SEAN DAVID PALACIOS, M.D., F.A.C.S. nesilv.com seanpalaciosmd.com Education and Training

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SEAN DAVID PALACIOS, M.D., F.A.C.S. nesilv.com seanpalaciosmd.com Education and Training Diplomat of the American Board of Otolaryngology Head and Neck Surgery-Dual Board Certified Fellow of the American College of Surgeons Otologist/Neurotologist/Otolaryngologist Medical Director Nevada Ear and Sinus Institute 4275 South Burnham Avenue Las Vegas, NV 89119 December 2011-Present Otologist/Neurotologist/Otolaryngologist Nevada Eye and Ear 2598 Windmill Parkway Henderson, NV 89074 November 2008 November 2011 Otology/Neurotology/Skull Base Surgery Fellow University of California, San Diego 200 West Arbor Drive San Diego, CA 92103 July 2006-June 2008 Otolaryngology/Head and Neck Surgery Resident University of California, San Diego 200 West Arbor Drive San Diego, CA 92103 July 2002-June 2006 Surgical Internship University of California, San Diego 200 West Arbor Drive San Diego, CA 92103 January 2002-June 2002 Surgical Internship University of California, San Francisco-East Bay 1411 East 31 st Street Oakland, CA 94602 June 2001-December 2001 National Institutes of Health Postdoctoral Research Fellow University of California, San Diego School of Medicine Department of Head and Neck Surgery Principal Investigator: Allen F. Ryan, Ph.D. July 1999 - June 2001

Doctor of Medicine University of Nevada School of Medicine (UNSOM) Reno, NV 89557 August 1995 - May 1999 Bachelor of Science University of Nevada at Las Vegas (UNLV) Las Vegas, NV 89154 Major: Biological Sciences Minor: Chemistry August 1991 - December 1994 Honors and Awards Association for Research in Otolaryngology Resident Research Travel Award (2001) # Triologic Society Western Section Resident Research Travel Award (2001)* National Institutes of Health Postdoctoral Research Trainee Award (1999) Dean s Honor List, UNLV (1994-1991) Sunrise Hospital Award for volunteer work in Day Surgery (1994) Dean s Grant for Academic Excellence, UNLV (1994, 1993) Research Publications: 1. Growth Factors in the Growth and Differentiation of Middle Ear Mucosa During Sean D. Palacios, M.D., Heinz J. Oehl, M.D., Alexander Z. Rivkin, M.D., Kwang Pak, B.S., Allen F. Ryan, Ph.D. Laryngoscope 111:874-880, 2001. 2. Growth Factor and their Receptors in the Middle Ear Mucosa During Otitis Media Sean D. Palacios, M.D., Alexander Rivkin, M.D., Thecla Bennett, M.S., Allen F. Ryan Ph.D. Laryngoscope 112:420-423, 2001. 3. NT3 Stimulated Neurite Outgrowth of Spiral Ganglion Neurons is Mediated through the Extracellular Signal Regulatory Kinases (ERK) but not through P38 Christoph Aletsee, M.D., Andrew Beros, M.D., Sean Palacios, M.D., Kwang Pak, B.S., Allen Ryan, Ph.D. Journal of Association for Research in Otolaryngology 02:377-387, 2001. 4. The effects of Laminin-1 on spiral ganglion neurons are dependent on the MEK/ERK signaling pathway and are partially independent of Ras. Christoph Aletsee, Dominik Brors, Sean Palacios, Kwang Pak, Lina Mullen, Stefan Dazert, Allen Ryan Hearing Research 164:1-11, 2001.

5. Role of Ras in the Hyperplastic Response of Middle Ear Mucosa During Sean D. Palacios, M.D., Alexander Z. Rivkin, M.D., Christoph Aletsee, M.D., Andrew Beros, M.D., Allen F. Ryan, Ph.D. Journal of Infectious Diseases 186:1761-1769, 2002. (Cover) 6. Role of p38 mitogen-activated protein kinase in middle ear mucosa hyperplasia during bacterial otitis media. Palacios SD, Pak K, Rivkin AZ, Kayali AG, Austen D, Aletsee C, Melhus Å, Webster NJG, Ryan AF. Infection and Immunity 72: 4662-4667, 2004. 7. Regulation of middle ear mucosal proliferation and apoptosis by receptor activation and signal transduction. Ryan AF, Palacios SD, Pak K, Webster NJG. In D. Lim C. Bluestone, M Casselbrandt (Eds). Recent Advances in Otitis Media with Effusion. Kugler, Amsterdam, pp. 112-114, 2005. 8. Role of Fas Mediated Apoptosis in : Observations in the lpr/lpr Mouse. Alexander Rivkin, M.D., Sean D. Palacios, M.D., Allen F. Ryan, Ph.D. Hearing research 207:110-116, 2005. 9. The Role of Vascular Endothelial Growth Factor (VEGF) during Acute. Sean D. Palacios, M.D., Heinz J. Oehl, M.D., Alexander Rivkin, M.D, Allen F. Ryan, Ph.D. Submitted for publication to Laryngoscope. 10. Bilateral osteomas of the internal auditory canal presenting with bilateral pulsatile tinnitus. Sean D. Palacios, M.D., Sumana Jothi, M.D., Joni K. Doherty, M.D., Ph.D. Submitted for publication to ENT Journal. 11. Hearing Restoration Following Resection of Cerebellopontine Angle Meningiomas. Sean D. Palacios, M.D., Thomas Alexander, M.D., Bill Mastrodimos, M.D., Roberto Cueva, M.D. Submitted to Otology and Neurotology. 12. Carotid Artery-Cochlear Dehiscence: A Review Alexander Lund, OMS IV, Sean D. Palacios, MD, FACS Laryngoscope 121(12):2658-60, 2011. 13. Idiopathis Sudden Sensorineural Hearing Loss Recovery After Intratympanic Dexamethasone Injection: 4mg vs 10 mg. Alexander Lund, OMS IV, Thomas Alexander, MD, Submitted for puplication to Otology and Neurotology

Presentations: 1. Idiopathis Sudden Sensorineural Hearing Loss Recovery After Intratympanic Dexamethasone Injection: 4mg vs 10 mg. Alexander Lund, OMS IV, Thomas Alexander, MD, Scheduled for presentation at 2011 Politzer Society Meeting, Athens, Greece. 2. Restoration of Hearing Following CPA Meningioma Resection. Sean D. Palacios, M.D., William Mastrodimos, M.D., Roberto Cueva, M.D. Presented at COSM Annual Meeting 2008. 3. Growth Factors in the Growth and Differentiation of Middle Ear Mucosa During Sean D. Palacios, M.D., Heinz J. Oehl, M.D., Alexander Z. Rivkin, M.D., Kwang Pak, B.S., Allen F. Ryan, Ph.D. Presented at Triologic Society 2001 Annual meeting 4. Role of Ras in the Hyperplastic Response of Middle Ear Mucosa During Sean D. Palacios, M.D., Alexander Z. Rivkin, M.D., Christoph Aletsee, M.D., Andrew Beros, M.D., Allen F. Ryan, Ph.D. Presented at the Association for Research in Otolaryngology 2001 winter meeting. 5. Growth Factors and their Receptors in the Middle Ear Mucosa During Otitis Media* Sean D. Palacios, M.D., Alexander Z. Rivkin, M.D., Thecla Bennett, M.S., Christoph Aletsee, M.D., Allen F. Ryan, Ph.D. Presented at the Triologic Society 2001 Western Section. 6. The Influence of VEGF and FGF-1 on the Middle Ear Mucosa Alexander Z. Rivkin, M.D., Sean D. Palacios, M.D., Heinz Oehl, M.D., Allen F. Ryan, Ph.D. Presented at the Triologic Society 2001 Western Section. 7. Fas Mediated Apoptosis in : Observations in the lpr/lpr Mouse # Alexander Rivkin, M.D., Sean D. Palacios, M.D., Allen F. Ryan, Ph.D. Presented at the Association for Research in Otolaryngology 2001 winter meeting. 8. Role of P38 in the Hyperplastic Response of Middle Ear Mucosa During Alexander Z. Rivkin, M.D., Sean D. Palacios, M.D., Allen F. Ryan, Ph.D. Presented at the Triologic Society 2001 Annual meeting. 9. NT3 Stimulated Neurite Outgrowth of Spiral Ganglion Neurons is Mediated through the Extracellular Signal Regulatory Kinases (ERK) but not P38. Christoph Aletsee, M.D., Andrew Beros, M.D., Sean Palacios, M.D., Kwang Pak, B.S., Allen Ryan, Ph.D. Presented at the Association for Research in Otolaryngology 2001 winter meeting. 10. The Role of Fas Mediated Apoptosis in : Observations in the lpr/lpr Mouse Alexander Rivkin, M.D., Sean D. Palacios, M.D., Allen F. Ryan, Ph.D. Presented at the 2000 Bay Area Resident s Research Conference.

11. The Role of Vascular Endothelial Growth Factor (VEGF) during Acute Heinz J. Oehl, M.D., Alexander Rivkin, M.D., Sean D. Palacios, M.D., Allen F. Ryan, Ph.D. Presented at the 7th Congress of the European Foundation of Otorhinolaryngology Society 2000. Volunteer Activities Harapan Jayakarta Pediatric Clinic - Jakarta, Indonesia, Asia (1996) Perhati Head and Neck Surgery Hospital - Jakarta, Indonesia, Asia (1996) Clinica Latinamericana, Department of Surgery - Cuenca, Ecuador, South America (1995) Measles Vaccinations for fifth and sixth graders - Cuenca, Ecuador, South America (1994) Day Surgery, Sunrise Hospital (1993-1994) Memberships and Activities Current Research Projects Fellow of the American College of Surgeons American Neurotology Society, Member Trainee Triological Society, Post-Graduate Member American Academy of Otolaryngology Association for Research in Otolaryngology American Medical Association Hearing Restoration Status Post CPA Meningioma Resection. Surgical Excision vs Gamma Knife Radiosurgery of Acoustic Neuromas: Disease Control and Patient Quality of Life Certification and Licensure Courses National Board of Medical Examiners, Part I National Board of Medical Examiners, Part II National Board of Medical Examiners, Part III Physician and Surgeon License, State of California, State of Nevada Certified, American Board of Otolaryngology Certified, Neurotology, American Board of Otolaryngology University of South Florida Skull Base Drilling Course 2006 ANSPACH Skull Base Drilling Course 2006 Medtronic Skull Base Drilling Course 2007 House Ear Institute Cochlear Implant Course - 2007 Employment Otology/Neurotology/Skull Base Surgeon-Otolaryngology-Head and Neck Surgeon (2008-present) Otology/Neurotology/Skull Base Surgery Fellow UCSD (2006-2008)

Otolaryngology/Head and Neck Surgery Resident UCSD (2002-2006) Surgical Intern UCSD (2002) Surgical Intern UCSF-East Bay (2001) Post Doctoral Research Fellow - UCSD-SOM (1999-2001) Comparative Vertebrate Anatomy Laboratory Instructor - UNLV Department of Biological Sciences (1994) Personal Information Born: August 15, 1973 Place of birth: Las Vegas, NV Ethnicity: Hispanic Languages: English, Spanish Marital Status: Married Interests: World Travel, Mountaineering, SCUBA Diving, Mountain Biking, Volleyball, Water Skiing, Surfing