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Otorhinolaryngology - Head and Neck Surgery

Programs and Services

Otolaryngology-Head and Neck Surgery

The Department of Otorhinolaryngology-Head and Neck Surgery provides tertiary care to patients with diseases of the Ear, Nose and Throat. The staff includes highly specialized physicians, audiologists, physiologists as well as speech and swallowing therapists. The department participates in a multitude of programs in conjunction with other departments within Montefiore Medical Center. The distinguished research faculty has contributed significantly to the world of science and brought both national and international attention to the department.

Head and Neck Surgery

Richard V. Smith, M.D.
Bradley A. Schiff, M.D.
Andrew B. Tassler, M.D.

The Head and Neck service of the Department of Otorhinolaryngology-Head and Neck Surgery offers comprehensive care to all patients with head and neck cancers. We specialize in offering individualized, multidisciplinary care to patients with complicated head and neck cancers. We are a true multi-disciplinary service working closely with physicians from other services including radiation and medical oncologists, oral and plastic surgeons, speech-swallow pathologists and nutritionists. To foster comprehensive multidisciplinary care of all patients with head and neck cancer the Department of Otorhinolaryngology-Head and Neck Surgery chairs the weekly head and neck tumor board meetings and has been instrumental in establishing a weekly multidisciplinary clinic, where patients with head and neck cancer can meet with surgeons, radiation oncologists, medical oncologists, dentists and nutritionists in one visit.

Surgeons in the department of ORL-HNS are among a handful of surgeons in the New York Tri-State area who specialize in endoscopic laser partial laryngectomy, a procedure which allows select patient to undergo minimally invasive laryngeal surgery, preserving the larynx and speech and swallowing function, while avoiding the complications associated with chemotherapy and radiation therapy. In addition surgeons at Montefiore are among a handful in the world using the DaVinci robot to perform select surgeries of the tonsil, base of tongue and larynx, potentially reducing the morbidity associated with such surgery and minimizing toxicities from adjuvant therapies often used to treat these tumors.

In addition to excellence in the care and treatment of cancers of the neck, oral cavity, oropharynx, hypopharynx and larynx, surgeons in the Department of Otolaryngology-Head and Neck surgery excel in endocrine surgery including surgery of the parotid gland, thyroid and minimally invasive surgery of the parathyroid glands.

Otology and Neurotology

Elizabeth Dinces, M.D.

The Department of Otolaryngology - Head and Neck Surgery brings together an outstanding team of physicians and audiologists for the treatment of otologic and skull base disorders. Extensive evaluation is available for disorders of hearing, the facial nerve, Méniére's syndrome, acute and chronic ear problems, Acoustic Neuromas and skull base tumors for all age groups. Advanced surgical and non-surgical treatment options, and the latest in microsurgical techniques, hearing restoration and intra-operative monitoring are available from our multi-disciplinary team.

Pediatric Otolaryngology

Jonathan Bent, M.D.
Maha Bassila, M.D.
Robert J. Ruben, M.D.

The Division of Pediatric Otolaryngology - Head and Neck Surgery offers treatment for all pediatric ear, nose and throat illnesses. Areas of interest include major airway and voice surgery, cochlear implantation, innovative techniques for tonsillectomy, head and neck tumors and masses, and computer-guided sinus surgery. The Division has collaborated with pediatric sub-specialists to develop national centers of excellence for pediatric head and neck tumors and masses (cancer, vascular anomalies, thyroid surgery), pediatric airway surgery (reconstructive and restorative tracheal/laryngeal surgery) and pediatric cochlear implantation (restorative hearing surgery).

Rhinology, Nasal and Sinus Diseases and Surgery

Marvin P. Fried, M.D.
Alexis Hope Jackman, M.D.

Specialized treatment is provided for patients suffering from acute and chronic sinusitis and its complications, nasal polyps and allergy, septal deformities and other problems leading to nasal airway obstruction. The service also addresses reconstructive problems, as well as neoplastic disease..As a referral source for the region, we see patients with the entire gamut of nasal and paranasal disorders. We collaborate closely with our colleagues in Allergy and Immunology. The technique of Endoscopic Sinus Surgery (ESS) is employed to help those patients who do not respond to medical therapy. This approach to sinus surgery emphasizes restoration of normal sinus physiology and drainage with limited surgery, performed by direct visualization using telescopes via a minimally invasive techniques Dr. Fried has helped develop navigation for computer assisted surgery and this is used in most of our procedures. We work closely with our physicians in the Department of Neurosurgery in the care of patients with pituitary tumors for transnasal endoscopic hypophysectomy and the removal of skull base tumors.

Laryngology and Voice Disorders

Marvin P. Fried, M.D.
Bradley A. Schiff, M.D.
Richard V. Smith, M.D.
Grete A. Fries, M.S., CCC-SLP

Hoarseness and vocal problems are quite common and we care for patients with these symptoms in a comprehensive fashion. Experienced laryngologists see all patients and many patients have laryngeal videostroboscopy and voice assessment to assist in their diagnosis and therapy. Often patients with voice complaints require consultation with physicians specializing in neurology, gastroenterolgy and other disciplines who are similarly expert in laryngeal concerns. Therapies for voice professionals and others, as well as the newest in surgical techniques are available for our patients.

Audiology

Laura Tocci, Au.D., CCC/A
Sharon Ripinsky, M.A., CCA/A
Lisa Zeitoun, Au.D., CCC/A
Mariana Urbina, Au.D., CCC/A/SP
Mahindra Ramdhanie, M.S., CCC/A
Randi Kirschner, M.A., CCC/A
Rosemary Seplowe, M.A., CCC/A

Comprehensive services are available for the assessment and rehabilitation of hearing and balance disorders. The Division is staffed by highly trained Audiologists who hold advanced degrees, national certifications, and New York State Licenses. A complete range of diagnostic and rehabilitative services are available to patients of all ages. These include: diagnostic audiometric evaluation of adults, children and infants; acoustic immittance assessment; site of lesion evaluation (including Auditory Brainstem Response (ABR) assessment, Otoacoustic Emissions (OAEs), vestibular evaluation (Electronystagmography-ENG), and electrocochleography (EcoG). Our hearing aid dispensary provides state-of-the-art hearing aid evaluation and selection.

Swallowing and Voice Pathology

Suzanne Abraham, M.S., Ph.D., CCC-SP
Grete Fries, M.S., CCC-SP

The Division of Swallowing and Voice Pathology provides diagnostic and treatment services to patients with swallowing disorders and voice pathologies. Clinical and instrumental assessment procedures including videofluororadiography are utilized in the diagnosis of dysphagia (swallowing disorders), specializing in adult patients with neurophysiological and structural deficits, including those with resection, reconstruction, and/or radiation for head and neck cancer, and pediatric patients with neurologic deficits and craniofacial malformations. Dysphagia care and physiologically-based treatment of young, tracheotomized pediatric patients is provided through our internationally-renown Little Tykes with Trach Program. Our Voice Laboratory is dedicated to the care of the voice with state of the art instrumentation, including videostroboscopy and videofiberoptic endoscopy, for use in the diagnosis and treatment of voice disorders such as hoarseness, vocal cord immobility, and laryngeal neoplasms. Comprehensive voice restoration services are offered to post-surgical laryngeal cancer patients.