Penn State Health Otolaryngology – Head and Neck Surgery: Division Update Spring 2015

PENN STATE HERSHEY OTOLARYNGOLOGY-HEAD AND NECK SURGERY

Division Update PennStateHershey.org/otolaryngology

Our vision: to be the region’s premier center for patient care, education,

Lighthall Joins Penn State Hershey Otolaryngology-Head and Neck Surgery

innovation, and research in otolaryngology–head and neck surgery. We gladly partner with referring physicians to provide the most optimal treatment plan for patients. To offer feedback or ask questions about this publication, patients, success stories, or other otolaryngologyrelated concerns, contact David Goldenberg M.D., at dgoldenberg@hmc.psu.edu or 717-531-6718.

Jessyka Lighthall, M.D., joined the team in August as assistant professor of surgery. A fellowship-trained surgeon, her focus is in facial plastic and reconstructive surgery. She specializes in treating patients with aesthetic concerns related to aging as well as reconstruction of head and neck cancer defects, facial skin cancer defects, traumatic facial injuries, and congenital deformities.

Dr. Lighthall provides the full spectrum of aesthetic facial surgical procedures including facelift, rhinoplasty, blepharoplasty, brow lift, and facial augmentation. She is also trained in neuromodulator and filler use, chemical peels, dermabrasion, and lasers.

A major part of her practice focuses on reconstruction including Moh’s skin cancer defects, microvascular free tissue transfer for reconstruction of large head and neck defects, and reconstruction of post-traumatic soft tissue and facial skeletal injuries.

Her clinical interests are in rhinoplasty—including cosmetic nasal reshaping, functional nasal surgery for difficulty breathing, and complex nasal reconstruction after cancer resection, trauma, or prior nasal surgery— as well as in the treatment of congenital deformities such as cleft lip/palate, and external ear abnormalities.

Dr. Lighthall participates in international surgical mission trips to repair cleft defects.

Her research interests focus on surgical outcomes and quality of life after facial aesthetic and reconstructive surgery.

Dr. Lighthall earned her medical degree and completed a general surgery internship and otolaryngology residency at Oregon Health and Sciences University followed by a facial plastic and reconstructive surgery fellowship at University of Minnesota. Dr. Lighthall has authored multiple publications and abstracts that have appeared in national medical journals and has presented at national meetings.

Dr. Lighthall currently cares for patients at: Penn State Hershey Medical Center University Physician Center, Suite 400 500 University Drive Hershey, PA 17033 Penn State Hershey Medical Group – Camp Hill 3025 Market Street, Entrance A Camp Hill, PA 17011

Referrals or more information: 717-531-6822

Goldenberg Appointed Division Chief David Goldenberg, M.D., F.A.C.S., professor of surgery and medicine and associate director of surgery, Penn State Hershey Cancer Institute, was recently named chief of the Division of Otolaryngology-Head and Neck Surgery. Dr. Goldenberg joined Penn State Hershey in 2006.

His clinical focus is in head and neck surgery and oncology, thyroid and parathyroid surgery.

Dr. Goldenberg completed his undergraduate and medical school training at Ben Gurion University of the Negev in Beer Sheva, Israel followed by a one-year internship and six years of otolaryngology–head and neck surgery residency training in Haifa, Israel. He completed a three-year fellowship in head and neck oncology and surgery at Johns Hopkins Medicine, Baltimore, MD. Dr. Goldenberg serves as the president of the Pennsylvania Academy of Otolaryngology-Head and Neck Surgery; council board member of the American Head and Neck Society (AHNS); education chair of the American Head and Neck Society; and board member of the AHNS Research and Education Foundation. He is the editor-in-chief of Operative Techniques in Otolaryngology Head and Neck Surgery. He has authored more than 140 peer-reviewed papers and four books.

Contact Dr. Goldenberg at 717-531-8946 or dgoldenberg@hmc.psu.edu.

George H. Conner Visiting Professor Lecture The Division recently welcomed Robert T. Sataloff, M.D., DMA, FACS, as the Twentieth Annual George H. Conner Visiting Professor. Dr. Sataloff presented the Anatomy and Physiology of the Voice: Current Concepts to residents and medical staff, and Voice Surgery Current Concepts and Techniques to the Medical Center campus, including students and patients, as well as the public.

Dr. Sataloff is professor and chairman, Department of Otolaryngology–Head and Neck Surgery and senior associate dean for clinical academic specialties, Drexel University College of Medicine. He is also adjunct professor in the Departments of Otolaryngology–Head and Neck Surgery at Thomas Jefferson University, the University of Pennsylvania and Temple University, and is on the faculty of the Academy of Vocal Arts. He served as conductor of the Thomas Jefferson University Choir for nearly four decades.

Crescent Lighting for Head and Neck Cancer Awareness Penn State Hershey’s signature Crescent was lit in burgundy and white to recognize oral, head and neck cancer awareness from April 20-27. More than 43,000 new cases of oral, head and neck cancer will be diagnosed this year alone. As part of an ongoing effort to reduce energy usage and operate in a more cost efficient and environmentally friendly manner, Penn State Hershey installed an LED lighting

system to illuminate its signature Crescent building, replacing the original and less efficient facade lighting. In addition to reducing energy consumption, the upgraded system now enables the organization to illuminate its highly visible “front door” using different color schemes than the standard white lights that have lit the Crescent for the past forty years.

Meet the Team Penn State Hershey Otolaryngology-Head and Neck Surgery offers immediate access to fellowship-trained individuals with particular expertise in each specialty. Six full-time clinical academic faculty members provide general otolaryngology services, as well as subspecialty care in head and neck oncology and thyroid, endocrine surgery, rhinology and sinus surgery, laryngology, neurotology, pediatric otolaryngology, and facial plastics and reconstructive surgery. Such focus allows faculty to become highly skilled clinicians and surgeons, offering both unparalleled care—from simple problems to the most complex—and access to the latest technologies and research discoveries.

For complete bios and photos, visit PennStateHershey.org/otolaryngologyteam.

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David Goldenberg, M.D., F.A.C.S. Division Chief, Penn State Hershey Otolaryngology-Head and Neck Surgery Professor of Surgery and Medicine and Associate Director of Surgery, Penn State Hershey Cancer Institute

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Johnathan McGinn, M.D. Associate Professor of Surgery Residency Program Director Medical Director, Practice Sites

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Genevieve Andrews, M.D. Assistant Professor of Surgery Associate Director of Surgical Oncology, Penn State Hershey Melanoma Center

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Over the last year, the head and neck surgery clinic had nearly 28,000 patient visits and the team performed nearly 2,000 surgical procedures.

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More than 160 articles and book chapters were published by the team, and our research was presented at more than 125 national and international conferences and meetings over the last five years.

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Currently the Division has received $546,000 in grants for national or Commonwealth funded research.

Michele Carr, D.D.S., M.D., M.Ed., Ph.D., F.R.C.S.C. Professor of Surgery Director of Pediatric Otolaryngology-Head and Neck Surgery

Fast Facts •

The Division of Otolaryngology was established in 1973 by George H. Conner, M.D., the first division chief.

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In 1974, a three-year residency program was established.

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Fred Fedok, M.D., resident from 19851989, assumed the division chief role in 1995, and led the division for more than fifteen years. Dr. Fedok has moved on to a new chapter in his career. We wish him continued success and offer thanks for his commitment to the division and the institution.

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Huseyin Isildak, M.D. Assistant Professor of Surgery Director, Otology/Neurotology

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Jason May, M.D. Assistant Professor of Surgery

ACGME Residency Program: Commitment to Education Penn State Hershey Otolaryngology-Head and Neck Surgery’s highly competitive five-year Accreditation Council for Graduate Medical Education-approved training program provides a full spectrum of clinical exposure. Residents obtain the majority of their clinical experience at Penn State Hershey Medical Center and Penn State Hershey Children’s Hospital; additional training occurs in off-campus clinics and a community otolaryngology setting.

Multidisciplinary exposure and rotations with radiation oncology, neuroradiology, oromaxillofacial surgery, speech and language therapy, and audiology are incorporated into the residency program. Beyond the extensive clinical and educational components of the division, an active research program is maintained. A monthly research forum tracks active and new projects, problem solves, and encourages shared information on research

topics. Residents actively present at national and international meetings, publish in peer review journals, and receive regional and national awards and grants.

For more information about our residency program and current residents, visit PennStateHershey.org/ otolaryngologyeducation.

The residency training program is the most important educational commitment. Penn State Hershey creates the best possible environment to allow residents to thrive both clinically and academically during their time at Penn State Hershey and beyond. If you are interested in learning how to support the residency education fund, please contact Kim Mougenel in the Office of University Development and Alumni Relations at 717-531-6033 or via e-mail at kmougenel@hmc.psu.edu.

Thank you for your generous contributions to the residency education fund: Judith Braun, M.D., Fred Fedok, M.D., Katarzyna Kavulak Ferraro, M.D., Richard Ferraro, M.D., David Goldenberg, M.D., F.A.C.S., Kim Gordon, Mark Klingensmith, M.D., Linda Dunkle Orsini, Michael Orsini, M.D.

From A Resident’s Perspective:

Dhave Setabutr’s Medical Mission language barrier existed. With limited high school Spanish, asking for surgical instruments with a Spanish accent was sufficient.

After witnessing my first cleft lip and palate repair, I assisted in multiple facial scar revisions, a facial hemangioma excision, septoplasties, and lateral canthoplasties. These patients and their parents were so grateful; their smiles alone made the trek worthwhile. One mother gave handmade jewelry to our team’s female staff as a token of gratitude.

During this past year, knowing of my interest in cleft lip and palate repair, Fred G. Fedok, M.D., recommended a mission with the World Surgical Foundation, founded by a Harrisburg pediatric surgeon. As a medical student, I previously traveled to Ethiopia and Nicaragua on a primary care mission. Our team of anesthesiologists, a pediatric surgeon, plastic surgeon, obstetrician, and nurses found ourselves in a sea of patients in San Pedro Sula, Honduras.

Arriving with everything from anesthesia machines to Dingman retractors, we immediately went to the Mario Catarino Rivas Hospital, San Pedro Sula, which serves a population of more than one million. Hearing

about our arrival via newspaper ads and wordof-mouth, throngs of patients lined up hoping to be evaluated for possible surgery.

The first day, I met a seven-year-old boy draped in a bed sheet and large hat. He had xeroderma pigmentosa and recurrent sun-induced facial tumors that needed removal. Other patients included a six-month-old with a primary cleft palate defect and a five-year-old girl with a large congenital nevi encompassing her left cheek. The following morning, we set-up in the operating room (OR) with nurses and scrub techs who volunteered to assist in our cases. Coincidentally, the hospital staff was on strike, so the ORs were otherwise deserted with only emergency cases being completed. The staff was courteous and welcoming, but a

From Monday to Friday, we ran three operating tables, two of which resided in the same OR. From the administrative check-in to the PACU setting and morning rounds, volunteers from Montana, New York, and Texas arduously facilitated each step in these children’s transformation to a better life. The reflection that still moves me weeks later was walking into the waiting room at eight in the morning the Saturday of our discharge clinic and seeing these families all waiting for our arrival.

They were so grateful and overjoyed with the outcomes of their surgery—each wanting a photo opportunity with any of us who had helped them along the way.

I urge all residents to consider reaching beyond their comfort zone of Instagram accounts, flat screens, case logs, and publications to reach out to a community—local or abroad—who might benefit from what you’ve learned in your five years of residency as an otolaryngologist. I guarantee you won’t regret it. I know I won’t.

“They’re saying that they would like for you to be their baby’s Godfather,” replied Mary Camille when I asked what the parents were saying at our discharge clinic. I asked again to make sure I understood what they had said. I was flattered and completely overwhelmed. I literally didn’t know how to respond. That single instant defined my mission trip to Ecuador and signified the impact our group made on not only individual patients, but also families and entire communities. Dhave Setabutr, M.D.

Otology Update: Meniere’s Disease Huseyin Isildak, M.D. Meniere’s disease is an inner ear disorder that affects balance and hearing. Attacks of vertigo may occur suddenly or after a short period of tinnitus or muffled hearing. During the attacks, symptoms include severe, fluctuating hearing loss, aural fullness or tinnitus. The attacks may be accompanied by anxiety, fear, blurry vision, eye jerking, nausea, vomiting, cold sweat, palpitations, and rapid pulse.

Meniere’s disease is a common cause of dizziness. The National Institute on Deafness and Other Communication Disorders estimates that approximately 615,000 individuals in the United States are currently diagnosed with Meniere’s disease, and 45,500 cases are newly diagnosed each year. As a major referral center, our neurotology clinic sees a large number of patients with Meniere’s disease annually.

The etiology and pathophysiology of Meniere’s disease remain controversial and are not clearly understood even after a century of research. Some researchers have anticipated a number of potential causes or triggers, including improper fluid drainage due to blockage or anatomic abnormality, abnormal immune response, allergies, viral infection, or migraines. Because Meniere’s disease appears to run in families, it could also be the result of genetic variations that cause abnormalities in the volume or composition of the endolymph.

For full article, including more about diagnostics and treatment options, visit PennStateHershey.org/otolaryngology.

Penn State Milton S. Hershey Medical Center P.O. Box 855, MC A140 Hershey, PA 17033

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Our Residents: Where Are They Now? 1.

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Frank Garritano, M.D. 2014 Facial Plastic and Reconstructive Surgery Fellowship University of Rochester, New York, NY Neerav Goyal, M.D. 2014 Head and Neck Oncology Fellowship Massachusetts Eye and Ear Infirmary, Boston, MA R. Antonio Portela, M.D. 2013 Private practice Miami, FL Dhave Setabutr, M.D. 2013 Pediatric Otolarynology/Craniofacial University of California-Davis, Davis, CA Eelam A. Adil, M.D. 2012 Pediatric Otolaryngology Boston Children’s Hospital, Boston, MA Sohrab Sohrabi, M.D. 2012 Advanced Techniques/Facial Plastics Central California Ear, Nose and Throat Facial Surgery Center, Fresno, CA Ron Mitzner, M.D. 2011 Private Practice New York, NY Michael P. Ondik, M.D. 2010 Facial Plastic Surgery LaFerriere & Kienstra, Springfield, MO Sunny S. Park, M.D. 2009 Facial Plastic Surgery Louisiana State University, Shreveport, LA U.Ed. MED 4797-15 SRG