General otolaryngology is supervised by Dr. Ed Shin, 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).
Otology is supervised by Christopher Linstrom, M.D., Chief of Otology and Neurotology-Skull Base Surgery at New York Eye and Ear Infirmary of Mount Sinai (NYEE); George Alexiades, M.D., Ana Kim, M.D., Simon Parisier, M.D. (Co-Director of Children’s Hearing and Cochlear Implantation), and Ronald Hoffman, M.D., Director of the Ear Institute 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 by the otology faculty. Otologic diagnostic services are directed by Dr. Randy Judson at NYEE. 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 Mount Sinai Beth Israel. Specialized pediatric hearing testing is performed at our new comprehensive pediatric audiology center.
The formal Cochlear implant program at NYEE 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. When of NYEE joined Continuum Health Partners, the Cochlear Implant programs at NYEE and Mount Sinai Beth Israel 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. In early 2008, the formal unified implant center was moved NYEE. The program performs over 120 implants per year. Given the origin of Otology at NYEE in 1824, the consolidation of these services was both appropriate and logical (see The Beginning of Otolaryngology in America: The History of The New York Eye and Ear Infirmary).
The Head and Neck Surgery Service is supervised by Stimson Schantz, M.D. and Steven Schaefer, M.D. at New York Eye and Ear Infirmary; Mark Persky, M.D. at Mount Sinai Beth Israel; and Augustine Moscatello, M.D. at Westchester Medical Center. NYEE 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 NYEE 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 Mount Sinai Beth Israel 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 NYEE Head and Neck clinic.
Pathology conferences are held at both NYEE and Mount Sinai Beth Israel. Voice Evaluation laboratory is held weekly under the supervision of Michael Pitman, MD and Amy Lebowitz, M.S., CCC-SLP, with consultation from Ronald Baken, 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 Mount Sinai Beth Israel.
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, Mark Zimbler and Grigoriy Mashkevich) 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 NYEE and Mount Sinai Beth Israel. 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.
Pediatric Otolaryngology is supervised by Joseph Bernstein, M.D. at NYEE, Milton Waner, M.D. at Mount Sinai 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 NYEE.