Penn State Health Otolaryngology – Head and Neck Surgery: Division Update Winter 2017

PENN STATE OTOLARYNGOLOGY-HEAD AND NECK SURGERY

Division Update Winter 2017-2018

hmc.PennStateHealth.org/otolaryngology

Message from the Chief This winter brings good tidings from Penn State Otolaryngology–Head and Neck Surgery.

Our team continues to see outstanding growth academically and clinically, as well as noting exceptional strides forward with our research and teaching programs. Our expanding team of otolaryngology faculty members continues to be recognized nationally for their research, education and clinical care. I am proud to report that multiple publications, as well as a textbook and a surgical atlas have been published by our faculty.

Our division welcomes our newest faculty member, Meghan Wilson, MD. Dr. Wilson joins us with training in both pediatric otolaryngology and cranial base surgery.

Our team of surgeons continues to lead in the field of transoral robotic surgery utilizing the Flex Robotic system.

We are thrilled to host the inaugural Penn State “The Cutting Edge – Update in Otolaryngology Head and Neck Surgery” conference scheduled for Thursday, January 11, through Sunday, January 14, 2018, at the JW Marriott Marco Island Beach Resort in Marco Island, Fla. Please join us!

I continue to be proud of and inspired by the talented faculty, residents and dedicated staff who continue to care for increasing numbers of patients each year. They make the difference!

I hope you enjoy the winter edition of our newsletter and hope you learn more about our efforts as we continue to grow on so many levels.

Best wishes for a happy and healthy and safe winter season.

David Goldenberg, MD, FACS Steven and Sharon Baron Professor of Surgery Professor of Surgery and Medicine Chief, Division of Otolaryngology-Head and Neck Surgery

How to Refer a Patient • Adult and pediatric otolaryngology, head and neck cancer, facial reconstructive surgery, audiology and hearing aid services: 717-531-6822 • Cosmetic facial plastic surgery consults: 717-761-8900, option 5 • Facial Nerve Disorders Clinic: 717-531-1405 • Pediatric Airway Clinic: 717-531-6822 • Fax records for triaging review: 717-531-6160

In this Issue Sialendoscopy 2 New Team Members 3 Education Alliance 3 National Meetings/Conferences 4-5 Fenstermacher Tournament 5 Resident/Fellow Graduation 6 Bentz Retirement 6 Alumni Announcements 7 Save the Date 8 Publications, Presentations, Awards 9-11

Penn State Otolaryngology Now Offers Sialendoscopy We are pleased to announce that sialendoscopy and all related procedures are now offered at Penn State Health Milton S. Hershey Medical Center under the care of Genevieve Andrews, MD, otolaryngology–head and neck surgery.

Diagnostic and interventional sialendoscopy is a minimally invasive approach used in the treatment of sialolithiasis and other obstructive salivary gland diseases to preserve the salivary gland and restore normal function. Small stones (4-5 mm) in the submandibular or parotid glands can usually be removed with baskets that fit through the sialendoscope. Larger stones may require ancillary techniques of fragmentation of the stone prior to basket removal, or combined endoscopic–transoral or endoscopic–transcervical removal of stones.

Long-term, the obstructive-sialadenitis symptom control following these procedures is excellent. In the absence of stones on imaging, patients with chronic obstructive salivary symptoms can also be helped by undergoing sialendoscopy. Most patients with diagnostic sialendoscopy have strictures. Strictures of salivary ducts can occur in patients who have had previous injury to the duct, such as from a prior stone or in other conditions, such as juvenile recurrent parotitis, Sjogren syndrome or radioactive iodine-induced sialadenitis. Endoscopic dilation of strictures is often performed with very good results and good resolution of symptoms. Strictures can be endoscopically treated with various perforation and dilation methods.

Sialendoscopy is a low-risk procedure that reduces the risk of neural injury in the face and oral cavity compared to gland removal surgery. Sialendoscopy is effective with the vast majority of chronic sialadenitits patients who undergo sialendoscopy not requiring subsequent sialadenectomy.

We welcome your chronic sialadenitis patients and are happy to care for them with you with this innovative procedure of sialendoscopy.

To refer a patient, please fax patient information to 717-531-6160, attention: Genevieve Andrews, MD, otolaryngology–head and neck surgery.

For more information about sialendoscopy, please call Dr. Andrews at 717 531-8945.

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Meghan Wilson, MD, Joins Pediatric Otolaryngology Meghan Wilson, MD, a Louisiana native, is a pediatric otolaryngologist and cranial base surgeon in the Division of Otolaryngology–Head and Neck Surgery at Penn State Health Milton S. Hershey Medical Center and Penn State Children’s Hospital. She is board-certified in otolaryngology and double-fellowship trained in both pediatric otolaryngology and cranial base head and neck surgery. Dr. Wilson completed both medical school and residency at Louisiana State University in New Orleans.

She then fulfilled a pediatric otolaryngology fellowship at the Children’s Hospital of Pennsylvania in Philadelphia, followed by a fellowship in cranial base surgery at Lenox Hill Hospital, Northwell Health, in Manhattan.

Dr. Wilson specializes in treating children with disorders of the head and neck, including sleep apnea and chronic

tonsillitis, as well as more complex lesions, such as head and neck masses or tumors, chronic sinus infections and skull base pathology. In addition, Dr. Wilson has pediatric expertise for children with airway disorders, subglottic stenosis and tracheostomy both with minimally invasive (endoscopic) techniques and more extensive surgery for children in need of more.

Dr. Wilson serves on several national committees in the American Academy of Otolaryngology–Head and Neck Surgery. Her research interests include the evaluation of and improving outcomes for children in both surgical and medical treatment of head and neck pathology. She has authored numerous research publications and book chapters in the fields of pediatric otolaryngology and cranial base surgery.

Slonimsky Joins Penn State Otolaryngology for Head and Neck/Endocrine Fellowship Guy Slonimsky, MD, joined the Division of Otolaryngology–Head and Neck Surgery in October 2017, as a fellow in head and neck surgery, as well as endocrine surgery.

Dr. Slonimsky earned his medical degree from the Hadassah Medical School at the Hebrew University in Jerusalem, Israel, and also holds a BSc in biology and psychology, and MSc in neurobiology from the Hebrew University, as well.

Dr. Slonimsky completed his residency in Otolaryngology–Head and Neck Surgery at The Chaim Sheba Medical Center, Tel Hashomer, Israel.

His clinical focus includes surgical management of benign and malignant head and neck tumors, thyroid and parathyroid surgery and reconstructive approaches for surgical defects with local, regional and free tissue flaps with microvascular anastomoses.

He currently cares for patients on the Penn State Health Milton S. Hershey Medical Center campus in Hershey at University Physician Center, Suite 400.

Penn State Health Participates in Otolaryngology Education Alliance The Otolaryngology Education Alliance (OEA) Lectureship is bestowed on promising junior faculty to promote educational exchange and enable inter-institutional collaboration.

Recipients visit other OAE institutions to deliver Grand Rounds and meet with host faculty, fellows and residents to catalyze new creative endeavors.

Participating institutions include University of Maryland School of Medicine, Penn State College of Medicine, Weill-Cornell Medical College, Sidney Kimmel Medical College at Thomas Jefferson University, and Johns Hopkins School of Medicine.

Thanks to Andrea Wang, MD, from Weill-Cornell who presented Ear Pain and Pressure to Penn State Otolaryngology residents in July.

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Pennsylvania Academy of Otolaryngology (PAO) Scientific Meeting Once again, the Penn State Otolaryngology– Head and Neck Surgery resident team won the Resident Academic Bowl at the Scientific Meeting of the Pennsylvania Academy of Otolaryngology–Head and Neck Surgery in June. This year’s team consisted of Sakeena Payne, MD, Aaron Baker, MD, and Shivani Shah, MD. Our resident team competed against teams from Thomas Jefferson University, University of Pittsburgh, Geisinger Medical Center and Philadelphia College of Osteopathic Medicine.

Penn State had previously won this contest in 2013 and 2014, as well. We were very excited to bring the trophy back to Hershey this year.

Christopher Pool, MD, PGY 1, won first prize for his oral research presentation “Molecularly Distinguishing Benign from Malignant Papillary Thyroid Neoplasia,” at the PAO, held at the Hotel Hershey in June.

AAO-HNSF Annual Meeting, Chicago, Ill.

Shivani Shah-Becker, MD, Jessyka Lighthall, MD, Tom Shokri, MD, and Huseyin Isildak, MD, at the AAO-HNSF Annual Meeting in Chicago, Ill.

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Dr. Lighthall Presents at AAFPRS Conference in Phoenix Jessyka Lighthall, MD, attended the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) conference in Phoenix where she presented her research on depression in patients with facial paralysis. In addition, she was an invited speaker and participated in a panel discussion focused on the care of patients with sustained complex facial trauma. She is also a member of the AAFPRS humanitarian Face-to-Face program and committee dedicated to improving the international health care mission trips and providing care for victims of domestic violence.

Fenstermacher Memorial Golf Tournament The 2017 John R. Fenstermacher Memorial Golf Tournament was held on Friday, August 25, and raised $10,315.

This year’s golf tournament proceeds bring the John R. Fenstermacher Head and Neck Cancer Research Endowment to more than $50,000. Thanks to everyone for your continued support!

Ken Diltz and Peg Fenstermacher with David Goldenberg, MD.

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Resident/Fellow Graduation

David Goldenberg, MD, division chief, Sakeena Payne, MD, recent graduate of the Otolaryngology Residency Program, and Johnathan McGinn, MD, otolaryngology residency director.

Elizabeth Cottrill, MD, Otolaryngology–Head and Neck Surgery/Endocrine Fellow, speaks at the resident/fellow graduation ceremony.

Jessyka G. Lighthall, MD, director of facial plastics and reconstructive surgery in the Division of Otolaryngology– Head and Neck Surgery, received the Professionalism and Humanism award for Penn State Surgery faculty. Sakeena Payne, MD, was also selected for the Professionalism and Humanism award by her peers. Both received the award at the Department of Surgery resident graduation.

Ashley O’Connell Ferster, MD, Elizabeth Cottrill, MD, Sakeena Payne, MD, and Shivani Shah-Becker, MD.

Bentz Retires After 26 Years in Otolaryngology On May 26, 2017, the Division of Otolaryngology–Head and Neck Surgery said “good-bye” to one of its long-term employees Gale L Bentz, PA-C, MEd Gale worked with the division for 26 years and served in a variety of clinical and managerial roles both as a physician assistant (PA) and as the office manager in years past. In recent years, she cared for our otology patients in conjunction with our neurotologists. During her tenure, she won many awards, including Penn State Health Milton S. Hershey Medical Center’s Employee of the Month and the Advance Practice Clinician Excellence Award. She was frequently recognized for her excellent patient satisfaction scores, as well. Gale helped to onboard many of the current PAs and enjoyed teaching PA students and residents. For her retirement, Gale has moved to sunny Rehoboth Beach, Del., and enjoys biking, working around her house and relaxing with her two cats Odie and Luna. We wish Gale well in her retirement!

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Alumni News

Jessyka Lighthall, MD, married Benjamin Latz in Mexico on August 12.

Kathryn (Katie) Kugler, PA-C, MEd, was appointed as an Instructor of Surgery to Penn State College of Medicine’s faculty on October 1, 2017.

Katie has worked with the Division of Otolaryngology– Head and Neck Surgery for eight years as a physician assistant.

Congratulations to Huseyin Isildak, MD, who was sworn in as an American citizen in August.

New Baby Announcements

Congratulations to Aaron Baker, MD, chief resident, and his wife, Beth. They welcomed daughter Sullivan on May 13.

Resident Darrin Bann, MD, and his wife Stephani welcomed baby Norah on August 30.

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Oral Presentations, Publications and Awards Oral Presentations Goyal N. The Submental and Supraclavicular Flaps: Expanding the Reconstructive Surgeon’s Toolbox. Weill Cornell Grand Rounds. New York, NY, Nov. 2017.

Patel V, Carr M, Siddique L, Stahl L. Hereditary angioedema (HAE) education in otolaryngology residencies: survey of program directors.

AAO-HNSF Meeting and Expo. Sept. 2017.

Goyal N. The Management of Sinonasal Malignancies of Epithelial Origin. Weill Cornell lecture to residents. New York, NY, Nov. 2017.

Shokri T, Andrews G, Siddique L. Sentinel lymph node biopsy in squamous cell carcinoma. AAO-HNSF Meeting and Expo. Chicago, Ill., Sept. 2017.

Lighthall JG. Incorporating Advanced Technology in Facial Plastic and Reconstructive Surgery. Weill Cornell Grand Rounds. New York, NY, Nov. 2017.

Lighthall, JG. Alternatives to Free Tissue Transfer: Locoregional Flaps in Head and Neck Reconstruction. Weill Cornell lecture to residents. Nov. 2017.

Lighthall JG. Panel discussion: Handling extensive soft tissue and skeletal injuries. AAFPRS Fall Meeting. Phoenix, Ariz., Oct. 2017.

Benito D, O’Connell Ferster AP, Sataloff RT. Bilateral Posterior Cricoarytenoid Myoneurectomy for Abductor Spasmodic Dysphonia.

AAO-HNSF Meeting and Expo. Chicago, Ill., Sept. 2017.

Dermody S, Gao W, McGinn J, Malekzadeh S. Case Logging Practices in Otolaryngology Training. AAO-HNSF Meeting and Expo. Chicago, Ill., Sept. 2017.

Hennessy M, White B, Warrick JI, Payne S, McGinn J, Christ H. Frozen Sectioning as a Rapid and Accurate Too for Diagnosing Acute Invasive Fungal Rhinosinusitis. AAO-HNSF Meeting and Exo. Chicago, Ill., Sept.

2017.

Hennessy M, Crist H, McGinn J, Payne S, Warrick J, White B. Frozen sectioning to diagnose invasive fungal sinusitis. AAO-HNSF Meeting and Expo. Chicago, Ill., Sept. 2017.

Hennesy M, Goyal N, Lehman E, Muscat J. Global head and neck cancer incidence and risk factors. AAO-HNSF Meeting and Expo. Chicago, Ill., Sept. 2017.

Shokri T, Payne S, Saadi R, Lighthall JG. Trends in the treatment of facial nerve paralysis. AAO-HNS Meeting and Expo. Chicago, Ill., Sept. 2017.

Isildak H. Experiences with novel bone anchored implants. PAO Scientific Meeting. Hershey, Pa., June 2017.

Goldenberg D. Increasing incidence of thyroid cancer. PAO Scientific Meeting. Hershey, Pa., June 2017.

Goldenberg D. Panel: Thyroid. PAO Scientific Meeting. Hershey, Pa., June 2017.

Goyal N, Luginbuhl A. Immunotherapeutics and window trials: the surgeon’s role. PAO Scientific Meeting. Hershey, Pa., June 2017.

O’Connell Ferster AP, Hu A. Perceptions of Pain and Tolerability of Laryngeal Electromyography. IFOS: ENT World Congress, Paris, June 2017.

O’Connell Ferster AP, Sataloff RT, Shewokis PA, Hu A. Socioeconomic Variables of Patients with Spasmodic Dysphonia. The Voice Foundation Annual Symposium: Care of the Professional Voice. June 2017.

Pool C. Molecularly distinguishing benign from malignant papillary thyroid neoplasia. PAO Scientific Meeting. Hershey, Pa., June 2017.

Purdy N, Goldenberg D, Curry J. Panel: Thyroid. PAO Meeting Scientific Meeting. Hershey Pa., June 2017.

Pool C, Xu J, Bann D, Goldenberg D, Sharma A, Claxton D, Yue F, Broach J. Diagnosing leukemia structural variations via a novel genome mapping approach. American Association for Cancer Research.

Washington, D.C., April 2017.​

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Oral Presentations, Publications and Awards (continued) Poster Presentations

Publications

Saadi R, Payne S, Shokri, T, Lighthall JG. Depression rates increase following facial paralysis. AAFPRS Fall Meeting. Phoenix, AZ. Oct 2017.

O’Connell Ferster AP, Sataloff RT, Shewokis P, Hu A. Socioeconomic Variables of Patients with Spasmodic Dysphonia: A Preliminary Study. J Voice. 2017 Sep 15. Epub.

Cottrill EE, Kim JS., Schilling AL, Shokri T, Pool C, Boltz MM, Saunders BD, Hollenbeak CS, Goldenberg D. Treatment Algorithm for Indeterminate Thyroid Nodules: An Analysis of Cost Effectiveness Using Molecular Testing. American Thyroid Association. Boston, Mass., July 2017.

Roberts CA, Shah-Becker S, O’Connell Ferster A, Baker A, Stahl LE, Sedeek K, Carr MM. Randomized Prospective Evaluation of Intraoperative Intravenous Acetaminophen in Pediatric Adenotonsillectomy. Otolaryngol Head Neck Surg. 2017 Sep 01.

Baker A, Shokri T. Experience with the BAHA Attract© Hearing Implant System: a single institution review. PAO Scientific Meeting. June 2017.

O’Connell Ferster AP, Hu A. Perceptions of Pain and Tolerability of Laryngeal Electromyography. Laryngoscope. 2017 Sep. Epub.

Hennessy M, White B, Warrick JI, Payne S, McGinn J, Christ H. Frozen Sectioning as a Rapid and Accurate Too for Diagnosing Acute Invasive Fungal Rhinosinusitis. PAO Scientific Meeting. Hershey, Pa., June 2017.

Hussain S, O’Connell Ferster AP, Carr MM. Time Between First and Second Post-Tonsillectomy Bleeds. Int J of Otolaryngol. 2017 Aug. Epub.

O’Connell Ferster A. Socioeconomic variables of patients with spasmodic dysphonia. PAO Scientific Meeting. June 2017.

Patel V, Zacharia TT, Goldenberg D, McGinn JD. End-organ radiographic manifestations of cranial neuropathies: A concise review.

Clin Imaging 2017 Jul-Aug; 44:5-11. PMID: 28364580

O’Connell Ferster A, Shokri T, Carr MM. Diagnosis and treatment of paradoxical vocal fold motion in infants. PAO Scientific Meeting. June 2017.

Shah-Becker S, Pennock M, Sinoway L, Goldenberg D, Goyal N. Baroreceptor reflex failure: Review of the literature and the potential impact on patients with head and neck cancer. Head Neck. 2017 Jul 4.

O’Connell Ferster AP, Printz J, Carr M. Diagnosis of Bleeding Disorder after Ventilation Tube Placement. PAO Scientific Meeting. Hershey, Pa., June 2017.

Lighthall JG. Operative Techniques in Otolaryngology-Head & Neck Surgery, Guest Editor. Issue titled “Auricular Reconstruction.” 2017 June.

O’Connell Ferster AP, Hu A. Perceptions of Pain and Tolerability of Laryngeal Electromyography. PAO Scientific Meeting. Hershey, Pa., June 2017 O’Connell Ferster AP, Sataloff RT, Shewokis PA, Hu A. Socioeconomic Variables of Patients with Spasmodic Dysphonia. PAO Scientific Meeting.

Hershey, Pa., June 2017.

Patel V, Carr M, Siddique L, Stahl L. Hereditary angioedema (HAE) education in otolaryngology residencies: survey of program directors.

PAO Scientific Meeting. June 2017.

Saadi R, Payne S, Shokri, T, Lighthall JG. Depression rates increase following facial paralysis. PAO Scientific Meeting. Hershey, Pa., June 2017.

Saadi R, Lighthall JG. Prosthetic reconstruction of the ear. Oper Tech Otolaryngol Head Neck Surg: 2017 Jun: 28(2):130-132.

Pool C, Lighthall JG. Reconstruction of lower third auricular defects.

Oper Tech Otolaryngol Head Neck Surg: 2017 Jun: 28(2):119-124.

Dermody S, Gao W, McGinn J, Malekzadeh S. Case Logging Practices in Otolaryngology Residency Training: National Survey of Residents and Program Directors. Otolaryngol Head Neck Surg. 2017 Jun; 156(6):10721077. PMID:28417670.

Shah-Becker S, Derr J, Oberman BS, Baker A, Saunders B, Carr MM, Goldenberg D. Early neurocognitive improvements following parathyroidectomy for primary hyperparathyroidism. Laryngoscope. 2017 May 16.

Shokri T, Payne S, Saadi R, Lighthall JG. Trends in the treatment of facial paralysis. PAO Scientific Meeting. Hershey, Pa., June 2017.

Roberts CA, Shah-Becker S, Derr J, Sedeek K, Carr MM. Effect of single dose intraoperative IV acetaminophen in pediatric tonsillectomy or adenotonsillectomy. Egyptian Journal of Anaesthesia. 2017 January.

Shokri T, Andrews G. Sentinel lymph node biopsy in squamous cell carcinoma. PAO Scientific Meeting. Hershey, Pa., June 2017.

O’Connell Ferster AP, Hu A. Commentary: Women in Otolaryngology.

Otolaryngol Head and Neck Surg. 2017;157(2) 173–174. Epub.

Shokri T, Stahl L, Kanekar S, Goyal N. Osseous changes over time in free fibular flap reconstruction in the head and neck. PAO Scientific Meeting.

Hershey, Pa., June 2017.

Pool C, Walter V, Washburn E, Goldenberg D, Warrick J. Differential Gene Expression Analysis of Invasive and Non-Invasive Follicular Variant of Papillary Thyroid Carcinoma. AHNS Spring Meeting. San Diego, Calif., April 2017.

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Oral Presentations, Publications and Awards (continued) Textbook Publications

Awards

Goldenberg D and Goyal N. Robotic Head and Neck Surgery An Anatomical and Surgical Atlas. New York, NY: Thieme Medical Publishers; 2017.

Lighthall JG. Penn State Health Milton S. Hershey Medical Center Department of Surgery Professionalism and Humanism Faculty Award June 2017.

Goldenberg D, Goldstein BJ. Handbook of Otolaryngology 2nd Edition.

New York, NY: Thieme Medical Publishers; 2017.

Lighthall JG. Penn State Medical Group Dean’s List for Extraordinary Patient Satisfaction – Q2-FY 2017

Section Editors, Handbook of Otolaryngology 2nd Edition: • Goyal N. Head and Neck Surgery • Goyal N. Endocrine Surgery in Otolaryngology • Lighthall JG. Facial Plastic and Reconstructive Surgery • McGinn J. General Otolaryngology • McGinn J. Laryngology and Upper Aerodigestive Tract

Lighthall JG. Penn State Health HCAHPS Inpatient Dean’s List for Extraordinary Patient Satisfaction – Q2-FY 2017 Lighthall JG. Penn State Health HCAHPS Inpatient Dean’s List for Extraordinary Patient Satisfaction – Q3-FY 2017 Goyal N. Penn State Health HCAHPS Inpatient Dean’s List for Extraordinary Patient Satisfaction – Q2-FY 2017 Goyal N. Penn State Health Child HCAPS Dean’s List Extraordinary Patient Satisfaction – FY 2017 Goyal N. 2017 Penn State Health Lion Care Award – October 2017 May J. Penn State Children’s Hospital Cubby Care Award 2017 McGinn J. Penn State Health Adult HCAPS Dean’s List Extraordinary Patient Satisfaction – FY 2017 Pool C. Four Diamonds Grant for Pediatric Research: Development of Assays to Detect Genetic Changes and Minimal Residual Disease in Pediatric Acute Myeloid Leukemia. Department of Pediatrics – Penn State Health Milton S. Hershey Medical Center. August 2017.

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