Otolaryngology - Department of Otolaryngology | Weill Cornell
Transcription
Otolaryngology - Department of Otolaryngology | Weill Cornell
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 SIXTH EDITION Sean Parker Institute for the Voice Thrives, Looks Forward to Growth in a New Home AUGUST 2015 Message From the Chair Dr. Michael G. Stewart We are pleased to bring you the latest brochure from our Department. Since our last report, we have celebrated several significant events. A major gift to the Department has established the Sean Parker Institute for the Voice, and the Sean Parker Professorship in Otolaryngology for Dr. Lucian Sulica. Along similar lines, the Weill Cornell/NewYorkPresbyterian 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 Julliard School, and continues to provide and coordinate care for many others in the large performing artist community in New York City. We have some other major gifts in the works and we look forward to finalizing those as well. Our faculty continues to expand, both in size and location, with several outstanding new recruits who are noted inside the brochure. Almost all faculty see patients at the main campus on Manhattan’s Upper East Side, and we also have 6 faculty who see patients at our facility on the Upper West Side, and 3 faculty seeing patients at our Lower Manhattan practice site, adjacent to NewYork-Presbyterian/Lower Manhattan Hospital. Subspecialty programs such as cochlear implantation and implantable hearing devices, robotic surgery, sialendoscopy, skull base surgery and allergy continue to grow. Our Hospital, the NewYork-Presbyterian Hospital, continues to thrive, and a beautiful new outpatient center – the David H. Koch Center – is already under construction on our campus. When it opens we are projected to be the busiest Department in the Ambulatory Surgery Center there. Our unique residency program, based at the Weill Cornell and Columbia University Medical Centers of NewYork-Presbyterian Hospital and including rotations at Memorial Sloan-Kettering Cancer Center, Lincoln Hospital, and the Bronx VA Hospital, continues to attract outstanding residents. We are very proud of our graduating chief residents, and our newly matched class of future Otolaryngologists from Columbia, Weill Cornell, Johns Hopkins, and Yale. Thanks again for your interest in our Department, and we hope you enjoy the brochure. Sincerely, Michael G. Stewart, MD, MPH Professor and Chairman Vice Dean of the Medical College Contents 9th Annual Otolaryngology Update 2 Sean Parker Institute for the Voice Thrives, Looks Forward to Growth in a New Home 4 Advances in Pediatric Otolaryngology 8 So the Show Can Go On 12 Selected Faculty Publications 2014 14 Department Faculty 18 Residency Update 20 New Physician Appointments 22 Weill Cornell Network Faculty 24 Departmental Contact Information 25 1 SAVE THE DATE 9th Annual Symposium OTOLARYNGOLOGY UPDATE IN NYC Featuring Distinguished Local and National Faculty OC T O B E R 2 2 - 2 3 , 2 0 1 5 COURSE DESCRIPTION Special Guest Faculty 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: Milan Amin, MD Associate Professor & Director of NYU Voice Center New York University Langone Medical Center • Otology and Neurotology • Rhinology & Sinus Disorders • Laryngology, Voice, and Dysphagia • Head and Neck Surgery • Pediatric Otolaryngology • Plastic & Reconstructive Surgery • General Otolaryngology Course Co-Directors Weill Cornell Medical College, Department of Otolaryngology – Head and Neck Surgery Michael G. Stewart, MD, MPH Professor and Chairman Department of Otolaryngology – Head and Neck Surgery Vice Dean Weill Cornell Medical College 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 NY Marriott Marquis 1535 Broadway New York, NY 10036 For More Information Marie Toussaint Credentialing Coordinator Tel: (212) 746-2226 Fax: (212) 746-8128 email: [email protected] George Alexiades, MD Victoria E. Banuchi-Crespo, MD, MPH Marc A. Cohen, MD Ashutosh Kacker, MBBS Michelle Kraskin, AuD William I. Kuhel, MD David I. Kutler, MD Joshua I. Levinger, MD Alison M. Maresh, MD Vikash K. Modi, MD Aaron N. Pearlman, MD Mukesh Prasad, MD William R. Reisacher, MD Babak Sadoughi, MD Anthony P. Sclafani, MD Lucian Sulica, MD Maria Suurna, MD Abtin Tabaee, MD Andrea Wang, MD Weill Cornell Medical College, Guest Faculty Vijay K. Anand, MD Chris Cuniff, MD Jacqueline Jones, MD Anthony N. LaBruna, MD Richard J. Wong, MD Chief, Head and Neck Surgery Memorial Sloan Kettering 2 Sujana S. Chandrasekhar, MD Director of New York Otology Otologist/Neurotologist New York Head and Neck Institute Scott Rickert, MD Assistant Professor, Department of Otolaryngology, Pediatrics, and Plastic Surgery New York University Langone Medical Center Fred F. Telischi, MD, MEE Professor and Chairman Department of Otolaryngology Professor, Neurological Surgery and Biomedical Engineering University of Miami Kathleen L. Yaremchuk, MD, MSA Chairman, Department of Otolaryngology – Head and Neck Surgery/Sleep Medicine Vice President, Clinical Practice Performance Henry Ford Hospital Columbia University College of Physicians and Surgeons, Guest Faculty Department of Otolaryngology – Head and Neck Surgery Lawrence Lustig, MD Chairman, Department of Otolaryngology – Head and Neck Surgery Eli Grunstein, MD Jason A. Moche, MD Rahmatullah W. Rahmati, MD Weill Cornell Department of Otolaryngology Current Office Locations At Weill Cornell Medical College our faculty members provide the full spectrum of modern care for all Ear, Nose & Throat issues, from newborns to adults. Hearing testing and hearing aid services are also available except in our Chappaqua office. Our offices are all conveniently located and easily accessible via public transportation. Upper East Side 1305 York Avenue, 5th Floor at 70th Street New York, NY 10021 Upper West Side 2315 Broadway, 3rd Floor at West 84th Street New York, NY 10024 Lower Manhattan 156 William Street, 12th floor New York, NY 10038 Pediatric Otolaryngology 428 East 72nd Street Oxford Building, Suite 100 New York, NY 10021 Facial & Reconstructive Surgery 59 South Greeley Avenue, Suite 4 Chappaqua, NY 10514 Coming in July 2016: Sean Parker Institute for the Voice 240 East 59th Street 2nd Floor Upper East Side, 1305 York Avenue > 3 Sean Parker Institute for the Voice Thrives, Looks Forward to Growth in a New Home Since it opened its doors in 2013, the Sean Parker Institute for the Voice has vigorously developed and expanded its capabilities to meet the needs of the growing number of people seeking expert voice care, diagnosis and treatment options. Formed with a generous gift from new-media entrepreneur and philanthropist Sean Parker, the Institute’s goal is to develop and provide rational, evidence-driven care for voice disorders. In the past year, the Parker Institute has added faculty and is poised to move into a purpose-built clinical facility, all while building on its strong record of clinically-relevant research and publication. “In our informationbased economy, it’s not an exaggeration to speak of a voice disorder as a true handicap,” explains Institute Director Lucian Sulica, MD, a Weill Cornell Medical Lucian Sulica, MD College laryngologist nationally recognized for his expertise in the treatment of vocal fold (or cord – the two terms are synonymous) injury, and in neurologic voice disorders. “Not having a voice is a functional disability absolutely on par with other things that people more commonly think of as a disability,” says Dr. Sulica, who also serves as the Sean Parker Professor of Laryngology at Weill Cornell, “This is true not only for performers, but for everyone who relies on voice for a livelihood.” Verbal communication is at the heart of many professions – teaching, sales, business, law, and even medicine, and people with disordered voices find themselves at a huge disadvantage both professionally and socially. laryngologist and Assistant Professor in the Department of Otolaryngology. Dr. Sadoughi is a distinguished graduate of the fellowship program run by the Parker Institute in cooperation with Dr. Andrew Blitzer and has now returned to the Institute to support the expansion of its standing as an international center of excellence in laryngology. Dr. Sadoughi completed his medical education at the Pierre and Marie Curie School of Medicine of Sorbonne University in Paris, France. He pursued postgraduate clinical training under noted laryngeal cancer surgeons Daniel Brasnu and Ollivier Laccourreye, followed by a residency in otolaryngologyhead and neck surgery at the Albert Einstein College of Medicine program in New York. Dr. Sadoughi brings special expertise in minimally invasive laryngeal surgery, and in the use of lasers both in the office and in the operating room. He has extensive experience in conservation laryngeal surgery, with an interest in reconstruction and rehabilitation after treatment for laryngeal malignancy. “The focus of the Parker Institute on voice and laryngeal disorders, in Weill Cornell Medical College’s world-class academic environment, provides a unique opportunity to conduct clinical and research activities of unparalleled quality,” says Dr. Sadoughi. Expanding the Team The Institute continues to build its team of experts. It most recently welcomed Babak Sadoughi, MD, as an attending 4 “Contributing to the Institute’s cutting-edge investigations represents a tremendous opportunity for me to further our understanding of vocal physiology and design tomorrow’s standards of care in laryngology.” “Contributing to the Institute’s cutting-edge investigations represents a tremendous opportunity for me to further our understanding of vocal physiology and design tomorrow’s standards of care in laryngology.” Babak Sadoughi, MD The Institute expects to expand further, the growth made possible by a move into its own space by summer 2016. The facility will be planned to optimize the multidisciplinary care shown time and again to be ideal for patients with voice and laryngeal problems. With the goal of returning patients to their careers and lives, the Institute’s scientists, laryngologists and speech-language pathologists will all work together under one roof and benefit from the team’s collective understanding of voice issues and how to address them. Clinical data collection will be an integral part of the mission, and the underpinning of further robust clinical research. At full complement, the Institute is anticipated to have four laryngologists, one or more voice scientists, and three or four speech language pathologists. Each will bring new skills and perspective. “The goal is for the whole to be greater than the sum of the parts. Patient care will always be our main focus, but each member will contribute to research, and participate in the professional discourse about laryngeal disorders nationally and globally, “ says Sulica. Dr. Babak Sadoughi have lagged, and clinical evidence has been slow to influence treatment. It wasn’t so long ago, and sometimes still happens today, that an individual with hoarseness was told to undergo weeks, even months of voice rest, or prescribed nonspecific medication like anti-allergy or anti-reflux medication instead of undergoing proper investigations. The patient was often blamed for his or her disorder, ascribed to “voice abuse.” “I guarantee that if you see a sports medicine specialist with a rotator cuff injury, no one is going to talk about ‘shoulder abuse,’” observes Dr. Sulica. Rather, the injury will be analyzed in light of the patient’s anatomy, and the demands placed on the structure by occupational or avocational activity. The goal at the Institute is similar: to think critically about voice disorders in order to put treatment on a rational basis. “Strong evidence-based care is the future of laryngology,” says Dr. Sulica. “The larynx and vocal folds are highly-specialized biological structures that mediate essential life functions of swallowing and breathing, and are the sound source for human communication. They are decipherable, treatable and curable by means of scientific and medical principles. We do not need to rely on special gargles to help our patients. Data-Driven Care of the Voice Clinical care and research continues while the new space is being built. The focus is on validating – or debunking – treatments for a wide range of voice disorders. Laryngology has evolved rapidly in the last two decades, propelled by significant advances in both diagnostic and surgical techniques. But public and even professional perceptions 5 But we do need better science, and better clinical evidence.” performers who presented for examination over 12 months. He found that the incidence of hemorrhage in performers without varices was 0.78% over 36 months. If a varix was present, that rose to 7.14%. “While that’s still not high, it’s nine fold higher than if a varix wasn’t present,” observes Dr. Tang. “The simple availability of that information allows us to counsel patients better.” Visiting Columbia University medical student Christen Lennon, now an otolaryngology resident, tackled the issue of recurrent hemorrhage. In a study of 47 patients with hemorrhage, the results of which were published in the January 2014 issue of The Laryngoscope, she found that the risk of recurrence was only about 4% if no varix was present. If there was a varix, that rose to 48%. “That information clarifies the situation a great deal,” observes Dr. Sulica. “It shows us when to treat.” Based on these studies, treatment, in the form of excision or ablation of the varix, is offered to patients who have varices. They may make their decision based on solid information. It is recommended for those patients with varices who have had a hemorrhage. As an example, the Institute recently examined the entity of vocal fold hemorrhage, an acute injury that results from the physical stresses of voice use, or “phonotrauma.” It’s not a rare reason for a performer or other intensive voice user to be sidelined unexpectedly, and a source of considerable anxiety to patients. “Vocal fold hemorrhage is a good example of the basic gaps in our knowledge,” explains Dr. Sulica. “Hemorrhages are thought to result from enlarged blood vessels on the vocal fold, called varices, which are believed to be especially fragile. The question of the long-term effects of hemorrhage remains. Particularly among performers, hemorrhage is viewed as a catastrophe, a potential career-ender. Yet clinical experience strongly suggests the prognosis is not nearly so dire. Institute researchers are currently systematically assessing the impact of hemorrhage after many years. “Our goal is simply to give people – patients and doctors – accurate information about a given problem,” explains Dr. Sulica, “That may seem modest, but it is actually transforming.” Figure Varix: Multiple varices in a 44 year old jazz vocalist and pianist. There are several small varices on the left vocal fold, and a large vascular lake next to a linear varix on the right vocal fold. This patient had a history of recurrent hemorrhages on the right which ceased after surgical removal of the lesions. So how likely is a varix to result in a hemorrhage? The data to answer that question didn’t exist. It’s also normal for a patient who has had a hemorrhage to ask about the chances of having another. But the data to answer that question didn’t exist either.” Dr. Sulica and his colleagues have also examined other types of phonotraumatic damage, including pseudocysts, lesions that affect voice quality in a more chronic way than hemorrhage. Taking advantage of the Institute’s robust clinical experience, Parker Institute laryngology fellow Christopher Tang, MD was able to follow the experience of 499 6 to undergo surgery showed generally good results, but revealed a potential link to glottic insufficiency, or an inability of the vocal folds to close robustly, a characteristic polyps do not share. This link is now being investigated further. “This kind of research allows us to sit down with the patients and have a tremendously positive, factual, constructive conversation,” explains Dr. Sulica. “It allows us to give them accurate information about risk, success and chance of recurrence, and helps us to dispel some clinical misconceptions and accompanying anxieties, so that patients can understand their choices in a rational way. Most importantly, it allows us to show them that in the vast majority of cases, their injuries are repairable. Decatastrophizing the injury is the first step to a good outcome.” The focus at the Parker Institute is on rehabilitation, and its focus on proper and specific diagnosis using high quality optics and stroboscopic examination, specialists can pinpoint and treat problems, many times in the office rather than the operating room. Figure Pseudocyst: A pseudocyst on the left vocal fold of a 29 year old musical theater performer. This patient was able to return to performance after voice therapy alone, without a surgical intervention. “Pseudocysts are frequently treated like polyps, with a uniform recommendation for surgery, although their clinical behavior is different,” observes Christine Estes, MM, MA-CCC/SLP, an Institute speechlanguage pathologist and an investigator on the project. A study of 46 patients, which appeared in the May 2014 issue of The Laryngoscope, revealed that two in three patients – most of whom are performers and thus very intensive voice users – do not need surgery to continue in the level of voice use their profession demands. Voice therapy by itself appears to be sufficient. A follow-up study of surgical outcomes in the one-third of patients who ultimately chose “It’s an exciting time. Laryngology abounds with opportunities to demystify, to clarify, to innovate,” observes Dr. Sulica. “Our goal is to understand vocal fold injury in such a way that treatment decisions aren’t based on fear or rumor but fact.” Studies mentioned in this article Lennon CJ, Murry T, Sulica L. Vocal Fold Hemorrhage: Factors predicting recurrence. Laryngoscope 2014:124(1):227-232. Estes C, Sulica L. Vocal Fold Pseudocyst: Results of 46 Cases Undergoing a Uniform Treatment Algorithm. Laryngoscope 2014:124(5):1180-1186. Estes C, Sulica L. Vocal Fold Pseudocyst: A Prospective Study of Surgical Results. Laryngoscope. 2015:125(4):913-918. Tang C, Sulica L. Vocal Fold Varix and the Risk of Hemorrhage. In revision. 7 Advances in Pediatric Otolaryngology Minimally Invasive Treatments, Improved Outcomes reconstruction. Explains Vikash K. Modi, MD, Chief of Pediatric Otolaryngology at NewYork-Presbyterian/Weill Cornell Medical College, who was one of the early adopters of this procedure, “Previously, in children with bilateral fold paralysis, cricoarytenoid joint fixation or posterior glottis stenosis, the cricoid had to be divided first anteriorly and then posteriorly In the Department of Otolaryngology — Head and Neck Surgery of Weill Cornell Medical College, teams of surgeons and other specialists are advancing the care of pediatric patients through the development and refinement of surgical techniques and ground-breaking research. Work focuses on ways to improve existing treatments for children with complex airway disease processes, through minimally invasive methods and the treatments of children and young adults with complex craniofacial conditions. “We’re trying to develop new ways of solving complex pediatric airway pathology. We’re doing things endoscopically, minimally invasively, developing procedures with less risk to the patient and better outcomes.” Pediatric Endoscopic Airway Surgery Infants with difficulty breathing due to a narrowed airway (subglottic stenosis) related to premature birth, scarring from intubation, or congenital malformation, can now be treated with a minimally invasive endoscopic laryngotracheal reconstruction that enlarges the narrowed segment of the infant’s subglotis through the insertion of a rib graft. This novel endoscopic technique leads to shorter operating times, avoidance of stenting, less scarring and quicker time to decannulation than the traditional open, laryngotracheal 1 Vikash K. Modi, MD in order to insert a posterior rib graft through an open approach. The endoscopic approach allows us to precisely divide the cricoid posteriorly and insert the graft without dividing the anterior cricoid. This allows for less destabilization, faster healing, quicker decannulation and avoidance of the suprastomal stent.” 2 3 4 Figure 1: Preoperative view of posterior glottic stenosis and cricoarytenoid joint fixation. Figure 3: Intraoperative view after endoscopic insertion of rib graft. Figure 2: Intraoperative view after division of posterior glottic stenosis and posterior cricoid with carbon dioxide laser. Figure 4: Postoperative view one month after surgery. 8 Analyzing the Results or extrinsic by base of tongue mass (i.e. enlarged lingual tonsils). Dr. Modi was one of the first to describe an endoscopic technique of epiglottopexy with and without lingual tonsillectomy to treat this condition. Dr. Modi and colleagues at two tertiary care medical centers reviewed their multiinstitutional experience with the endoscopic approach, looking at 28 patients age one to 15 years treated between 2004 and 2012. Decannulation or avoidance of a tracheostomy was achieved in 25 out of 28 patients. “This is the largest study of its kind undertaken with the newer endoscopic technique,” says Dr. Modi. “Our decannulation and tracheostomy avoidances rate approached 90 percent. The study confirmed that the procedure can be safely performed with equal effectiveness and without the increased surgical risk of the open technique. It is an important option to have in the management of children with these conditions.” Endoscopic Airway Balloon Dilation In the past five years endoscopic airway balloon dilation has become popular in treating infants and children with subglottic stenosis. There are currently no evidencebased guidelines to help surgeons select optimal balloon parameters: diameter, inflation pressure, and duration of inflation. In addition, the underlying mechanism and the histopathologic effects of endoscopic airway balloon dilation are poorly understood. Dr. Modi and his team are trying to answer these difficult questions by investigating the use of endoscopic airway balloon dilation in an animal model. Treating Pediatric Obstructive Sleep Apnea: Thinking Outside the Box Dr. Modi has also developed treatments for children who have persistent obstructive sleep apnea following tonsil and adenoid surgery. Children are first put into a medically induced sleep and a sleep endoscopy is performed to identify the area(s) of airway collapse. One area of upper airway obstruction is retroflexion of the epiglottis. The etiology of epiglottic retroflexion in children is either intrinsic 1 “Although we’re doing things endoscopically, minimally invasively, using cutting edge technology, it is important to continually evaluate new techniques to determine safe parameters for their use. The goal is to develop innovative procedures to treat difficult pediatric airway pathology with less risk to the patient and better outcomes.” explains Dr. Modi. 2 3 4 Figure 3: Preoperative view during sleep endoscopy demonstrating lingual tonsil hypertrophy resulting in extrinsic retroflexion of the epiglottis. Figure 1: Preoperative view during sleep endoscopy demonstrating intrinsic epiglottic retroflexion. Figure 2: Intraoperative view with epiglottopexy sutures in place. Figure 4: Intraoperative view with epiglottopexy sutures tied and cut. 9 Advances in Pediatric Otolaryngology VELOPHARYNGEAL CENTER Many patients who have undergone cleft palate surgery will suffer from velopharyngeal dysfunction (VPD), a disorder that prevents a patient from pronouncing certain consonants because air escapes through the nose rather than the mouth. Says Dr. Modi, who heads the elopharyngeal Center at Weill Cornell Medical College, “30 percent of patients who have undergone cleft palate repair have VPD. Some patients with VPD develop this condition following adenoidectomy, or as the result of weak palatal muscles, and sometimes this condition occurs for no reason.” In developing a treatment plan, Dr. Modi and his partner Dr. Alison Maresh work closely in conjunction with Yvonne Knapp, a pediatric speech pathologist who specializes in velopharyngeal dysfunction. Utilizing nasometrics and nasopharyngoscopy, an individualized plan is tailored for each child. Says Dr. Modi, “The Center surgeons have years of clinical experience in complicated VPD surgery, and can perform a range of corrective procedures including pharyngeal flap, sphincteroplasty, intervelar veloplasty, furlow palatoplasty, and cleft palate surgery. Our goal is to repair a child’s VPI before the patient is five years of age, prior to kindergarten, when this condition could impact their self-image.” Soon after the procedure, results can be dramatic. Dr. Modi explains, “Often following surgery, there’s immediate improvement to their speech that continues over the ensuing months.” 10 THE PEDIATRIC CRANIOFACIAL CENTER counseling, to surgical correction, and nonsurgical interventions. “Our treatment goal is focused on all social, cosmetic, and functional aspects of these disabling conditions,” says Dr. Modi. One in every 1000 babies born will require specialized care for congenital disorders such as cleft lip and palate or craniosynostosis. Many of these disorders involve the expertise and care of facial plastic surgeons and pediatric otolaryngologists working closely with pediatric audiologists and speech pathologists. At the Pediatric Craniofacial Center at NewYork-Presbyterian Hospital/ Phyllis and David Komansky Center for Children’s Health, an interdisciplinary team with a wide range of expertise works in concert to treat children and young adults with these conditions and other congenital problems. Work at the Center occurs both in and out of the operating room, and involves procedures and specialized care incorporating the most advanced surgical treatments, including the latest minimally invasive surgical techniques. “A key focus of the Center’s work is in utilizing methods and procedures that will minimize the potential for a child’s physical and psychological suffering, as a result of an altered appearance or limitations related to communicating. We want to get them back to normal activities and functioning to their full potential as soon as possible,” says Dr. Modi, Co-Director of the Center. At the Center, children and their families meet in one place where evaluations are performed by members of the care team, relieving the patient and family from shuttling between specialists. Once all the information is gathered, the team sits together, makes recommendations and a coordinated plan of care is presented to the family. Recommendations are also shared with the referring pediatrician or medical professional and the Center staff continues this communication throughout the child’s treatment. “This way everyone is on the same page, nobody falls through the cracks,” explains Dr. Alison Maresh, another faculty pediatric otolaryngologist. Center Dedicated Specialists • Pediatric Anesthesia • Audiology • Critical Care/Intensive Care • Pediatric Dentistry • Developmental Pediatrics • Pediatric Genetics • Neonatology • Neurology • Pediatric Neurosurgery • Pediatric Ophthalmology and Oculoplastic Surgery • Pediatric Oral Surgery and Maxillofacial Surgery • Pediatric Orthodontics • Pediatric Otolaryngology • Physical and Occupational Therapy • Facial Plastic Surgery • Social Work • Pediatric Speech Pathology • Pediatric Sleep Medicine Center Expertise • Cranionsynostosis • Cleft Lip and Palate • Velopharyngeal Insufficiency • Craniofacial Tumors • Orthognathic Surgery • Cleft Rhinoplasty • Comprehensive Dental Care “Our goal is to get children back to the business of being children,” explains Dr. Modi. The Center’s team is involved in a patient’s care from early prenatal life into adulthood, from in utero ultrasonography and advanced genetic testing and 11 So the Show Can Go On The Center for the Performing Artist Symptoms that might seem mild for most people can be disabling and even career-ending for a world-class performer, many of whom who live and work in the New York Metropolitan area. As a result, demand for The Center for the Performing Artist at NewYorkPresbyterian/Weill Cornell Medical College’s specialized expertise in performing arts medicine continues to grow among professional vocalists, actors and actresses, musicians, dancers and students. the Center has grown yearly, tripling its number of patients, and now has contractual arrangements with the Julliard School and the Metropolitan Opera. “Many artists come to us for voice issues. For privacy reasons, we can’t tell you all the artists that we have taken care of, but it’s an impressive list,” says Dr. Stewart. “Patients receive comprehensive and integrated care tailored to their specific performance needs all within the context of their overall physical and mental health and well-being.” Patients receive comprehensive and integrated care tailored to their specific performance needs and levels all within the context of their overall physical and mental health and well-being. Says Nancy Amigron, the Center’s Program Coordinator, who has many years of experience with finding the right specialist and facilitating multidisciplinary care of artists, “Performers from around the world, including the U.K., France, Russia, Switzerland and Brazil, travel to the Center’s physicians seeking care.” Dr. Michael G. Stewart The Center’s multidisciplinary team of experts, each of whom is a recognized leader in his or her field of otolaryngology, neurology, gastroenterology, pulmonary, rheumatology, psychiatry – among many specialties – is experienced in caring for and sensitive to the unique needs of the performer and how the very high-demand conditions of their work makes them vulnerable to ailments and injuries. “Performing artists often receive fragmented treatment,” explains Dr. Stewart. “They go to this specialist and that super-specialist and they get good individual care, but each physician doesn’t know what the other has done. Our Center provides expertise for special problems related to performing artists, as well as coordinated communication among doctors.” Established in 2008, the Center is administratively based within the Weill Cornell Medical College Department of Otolaryngology – Head & Neck Surgery, under the vision and direction of Dr. Michael G. Stewart, Professor and Chairman of the Department and Otolaryngologist-in-Chief at NewYorkPresbyterian Hospital/Weill Cornell Medical Center. Since opening its doors, 12 While mainstream patients tend to see their long-term health as the primary concern, performers are often willing to take calculated risks for the sake of their art. “It’s like taking care of professional athletes. They want to play,” says Lucian Sulica, MD, a nationally recognized Weill Cornell Medical College laryngologist and expert in the treatment of voice disorders. “Our goal is to figure out how to allow them to recover safely but also get them back on stage where they desperately want to be and where audiences want them to be. This is one of the most challenging aspects of our work.” Center Services l Care of the Performing Voice l Ear, Nose, and Throat Disorders l Mental Health Issues l Musculoskeletal Injuries l Neurological Conditions/Movement Disorders l Pulmonary Conditions l Internal Medicine In addition to treating patients, the Center offers education programs focused on both the care as well as preservation of the performing artist’s health and wellbeing, which are directed toward both performers and clinicians. Says Dr. Stewart, “This is an area that we would like to see grow and develop along with research and innovation.” Performing artists also utilize the Center for mainstream health concerns because of the sensitivity its physicians show toward the performing artist’s special needs. For example, notes Dr. Stewart, “We would make sure that the anesthesiologist for a vocalist’s hernia surgery is experienced in intubating a vocalist.” 13 Selected Faculty Publications 2014 Wong A, Kacker A. Incidence of unplanned admissions after sinonasal surgery: a 6-year review. Int Forum Allergy Rhinol. 2014 Feb;4(2):143-6. Dong D, Yulin Z, Stewart MG, et al. Development of the Chinese nasal obstruction symptom evaluation (NOSE) questionnaire. Zhonghua er bi yan hou tou jing wai ke za zhi (Chinese J Otorhinolaryngol HNS) 2014;49(1):20-26. Pamnani A, Faggiani SL, Hood M, Kacker A, Gadalla F. Uvular injury during the perioperative period in patients undergoing general anesthesia. Laryngoscope. 2014 Jan;124(1):196-200. Stewart MG. Reporting levels of evidence. Laryngoscope 2014;124(2):358 Tang S, Griffin AS, Waksal JA, Phillips CD, Johnson CE, Communale JP, Karimi S, Powell TL, Stieg PE, Gutin PH, Brown KD, Sheehan M and Selesnick SH. Surveillance After Resection of Vestibular Schwannoma: Measurement Techniques and Predictors of Growth. Otology & Neurotology, August 2014. 35 (7): 1271-1276. Larrabee YC, Kacker A. Which inferior turbinate reduction technique best decreases nasal obstruction? Laryngoscope. 2014 Apr;124(4):814-5. Spencer DJ, Kacker A. Does weight loss affect the apnea/hypopnea index? Laryngoscope. 2014 Apr;124(4):816-7. Heineman TE, Evans GR, Campagne F, Selensick SH.IIn SilicoI Analysis of NF2 Gene Missense Mutations in Neurofibromatosis Type 2: From Genotype to Phenotype. Accepted to Otology & Neurotology August 19, 2014 Yang GC, Kuhel WI, Scognamiglio T. Amyloid-rich low grade adenocarcinoma of the parotid gland; fine needle aspiration cytology with histologic correlations. Diagn Cytopathol. 2014 Sep;42(9):798-801. Banuchi V, Cohen JC, Kacker A. Safety of concurrent nasal and oropharyngeal surgery for obstructive sleep apnea. Ann Otol Rhinol Laryngol. 2014 Sep;123(9):619-22. Phillips DJ, Kutler DI, Kuhel WI. Incidental thyroid nodules in patients with primary hyperparathyroidism. Head Neck. 2014 Dec;36(12):1763-5. Trujillo O, Cohen J, Cohen M, Phillips CD. Unusual Presentation of a Laryngeal Mass. JAMA Otolaryngol Head Neck Surg 2014; 140:781-782. Kohlberg GD, Stater BJ, Kutler DI, Kuhel WI, Cohen MA. Carotid space mass. JAMA Otolaryngol Head Neck Surg. 2014 Dec;140(12):1237-8. Kohlberg GD, Stater B, Kutler DI, Kuhel WI, Cohen MA. Carotid Space Lymphoma. JAMA Otolaryngol Head Neck Surg 2014; 140:1237-8. Mehra S, Heineman TE, Camissa FP, Girardi FP, Sama A, Kutler D. Factors predictive of voice and swallowing outcomes after anterior approaches to the cervical spine. Journal of Otolaryngology - Head and Neck Surgery. 2014;150(2):259-65. Oh AY, Kacker A. Do electronic cigarettes impart a lower potential disease burden than conventional tobacco cigarettes? Review on E-cigarette vapor versus tobacco smoke. Laryngoscope. 2014 Dec;124(12):2702-6. Phillips DJ, Kutler DI, Kuhel WI. Incidental thyroid nodules in patients with primary hyperparathyroidism. Head Neck. 2014 Dec;36(12):1763-5. Banuchi V, Cohen JC, Kacker A. Safety of concurrent nasal and oropharyngeal surgery for obstructive sleep apnea. Ann Otol Rhinol Laryngol. 2014 Sep;123(9):619-22 Chao JW, Spector JA, Taylor EM, Otterburn DM, Kutler DI, Caruana SM, Rohde CH. Pectoralis major myocutaneous flap versus free fasciocutaneous flap for reconstruction of partial hypopharyngeal defects: what should we be doing? J Reconstr Microsurg, Epub 2014 Nov 11. Trujillo O, Narula N, Ginter P, Kacker A. Bilateral thyroid nodules. JAMA Otolaryngol Head Neck Surg. 2014 Apr;140(4):381-2. 14 Kohlberg GD, Stater BJ, Kutler DI, Kuhel WI, Cohen MA. Carotid space mass. JAMA Otolaryngol Head Neck Surg. 2014 Dec; 140(12):1237-8. doi: 10.1001/jamaoto. 2014.2523. Tang S, Reisacher W. Supernumerary Nasal Tooth in Close Proximity to a Dental Implant Journal of Oral and Maxillofacial Surgery. J Oral Maxillofacial Surg 2014, DOI 10.1016/ j.joms.2014.08.031. Cohen LE, Finnerty BM, Golas AR, Ketner JJ, Weinstein A, Boyko T, Rohde CH, Kutler D, Spector JA. Perioperative Antibiotics in the Setting of Oropharyngeal Reconstruction: Less Is More. Ann Plast Surg. 2014 Aug 20. [Epub ahead of print] Sadoughi B, Fried MP, Sulica L, Blitzer A. Hoarseness evaluation: a transatlantic survey of laryngeal experts. Laryngoscope. 2014 Jan;124(1):221-6. Guardiani E, Sadoughi B, Blitzer A, Sirois D. A new treatment paradigm for trigeminal neuralgia using botulinum toxin type A. Laryngoscope. 2014 Feb;124(2):413-7. Chao JW, Rohde CH, Chang MM, Kutler DI, Friedman J, Spector JA. Oral rehabilitation outcomes after free fibula reconstruction of the mandible without condylar restoration. J Craniofac Surg. 2014 Mar; 25(2): 415-7. Guss J, Sadoughi B, Benson B, Sulica L. Dysphonia in performers: toward a clinical definition of laryngology of the performing voice. J Voice. 2014 May;28(3):349-55. Maresh A, Preciado DA, O’Connell AP, Zalzal GH. A comparative analysis of open surgery vs endoscopic balloon dilation for pediatric subglottic stenosis. JAMA Otolaryngol Head Neck Surg. 2014 Oct;140(10):901-5. Sadoughi B, Fried MP, Sulica L, Blitzer A. Hoarseness Evaluation: A Transatlantic Survey of Laryngeal Experts. Laryngoscope 2014:124(1):221-226. Visaya J, Ward RF, Modi VK. Feasibility and Mortality of Balloon Dilation in a Live Rabbit Model. JAMA Otolaryngol – Head Neck Surg. Mar 2014; 140(3):215-9. Lennon CJ, Murry T, Sulica L. Vocal Fold Hemorrhage: Factors predicting recurrence. Laryngoscope. 2014:124(1):227-232. Oomen K, Modi VK. Epiglottopexy with and without Lingual Tonsillectomy. Laryngoscope. Apr 2014; 124(4):1019-22. Ling B, Novakovic D, Sulica L. Cough after Laryngeal Herpes Zoster: A New Aspect of Post-Herpetic Sensory Disturbance. J Laryngol Otol 2014;128(2):209-211. Preminger, J., Montano, J, and TjØrnhØjThomsen, Adult children’s perspective on a parent’s hearing impairment and its impact on their relationship and communication. International Journal of Audiology, accepted 2014. Estes C, Sulica L. Vocal Fold Pseudocyst: Results of 46 cases undergoing a uniform treatment algorithm. Laryngoscope. 2014:124(5):1180-1186. Guss J, Sadoughi B, Benson B, Sulica L. Dysphonia in Performers: Towards a Definition of Laryngology of the Performing Voice. J Voice 2014;28(3):349-355. Reisacher W, Bremberg M. Prevalence of antigen-specific IgE on mucosal brush biopsy of the inferior turbinates in patients with nonallergic rhinitis. Int Forum Allergy Rhinol 2014;4:292-297. Sulica L. Hoarseness Misattributed to Reflux: Sources and Patterns of Error. Ann Otol Rhinol Laryngol 2014;123(6):442-445. Reisacher W, Rudner S, Kotik V. Oral mucosal immunotherapy (OMIT) using a toothpaste delivery system for the treatment of allergic rhinitis. Int J Pharma Compound 2014;18(4): 287-290. Guardiani E, Sulica L. Vocal fold paralysis after spinal anaesthesia. JAMA Otolaryngol Head Neck Surg 2014:140(7):662-663. Ruiz R, Achaltis S, Verma A, Born H, Kapadia F, Fang Y, Pitman M, Sulica L, Branski R, Amin MR. Risk factors for adult-onset recurrent respiratory papillomatosis: A multiinstitutional investigation. Laryngoscope 2014:124(10):2338-2344. Reisacher W. Asthma and the Otolaryngologist. Int Forum Allergy Rhinol 2014;4:S70-S73. 15 Selected Faculty Publications 2014 TEXTBOOKS Tang S, Griffin AS, Waksal JA, Phillips CD, Johnson CE, Communale JP, Karimi S, Powell TL, Stieg PE, Gutin PH, Brown KD, Sheehan M, Selesnick SH. Surveillance after resection of vestibular schwannoma: measurement techniques and predictors of growth. Otol Neurotol 2014;35(7): 1271-6. Montano, J. & Spitzer, J. (Eds) ( 2014). Adult Audiologic Rehabilitation. 2nd Edition San Diego: Plural Publications. BOOK CHAPTERS Harkcom WT, Ghosh AK, Sung MS, Matov A, Brown KD, Giannakakou P, Jaffrey SR. NAD+ and SIRT3 control microtubule dynamics and reduce susceptibility to antimicrotubule agents. Proc Natl Acad Sci USA 2014;111(24):E2443-52. Stucken EZ, Brown KD, Selesnick SH. Facial Nerve Monitoring. In: Slattery WH, Azizzadeh B eds The Facial Nerve. New York: Thieme, 2014: 146-150. Brown KD, Selesnick SH, Tang S. Complications of Otitis Media. In: Pensak ML, Choo DI eds Clinical Otology. New York: Thieme, 2014:231-240. Brown KD, Maqsood S, Huang JY, Pan Y, Harkcom W, Li W, Sauve A, Verdin E, Jaffrey SR. Activation of SIRT3 by the NAD+ precursor nicotinamide riboside protects from noise-induced hearing loss. Cell Metab 2014;20(6):1059-68. Montano, J. (2014). Defining audiologic rehabilitation. In. J Montano & J. Spitzer. (Eds) Adult Audiologic Rehabilitation 2nd Edition. San Diego: Plural Publishing. Tabaee A, Chen L, Smith TL, Hwang PH, Schaberg MR, Raithatha R, Brown SM. Academic rhinology: a survey of residency programs and rhinology faculty in the United States. Int Forum Allergy Rhinol 2014; 4:321-8. Preminger, J. & Montano, J. (2014). Incorporation communication partners into the AR process. In. J Montano & J. Spitzer. (Eds) Adult Audiologic Rehabilitation 2nd Edition. San Diego: Plural Publishing. Murry T. Spasmodic dysphonia: let’s look at that again. J Voice 2014;28(6):694-9. Crawley BK, Murry T, Sulica. Injection augmentation for chronic cough. J Voice, accepted 2014. Guardiani E, Sadoughi B, Sulica L, Meyer TK, Blitzer A. Laryngeal electromyography. In: Rubin JS, Sataloff RT, Korovin GS: Diagnosis and Treatment of Voice Disorders. Plural Publishing, Inc. 2014:289-302. Keesecker SE, Murry T, Sulica L. Patterns in the evaluation of hoarseness: time to presentation, laryngeal visualization, and diagnostic accuracy. Laryngoscope, ePub 2014 Oct 7. Sulica L. Voice: Anatomy, Physiology and Clinical Evaluation. In Johnson J, Rosen C eds., Otolaryngology – Head & Neck Surgery, 5th ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2014:945-957. Chen W, Woo P, Murry T. Spectral analysis of digital kymography in normal adult vocal fold vibration. J Voice 2014;28(3):356-61. Guardiani E, Sadoughi B, Sulica L, Meyer TK, Blitzer A. Laryngeal Electromyography. In: Rubin J, Sataloff RT, Korovin G, eds., Diagnosis and Treatment of Voice Disorders, 4th ed., San Diego: Plural Publications Group, Inc. 2014: 289-302. 16 Academic Highlights Department Faculty 18 Residency Update 20 New Physician Appointments 22 Weill Cornell Network Faculty 24 17 Department Faculty Michael G. Stewart, MD, MPH Samuel Selesnick, MD Chairman and Otolaryngologist-in-Chief Professor of Otolaryngology and Public Health Senior Associate Dean for Clinical Affairs Vice Dean of the Medical College Vice Chairman, Otolaryngology Professor, Otolaryngology (646) 962-3277 (646) 962-6673 George Alexiades, MD Victoria Banuchi, MD, MPH Marc Cohen, MD, MPH Assistant Professor, Otolaryngology (Interim Appointment) Otology Assistant Professor, Otolaryngology Head and Neck Surgery Assistant Professor, Otolaryngology (646) 962-2286 (646) 962-9135 (646) 962-2032 Ashutosh Kacker, MD William Kuhel, MD David Kutler, MD Professor, Clinical Otolaryngology Associate Professor, Clinical Otolaryngology Associate Professor, Otolaryngology (646) 962-5097 (646) 962-4323 (646) 962-6325 Joshua Levinger, MD Alison Maresh, MD Vikash Modi, MD Assistant Professor, Otolaryngology Assistant Professor, Otolaryngology (646) 962-4451 (646) 962-2225 Chief, Pediatric Otolaryngology Associate Professor, Otolaryngology (646) 962-3017 18 Joseph Montano, EdD Aaron Pearlman, MD Mukesh Prasad, MD Chief of Audiology and Speech Language Pathology Associate Professor, Audiology in Clinical Otolaryngology Associate Professor, Clinical Otolaryngology Associate Professor, Clinical Otolaryngology (646) 962-3169 (646) 962-2216 William Reisacher, MD Rita Roure, MD Babak Sadoughi, MD Associate Professor, Otolaryngology Assistant Professor, Otolaryngology Assistant Professor, Otolaryngology (646) 962-2093 (718) 579-3396 (646) 962-2226 Anthony Sclafani, MD Lucian Sulica, MD Maria Suurna, MD Chief, Facial Plastic and Reconstructive Surgery Professor, Otolaryngology Assistant Professor, Otolaryngology (646) 962-7464 (646) 962-9135 Abtin Tabaee, MD Andrea Wang, MD Michelle Kraskin, AuD Asst. Professor, Otolaryngology (Interim Appointment) Assistant Professor, Otolaryngology Clinical Instructor Audiology (646) 962-9136 (646) 962-2231 (646) 962-2231 (646) 962-2285 (646) 962-2221 19 Residency Update 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. 2015 Resident Graduates Gavriel Kohlberg, MD Melanie Malone, MD Stefan Mlot, MD Shan Tang, MD Recipients of the 2014-15 Teaching Awards The Maxwell Abramson Teaching and Service Award William I. Kuhel, MD The Malcolm Schvey Clinical Teaching Award Anil K. Lalwani, MD The W. Shain Schley Resident Teaching Award Melanie Hood Malone, MD WCMC Department of Otolaryngology/ Head and Neck Surgery CUMC Department of Otolaryngology/ Head and Neck Surgery OTO/HNS Program Year 5 Resident Otolaryngology/Head and Neck Surgery Faculty and Residents from June 2015 Resident Research Day with Selfe Visiting Professor 20 Winners of the 15th Annual Residents’ Research Competition FIRST PRIZE SECOND PRIZE THIRD PRIZE Gavriel Kohlberg, MD Melanie Malone, MD Kenny F. Lin, MD OTO/HNS Program Year 5 Resident OTO/HNS Program Year 5 Resident OTO/HNS Program Year 2 Resident Otolaryngology – Head & Neck Surgery New Residents 2014-15 Lauren Brown Carol Li Jiahui Lin Apoorva Tewari Columbia University College of Physicians and Surgeons Johns Hopkins University School of Medicine Weill Cornell Medical College Yale School of Medicine Distinguished Robert Selfe, MD Lecturer Carol R. Bradford, MD, FACS Charles J. Krause, MD Collegiate Professor – Otolaryngology Chair, Department of Otolaryngology – Head & Neck Surgery University of Michigan Health System 21 New Physician Appointments George Alexiades, MD FACS We are pleased to welcome George Alexiades, MD FACS, to the Department of Otolaryngology – Head and Neck Surgery. Dr. Alexiades joins us from New York Eye & Ear Infirmary of Mount Sinai, where he was an Associate Professor of Clinical Otolaryngology in the Department of Otolaryngology. Dr. Alexiades brings training and expertise in the field of otology/neurotology, including hearing loss, chronic ear infections, cochlear implants and skull base surgery. He is serving as the Director of the Cochlear Implant Center and looks to expand the complement of implantable auditory prosthesis offered here as well as the ancillary services. He completed his residency training in otolaryngology and his fellowship training in otology and neurotology at the New York University Medical Center. Babak Sadoughi, MD We are pleased to welcome Babak Sadoughi, MD to the Department of Otolaryngology – Head and Neck Surgery. Dr. Sadoughi is a new addition to the Sean Parker Institute for the Voice. He joins us from the Icahn School of Medicine at Mount Sinai, where he served as an Assistant Professor of Otolaryngology, and Director of Laryngeal Surgery and Voice Restoration at Beth Israel Medical Center. Dr. Sadoughi grew up in Paris, France and graduated summa cum laude from the Pierre and Marie Curie School of Medicine of Sorbonne University, where he also pursued graduate studies in clinical research methodology and epidemiology. His postgraduate training in otolaryngology-head and neck surgery at the Paris-Descartes University placed a special emphasis on head and neck surgical oncology and conservation surgery of the larynx. After relocating to the United States, Dr. Sadoughi completed residency training in otolaryngology at the Albert Einstein College of Medicine, and fellowship training in laryngology and neurolaryngology at the New York Center for Voice and Swallowing Disorders. Dr. Sadoughi brings expertise in the care of laryngeal disorders, encompassing voice medicine and surgery, the management of benign and malignant conditions of the larynx, and airway and swallowing rehabilitation surgery. 22 Anthony P. Sclafani, MD, FACS We are pleased to welcome Anthony P. Sclafani, MD, FACS, to the Department of Otolaryngology – Head and Neck Surgery. Dr. Sclafani joins us from New York Eye & Ear Infirmary – Mt.Sinai, where he was a Surgeon Director and Professor in the Department of Otolaryngology at the Icahn School of Medicine at Mt. Sinai and Director of Facial Plastic Surgery of the Mt. Sinai Health System. Dr. Sclafani brings training and expertise in the full range of otolaryngology – head and neck surgery, and specializes in cosmetic and reconstructive facial plastic surgery. He completed residency training at the New York Eye & Ear Infirmary and fellowship training in facial plastic surgery at St. Louis University. Dr. Sclafani has received numerous awards for teaching and research, including twice being awarded the Ira Tresley Award, as well as the Sir John Delf Gillies Award, for outstanding research by the American Academy of Facial Plastic & Reconstructive Surgery. Dr. Sclafani has authored and edited several books, including Total Otolaryngology – Head and Neck Surgery, Rhinoplasty – The Experts’ Reference and Surgical Atlas of Facial Plastic Surgery. Dr. Sclafani received his bachelor’s degree in chemistry from Columbia University followed by his medical degree from the University of Pennsylvania School of Medicine. Abtin Tabaee, MD We are pleased to welcome Abtin Tabaee, MD to the Department of Otolaryngology – Head and Neck Surgery. Dr. Tabaee joins us from Beth Israel-Mount Sinai, where he was Associate Professor and Director of Rhinology and Endoscopic Skull Base Surgery in the Department of Otolaryngology since 2006. As a nationally recognized leader in rhinology, Dr. Tabaee’s clinical and academic focus is the management of complex disorders of the paranasal sinuses and skull base. He has published extensively in the field with an active research focus on emerging technologies and surgical outcomes. He has also been actively involved in research and development of post-graduate rhinology education. Dr. Tabaee graduated magna cum laude from Duke University and received his medical degree with honors from Cornell University Medical College. He completed residency in Otolaryngology – Head and Neck Surgery at NewYork-Presbyterian Hospital, the combined Columbia – Cornell University training program. He subsequently completed a fellowship in Rhinology and Endoscopic Sinus and Skull Base Surgery at Cornell under the direction of Dr. Vijay Anand. 23 Weill Cornell Network Faculty Sheila Apicella, MD Scott Gold, MD Corinne E. Horn, MD Affiliate Assistant Professor of Clinical Otolaryngology Affiliate Assistant Professor of Clinical Otolaryngology Affiliate Assistant Professor of Clinical Otolaryngology (212) 889-8575 (212) 889-8575 (212) 889-8575 Amanda Silver-Karcigolu, MD Lane D. Krevitt, MD Robert L. Pincus, MD Affiliate Assistant Professor of Clinical Otolaryngology Affiliate Assistant Professor of Clinical Otolaryngology Affiliate Assistant Professor of Clinical Otolaryngology (212) 889-8575 (212) 889-8575 (212) 889-8575 Neil M. Sperling, MD Affiliate Assistant Professor of Clinical Otolaryngology (212) 889-8575 Robert M. Lerch, MD Affiliate Assistant Professor of Clinical Otolaryngology (718) 389-8585 24 Department of Otolaryngology – Head and Neck Surgery Chairman’s Office Michael G. Stewart, MD, MPH (646) 962-4777 Weill Greenberg Center 1305 York Avenue, 5th Floor New York, NY 10021 (646) 962-3681 http://cornellent.org/ Center for the Performing Artist http://weill.cornell.edu/centerperformingartist/ (646) 962-2787 Sean Parker Institute for the Voice (646) 962-7464 Hearing and Speech Center http://cornellent.org/healthcare_services/hearing_and_speech_center.html (646) 962-2231 West Side Practice 2315 Broadway, 3rd Floor New York, NY 10024 http://cornellent.org/westside.html Lower Manhattan Practice 156 William Street, 12th floor New York, NY 10038 http://cornellent.org/downtown.html Chappaqua Practice 59 South Greeley Avenue, Suite 4 Chappaqua, NY 10514 http://cornellent.org/chappaqua.html Weill 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 cuttingedge 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 trail 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/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