V S O V S O V S O

The Virginia Society

of Otolaryngology -

Head and Neck Surgery

ANNUAL MEETING

PROGRAM

May 20-21, 2011

Town Point Club in

Norfolk, Virginia

Preliminary Schedule

Thursday, May 19, 2011

3:00 p.m. Board of Directors Meeting Chesapeake River Room 6:30 p.m. Board Reception & Dinner Buoy 36 Room

Friday, May 20, 2011

7:30 a.m. Registration Buoy 36 Room Continental Breakfast Exhibit Hall Opens James River/Willoughby Room Poster Presentations Open Buoy 36 Room 8:00 a.m. - Scientific Session Buoy 36 7:00 p.m. Cocktail Reception Harbor Room 7:30 p.m. Group Dinner Chesapeake River Room

Saturday, May 21, 2011

7:00 a.m. Registration Buoy 36 Room Continental Breakfast Exhibit Hall Opens James River/Willoughby Room Poster Presentations Open Buoy 36 Room 7:30 a.m. Business Meeting Buoy 36 Room 7:45 a.m. - Scientific Session

12:10 p.m. Buoy 36 Room

1:00 p.m. Golf – Cypress Point Golf Course

Continuing Medical Education

Educational Objectives At the end of this education activity, participants will Diagnose chronic rhinosinusitis (CRS) using office-based

evaluation techniques to understand etiology of symptomology.

Identify the outcomes of Vagal Nerve Stimulator implantation.

Have thorough knowledge and clearly understand the use of

Endoscopic and 3-D Radiographic Imaging of Pterygopalatine

and Infratemporal fossa.

Be able to differentiate between non-surgical candidates for

Functional Endoscopic Sinus Surgery (FESS) to improve

selection.

Be able to evaluate the utilization of PET/CT imaging of the

patient with head and neck cancer and understand the

limitations of this diagnostic tool.

Identify treatment modalities for Laryngeal Stenosis.

Be able to recognize vascular birthmarks and which patients

would benefit from surgical or medical management.

Know how to perform nasal fiberoptic intubations and

understand its role in the airway algorithm.

Discuss complications and prevention using preop CT and be

able to optimally use intraoperative techniques.

Review treatment options for FESS and identify specific

complications if they occur including bleeding, orbital

complications and CSF leak.

Accreditation Statement This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the American College of Surgeons and the Virginia Society of Otolaryngology. The American College Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

AMA PRA Category 1

Ameri-

can College of Surgeons

The American College of Surgeons designates

this live activity for a maximum of 12 AMA

PRA Category 1 Credits™. Physicians should

claim only the credit commensurate with the

extent of their participation in the activity.

The Virginia Society of Otolaryngology - Head and Neck

Surgery gratefully acknowledges the contribution of the

Elbyrne G. Gill Eye and Ear Foundation in Roanoke,

Virginia in support of Brent A. Senior, MD, FACS, FARS

who will be presenting this year’s Elbyrne G. Gill Lecture.

Elbyrne G. Gill, MD was born in Bedford, Virginia in October

1891 and began practice as an EENT physician in 1919. He

founded the Gill Memorial Eye, Ear and Throat Hospital in

1926. Dr. Gill established the Post Graduate Program in

1927 which was, at the time and for many years thereafter,

the only refresher course held in this country for graduates

in medicine specializing in eye, ear, nose and throat care.

The weeklong course, held in Roanoke, featured many

outstanding physicians from the U.S. and abroad.

After Dr. Gill’s death in 1966, Gill Memorial Hospital

continued the programs for several years, and the Gill

Foundation subsequently held a number of eye and ear

symposia in cooperation with the continuing education

department of Carilion Roanoke Memorial Hospital.

Dr. Gill’s daughters, Edith Page Gill Breakell and Betty

Byrne Gill Ware, serve as President and Treasurer of the

Gill Foundation, respectively. The Foundation continues to

be dedicated to the prevention of blindness and deafness.

Dr. Elbyrne G. Gill

ELBYRNE G. GILL LECTURE

FRIDAY, MAY 20, 2011 7:30 Registration/Breakfast with Exhibitors 8:00 Welcome and Opening Remarks Daniel W. Karakla, MD, FACS VSO President Moderator:

Daniel W. Karakla, MD, FACS 8:05 Introduction of Elbyrne G. Gill Lecturer Joseph K. Han, MD, FARS Eastern Virginia Medical School 8:10 Elbyrne G. Gill Lecture Where Does Sinusitis Come From? Brent Senior, MD, FACS, FARS Professor and Vice Chair Otolaryngology/ Head and Neck Surgery Chief, Rhinology, Allergy and Sinus Surgery University of North Carolina – Chapel Hill 8:40 “Outcomes of Vagal Nerve Stimulator Implantation by Otoralyngologists” Angel Perez, MD, Damian Dyckman, MD, Timothy Clenney, MD, Ashley Schroeder, MD Naval Medical Center Portsmouth 8:50 “Endoscopic and 3D Radiographic Imaging of Pterygopalatine and Infratemporal Fossa” Lucas Bryant, BS, C.W. Goodmurphy, PhD, Michael Chu, MD, Joseph Han, MD Eastern Virginia Medical School 9:00 Questions and Answers

9:10 PANEL DISCUSSION: What Would You Do For This Case? Moderator:

Joseph Han, MD—Norfolk, VA Panelists: Spencer Payne, MD – Charlottesville, VA Evan Reiter, MD – Richmond, VA Brent Senior, MD – Chapel Hill, NC 10:00 Questions and Answers 10:10 Break 10:30 “Correlation of IgE, Eosinophils, and CT Scoring with Patient Symptomatology in Chronic Sinusitis with Nasal Polyposis” Elizabeth W. Chance, MD University of Virginia 10:40 “Avoiding FESS Mess: Avoidance and Management of Complications of Endoscopic Sinus Surgery” Brent Senior, MD, FACS, FARS Professor and Vice Chair Otolaryngology/Head and Neck Surgery Chief, Rhinology, Allergy and Sinus Surgery University of North Carolina, Chapel Hill 11: 10 Questions and Answers

Scientific Session

11:20 “PET/CT in Otolaryngology- Head and Neck Surgery” John Donnal, MD Neuroradiology/Diagnostic Radiology Norfolk 11:50 Questions and Answers 12:00 Lunch with Exhibitors Moderator: Richard E. Gardner, MD 1:00 The EVMS Program John T. Sinacori, MD Director, Residency Program Eastern Virginia Medical School 1:15 “Review of Treatment Modalities for Laryngotracheal Stenosis” Salvatore Taliercio, MD, John Sinacori, MD, Thomas Higgins, MD, Brad Rawlings, MD Eastern Virginia Medical School 1:25 “Vascular Birthmarks – A Primer for the Otolaryngologist” Milton Waner, MD Vascular Birthmark Institute, New York 1:55 Questions and Answers 2:05 “Nasal Fiberoptic Intubation and its Role in the Airway Algorithm” Michael DeMarcantonio, MD, Timothy Ryan, Matthew Bak, MD Eastern Virginia Medical School 2:15 “Conductive Hearing Loss Secondary to Dehiscence of the Tympanic Facial Nerve Justin Moy, MD, Angel Perez, MD, Jeffery J. Kuhn, MD Naval Medical Center Portsmouth 2:25 “Autogenous Grafts in Facial Plastic Surgery” Denton Weiss, MD Virginia Beach 2:55 Break – Visit Exhibitors! 3:15 “The Effect of In-Utero Estrogen Blockade on Auditory Physiology in Adult Baboons” Daniel Larson, MD, Timothy Howard, BS, Gerald Pepe, PhD, Barry Strasnick, MD Eastern Virginia Medical School 3:25 “Facial Nerve Evoked Potentials in Vascular Tumor Surgery of the Parotid Area” Milton Waner, MD Vascular Birthmark Institute, New York 3:55 Questions & Answers 4:00 PANEL DISCUSSION: Chronic Ear Moderator:

Bradley Kesser, MD Panelists: Jeffery Kuhn, MD – Virginia Beach, VA Stephanie Moody Antonio, MD - Norfolk, VA George Hashisaki, MD – Charlottesville, VA 4:50 Questions & Answers

5:00 Announcements/Adjourn 7:00 Cocktail Reception—Harbor Room 7:30 Group Dinner—Chesapeake River Room “Continuing Education: The Challenge of Remaining Contemporary in the 21st Century” Jonas Johnson, MD The Dr. Eugene M. Myers Professor and Chairman of Otolaryngology University of Pittsburgh School of Medicine

SATURDAY, MAY 21, 2011 7:30 Annual Business Meeting Daniel W. Karakla, MD VSO President Moderator:

Jeffery J. Kuhn, MD 7:50 VSO Update Daniel W. Karakla, MD VSO President 8:00 Legislative Update Cal Whitehead, lobbyist 8:10 “The Effect of Smoking on Quality of Life in Head and Neck Cancer Patients following Primary Radiotherapy” Andrew Huang, MD, Tina Lung, MD, Andrew Wong, MD, Evan Reiter, MD VCU Health System 8:20 “The Importance of Surgery in the Era of Chemoradiation Therapy” Jonas Johnson, MD The Dr. Eugene M. Myers Professor and Chairman of Otolaryngology University of Pittsburgh School of Medicine 9:10 Questions and Answers 9:15 PANEL DISCUSSION: Head and Neck Moderator:

Daniel Karakla, MD– Norfolk, VA Panelists: Matthew Bak, MD – Norfolk, VA, Mark Jameson, MD – Charlottesville, VA, Jonas Johnson, MD – Pittsburgh, PA, Allen Mitchell, MD –Portsmouth, VA, Evan Reiter, MD – Richmond, VA 10:05 Questions and Answers 10:15 Break – Visit Exhibitors! 10:35 “Role of Surviving in Predicting Sensitivity to Targeted Therapy in Head and Neck Cancer” Amir Allak, MD, Yemisi Afere, BS, Mark J. Jameson, MD, PhD University of Virginia Health Systems

Scientific Session

10:45 “Utility of Intraoperative PTH Measurement in Total Thyroidectomy Performed at Naval Medical Center, Portsmouth” Brent Driskill, MD, Timothy Clenney, MD, Allen Mitchell, MD Naval Medical Center Portsmouth 10:55 “Analysis Outcomes of new Transoral Robotic Surgery Program: a Review of 10 Cases” Michael Chu, MD, Daniel Karakla, MD Eastern Virginia Medical School 11:05 “Guiding the Surgeon’s Hand: Intraoperative Pathology” Marc Silverberg, MD Department of Pathology and Otolaryngology, Eastern Virginia Medical School Head and Neck Pathology, Sentara Healthcare System 11:30 “Proton Radiation Therapy” Alan Thornton, MD Hampton University Proton Therapy Institute 11:50 Questions and Answers

– Final Announcements – Resident Awards Introduction of New VSO President 12:00 Closing Remarks Daniel W. Karakla, MD 12:10 Adjourn

Poster Presentations Delayed Cranial Neuropathies Following Primary Radiotherapy in Head and Neck Cancer Andrew Huang, MD, Evan Reiter, MD VCU Medical Center Cervical Rib: An Unusual Etiology of Pediatric Neck Masses Jonathan Mark, MD, Cristina Baldassari, MD Eastern Virginia Medical School Imaging Clinic: Simultaneous Lesions of the Petrous Bone Laura Dominquez, MD, Angela Peng, MD, Sarah Inglehart, MD, Daniel Coelho, MD VCU Medical Center Giant Epidermal Inclusion Cysts in the Head and Neck: A Case Series Virginia P. Teti, MD, LT, MC, USN, Alan A. Lim, MD, CAPT, MC, USN Naval Medical Center Portsmouth Primary Nasopharyngeal Paraganglioma: A Case Report Brad A. Rawlings, M, Michael DeMarcantonio, MD, Matthew J. Bak, MD Eastern Virginia Medical School Cardiovocal Syndrome: A Rare Case of Right Recurrent Laryngeal Nerve Palsy Richard Goldman, MD, Brandon Chiu, BA, Patrick Maiberger, MD, Evan Reiter, MD VCU Medical Center Among Patients with OSA as diagnosed by a Positive PSG, Does Treatment with Surgery (Tx/UPPP) or CPAP Compared to no Treatment Result in Weight Loss at 6 and 12 Months After Surgery Rodolfo Manosalva, MD, Brent Driskill, MD Naval Medical Center Portsmouth Sudden Sensorineural Loss in a Patient with Von Hippel-Lindau Disease Virginia P. Teti, MD, LT, MC, USN, Jeffrey J. Kuhn, MD, CAPT (Ret) Naval Medical Center Portsmouth To Describe a Case of thyroid cartilage fracture Following Percutaneous Tracheostomy Tube Placement Jaime Eaglin, MD, Andrew Heller, MD VCU Medical Center Post operative Uvular Necrosis Following Intubation: a Rare Occurrence or Frequently Unrecognized Complication? S. Joshua Holley, DO, LCDR, MC, USN Naval Medical Center Portsmouth Global Health initiatives of US Otolaryngology Residency Programs Peter Volsky, MD, John Sinacori, MD Eastern Virginia Medical School

Poster Presentations Invasive Pseudallescheria Boydii in Fungal Skull Base Osteomyelitis J. Seth McAfee, MD Eastern Virginia Medical School Bisphosphonate-Induced Osteonecrosis of the External Auditory Canal: a Case Report Daniel K. Hodges, BS, Michael W. Chu, MD, Stephanie Moody-Antonio, MD Eastern Virginia Medical School Balloon Dilation of the Sinuses Michael Armstrong, Jr., MD Richmond Nasal and Facial Plastic Specialists Obstructive Goiter in Pregnancy Jonathan Chadwick, MD, LCDR, MC, USN, Steven J. Holley, DO, LCDR, MC, USN, Abigail Ramseyer, MD, LT, MC, USN, Timothy Clenney, MD, CDR, MC, USN Naval Medical Center Portsmouth Study Title: Lymphoepithelial-like Carcinoma of the Skin: a Case Report and Review of Literature Theresa Gille, MD LCDR, MC, USN, Jonathan Chadwick, MD LCDR, MC, USN, Allen Mitchell, MD CAPT, MC, USN, Edward Miles, CDR MC, USN Naval Medical Center Portsmouth Prognostic Significance of Pleural Effusion in Patients with Head and Neck Cancer: a Case Series Alexandros Georgolios MD, Andrew Huang MD, Evan Reiter MD VCU Medical Center Sublingual Immunotherapy for Allergic Fungal Sinusitis: A Case Series and Literature Review Brent Driskill, MD, Jonathan Melzer, MD, Timothy Clenney, MD, Eric Gessler, MD Naval Medical Center Portsmouth Chronic Rhinosinusitis in Patients Requiring Operative Repair of Midface Fractures Joshua C. Yelverton, MD, Peter Jackson, BS, Robert S. Schmidt, MD VCU Medical Center Use of Osseocartilaginous Rib Grafts in Rhinoplasty J. Jared Christophel, MD, Peter A. Hilger, MD UVA Medical School V-Y Advancement Flaps J. Jared Christophel, MD UVA Medical School National Medication Prescription and Diagnostic Procedure Trends for Acute Sinusitis, Chronic Sinusitis, and Acute Tonsillitis/Pharyngitis Jose L. Mattos, MD, Spencer C. Payne, MD UVA Medical School

The Virginia Society of Otolaryngology - Head and Neck Surgery, Inc.

Officers and Directors 2010 - 2011

President

Daniel W. Karakla, MD Norfolk

President-Elect

Richard E. Gardner, MD Woodbr idge

Vice-President

Jeffery J. Kuhn, MD Virginia Beach

Secretary-Treasurer

Andrew J. Heller, MD Richmond

Chairman, Board of Directors

Gregory C. Zachmann, MD Roanoke

Board Members at Large

Steven Bane, MD Woodbr idge

Eric Furst, MD Springf ield

Nariman Dash, MD Fredericksburg

Joseph Han, MD

Norfolk

Kelley Dodson, MD Richmond

Bradley Kesser, MD Charlottesvi l le

The Virginia Society of otolaryngology

extends their appreciation for exhibitor support from the following:

Gold Level

Acclarent

Silver Level

Elbyrne G. Gill Foundation

Merck & Co., Inc.

Bronze Level

Alcon Laboratories, Inc.

American Home Patient

Arthro Care ENT

Cochlear Americas

Ethicon Endo-Surgery

Eyemaginations, Inc.

Grace Medical

Gyrus ACMI LP

Hill Dermaceuticals, Inc.

Karl Storz Endoscopy

Intramed

Life Cell

Medtronic Surgical Technologies

Med-El Corporation, USA

Mentor Worldwide

Nautilus Surgical, Inc.

Stryker

Synthes CMF

U.S. Army Healthcare