The OTO Observer The Newsletter of the Department of Otolaryngology

Transcription

1 The OTO Observer The Newsletter of the Department of Otolaryngology Volume 11, Issue 1 Spring 2013 Inside this Issue Faculty Highlights Message from the Chair Honors Consultant of the Year Clinical Spotlight Scarless Management of SMG Skull Base Tumors Faculty Spotlight Departmental Faculty and Areas of Interest Staff Highlights Pediatric NP Comes Back Home Audiologist Increases Capacity New Face at Front Desk Asmann Selected for Award World Voice Day Research New Textbook and Encyclopedia Selected Publications Resident & Alumni News Hail and Farewell 10 Years of Academic Pollination Associate Editor: Donna M. Black Endocrine Surgery Continues Expansion The ongoing growth of the GRU Thyroid Center will be facilitated by the new addition of a world-class surgeon. This fall, the department will welcome William Duke as its newest member. Dr. Duke, a graduate of the Louisiana State University School of Medicine in New Orleans, completed his Otolaryngology residency at Madigan Army Medical Center in Tacoma, Washington. He served for a total of nearly four years as the Chief of Otolaryngology for the William Duke, MD US Army in South Korea and at Dwight D. Eisenhower Army Medical Center in Augusta, Georgia, where he was also chair of the hospital s multidisciplinary thyroid committee. After finishing his military career, Dr. Duke completed a fellowship in advanced head and neck endocrine surgery at GRU, where he participated in more than 400 endocrine surgeries. He is a member of the American Thyroid Association and the American Head and Neck Society, and is certified in head and neck ultrasound through the American College of Surgeons. He will provide comprehensive endocrine surgical care to adult and pediatric patients at the GRU Thyroid and Parathyroid Center. Meet our Faculty (centerfold) Phone Numbers and Web Site Address Appointments: (706) Academic Office: (706) Fax: (706) To learn more about recent events in the department, visit: gru.edu/otolaryngology

2 Faculty Highlights Spring 2013 Message from the Chair Another new academic year is quickly approaching, and that means more change in Augusta. Our merger with Augusta State University has prompted the need for another (gasp!) name change. We are now Georgia Regents University (and hoping to stay that way for a while). David J. Terris, MD More change comes in the form of endocrine surgery growth. We have been fortunate to recruit Will Duke to the Thyroid Center and endocrine team, further cementing the pre-eminence of the GRU Thyroid Center and allowing for continued expansion of surgical volumes, which have increased by an astonishing 800% over the past ten years. I know you will enjoy reading about these and other developments in the department in the pages that follow. David J. Terris, M.D., F.A.C.S. Porubsky Professor and Chairman Faculty Honors Jimmy Brown was appointed Senior Examiner for the American Board of Otolaryngology. Paul Weinberger was a guest speaker at St. Luke s pan-philippines Biennial Otorhinolaryngology symposium and the Pan-ASEAN Otorhinolaryngology World Congress. He was also appointed to the Science Education Committee of the American Association for Cancer Research. Lana Jackson received a GRU Exemplary Teaching award for resident education. Consultant of the Year Martin Salgueiro, DDS was the unanimous selection for the Department of Otolaryngology Consultant of the Year for Dr. Salgueiro is an Assistant Professor in the Department of Oral and Maxillofacial Surgery, College of Dental Medicine, and was singled out because of his tremendous support for cancer patient care. He is a consistent participant Greg Postma was guest speaker at the Australia- Asia-Pacific Laryngology and Dysphagia Conference and the New Zealand Academy of Otolaryngology annual meeting, and visiting professor at UTMB and the University of Cincinnati. David Terris was a guest speaker at the University of Queensland meeting in Campitello, Italy, at Tulane University and at MD Anderson Cancer Center. He will be lecturing at the University of Virginia, UTMB and UMDNJ this month. He was also appointed to the AHNS Joint Council on Advanced Training, the AACE Endocrine Surgery Committee, and the ACS Executive Committee for Video Communication. in both the Tumor Board and Trauma Conference where his commitment to resident education is also evident. Five Fellowships Available Endocrine Surgery (contact Dr. David Terris: dterris@gru.edu) Rhinology/Sinus Surgery (contact Dr. Stil Kountakis: skountakis@gru.edu) Laryngology (contact Dr. Gregory Postma: gpostma@gru.edu) Facial Plastic Surgery (contact Dr. Achih Chen: achen@gru.edu) Head and Neck Oncologic Surgery (contact Dr. Arturo Solares: csolares@gru.edu)

3 Clinical Spotlight Spring 2013 Completely Scar-less Management of a Complicated Submandibular Gland Problem - Michael W. Groves, MD After removal, patient s submandibular gland opened to reveal multiple stones blocking the duct as it exits the gland (white pointer). Drs. Hughes, Brown, and Groves recently teamed up to provide completely scar-less management of a submandibular gland problem in a 15 year old girl. She came to the Pediatric Otolaryngology office complaining of intermittent swelling and pain under the left side of her jaw during meals. She underwent a sialendoscopy, which is a minimally-invasive procedure using tiny cameras to diagnose blockages of saliva gland ducts by stones or strictures. A very large stone was seen deep in the submandibular gland duct, which was too large to remove completely with endoscopic tools. She therefore underwent a trans-oral excision of the left submandibular gland, which is an innovative approach to gland removal that avoids a neck incision and a permanent, visible scar. She has done very well after her surgery and remains symptom free. Skull Base Tumors and Megatumors - C. Arturo Solares, MD The GRU Skull Base Surgery Team recently treated a 55 year old man with a 6 cm D2 glomus tumor (> 2cm of intracranial invasion) with multiple cranial nerve palsies. A modified transcochlear type A approach was utilized, providing ample exposure for a thorough resection (see preoperative and postoperative imaging). The defect (see surgical photograph) was reconstructed with Intraoperative view of surgical anatomy. an abdominal fat graft. The patient recovered exceptionally well and manifested no new neurologic sequelae. The surgical volumes (both endoscopic and open) at the GRU Skull Base Center have increased at a rapid pace and many more patients are benefitting from the unique expertise available here in Augusta. Preoperative (left) and postoperative (right) MRI scans of large glomus tumor. Post-resection view of reconstructed defect.

4 Faculty Spotlight Spring 2013 Departmental Faculty and Areas of Interest Jimmy Brown, DDS, MD Sleep/Head and Neck Surgery Achih H. Chen, MD Facial Plastic Surgery Scott S. DeRossi, DMD Oral Medicine Michael W. Groves, MD General Otolaryngology George F. Harris, IV, MD Pediatric Otolaryngology C. Anthony Hughes, MD Pediatric Otolaryngology Lana L. Jackson, MD Head and Neck Surgery Sarah E. Mowry, MD Otology/Neurotology William G. Pearson, Jr., PhD Cellular Biology and Anatomy Edward Porubsky, MD General Otolaryngology Gregory N. Postma, MD Laryngology C. Arturo Solares, MD Skull Base Surgery David J. Terris, MD Endocrine Surgery John R. Vender, MD Neurosurgery Paul M. Weinberger, MD Laryngology Stil Kountakis, MD, PhD Rhinology and Sinus Surgery

5 Staff Highlights Spring 2013 Pediatric NP Comes Back Home Brian Shirley has joined George Harris and Tony Hughes in the Pediatric Otolaryngology program. After completing his NP training at GRU several years ago, Brian worked in our Pediatric ICU for four years before being recruited to the Burn Center at Doctor s Hospital. We are pleased to welcome him back to the University. Audiologist Increases Capacity Senior Audiologist Dr. Miranda Pritcher Ross will receive some much-needed help when Sarah King joins her staff this month. Dr. King recently completed her Au.D. degree and will hit the ground running when she arrives in Augusta. New Face at the Front Desk In an ever-changing electronic and technically-driven world, the front desk remains the enduring face of our practice and the best opportunity to make a great first impression. We are truly fortunate to have Cathy Burress and Terra Culliver anchoring this responsibility and are pleased to welcome Carlina Gonzalez to the team. Carlina joins us from patient accounting, and had expressed a specific desire to have direct patient care. Asmann Selected for Nursing Specialty Award Congratulations to Barbara Asmann who was recently singled out for recognition by the Special Projects Council. Her award for the category of Specialty Nursing was presented at the Third Annual Gala on May 11, Otolaryngology Department Celebrates World Voice Day - Paul M. Weinberger, MD World Voice Day is celebrated every year in April in nearly 100 countries. The events are marked by singing and recognition of various personalities in the performing arts. This year our department elected to take a different route. Many individuals with laryngotracheal conditions are hardly able to breathe let alone communicate, and may have a tracheotomy tube in place. We honored several patients that have undergone multiple procedures to remove tracheotomy tubes with a reception at OddFellows Art Gallery in downtown Augusta. Along with several local artists, these patients worked on various pieces (see photograph above) representing what their voice means to them and also enjoyed a gallery of laryngeal and tracheal art work. This included elaborate electron microscopic photographs (see photograph) artistically retouched by our own Dr. Paul Weinberger (the exhibition is entitled Tiny Worlds: Big Problems). All funds obtained from the sale of these pieces will go to the Center for Voice, Airway and Swallowing Disorders Foundation to promote research and scholarly activities.

6 Research & Academic Spring 2013 Another Book and an Encyclopedia David Terris teamed up with Paolo Miccoli (University of Pisa) to produce the first textbook devoted to the topic of complications of thyroid and parathyroid surgery. The book was published by Wiley (the largest medical publisher in the world) and an additional co-editor was Melanie Seybt (former resident and endocrine surgery fellow). In another first, Dr. Kountakis assembled a star-studded cast of otolaryngology experts to put together an encyclopedia of otolaryngology. In addition to the five volume text shown in the photograph, readers may access the intellectual content online and enjoy a tremendous number of interactive features. Selected Publications Spring 2013 Harbarger CF, Weinberger PW, Borders JC, Hughes CA. Prenatal ultrasound exposure and association with postnatal hearing outcomes. J Otolaryngol Head Neck Surg 42:3, Morrison MP, O Rourke A, Dion GR, Eller RL, Weinberger PM, Postma GN. Hemodynamic changes during otolaryngological office-based flexible endoscopic procedures. Ann Otol Rhinol Laryngol 121(11); , Bush CM, Postma GN: Transnasal esophagoscopy. Otolaryngol Clin North Am 46(1):41-52, Singer MC, Pucar D, Mathew M, Terris DJ. Improved localization of sestamibi imaging at high-volume centers. Laryngoscope 123(1): , Singer MC, Terris DJ. Parathyroid hormone decline 4 h after total thyroidectomy accurately predicts hypocalcemia. Surgery 153(3):437, Hester TR Jr, Gerut ZE, Shire JR, Nguyen DB, Chen AH, Diamond J, Desmond JC, Silvati-Fidell L, Abrams SZ. Exploratory, randomized, controlled, phase 2 study to evaluate the safety and efficacy of adjuvant fibrin sealant VH S/D 4 S-Apr (ARTISS) in patients undergoing rhytidectomy. Aesthetic Surgery Journal 33(3): , White LC, McKinnon BJ, Hughes CA. Etiologies of pediatric craniofacial injuries: A comparison of injuries involving all-terrain vehicles and golf carts. Int J Pediatr Otorhinolaryngol 77(3):414-7, Lachanas VA, Woodard TD, Antisdel JL, Kountakis SE. Sino-nasal outcome test tool assessment in patients with chronic rhinosinusitis and obstructive sleep apnea. ORL J Otorhinolaryngol Relat Spec 74(5):286-9, Kasemsiri P, Solares CA, Carrau RL, Prosser JD, Prevedello DM, Otto BA, Old M, Kassam AB. Endoscopic endonasal transpterygoid approaches: Anatomical landmarks for planning the surgical corridor. Laryngoscope 123(4):811-5, Hosseini SM, McLaughlin N, Carrau RL, Otto B, Prevedello DM, Solares CA, Zanation AM, Kassam AB. Endoscopic transpterygoid nasopharyngectomy: Correlation of surgical anatomy with multiplanar CT. Head Neck 35(5):704-14, Hester TR Jr, Shire JR, Nguyen DB, Gerut ZE, Chen AH, Diamond J, Desmond JC, Silvati-Fidell L, Abrams SZ, Rohrich RJ. Randomized, controlled, phase 3 study to evaluate the safety and efficacy of fibrin sealant VH S/D 4 s-apr (Artiss) to improve tissue adherence in subjects undergoing rhytidectomy. Aesthet Surg (In press). Borders JC, Prosser JD, Harbarger CH, Patel SY, Hughes CA. Adenoid microbiology: Expanded role of resistant S. aureus. PAN Arab Journal of Rhinology (In press). Aziz SA, Singer MC, Terris DJ, Rizvi AA. Visual vignette. Endocr Pract 18(6):1039, 2012.

7 Resident & Alumni News Spring 2013 Hail Jose G. Gurrola, II Rebecca J. Howell Rhinology Fellow Laryngology Fellow Christopher Johnson Katrina Chaung Laryngology Fellow Endocrine Surgery Fellow Daniel Carroll Daniel Gerry PGY-1 PGY-1 Farewell Facial Plastics Adam Becker will join a private group in Raleigh, NC Endocrine Surgery William Duke will join the faculty at GRU Rhinology David Jang will join the faculty at Duke Laryngology Nancy Solowski will join a private group in Maryland Carrie Bush will join the faculty at University of South Florida Drew Prosser will do a pediatric oto fellowship at University of Cincinnati Alumni Ten Years of Academic Pollination The number of former residents and fellows who have spent at least a portion of their career in academic medicine now exceeds 25. From Tammara Watts at UTMB to Troy Woodard at the Cleveland Clinic and Michael Singer at Henry Ford Hospital, the expertise acquired at GRU has been exported at an accelerating pace to institutions across the country. Michael Singer demonstrates ultrasound technique. To share your news with the other alumni, please send updates to Donna Black at donnab@gru.edu or call

8 Department of Otolaryngology th Street Augusta, Georgia The OTO Observer Newsletter Non-Profit Org. U.S. POSTAGE PAID Augusta, GA Permit No. 210 Upcoming CME Programs 11 th Annual Porubsky Symposium June 14-15, 2013 Augusta, GA Airway on the Island Meeting August 1-3, 2013 Kiawah Island, SC Temporal Bone Dissection Course February 14-15, 2014 Augusta, GA Endocrine Surgery Symposium March 28-29, 2014 Augusta, GA POSITION AVAILABLE June 14-15, 2013 Georgia Regents Augusta, University Georgi Augusta Department of Otolaryngology/ Head and Neck Surgery A position is available at the Assistant or Associate Professor level in the Department of Otolaryngology Head and Neck Surgeon Fellowship Training Required Interest in Reconstruction Preferred To apply and receive additional information about the support associated with this opportunity, please send a curriculum vitae to: David J. Terris, M.D., F.A.C.S. Chairman Dept. of Otolaryngology Head & Neck Surgery 1120 Fifteenth Street, BP-4109 Augusta, Georgia GRU is an Equal Opportunity, Affirmative Action and Equal Access employer. or dterris@gru.edu /12