Quinquagesimo Ante: Reflections on Pacem in Terris Fifty Years Later
The OTO Observer - Augusta University · Otolaryngology-Head and Neck Surgery Faculty and Areas of...
8
The OTO Observer The Newsletter of the Department of Otolaryngology Medical College of Georgia Inside This Issue Faculty Highlights Message from the Chair Honors Consultants of the Year Clinical Highlights Oral Cancer Screening New Members Join Head and Neck Tumor Board Staff Highlights Caldwell Recruited CME Grand Rounds Continuing Education Symposia Clinical Spotlight Above and Below Frontal Sinus Techniques Research Publications Resident & Alumni News Hail and Farewell Where Are They Now? Das Joins Faculty Dr. Subinoy Das joins the faculty at MCG in July as Assistant Professor in the Division of Rhinology and Sinus Surgery and Associate Residency Program Director. Das earned a Bachelor’s degree from the University of Virginia and attended the University of Virginia Medical School on a full merit scholarship, where he was president of his class and was elected to AOA. He completed his residency in Otolaryngology at the University of North Carolina. He received the James Harrill Resident Research Award for his work investigating the mechanism of viral damage to the sinuses, and was awarded a Triological Society Research Grant. He will finish a fellowship in Advanced Rhinologic and Sinus Surgery at the Medical College of Georgia this year under the direction of Dr. Stil Kountakis. Das’ clinical interests include minimally invasive endoscopic approaches to the skull base including pituitary resections and repair of dural defects. His research program centers on translational methods to understand the molecular pathogenesis of chronic rhinosinusitis. Volume 5, Issue 1 Spring 2007 Rhinology Program Expands Phone Numbers and Web Site Address Appointments: (706) 721-4400 Academic: (706) 721-6100 Fax: (706) 721-0112 To learn more about recent events in the department, visit: www.mcg.edu/otolaryngology Dr. Subinoy Das
Transcript of The OTO Observer - Augusta University · Otolaryngology-Head and Neck Surgery Faculty and Areas of...
Minimally Invasive SurgicalManagement of Thyroid and
Parathyroid Disorders_____________________
November 1-3, 2007Augusta, Georgia
1079 5/07
Department of OtolaryngologyMedical College of Georgia1120 Fifteenth StreetAugusta, Georgia 30912-4060
The OTO Observer
Newsletter
Non-Profit Org.
U.S. POSTAGE
PAIDPermit No. 210
Augusta, Georgia
Otolaryngology-Head and Neck Surgery Faculty and Areas of Interest
David J. Terris, MD, ChairmanThyroid and Parathyroid Surgery
Stilianos Kountakis, MD, Vice ChairmanRhinology and Sinus Surgery
Mitchell B. Austin, MDPediatric Otolaryngology
Lori M. Burkhead, PhD, CCC-SLPSpeech Language Pathology
Achih H. Chen, MDFacial Plastic and Reconstructive Surgery
Subinoy Das, MDRhinology and Sinus Surgery
Christine G. Gourin, MDHead and Neck Oncologic Surgery
Alan J. Johnson, MDOtology and Neurotology
Frederick N. Klippert, MDGeneral Otolaryngology
Brian J. McKinnon, MD, MBAOtology and Neurotology
Edward S. Porubsky, MDGeneral Otolaryngology
Gregory N. Postma, MDLaryngology and Swallowing Disorders
Distinguished Guest Faculty
Celestino Lombardi, M.D.University Cattolica del Sacro Cuore, Rome, Italy
Jeremy L. Freeman, M.D.University of Toronto, Ontario, Canada
Lisa Orloff, M.D.University of California, San Francisco, CA
Phillip K. Pellitteri, D.O.Geisinger Medical Center, Danville, PA
Virginia LiVolsi, M.D.University of Pennsylvania, Philadelphia, PA
Program Co-Chairs
Christine G. Gourin, M.D. and David J. Terris, M.D.Medical College of Georgia
Register early. Participation in the Lab is limited.
The OTO ObserverThe Newsletter of the Department of Otolaryngology
Medical College of Georgia
Inside This Issue
Faculty Highlights
Message from the Chair
Honors
Consultants of the Year
Clinical Highlights
Oral Cancer Screening
New Members Join Head
and Neck Tumor Board
Staff Highlights
Caldwell Recruited
CME
Grand Rounds
Continuing Education
Symposia
Clinical Spotlight
Above and Below Frontal
Sinus Techniques
Research
Publications
Resident & Alumni News
Hail and Farewell
Where Are They Now?
Das Joins FacultyDr. Subinoy Das joins the faculty at MCG inJuly as Assistant Professor in the Division ofRhinology and Sinus Surgery and AssociateResidency Program Director.
Das earned a Bachelor’s degree from theUniversity of Virginia and attended theUniversity of Virginia Medical School on a fullmerit scholarship, where he was president ofhis class and was elected to AOA. Hecompleted his residency in Otolaryngology atthe University of North Carolina. He received the James HarrillResident Research Award for his work investigating the mechanismof viral damage to the sinuses, and was awarded a TriologicalSociety Research Grant. He will finish a fellowship in AdvancedRhinologic and Sinus Surgery at the Medical College of Georgiathis year under the direction of Dr. Stil Kountakis.
Das’ clinical interests include minimally invasive endoscopicapproaches to the skull base including pituitary resections andrepair of dural defects.
His research program centers on translational methods tounderstand the molecular pathogenesis of chronic rhinosinusitis.
Volume 5, Issue 1 Spring 2007
Rhinology
Program
Expands
Phone Numbers and Web Site
Address
Appointments: (706) 721-4400Academic: (706) 721-6100Fax: (706) 721-0112
To learn more about recent eventsin the department, visit:
www.mcg.edu/otolaryngology
Dr. Subinoy Das
Where are They Now?Firas Farhat, MD
Dr. Firas Farhat was the 2004fellow in Advanced Rhinologicand Sinus Surgery at MCG. Hereturned to Lebanon and wasthe first U.S.-trained Rhinologyspecialist in that region. Heestablished a sinus center in anunderserved area of the valleyof Bekaa. Farhat’s practice andreputation rapidly became well known as heimplemented the latest technological advances inendoscopic sinus surgery that he learned duringhis fellowship.
After several months, Farhat started a secondpractice in Beirut, and became affiliated with two
major institutions: The Rafik Hariri UniversityHospital and The Johns Hopkins-affiliatedClemenceau Medical Center.
In July 2006, because of the war, Dr. Farhat’spractices were abruptly stopped and hechanneled his efforts into doing voluntary work.He set up temporary mobile clinics in publicareas to treat refugees who came by thethousands. Now that the war is over, he hasreturned to clinical practice and started a newsinus surgery center in Beirut. He was recentlyinvited to participate as an instructor at theSouthern States Rhinology Course and currentlyserves on the review board for the AmericanJournal of Rhinology.
Dr. Farhat is married to Rola, and has twochildren: daughter Noura, born July 4, 2004, inAugusta, and his son Husam, now 5 months old.
David Walters willjoin a group practicein Birmingham, AL.
Hail
Neil Chheda Patricia Maeso Nishant Bhatt Kenneth IversonSUNY-Stonybrook University of Puerto Rico SUNY-Buffalo University ofLaryngology Fellow Rhinology Fellow PGY-1 South Carolina
PGY-1
Farewell
To share your news with other alumni, please send updates to Donna Black [email protected] or call 706-721-6100.
SPRING 2007 RESIDENT AND ALUMNI UPDATE
Lana Jackson willstay at MCG as theincoming EndocrineSurgery Fellow.
Susan Anderson willjoin a group practice inPlano, TX.
Subinoy Das willjoin the faculty atMCG (see cover).
Drs. Teresa Coleman and Paul Bilodeau wereunanimously selected as the joint recipients of the2007 Consultant of the Year Award. Since joiningthe Division of Medical Oncology in 2006, Drs.Coleman and Bilodeau have been active andenthusiastic participants in the MultidisciplinaryHead and Neck Tumor Board. They arepassionate patient advocates and educatorswhose participation has greatly strengthened boththe “one stop shopping” approach of thisprospective tumor board as well as theeducational value of treatment discussions.
FACULTY HIGHLIGHTS SPRING 2007
HonorsLori Burkhead was an invited speaker at theNetherlands Cancer Institute in Amsterdam, theRehabilitation Institute of Toronto, the VirginiaSpeech & Hearing Association, and the GeorgiaSpeech-Language & Hearing Association.
Subinoy Das was an instructor at the CarolinaCourse in Sinus Surgery and Facial PlasticSurgery in Savannah, GA.
Christine Gourin was the recipient of aTriological Society Career Development Awardfor the proposal “Proteomic Analysis of Patientswith Head and Neck Squamous Cell Carcinoma”.
Alan Johnson was an invited speaker at theChristian Medical and Dental AssociationConference in Chiang Mai, Thailand.
Stil Kountakis was visiting professor at CairoUniversity in Egypt.
Brian McKinnon was an invited speaker at theWullstein Symposium in Würzburg, Germany.
Gregory Postma was an invited speaker at theWisconsin Society of Otolaryngology, the UC-San Francisco Voice Conference, the BrazilCongress of Otorhinolaryngology, and theDysphagia Research Society, and was a visitingprofessor at Emory University and SUNY-Stonybrook.
David Terris was a visiting professor at StanfordUniversity, the University of Tennessee, theUniversity of California-San Francisco, WayneState University, and Boston University.
Message from the ChairIt’s spring in Augusta – thatmeans Master’s, azaleas, andnew faces. Our departmentcontinues to mature with therecruitment of our second full-time rhinologist. Ourfellowship offerings havereached three now (Rhinology,Endocrine-Head and Neck
Surgery, and Laryngology) and our clinical growthis exceeded only by our academic growth. Wethank the many individuals who have contributedto our accomplishments.
David J. Terris, M.D., F.A.C.S.Porubsky Professor and Chairman
Drs. Paul Bilodeau and Teresa Coleman
Consultants of the Year
Where are They Now?Firas Farhat, MD
Dr. Firas Farhat was the 2004fellow in Advanced Rhinologicand Sinus Surgery at MCG. Hereturned to Lebanon and wasthe first U.S.-trained Rhinologyspecialist in that region. Heestablished a sinus center in anunderserved area of the valleyof Bekaa. Farhat’s practice andreputation rapidly became well known as heimplemented the latest technological advances inendoscopic sinus surgery that he learned duringhis fellowship.
After several months, Farhat started a secondpractice in Beirut, and became affiliated with two
major institutions: The Rafik Hariri UniversityHospital and The Johns Hopkins-affiliatedClemenceau Medical Center.
In July 2006, because of the war, Dr. Farhat’spractices were abruptly stopped and hechanneled his efforts into doing voluntary work.He set up temporary mobile clinics in publicareas to treat refugees who came by thethousands. Now that the war is over, he hasreturned to clinical practice and started a newsinus surgery center in Beirut. He was recentlyinvited to participate as an instructor at theSouthern States Rhinology Course and currentlyserves on the review board for the AmericanJournal of Rhinology.
Dr. Farhat is married to Rola, and has twochildren: daughter Noura, born July 4, 2004, inAugusta, and his son Husam, now 5 months old.
David Walters willjoin a group practicein Birmingham, AL.
Hail
Neil Chheda Patricia Maeso Nishant Bhatt Kenneth IversonSUNY-Stonybrook University of Puerto Rico SUNY-Buffalo University ofLaryngology Fellow Rhinology Fellow PGY-1 South Carolina
PGY-1
Farewell
To share your news with other alumni, please send updates to Donna Black [email protected] or call 706-721-6100.
SPRING 2007 RESIDENT AND ALUMNI UPDATE
Lana Jackson willstay at MCG as theincoming EndocrineSurgery Fellow.
Susan Anderson willjoin a group practice inPlano, TX.
Subinoy Das willjoin the faculty atMCG (see cover).
Drs. Teresa Coleman and Paul Bilodeau wereunanimously selected as the joint recipients of the2007 Consultant of the Year Award. Since joiningthe Division of Medical Oncology in 2006, Drs.Coleman and Bilodeau have been active andenthusiastic participants in the MultidisciplinaryHead and Neck Tumor Board. They arepassionate patient advocates and educatorswhose participation has greatly strengthened boththe “one stop shopping” approach of thisprospective tumor board as well as theeducational value of treatment discussions.
FACULTY HIGHLIGHTS SPRING 2007
HonorsLori Burkhead was an invited speaker at theNetherlands Cancer Institute in Amsterdam, theRehabilitation Institute of Toronto, the VirginiaSpeech & Hearing Association, and the GeorgiaSpeech-Language & Hearing Association.
Subinoy Das was an instructor at the CarolinaCourse in Sinus Surgery and Facial PlasticSurgery in Savannah, GA.
Christine Gourin was the recipient of aTriological Society Career Development Awardfor the proposal “Proteomic Analysis of Patientswith Head and Neck Squamous Cell Carcinoma”.
Alan Johnson was an invited speaker at theChristian Medical and Dental AssociationConference in Chiang Mai, Thailand.
Stil Kountakis was visiting professor at CairoUniversity in Egypt.
Brian McKinnon was an invited speaker at theWullstein Symposium in Würzburg, Germany.
Gregory Postma was an invited speaker at theWisconsin Society of Otolaryngology, the UC-San Francisco Voice Conference, the BrazilCongress of Otorhinolaryngology, and theDysphagia Research Society, and was a visitingprofessor at Emory University and SUNY-Stonybrook.
David Terris was a visiting professor at StanfordUniversity, the University of Tennessee, theUniversity of California-San Francisco, WayneState University, and Boston University.
Message from the ChairIt’s spring in Augusta – thatmeans Master’s, azaleas, andnew faces. Our departmentcontinues to mature with therecruitment of our second full-time rhinologist. Ourfellowship offerings havereached three now (Rhinology,Endocrine-Head and Neck
Surgery, and Laryngology) and our clinical growthis exceeded only by our academic growth. Wethank the many individuals who have contributedto our accomplishments.
David J. Terris, M.D., F.A.C.S.Porubsky Professor and Chairman
Drs. Paul Bilodeau and Teresa Coleman
Consultants of the Year
squamous cell carcinoma of the oral cavity.Laryngoscope. 2007;117:868-871.
Amin M, Rosen C, Simpson CB, Postma GN.Hands-on training methods for vocal fold injectioneducation. Ann Otol Rhinol Laryngol. 2007;116:1-6.
Rees CJ, Postma GN, Koufman JA. Costsavings of unsedated office-based laser surgeryfor laryngeal papillomas. Ann Otol RhinolLaryngol. 2007;116:45-48.
Mixson CM, Weinberger PM, Austin MB.Comparison of microdebrider subcapsulartonsillectomy to harmonic scalpel andelectrocautery total tonsillectomy. Am JOtolaryngol. 2007;28:13-7.
Velesrubio F, Walters D, Fulcher J, et al. Auricularcryptococcosis as the initial presentation of AIDS.Otolaryngol Head Neck Surg. 2007;136:493-4.
Yu Z, Weinberger PM, Sasaki C, et al.Phosphorylation of Akt (Ser473) predicts poorclinical outcome in oropharyngeal squamous cellcancer. Cancer Epidemiol Biomarkers Prev.2007;16:553-8.
RESEARCH SPRING 2007
PublicationsO’Rourke AK, Gourin CG, Wade ZK, Hessler RB.Low-grade polymorphous adenocarcinoma of theparotid gland. ENT Journal. 2006;85:669-671.
Halum SL, Postma GN, Bates DD, Koufman JA.Incongruence between histologic and endoscopicdiagnoses of Barrett’s esophagus usingtransnasal esophagoscopy. Laryngoscope.2006;116:303-306.
Bamias A, Yu Z, Weinberger PM, et al.Automated quantitative analysis of DCC tumorsuppressor protein in ovarian cancer tissuemicroarray shows association with beta-cateninlevels and outcome in patients with epithelialovarian cancer. Ann Oncol. 2006;17:1797-802.
McMains KC, Kountakis SE. Medical andsurgical considerations in patients with Samter’striad. Am J Rhinol. 2006;20:573-6.
Ling FT, Kountakis SE. Advances in imaging ofthe paranasal sinuses. Curr Allergy Asthma Rep.2006;6:502-7.
Moretz WH, Kountakis SE. Subjective headachebefore and after endoscopic sinus surgery. Am JRhinol. 2006;20:305-7.
Walters DM, Gourin CG, Little S, Hessler RB.Small cell carcinoma of the submandibular gland.Am J Otolaryngol. 2007;28:118-121.
Terris DJ, Moister B, Seybt MW, Gourin CG, ChinE. Outpatient thyroid surgery is safe anddesirable. Otolaryngol Head Neck Surg.2007;136:556-559.
Withrow KP, Rosenthal EL, Gourin CG,Magnuson JS, Terris DJ, Carroll WW. Free tissuetransfer to manage salvage laryngectomy defectsfollowing organ preservation failure.Laryngoscope. 2007;117:781-784.
Jackson LL, Wade Z, Hessler RB, Abdel-SayedR, Rogers J, Gourin CG. Quantitative analysis ofsyndecan-1 expression in dysplasia and
Giving OpportunitiesDesignate Your Gift to MCG Otolaryngology■■ Porubsky Library Fund..........................$__________■■ Barton Otolaryngology Fund................ $__________■■ Temporal Bone Lab Fund .................... $__________■■ Otolaryngology Research Fund ...........$__________■■ Area of Greatest Need......................... $__________■■ Other: ________________________...$__________
TOTAL ...........$__________■■ Check enclosed to MCG Foundation, Inc. ■■ CREDIT CARD please complete the following
____MC ____Visa ____AE ____DiscoverCard #____________________________Exp._______Name on card: ________________________________Signature Required: ____________________________Full Name ____________________________________Address _____________________________________City ____________________State_______ Zip______Daytime Telephone _____________________________Email Address _________________________________
Gifts are tax-deductible to the extent provided bylaw. MCG fiscal year runs July 1 to June 30. For
more information, call 706-721-6100 or visitwww.mcg.edu/giving.
TerriCaldwelljoined theDepartmentof Otolaryn-gology assurgeryscheduler.She replaces
Cathy Burress, who initiallyjoined the Department as apatient care assistant butadmirably and capably tookon the role of surgeryscheduler until the positionwas permanently filled.
SPRING 2007 CLINICAL HIGHLIGHTS
STAFF HIGHLIGHTS
A pathologist with head andneck oncology expertise wasrecently recruited to join themultidisciplinary Head andNeck Tumor Board. Dr. PaulBiddinger is Professor andChief of Anatomic Pathology,and joins us from theUniversity of CincinnatiSchool of Medicine. He has
extensive experience in clinical research andspecializes in otolaryngologic pathology.
Dr. Celeste Ray of theDepartment of Rehabilitation& Physical Therapy hasjoined the Head and NeckTumor Board. Dr. Ray holdsa PhD from EmoryUniversity, and is an expertin lymphedema therapy. Shehas extensive experience inpostoperative rehabilitation ofpatients treated for head and neck cancer.
Dr. Paul Biddinger Dr. Celeste Ray
New Members Join Head and NeckTumor Board
Terri Caldwell
Speakers scheduled for the coming academic year include PatrickE. Brookhouser, Executive Director of the Triological Society andChair of the RRC, James A Stankiewicz (Loyola University),Stephen S. Park (University of Virginia), Jesus Medina (Universityof Oklahoma) and Bruce J. Gantz (University of Iowa).
Grand Rounds 2007-2008
David Eibling (right, withresidents) conducts TeachingRounds during a visit in January.
Gary Jackson (left, with AlanJohnson and Brian McKinnon) wasa featured Grand Rounds speakerin April.
Oral Cancer Screening Day The Department of Otolaryngology-Head and Neck Surgery participated for the fifthconsecutive year in the Oral Head and Neck Cancer Awareness Week sponsoredby the Yul Brynner Head and Neck Cancer Foundation. As part of a nationwideeffort to improve early detection, free oral cancer screenings were provided atMCG’s clinical practice site in April with more than 80 participants screened. Thisyear’s efforts resulted in the detection of 4 previously unsuspected oral cavitymalignancies.
squamous cell carcinoma of the oral cavity.Laryngoscope. 2007;117:868-871.
Amin M, Rosen C, Simpson CB, Postma GN.Hands-on training methods for vocal fold injectioneducation. Ann Otol Rhinol Laryngol. 2007;116:1-6.
Rees CJ, Postma GN, Koufman JA. Costsavings of unsedated office-based laser surgeryfor laryngeal papillomas. Ann Otol RhinolLaryngol. 2007;116:45-48.
Mixson CM, Weinberger PM, Austin MB.Comparison of microdebrider subcapsulartonsillectomy to harmonic scalpel andelectrocautery total tonsillectomy. Am JOtolaryngol. 2007;28:13-7.
Velesrubio F, Walters D, Fulcher J, et al. Auricularcryptococcosis as the initial presentation of AIDS.Otolaryngol Head Neck Surg. 2007;136:493-4.
Yu Z, Weinberger PM, Sasaki C, et al.Phosphorylation of Akt (Ser473) predicts poorclinical outcome in oropharyngeal squamous cellcancer. Cancer Epidemiol Biomarkers Prev.2007;16:553-8.
RESEARCH SPRING 2007
PublicationsO’Rourke AK, Gourin CG, Wade ZK, Hessler RB.Low-grade polymorphous adenocarcinoma of theparotid gland. ENT Journal. 2006;85:669-671.
Halum SL, Postma GN, Bates DD, Koufman JA.Incongruence between histologic and endoscopicdiagnoses of Barrett’s esophagus usingtransnasal esophagoscopy. Laryngoscope.2006;116:303-306.
Bamias A, Yu Z, Weinberger PM, et al.Automated quantitative analysis of DCC tumorsuppressor protein in ovarian cancer tissuemicroarray shows association with beta-cateninlevels and outcome in patients with epithelialovarian cancer. Ann Oncol. 2006;17:1797-802.
McMains KC, Kountakis SE. Medical andsurgical considerations in patients with Samter’striad. Am J Rhinol. 2006;20:573-6.
Ling FT, Kountakis SE. Advances in imaging ofthe paranasal sinuses. Curr Allergy Asthma Rep.2006;6:502-7.
Moretz WH, Kountakis SE. Subjective headachebefore and after endoscopic sinus surgery. Am JRhinol. 2006;20:305-7.
Walters DM, Gourin CG, Little S, Hessler RB.Small cell carcinoma of the submandibular gland.Am J Otolaryngol. 2007;28:118-121.
Terris DJ, Moister B, Seybt MW, Gourin CG, ChinE. Outpatient thyroid surgery is safe anddesirable. Otolaryngol Head Neck Surg.2007;136:556-559.
Withrow KP, Rosenthal EL, Gourin CG,Magnuson JS, Terris DJ, Carroll WW. Free tissuetransfer to manage salvage laryngectomy defectsfollowing organ preservation failure.Laryngoscope. 2007;117:781-784.
Jackson LL, Wade Z, Hessler RB, Abdel-SayedR, Rogers J, Gourin CG. Quantitative analysis ofsyndecan-1 expression in dysplasia and
Giving OpportunitiesDesignate Your Gift to MCG Otolaryngology■■ Porubsky Library Fund..........................$__________■■ Barton Otolaryngology Fund................ $__________■■ Temporal Bone Lab Fund .................... $__________■■ Otolaryngology Research Fund ...........$__________■■ Area of Greatest Need......................... $__________■■ Other: ________________________...$__________
TOTAL ...........$__________■■ Check enclosed to MCG Foundation, Inc. ■■ CREDIT CARD please complete the following
____MC ____Visa ____AE ____DiscoverCard #____________________________Exp._______Name on card: ________________________________Signature Required: ____________________________Full Name ____________________________________Address _____________________________________City ____________________State_______ Zip______Daytime Telephone _____________________________Email Address _________________________________
Gifts are tax-deductible to the extent provided bylaw. MCG fiscal year runs July 1 to June 30. For
more information, call 706-721-6100 or visitwww.mcg.edu/giving.
TerriCaldwelljoined theDepartmentof Otolaryn-gology assurgeryscheduler.She replaces
Cathy Burress, who initiallyjoined the Department as apatient care assistant butadmirably and capably tookon the role of surgeryscheduler until the positionwas permanently filled.
SPRING 2007 CLINICAL HIGHLIGHTS
STAFF HIGHLIGHTS
A pathologist with head andneck oncology expertise wasrecently recruited to join themultidisciplinary Head andNeck Tumor Board. Dr. PaulBiddinger is Professor andChief of Anatomic Pathology,and joins us from theUniversity of CincinnatiSchool of Medicine. He has
extensive experience in clinical research andspecializes in otolaryngologic pathology.
Dr. Celeste Ray of theDepartment of Rehabilitation& Physical Therapy hasjoined the Head and NeckTumor Board. Dr. Ray holdsa PhD from EmoryUniversity, and is an expertin lymphedema therapy. Shehas extensive experience inpostoperative rehabilitation ofpatients treated for head and neck cancer.
Dr. Paul Biddinger Dr. Celeste Ray
New Members Join Head and NeckTumor Board
Terri Caldwell
Speakers scheduled for the coming academic year include PatrickE. Brookhouser, Executive Director of the Triological Society andChair of the RRC, James A Stankiewicz (Loyola University),Stephen S. Park (University of Virginia), Jesus Medina (Universityof Oklahoma) and Bruce J. Gantz (University of Iowa).
Grand Rounds 2007-2008
David Eibling (right, withresidents) conducts TeachingRounds during a visit in January.
Gary Jackson (left, with AlanJohnson and Brian McKinnon) wasa featured Grand Rounds speakerin April.
Oral Cancer Screening Day The Department of Otolaryngology-Head and Neck Surgery participated for the fifthconsecutive year in the Oral Head and Neck Cancer Awareness Week sponsoredby the Yul Brynner Head and Neck Cancer Foundation. As part of a nationwideeffort to improve early detection, free oral cancer screenings were provided atMCG’s clinical practice site in April with more than 80 participants screened. Thisyear’s efforts resulted in the detection of 4 previously unsuspected oral cavitymalignancies.
SPRING 2007 CLINICAL SPOTLIGHT
AAbboovvee aanndd BBeellooww FFrroonnttaall SSiinnuuss TTeecchhnniiqquueessSurgical management of frontal sinus diseasecan frustrate experienced and inexperiencedsurgeons alike. The complex anatomy andinaccessible location of the frontal recess alongwith the proximity to the lamina papyracea andanterior skull base can make endoscopic surgeryin this area a difficult task. The risks are evenhigher in revision frontal surgery, especially ifthere is dehiscence of the lamina papyraceaalong the lateral wall of the frontal recess. Inthese cases, it is occasionally more efficient andsafer to use above and below techniques toinstrument the frontal ostium and drain theobstructed frontal sinus to the frontal recess.
The surgical technique involves creating atrephine large enough to allow insertion of anendoscope and appropriate instrumentation.Curved instruments can be inserted intranasallyand work can be performed in the frontal sinusunder visualization through an endoscopeinserted through the trephine.
Figure 1: CT demonstrates a large mucocele inthe left frontal sinus, with absence of the laminapapyracea and herniation of orbital contents into thefrontal recess.
A patient who recently benefited from such asurgical technique is a 72-year-old man with ahistory of multiple prior sinus surgeries, bothendoscopic and external. On sinus CT there wasleft frontal sinus opacification with erosion of thesuperior orbital wall (Figure 1). A trephine wascreated via a forehead/eyebrow incision. A 4-mmround cutting burr was used to open a 7-mmtrephine into the frontal sinus. A 2.7-mmendoscope was inserted into the sinus cavity anda Frazier suction was used to remove the thickdebris that was present. The patient enjoyedresolution of his debilitating headaches andreturned to hunting after a 12-year hiatus.
The combination of above and below techniquesis an important adjunct to the rhinologist’sarmamentarium and is particularly valuable indifficult revision cases.
Figure 2: A small trephine was drilled into the frontalsinus. A. Exposed periorbita (star) and a scarredfrontal outflow tract (arrow) are seen. B. Suctionpassed from above is visible on endonasalendoscopy. C. The frontal outflow tract was dilated.A suction catheter passed endonasally is seen fromthe trephine. D. Despite exposed periorbita (arrow),the frontal recess was recreated and stented.
The department hosted a Temporal BoneDissection Course in March directed by AlanJohnson and Brian McKinnon and featuringAntonio De la Cruz of the House Ear Institute inLos Angeles.
A symposium on Minimally Invasive Surgery ofthe Thyroid and Parathyroid Glands was held inApril and featured Paolo Miccoli of the Universityof Pisa, as well as Gerard Doherty (University ofMichigan), Peter Angelos (University of Chicago),Ralph Tufano (Johns Hopkins University) andMichael Tuttle (Memorial Sloan-Kettering). Thisyear’s course included 2 hands-on laboratoriesfeaturing minimally invasive approaches with livedemonstrations by course faculty. The coursequickly sold out in advance and due to thedemand, a second course will be held onNovember 1-3, 2007.
The 5th Annual Porubsky Symposium will be heldon June 22-23, 2007, in conjunction with ChiefResident Graduation Weekend. This year’s
symposium will feature Ernest Weymuller,Professor and Chair of Otolaryngology-Head andNeck Surgery at the University of Washington.
The department will host a TransnasalEsophagoscopy course under the direction ofGreg Postma on July 7-9, 2007 at Kiawah Island,SC.
CME SPRING 2007
Continuing Education Symposia
Paolo Miccoli gives course participants JimmyBrown and Ronald Brett some pointers on minimallyinvasive thyroid surgery, as resident TammaraWatts assists.
Dr. Paolo Miccoli demonstrates the technique ofvideo-assisted minimally invasive thyroid lobectomy.
The April 2007 Thyroid/Parathyroid Symposiumfeatured (clockwise, starting from top left) GerardDoherty, Christine Gourin, Ted Chin, David Terris,Michael Tuttle, Paolo Miccoli, and Ralph Tufano.
Three Fellowships Available for 2009-2010Endocrine/Head and Neck Surgery (contact Dr. David Terris)
Rhinology/Sinus Surgery (contact Dr. Stil Kountakis)Laryngology (contact Dr. Gregory Postma)
SPRING 2007 CLINICAL SPOTLIGHT
AAbboovvee aanndd BBeellooww FFrroonnttaall SSiinnuuss TTeecchhnniiqquueessSurgical management of frontal sinus diseasecan frustrate experienced and inexperiencedsurgeons alike. The complex anatomy andinaccessible location of the frontal recess alongwith the proximity to the lamina papyracea andanterior skull base can make endoscopic surgeryin this area a difficult task. The risks are evenhigher in revision frontal surgery, especially ifthere is dehiscence of the lamina papyraceaalong the lateral wall of the frontal recess. Inthese cases, it is occasionally more efficient andsafer to use above and below techniques toinstrument the frontal ostium and drain theobstructed frontal sinus to the frontal recess.
The surgical technique involves creating atrephine large enough to allow insertion of anendoscope and appropriate instrumentation.Curved instruments can be inserted intranasallyand work can be performed in the frontal sinusunder visualization through an endoscopeinserted through the trephine.
Figure 1: CT demonstrates a large mucocele inthe left frontal sinus, with absence of the laminapapyracea and herniation of orbital contents into thefrontal recess.
A patient who recently benefited from such asurgical technique is a 72-year-old man with ahistory of multiple prior sinus surgeries, bothendoscopic and external. On sinus CT there wasleft frontal sinus opacification with erosion of thesuperior orbital wall (Figure 1). A trephine wascreated via a forehead/eyebrow incision. A 4-mmround cutting burr was used to open a 7-mmtrephine into the frontal sinus. A 2.7-mmendoscope was inserted into the sinus cavity anda Frazier suction was used to remove the thickdebris that was present. The patient enjoyedresolution of his debilitating headaches andreturned to hunting after a 12-year hiatus.
The combination of above and below techniquesis an important adjunct to the rhinologist’sarmamentarium and is particularly valuable indifficult revision cases.
Figure 2: A small trephine was drilled into the frontalsinus. A. Exposed periorbita (star) and a scarredfrontal outflow tract (arrow) are seen. B. Suctionpassed from above is visible on endonasalendoscopy. C. The frontal outflow tract was dilated.A suction catheter passed endonasally is seen fromthe trephine. D. Despite exposed periorbita (arrow),the frontal recess was recreated and stented.
The department hosted a Temporal BoneDissection Course in March directed by AlanJohnson and Brian McKinnon and featuringAntonio De la Cruz of the House Ear Institute inLos Angeles.
A symposium on Minimally Invasive Surgery ofthe Thyroid and Parathyroid Glands was held inApril and featured Paolo Miccoli of the Universityof Pisa, as well as Gerard Doherty (University ofMichigan), Peter Angelos (University of Chicago),Ralph Tufano (Johns Hopkins University) andMichael Tuttle (Memorial Sloan-Kettering). Thisyear’s course included 2 hands-on laboratoriesfeaturing minimally invasive approaches with livedemonstrations by course faculty. The coursequickly sold out in advance and due to thedemand, a second course will be held onNovember 1-3, 2007.
The 5th Annual Porubsky Symposium will be heldon June 22-23, 2007, in conjunction with ChiefResident Graduation Weekend. This year’s
symposium will feature Ernest Weymuller,Professor and Chair of Otolaryngology-Head andNeck Surgery at the University of Washington.
The department will host a TransnasalEsophagoscopy course under the direction ofGreg Postma on July 7-9, 2007 at Kiawah Island,SC.
CME SPRING 2007
Continuing Education Symposia
Paolo Miccoli gives course participants JimmyBrown and Ronald Brett some pointers on minimallyinvasive thyroid surgery, as resident TammaraWatts assists.
Dr. Paolo Miccoli demonstrates the technique ofvideo-assisted minimally invasive thyroid lobectomy.
The April 2007 Thyroid/Parathyroid Symposiumfeatured (clockwise, starting from top left) GerardDoherty, Christine Gourin, Ted Chin, David Terris,Michael Tuttle, Paolo Miccoli, and Ralph Tufano.
Three Fellowships Available for 2009-2010Endocrine/Head and Neck Surgery (contact Dr. David Terris)
Rhinology/Sinus Surgery (contact Dr. Stil Kountakis)Laryngology (contact Dr. Gregory Postma)
Minimally Invasive SurgicalManagement of Thyroid and
Parathyroid Disorders_____________________
April 18-19, 2008Augusta, Georgia
1079 11/07
Department of OtolaryngologyMedical College of Georgia1120 Fifteenth StreetAugusta, Georgia 30912-4060
The OTO Observer
Newsletter
Non-Profit Org.
U.S. POSTAGE
PAIDPermit No. 210
Augusta, Georgia
Otolaryngology-Head and Neck Surgery Faculty and Areas of Interest
David J. Terris, MD, ChairmanThyroid and Parathyroid Surgery
Stilianos Kountakis, MD, Vice ChairmanRhinology and Sinus Surgery
Lori M. Burkhead, PhD, CCC-SLPSpeech Language Pathology
Achih H. Chen, MDFacial Plastic and Reconstructive Surgery
Subinoy Das, MDRhinology and Sinus Surgery
Frederick N. Klippert, MDGeneral Otolaryngology
Brian J. McKinnon, MD, MBAOtology and Neurotology
Edward S. Porubsky, MDGeneral Otolaryngology
Gregory N. Postma, MDLaryngology and Swallowing Disorders
Paolo Miccoli, M.D.University of Pisa, Pisa, ItalyJames I. Cohen, M.D., Ph.D.
Oregon Health & Science University, Portland, ORThierry Defechereux, M.D., Ph.D.
University of Liege, BelgiumRichard T. Kloos, M.D.
Ohio State University, Columbus, OHLarry M. Kohse, M.D.
Macon, GALaurie A. Loevner, M.D.
University of Pennsylvania, Philadelphia, PAGregory W. Randolph, M.D.
Harvard Medical School, Boston, MAMark L. Urken, M.D.
Beth Israel Medical Center, New York, NY
Program ChairDavid J. Terris, M.D.
Medical College of Georgia
Register early. Participation in the Lab is limited.
