementary medication use in the otolaryngology preoperative patient:
a patient safety initiative. The Laryngoscope. 2012
Jul;122(7):1489-92.
McCarn KE, Hilger PA. 3D analysis of tissue
expanders. Facial Plastic Surgery Clinics of North
America. 2011 Nov;19(4):759-65.
Tabaee A, Hsu AK, Kacker A. Indications, technique,
safety, and accuracy of office-based nasal endoscopy
with biopsy for sinonasal neoplasm. International
Forum of Allergy & Rhinology. 2011 May-Jun;1(3):
225-28.
Thai L, McCarn KE, Stott W, Watts T, Wax MK,
Andersen PE, Gross ND. Venous thromboembolism
in patients with head and neck cancer after surgery.
Head & Neck. 2013 Jan;35(1):4-9.
Gerber ME, Modi VK, Ward RF, Gower VM,
Thomsen J. Endoscopic posterior cricoid split and
costal cartilage graft placement in children.
Otolaryngology – Head and Neck Surgery. 2013 Jan 10.
[Epub ahead of print]
Tang S, Kacker A. Should intranasal splints be used
after nasal septal surgery? The Laryngoscope. 2012
Aug;122(8):1647-48.
Wang AS, Stater BJ, Kacker A. Intratonsillar abscess:
3 case reports and a review of the literature. International Journal of Pediatric Otorhinolaryngology. 2013
Jan 30. [Epub ahead of print]
Hom S, Modi V, Chandran L, Kier C. Stridor in the
neonate. Contemporary Pediatrics. Feb 2012; 42-47.
Kier C, Balluz R, Modi V, Chandran L. Visual
diagnosis: respiratory distress: a great masquerader.
Pediatrics in Review. Oct 2011. 32:e95-e101.
Birkeland AC, Auerbach AD, Sanborn E, Parashar B,
Kuhel WI, Chandrasekharappa SC, Smogorzewska
A, Kutler DI. Postoperative clinical radiosensitivity
in patients with fanconi anemia and head and neck
squamous cell carcinoma. Archives of Otolaryngology
– Head and Neck Surgery. 2011 Sep;137(9):930-34.
Modi VK. Endoscopic posterior cricoid split with
rib grafting. Advances in Oto-rhino-laryngology.
2012;73:116-22.
Modi VK. Vocal cordotomy. Advances in Oto-rhinolaryngology. 2012;73:123-26.
Yang GC, Scognamiglio T, Kuhel WI. Fine-needle
aspiration of mucin-producing thyroid tumors.
Acta Cytologica. 2011;55(6):549-55.
16
Murry T, Cukier-Blaj S, Kelleher A, Malki KH.
Laryngeal and respiratory patterns in patients with
paradoxical vocal fold motion. Respiratory Medicine.
2011 Dec;105(12):1891-95.
Modi VK. Vocal fold injection medialization
laryngoplasty. Advances in Oto-rhino-laryngology.
2012;73:90-94.
Oomen KP, Modi VK, Stewart MG. Evidence-based
practice: pediatric tonsillectomy. Otolaryngologic
Clinics of North America. 2012 Oct;45(5):1071-81.
Ricci-Maccarini A, De Maio V, Murry T, Schindler
A. Development and validation of the Children’s
Voice Handicap Index-10 (CVHI-10). Journal of
Voice. 2012 Dec 17. [Epub ahead of print]
Montano JJ, Al Makadma H. The communication
rings: a tool for exploring the social networks of
individuals with hearing loss. Seminars in Hearing.
2012. 33(1),46-52.
Rickert SM, Childs LF, Carey BT, Murry T, Sulica L.
Laryngeal electromyography for prognosis of vocal
fold palsy: a meta-analysis. The Laryngoscope. 2012
Jan;122(1):158-61.
Montano JJ. Future trends in aural rehabilitation.
ENT and Audiology. 2011. 20(4), 90-92.
Conley D, Pearlman A, Zhou K, Chandra R, Kern R.
The role of point-of-care CT in the management of
chronic rhinosinusitis: a case-control study. Ear, Nose
& Throat Journal. 2011 Aug;90(8):376-81.
Stachler RJ, Chandrasekhar SS, Archer SM,
Rosenfeld RM, Schwartz SR, Barrs DM, Brown SR,
Fife TD, Ford P, Ganiats TG, Hollingsworth DB,
Lewandowski CA, Montano JJ, Saunders JE, Tucci DL,
Valente M, Warren BE, Yaremchuk KL, Robertson
PJ; American Academy of Otolaryngology-Head and
Neck Surgery. Clinical practice guideline: sudden
hearing loss. Otolaryngology – Head and Neck Surgery.
2012 Mar;146(3 Suppl):S1-35.
Cohen J, Reisacher WR, Sulica L. Severe systemic
reaction from calcium hydroxylapatite vocal cord
filler. The Laryngoscope. 2012. [In press]
Hsu NM, Reisacher WR. A comparison of
attrition rates in patients undergoing sublingual
immunotherapy vs subcutaneous immunotherapy.
International Forum of Allergy & Rhinology. 2012
Jul-Aug;2(4):280-84.
Cannito MP, Doiuchi M, Murry T, Woodson GE.
Perceptual structure of adductor spasmodic dysphonia and its acoustic correlates. Journal of Voice. 2012
Nov;26(6):818.e5-13.
Jourdy DN, Reisacher WR. Factors affecting time
required to reach maintenance dose during subcutaneous immunotherapy. International Forum of Allergy
& Rhinology. 2012 Jul-Aug;2(4):294-99.
Childs L, Rickert S, Murry T, Blitzer A, Sulica L.
Patient perceptions of factors leading to spasmodic
dysphonia: a combined clinical experience of 350
patients. The Laryngoscope. 2011 Oct;121(10):2195-98.
Kohlberg G, Reisacher WR. Pathology Quiz Case:
pleomorphic adenoma of the nasal septum. Archives of
Otolaryngolgy-Head & Neck Surgery. 2012. [In press]
Freeman E, Woo P, Saxman JH, Murry T. A comparison of sung and spoken phonation onset gestures
using high-speed digital imaging. Journal of Voice.
2012 Mar;26(2):226-38.
Purkey MT, Smith TL, Ferguson BJ, Luong A,
Reisacher WR, Pillsbury HC 3rd, Toskala E.
Subcutaneous immunotherapy for allergic rhinitis:
an evidence based review of the recent literature with
recommendations. International Forum of Allergy &
Rhinology. 2013 Jan 11. [Epub ahead of print]
Hassan SM, Malki KH, Mesallam TA, Farahat M,
Bukhari M, Murry T. The effect of cochlear implantation and post-operative rehabilitation on acoustic
voice analysis in post-lingual hearing impaired adults.
European Archives of Otorhinolaryngology. 2011
Oct;268(10):1437-42.
Reisacher WR. Detecting local immunoglobulin E
from mucosal brush biopsy of the inferior turbinates
using microarray analysis. International Forum of
Allergy & Rhinology. 2012 Nov 7. [Epub ahead of print]
Hassan SM, Malki KH, Mesallam TA, Farahat M,
Bukhari M, Murry T. The effect of cochlear implantation on nasalance of speech in postlingually
hearing-impaired adults. Journal of Voice. 2012
Sep;26(5):669.e17-22.
Reisacher WR. Mucosal brush biopsy testing of the
inferior turbinate to detect local, antigen-specific
immunoglobulin E. International Forum of Allergy &
Rhinology. 2012 Jan-Feb;2(1):69-74.
Hatzelis V, Murry T. Paradoxical vocal fold motion:
respiratory retraining to manage long-term symptoms. Jornal da Sociedade Brasileira de Fonoaudiologia.
2012;24(1):80-85.
Reisacher WR, Demask C, Calhoun K, Veling M.
Food allergy: state of the science – allergy, asthma
and immunology committee. Otolaryngology – Head
and Neck Surgery. 2011;145(5):713-16.
Helidoni M, Murry T, Chlouverakis G, Okalidou A,
Velegrakis G. Voice risk factors in kindergarten teachers in Greece. Folia Phoniatrica et Logopaedica. 2012
Sep 28;64(5):211-16.
Reisacher WR, Liotta D, Yazdi S, Putnam D.
Desensitizing mice to ovalbumin through subcutaneous microsphere immunotherapy (SMITH).
International Forum of Allergy and Rhinology. 2011
Sep-Oct;1(5):390-95.
17
Reisacher WR, Wang A. Novel strategies for allergy
immunotherapy. Current Otorhinolaryngology
Reports. 2013. [In press]
Carey B, Sulica L, Wu A, Branski R. A novel electrodiagnostic assessment of the laryngeal closure reflex.
Muscle & Nerve. 2012 Aug 3. [Epub ahead of print]
Martins OF, Victor JD, Selesnick SH. The relationship
between individual ossicular status and conductive
hearing loss in cholesteatoma. Otology & Neurotology.
2012 Apr;33(3):387-92.
Dräger DL, Branski RC, Wree A, Sulica L. Friedrich
Berthold Reinke (1862-1919): anatomist of the vocal
fold. Journal of Voice. 2011 May;25(3):301-7.
Simpson CB, Sulica L, Postma GN, Rosen CA, Amin
MR, Merati AL, Courey MS, Patel V, Johns MM 3rd.
Idiopathic ulcerative laryngitis. The Laryngoscope.
2011 May;121(5):1023-26.
Mehra S, Morris LG, Shah J, Bilsky M, Selesnick SH,
Kraus DH. Outcomes of temporal bone resection
for locally advanced parotid cancer. Skull Base. 2011
November; 21(6): 389-96.
Sinclair CF, Sulica L. Idiopathic ulcerative laryngitis
causing midmembranous vocal fold granuloma.
The Laryngoscope. 2012 Sep 18. [Epub ahead of print]
Morris LGT, Mehra S, Shah JP, Bilsky MH, Selesnick
SH, Kraus DH. Predictors of survival and recurrence
after temporal bone resection for cancer. Head &
Neck. 2012 Sep;34(9):1231-39.
Sugumaran M, Sulica L, Branski RC. Reinke’s edema
finding on positron emission tomography. Archives
of Otolaryngology – Head and Neck Surgery. 2011
Jun;137(6):620-21.
Stucken EZ, Selesnick SH, Brown KD. The role
of obesity in spontaneous temporal bone encephaloceles and CSF leak. Otology & Neurotology. 2012
Oct;33(8):1412-17.
Sulica L. Hoarseness. Archives of Otolaryngology –
Head and Neck Surgery. 2011 Jun;137(6):616-19.
Bezerra TF, Padua FG, Pilan RR, Stewart MG,
Voegels RL. Cross-cultural adaptation and validation
of a quality of life questionnaire: the Nasal Obstruction Symptom Evaluation questionnaire. Rhinology.
2011 Jun;49(2):227-31.
Sulica L. Laryngoscopy, stroboscopy and other tools
for the evaluation of voice disorders. Otolaryngologic
Clinics of North America. 2013 Feb;46(1):21-30.
Young VN, Smith LJ, Sulica L, Krishna P, Rosen CA.
Patient tolerance of awake, in-office laryngeal
procedures: a multi-institutional perspective.
The Laryngoscope. 2012 Feb;122(2):315-21.
Bezerra TF, Stewart MG, Fornazieri MA, Pilan RR,
Pinna Fde R, Padua FG, Voegels RL. Quality of life
assessment septoplasty in patients with nasal obstruction. Brazilian Journal of Otorhinolaryngology. 2012
Jun;78(3):57-62.
Textbooks
Rudmik L, Soler ZM, Orlandi RR, Stewart MG,
Bhattacharyya N, Kennedy DW, Smith TL. Early
postoperative care following endoscopic sinus surgery:
an evidence-based review with recommendations.
International Forum of Allergy and Rhinology. 2011
Nov-Dec;1(6):417-30.
Montano J, Spitzer J (Eds).
Adult Audiologic Rehabilitation.
2nd Edition. San Diego:
Plural Publications. 2013.
Murray T, Carrau R.
Clinical Management of
Swallowing Disorders.
3rd Edition. San Diego:
Plural Publications. 2012.
Stewart MG. Summarizing the evidence.
The Laryngoscope. 2012 Jan;122(1):2.
Stewart MG, Chandra R, Chiu A, Hanna E, Kennedy
D, Kraus D, Gleeson M, Levine P, Niparko J, O’Malley
B Jr, Rosenfeld R, Ruben R, Sataloff R, Smith R,
Weber P. The value of resident presentations at scientific meetings. The Laryngoscope. 2013 Jan;123(1):1.
Book Chapters
Brown KD, Banuchi V,
Selesnick SH. Congenital
Disorders of the Middle Ear.
In: Current Diagnosis and
Treatment in Otolaryngology Head and Neck Surgery.
3rd Edition. Lalwani A (Ed). New York: McGrawHill. 2011:661-73.
Walton J, Ebner Y, Stewart MG, April MM. Systematic review of complications of tonsillotomy versus
tonsillectomy. Otolaryngology – Head Neck Surgery.
2012 Dec;147(6):1164; author reply 1164-65.
Walton J, Ebner Y, Stewart MG, April MM. Systematic review of randomized controlled trials comparing
intracapsular tonsillectomy with total tonsillectomy
in a pediatric population. Archives of Otolaryngology –
Head and Neck Surgery. 2012 Mar;138(3):243-49.
Brown KD, Banuchi V, Selesnick SH. Diseases
of the External Ear. In: Current Diagnosis and Treatment
in Otolaryngology Head and Neck Surgery. 3rd Edition.
Lalwani A (Ed). New York: McGraw-Hill. 2011:645-60.
Welling DB, Stewart MG. Minimal reporting
standard for reporting hearing outcomes. The
Laryngoscope. 2012 Dec 16. [Epub ahead of print]
Tang S, Brown KD, Selesnick SH. Complication of
Otitis Media. In: Clinical Otology. Myles P (Ed).
[In press]
18
Reisacher WR, Stucken E. Nasal Immunity.
In: Textbook of Otolaryngology. Thieme Medical
Publishers, Inc. 2012.
Cohen MA, Goldstein DP, Gullane PJ. Salvage
Surgery for Head and Neck Cancer. In: Encyclopedia
of Otolaryngology, Head and Neck Surgery. 1st Edition.
Kountakis SE (Ed). Springer Publishing. 2014.
[In press]
Reisacher WR, Mehra S. Olfaction and Taste Disorders. In: Textbook of Otolaryngology. Thieme Medical
Publishers, Inc. 2013.
Cohen MA, Gilbert RW. Skull Base Reconstruction.
In: Textbook of Head and Neck Surgery and Oncology. Stell
and Maran’s 5th Edition. Watkinson J and Gilbert RW
(Eds). Oxford University Press. 2011. [In press]
Song PC, Sulica L, Meyer TK. Spasmodic Dysphonia.
In: Botulinum Neurotoxin for Head and Neck Disorders.
Blitzer A, Benson B and Guss J (Eds). New York:
Thieme Medical Publishers, Inc. 2012:49-72.
Cohen MA, Goldstein DP, Nassif R, Gilbert RW,
Gullane PJ. Recurrent Laryngeal Cancer. In: Recurrent
Cancer of the Head and Neck. 1st Edition. Mehanna H
and Ang KK (Eds). 2011. [In press]
Stewart MG. Evidence-based Medicine in Rhinology and Skull Base Surgery. In: Rhinology: Diseases
of the Nose, Sinuses, and Skull Base. Kennedy DW
and Hwang PH (Eds). New York: Thieme Medical
Publishers, Inc. 2012.
Modi VK. Vocal Fold Injection Medialization
Laryngoplasty. In: Pediatric Airway Surgery. Advances
in Oto-Rhino-Laryngology. Hartnick CJ, Hansen MC,
and Gallagher TQ (Eds). Basel, Karger. 2012, Vol. 73,
pp 90-94.
Stewart MG. Epidemiology/Changes in Trauma
Patterns. In: Head and Neck Trauma. Goldberg AN,
Murr AH, and Lee C (Eds). New York: Informa
Publishers. [In press]
Modi VK. Endoscopic Posterior Cricoid Split with
Rib Grafting. In: Pediatric Airway Surgery. Advances
in Oto-Rhino-Laryngology. Hartnick CJ, Hansen MC,
and Gallagher TQ (Eds). Basel, Karger, 2012, Vol. 73,
pp 116-22.
Stewart MG. Outcomes Research and Evidencebased Medicine. In: Bailey’s Head and Neck SurgeryOtolaryngology. 5th Edition. Johnson J and Rosen C
(Eds). Philadelphia: Lippincott Williams & Wilkins.
[In press]
Modi VK. Vocal Cordotomy. In: Pediatric Airway Surgery. Advances in Oto-Rhino-Laryngology. Hartnick CJ,
Hansen MC, and Gallagher TQ (Eds). Basel, Karger.
2012, Vol 73, pp 123-26.
Stewart MG. Penetrating Trauma of the Head
and Neck. In: Bailey’s Head and Neck Surgery –
Otolaryngology. 5th Edition. Johnson J and Rosen C
(Eds). Philadelphia: Lippincott Williams & Wilkins.
[In press]
Modi VK, Ward RF, April MM. Congenital Malformations of the Nose, Nasopharynx, and Sinuses.
In: Pediatric Otolaryngology: Principles and Practice
Pathways. 2nd Edition. Wetmore RF, Muntz HR and
McGill TJ (Eds). New York, NY: Thieme Medical
Publishers, Inc. 2012, pp 410-21.
Sulica L. Laryngeal Electromyography. In: Recent
Advances in Otolaryngology – Head & Neck Surgery.
Lalwani AK and Pfister MHF (Eds). New Delhi:
Jaypee Medical Press. 2012:125-39.
Montano J. Defining Audiologic Rehabilitation.
In: Adult Audiologic Rehabilitation. 2nd Edition.
Montano J and Spitzer J (Eds). San Diego: Plural
Publishing. 2013.
Sulica L. Voice: Anatomy, Physiology and Clinical
Evaluation. In: Otolaryngology – Head & Neck Surgery,
5th Edition. Johnson J and Rosen C (Eds). [In press]
Sulica L. Diagnosis and Management of Vocal Fold
Paralysis and Paresis. Treatise on Laryngology, Voice
and Swallowing. Caracas: Amolca Editores. [In press]
Montano J. Overdependence on Technology in
the Management of Hearing Loss. In: Translational
Speech-Language Pathology and Audiology. Goldfarb R
(Ed). San Diego: Plural Publishing. 2012.
Sulica L, Blitzer A, Meyer T, Guardiani L. Laryngeal
Electromyography. In: Diagnosis and Treatment of
Voice Disorders. 4th Edition. Rubin J, Sataloff RT and
Korovin G (Eds). San Diego: Singular Publications
Group, Inc. [In press]
Preminger J, Montano J. Incorporation Communication Partners into the AR Process. In: Adult Audiologic
Rehabilitation. 2nd Edition. Montano J and Spitzer J
(Eds). San Diego: Plural Publishing. 2013.
Pearlman AN, Stewart MG. Frontal Sinus Obliteration and Cranialization. In: Rhinology and Endoscopic
Skull Base Surgery. Devaiah AL and Marple B (Eds).
New York: Thieme Medical Publishers, Inc. [In press]
Reisacher WR. Setting Up the Office for Allergy.
In: Allergy in ENT Practice. Thieme Medical Publishers, Inc. 2012.
19
Residency Update
C
ombining the resources
of Weill Cornell Medical
College and Columbia
University College of
Physicians and Surgeons, the
joint Otolaryngology – Head
and Neck Surgery Residency
Training Program provides
outstanding opportunities
in clinical care, research, and
academic medicine.
2011-2012
Teaching Awards
The Maxwell Abramson
Teaching and Service Award
Jayde Steckowych, MD
Columbia University College
of Physicians and Surgeons
The Malcolm Schvey Clinical
Teaching Award
Vikash K. Modi, MD
Weill Cornell Medical College
The W. Shain Schley Resident
Teaching Award
Saral Mehra, MD
PGY-5
2012 Resident Graduates
2012-2013 New Residents
Alyn Kim, MD
Alison Maresh, MD
Jin Suk Calvin Kim, MD
Valeria Silva Merea, MD
Saral Mehra, MD, MBA
Roheen Raithatha, MD
David J. Phillips, MD
Oscar Trujillo, MD
Further Training
Jin Suk Calvin Kim, MD
Perelman School of Medicine at
University of Pennsylvania
Alyn Kim, MD – Facial Plastic and
Reconstructive Surgery, University
of Toronto, Canada
Valeria Silva Merea, MD
Columbia University College of
Physicians and Surgeons
Alison Maresh, MD – Pediatric
Otolaryngology, Children’s
National Medical Center,
Washington, DC
David J. Phillips, MD
Weill Cornell Medical College
Saral Mehra, MD, MBA – Head
and Neck Surgery and Microvascular Reconstruction, Beth Israel
Medical Center, New York, NY
Oscar Trujillo, MD
University of Maryland School
of Medicine
Roheen Raithatha, MD – Advanced
Rhinology and Endoscopic Skull
Base Surgery, NewYork-Presbyterian
Hospital/Weill Cornell Medical
Center, New York, NY
2012
Professional Education
Presen
ted b
y Wei
Nove
I
mber
Weill
C
n November 2012, Weill Cornell faculty
collaborated with faculty from New York University School of Medicine and Albert Einstein
College of Medicine to present the New York
Advanced Rhinology and Sinus Surgery Course.
The two-day comprehensive CME program
featured distinguished guest faculty Seth Brown,
MD, Clinical Assistant Professor, Department
of Surgery, University of Connecticut School of
Medicine, and Brent Senior, MD, Professor and
ornell
14.5 AM
Course
Michae
A PR
Directo
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rs:
Medic
tegory
1 Cred
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Profe
ssor and Stewar
Depa
Chairman t, MD,
rtme
MPH
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ryngology
Sr. Asso of Weill
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Cornell
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& Neck
Medical
Dean
for Clini
Surgery
Colle
Vijay
ge
cal Affai
rs
Clinical K. Anand,
Profe
MD
ssor,
Weill
Otola
Cornell
ryngology
Medical
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ge
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Asso
Surgery
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Depa
rtment Academic tor
Affairs
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NYU
Lang
one Med ryngology
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Alexis
er
H.
Assis
tant ProfeJackma
n, MD
Depa
ssor
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Albert
of Otor
Eins
hinolaryn
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golog
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ye Med
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er
Surgery
Faculty
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dic
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llege
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ryngology
Pea
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ssor of
Otola
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ciate
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Clinical
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Otola
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tant Profe sacher,
MD
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Otola
Madelei
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ne R.
Assis
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Schabe
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of Otola rg, MD,
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Vice Chairman for Academic Affairs and Chief,
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Carolina School of Medicine, Chapel Hill. The
program attracted some 70 otolaryngologists,
residents, and fellows.
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If you
at 212746-2631
to
Faculty and Residents with Visiting Professor Roland (Ron) D. Eavey, MD
(front row, third from left), from Vanderbilt University
2012 – 12th Annual Residents Research Day
First Prize
Saral Mehra, MD, MBA
PGY-5
Factors Predictive of Voice and Swallowing Complaints
Following Anterior Approaches to the Cervical Spine
Third Prize
Roheen Raithatha, MD
PGY-5
Inter-Rater Agreement of Nasal Endoscopy for
Chronic Rhinosinusitis
Second Prize
Jiovani Visaya, MD
PGY-3
Histopathological Effects of Balloon Dilation in a
Live Rabbit Model
Named Lecture Program – 2012 Guest Faculty
The Department of Otolaryngology - Head and Neck
Surgery hosts distinguished physicians who come to
Weill Cornell to share their expertise through our
named lecture programs. In 2012, these included:
Fifth Annual New York City
Pediatric Airway Symposium
Seth M. Pransky, MD
Clinical Professor of Surgery
University of California, San Diego
Director, Pediatric Otolaryngology
UC San Diego Health System
James A. Moore Lecture
Herman A. Jenkins, MD
Professor and Chairman
Department of Otolaryngology - Head and Neck Surgery
University of Colorado Health Sciences Center
Save the Date
Dr. Robert W. Selfe Lecture
Ellen M. Friedman, MD, FAAP, FACS
Professor and Dr. Bobby R. Alford Chair in
Pediatric Otolaryngology
Baylor College of Medicine
Chief of Otolaryngology Service
Texas Children’s Hospital
Seventh Annual Otolaryngology Update
October 24 - 25, 2013
New York City
For more information, please call (212) 585-6800
or email [email protected].
21
Department Faculty
Michael G. Stewart, MD, MPH
Vice Dean, Weill Cornell Medical College
Professor and Chairman of Otolaryngology
Professor of Public Health
General Otolaryngology
(646) 962-6673
Samuel H. Selesnick, MD
Professor and Vice Chairman of Otolaryngology
Professor of Otolaryngology in Neurological Surgery
Professor of Otolaryngology in Neurology
Otology/Neurotology
(646) 962-3277
Kevin D. Brown, MD, PhD
Assistant Professor of Otolaryngology
Otology/Neurotology
(646) 962-2032
Marc A. Cohen, MD
Assistant Professor of Otolaryngology
Head and Neck Surgery
(646) 962-5346
Ashutosh Kacker, MBBS
Associate Professor of Otolaryngology
General Otolaryngology;
Sinus/Skull Base Surgery
(646) 962-5097
William I. Kuhel, MD
Associate Professor of
Clinical Otolaryngology
Head and Neck Surgery
(646) 962-6325
David I. Kutler, MD
Associate Professor of Otolaryngology
Head and Neck Surgery
(646) 962-4323
Joshua I. Levinger, MD
Assistant Professor of Otolaryngology
General Otolaryngology
(646) 962-4451
Kate E. McCarn, MD
Assistant Professor of Otolaryngology
Facial Plastic and
Reconstructive Surgery
(646) 962-2285
Vikash K. Modi, MD
Anne Belcher, MD Assistant
Professor of Otolaryngology
Assistant Professor of Otolaryngology
in Pediatrics
Pediatric Otolaryngology
(646) 962-2224
Joseph J. Montano, EdD
Associate Professor of Audiology
in Clinical Otolaryngology
Audiology, Chief of
Hearing and Speech
(646) 962-2231
22
Thomas Murry, PhD
Professor of Speech-Language
Pathology in Otolaryngology
Speech Pathology
(646) 962-5347
Aaron N. Pearlman, MD
Assistant Professor of
Otolaryngology
General Otolaryngology;
Sinus/Skull Base Surgery
(646) 962-3169
Mukesh Prasad, MD
Associate Professor of
Clinical Otolaryngology
General Otolaryngology
(646) 962-2216
William R. Reisacher, MD
Associate Professor of Otolaryngology
General Otolaryngology;
Otolaryngic Allergy
(646) 962-2093
Rita M. Roure, MD
Assistant Professor of Otolaryngology
General Otolaryngology
(646) 962-3681
W. Shain Schley, MD
Associate Professor of Clinical
Otolaryngology
General Otolaryngology
(212) 746-2223
Lucian Sulica, MD
Associate Professor of
Otolaryngology
Voice and Laryngology
(646) 962-7464
Maria V. Suurna, MD
Assistant Professor of Otolaryngology
General Otolaryngology
(646) 962-9135
New Physician Appointment
We are pleased to welcome our newest faculty member, Maria V. Suurna, MD, to the Department of
Otolaryngology – Head and Neck Surgery. Dr. Suurna joins us from the New York University School
of Medicine, where she was an assistant professor in the Department of Otolaryngology. Dr. Suurna
brings training and expertise in the full range of otolaryngology – head and neck surgery, including
chronic ear problems and surgery for thyroid disorders and head and neck tumors. She completed
residency training at the University of Cincinnati, where she was the recipient of the Gerson Lowenthal
Award for Outstanding Microsurgical Skills in Temporal Bone Dissection from the Cincinnati Society
of Otolaryngology and Head and Neck Surgery and Department of Otolaryngology – Head and Neck
Surgery. Dr. Suurna received a master of science degree in biology followed by her medical degree from
the University of Indiana School of Medicine.
23
© 2013 Department of Otolaryngology – Head and Neck Surgery at Weill Cornell Medical College. All rights reserved.
Department of Otolaryngology – Head and Neck Surgery
Weill Greenberg Center
1305 York Avenue, 5th Floor
New York, NY 10021
(646) 962-3681
cornellent.org
Chairman’s Office
Michael G. Stewart, MD, MPH
(646) 962-4777
Center for the Performing Artist
(646) 962-2787
Hearing and Speech Center
(646) 962-2231
West Side Practice
2315 Broadway, 3rd Floor
New York, NY 10024
(646) 962-3686
W
eill Cornell Medical College, Cornell University’s medical school located in New
York City, is committed to excellence in research, teaching, patient care, and the
advancement of the art and science of medicine, locally, nationally, and globally.
Physicians and scientists of Weill Cornell Medical College are engaged in cutting-edge research
from bench to bedside, aimed at unlocking mysteries of the human body in health and sickness
and toward developing new treatments and prevention strategies. In its commitment to global
health and education, Weill Cornell has a strong presence in places such as Qatar, Tanzania,
Haiti, Brazil, Austria, and Turkey. Through the historic Weill Cornell Medical College in Qatar,
the Medical College is the first in the U.S. to offer its MD degree overseas. Weill Cornell is the
birthplace of many medical advances — including the development of the Pap test for cervical
cancer, the synthesis of penicillin, the first successful embryo-biopsy pregnancy and birth in the
U.S., the first clinical trial of gene therapy for Parkinson’s disease, and, most recently, the world’s
first successful use of deep brain stimulation to treat a minimally conscious, brain-injured
patient. Weill Cornell Medical College is affiliated with NewYork-Presbyterian Hospital, where
its faculty provides comprehensive patient care at NewYork-Presbyterian Hospital/Weill Cornell
Medical Center. The Medical College is also affiliated with The Methodist Hospital in Houston,
Texas. For more information, visit weill.cornell.edu.
Department of Otolaryngology –
Head and Neck Surgery
Weill Cornell Medical College
Weill Greenberg Center
1305 York Avenue, 5th Floor
New York, NY 10021