at Weill Cornell Medical College

Otolaryngology – Head and Neck Surgery

Otology and NeurotologyRhinology and Sinus DisordersLaryngology, Voice, and DysphagiaHead and Neck SurgeryPediatric Otolaryngology Plastic and Reconstructive SurgeryGeneral Otolaryngology FiFtH EDitiON

Breaking the Sound Barrierhow 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 • Head and Neck Surgery• Rhinology and Sinus Disorders • Pediatric Otolaryngology • Laryngology, Voice, • Plastic and Reconstructive Surgery and Dysphagia • General Otolaryngology

Course Co-directors

Michael G. Stewart, MD, MPHProfessor and ChairmanDepartment of Otolaryngology –Head and Neck SurgeryWeill Cornell Medical CollegeVice DeanWeill Cornell Medical College

Samuel H. Selesnick, MDProfessor and Vice ChairmanDepartment of Otolaryngology – Head and Neck SurgeryWeill Cornell Medical College

presented by

Weill Cornell Medical College

location

Westin New York at times Square270 West 43rd Street between 7th and 8th AvenuesNew York, NY 10036

For More information

Jessica GrajalesCME Coordinator tel: (212) 585-6800 Fax: (212) 297-5569 email: nypcme@nyp.org

Special guest Faculty

Robert C. Kern, MDChairmanDepartment of Otolaryngology – Head and Neck SurgeryNorthwestern University Feinberg School of Medicine

Gregory N. Postma, MDDirectorCenter for Voice and Swallowing DisordersMedical College of Georgia

Ashok R. Shaha, MDChairman, Head and Neck Surgery and OncologyMemorial Sloan-Kettering Cancer Center

Steven A. Telian, MDProfessor, OtolaryngologyUniversity of Michigan Health System

Tom D. Wang, MD PresidentAmerican Academy of Facial Plastic and Reconstructive Surgery Oregon Health and Science University

regional guest Faculty

Dean C. Mitchell, MDClinical Assistant Professortouro College of Osteopathic Medicine

Weill Cornell Medical Collegedepartment of Otolaryngology –Head and neck Surgery Faculty

Kevin D. Brown, MD, PhDMarc A. Cohen, MDAshutosh Kacker, MBBSMichelle L. Kraskin, AuD William i. Kuhel, MDDavid i. Kutler, MDJoshua i. Levinger, MDKate E. McCarn, MDVikash K. Modi, MDJoseph J. Montano, EdDAaron N. Pearlman, MDMukesh Prasad, MDWilliam R. Reisacher, MDRita M. Roure, MDLucian Sulica, MDMaria V. Suurna, MDAndrea Wang, MD

Weill Cornell Medical College guest Faculty

Vijay K. Anand, MDGina CzarkHillary D. Johnson, MD, PhDGary 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, MDChairman, Department of Otolaryngology – Head and Neck SurgeryChandra M. ivey, MD Anil K. Lalwani, MD Jaclyn B. Spitzer, PhDMonica tadros, MD

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Message From the Chair 2

New West Side Practice Opens 3

Breaking the Sound Barrier: How We Are Advancing Treatment for Hearing Loss 4

Creating a Team Approach to Cutaneous Oncology 8

A Paradoxical Laryngeal Disorder Rooted in a Disorder of Breathing 10

Clinical Innovation: A New Tool to Test for Allergies 11

Academic Highlights

News and Notes 14

Selected Publications 16

Residency Update 20

Professional Education 20

Department Faculty 22

Contents

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We 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,

Dr. Michael G. Stewart

Michael G. Stewart, MD, MPHProfessor and ChairmanDepartment of Otolaryngology – Head and Neck SurgeryVice DeanWeill Cornell Medical College

Message From the Chair

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.

New West Side Practice Opens

The 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.

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In the Department of Otolaryngology – Head and Neck Surgery of Weill Cornell Medical College, an interdisciplinary team of surgeons, audiologists, and clinician-

scientists 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 lOSSin tHe labOratOryAccumulation 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.

“Sirtuins have been found to extend life in some cell types and simple organisms,” explains Dr. Brown. “As research has begun

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.”

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.”

Looking at noise-induced hearing loss, Dr. Brown and his colleagues used genetically modified mouse models to both

Breaking the Sound Barrier: How We Are Advancing treatment for Hearing Loss

Dr. Kevin D. Brown and Dr. Samuel H. Selesnick

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.

Dr. Michelle Kraskin

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Breaking the Sound Barrier: How We Are Advancing treatment for Hearing Loss

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

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

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 teCHnOlOgyIn 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.”

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

“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

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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.”

Weill Cornell faculty recently completed a study to evaluate the placement of the receiver-stimulator in the subperiosteal

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 receiver-stimulator 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 tie-down 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.

Their study looked at 31 ears (18 adults, 13 children) implanted utilizing the subperiosteal

Dr. Kevin D. Brown

The surgical technique of sub- periosteal receiver-stimulator implantation involves: (1) creation of a subperios-teal pocket with a periosteal elevator (2) sizing of the pocket with a silastic dummy receiver-stimulator, and (3) placement of the receiver-stimulator in the subperiosteal pocket

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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.

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

“Our findings support the safety and efficacy of the subperiosteal technique. There were no cases of receiver-stimulator migration or intracranial complications.”

— Samuel H. Selesnick, MD

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.”

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.

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.

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.

“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.”

Creating a team Approach to Cutaneous Oncology

It 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.

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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 reconstruc-tion that is needed that same day. Appoint-ments with a head and neck surgeon will also take place, if necessary.

“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

Dr. Kate E. McCarn and Dr. Hillary D. Johnson

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.”

Spearheaded by Weill Cornell dermato-pathologist 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

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Creating a team Approach to Cutaneous Oncology

Dr. David I. Kutler and Dr. Marc A. Cohen

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.

“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.

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A Paradoxical Laryngeal Disorder Rooted in a Disorder of Breathing

When Thomas Murry, PhD, speaks, people listen. An internationally recognized

voice scientist and speech-language patholo-gist 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.

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

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.”

Dr. Murry, who sees about 50 people a year, primary ages 12 to 25, with this unusual condi-tion, notes that it often begins after an upper respiratory infection and can develop into a significant quality of life issue, causing short-ness 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.

In young people with this disorder, the most common misdiagnosis is exercise-induced

Dr. Thomas Murry

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.”

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 differ-ences 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 utter-ance while the control group did not – a find-ing that warrants further investigation.

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 show-ing 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 modi-fication and physical training, breathing starts to improve within four to eight visits.”

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.

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Clinical innovation: A New tool to test for Allergies

The work of William R. Reisacher, MD, is “nothing to sneeze at.” Dr. Reisacher

is developing a diagnostic strategy for non-allergic 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 rhino- sinusitis. “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.”

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

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 anti-bodies 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.

“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 else-where, 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.

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News and Notes 14

Selected Publications 16

Residency Update 20

Professional Education 20

Department Faculty 22

Academic Highlights

News and Notes

By Invitation OnlyFaculty 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.

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.

Joseph J. Montano, EdD, spoke on Patient-Centered 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.

Vikash K. Modi, MD, was an invited participant at the European Society of Pediatric Otorhinolaryngology meeting in Amsterdam.

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;

and as a panelist at the Sixth International Conference on Acoustic Neuroma and Other Cerebellopontine Angle Tumors, Los Angeles.

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.

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 Otolaryngology-Head & Neck Surgery Annual Meeting.

Honors and AwardsAshutosh 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.

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.

William R. Reisacher, MD, was an Honor Award recipient of the American Academy of Otolaryngology-Head and Neck Surgery.

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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, 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 AppointmentsDavid I. Kutler, MDPresident, New York Head and Neck Society

Kate E. McCarn, MDEducational Committee, American Academy of Otolaryngology-Head and Neck SurgeryTask Force, New Materials, American Board of Otolaryngology

Joseph J. Montano, EdDBoard of Trustees, Hearing Loss Association of America

Thomas Murry, PhDAdvisory Board, Pan-European Voice Conference

Mukesh Prasad, MDChairman, Clinical Affairs Subcommittee of the General Faculty Council, Weill Cornell Medical College

William R. Reisacher, MDBoard of Directors, American Academy of Otolaryngic Allergy

Samuel H. Selesnick, MDChair, Subspecialty Advisory Council, American Academy of Otolaryngology- Head and Neck Surgery Chairman, Nominating Committee, Council of Scientific Trustees, Hearing Health FoundationChairman, Committee on Applicants, Manhattan District #2, American College of SurgeonsSecretary-Treasurer, Board of Directors, Otology and Neurotology Incorporated (parent corporation of the journal Otology & Neurotology)Executive Council Member, American Neurotology SocietyExecutive Council Member, American Otological SocietySenior Examiner, American Board of Otolaryngology

Michael G. Stewart, MD, MPHVice 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 SocietyPresident, Association of Academic Departments of Otolaryngology-Head and Neck SurgeryBoard of Directors, American Board of OtolaryngologyCourse Director, Otolaryngology Symposium, Salzburg, Austria

Editorial AppointmentsKevin D. Brown, MD, PhDEditorial Board, Otology and Neurotology

Ashutosh Kacker, MBBS Editorial Boards: The Laryngoscope; American Journal of Rhinology

Thomas Murry, PhDEditor, Voice and Communication Sciences, Plural PublishingEditorial Consultant Board, Journal of Medical Speech-Language PathologyEditorial Consultant, Journal of VoiceEditorial Reviewer and Consultant, Journal of Speech and Hearing Research

Samuel H. Selesnick, MDEditorial Board, Otology and Neurotology Editorial Review Panel Member, Otolaryngology-Head and Neck Surgery

Michael G. Stewart, MD, MPHEditor-in-Chief, The Laryngoscope

Lucian Sulica, MDEditorial Board, The Laryngoscope

Peer-Reviewed ArticlesStucken 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.

Cohen MA, Mirza N, Dow K, Abboud SK. Presenta-tion and publication rates among women and men at AAO-HNS Meetings. ORL: Journal for Otorhino-laryngology and Its Related Specialties. 2013 Jan 5; 74(6):325-29.

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).

Quon H, Cohen MA, Montone KT, Ziober AF, Wang LP, Weinstein GS, O’Malley BW Jr. Transoral robotic surgery and adjuvant therapy for oropharyn-geal carcinomas and the influence of p16(INK4a) on treatment outcomes. The Laryngoscope. 2011 Jul 20. [Epub ahead of print]

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.

Sugumaran M, Cohen JC, Kacker A. Prevalence of over-the-counter and complementary medica-tion use in the otolaryngology preoperative patient: a patient safety initiative. The Laryngoscope. 2012 Jul;122(7):1489-92.

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.

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. Interna-tional Journal of Pediatric Otorhinolaryngology. 2013 Jan 30. [Epub ahead of print]

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.

Yang GC, Scognamiglio T, Kuhel WI. Fine-needle aspiration of mucin-producing thyroid tumors. Acta Cytologica. 2011;55(6):549-55.

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.

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.

Kutler DI, Crummey AD, Kuhel WI. Routine cen-tral compartment lymph node dissection for patients with papillary thyroid carcinoma. Head & Neck. 2012 Feb;34(2):260-63.

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.

Reiffel AJ, Rohde CH, Kutler DI, Spector JA. Sequential second free fibula flap for the recon-struction of metachronous osteoradionecrosis of the mandible. Journal of Craniofacial Surgery. 2012 Mar;23(2):e90-91.

Stucken EZ, Kutler DI, Moquete R, Kazam E, Kuhel WI. Localization of small parathyroid adenomas us-ing modified 4-dimensional computed tomography/ultrasound. Otolaryngology – Head and Neck Surgery. 2012 Jan;146(1):33-39.

McCarn KE, Hilger PA. 3D analysis of tissue expanders. Facial Plastic Surgery Clinics of North America. 2011 Nov;19(4):759-65.

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]

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.

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-rhino-laryngology. 2012;73:123-26.

16

Selected Publications – 2011-2013

17

Selected Publications – 2011-2013

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.

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.

Montano JJ. Future trends in aural rehabilitation. ENT and Audiology. 2011. 20(4), 90-92.

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.

Cannito MP, Doiuchi M, Murry T, Woodson GE. Perceptual structure of adductor spasmodic dyspho-nia and its acoustic correlates. Journal of Voice. 2012 Nov;26(6):818.e5-13.

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.

Freeman E, Woo P, Saxman JH, Murry T. A com-parison of sung and spoken phonation onset gestures using high-speed digital imaging. Journal of Voice. 2012 Mar;26(2):226-38.

Hassan SM, Malki KH, Mesallam TA, Farahat M, Bukhari M, Murry T. The effect of cochlear implan-tation and post-operative rehabilitation on acoustic voice analysis in post-lingual hearing impaired adults. European Archives of Otorhinolaryngology. 2011 Oct;268(10):1437-42.

Hassan SM, Malki KH, Mesallam TA, Farahat M, Bukhari M, Murry T. The effect of cochlear im-plantation on nasalance of speech in postlingually hearing-impaired adults. Journal of Voice. 2012 Sep;26(5):669.e17-22.

Hatzelis V, Murry T. Paradoxical vocal fold motion: respiratory retraining to manage long-term symp-toms. Jornal da Sociedade Brasileira de Fonoaudiologia. 2012;24(1):80-85.

Helidoni M, Murry T, Chlouverakis G, Okalidou A, Velegrakis G. Voice risk factors in kindergarten teach-ers in Greece. Folia Phoniatrica et Logopaedica. 2012 Sep 28;64(5):211-16.

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.

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]

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.

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.

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.

Jourdy DN, Reisacher WR. Factors affecting time required to reach maintenance dose during subcuta-neous immunotherapy. International Forum of Allergy & Rhinology. 2012 Jul-Aug;2(4):294-99.

Kohlberg G, Reisacher WR. Pathology Quiz Case: pleomorphic adenoma of the nasal septum. Archives of Otolaryngolgy-Head & Neck Surgery. 2012. [In press]

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]

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]

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.

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.

Reisacher WR, Liotta D, Yazdi S, Putnam D. Desensitizing mice to ovalbumin through subcu-taneous microsphere immunotherapy (SMITH). International Forum of Allergy and Rhinology. 2011 Sep-Oct;1(5):390-95.

18

Reisacher WR, Wang A. Novel strategies for allergy immunotherapy. Current Otorhinolaryngology Reports. 2013. [In press]

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.

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.

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.

Stucken EZ, Selesnick SH, Brown KD. The role of obesity in spontaneous temporal bone encepha-loceles and CSF leak. Otology & Neurotology. 2012 Oct;33(8):1412-17.

Bezerra TF, Padua FG, Pilan RR, Stewart MG, Voegels RL. Cross-cultural adaptation and validation of a quality of life questionnaire: the Nasal Obstruc-tion Symptom Evaluation questionnaire. Rhinology. 2011 Jun;49(2):227-31.

Bezerra TF, Stewart MG, Fornazieri MA, Pilan RR, Pinna Fde R, Padua FG, Voegels RL. Quality of life assessment septoplasty in patients with nasal obstruc-tion. Brazilian Journal of Otorhinolaryngology. 2012 Jun;78(3):57-62.

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.

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 scien-tific meetings. The Laryngoscope. 2013 Jan;123(1):1.

Walton J, Ebner Y, Stewart MG, April MM. System-atic 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. System-atic 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.

Welling DB, Stewart MG. Minimal reporting standard for reporting hearing outcomes. The Laryngoscope. 2012 Dec 16. [Epub ahead of print]

Carey B, Sulica L, Wu A, Branski R. A novel electro-diagnostic assessment of the laryngeal closure reflex. Muscle & Nerve. 2012 Aug 3. [Epub ahead of print]

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.

Sinclair CF, Sulica L. Idiopathic ulcerative laryngitis causing midmembranous vocal fold granuloma. The Laryngoscope. 2012 Sep 18. [Epub ahead of print]

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.

Sulica L. Hoarseness. Archives of Otolaryngology – Head and Neck Surgery. 2011 Jun;137(6):616-19.

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.

Textbooks

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.

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: McGraw-Hill. 2011:661-73.

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.

Tang S, Brown KD, Selesnick SH. Complication of Otitis Media. In: Clinical Otology. Myles P (Ed). [In press]

19

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]

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]

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]

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.

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.

Modi VK. Vocal Cordotomy. In: Pediatric Airway Sur-gery. Advances in Oto-Rhino-Laryngology. Hartnick CJ, Hansen MC, and Gallagher TQ (Eds). Basel, Karger. 2012, Vol 73, pp 123-26.

Modi VK, Ward RF, April MM. Congenital Mal-formations 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.

Montano J. Defining Audiologic Rehabilitation. In: Adult Audiologic Rehabilitation. 2nd Edition. Montano J and Spitzer J (Eds). San Diego: Plural Publishing. 2013.

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.

Preminger J, Montano J. Incorporation Communica-tion 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 Oblitera-tion 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 Publish-ers, Inc. 2012.

Reisacher WR, Stucken E. Nasal Immunity. In: Textbook of Otolaryngology. Thieme Medical Publishers, Inc. 2012.

Reisacher WR, Mehra S. Olfaction and Taste Disor-ders. In: Textbook of Otolaryngology. Thieme Medical Publishers, Inc. 2013.

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.

Stewart MG. Evidence-based Medicine in Rhinol-ogy 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.

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]

Stewart MG. Outcomes Research and Evidence-based Medicine. In: Bailey’s Head and Neck Surgery-Otolaryngology. 5th Edition. Johnson J and Rosen C (Eds). Philadelphia: Lippincott Williams & Wilkins. [In press]

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]

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.

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]

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]

Presented by Weill Cornell Medical College, Montefiore, and NYU

2012

November 9-10, 2012 • New York City

Weill Cornell Medical College • 1305 York Avenue • New York, NY 10021

14.5 AMA PRA Category 1 Credit(s)™

Course Directors:Michael G. Stewart, MD, MPH

Professor and ChairmanDepartment of Otolaryngology - Head & Neck Surgery

Vice Dean of Weill Cornell Medical College

Sr. Associate Dean for Clinical AffairsVijay K. Anand, MD

Clinical Professor, Otolaryngology - Head & Neck Surgery

Weill Cornell Medical CollegeRichard Lebowitz, MDAssociate ProfessorResidency Program Director

Vice Chair for Academic AffairsDepartment of Otolaryngology

NYU Langone Medical CenterAlexis H. Jackman, MDAssistant ProfessorDepartment of Otorhinolaryngology - Head & Neck Surgery

Albert Einstein College of Medicine

Montefiore Medical CenterFaculty:Weill Cornell Medical College

Ashutosh Kacker, MD, BSAssociate Professor of Otolaryngology

Aaron Pearlman, MDAssistant Professor of Otolaryngology

Mukesh Prasad, MDAssociate Professor of Clinical Otolaryngology

William Reisacher, MDAssistant Professor of Otolaryngology

Madeleine R. Schaberg, MD, MPH

Assistant Professor of Otolaryngology - Head & Neck Surgery

Rhinology and Skullbase Surgery

The New York Eye and Ear InfirmaryTheodore H.Schwartz, MD

Professor of Neurological SurgeryNew York University School of Medicine

David Kamelhar, MDClinical Associate Professor

Department of Medicine Michael Setzen, MDClinical Associate Professor

Department of Otolaryngology Joseph Jacobs, M.D.Professor, Department of Otolaryngology

Albert Einstein College of Medicine

Marvin P. Fried, MDProfessor and Chairman

Department of Otolaryngology - Head & Neck Surgery

Brian Grosberg, MDAssociate Professor of Clinical Neurology

Director, Montefiore Headache Center

Program Director, Headache and Facial Pain Fellowship

Bradley A. Schiff, MDAssistant ProfessorDepartment of Otolaryngology - Head & Neck Surgery

Abtin Tabaee, MDAssistant ProfessorDepartment of Otolaryngology - Head & Neck Surgery

Guest Faculty:Seth Brown, MDClinical Assistant ProfessorDepartment of Surgery

University of Connecticut School of Medicine

Farmington, CTBrent Senior, MDProfessorVice Chairman for Academic Affairs

ChiefDivision of Rhinology, Allergy, and Endoscopic Skull Base Surgery

University of North Carolina School of Medicine, Chapel Hill, NC

LocationWeill Cornell Medical College1305 York Avenue, 2nd Floor Conference Rooms, New York, NY 10021

Statement of NeedThis two day course provides the practicing otolaryngologists and residents in training with

in-depth information on advanced medical and surgical management of patients with

rhinosinusitis. The format includes didactic presentations, panel discussions, and interactive

laboratory dissection sessions.Course Goals & Objectives

Participants will: understand the anatomy, pathology and radiology of the paranasal cavities;

understand the diagnosis and management of inflammatory and infectious upper respiratory

disease; understand diagnosis and management of complications of sinus surgery including

CSF leaks; improve endoscopic surgical skills including advanced surgical techniques.

Target AudiencePracticing otolaryngologists and residents in training nationally.

CME Accreditation and Credit Designation Statements

Weill Cornell Medical College is accredited by the Accreditation Council for Continuing

Medical Education to provide continuing medical education for physicians.

This educational activity has been designated for 14.5 AMA PRA Category 1 Credits™.

Physicians should only claim credit commensurate with the extent of the participation

in the activity.Faculty DisclosureIt is the policy of Weill Cornell Medical College to adhere to ACCME Criteria, Policies, and

Standards for Commercial Support and content validation in order to ensure fair balance,

independence, objectivity, and scientific rigor in all its sponsored activities. All speakers,

Course Directors, Co-Course Directors, planners, reviewers, and staff members participating in

sponsored activities are expected to disclose relevant financial relationships pertaining to their

contribution to the activity. Relationship information is analyzed to determine whether conflicts

of interest exist. All conflicts of interest are resolved prior to participation in the planning or

implementation of this activity. Presenters and authors are also expected to disclose any

discussion of (1) off-label or investigational uses of FDA approved commercial products or

devices or (2) products or devices not yet approved in the United States.

WCMC CME activities are intended to be evidence-based and free of commercial bias. If you

have any concerns, please call the Office of Continuing Medical Education at 212-746-2631 to

anonymously express them.

Friday November 9, 20127:30 – 8:00 Registration & breakfast

SESSION 1 Moderator: Dr. Stewart

8:00 – 8:45 Defining CRS in 2012 — Drs. Stewart, Jackman, Senior, Lebowitz

8:45 – 9:30 Case presentations: Expert management: simple to complex — Drs. Anand, Fried, Setzen, Senior

9:30 – 10:00 Management of sinus-area headaches — Dr. Grosberg

10:00 – 10:30 BREAK SESSION 2 Moderator: Dr. Jackman

10:30 – 11:00 State of the art in allergy 2012 — Dr. Reisacher

11:00 – 11:30 Antibiotics in chronic rhinosinusitis – what’s the evidence? — Dr. Senior

11:30 – 12:00 Compliance, billing, and coding update 2012 — Dr. Setzen

12:00 – 1:00 Lunch SESSION 3 Moderator: Dr. Lebowitz

1:00 – 1:30 Management of failed surgery — Drs. Stewart, Anand, Setzen, Jackman

1:30 – 2:00 Quality of life and outcomes assessment — Dr. Stewart

2:00 – 2:30 Role of topical therapy in CRS — Drs. Lebowitz, Prasad, Brown

2:30 – 5:00 DISSECTION LAB: basic dissection – ethmoid, maxillary, frontal, sphenoid sinus anatomy review

for endoscopic surgery — Dr. Anand

Saturday November 10, 20127:30 – 8:00 Registration & breakfast

SESSION 1 Moderator: Dr. Anand

8:00 – 8:45 Management of CSF leaks — Drs. Anand, Lebowitz, Schaberg, Senior, Jacobs

8:45 – 9:15 Epistaxis management — Dr. Jackman

9:15 – 9:45 Image-guidance: technology & indications — Dr. Tabaee

9:45 – 10:30 Advanced ESS (DCR, optic nerve, orbit, etc.) — Drs. Kacker, Schiff

10:30 – 11:00 BREAK SESSION 2 Moderator: Dr. Setzen

11:00 – 11:30 Extent of sinus surgery: evidence review of how much we should do – Dr. Senior

11:30 – 12:00 The unified airway, asthma and Samter’s – Drs. Pearlman, Fried, Kamelhar

12:00 – 12:30 Balloon technology: applications in sinusitis — Drs. Setzen, Anand, Jacobs

12:30 – 1:00 Eustachian tube dysfunction — Dr. Anand

1:00 – 1:30 Lunch

1:30 – 4:00 DISSECTION LAB: advanced dissection – sphenopalatine, pituitary, optic nerve, Lothrop,

etc. Introduction to skull base surgery — Dr. Schwartz

Residency Update

Alyn Kim, MD – Facial Plastic and Reconstructive Surgery, University of Toronto, Canada Alison Maresh, MD – Pediatric Otolaryngology, Children’s National Medical Center, Washington, DCSaral Mehra, MD, MBA – Head and Neck Surgery and Microvas-cular Reconstruction, Beth Israel Medical Center, New York, NYRoheen Raithatha, MD – Advanced Rhinology and Endoscopic Skull Base Surgery, NewYork-Presbyterian Hospital/Weill Cornell Medical Center, New York, NY

Combining 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.

2012 Resident Graduates 2012-2013 New Residents

Jin Suk Calvin Kim, MD Perelman School of Medicine at University of Pennsylvania Valeria Silva Merea, MD Columbia University College of Physicians and Surgeons David J. Phillips, MD Weill Cornell Medical College Oscar Trujillo, MD University of Maryland School of Medicine

Alyn Kim, MD Alison Maresh, MD

Saral Mehra, MD, MBA Roheen Raithatha, MD

Jin Suk Calvin Kim, MD

David J. Phillips, MD

Valeria Silva Merea, MD

Oscar Trujillo, MD

The Maxwell Abramson Teaching and Service AwardJayde Steckowych, MD Columbia University College of Physicians and SurgeonsThe Malcolm Schvey Clinical Teaching AwardVikash K. Modi, MD Weill Cornell Medical CollegeThe W. Shain Schley Resident Teaching AwardSaral Mehra, MD PGY-5

2011-2012 Teaching Awards

Further Training

Professional Education

In November 2012, Weill Cornell faculty collaborated with faculty from New York Uni-

versity 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

Vice Chairman for Academic Affairs and Chief, Division of Rhinology, Allergy, and Endoscopic Skull Base Surgery at the University of North Carolina School of Medicine, Chapel Hill. The program attracted some 70 otolaryngologists, residents, and fellows.

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Residency Update

First PrizeSaral Mehra, MD, MBA PGY-5Factors Predictive of Voice and Swallowing Complaints Following Anterior Approaches to the Cervical Spine

Second PrizeJiovani Visaya, MD PGY-3Histopathological Effects of Balloon Dilation in a Live Rabbit Model

Third PrizeRoheen Raithatha, MD PGY-5Inter-Rater Agreement of Nasal Endoscopy for Chronic Rhinosinusitis

2012-2013 New Residents

Named Lecture Program – 2012 Guest Faculty

Save the Date

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: James A. Moore Lecture Herman A. Jenkins, MD Professor and Chairman Department of Otolaryngology - Head and Neck Surgery University of Colorado Health Sciences Center

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

Fifth Annual New York City Pediatric Airway Symposium Seth M. Pransky, MD Clinical Professor of Surgery University of California, San Diego Director, Pediatric OtolaryngologyUC San Diego Health System

2012 – 12th Annual Residents Research Day

Seventh Annual Otolaryngology UpdateOctober 24 - 25, 2013New York City

For more information, please call (212) 585-6800 or email nypcme@nyp.org.

Faculty and Residents with Visiting Professor Roland (Ron) D. Eavey, MD (front row, third from left), from Vanderbilt University

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Department Faculty

Samuel H. Selesnick, MDProfessor and Vice Chairman of Otolaryngology Professor of Otolaryngology in Neurological SurgeryProfessor of Otolaryngology in NeurologyOtology/Neurotology(646) 962-3277

Michael G. Stewart, MD, MPHVice Dean, Weill Cornell Medical College Professor and Chairman of Otolaryngology Professor of Public HealthGeneral Otolaryngology(646) 962-6673

Joseph J. Montano, EdDAssociate Professor of Audiology in Clinical OtolaryngologyAudiology, Chief of Hearing and Speech(646) 962-2231

Kate E. McCarn, MDAssistant Professor of OtolaryngologyFacial Plastic and Reconstructive Surgery(646) 962-2285

Marc A. Cohen, MDAssistant Professor of Otolaryngology Head and Neck Surgery(646) 962-5346

Kevin D. Brown, MD, PhDAssistant Professor of OtolaryngologyOtology/Neurotology(646) 962-2032

Joshua I. Levinger, MDAssistant Professor of OtolaryngologyGeneral Otolaryngology(646) 962-4451

Vikash K. Modi, MDAnne Belcher, MD Assistant Professor of Otolaryngology Assistant Professor of Otolaryngology in PediatricsPediatric Otolaryngology(646) 962-2224

David I. Kutler, MDAssociate Professor of OtolaryngologyHead and Neck Surgery(646) 962-4323

William I. Kuhel, MDAssociate Professor of Clinical OtolaryngologyHead and Neck Surgery(646) 962-6325

Ashutosh Kacker, MBBSAssociate Professor of OtolaryngologyGeneral Otolaryngology; Sinus/Skull Base Surgery(646) 962-5097

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Mukesh Prasad, MDAssociate Professor of Clinical OtolaryngologyGeneral Otolaryngology(646) 962-2216

William R. Reisacher, MDAssociate Professor of OtolaryngologyGeneral Otolaryngology; Otolaryngic Allergy(646) 962-2093

Rita M. Roure, MDAssistant Professor of OtolaryngologyGeneral Otolaryngology(646) 962-3681

Thomas Murry, PhDProfessor of Speech-Language Pathology in Otolaryngology Speech Pathology(646) 962-5347

Aaron N. Pearlman, MDAssistant Professor of OtolaryngologyGeneral Otolaryngology; Sinus/Skull Base Surgery(646) 962-3169

Lucian Sulica, MDAssociate Professor of OtolaryngologyVoice and Laryngology(646) 962-7464

Maria V. Suurna, MDAssistant Professor of OtolaryngologyGeneral Otolaryngology(646) 962-9135

W. Shain Schley, MDAssociate Professor of Clinical OtolaryngologyGeneral Otolaryngology(212) 746-2223

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.

© 2013 Department of Otolaryngology – Head and Neck Surgery at Weill Cornell Medical College. All rights reserved.

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 greenberg Center1305 York Avenue, 5th FloorNew York, NY 10021(646) 962-3681 cornellent.org

Chairman’s OfficeMichael G. Stewart, MD, MPH(646) 962-4777

Center for the performing artist (646) 962-2787

Hearing and Speech Center (646) 962-2231

West Side practice2315 Broadway, 3rd FloorNew York, NY 10024(646) 962-3686

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