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8/2/2019 Newsletter Sum 08

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Heads Up !

rew H. Murr, MD

ssor and Clinical Vice Chairman

id W. Eisele, MD

essor and Chairman

YouOtoKnowNewsandEvents

Clinical Research Awards

Eric J. Kezirian, MD is a 20

recipient of the Triological So

Research Career Developme

Grant.

Basic Science Awards

OHNS Postdoctoral Fellow, R

Froemke, PhD was awarded

NIH Pathways to Independen

Award - K99/R00.

Professor Emeritus

Michael M. Merzenich, PhD

is the 2008 recipient of an N

Eureka subcontract with the

University of Mississippi.

Teaching Awards

James D. Pletcher, MD wa

honored with the 2008 Franc

A. Sooy, MD Award for Clinic

Excellence.

Steven J. Wang, MD was

honored with the 2008 Roge

Boles, MD Award for Excellen

Clinical Faculty Teaching.

Resident Awards

Harry S. Hwang, MD receiv

a American Academy of

Otolaryngology - HNS

Resident Research CORE Gra

Frederick C. Roediger, MD

received a American Rhinolo

Society Resident Research C

Grant as well as the 2008 KeC. Lee, MD Resident Award f

Outstanding and Meritorious

Service and Team Leadership

New Appointments

Laura Alley Kirk, MSPAS,

has joined the Parnassus fac

practice.

Katherine C. Yung, MD ha

joined the UCSF Voice Cente

the 08/09 Laryngology Fellow

CLINICAL NEWS

The 2008 residency application

season has drawn to a close and

the match results are in! UCSF

Otolaryngology - Head and

Neck Surgery did extremely wellthis year and we matriculated

an outstanding group of

residents in the PGY-1 year:

Terrence Metz, MD from Loyola

University, Megan Durr, MD

from Johns Hopkins University,

and Jonathan George, MD, from

Duke University, will be starting

their PGY-1 year at UCSF. Jolie

Chang, MD, Kevin Huoh, MD, and

Gerald Kangelaris, MD, nished

their internships to join us as

PGY-2s in Otolaryngology - Head

and Neck Surgery. In the 2008

residency match, we received250 applications for 3 positions

and interviewed 40 students. An

unprecedented 100% of our rst

40 invitations for interview were

accepted without a need to refer

to wait-listed candidates.

This strong interest in our

department from prospective

residents is a very positivereection on the strength of

our programs. Since the recent

construction of the Robert

A. Schindler Surgical Skills

Classroom, our department

has one of the most modern

surgical training facilities both

nationally and internationally.

With the recruitment of Osamu

Tetsu, MD, PhD, a head and

neck cancer basic scientist, our

research programs continue to

achieve greater innovation and

discovery. We have a powerful

clinical outcomes research unit

University of California, San Francisco / Department of Otolaryngology Head and Neck Surgeryme 5, Issue 2 / Summer 2008

CHAIRMANS ADDRESS

We are pleased to present the

Summer 2008 edition of Heads

Up!, the UCSF Otolaryngology

Head and Neck Surgery

Newsletter. This edition

highlights several exciting

developments including recent

awards, an update on our clinical

and educational programs and

our annual resident graduation

dinner and Sooy endowed

lecture. We will also behighlighting Lawrence R. Lustig,

MD and Lisa A. Orloff, MD, recent

recipients of the Francis A. Sooy

Endowed Chair and the Robert

K. Werbe Endowed Distinguished

Professorship respectively.

In this edition, we focus on the

innovations of the UCSF Voice

Center and the UCSF Minimally

Invasive Skull Base Program

(MISB).

Through a multidisciplinary

team of clinicians including

speech-language pathologists,laryngologists, voice trainers

and neurologists, the UCSF Voice

Center provides outstanding

treatment plans to address the

problems and challenges for

professional voice users.

The Minimally Invasive Skull

Base Program provides cutting-

edge endoscopic approaches

to tumors of the skull base

including the expanded

endonasal approach. This two-

surgeon technique is performed

at only a few institutions in the

United States.

June is a very special time of

year when we hold our annual

graduation dinner and Sooy

endowed lecture. This year,

Donald A. Leopold, MD, Professor

and Chairman of the Department

of Otolaryngology - Head and

Neck Surgery at the University

of Nebraska, presented excellent

lectures on the treatment of

dysosmia and endoscopic frontal

sinus surgery. Our graduation

dinner was enjoyed by all and

in our Summer 2008 Heads Up!

issue, we update you on several

honors and accolades shared by

our faculty and residents.

Sincerely,

David W. Eisele, MD

Professor and Chairman

Otolaryngology - Head and Neck Surgery Newslet

Continued on back page

oger Boles Endowedectureship

obby R. Alford, MDaylor College of Medicineeptember 4, 2008

CSF Voice Conferencerand Hyatt San Franciscoctober 16-18, 2008

CSF Endocrine Surgeryourser Francis Drake Hotel, SFctober 24-25, 2008

obert Schindler Endowedectureshipruce J. Gantz, MD

niversity of Iowaovember 20, 2008

acifc Rim Otolaryngologyead and Neck Surgerypdatelton Hawaiian Villageonolulu, Hawaiiebruary 14-17th, 2009

ead and Neck Tumoronferencevery Wednesday 7:30-9am3805, Mt. Zion

or information aboutpcoming courses and lecturesease contactair Dunne: (415) 476-4952


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CULTY FOCUS:an H. El-Sayed. MD, FACS

ce joining the faculty in 2003,

n El-Sayed, MD, FACS haslored innovative endoscopic

proaches to tumors of the

ll base. Initially he addressed

ll base and paranasal sinuses

mors using endoscopic

isted approaches, until the

hnical challenges of endoscopic

ection were mastered.

rently, as the Director of the

laryngology Minimally Invasive

ull Base (MISB) Program, Dr.

Sayed has been a driving

ce behind the development of

active endoscopic skull base

m able to deliver effective careough either traditional open

novel expanded endonasal

proaches. Along with Andrew

dberg, MD and colleagues

m neurosurgery, Drs. Michael

Dermott, Andrew Parsa and

nish Aghi, the core MISB

m utilizes a two-surgeon

proach to address tumors of

anterior, central, and lateral

ll base. Recently, Dr. El-Sayed

introduced the endoscopic

hniques to the neurospine

m for the management of

tain spinal conditions.

panded endonasal approaches

(EEA) using a two-surgeon

technique is performed routinely

at few centers nationally. The

technique consists of creating a

corridor through the nose with

the removal of the ethmoid

sinuses and middle turbinate. By

removing the posterior half of the

septum, enough room is created

in the nasal cavity to allow two

surgeons to work simultaneously.

This four handed surgery allows

enough visualization and access

to address large tumors.

Using this technique, central

skull base lesions such as large

pituitiary tumors, meningiomas

around the optic nerve in the skullbase, or tumors involving the

clivus and nasopharynx can be

addressed. Lesions in the anterior

skull base, even with signicant

intracranial extension have been

resected using EEA with slight

modication of the approach. By

widely opening the nasal cavity

from orbit to orbit and from the

frontal sinus to the sphenoid

sinus, lesions in the anterior skull

base are accessible. Patients

that would have required a facial

incision or open craniotomy, such

as for esthesioneuroblastomas,

are now addressed in most cases

through the nose. Even more

daunting lateral lesions involving

the pterygoid or infratemporal

fossa can be attacked. Difcultlesions such as juvenile

nasopharyngeal angiobrom

schwannomas, and maligna

tumors have been resected

these techniques. The lesio

are reconstructed with a pe

naso-septal ap (NSF) thatreach along the entire skull

Over a 16 month period, si

introduction of the NSF in 2

through 2007, 28 patients h

successful reconstruction of

skull base with the NSF. Tw

did fail due to a prior histor

radiation, but no patients in

series developed a CSF leak

Dr. El-Sayed recently prese

his approach to the lateral s

base using an endoscopic a

maxillotomy in 17 patients

World Congress of Endosco

Skull Base Surgery in Sao P

Brasil and he presented the

nasal septal ap experience

Triologic Western Section m

He has also presented his w

nationally and international

the past year. Future direct

include further renement o

instrumentation, the techni

and approaches. While a lea

the west coast in the introd

of these techniques, the MI

a strong foundation and is c

of providing either tradition

open or endoscopic techniq

tailored on a case by case b

SF VOICE &WALLOWING CENTER:

ltidisciplinarytient Care

clinical mission of the UCSFce and Swallowing Centero provide care for patientsh communication disorders.accomplish this goal, atidisciplinary team of cliniciansuding speech-languagehologists, laryngologists, voiceners and neurologists has

n assembled. Patients whotheir voice professionallyet from the expertise ofclinicians at the center. Thisent group not only includes

ors and singers, but alsochers, lawyers, businessple and physicians. Researchshown that the early

ntication of voice problems isds to an increased chance ofrecovery. This is critical forprofessional voice user whose

eer may be in jeopardy.

icians for this population

st be sensitive to minutenges in voice quality, rangeeffort that may not be

mediately noticed by non-ce clinicians when listeninghe conversational speakingce. Common complaintsm vocal performers includehange in voice quality, vocal

fatigue or discomfort (despite anormal speaking voice), a crackin the upper register, difcultyprojecting, or subtle changes inresonance. Business people, onthe other hand, may experiencesignicant deterioration in theirspeaking voice and be unableto maintain the rigorous vocal

demands of running an ofce orparticipating in conference callsand meetings. For all these variedvoice pathologies hoarsenessis often the only descriptoron referral. Careful attentionto other symptoms is key tounderstanding the best optionsfor intervention. The sooner the

referral to a multidisciplinaryvoice team the more likelyoptimal results will be achieved.Collaboration provides aneffective and powerful skill-set forvoice evaluation and managementthrough medical, surgical andbehavioral approaches.

For example, a jazz singer cameto the UCSF Voice and SwallowingCenter after several monthsof vocal difculties. She hadsought attention from individualpractitioners, but her vocalproblems had not been resolvedand her career was threatened.

For years, the singer hadperformed nightly with pianoaccompaniment and withoutvocal difculty. When she besinging with a full band, howshe began to notice decreasvocal range and increasedroughness in her voice. The obtained a thorough history laryngology examination incvoice analysis and laryngealstroboscopy throughout her vocal range. Excess muscletension was identied in herat rest and while speaking. T

stroboscopic examination shthat the patient had polyps oboth vocal folds. The team fethat these were caused by thway she was using her voicein singing and speaking.

The ndings from the evaluawere reviewed with the patieand treatment plans werediscussed in detail. The teamand patient decided to proceby instructing her to modify vocal habits and improve votechnique through speaking singing voice therapies. With

treatment her voice recovershe has avoided surgicalintervention and is currentlyable to meet all her performdemands. This example illusthat treating the voice of aprofessional voice user with multidisciplinary team approyields the best results.

Mark S. Courey, MD examines a patient with his team; from

left: SLPs Sarah Schneider and Joey Thorton.

Ivan H. El-Sayed, MD, FACS


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ADUATION EVENTS;NUAL SYMPOSIUM,DOWED LECTURE ANDNNER

end of the year eventsmmenced with the 6th Annualident Research SymposiumFriday, June 27, 2008. Kristariguez-Bruno, MD placed with her topic: Novelhod to Quantify Pharyngeall Weakness in Patients withphagia. Second place went

David Saito, MD for his talkRheological Properties of

onasal Secretions in Patientsh Chronic Rhinosinusitis.resa Kim, MD placed third

h her presentation on Auditory

ction and Cochlear Histology inosin Knockout Mice.

Saturday morning June 28th thefaculty and residents gathered forthe 2008 Francis A. Sooy Lecturewith guest speaker Donald A.Leopold, MD, FACS, Professor

and Chairman, Department ofOtolaryngology - Head and NeckSurgery, University of NebraskaMedical Center.

Dr. Leopold gave two very wellreceived lectures on TreatingDysosmia, From Saline toSurgery and Can All FrontalSinus Surgery Be Endoscopic?.

The Sooy Lectureship is anendowed program in theDepartment of Otolaryngology -Head and Neck Surgery, at theUniversity of California, San

Francisco that honors the memoryof Dr. Francis A.Sooy. Dr. Sooywas Chairman ofthe Departmentof Otolaryngology Head and NeckSurgery from 1958to 1972. He servedas UCSFs fourthChancellor from1972 to 1982,following which hewas Professor ofOtolaryngology untilhis passing in 1986.

The Otolaryngology

- Head and Neck Surgery annualyear end dinner was held on June28, 2008 at the Westin SaintFrancis Hotel in San Francisco.Arthrocare, Karl Storz Endoscopy-America, GlaxoSmithKline, Gyrus,and Medtronic Xomed providedgenerous corporate sponsorshipfor our Sooy Endowed Lectureshipand dinner and Joseph Gallo andthe Ernest & Julio Gallo Winerygraciously donated the superbwine for our event. Attendeesdined in the St. Francis Suiteoverlooking beautiful San

Francisco Union Square.Watching our senior residents

graduate and welcoming ounew residents aboard wasvery exciting; however, maattendees found it especialrewarding to see this years

teaching awards conferred department faculty membeSteven Wang and James Ple

The Roger Boles TeachingExcellence award is given ttime faculty members in hoour former Chairman RogeMD. This years recipient SWang, MD was honored forextraordinary mentorship tresidents, his encouraging and his leadership.

The Francis A. Sooy ClinicaExcellence award is given t

part-time and volunteer facin honor of our former Chaand University Chancellor FA. Sooy, MD. This year, theaward was conferred on JaPletcher, MD, with an enthustanding ovation from all dattendees. Dr. Pletcher seras a part-time attending atFrancisco General Hospital,he provides outstanding reteaching and exemplary seto the department. While iproud moment for Drs. WaPletcher, we all share in theof having outstanding teac

faculty.

BERT SWEETOWCEIVES DISTINGUISHEDHIEVEMENT AWARD

fessor Robert W. Sweetow PhD,ector of the Division of Audiologyhe Department of Otolaryngologyead and Neck Surgery, wasmed a recipient of The Americandemy of Audiologys 2008tinguished Achievement Award.s award is the Academys highestor, which is reserved for those

o have had an impact on thefession through their teachingclinical service.

Robert Sweetow is a criticaltner in the diagnosis andatment of hearing disordersur department. He is a giftedcian, teacher, and researcher

o has provided personal caremany patients with hearing, and has helped countlesser audiologists to improve theire for patents with hearing loss.iologists around the world

ognize the many contributionsde by Dr. Sweetow in the areasural rehabilitation, hearing aids,itus, counseling, and forensics.

Sweetows passion to providebest care for individuals

h hearing loss motivated himevelop the internationallyowned LACE, (Listening and

Communication Enhancement)training program. LACE is anevidenced-based self-paced programdesigned for home use in trainingthe brain to utilize skills that maydiminish with deciencies in hearing.It develops skills and strategies thathelp compensate for situations whenhearing is inadequate.

Dr. Sweetow is truly a pioneer inimplementing an effective andaffordable rehabilitative program forpeople with hearing loss.

In addition, Dr. Sweetow hasprovided outstanding serviceto the American Academy ofAudiology. He has participated inthe scientic programs of everyannual convention of the Academyand is among the their most notablemembers.

Kristin K. Egan, MD will

begin a Facial Plastic &Reconstructive SurgeryFellowship under Drs.Robert M. Kellman& Sherard A. Tatum,Syracuse University.

M. Jafer Ali, MD will

begin a Facial Plastic &Reconstructive SurgeryFellowship with Dr.James R. Koch in SanMateo, CA.

Theresa A. Gurn

MD will be joiningSanta Cruz MedicCenter, in Santa CCA.

UCSFOtolaryngology-Head&NeckSurWelcomesIncomingResidents

UCSFOtolaryngology-Head&NeckSurSalutesGraduatingResidents

Terrence Metz MMedical School:LoUniversity

Megan Durr MDMedical School:Johns HopkinsUniversity

Jonathan George MDMedical School:Duke University

Robert W Sweetow, PhD

up photo of faculty and residents at the 6th AnnualResident Research Symposium

Donald A. Leopold, MD, FACS infront of a painting honoring formerUCSF Chancellor Francis Sooy, MD


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ontactUs

neral Otolaryngologydiatric Otolaryngology

ology and Neurotology

nology and Sinus Surgeryep Surgery

5-353-2757

ad and Neck Surgeryad and Neck Endocrine

rgery

SF Salivary Gland Center

5-885-7528

chlear Implant Program5-353-2464

cial Plastic SurgerySF Voice and Swallowing

nter

5-885-7700

diology

5-353-2101

ine

p://ohns.ucsf.edu

HeadsUp!Volume5,Issue2

Department Chairman,

Editor in Chief:

David W. Eisele, MD

Executive Editor:

Deborah Samii, MA, Ed

Managing Editor:

Emerald Light

Editors:

Matt ForbushJonathan Hecht, MPA/HSACatherine Lee, MPHHolly Wong, MA

Special thanks tocontributing writers:

Andrew H. Murr, MD

Ivan H. El-Sayed, MD

Mark S. Courey, MD

Sarah Schneider, CCC-SLP

Endowed Faculty Positions

Currently, the Department of

Otolaryngology Head and Neck

Surgery has 22 faculty members and

only 4 endowed faculty positions:

Dr. Lisa Orloff was recently named

the Robert K. Werbe Distinguished

Professor in Head and Neck Cancer.

Distinguished professorships are

the highest faculty honor one can

receive and signify UCSFs belief in a

faculty members past contributions

and future promise. As the Werbe

Distinguished Professor, Dr. Orloff will

augment her research and clinical

interest in studying applications of

ultrasonography to cancers of the

head and neck;

The Roger Boles, MD Endowed

Chair in Otolaryngology Education is

held by the Departments Vice Chair

and Residency Director, Dr. Andrew

Murr. Established in honor of Dr.

Boles, a former chairman of the

department and renowned educator,

the Boles Endowed Chair equips Dr.

Murr with the resources to actively

manage one of the hallmarks of our

Department: the residency education

program;

The Georgia G. Sullivan Endowed

Chair in Hearing Research is held

by Dr. Patricia Leake. Dr. Leake is

leading the departments research

on cochlear implants and the effectof stimulation from an implant and

other potential neurotrophic agents

on the developing auditory nervous

system;

Dr. Lawrence Lustig was newly

named the Francis A. Sooy, MD

Endowed Chair in Otolaryngology.

Named for Dr. Francis Sooy, a past

chairman of the department and

former Chancellor of UCSF, funds

from the Sooy Chair will allow Dr.

Lustig to continue his innovative

research involving the molecularmechanisms controlling auditory hair

GIVING BACK

by Andrew N. Goldberg,

, and a dedicated presence

leep apnea research

er the direction of Eric J.

irian, MD. In addition,

. Andrew N. Goldberg,

ven J. Pletcher, and Ivan H.

Sayed are partnering with

neurosurgery colleagues

and the outer limits of

ll base endoscopic surgery.

his collaboration, we are

viding the latest technology

ESS technique in order toimize morbidity in surgery,

to address skull base

mors, CSF leaks, orbital

gery, and surgery for sinus

mors and sinus disease.

A. Orloff, MD continues

be on the cutting edge

ltrasound technology in

head and neck endocrine

gery practice. In

aboration with department

irman David W. Eisele, MD,

Orloff will be directing the

SF Head and Neck Endocrinegery Course in concert

h the American College of

geons Ultrasound Skills

rse on October 24-25, 2008

an Francisco.

order to expand patient

ess to the wider San

ncisco Bay Area, David

m, MD has opened a Marin

unty ofce for Facial

stic Surgery in Greenbrae,

fornia. In addition, Kristina

W. Rosbe, MD opened a new

Greenbrae satellite practice

in pediatric otolaryngology.

Dr. Rosbes practice is so

busy that our department

has recruited a second

pediatric otolaryngologist,

Anna K. Meyer, MD, who will

join the Division of Pediatric

Otolaryngology Head and

Neck Surgery in October of

2008.

At our San Francisco GeneralHospital (SFGH) practice,

we have recently recruited

a new nurse practitioner,

Christina Herrera, who was

previously employed by the

University of Pennsylvania,

Division of Rhinology. Ms.

Herrera will assist us with

the implementation of a new

computer based referral

system which will enable

our SFGH practice to be

more efcient and provide

better service to the patients

and physicians of the SanFrancisco Community Health

Network.Our trauma practice

at SFGH is an important

aspect of our residency

training and continues to

provide an outstanding

learning experience betting

the position of SFGH as the

only Level 1 trauma center

in the city and county of San

Francisco.

In summary, Otolaryngology

- Head and Neck Surgery

continues to move forward

with new recruitments,

innovative clinical and

research efforts, new practice

sites, and the introduction

of new CME courses. The

UCSF Otolaryngology Update

for 2009 will be held at the

San Francisco Ritz Carlton

in November 2009. We will

share more details about this

exciting program as the date

draws closer.

ntinued from page 1

HUGH SMITHRETIRES

After 34 years of

excellent service as

the Departments

Billing Coordinator

Hugh Smith has

retired. Hugh

has consistently

demonstrated

exceptional

professionalism and

dedication. His ongoing contribution tdepartment will be missed.

Hugh Smith

cell function, and clinical work

cochlear implants.

The strength of UCSF and the

Department of Otolaryngology

Head and Neck Surgery ow

its faculty. Attracting and keep

innovative faculty, is critical to

department to allow us to achi

our goals in education, researc

patient care.

Donors Make It Happen!

Faculty researchers can spend

up to thirty percent of their tim

applying for grants to sustain t

work, a demanding but necess

activity if they are to continue

investigations. Endowed Chair

and Distinguished Professorshi

provide a stable source of supp

that allows the holder to conce

on the research, clinical or tea

activities for which he or sheis renowned. Endowed faculty

positions provides independen

from the uctuations of govern

funding cycles and the growing

conservatism of granting agen

well as liberates the holder to

teaching excellence, and reliev

pressure to generate other sou

nancial support.

Creating an endowed faculty p

is one of the most lasting and

signicant contributions a dono

make. An endowed position cran enduring partnership betwe

donor and the ongoing achieve

of the recipient. Endowed posit

exist in perpetuity. Donors and

families can enjoy the rewards

generations.

For more information about

establishing a distinguished

professorship, or endowed cha

any other gift, please contact J

Hauk, Director of Development

415-502-6198 or

[email protected].

newsletter sum 08

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