How To Help People With Cancer

Transcription

1 We live our mission every day.

2 University Hospitals has been recognized by the American Hospital Association as the top hospital in the nation for its leadership and innovation in quality To Heal. To Teach. To Discover. Department of Otolaryngology Head & Neck Surgery Scan the QR Code to the left or visit UHhospitals.org/missionquality to see how a focus on quality can enhance outcomes and improve a hospital s overall performance.

3 From the Chair Dear Colleague: Delivering on our mission To Heal. To Teach. To Discover. inspires our ongoing commitment to train the next generation of physician-scientists and advance clinical research and new treatment protocols. University Hospitals Case Medical Center is building upon a legacy of innovation that began nearly 150 years ago and continues today through its Department of Otolaryngology. This spirit of innovation and medical discovery is demonstrated today in a number of programs and initiatives that are helping forge medicine s future: In conjunction with Case Western Reserve University School of Medicine, we are developing a tissue-engineered trachea using cartilage cell growth technology to potentially replace defects in the airway. Our research team, in collaboration with Case Western Reserve University School of Medicine, has identified proteins that help explain deafness in Usher s syndrome and Meniere s disease. The Cochlear Implant Team has defined parameters for restoring hearing using cochlear implants in disorders including far advanced otosclerosis and auto-immune hearing loss. The launch of The Harrington Project for Discovery & Development, a $250 million investment in drug discovery and commercialization that aligns a not-for-profit entity, Harrington Discovery Institute at University Hospitals Case Medical Center, with a for-profit company, BioMotiv. These and other UH Case Medical Center advances are poised to benefit the lives of patients affected by ear, nose and throat disorders for generations to come. The University Hospitals Ear, Nose & Throat Institute, established within the Department of Otolaryngology Head & Neck Surgery at UH Case Medical Center, is nationally recognized for providing advanced, compassionate care for children and adults and leading the field through robust clinical research programs and education. Department of Otolaryngology Head & Neck Surgery Dr. Tony Reisman, Chief of Otolaryngology Head and Neck Surgery, University Hospitals Ahuja Medical Center Cliff Megerian, MD, FACS Chairman, Department of Otolaryngology UH Case Medical Center and Case Western Reserve University School of Medicine Director, University Hospitals Ear, Nose & Throat Institute Richard W. and Patricia R. Pogue Chair in Auditory Surgery and Hearing Sciences Professor of Otolaryngology Head and Neck Surgery Case Western Reserve University School of Medicine 2 University Hospitals Case Medical Center UHhospitals.org/ent Department of Otolaryngology Head & Neck Surgery 3

4 Our physicians and researchers who also serve as faculty at Case Western Reserve University School of Medicine are leaders in their respective fields, and their ongoing clinical research programs push the boundaries of medical progress. Our strong emphasis on translational research and personalized medicine means newly developed treatments transfer more rapidly from the research stage to life-enhancing patient care. The School of Medicine is among the leading recipients of National Institutes of Health (NIH) awards and ranks in the top 25 among U.S. research-oriented medical schools as designated by U.S.News & World Report. This unified dedication to clinical research and education has played a major role in building UH Case Medical Center s rich legacy of landmark medical innovation, and continues to this day. Coupled with a commitment to implementing the latest therapies and technologically advanced hospitals and community facilities, UH Case Medical Center offers a depth of care and scope of services unmatched by any other medical center in Ohio. UH CASE MEDICAL CENTER To Heal. To Teach. To Discover. Among the nation s leading academic medical centers, University Hospitals Case Medical Center is the primary affiliate of Case Western Reserve University School of Medicine. With more than 1,000 registered beds, UH Case Medical Center provides primary, specialty and subspecialty medical and surgical care. Located in the heart of Cleveland s University Circle on a beautiful 35-acre campus, UH Case Medical Center includes general medical, surgical and intensive care units as well as three major hospitals: University Hospitals Seidman Cancer Center University Hospitals MacDonald Women s Hospital University Hospitals Rainbow Babies & Children s Hospital 4 University Hospitals Case Medical Center UHhospitals.org/ent Department of Otolaryngology Head & Neck Surgery 5

5 Melissa Carter and Dr. Gail Murray The UH Ear, Nose & Throat Institute The UH Ear, Nose & Throat Institute has eight Centers of Excellence that showcase its national prominence in the field of otolaryngology and head and neck surgery: Audiology & Cochlear Implant Center Community Ear, Nose & Throat Center Ear, Hearing & Balance Center Dr. Nicole Maronian To contact the department directly, Head & Neck Cancer Center Nose, Sinus & Allergy Center Pediatric Ear, Nose & Throat Center The ENT Translational & Basic Science Research Center Voice & Swallowing Center Drs. Fadi Abbass and Hassan Abbass 6 University Hospitals Case Medical Center UHhospitals.org/ent Department of Otolaryngology Head & Neck Surgery 7

6 Department of Otolaryngology Head & Neck Surgery Leaders in the Field Dr. Cliff A. Megerian Few institutes in the nation can claim the number of fellowship-trained otolaryngologists in as many subspecialties as the UH Ear, Nose & Throat Institute at UH Case Medical Center. Many of these physicians are among the most respected in their field; in fact, half are listed in America s Top Doctors. Institute leadership includes: Cliff A. Megerian, MD, FACS, Chairman, Department of Otolaryngology, University Hospitals Case Medical Center and Case Western Reserve University School of Medicine; Director, UH Ear, Nose & Throat Institute; Richard W. and Patricia R. Pogue Chair in Auditory Surgery and Hearing Sciences; and Professor of Otolaryngology Head and Neck Surgery, Case Western Reserve University School of Medicine, who leads the world-renowned cochlear implant program. Pierre Lavertu, MD, Director, Head and Neck Surgery and Oncology, UH Case Medical Center; and Professor of Otolaryngology Head and Neck Surgery, Case Western Reserve University School of Medicine, who is the chief of the treatment of head and neck cancers in coordination with the award-winning UH Seidman Cancer Center. James Arnold, MD, Program Director, Otolaryngology and Pediatric Otolaryngology, UH Case Medical Center and UH Rainbow Babies & Children s Hospital, and the Julius W. McCall Professor, Case Western Reserve University School of Medicine, who was one of the first pediatric otolaryngologists to become a department chair. Kumar Alagramam, PhD, Anthony J. Maniglia Chair for Research and Education, Director of Research and Associate Professor of Otolaryngology, Case Western Reserve University School of Medicine, who runs the department s research laboratory, with the long-term goal of understanding the genetic program associated with hair cell development and function in the inner ear. 8 University Hospitals Case Medical Center UHhospitals.org/ent Department of Otolaryngology Head & Neck Surgery 9

7 To Heal. To Teach. To Discover. Clinical Advances control, soft tissue protection and reduced blood loss compared with traditional osteotomy methods. Patients of the UH Ear, Nose & Throat Institute at UH Case Medical Center benefit from the outstanding care of its specialists and staff and the pioneering treatment options they employ. UH Case Medical Center is one of 20 sites investigating a novel surgical device treatment for obstructive sleep apnea in patients who cannot tolerate or who struggle with continuous positive airway pressure. The phase 3 STAR trial is designed to test the efficacy of the Inspire Upper Airway Stimulation therapy, in which respiratory effort triggers an implantable hypoglossal nerve stimulator. Implantation of the device takes approximately 90 minutes. Once implanted, patients can control therapy start and stop times using a handheld device. Seven patients were enrolled in the trial through UH Case Medical Center. The trial is being run under the direction of Jonathan Baskin, MD, Chief, Otolaryngology Head and Neck Surgery, Facial Plastic and Reconstructive Drs. Kingman Strohl and Jonathan Baskin Surgery, Louis Stokes Cleveland VA Medical Center; Attending Physician, UH Case Medical Center; and, Case Western Reserve University School of Medicine and Case Western Reserve University School of Engineering, and Kingman Strohl, MD, Acting Chief, Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, UH Case Medical Center; and Professor of Medicine and Professor of Physiology and Biophysics, Case Western Reserve University School of Medicine. The department is now offering a new treatment for cerebrospinal fluid leaks that result from brain hernias that come out of the intracranial cavity into the ear. Treatment of this condition formerly required a middle fossa craniotomy, with a typical three- or four-day hospital stay and a higher risk of complications. With the newer transmastoid extradural-intracranial, or TMEDIC, approach, herniations are repaired using a combination of cartilage, Drs. Pierre Lavertu, Rod Rezaee and Chad Zender fascia and tissue sealant without opening the skull. Under the direction of Maroun Semaan, MD, Co-Director, UH Ear, Nose & Throat Institute, Ear, Hearing & Balance Center and Cochlear Implant Surgery; and, Department of Otolaryngology Head and Neck Surgery, Case Western Reserve University School of Medicine, more than 40 procedures have been performed with positive results, including shorter hospital stays and no risk of brain retraction. The piezoelectric BoneScalpel, an innovative technology that uses low-frequency ultrasonic technology, is being used to more safely harvest bone tissue for head and neck reconstruction. Under the direction of Chad Zender, MD, FACS, Otolaryngology, UH Case Medical Center; and Assistant Professor, Otolaryngology Head and Neck Surgery, Case Western Reserve University School of Medicine, the department has used the scalpel in numerous patients. The primary advantages are increased tactile In 2005, UH Case Medical Center performed 15 free flap procedures. In 2012, the team performed its 600th flap procedure with Rod Rezaee, MD, FACS, Director, Microvascular Head and Neck Reconstructive Surgery, UH Seidman Cancer Center; and, Otolaryngology Head and Neck Surgery, Case Western Reserve University School of Medicine; Pierre Lavertu, MD; and Dr. Zender performing surgeries. The department is hiring an additional microvascular surgeon to meet growing demand. The cochlear implant program at UH Case Medical Center and UH Rainbow Babies & Children s Hospital added a second surgeon, Dr. Semaan, from the House Ear Institute in Los Angeles. The UH program, which completed its 700th cochlear implant in 2012, emphasizes comprehensive evaluation and training and ongoing support services for patients and their families. In addition, the department has added cochlear implant services at the Louis Stokes Cleveland VA Medical Center on the Wade Park Campus, making this the only place in the region where veterans can receive cochlear implants through the VA. More than 20 veterans received cochlear implants in University Hospitals Case Medical Center UHhospitals.org/ent Department of Otolaryngology Head & Neck Surgery 11

8 To Heal. To Teach. To Discover. Academic Mission As one of the nation s leading academic medical centers, UH Case Medical Center is committed to advancing the field of medicine through a passionate commitment to training tomorrow s clinicians. In its teaching role, UH Case Medical Center helps provide medical education in a wide variety of forums through Case Western Reserve University School of Medicine, one of the nation s leading medical schools. Our physicians who also serve as members of the school s faculty are leaders in their respective fields and their ongoing clinical research programs push the boundaries of medical progress throughout the world. Department Highlights: Department of Otolaryngology Head and Neck Cancer The Case Western Reserve University School of Medicine Department of Otolaryngology s residency program offers three key advantages: 1 exposure to the surgical and medical care of patients in four different clinical settings with diverse patient populations UH Case Medical Center, a large, tertiary care teaching hospital; UH Rainbow Babies & Children s Hospital; the Wade Park Campus of the Louis Stokes Cleveland VA Medical Center; and MetroHealth Hospital, a county hospital; 2 a tradition of hands-on, in-depth surgical experience with access to all subspecialty areas; and 3 a success rate that includes more than two-thirds of recent graduates accepted into their top choices for a prestigious fellowship program. The residency program is highly competitive, with more than 320 applications submitted for three positions. Approximately 80 percent of students who choose otolaryngology residencies apply to the school s program. Dr. Brian McDermott Medical students, residents and fellows benefit from hands-on instruction from these leading medical experts and have access to a broad spectrum of programs from which to pursue. Because UH Case Medical Center is the primary affiliate of the School of Medicine, we offer an unrivaled depth of resources and services giving unparalleled access and exposure to the latest technologies and medical breakthroughs. This multidimensional approach and dedication to education by UH Case Medical Center and Case Western Reserve University School of Medicine play a major role in further enhancing our rich tradition of developing medicine s future leaders. Every fall, Cliff A. Megerian, MD, FACS, hosts the Temporal Bone Surgical Course. Doctors from throughout the country attend the event at the UH Temporal Bone Lab, where delicate head and neck surgeries are performed on specimens. In addition, knowledge of temporal bone anatomy and surgical skills are developed in the Temporal Bone Surgical Anatomy Laboratory. Each resident is provided with a set of basic instruments and is encouraged to spend time drilling regularly throughout the year. An intensive course is given each year for 10 weeks, during which each resident dissects several temporal bones with careful supervision. In conjunction with the temporal bone anatomy course, a review of the endoscopic anatomy of the paranasal sinuses is given by the full-time faculty. This intensive review using hands-on cadaver dissections is an essential element in learning the popular and successful technique of endoscopic sinus surgery. The Department of Otolaryngology Head and Neck Surgery at Case Western Reserve University School of Medicine in conjunction with UH Case Medical Center and the UH Seidman Cancer Center, is proud to announce the establishment of a one-year Head & Neck Surgery and Reconstruction fellowship beginning July This fellowship offers advanced training in more than 120 microvascular free tissue transfers per year, endoscopic and open skull base surgery, minimally invasive head and neck surgery, transoral laser and transoral robotic surgery, and sentinel node mapping for head and neck melanoma. Because of increased patient demand and institutional support for expansion, the Department of Otolaryngology Head and Neck Surgery is seeking to add the following full-time academic faculty positions: Rhinologist-Allergy Surgeon (fellowship trained), Otologist/ Neurotologist (fellowship trained), Pediatric Otolaryngologist (fellowship trained), Head and Neck Surgeon Scientist with a focus on squamous cell carcinoma research, General Otolaryngologist with an interest or additional training in sleep medicine, and Laryngologist trained in tracheotomy care, voice surgery and cartilage research (fellowship trained). 12 University Hospitals Case Medical Center UHhospitals.org/ent Department of Otolaryngology Head & Neck Surgery 13

9 To Heal. To Teach. To Discover. Research Dr. Kumar Alagramam UH Case Medical Center s physician-scientists are leaders in their respective fields, and their ongoing clinical research programs are at the leading edge of medical progress. A strong emphasis on translational, or bench-to-bedside, research means that new and innovative treatments and technologies transfer more rapidly from the research laboratory to actual patient care. James Dennis, PhD,, Case Western Reserve University School of Medicine, Harvey Tucker, MD, Professor at the School of Medicine, and Mark Weidenbecher, MD, Research Associate at the School of Medicine, are involved in research of tissue engineered auricular cartilage for laryngotracheal reconstruction, which has received $1.9 million of funding from the National Institutes of Health. Kumar Alagramam, PhD, is the primary investigator in a five-year NIH grant in the continued study of Usher syndrome after finding the gene for one Usher type, and will work closely with the Case Western Reserve University School of Medicine Department of Ophthalmology and Visual Sciences. Brian McDermott, PhD, Assistant Professor, Otolaryngology, Case Western Reserve University School of Medicine, is the primary investigator conducting research using a $1.9 million grant from the NIH for a five-year program to elucidate the molecular mechanisms of hearing and deafness. This clinical research examines the mechanisms of development of the hair bundle, a mechanosensitive organelle that translates sound into an electrical response that is decoded by the brain to permit hearing. Dr. McDermott s research team works in the Zebrafish Laboratory, which was built with a $500,000 startup grant from the School of Medicine. Qing Yin Zheng, MD,, Otolaryngology, Case Western Reserve University School of Medicine, member of the Case Comprehensive Cancer Center, is in the third year of a five-year NIH-funded study that has the potential to uncover new therapeutic approaches to treat hearing loss in Usher syndrome, which accounts for nearly 50 percent of the deaf-blind population. This $1.66 million grant is Dr. Zheng s fourth major NIH grant for research involving Usher syndrome. Nicole Maronian, MD, Director, Voice & Swallowing Center, UH Ear, Nose & Throat Institute; and, Case Western Reserve University School of Medicine, is working closely with epilepsy specialists at UH Case Medical Center and in Northeast Ohio on a program that involves implanting a vagal nerve stimulator into the patient s neck. By stimulating the vagal nerve, epilepsy attacks are reduced. Pierre Lavertu, MD, chief of the treatment of head and neck cancers in coordination with the award-winning UH Seidman Cancer Center, has been performing percutaneous tracheotomies for almost a decade. The procedure is done under bronchoscopic guidance. The advantages of this approach versus the traditional technique are that it can be done rapidly, often within five to 10 minutes, does not require transportation of patients to the operating room, and does not require operating room availability. The literature does not show any increase in complications compared with traditional tracheotomy. All National Institutes of Health (NIH) funding for basic and clinical research is awarded to the School of Medicine at Case Western Reserve University. The commitment to exceptional patient care begins with revolutionary discovery. University Hospitals Case Medical Center is the primary affiliate of Case Western Reserve University School of Medicine, a national leader in medical research and education and consistently ranked among the top research medical schools in the country by U.S.News & World Report. Through their faculty appointments at Case Western Reserve University School of Medicine, physicians at UH Case Medical Center are advancing medical care through innovative research and discovery that bring the latest treatment options to patients. 14 University Hospitals Case Medical Center UHhospitals.org/ent Department of Otolaryngology Head & Neck Surgery 15

10 University Hospitals Case Medical Center One of America s First Academic Medical Centers University Hospitals Case Medical Center has been at the forefront of patient care, physician education and medical research for nearly 150 years. Founded after the Civil War as a place of healing, the institution embraced a broader role as medical science advanced. By the turn of the twentieth century, a modern general hospital was enhanced by specialty facilities for women, children and infants. An affiliation with the medical school of what was then Western Reserve University today Case Western Reserve University formed one of the first true academic medical centers in the United States, as University Hospitals of Cleveland joined Johns Hopkins Hospital and Massachusetts General in combining the training of young physicians and the pursuit of laboratory research with delivery of the most advanced patient care. In 1931, new facilities brought University Hospitals and the School of Medicine onto the same medical campus in University Circle. Over the years the complex continually expanded both its physical presence and the scope of its professional activities, adding diagnostic and treatment capabilities as well as top-flight physicians and surgeons. Today, as the primary affiliate of Case Western Reserve University School of Medicine, University Hospitals Case Medical Center advances care through a commitment to clinical and translational research in a large academic medical campus that incorporates nationally acclaimed hospitals including UH Rainbow Babies & Children s Hospital, UH Seidman Cancer Center and UH MacDonald Women s Hospital. In 2011, University Hospitals put the finishing touches on Vision 2010, a five-year, $1.2 billion strategic plan, which included building the new freestanding 150-bed inpatient and outpatient UH Seidman Cancer Center; the Center for Emergency Medicine and Marcy R. Horvitz Pediatric Emergency Center at UH Case Medical Center; the Quentin & Elisabeth Alexander Neonatal Intensive Care Unit at UH Rainbow Babies & Children s Hospital, which was ranked fifth in the nation for newborn care by U.S.News & World Report; the UH Ahuja Medical Center, a 435,000-square-foot hospital and 60,000-square-foot Kathy Risman Pavilion, a medical office building in Beachwood, Ohio; and several outpatient health centers throughout Northeast Ohio. A key strategy of Vision 2010 involved the implementation of a new state-of-the-art Electronic Medical Record System throughout the system. University Hospitals Institutes University Hospitals multidisciplinary institutes help ensure the best possible outcomes for our patients by bringing together a broad range of physicians, nurses, ancillary staff and administrators. Their collaborative efforts lay the groundwork for new standards in patient care, accelerate clinical research and create community-based education programs. The institutes bring UH expertise in diagnosing and treating individuals health problems to UH locations throughout Northeast Ohio. UH Case Medical Center institutes include: Harrington Discovery Institute at University Hospitals Case Medical Center University Hospitals Digestive Health Institute University Hospitals Ear, Nose & Throat Institute University Hospitals Eye Institute University Hospitals Harrington Heart & Vascular Institute University Hospitals Neurological Institute University Hospitals Transplant Institute University Hospitals Urology Institute 16 University Hospitals Case Medical Center UHhospitals.org/ent Department of Otolaryngology Head & Neck Surgery 17

11 Our Commitment to Quality The passage of health care reform legislation is changing the way care is delivered, bringing a new focus to optimizing the quality of patient care while controlling costs and using resources efficiently. At UH Case Medical Center, the emphasis on quality is not an outgrowth of new health care legislation, but an integral part of our patient care tradition. And that is precisely why we have launched the UH Quality Institute. As an innovative integrated delivery system, UH offers patients the latest technology and treatment methods. By pursuing the newest and best technologies, hiring and retaining highly skilled staff, and promoting a culture of safety and excellence, UH has forged an impressive quality record. The UH Quality Institute shares the results of our ongoing efforts to provide safe, effective, patient-centered care to our patients and families. This includes a website that provides information about our quality awards, patient safety and quality measures. Through this quality data, we are able to present documentation and further evidence of the top-notch care we provide. UH Case Medical Center the Nation s Leader in Quality The 2012 American Hospital Association-McKesson Quest for Quality Prize named UH Case Medical Center the top hospital in the nation for its leadership and innovation in quality improvement and safety. UH Case Medical Center was selected by a multidisciplinary committee of health care quality and patient safety experts. Awarded annually, the prize is supported by a grant from the McKesson Corp., a national health care services company based in San Francisco. The criteria for the 2012 award include the demonstration of an organizational commitment to and progress in achieving the Institute of Medicine s six quality aims safety, patient-centeredness, effectiveness, efficiency, timeliness and equity. One goal of the award is to honor hospitals that are making progress in quality improvement with models that can be replicated by others in the hospital field. 18 University Hospitals Case Medical Center UHhospitals.org/ent Department of Otolaryngology Head & Neck Surgery 19

12 Harrington Discovery Institute at University Hospitals Case Medical Center Harrington Discovery Institute is led by Director Jonathan Stamler, MD. Dr. Stamler holds the Robert S. and Sylvia K. Reitman Family Foundation Distinguished Chair in Cardiovascular Innovation at both University Hospitals and Case Western Reserve University School of Medicine. He also serves as Director for the Institute for Transformative Molecular Medicine, Professor of Medicine and Professor of Biochemistry at Case Western Reserve University School of Medicine. Mukesh K. Jain, MD, is the Chairman of the Executive Committee for Harrington Discovery Institute. He also serves as Chief Research Officer, University Hospitals Harrington Heart & Vascular Institute at University Hospitals Case Medical Center, and holds the Ellery Sedgwick Jr. Chair and is a Distinguished Scientist. In addition, Dr. Jain serves as Director, Case Cardiovascular Research Institute, and is a Professor of Medicine at Case Western Reserve University School of Medicine. Drs. Jonathan Stamler and Mukesh Jain Harrington Discovery Institute is a national model dedicated to physician-scientists, enabling them to transform their extensive, cross-cutting knowledge into therapies and medicines that improve patients lives. The institute will support physician-scientists as they undertake fundamental research uniquely capable of changing the standard of care, generating insights into the clinical condition and developing new treatments. As part of its mission, Harrington Discovery Institute will enable physician-scientists to participate in and transform the drug development cycle within academia. The open design of Harrington Discovery Institute will allow for collaboration with major academic medical centers and nonprofit foundations across the country, build a national community for physician-scientists and advance academic medicine s involvement in drug discovery and development. To learn more about the annual Harrington Scholar-Innovator Grant program and view a list of grant recipients, visit HarringtonDiscovery.org. 20 University Hospitals Case Medical Center UHhospitals.org/ent Department of Otolaryngology Head & Neck Surgery 21

13 Clinicians and Scientists at UH Case Medical Center and Case Western Reserve University School of Medicine Department of Otolaryngology Head & Neck Surgery Leadership Cliff A. Megerian, MD Chairman of Otolaryngology Head & Neck Surgery Richard W. and Patricia R. Pogue Chair in Auditory Surgery and Hearing Sciences Professor James E. Arnold, MD Julius W. McCall Professor Program Director Kumar Alagramam, PhD Anthony J. Maniglia Chair, Director of Research, Jonathan Baskin, MD Chief, Wade Park Medical Center Joseph B. Carter, MD Chief, MetroHealth Medical Center Allergy/Rhinology/Anterior Skull Base Surgery Steven Houser, MD, FACS, FAAOA Tony Reisman, MD Chad Zender, MD Facial Plastics & Micro- Vascular Reconstructive Surgery Rod Rezaee, MD Jonathan Baskin, MD Freedom Johnson, MD David Stepnick, MD Diana Ponsky, MD Chad Zender, MD General Otolaryngology Tony Reisman, MD Joseph B. Carter, MD Diana Ponsky, MD Melvin Strauss, MD Professor Laryngology & Voice Disorders Nicole Maronian, MD Director, Voice Center, Harvey M. Tucker, MD, FACS Professor Head & Neck Surgical Oncology Pierre Lavertu, MD Director, Head & Neck Surgery and Oncology Professor Rod Rezaee, MD Freedom Johnson, MD Nicole Maronian, MD Chad Zender, MD Otology & Neurotology Cliff A. Megerian, MD Professor Gail S. Murray, MEd, PhD, CCC-A, FAAA Maroun Semaan, MD Associate Director, Otology, Neurotology & Balance Disorders Pediatric Otolaryngology James E. Arnold, MD Professor Community Otolaryngology Fadi Abbass, MD Clinical Hassan Abbass, MD Clinical Steve Hunyadi Jr., MD Clinical Instructor Research Faculty Kumar Alagramam, PhD Director of Research, Brian McDermott, PhD Qing Yin Zheng, MD James Dennis, PhD Steven Eppell, PhD Anthony J. Maniglia, MD Professor Emeritus Audiology Gail S. Murray, MEd, PhD, CCC-A, FAAA Robin Piper, AuD, CCC-A Andrea Sterkel, AuD, CCC-A Christy Pappas, AuD, CCC-A Leslie Schulman, AuD, CCC-A Christine Boyer, AuD, CCC-A Melissa Kelly Carter, AuD, CCC-A Ellen Cobler, AuD, CCC-A A. Christine Dolan, AuD, CCC-A Katie Strange, AuD, CCC-A Allison Hearn, AuD, CCC-A Jessica Dziedzicki, AuD, CCC-A Speech Pathology Pediatric Speech Pathologists Vincci Chan, MA, CCC-SLP Kevin Mahon, MA, CFY-SLP Kimberly O Brien, MA, CCC-SLP Annie Royle, MA, CCC-SLP Kathleen Walsh, MA, CCC-SLP Kristen Wood, MS, CCC-SLP Lindsay Zombek, MA, CCC-SLP Adult-Swallowing (Head and Neck) George Charpied, MS, CCC-SLP Tracey Newman, MA, CCC-SLP Caitlin O Neill, MA, CCC-SLP Adult-Voice Charita Gadson, MA, CCC-SLP (Speech Supervisor) Physicians receive their academic appointments and their accompanying titles from Case Western Reserve University School of Medicine. 22 University Hospitals Case Medical Center UHhospitals.org/ent Department of Otolaryngology Head & Neck Surgery 23

14 UH Case Medical Center is among the nation s best hospitals, ranked in all 12 methodology-ranked specialties. University Hospitals Case Medical Center Cancer Cardiology & Heart Surgery Diabetes & Endocrinology Ear, Nose & Throat Gastroenterology Geriatrics Gynecology Nephrology Neurology & Neurosurgery Orthopedics Pulmonology Urology

15 To refer a patient or learn more about the UH Case Medical Center Department of Otolaryngology Head & Neck Surgery, call or visit UHhospitals.org/ent 2012 University Hospitals BRA 00178