I n the last 12 months alone, half of our faculty have been involved in humanitarian work that has literally spanned the globe: from island nations in the Caribbean and Pacific to the continents of South America, Africa, and Europe. The spectrum of our specialty – otology, head and neck cancer, facial plastic and reconstructive surgery, pediatric otolaryngology, and rhinology/sinus surgery – has been represented in these efforts. As I see it, medical mission work can be experienced on 2 levels – the immediate and the long term. The most obvious immediate impact, for example, is helping individual patients, but training the local physicians to care for their community is the ideal long term goal. As an example, our Project Ear in the Dominican Republic (involving the University of Virginia, Ohio State University, and MUSC) has performed more than 1,000 major otologic procedures over the last 15 years. More Scope The Vol. 12 N o 2 MUSC DEPARTMENT OF OTOLARYNGOLOGY HEAD & NECK SURGERY Paul R. Lambert, M.D. INSIDE Global Outreach Clinical Update Research Realm Residents & Fellows Faculty CME Events CHAIRMAN’S CORNER ENT.musc.edu Fall 2011 Global Outreach ✹ ✹ ✹ ✹ ✹ ✹ ✹ ✹ MUSC ENT faculty traveled to Haiti, Dominican Republic, Ecuador, Moldova, Egypt, Uganda, Malawi, and the Philippines on medical mission trips within the past year. Rodney J. Schlosser, MD with the ENT staff at Pediatric Republican Hospital, Chisnau Moldova after performing an endoscopic sinus surgery.
Transcript
In the last 12 months alone, half of our faculty have been involved in humanitarian work that has literally spanned the globe:
from island nations in the Caribbean and Pacific to the continents of South America, Africa, and Europe. The spectrum of our specialty – otology, head and neck cancer, facial plastic and reconstructive surgery, pediatric otolaryngology, and rhinology/sinus surgery – has been represented in these efforts.
As I see it, medical mission work can be experienced on 2 levels – the immediate and the long term. The most obvious immediate impact, for example, is helping individual patients, but training the local physicians to care for their community is the ideal long term goal. As an example, our Project Ear in the Dominican Republic (involving the University of Virginia, Ohio State University, and MUSC) has performed more than 1,000 major otologic procedures over the last 15 years. More
ScopeTheVol. 12 No 2
MUSC DEPARTMENT OF OTOLARYNGOLOGY HEAD & NECK SURGERY
Paul R. Lambert, M.D.
INSIDEGlobal Outreach
Clinical Update
Research Realm
Residents & Fellows
Faculty
CME Events
Chairman’s Corner
ENT.musc.edu
Fall 2011
Global Outreach
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MUSC ENT faculty traveled to Haiti, Dominican Republic, Ecuador, Moldova, Egypt, Uganda, Malawi, and the Philippines on medical mission trips within the past year.
Rodney J. Schlosser, MD with the ENT staff at Pediatric Republican Hospital, Chisnau Moldova after performing an endoscopic sinus surgery.
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importantly, however, this work has helped transform our initial contact in the Dominican Republic, a newly graduated otolaryngologist, into the premiere otologic surgeon in his country today.
Unusual cases have become part of our PowerPoint presentations, but generating scientific data is a long term goal. To date, we have one peer reviewed publication related to otologic surgery, and we are in the process of organizing prospective data bases for several of our outreach programs.
The personal excitement of traveling to a new country and experiencing a different culture has an immediate impact that few forget, but the establishment of a cultural bond between individuals or hospitals is an investment with the potential for huge, long term benefits on both sides.
We have encouraged resident involvement in medical mission work, and have witnessed the immediate educational benefit they derive. More importantly, we hope the long term consequence to be the training of a future generation of otolaryngologists with a global outlook.
The Academy’s humanitarian Efforts Committee has, for decades now, facilitated medical missions. As an initial member of this fledgling committee, it is gratifying to see how they have expanded and helped many otolaryngologists provide immeasurable benefit to impoverished people worldwide. the $1,000 humanitarian travel grants offered to residents represent a wonderful incentive for including them in these efforts. We do require our residents to apply for these grants and then submit an article on their experience to the Academy Bulletin.
In summary, a commitment to Medical Mission work will pay valuable dividends in diverse ways: service, education, discovery, and cultural competency/perspective. As a result, few people go on just one mission trip.
Global Outreach, continued from page 1
SpotlightFacultyZachary M. Soler, M.D., M.Sc. joined the MUSC Sinus
Center in July 2011. Originally from coastal Florida, Dr. Soler attended medical school at Wake Forest University, followed by a residency in otolaryngology-head and neck surgery at oregon health and science university. he then completed a fellowship dedicated solely to Rhinology and endoscopic sinus surgery at harvard medical school. after fellowship, dr. soler spent an additional year at the harvard school of Public health, earning a master’s degree in Epidemiology.
Dr. Soler’s practice is dedicated primarily to diseases of the nose, sinuses, and skull base. he treats adults and children with a wide range of conditions, ranging from common allergies and sinusitis to skull base tumors and CSF leaks. he has particular expertise with difficult-to-manage cases of sinusitis, revision sinus surgery, and surgical treatment of sino-nasal tumors. he sees patients in mt. Pleasant, North Charleston, and downtown Charleston.
Dr. Soler has authored over 25 manuscripts and book chapters related to Otolaryngology and rhinology. his research focus is on optimizing clinical outcomes after medical and surgical treatment of chronic sinusitis. he is a co-investigator on a National institutes of health grant to study outcomes after sinus surgery, as well as an American Rhinologic Society grant to incorporate technology into clinical practice. he is board certified through the american Board of Otolaryngology and a member of the American Rhinologic Society.
Zachary M. Soler, M.D., M.Sc.
Otologic surgery being performed in Los Alcarrizos, Dominican Republic by Paul R. Lambert, MD.
Mother and her child after cleft lip repair, with Dr. Krishna Patel in Malawi, Africa
Paul r. lambert, m.d. Professor and Chair,otolaryngology - head & neck surgery
2nd Annual Emerging Controversies in the Management of Thyroid and Parthyroid Diseaseapril 8 - 9, 2011
This course provided two half days of lectures and hands on demonstrations, focusing on emerging technologies and treatments for thyroid and parathyroid disease.Course Directors: Joshua D. Hornig, MD, FRCS(C)Jyotika Fernandes, MD. guest speakers: Jimmy D. Alele, M.D., CCD, lima, ohio; Jeffrey M. Bumpous, M.D., FACS, louisville, Ky; David J. Terris, M.D., augusta, ga
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the 2011 magnolia conference was held June 3-4, 2011. our distinguished guest speakers were samuel h. selesnick, m.d., douglas a. girod, m.d., timothy l. smith, m.d., mPh, and robert h. miller, md, mBa. more than 50 attendees from around the country enjoyed presentations and a round table lunch discussion covering the breadth of our specialty. The weather was ideal, providing the perfect setting for enjoying historic Charleston, the beaches, golf, and the Spoleto Festival USA. I hope
you will be able to join us for our 12th Annual Magnolia Conference to be held June 1st and 2nd, 2012. We promise another several days of exceptional education and recreation.
Paul R. Lambert, M.D.Professor and Chair
Spring Temporal Bone Dissection CourseMarch 25 - 26, 2011An intensive two-day otology course for the practicing otolaryngologist focused on procedures for chronic ear disease. This biannual course includes hands-on training in our state-of-the-art temporal bone lab.Course Director: Ted A. Meyer, MD, PhD. guest Speaker: Stephanie Moody-Antonio, MD, Norfolk, VA
2nd Annual Pediatric Audiology Conference: Current Perspectives in Cochlear Implantation
The 2011 Pediatric Audiology Conference held on March 11, focused on cochlear implants. Anu Sharma, PhD traveled from Colorado and provided two lectures on the critical time period for cochlear implantation. Several of our faculty also presented. there were 54 attendees, 30 of those outside the MUSC network. Next year’s conference will be March 16, 2012 and will focus on Auditory Neuropathy Spectrum Disorder.
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UpdateClinicalUpper Airway Stimulation Therapy
for Obstructive Sleep Apnea
M. Boyd Gillespie, M.D., M.Sc., Shaun A. Nguyen, M.D., M.A.,CPI, Ryan Reddy, M.D.
Obstructive sleep apnea and hypopnea syndrome (osahs) is a common disorder present
in 5% of men and 3% of women in the general population. Since osahs becomes more prevalent with advancing age, up to 25% of men and 15% of women over the age of 65 suffer from the disorder. osahs occurs when the tissues of the throat collapse during sleep preventing the normal flow of air into the lungs. The symptoms of osahs include poor sleep quality, daytime sleepiness, and loud snoring. If untreated, moderate to severe osahs can lead to poorly controlled hypertension, cardiovascular disease, stroke, and an increased risk of motor vehicle accidents.
The first-line treatment for moderate to severe osahs is continuous positive airway pressure (CPAP). CPAP delivers air under pressure via a mask that fits over the nose and/or mouth. The air pressure creates a pneumatic splint that prevents throat tissues from collapsing and allows normal air exchange to occur. Unfortunately, only two out of three (70%) of CPAP patients are able to adhere to the recommended minimum of 5 hours per night. Common reasons for discontinuing
CPAP therapy include nasal blockage and discomfort, poor mask fit, social concerns, and claustrophobia.
Patients who are not able to tolerate CPAP often have to decide
whether to treat their osahs with secondary therapies such as surgery. The most commonly performed surgery for osahs is the uvulopalatopharyngoplasty (UPPP) which involves removal of the tonsils, uvula, and redundant soft palate tissues. Although UPPP often improves snoring, it effectively treats osahs in only 40-50% of patients undergoing the procedure. Recent evidence indicates that the relatively low level of success of UPPP is due to its failure to address tissue collapse at the level of
the tongue. Surgical removal of tongue tissues is an option but carries the risk of long-term problems with speech production and swallowing.
early investigations in osahs found that upper airway collapse at the level of the tongue was often due to loss of neuromuscular activity in the tongue protrusors (eg. genioglossal muscle) during sleep. This finding led to the hypothesis that stimulation of the hypoglossal nerve during sleep could increase tone within the genioglossal muscle thereby preventing airway collapse. Initial studies at Johns hopkins in the 1990s in patients undergoing head and neck cancer operations confirmed that electrode stimulation of the hypoglossal nerve could indeed open the airway. however, the therapeutic application at the time was limited due to frequent breakage of the electrodes.
Ongoing advancements and miniaturization of implantable
Table 1. Advantages of Upper Airway Stimulation Therapy• addresses pathophysiology of
reduced neuromuscular tone
• titrated to effect
• no removal or alteration of throat tissues
• less painful surgery with faster recovery
• Potentially reversible
Figure 1. Electrode cuff encircling the hypoglossal nerve.
Ongoing advancements and miniaturization of implantable electrode technology have finally produced a viable system for long-term hypoglossal nerve stimulation therapy.
Table 2. Eligibility Criteria for STAR Trial• moderate to severe osahs
(ahi ≥ 20)
• cPaP intolerance
• age ≥ 22 years
• Bmi ≤ 32
• no significant medical co-morbidites
• no other pacemakers
Please call 888-708-5041 toll free to determine eligibility.
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Figure 2. The upper airway with hypoglossal stimulation off (A) and with 2.0 V of stimulation (B)
electrode technology have finally produced a viable system for long-term hypoglossal nerve stimulation therapy. The current system involves an electrode attached to the hypoglossal nerve which is stimulated by a pacemaker device inserted under the skin of the chest wall (Figure 1). Following insertion, patients undergo a sleep study where the nerve stimulation is gradually increased to eliminate
GrantsGrantsENT Residents, Drs. Caroline Banks, Jessica Gullung, and Gregg Schmedesreceived University Research Committee (URC) funding.
Terry A. Day, M.D.Pi, hollings cancer center, Tobacco Research Pilot Project “A Transdisciplinary Prospective Cohort Study to understand the Root Causes of the racial disparity in hnscc survival” $74,987, nov-oct 2012
Christopher M. Discolo, M.D.PI, David R, White, M.D. Co-Investigator. Otosonics, A Non-Randomized Feasibility Trial To Evaluate The Ear Effusion Detection and Characterization system (eedcs) $31,480, apr 2010-Dec 2012
Paul R. Lambert, M.D.PI, Otonomy Meniere’s Disease Clinical Trial $107,735, Jul 2011 - Aug 2012
PI, Merz Tinnitus Clinical Trial$123,500, nov 2009-nov 2012
Bonnie Martin-Harris, PI, David R. White, M.D. Co-Investigator. nih/nidcd r01dc011290-01a1 standardization $818,180, Jan 2011-Dec 2015
David R, White, M.D.PI, Alcon, Safety and Efficacy Evaluation of Topical Moxidex Otic Solution $37,750, mar 2009-nov 2012
Rita I. Young, Ph.D.Pi, Public health service, Bethesda, maryland. 5r01de018168 Macrophage-driven progression of premalignant oral lesions toward invasiveness. $1,000,000 direct costs ($1,260,000 total) aug 2008-Jun 2012.
Pi, Public health service, Bethesda, maryland. 1r01ca128837 Immunotherapy to prevent oral premalignant lesion recurrence and oral cancer. $1,037,500 direct costs ($1,307,500 total), Jan 2009-dec 2013.
PI, Clinical Sciences Research Service, Department of Veterans Affairs, Washington, D.C. Vitamin D plus celecoxib therapy to stimulate intratumoral immune reactivity. $750,000 direct costs, oct 2009-sep 2014.
apneas and hypopneas. In an initial phase I study, the implant system demonstrated significant reductions in apneas and hypopneas in non-obese (BMI < 32) individuals followed for 6 months or more (Figure 2). In addition, no major complications were observed. Potential advantages of hypoglossal nerve stimulation therapy are listed in (Table 1).
MUSC is one of a few select centers in the US participating in the phase II/III STAR trial (Inspire Medical systems, inc.; minneapolis, mn; www.inspiresleep.com). m. Boyd gillespie, M.D., M.Sc., Director of the MUSC Snoring Clinics, participated in the early feasibility studies of hypoglossal nerve stimulation at Johns hopkins in the 1990s, and successfully performed the 5th implant of this type in the United States in June 2011. The trial is approved by the MUSC IRB and is regulated by the FDA. Other than the initial office visit, there is no cost to patients who are found eligible to participate in the trial (Table 2).
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RealmResearch
A globally aphasic patient referred for a speech-language evaluation presented with a
wide bore nasogastric feeding tube. Bonnie martin-harris, a speech-language pathologist (slP), couldn’t help but focus on the distraction and seeming patient discomfort associated with the tube. It appeared obvious that vocalization and speech were intimately related to swallowing function based on shared systems and structures, yet little was known about the swallowing mechanism at that time. Further, no rehabilitation professionals were trained in the recovery of swallowing disorders in the region. martin-harris was soon introduced to dr. Jeri logemann, slP (Northwestern University), Dr. Wyllie dodds, gastroenterologist (gi) (medical College of Wisconsin), and Dr. Fred mcconnel, otolaryngologist head & neck surgeon (ENT) (Emory University)
during her pre-doctoral work in the va health system. her passion for improved practice and interdisciplinary patient care of dysphagic patients began under the mentorship and legacy of these renowned clinical researchers.
Swallowing is a relatively new science that was studied after the introduction to motion radiography in the 1950s. Video imaging (videofluoroscopy) and combined pressure (manometry) and videofluoroscopic recording techniques
improved allowing scientific study of the critical structural movements and bolus flow patterns that are necessary to swallow safely and efficiently. Despite years of sound research and contributions to the body of literature in swallowing and swallowing disorders, the practice of radiographic swallowing assessment has remained fairly subjective. This subjectivity led to a wide variation in terminology, assessment procedures, and ambiguous interpretation of findings from videofluoroscopic examinations.
dr. martin-harris began exploration of methods to standardize the practice of swallowing assessment in 2003. Published evidence supporting videofluoroscopy as an optimal method for studying functional swallowing movements from mouth to stomach laid the foundation for her work. She was awarded a 5-year nih/nidcd grant to develop and test the validity and
2010-2011. Recent data support that the standardized approach leads to optimizing efficiency, and clinical yield, while minimizing radiation exposure.
She, her expert team, and commercial partners have developed a novel training website that includes synchronized videofluoroscopic and 3-D animations of 17 tested components of physiologic swallowing impairment. Each score variant for each component (total = 77) is depicted to instruct the learner in identification of unique observations of impairment(s) that impact airway protection and patient functioning. Clinicians are also tested for their scoring reliability. When they reach reliability criterion they become Registered Users of the MBSImP and are granted access to the online Database.
Dysphagia is a condition that results from many underlying diseases, therefore, the incidence, prevalence and significance of dysphagia are widespread yet largely underestimated. the mBsimP database is hiPPa compliant, and will be the first known data repository of specific physiologic swallowing impairments detected on videofluoroscopy across disease and conditions. Clinicians are able to generate standardized, editable reports to interface with electronic medical records and track the natural history of their patient’s swallowing impairment over the course of the disease, determine the impairments that are amenable to treatment, and track treatment and quality of life outcomes. Initially, clinicians will have access only to their own de-indentified data sets. however, a long term goal of martin-harris’s is to open access to all registered users to generate investigator initiated studies of swallowing impairment.
Many studies are underway at the Evelyn Trammell Institute of Voice and Swallowing at MUSC, Department of otolaryngology, head and neck
Bonnie Martin-Harris, PhD
Career Commitment to Excellence
The MBSImP database is HIPPA compliant, and will be the first known data repository of specific physiologic swallowing impairments detected on videofluoroscopy across disease and conditions.
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Surgery and the Evelyn Trammell Voice and Swallowing center at saint Joseph’s hospital of atlanta. martin-harris is currently developing phenotypes of swallowing impairment by diagnostic category and tracking phenotype recovery patterns over time. This work will lead to disease and condition-specific predictive models of functional recovery that will assist physicians and slPs in treatment planning, patient and family counseling and developing financial feasibility studies of various interventions. martin-harris leads a focused study of a novel respiratory-swallowing intervention in dysphagic patients with head and neck cancer, and MBSImP measures serve as primary outcomes. martin-harris, jointly with dr. maureen lefton-greif (Johns hopkins university) recently received an nih/nidcd r01 grant to develop a similar model in pediatric feeding and swallowing disorders. The translational impact of this clinical tool, in combination with complimentary approaches to swallowing assessment is high. The ultimate goal of assessment is to develop targeted and tested intervention methods that improve function and well being of millions of dysphagic individuals.
Dr. Martin-Harris is a Professor in the College of Medicine and Health Professions at the Medical University of South Carolina. She is Director of the Evelyn Trammell Institute for Voice and Swallowing, Director of the Doctoral Program in Health and Rehabilitation Science, an ASHA Fellow, Inaugural Chair of Board Recognized Specialists in Swallowing and Swallowing Disorders, and Past-President of the Dysphagia Research Society. Her research is funded through the NIH/NIDCD and the VA.
HonorsHonorsBetsy K. Davis, DMD, MSElected Vice-President, American Academy of maxillofacial Prosthetics; Chair, Insurance Committee for the American Academy of maxillofacial Prosthetics; Treasurer, International Society for Maxillofacial rehabilitation; selected as one of America’s Top Dentists 2011 by the Consumers’ Research Council of America.
Terry A. Day, MDestablished head and neck tumor center designation; named Wendy & Keith Wellin endowed chair in head and neck surgery; visiting Professor, honduran society of otolaryngology - head & neck surgery; vice-President, american head & neck society (ahns) 2011-12;
Judy R. Dubno, Ph.D. James Jerger Career Award for research in audiology; Woman of Distinction Award, girl scouts of eastern south carolina; member, NIDCD Strategic Plan 2012-2016 hearing and Balance Workshop group; member, aao-hns research advisory Board (raB); nidcd study reviews of R01s, P30 Core grants, director’s new Innovator Awards.Invited lecturer
M. Boyd Gillespie, MDguest Professor, georgetown University, Metropolitan Washington ENT Society, houston ent society, and emory university; guest examiner for American Board of otolaryngology; star trial Reviewer for Otolaryngology - head and neck surgery.
Paul R. Lambert, MDPresident-Elect, American otological society; visiting Professor, duke university; guest Faculty, West virginia academy of otolaryngology; Presidential Citation, Combined Sections Meeting, Triological Society. Teaching award presented by 2011 Residents.
Bonnie Martin-Harris, PhD2010 scholar of the year award, college of health Professions
Ted A. Meyer, MD, PhDalexander graham Bell Association for the Deaf and hard of hearing Board of directors; aao-hns implantable hearing devices committee;Visiting Professor, ASU, and University of Michigan Temporal Bone Dissection Course.
Krishna G. Patel, MD, PhDTeaching Award presented by 2010 Chief Residents.
Rodney J. Schlosser, MDNational presentations: Instructional course, American Academy of otolaryngology-hns, Boston, ma; mini-seminar, aao-hns, Boston, ma; Faculty member American Academy of Otolaryngic Allerygy Basic Course and Allergy/Rhinology Maintenance of Certification Review Course, Dallas,TX.
Roy B. Sessions, MDPresidential Citation, american head and neck Society, Chicago.
David R. White, MDVisiting Professor, University of north carolina; appointed to aao-hns Pediatric Otolaryngology Education committee; asPo information and Technology Committee. National presentations: 26th Annual American Society of Pediatric Otolaryngology meeting, chicago, il; 91st Annual American Broncho-Esophagological Association, chicago, il; society for ear, Nose and Throat Advances in Children 2010 Annual meeting, cincinnati, oh.
Congratulations!
*Mandatory 8-hour in-service exam given annually to all ENT residents in the 102 U.S. training programs.
MusC Entresidents
#1 in u.s. for 2011 annual american Boardof otolaryngology training Exam*
Bonnie Martin-Harris, PhD collaborating with speech pathologist, Dr. Heather Bonilha.
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Residents & FellowsFarewell
Drs. Eric Lentsch, Boyd Gillespie, Judith Skoner, Trinita Cannon, Wayne Cardoni, and Terry Day
Drs. Christopher Discolo, Jeremy Meier,
and David White
Drs. Rodney Schlosser and Eric Wang
the musc department of otolaryngology- head & neck Surgery celebrated the end of another successful academic year at the annual resident and fellow farewell banquet at the charleston yacht club on June 18th, 2011. With over 150 faculty, staff, and friends on hand, the celebration provided a visual reminder of the department’s impressive growth over the last decade. The department graduated three chief residents known for their mentorship skills and encouragement of others. Their hard work was made evident when the department residents made the highest score in the nation on the yearly otolaryngology in-service examination. This is truly one group that went out saying “We’re number 1!”
Geoffrey Pitzer, MD, is known as a bit of a renaissance man with varied interest both in and outside the field of otolaryngology. he finished his musc residency with 3 peer-reviewed publications, including a well-received paper on the role of PET scan in skull base tumors. A lover of the great outdoors, Dr. Pitzer is pursuing advanced fellowship training in head and neck oncology and reconstructive surgery at Otago University in Dunedin, New Zealand.
Two graduating residents are leaving to pursue busy practices as general community otolaryngologists. Dr. Jake Smith is known for constantly offering academic, emotional, and spiritual support to his colleagues. Many visiting students and residents found temporary quarters and life-long friends at Jake’s home. he, his wife melissa, and four children will be missed, but Charleston’s loss is Springfield, Missouri’s gain. Dr. Natalka Stachiw is a women of many and varied talents whose winning personality will be missed by medical students and patients alike. She is the only MUSC resident to ever converse with a patient who spoke nothing but Ukraine. She is swapping the heat and humidity of Charleston for the dry air and snow of Buffalo, ny, where she hopes to have more time for her hobby as a concert pianist when she is not in the clinic and operating rooms.
The event also recognized four fellows in the department who completed intense year-long advanced training in their areas of sub-specialty. head and neck oncology and microvascular fellows Dr. Trinitia Cannon and Dr. Wayne Cardoni made an excellent and unflappable team. Whether sewing in a free flap at 1AM, or salvaging a vessel anastomosis
at 5AM, they demonstrated what surgeons are capable of when unprotected by work hour restrictions. Dr. Cannon will join the faculty of the University of Oklahoma, whereas Dr. Cardoni will practice head and neck surgery at Walter Reed Army Medical Center in Washington, D.C. Rhinology and sinus fellow Dr. Eric Wang will be missed by the residents for his excellent intraoperative teaching and affable manner. Dr. Wang accepted a faculty position in rhinology and sinus surgery at the University of Pittsburgh. This year marked the first year for a graduating pediatric otolaryngology fellow within the department. Dr. Jeremy Meier walked many miles in the halls of the musc children’s hospital while on consult rounds with the residents. his soft-spoken manner, broad smile, and expansive intellect will assure his success when he joins the faculty of the University of Utah.
In awarding the annual teaching award, the residents honored someone central to their excellent residency experience and learning environment, Dr. Paul Lambert. the residents are convinced that dr. lambert’s encouraging words and manner can give even the most novice surgeon the confidence that he or she needs to perform safe and effective ear surgery.
Drs. Jacob Smith, Geoffrey Pitzer, Paul Lambert, and Natalka Stachiw
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to MUSC!Welcome2011-12 FellowsPGY2 Residents
Jay Cline, M.D., spent most of his adolescence in Asheboro, NC before moving to Danville, VA where he graduated from high school. he attended liberty university on a football scholarship where he played 5 seasons as a tight end. Prior to beginning medical school, Dr. Cline worked as an ER tech in Boone, NC while his wife Sarah obtained her Master’s degree in Speech Pathology from Appalachian State University. Dinner table discussions about Sarah’s speech therapy encounters raised his interest in otolaryngology. During medical school at Wake Forest University, Dr. Cline did an externship at MUSC in the fall of his fourth year and fell in love with the program. It had everything he was looking for: friendly people in an excellent teamwork environment, great clinical and research opportunities, and a superb location. Dr. and Mrs. Cline and 2 year old daughter, Dayla, are expecting a new little brother or sister in December 2011.
Brendan O’Connell, M.D., grew up in mclean, va and attended college at the University of Virginia where he earned a BA in Spanish. With family connections in South Carolina, he decided to pursue medicine at MUSC where he was elected to the AOA honor society. During his senior year, Dr. O’Connell performed research on the immunopathogenesis of allergic fungal rhinosinusitis in the laboratory of dr. rodney schlosser. he feels fortunate to be able to continue his training in Charleston where he enjoys outdoor activities such as soccer, basketball, and kiteboarding.
Shawn Stevens, M.D., was born and raised in Phoenix, AZ, and therefore loves the Suns, Cardinals, Mexican food, and any standing body of water. he is one of three brothers and the first in the family to pursue a career in medicine. he graduated with honors in microbiology from Arizona State University where he met and married the love of his life, gina. dr. and mrs. Stevens moved to Columbus, Ohio for medical school at The Ohio State University where he was elected into AOA and the gold humanism honor society, and received an award from the land research Foundation. during his fourth year, he and his wife received a blessing with the birth of their first child, Aaron. Dr. Stevens believes that Charleston is the greatest American city he has been to and takes advantage of his free time to play basketball and football, read, swim, and take relaxing walks on the beach.
Meet the Residents: Drs. Brendan O’Connell, Jay Cline, and Shawn Stevens
MUSC offers otolaryngology fellowships in Head & Neck Oncologic and Reconstructive Surgery, Rhinology and Endoscopic Sinus/Skull Base Surgery, and Pediatric Otolaryngology. In addition to an extensive surgical experience, fellows benefit from a multidisciplinary approach by participating in outpatient clinics, rounds, and didactic conferences.
To learn more about our residency and fellowhip programs please visit our website at ENT.musc.edu
Akash Anand, MDMD: Tulane UniversityResidency: Tulane Universityinterests: head and neck oncology
George Harris, MDmd: loyola university - chicagoResidency: University of IowaSpecial Interests: airway reconstruction, cleft lip and palate, pediatric sinonasal disorders, pediatric otology
Barry Malin, MDMD: University of California at San Franciscoresidency: state university of new york at Buffalo (otolaryngology - head and neck Surgery)special interests: head and neck oncology and Reconstruction
Alkis Psaltis, MD, PhDMD: University of Adelaide Medical School PhD: University of AdelaideResidency: Royal Australasian College of SurgeonsSpecial Interests: Complex and tertiary sinus surgeries, Anterior skull base and sinonasal tumours, Cerebrospinal fluid leak repair
Mauri Rajapurkar, MDMBBS: M.S. University BarodaResidency: Pramukh Swami Medical CollegeSekhsaria Clinical Research Fellow: Tata memorial hospital m.ch. head and neck Oncology: Amrita Institute of Medical Sciences and Research Centrespecial interest: head and neck oncology
otology & neurotologyPaul R. Lambert, M.D.Professor and ChairmanDirector, Otology-NeurotolgyM.D.: Duke Universityresidency: ucla medical Center
Fellowship: house ear institute, los Angeles
Ted A. Meyer, M.D., Ph.D.Assistant ProfessorDirector, Cochlear Implant ProgramM.D.: University of IllinoisPh.D.: University of IllinoisResidency: Indiana Univ.
Fellowship: University of Iowa
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PediatriC otolaryngology David R. White. M.D.Associate ProfessorDirector, Pediatric OtolaryngologyDirector, MUSC Airway and Aspiration Center for Children
M.D.: MUSCResidency: University of North Carolina, chapel hillFellowship: cincinnati children’s hospital
Christopher M. Discolo, M.D.Assistant ProfessorM.D.: State University of new york health science Center at BrooklynResidency: Cleveland Clinic
Fellowship: University of Minnesota / Pediatric ENT Associates
evelyn trammell institute for voiCe and swallowing
Lucinda A. Halstead, M.D.Associate ProfessorMedical Director, ETIVS m.d.: george Washington UniversityResidency: New England Medical Center, Boston
Bonnie Martin-Harris, Ph.D., CCC-SLP, BRS-SProfessorDirector, ETIVSM.S.: Purdue UniversityPh.D.: Northwestern University
audiology
Kimberly A. Orr, MA, AuDDirector, AudiologyM.A.: Ohio State UniversityAuD: A.T. Still University
Elizabeth Composeo, AuDInstructorAuD: Northwestern University
Laura Droege, MA, AuDInstructorMA: Northern Illinois UniversityAuD: A.T. Still University
Meredith Holcomb, AuDInstructor,Clinical Coordinator, Cochlear Implant ProgramAuD: University of North carolina, chapel hill
Cortney Hudak, AuDInstructor AuD: University of Akron/Kent State University
Elizabeth Poth, MSInstructor MS: University of North carolina, chapel hill
Christine Strange, MA, AuDInstructorma: suny PlattsburghAuD: A.T. Still University
Laurel Thompson, AuDInstructor AuD: University of North carolina, chapel hill
Fall Temporal Bone Dissection CourseDecember 2 - 3, 2011lectures and hands on labs focused on procedures for chronic ear disease. guest speaker: Lawrence R. Lustig, MD (California)
Charleston Sleep Surgery SymposiumFebruary 24 - 25, 2012lectures & hands on labs focused on procedures for snoring ad sleep disordered Breathing. For practicing otolaryngologists. guest speakers: J Scott Magnuson, MD (Alabama), Stacey Ishman, MD (Maryland), Kathleen Yaremchuk, MD (Michigan)
The 3rd Annual MUSC Pediatric Audiology Conference:Auditory Neuropathy DisorderMarch 16, 2012For all providers (audiologists, slPs, physicians, etc.) involved in the care of pediatric patients with Auditory Neuropathy Disorder.guest speaker: Yvonne Sininger, PhD (California), Patricia A. Roush, AuD (North Carolina)
Emerging Controversies in the Management of Thyroid and Parathyroid Diseaseapril 13 - 14, 2012Two half-day sessions for ENT and endocrine surgeons.
Sinus Mastersmarch 2 - 4, 2012
Spring Temporal Bone Dissection CourseMay 11 - 12, 2012lectures and hands on labs focused on procedures for chronic ear disease. guest speaker: John L. Dornhoffer, MD (Arkansas)
Southern States Rhinology CourseMay 3 - 5, 2012lectures & hands on labs designed to provide a comprehensive update on the medical and surgical practice of rhinology.
12th Annual Charleston Magnolia ConferenceJune 1 - 2, 2012Two half-day sessions covering the broad spectrum of Otolaryngology - head & neck surgery.
2nd Annual Otolaryngology Literature UpdateJuly 27 - 29, 2012, Kiawah island, sc our literature update course is designed to help the busy clinician stay current with our faculty members’ expert critical assessments of over 100 of the past year’s most relevant, current evidence-based publications.
For registration or more informationalison Padlan-gillette, (843) 792-8238, [email protected]
