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Browse Otolaryngology Resident Training Program Clinical
Services:
General Otolaryngology | General
Otology, Neurotology, Skull Base Surgery | Head &
Neck Surgery | Facial Plastic & Reconstructive
Surgery | Pediatric Otolaryngology
General Otolaryngology
General otolaryngology is supervised by doctors
Daniel Branovan and Paul Chodosh, and provides a range of otolaryngologic
care. Three other full-time and five part-time faculty members staff this
division. Approximately 110-175 (average 130) patients are evaluated in this
setting on a daily basis. General Otolaryngologic procedures performed either
in clinic or hospital settings include: myringotomy with insertion of
tympanostomy tubes, tonsillectomy and/or adenoidectomy, nasal septal
reconstruction, endoscopic sinus surgery, excision and drainage of cutaneous
abscess or hematoma, repair of lacerations of the face, scalp or neck, closed
reduction of nasal fractures and removal of foreign bodies of the ear, nasal
cavity, pharynx, larynx, esophagus and tracheo-bronchial tree (see Goals
and Objectives for a detailed description of cognitive and operative skill
goals for each service by year).
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General
Otology / Neurotology / Skull Base Surgery / Otology Institute
Otology is supervised by Christopher Linstrom,
M.D., Chief of Otology and Neurotology-Skull Base Surgery at the New York Eye
and Ear Infirmary and St. Vincent's Hospital and Young Bin Choo Professor at the New York Eye and Ear Infirmary;
George Alexiades, M.D., Joseph Arigo, M.D., and Simon Parisier, M.D.
(Co-Director of Children’s Hearing and Cochlear Implantation), and Ronald
Hoffman, M.D., Chief of Otology and Neurotology-Skull base Surgery at Beth
Israel Medical Center and Co-Director of Children’s Hearing and Cochlear
Implantation.
Patients with asymmetrical neurosensory hearing
loss, tinnitus, dizziness or facial paralysis are seen in the Tuesday and
Thursday Otology/Neurotology clinic. Temporal bone dissection resident and
post-graduate courses are conducted all by Joseph Arigo, M.D. Otologic
diagnostic services are directed by Dr. Randy Judson at the New York Eye and
Ear Infirmary. These include standard audiometry (pure tone and bone), speech
audiometry, and impedance testing, ABR testing, otoacoustic emission testing,
ultra-high frequency testing, Electrocochleography, and tests of central
auditory function. The Diagnostic Vestibular Laboratory provides
electronystagmography, platform posturography and rotational chair testing.
Standard radiological imaging and CT scanning are performed on-site. Selected
patients are referred for MRI / MRA, PET or other imaging studies performed at
Beth
Israel
Medical
Center
. Specialized pediatric hearing testing are performed at Beth Israel under the
direction of Jane Madel, Ph.D.
The formal Cochlear implant program at the New
York Eye and Ear Infirmary began in January 1992. This program encompasses
the diagnosis, implantation and rehabilitation of English or Spanish-speaking
adult and pediatric patients The resident participates actively in all
stages of cochlear implantation. A separate Cochlear Implant Program
co-existed at Beth Israel under the direction of Drs. Ronal Hoffman and Jane
Madel as of 1999. When of NYEEI joined Continuum Health Partners, the Cochlear
Implant programs at The New York Eye and Ear Infirmary and
Beth
Israel
Medical
Center
were structurally combined in 2001. In 2004, Dr. Simon Parisier joined the
full-time faculty at the Eye and Ear, bringing an active cochlear implantation
program and the Children’s Hearing Foundation with him. The combined program
performs approximately 120 implants per year. Also, in 2004 plans have begun
to incorporate vestibular diagnostic and rehabilitation center, the audiology
and hearing aid centers, the otologists’ offices, the Children’s
Hearing
Center
, and the combined cochlear implant centers in one location as The New York
Eye and Ear Infirmary Otology Institute. Given the origin of Otology at
NYEEI in 1824, the consolidation of these services in both appropriate and
logical (see The
Beginning of Otolaryngology in America: The History of The New York Eye and
Ear Infirmary).
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Head and Neck Surgery
The Head and Neck Surgery Service is supervised
by Stimson Schantz, M.D. and Steven Schaefer, M.D. at the New York Eye and Ear
Infirmary; Hyun Cho at St. Vincent’s Medical Center; Mark Persky, M.D. and
Roy Sessions, M.D. at Beth Israel Medical Center; and Augustine Moscatello,
M.D. at Westchester Medical Center. The New York Eye and Ear Infirmary offers complete head and
neck surgical care for most tumor patients presenting to the institution.
Speech-language pathologists, respiratory therapists, nutritionists,
radiotherapists, medical oncologists, microvascular surgeons and oral surgeons
provide support services. The only patients who are referred to our affiliated
hospitals are those who need direct participation by thoracic surgeons or
neurosurgeons during the operative procedure. Patients referred outside The New York Eye and Ear Infirmary continue to be cared for by the residents.
Patients initially presenting to Head and Neck
Service undergo diagnostic radiography, staging endoscopy, and subsequent
presentation at combined Head and Neck Tumor Board. Outpatient radiation
therapy is provided at Beth Israel Medical Cente
r under the supervision of
Louis Harrison, M.D., Professor and Chair, Radiation Oncology. Patient
follow-up by residents and attendings (surgeons, radiation therapists, &
medical oncologists) occurs at The New York Eye and Ear Infirmary Head and Neck clinic.
Pathology conferences are held at both The New York Eye and Ear Infirmary and Beth Israel. Voice Evaluation laboratory is held weekly under
the supervision of Lucian Sulica, MD and Janet Rovalino, M.S., CCC-SLP, with
consultation from Alison Behrman, Ph.D. (laryngeal physiologist). Voice
conference, including attending surgeons, research faculty, residents, medical
students, and graduate students is held monthly. Parallel Tumor Board
activities are conducted at Beth Israel and St. Vincent's Medical Centers.
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Facial Plastic and Reconstructive
Surgery
Anthony Sclafani, M.D. supervises the Facial
Plastic and Reconstructive Surgery Service. Clinical staffing in Facial
Plastic and Reconstructive Surgery is provided by sub-specialty trained
full-time (Drs. Alex Ovchinsky and Mark Zimbler) and volunteer surgeons. They
staff all resident clinics, service operative cases, and deliver the facial
plastic lecture series. The staff includes six board-certified
otolaryngologists with fellowship training in facial plastic surgery, two
board-certified general plastic surgeons and two surgeons boarded in both
otolaryngology and general plastic surgery.
Facial cosmetic and reconstructive procedures
are performed by the residents at the New York Eye and Ear Infirmary, St.
Vincent's, and Beth Israel Medical Centers. Clinical activities are
complimented by a lecture series of weekly didactic and slide presentations
that cover basic topics of wound healing and management, scar revision,
rhinoplasty, face lifts, blepharoplasty, facial trauma and adjunctive
procedures.
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Pediatric Otolaryngology
Pediatric Otolaryngology is supervised by Jay
Dolitsky, M.D. at the New York Eye and Ear Infirmary and
St. Vincent
's Medical
Center, Milton Waner, M.D. at Beth Israel and by David Merer, M.D. at Westchester
Medical
Center. This service provides care for patients with disorders ranging from otitis
media and adenotonsillar disease to compromised airway, congenital neck
masses, otology, and sinus disease. Residents receive hands-on training in
bronchoesophagology, minor airway reconstruction, surgery for chronic ear
disease, and functional endoscopic sinus surgery at the Eye and Ear. In
addition, there are weekly didactic sessions covering all aspects of pediatric
otolaryngology. Complex pediatric airway, and head and neck surgery, are
performed at the above affiliated hospitals rather than The New York Eye and Ear Infirmary.
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