Voice and Swallowing

UNC Department of Otolaryngology ⁄ Head and Neck Surgery 21-22 Annual Report

ROBERT A. BUCKMIRE, MD

DIVISION CHIEF MARCH FLOYD RIDDLE DISTINGUISHED PROFESSOR

RUPALI (PALI) N. SHAH, MD

ASSOCIATE PROFESSOR

OUR MULTIDISCIPLINARY CLINIC

The UNC Voice Center has a long standing tradition (over 17 years) of providing high quality multidisciplinary care of patients with voice and swallowing disorders. The current team includes 2 fellowship trained laryngologists, Dr. Buckmire and Dr. Shah, along with three voice specialized speech language pathologists: Heather Davis, MA, CCC-SLP and Joseph Hall, CCC-SLP, and Harriett Alden Pridgen, CCC-SLP. Together we also treat professional voice users including teachers, singers, actors, clergy and others. We have seen significant growth of telehealth services in voice therapy leading to our ability to serve an even larger volume of patients throughout the state. This led to our wonderful new addition to the team, H. Alden Pridgen, CCC-SLP. We offer diagnosis and leading-edge treatment of the full spectrum of voice, swallowing, and airway disorders. We perform over 400 endoscopic and open operative cases annually. We have a state of the art in office laryngology practice that offers innovative, minimally invasive treatment of laryngeal disorders inluding laryngeal botox, transnasal flexible laser treatments and biopsies and awake vocal fold augmentation procedures. We perform over 300 office based procedures annually.

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UNC Department of Otolaryngology ⁄ Head and Neck Surgery 21-22 Annual Report

VOICE AND SWALLOWING

FOSTERING COLLABORATION

We are proud to have strong, collaborative working relationships with interventional pulmonology, gastroenterology, and thoracic surgery often performing joint cases such as complicated airway treatments, rendezvous procedures, and laryngotracheal reconstructions. We are part of the North American Airway Collaborative (NoAAC), a national consortium founded to provide information about the management of adult airway disorders in North America and Europe. With this group, we have participated in and published multiple research projects. During the COVID-19 pandemic, we led institutional airway procedure protocols including tracheostomies in COVID-positive patients and participated in multidisciplinary care of these complicated patients. Our group has additionally collaborated and published with a multi institutional study group on contemporary management of Zenker’s diverticulum.

EDUCATION

Dr. Buckmire and Dr. Shah have a strong interest and commitment to the education of the community, the institution, and learners of all levels. Dr. Buckmire served as the Residency Program Director for 11 years with Dr. Shah as an Associate Program Director for 8 years. Dr. Buckmire now continues as Vice Chair for Education overseeing all educational activities in the Department, while Dr. Shah serves as an Academic Advisor of over 70 students in the School of Medicine and our head career goal advisor for the department. We provide numerous lectures to students and residents on laryngeal pathology annually. The division has mentored 8 students and residents in multiple research projects resulting in multiple local and national presentations and publications. Over the last 8 years, the division has supported a summer research fellow through he Carolina Medical Student Research Program (CMSRP). We also participate in annual continuing educational didactic lectures to other clinical departments including Radiology, Pediatric Pulmonology, Speech Pathology, Allergy, and Geriatrics. The Voice Center team also provides community outreach lectures to the UNC School of Music, Fearrington Village, and the wellness center. Dr. Shah presented on Zenker Diverticulum to Otolaryngology Updates: 48 hours of Live, a multiinstitutional international educational course aimed at providing contemporary and relevant content for general otolaryngologists in practice. Dr. Buckmire has been elected to the American Laryngological Association (ALA) Council, our most esteemed national organization providing continuing education to our specialty.

PROFESSIONAL LEADERSHIP

Dr. Buckmire

Dr. Buckmire was elected to the ALA Council after serving as Program Chair for the annual ALA

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UNC Department of Otolaryngology ⁄ Head and Neck Surgery 21-22 Annual Report

VOICE AND SWALLOWING

meeting, 2022. Additionally, he was named Vice Chair of Education for the UNC Department of Otolaryngology/Head & Neck Surgery. He is also on the Society of University Otolaryngologists (SUO) Diversity Committee.

Dr. Shah

Dr. Shah continues to excel in educational efforts by working as both the Head Career Goal Advisor for Otolaryngology/Head & Neck Surgery, and the Academic Advisor, UNC School of Medicine. Dr. Shah is also furthering the DEI efforts by serving on the Diversity & Inclusion Council, and the Advisory Board to the Vice Dean for Diversity & Inclusion for the School of Medicine.

RESEARCH HIGHLIGHTS

This year at the annual American Laryngological Association meeting (Dallas,TX, April 2022), Dr. Shah was awarded the inaugural ALA post grad member best paper for a paper entitled “Can the remote use of a peak flow meter predict severity of subglottic stenosis and surgical timing?” With the ongoing support of the UNC Otolaryngology/Head & Neck Surgery Small Research Grant and the American Laryngological Association’s Seymour R. Cohen, MD Research Grant, Dr. Shah and the UNC Voice Center, initiated as: Encore: remotely tracking patient reported outcomes in real-time through a mobile application platform. This novel, user friendly smartphone application platform efficiently collects validated survey responses and voice recordings in realtime following intervention. The app is now developed and tested and is currently in enrollment phase. Over the last year, Dr. Buckmire is hosted a one-year international (South Korea) research fellow, Dr. Changmyeon Song, MD, within the division. The Laryngology/Educational Research group works actively in the DEI/medical education realm, publishing and presented 5 paper/ presentations in this realm in the last 3 years.

SELECTED PRESENTATIONS

o Lambert T, Shah RN, Buckmire RA, Demason C. “Formal Career Goal Advising Program for Otolaryngology, the UNC experience”. Accepted for oral presentation, AAO-HNSF.

September 2022. Philadelphia, PA o “Zenker’s Diverticulum.” Shah RN. Otolaryngology Updates: 48 Hours of Live. Education course aimed at providing contemporary and relevant content for the general otolaryngologist

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PUBLICATIONS

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UNC Department of Otolaryngology ⁄ Head and Neck Surgery 21-22 Annual Report

VOICE AND SWALLOWING

in community practice. Invited Speaker o Park M, Tie K, Davis H, Hall J, Buckmire RA, Shah RN. “Can the remote use of a peak flow meter predict severity of subglottic stenosis and surgical timing?” Oral Presentation, American

Laryngological Association Annual Meeting at COSM. April 2022. Dallas, TX. o Lambert T, Ghodke T, Berk G, Buckmire RA, Shah RN. “Encore: Remotely tracking voice outcomes in real-time through a new custom mobile application.” Oral presentation, American

Laryngological Association annual meeting at COSM. April 2022. Dallas, TX. o Ghodke A, Park MA, Selleck AM, Adams K, Davis H, Buckmire RA, Shah RN. “Smartphone applications offer superior voice data collection from patients over traditional methods.”

Oral presentation, Fall Voice Conference. October 2021. Miami, FL. o Dorismond C, Farzal Z, Shah, RN, Ebert CS, Buckmire RA. “Effect of Applicant Screening

Methods on Racial/Ethnic Diversity in Otolaryngology.” Oral presentation, American

Academy of Otolaryngology- Head and Neck Surgery (AAO-HNSF) meeting. Oct 2021. Los

Angeles, CA.

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