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Ent Head And Neck Surgery

Why Head & Neck Surgery Of Kansas City

Otolaryngology Head and Neck Surgery Residency Program at Mayo Clinic in Rochester, Minnesota.

At Head & Neck Surgery of Kansas City, we bring our diverse training to provide state of the art Ear, Nose, and Throat Care. Our combined experience of over 30 years of practice allows us to address a wide range of medical and surgical problems.

We pledge to listen to our patients intently in an effort to diagnose and manage their ENT and head and neck problems. Our staff is trained to courteously help our patients through the process.

Otolaryngologyhead And Neck Surgery

OtolaryngologyHead and Neck Surgery is the official peer-reviewed publication of the American Academy of OtolaryngologyHead and Neck Surgery Foundation. The mission of OtolaryngologyHead and Neck Surgery is to publish contemporary, ethical, clinically relevant information in otolaryngology, head and neck surgery that can be used by otolaryngologists, clinicians, scientists, and specialists to improve patient care and public health.

This journal is a member of the Committee on Publication Ethics .

Message From The Chair: Eric Genden Md Facs

The year 2017 was one of innovation at the Department of Otolaryngology Head and Neck Surgery. Clinical innovations in the areas of otologic and skull base surgery, as well as personalized vaccine therapy, have had a positive impact on the care of our patients. George Wanna, MD, Site Chair of Otolaryngology for Mount Sinai Downtown and Director of the Ear Institute and Center for Hearing and Balance, is using high-resolution endoscopy to manage disease and tumors of the middle ear and lateral skull base. Dr. Wanna and Maura Cosetti, MD, have demonstrated the unique advantages that this technique provides for the management of middle ear cholesteatoma and vascular tumors of the skull base.

Innovation and technology have also had a positive impact on education. Led by Alfred M.C. Iloreta, Jr., MD, virtual reality is now being used for learning complex skull base anatomy. No longer are students and resident trainees dependent on two-dimensional learning tools. Virtual reality headsets provide students with the ability to navigate the anatomy in a way that has not been previously possible. This program appears to increase students aptitude and learning motivation and can be used as a platform for planning surgery.

Finally, the Department launched a personalized multipeptide therapeutic vaccine designed to target tumor-specific neoantigens with the goal of inducing a robust antitumor immune response and minimizing the risk of nonspecific immune activity.

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Incisionless Endoscopic Glomus Tumor Removal Yields Reduced Pain For Patients

An observer catching sight of an endoscope in an otology operating room might have assumed that the case was an endoscopic tympanoplasty. However, George Wanna, MD, was actually performing an endoscopic removal of a glomus tumor. These benign, rare vascular tumors can initially present at the skull base and, over time, grow to be very large. Their removal is notoriously difficult and can be associated with complications, including swallowing issues that can lead to tracheostomy, facial nerve paralysis, and even death.

Endoscopic ear surgery was initially limited to perforations, cyst removal, and later, stapedectomy. The goals were to correct the problem without incisions in the ear, minimize the patients pain, enhance surgeons visualization, and expedite healing. For years, otologists shied away from endoscopic removal of vascular tumors, due to their rarity, complex nature, and risk of bleeding.

I thought if I could find a tool that could suction and remove the tumor at the same time, then the bleeding would not be an issue, and surgeons could remove the tumor without patients enduring the pain and scarring associated with the surgery, says Dr. Wanna, who is Professor and Site Chair of the Department of Otolaryngology Head and Neck Surgery at Mount Sinai Downtown and Director of the Ear Institute at New York Eye and Ear Infirmary of Mount Sinai.

American Academy Of Otolaryngology

Department of OtolaryngologyHead &  Neck Surgery Divisions &  Centers ...
  • Physicians Briefing Staff

The annual meeting of the American Academy of Otolaryngology-Head and Neck Surgery was held in Philadelphia from Sept. 10 to 14 and attracted approximately 5,000 participants from around the world, including otolaryngologists, medical experts, allied health professionals, and administrators. The conference highlighted the latest advances in the diagnosis and treatment of disorders of the ears, nose, throat, and related structures of the head and neck.

In one study, Rick Nelson, M.D., Ph.D., of Indiana University Health in Indianapolis, and colleagues found that cochlear implantation helps military veterans with hearing loss.

The authors evaluated outcomes among 50 veterans who underwent cochlear implantation between 2019 and 2021. Outcomes included the etiology of hearing loss, duration of hearing loss, preoperative testing scores, and type of implant and processor. The Self-Administered Gerocognitive Exam, postoperative AZBio Sentence Test, and Consonant-Nucleus-Consonant scores were measured at two, three, six, and 12 months after implantation. The researchers found that noise exposure and advancing age did not impact cochlear implantation outcomes in military veterans. Meanwhile, cochlear implantation outcomes among this population were partially dependent upon cognitive function.

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Wake Forest Baptist Health Managed Care/ma Contracts

AETNA CONNECTED ACA/Exchange: Accepted at all locations

AETNA : Accepted at all locations

AETNA MEDICARE: Accepted at all locations

AETNA WHOLE HEALTH: Accepted at all locations

ALIGNMENT HEALTHCARE MEDICARE ADVANTAGE: Accepted at WFUHS, NCBH, Davie, LMC, CHC and Wilkes

AMBETTER OF NC: Accepted at all locations

AMERIHEALTH CARITAS NEXT ACA/Exchange: Accepted at all locations

APEX MEDICARE ADVANTAGE: Accepted at all locations

BCBSNC : Accepted at all locations

BCBS HIGH PERFORMANCE : Accepted at all locations

BLUE LOCAL : Accepted at all locations

BLUE MEDICARE: Accepted at all locations

BLUE VALUE: Accepted at all locations

CAROLINA BEHAVIORAL HEALTH: Accepted at WFUHS, NCBH and CHC

CIGNA: Accepted at all locations

CIGNA BEHAVIORAL HEALTH: Accepted at NCBH and High Point

CIGNA HEALTHSPRING MEDICARE ADVANTAGE: Accepted at WFUHS, NCBH, Davie, LMC, CHC and High Point

CIGNA LIFESOURCE : Accepted at WFUHS and NCBH

COVENTRY/WELLPATH: Accepted at all locations

CRESCENT PPO : Accepted at WFUHS and NCBH

DIRECT NET: Accepted at WFUHS, NCBH, Davie, LMC, Wilkes and High Point

FIRST HEALTH : Accepted at all locations

FIRSTCAROLINACARE : Accepted at NCBH

GATEWAY HEALTH ALLIANCE : Accepted at WFUHS and NCBH

GOLDEN RULE INS : Accepted at all locations

HEALTHGRAM : Accepted at WFUHS, NCBH and LMC

HEALTHTEAM ADVANTAGE: Accepted at all locations

HUMANA CHOICECARE: Accepted at all locations

HUMANA MEDICARE ADVANTAGE: Accepted at all locations

LIBERTY ADVANTAGE : Accepted at WFUHS and NCBH

Message From The Section Chief

OtolaryngologyHead & Neck Surgery is a section in the Department of Surgery, Alberta Health Services Calgary Zone, and the Cumming School of Medicine, University of Calgary. Otolaryngology is proud to be leaders in patient care, post-graduate surgical and undergraduate medical education, and clinical research within the department. The section provides excellent clinical service in all the domains of OtolaryngologyHead & Neck Surgery at the five Calgary hospitals.

OtolaryngologyHead & Neck Surgeons of each subspecialty domain, and the related health care providers, are geographically concentrated at the various hospital sites to promote high-quality, efficient patient care, focused surgical experiences for the residents, and opportunities for clinical studies. General Otolaryngologists are present at all sites providing comprehensive care across the spectrum of otolaryngologic disorders. Our organizational structure allows us to serve the missions of Alberta Health Services and the University of Calgary.

The Section takes special pride in providing a highly successful OtolaryngologyHead & Neck Surgery residency training program that enjoys a collegial atmosphere among residents and faculty.

The Section of Otolaryngology is a rapidly evolving patient care, teaching, and research enterprise that strives to be national and international leaders in the specialty.

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What Is An Otolaryngologist Head And Neck Surgeon

An otolaryngologist-head and neck surgeon is a Doctor of Medicine who specializes in disorders of the head and neck, particularly those disorders related to the ears, nose and throat. The word oto-rhino-laryngology comes from the Greek words oto for ear, rhino for nose and laryn for throat.

Over the years, otolaryngology has expanded its area of expertise from the ears, nose and throat to a regional specialty of the head and neck and includes subspecialization in otology, neurotology, rhinology, sinus disease, laryngology, plastic surgery of the head and neck, tumour and cancer surgery of the head and neck, pediatric otolaryngology and allergic disorders of the upper respiratory system.

Leading Innovation Achieving Impact

Reconstruction after Head and Neck Surgery | Penn Medicine ENT

Scientist at Public Health OntarioPhD in Public Health and EpidemiologyDalla Lana School of Public Health, University of Toronto

Title: HPV Vaccination in Canada: Focus on Ontario

In response to COVID-19 safety precautions we are currently suspending in person attendance to Grand Rounds until further notice. We would ask that you login remotely.

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Hearing Care New Safety Measures For Your Next Appointment During The Covid

Tom’s Story: Recurrent Tonsil Cancer Treatment and Rehabilitation

After multiple surgeries and radiation therapy to treat his recurrent tonsil cancer, Tom was referred to Johns Hopkins. Learn how the head and neck cancer team worked with him to create an intensive surgical and rehabilitation plan that now allows him to enjoy his favorite activities again.

Joyce’s Story: Cochlear Implantation

After being deaf for nearly 30 years, at age 66, Joyce was a perfect candidate for cochlear implantation. Learn how her wish to hear the voices of her children again came true following her implant and rehabilitation.

Amber’s Story: Reconstruction After Mohs Surgery

Mohs surgery for the removal of squamous cell carcinoma left Amber with a large wound on her face. Willing to travel anywhere for the best facial plastic and reconstruction surgeon, Amber found Lisa Ishii, M.D., at Johns Hopkins to repair her cheek.

Cost Of Rhinoplasty In Toronto

The cost of rhinoplasty in Toronto will differ a little between patients. To determine your personalized price, consider factors like your surgeons fees and the specific method of rhinoplasty youll undergo. The length of surgery and complexity will also affect the charges. You may see various prices listed on Toronto rhinoplasty surgeons websites. At Solomon Facial Plastic, the typical cost of a nose job is between $6,000-10,000 plus HST.

If you need a secondary or reconstruction, seek an advanced facial plastic surgeon with dedicated expertise in this complex area. Your surgical quote will reflect the challenging aspects of the work to be done.

On your Toronto rhinoplasty quote, youre likely to see the following:

  • The surgeons fee for operating
  • The anaesthesiologists fee
  • Cost of medications including anaesthetic
  • The facility fees
  • The fees for licenced health providers on the surgical team.
  • All appointments with your surgeon including pre-operative planning and post-operative assessments
  • In most cases, Toronto rhinoplasty patients can expect their quote to be comprehensive, but feel free to ask for an explanation of the breakdown and whether there will be additional costs for medications.

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    What Does It Take To Become One

    An otolaryngologist has approximately 13 years or more of university training. To receive a fellowship from the Royal College of Physicians and Surgeons, they must complete university, four years of medical school and five or more years of specialty training. At the end of this time, he or she must pass a certification examination to receive designation as an otolaryngologist. In addition, some individuals pursue a further one or two years of subspecialty training.

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    Otolaryngology Residency (Arizona)

    In another study, Yu-Jin Lee, M.D., of Stanford University in California, and colleagues conducted a first-in-human trial in which peptide-dye conjugate was administered intravenously for intraoperative real-time fluorescence visualization of nerves.

    In a phase 1/2 clinical trial, the authors administered ALM-488 in a minimally invasive manner to 27 patients via intravenous infusion prior to parotidectomy, neck dissection, or thyroidectomy. The researchers observed no serious adverse events associated with ALM-488 infusion. Using a visualization scoring system that was adapted from evaluating a U.S. Food and Drug Administration-approved magnetic resonance imaging contrast imaging agent, the researchers found that the addition of intraoperative fluorescence imaging after ALM-488 infusion led to significantly improved contrast enhancement, delineation of nerve branches, and increased length of the nerves measured.

    “ALM-488 has a significant potential impact on changing the paradigm and improving outcomes in any surgeries requiring identification of nerves,” Lee said.

    Christopher Noel, M.D., Ph.D., of the University of Toronto, and colleagues found that more than half of the head and neck cancer population report depressive symptoms however, only a small number actually receive intervention.

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    Mount Sinai Student Wins First

    Rocco Ferrandino, an Icahn School of Medicine at Mount Sinai medical student, won the first-place poster award for Head and Neck Surgery at the American Academy of Otolaryngology annual meeting in September 2017.

    His research involves hospital readmissions in patients undergoing parathyroid surgery. He shares the honor with Yue Ma, MD, and Scott Roof, MD, residents at The Mount Sinai Hospital Marita Teng, MD, residency program director for the Department of Otolaryngology and Girish Nadkarni, MD, MPH, his nephrology mentor.

    Personalized Genomic Vaccines Fight Cancer

    When tumor cells appear in a cancer patient, the immune system is mobilized to attack and kill them through the action of white cells called killer T cells. Despite the initial immune response, tumors become highly adept at escaping the immune system. Fortunately, new immune-based therapeutics, in particular checkpoint inhibitors, demonstrate clinical efficacy in several solid malignancies, including head and neck cancer, by reinvigorating and expanding killer T cells that recognize neoantigens in tumor cells and target these cells. These agents are available as part of The Tisch Cancer Institutes Solid Tumor Program at the Icahn School of Medicine at Mount Sinai.

    Unfortunately, not all patients respond to checkpoint inhibitors, and therefore Mount Sinai researchers are exploring novel strategies to combat this problem. Physicians with the Personalized Medicine Program at The Tisch Cancer Institute have initiated a phase I proof-of-concept study, a fully personalized multipeptide therapeutic vaccine designed to target tumor-derived neoantigens for individual patients. The investigational vaccine is based on the Personalized Genomic Vaccine platform, which utilizes tumor sequencing technologies to identify tumor-specific neoantigens for specific patients.

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    Ent/head And Neck Surgery

    131 Miller St.

    Also known as otolaryngology, ENT/Head and Neck surgeons are specialists dedicated to the diagnosis and management ofdisorders affecting the ear, nose, throat, head and neck.

    Our otolaryngologists are highly experienced and have advanced medical training, hands-on experience, and access tothe latest technology and research to diagnose, manage and treat all conditions of the ear, nose, throat, head andneck through a multidisciplinary team approach.

    Transoral Robotic Surgery Tackles Tonsil Cancer Without Radiation

    Improving Voice Outcomes After Thyroid Surgery

    Tameka Ferdinand first experienced a burning sensation in her throat after eating tart candy. When it persisted, the Queens, New York, resident headed straight to her primary care physician, who referred her to a Mount Sinaiaffiliated ear, nose, and throat physician, William Portnoy, MD.

    Shortly after Thanksgiving of 2016, Dr. Portnoy gave Ms. Ferdinand, who is in her 50s, the bad news from her biopsy: she had HPV-related tonsil cancer. I literally sat on my bed and started planning my funeral, Ms. Ferdinand recalls. And I wondered how I was going to tell everyone.

    Dr. Portnoy referred her to Raymond Chai, MD, a head and neck surgeon at Mount Sinai-Union Square, who scheduled her for a PET-CT scan and conducted an exploratory procedure to determine whether she was a candidate for transoral robotic surgery .

    I relayed to Ms. Ferdinand that she had a large mass arising from the tonsil and involving the inferior portion of her soft palate, Dr. Chai says. But the good news was that she was an excellent candidate for TORS and we felt that with the procedure, there was a high likelihood that we could deintensify therapy for her.

    The best news of all followed. I was told the surgery was so successful, I would not require chemotherapy or radiation as a follow-up treatment, she declared, smiling broadly. I thank God for all three of my doctors: my PCP, Dr. Portnoy, and Dr. Chaithey are godsends, Ms. Ferdinand says.

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    What Is The Recovery Like

    The first 24 hours after your rhinoplasty in Toronto will involve a few different factors. When ready, youll head home with gauze taped under your nose as some minor bleeding is expected. Luckily, recovering from rhinoplasty in Toronto is not often described as painful, but difficulty breathing through the nose is common. Due to expected swelling, the first few days will be uncomfortable, and youll receive a prescription for pain medication.

    Facial bruising in the eye area is common. In most cases, discolouration and inflammation will appear more dramatic than they feel because your facial tissue is very vascular. That same abundant blood flow will also help you to heal quickly. You may have stitches inside your nose which usually dissolve on their own. In some cases, a splint may be temporarily placed over your nose to protect it until the new shape is set. Youll have a return visit to meet with your Toronto rhinoplasty surgeon within a day or two of your procedure.

    There are a few restrictions to keep in mind for safe, comfortable healing after Toronto rhinoplasty:

  • Avoid blowing your nose for 4 weeks and refrain from bending over or heavy lifting all of which increase blood pressure in the face.
  • Youll need to switch to contacts if you normally wear eyeglasses.
  • While you wont be permitted to press anything onto the nose, cold compresses on the cheek area may be permitted early post-procedure.
  • Immersive Virtual Reality Engages Students And Surgeons

    Virtual reality may be most closely associated with the entertainment industry, but it is also being used at the Mount Sinai Health System to teach students skull base anatomy and how to prepare for surgeries. Led by Principal Investigators Raj Shrivastava, MD, and Alfred M.C. Iloreta, Jr., MD, as well as co-investigators Joshua B. Bederson, MD, Satish Govindaraj, MD, and Anthony Del Signore, MD, the IRB-approved study Immersive Virtual Reality as a Teaching Tool for Neuroanatomy was the first of its kind to evaluate medical students aptitude for skull base anatomy as well as their motivation and attitudes toward learning the material.

    VR in the ClassroomFor the purposes of the medical student study, images of normal cerebral anatomy were reconstructed from human Digital Imaging and Communications in Medicine files. The team merged CT and MRI imaging into a 3D VR format, which is compatible with the Oculus Rift + Touch Virtual Reality System. The ventricular system and cerebrovasculature were highlighted and labeled to formulate an interactive model. The study was performed as a randomized controlled trial of 66 students , who studied pertinent neuroanatomical structures using either online textbooks or the VR interactive model. Their anatomy knowledge, educational experience, and motivation were then assessed.

    To learn more about Mount Sinais Skull Base Surgery Center, visit www.mountsinai.org/skullbase.

    Note: Dr. Bederson owns equity in Surgical Theater, LLC.

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