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The academic advantage for patient-centered quality health care.

Divisions

ENDOSCOPIC SINUS SURGERY - RHINOLOGY

The Department’s Physicians are experienced in the medical and surgical management of disorders of the nose and paranasal sinuses.

• Endoscopic sinus surgery for medically refractory sinusitis
• Otolaryngic allergy or allergy referral for management of inhalant allergies, as appropriate
• Computer image aided sinus surgery
• Expertise in septoplasty, rhinoplasty and septorhiniplasty techniques
• Turbinate reduction techniques, including in office radiofrequency ablation
• Congenital anatomic problems: cleft nasal deformities, choanal atresia, nasal masses

HEAD AND NECK ONCOLOGY - ENDOCRINE

The Department has an experienced, integrated faculty for the management of patients with varied head and neck diseases.

• Surgical management of thyroid and parathyroid diseases, including minimally invasive radioimage guided parathyroidectomy
• State of the art Microvascular reconstruction team
• Skull base team including fellowship trained skull base surgeon/neurotologist, head and neck surgical oncologist/microvascular surgeon, plastic and reconstructive surgeon, and neurosurgeons
• Surgical management of salivary gland diseases, and lymph nodes including sentinel node biopsy techniques
• Head and neck cutaneous malignancies, including integration of MOHs surgery, as appropriate
• Investigational and innovative protocols
• Multidisciplinary teams including otolaryngology-head and neck surgery faculty, radiation oncology, medical oncology, oral/maxillofacial surgery, dermatology, psychiatry, dental speech/swallowing therapy, head and neck nursing.

VOICE AND SWALLOWING CENTER

John T. Sinacori, M.D.
Laryngology, General Otolaryngology

We often take our voice for granted, but when voice disorders develop they can have a devastating effect on our ability to communicate with friends and family. Mild voice disorders can be an annoying problem, but may also be an early sign of a more significant health problem.

The Voice Center at Eastern Virginia Medical School has been organized to diagnose and treat a wide variety of voice disorders that affect both voice professionals and the general public. The Voice Center also treats patients with swallowing problems. Many ailments that affect the voice can also cause difficulty with swallowing. Diagnostic tools at the Voice and Swallowing Center Include:

• Stroboscopic light sources and high optical quality fiber optic scopes are used to view the vocal folds in motion
• Computerized voice analysis systems to better understand voice disorders
• Videofluoroscopic examinations of swallowing
• Electromyographic studies of the larynx

Treatment for voice disorders varies widely, depending on the diagnosis. Many disorders can be treated with voice therapy alone, others may require medications or even surgery. Voice disorders also may be the first sign of a generalized disease or illness. All of the options are available through the Voice Center.

OTOLOGY-NEUROTOLOGY and HEARING AND BALANCE CENTER

Barry Strasnick, M.D. , F.A.C.S.
Stephanie A. Moody Antonio, M.D.
Otology/Neurotology

The Olotology-Neurotology Division offers diagnosis and treatment of disorders affecting the ear, hearing and balance system, facial nerve and related structures in both children and adults. Its services include:

• Treatment of chronic ear infections, Cholesteatoma and otitis media
• A nationally recognized Hearing and Balance Center dedicated to evaluation and management of hearing loss, dizziness and balance disorders
• A hearing restoration program featuring the latest technological advances including cochlear implantation, digital and semi-implantable hearing aids
• The Tinnitus and Hyperacusis Center which offers a multidisciplinary approach for management of tinnitus and loudness sensitivity
• Associated basic science and applied research focusing on new techniques for hearing restoration and eradication of dizziness/imbalance

The Division has received national and international recognition for its accomplishments in the field of early identification and remediation of hearing loss in newborns. It also offers continuing physician medical education through local seminars and its semi-annual Temporal Bone dissection Course. The division also participates as an FDA investigational site for a variety of medical and surgical protocols dealing with hearing loss and balance disorders.

SLEEP DISORDERS CENTER

John T. Sinacori, M.D.
Laryngology, General Otolaryngology

Catesby Ware, Ph.D.
Sleep Disorders

Daniel W. Karakla, M.D. , F.A.C.S.
Head and Neck, Reconstructive Surgery

The Sleep Disorders Center at Eastern Virginia Medical School diagnoses and treats a wide variety of sleep disorders. The Department of Otolaryngology/Head and Neck Surgery is an active and important component of the sleep Disorders Center. Other participants in the Center include specialists in pulmonology, neurology, psychiatry, dentistry, and oral and maxillofacial surgery.

Common sleep disorders treated within our department include obstructive sleep apnea and snoring. Since sleep disorders often involve some problem with airflow in the upper airway, a good examination of the nose and throat is often the first important step. A wide variety of treatment options are open to patients, though certain measures such as weight loss and sleep hygiene changes are always emphasized. Surgical treatments available at the department include office procedures such as Somnoplasty and Coblation for snoring and mild apnea and more intensive treatment such as palate and tongue base surgery for sever apnea.

SKULL BASE SURGERY

The Skull Base Surgery Division offers a multi-disciplinary team approach for the management of complex disorders involving the skull base. The team is composed of fellowship trained physician specialists in neurotology/skull base surgery, neurosurgery, head and neck oncology, plastic and reconstructive surgery, radiology, radiation therapy, intra-operative neuromonitoring, and anesthesiology. Its services include:

• Treatment of tumors involving the skull base including acoustic Neuromas, Meningiomas, glomus tumors, chordomas, and carcinomas
• Treatment of vascular disorders including aneurysms and arteriovenous malformations

PLASTIC AND RECONSTRUCTIVE SURGERY

Reconstructive Surgery

• Laser Surgery: Uses laser technology to minimize vascular birthmarks, pigmentation abnormalities, and tattoo removal.
• Breast Reconstruction: Creates a missing breast after mastectomy, trauma, or birth defect.
• Facial Trauma: Repairs facial fractures and lacerations.
• Reconstructive Microsurgery: Moves tissue to correct crippling deformities.
• Skin Cancer and Tumor Surgery: Removes growth/lesion, restoring appearance and function.
• Vascular Anomalies: Treats all hemangiomas and vascular malformations.
• Cleft Lip and Palate Repair: Treats children of all ages with clefts.
• Craniosynostosis Repair: Corrects abnormal head/skull growth.

Cosmetic Surgery

• Facelift: (Surgical Rhytidectomy): Tightens loose skin and diminishes wrinkles.
• Chemical Peel (Chemical Rhytidectomy): Decreases wrinkles, skin aging changes, and discoloration.
• BOTOX Injections: Decrease central brow wrinkles and abnormal facial movements.
• Laser Resurfacing (Laser Rhytidectomy): Decreases wrinkles, skin aging changes, and discoloration.
• Eyelid Surgery (Blepharoplasty): Removes excess skin and fat around the eyes.
• Forehead Surgery (Endoscopic or Brow Lift): Restores eyebrows to a more natural position and contour.
• Nose Surgery (Septorhinoplasty): Reshapes the nose to improve appearance and function.
• Chin Surgery (Genioplasty): Reshapes skin to improve position and facial balance.
• Ear Surgery (Otoplasty): Repositions protruding ears or reconstructs deformities.

PEDIATRIC OTOLARYNGOLOGY

The Pediatric Otolaryngology Division Provides comprehensive care for the treatment of childhood disorders of the ears, nose, throat, face and neck. Our specialists in pediatric otolaryngology have completed special training focusing on the anatomic, physiologic, and psychological changes that occur as a child matures. While many families seek the expertise for more common conditions, the clinical practice is focused on the care of the children with “special” ENT problems and ENT problems in “special children”. Our physicians are skilled in the management of children with complicated or unusual disorders of the ear, nose, throat and related structures of the head and neck, and understand how underlying pediatric medical conditions may impact on their ENT care.

Children with “special" ENT problems
Cleft lip and palate; deep neck infections: Salivary gland disease; craniofacial anomalies; Head & neck trauma; Temporal bone trauma; Cervical cysts and sinuses; Implantable hearing devices; Aerodigestive tract foreign bodies; Neoplasms of the head and neck; Airway obstruction and sleep apnea; Tracheotomy in neonates and infants; Congenital nasal masses, stenosis atresia; Congenital and acquired anomalies of the airway; Vascular and pigmented lesions of the head and neck; Congenital anomalies of the external, middle, and inner ear; Complications otitis media and Eustachian tube dysfunction.

“Special” children with ENT Problems
Asthma; Cystic fibrosis; premature infants; Immune deficiency; Organ transplants; Developmental delay Disorders of coagulation; Neurologic or neuromuscular impairment; Craniofacial disorders and velopharyngeal insufficiency; Down syndrome and other chromosomal abnormalities.

Our pediatric otolaryngologists work closely with their colleagues in general pediatrics to formulate long-term treatment plans for children with chronic illness, and to provide care for children needing urgent ENT intervention. Based at the Children’s Hospital of the King’s Daughters, they consult frequently with pediatric sub specialists in such areas as allergy, pulmonology, dentistry, infectious diseases, and hematology/oncology to provide care for children with complex medical problems. Ancillary services at the hospital as audiology, speech-language pathology, radiology, and blood drawing cater to the special needs of children. Children requiring surgical intervention are cared for by specialist in pediatric anesthesia and nurses specifically trained in the pre-operative and post-operative management of children.

AUDIOLOGY DIVISION - TINNITUS AND HYPERACUSIS CENTER

Bryan J Layton, Au.D.-Director of Audiology
Ashley Wampler, PhD., CCC-A
Jennifer McNamara, PhD, CCC-A
Katie Roper, PhD., CCC-A
Melissa Pola, PhD., CCC-A
Nathan Michalak, Au.D. CCC-A
Allison Simpson, Au.D. CCC-A
Allison Cleland, Au.D. CCC-A

The Division of Audiology provides comprehensive diagnostic and rehabilitative services for patients with hearing loss, tinnitus sufferers and vestibular and balance abnormalities. A full array of behavioral, auditory and electrophysiology evaluation and intra-operative monitoring services, including hearing aid dispensing, are offered. Audiologists work directly with the Department of Otolaryngology and other professional specialties that require clinical support.

Locations and Services Offered:

DEPAUL MEDICAL CENTER-HEARING AND BALANCE CENTER

• DIAGNOSTIC HEARING CENTER- a comprehensive facility for children and adults with hearing loss. Testing includes both behavioral and objective (electrophysiological) measures.
• REHABILITATIVE SERVICE-a program offering the evaluation and dispensing of hearing aids including both programmable and digital amplification and assistive listening devices.
• COCHLEAR IMPLANT PROGRAM-a program that offers both medical and therapeutic services using the most recent Neurophysiological models of tinnitus. Treatment includes noise generating devices and longitudinal counseling.
• VESTIBULAR AND BALANCE CENTER- a service that provides a full array of clinical tests and rehabilitation that includes:

• Computerized Electronystagmography (ENG); Sinusoidal Harmonic Acceleration Test-Rotation Chair (RVT); Platform-posturography-Equitest; Rehabilitative Services-treatment for benign paroxysmal positional vertigo (BPPV); Vestibular Rehabilitation-in conjunction with the Department of Physical Therapy, patients are extended vestibular therapy of balance and vertiginous abnormalities.

• COMPENSATION EXAMINATIONS- evaluation of compensation examinations including the calculation of binaural hearing handicap values.

CHILDREN’S HOSPITAL OF THE KING’S DAUGHTERS

• DIAGNOSTIC HEARING CENTER-a comprehensive facility for infants and children with hearing loss. Testing includes both behavioral and objective (electrophysiological) measures.
• NEWBORN HEARING SCREENING- initial and follow-up program that screens newborn hearing using the most recent technology including automated auditory brainstem response (AABR) and distortion-product otoacoustic emissions (DPOAE0
• COCHLEAR IMPLANT PROGRAM- a program that offers surgical implantations of signal coding devices and rehabilitative services for infants and children with significant hearing loss.
• REHABILITATIVE SERVICE- a program offering the evaluation and dispensing of hearing aids including both programmable and digital amplifications and assistive listening devices.
• ONCOLOGY MONITORING- hearing testing of all infants and children receiving ototoxic medication.