PENN STATE OTOLARYNGOLOGY-HEAD AND NECK SURGERY

Division Update Spring 2016

PennStateHershey.org/otolaryngology

New Flex Robotic System at Penn State Health ®

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his year (2016) kicked off in an exciting way for the Division of Otolaryngology–Head and Neck Surgery at Penn State Health Milton S. Hershey Medical Center. In January, David Goldenberg, M.D., Steven and Sharon Baron Professor of Surgery and chief of the Division of Otolaryngology–Head and Neck Surgery, became the second U.S. surgeon to use the Flex® Robotic System to perform transoral robotic head and neck surgery (TORS). The Dr. David Goldenberg performs a surgical procedure using the new Flex® Robotic System at Penn State Health first case, a supraglottic laryngectomy, proved Milton S. Hershey Medical Center. to be successful. Soon after, Neerav Goyal, M.D., assistant professor and director of head and neck surgery, joined The Future – Flex® Robotic System Dr. Goldenberg and began performing Flex® surgeries, as well. Since The Flex® Robotic System is the newest iteration of robotic surgical January, more than 15 surgeries have been performed using the new equipment, with noted improvements. This new device is like a snake Flex® device. made out of Legos. The Flex® system is based on a flexible camera and instrumentation. Under the surgeon’s control, it can be guided to the Robot-Assisted Surgery exact location it needs to be and look wherever the surgeon wants to Robot-assisted surgery has become a popular alternative to many look. Unlike previous robotic surgical instruments, it is not dependent on traditional surgical procedures. While modern robotic surgical techniques different angled cameras (0 and 30 degree) to change viewing direction. have been described since the late 1980s, telesurgery (i.e., surgery The system allows the surgeon to maneuver the surgical tools in three done at a distance from the patient) was first successfully performed in dimensions, with the option to change the flexibility of the scope, the 2001, when physicians located in New York removed the gall bladder viewing angle and the position of the camera. The camera may be made of a 62-year-old patient in Strasbourg, France. Robot-assisted surgery semi-rigid or completely rigid, as necessary for the procedure. has been used in a variety of general, cardiac, gynecologic and urologic The Flex® is smaller, less expensive and easier to set-up. It does not require procedures. an extra assistant at the bedside, because the surgeon has better control of Until recently, the da Vinci® Surgical System was the only tool available the instruments during surgery. The flexible camera also poses fewer risks to perform TORS on the head and neck. It was studied extensively at the to the patient than two linear arms and a third rigid camera. University of Pennsylvania to perfect and standardize its use, but it is not In August 2015, Dr. Goldenberg flew to Germany to watch the device in action without its limitations. Some of the drawbacks of the da Vinci® include and perform a live surgery. By October 2015, the FDA approved the Flex® its cost (about $2.1 million), its size (about equivalent to a Volkswagen Robotic System for use in the U.S. Thanks in part to a gift from the Benjamin Beetle), and the time required for set-up and positioning. In addition, Olewine III family and the Department of Surgery, Penn State Health Milton two providers (at minimum) are required to perform TORS procedures S. Hershey Medical Center purchased a unit by the end of 2015, in time with the da Vinci®. The console surgeon performs the surgery at the for Dr. Goldenberg’s first scheduled procedure in early January 2016. robot away from the operating table, while the bedside assistant protects the patient and helps to facilitate a successful surgery. As an academic and clinical leader in otolaryngology–head and neck surgery, the team of professionals is always looking for innovative solutions The Penn State head and neck surgical team has been performing and to advance the field of technological growth for optimal patient care. training its residents to perform da Vinci®-based TORS procedures since it was FDA approved in 2009.

Message from the Chief As we begin springtime in Hershey, Pa., we want to take this opportunity to thank you for your continued support of the Division of Otolaryngology–Head and Neck Surgery at Penn State Health Milton S. Hershey Medical Center. In a short period of time, the division has experienced tremendous progress in its programs. We are very proud of our growth and accomplishments as a team, as our faculty members continue to be recognized as national leaders in research, education and clinical care. Our team has made great strides working both within our own specialty, as well as with members of other Penn State Health programs. Neerav Goyal, M.D., M.P.H., is working with Brad Zacharia, M.D., M.S., neurosurgery, to advance Penn State Health’s minimally invasive skull base surgery program for management of pituitary adenomas, skull base meningioma, and both benign and malignant pathology of the paranasal sinuses. Within otology, Huseyn Isildak, M.D., is regularly performing intra-tympanic therapies for hearing loss and vertigo, as well as stereotactic radiation for acoustic tumors. Our head and neck team have become leaders in the field of transoral robotic surgery with the addition of the Flex® Robotic System for management of head and neck cancers, as well as benign diseases. I am very proud of and inspired by the wonderful team of attending physicians, residents, extenders, nurses and superb administrative support personnel. We are now poised to enter another chapter of our division’s history with ambitious research initiatives and an expanding clinical presence. I invite you to explore the pages of our spring newsletter and learn about our efforts as we continue to discover, teach and heal. Best wishes for a happy and safe spring and summer.

David Goldenberg, M.D., FACS Baron Professor and Chief, Otolaryngology–Head and Neck Surgery

Provider Spotlight: Genevieve Andrews, M.D. Genevieve Andrews, M.D., assistant professor, otolaryngology—head and neck surgery, joined Penn State Health Milton S. Hershey Medical Center in 2011. Prior to joining the Penn State Health team, Dr. Andrews completed a threeyear fellowship in head and neck oncologic surgery (two years consisting of a basic science research fellowship) at the University of Texas MD Anderson Cancer Center in Texas, following residency training at Temple University Hospital and School of Medicine in Philadelphia, Pa. In her current role, Dr. Andrews serves as the director of the Multidisciplinary Melanoma and Cutaneous Oncology Tumor Board. She also serves as the associate director of the melanoma center and in the Multidisciplinary Cutaneous Malignancy Clinic at the Penn State Cancer Institute. As a fellowship-trained head and neck cancer surgeon, Dr. Andrews focuses on the diagnosis and surgical management of neoplasms of the upper aerodigestive tract (oral cavity, pharynx, larynx and paranasal sinuses) and salivary glands. She also treats more unusual neoplasms of the head and neck, such as sarcomas and mucosal melanomas. Dr. Andrews has a particular clinical interest in the treatment of cutaneous malignancies of the head and neck, including melanoma, advanced squamous and basal cell carcinomas, and rare cutaneous malignancies (Merkel cell carcinoma, adnexal cancers and cutaneous sarcomas).

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Dr. Genevieve Andrews, assistant professor of otolaryngology—head and neck surgery, performs a surgery in the operating room.

Dr. Andrews volunteers her time as faculty liaison with the head and neck cancer support group. Her research interests range from the molecular biology of head and neck squamous cell carcinoma to the clinical management of head and neck, thyroid and skin cancer. Her more recent research interests focus on melanoma with an emphasis on the ominous disease entity of melanoma in-transit metastases. Dr. Andrews also has a research interest in quality metrics in the care of otolaryngology patients. Venous thromboembolism is a core measure evaluated rigorously by hospitals for the purpose of disease prevention. She has published specialty-specific data on the incidence of venous thromboembolism, which helps otolaryngologists make evidence-based decisions on venous thromboembolism prophylaxis for their patients. Dr. Andrews is also interested in the timeliness of cancer care. She is currently investigating factors that cause delays in initiating head and neck cancer care and the impact of these delays on survival. Through the evidence gained from this research, Dr. Andrews hopes to improve the system and patient outcomes for head and cancer patients everywhere.

Meet the Physician Assistants Gale Bentz, PA-C, M.Ed.

Katie Kugler, PA-C

Gale Bentz, PA-C, M.Ed., hired as the first PA In 1991. She worked in primary care for nine years prior to joining our division. She has an interest in otology.

Katie Kugler, PA-C, joined head and neck surgery in 2009, following work with the Division of Transplant Surgery. Her area of specialty includes head and neck cancer and sinus disease.

Education

Education

• PA-C, Penn State College of Medicine, 1983 • M.Ed., The Pennsylvania State University, 1996

• BS, Medical Studies, King’s College, 2000 • Currently completing her M.Ed. at The Pennsylvania State University

Awards, recognition and community involvement

Awards, recognition and community involvement

• Press Ganey Excellence in Patient Satisfaction • Advanced Practice Clinician Excellence Award, 2015 • Employee of the Month, 2000 • Adjunct Faculty at Drexel University PA Program

• Member of the Board of Directors, Pennsylvania Society of Physician Assistants (PSPA) • Chair of the Regional Affairs Committee, PSPA • Member of the Political Action Committee, PSPA • Lecturer, annual PSPA CME Conference • Employee of the Month, 2012 • Advanced Practice Clinician Excellence Award, 2014

Meghan Schmidt, PA-C

• Preceptor for Lock Haven University PA Students

Megan Schmidt, PA-C, joined the division in July 2014. She serves primarily as the PA in pediatric otolaryngology. Prior to July 2014, she worked in Alexandria, Va, practicing endocrinology.

• Lecturer, Penn State PA Program • Teaches head and neck exam to third-year medical students at Penn State College of Medicine, Surgical Clerkship

Education • MSPAS, King’s College, 2009

Awards, recognition and community involvement • Preceptor for the Health Career Exploration Program • Teaches for Penn State College of Medicine surgical clerkship with third-year medical students

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Goldenberg Named Steven and Sharon Baron Professor of Surgery David Goldenberg M.D., chief, Division of Otolaryngology– Head and Neck Surgery, has been named the Steven and Sharon Baron Professor of Surgery. Dr. Goldenberg was recognized for his excellence in clinical scholarship and translational research. This endowed professorship was established to honor Steven Baron, a former Milton S. Hershey Medical Center executive director and chief operating officer, and his wife, Sharon. Congratulations, Dr. Goldenberg.

Dr. David Goldenberg presents a lecture during a ceremony recognizing him as Steven and Sharon Baron Professor of Surgery.

In March 2016, Dr. Craig A. Hillemier honored Dr. David Goldenberg as Steven and Sharon Baron Professor of Surgery.

Lighthall Featured on Sirius XM Jessyka Lighthall, M.D., MS, assistant professor of otolaryngology-head and neck surgery, facial plastic surgeon, guest-hosted a Sirius XM otolaryngology show on channel 81 with host Sean McMenomey, M.D., professor of otolaryngology at NYU, on February 24, 2016. This was the second time Dr. Lighthall was invited to be part of Dr. McMenomey’s show.

Dr. Jessyka Lighthall stands with Dr. McMenomey of New York University after guest-hosting a Sirius XM otolaryngology show.

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Resident Spotlight Darrin Bann M.D., Ph.D Dr. Bann, PGY-1, was one of six residents in the nation chosen to serve on this year’s Centralized Otolaryngology Research Efforts (CORE) Study Section. The CORE grants program is a collaboration of several societies, foundations and industry supporters focused on research in the field of otolaryngology-head and neck surgery.

Ashley O’Connell Ferster, M.D. Dr. O’Connell Ferster, PGY-2, was appointed Resident Editor to the Journal of Voice editorial board. As a resident editor, Dr. O’Connell Ferster will review journal submissions, providing feedback to submitting authors and selecting manuscripts for publication in the Journal of Voice.

Please join us in congratulating our graduating residents. Best wishes to them in their careers.

Benjamin Oberman, M.D. Dr. Oberman is joining a private practice with the North Carolina Eye, Ear, Nose & Throat group with offices in and around the Durham, Chapel Hill and Raleigh areas.

Hetal Patel, M.D. Dr. Patel is pursuing additional training with an otology fellowship at the Silverstein Ear Institute in Sarasota, Fla.

Residents in Training Microsurgical Competency Training Benjamin Oberman, M.D., and Hetal Patel, M.D., both graduating otolaryngology residents, earned their certificates of competency for completion of the Microsurgical Resident Training Course at Penn State Health Milton S. Hershey Medical Center in January 2016. This course involves a fourhour introductory microvascular session beginning with training on chicken wing vessels. It is followed by multiple one-on-one lab sessions with a microvascular-trained surgeon. Once competency is obtained, individuals advance to operative microsurgical training on live anesthetized rats. Competency is graded on an individual basis.

Basic Microvascular Training Led by Jessyka Lighthall, M.D., and co-instructed by Neerav Goyal, M.D., residents now complete two quarterly microvascular training courses to practice microvascular skills under the microscope; training kits provided by Zimmer Biomet. As skills improve, residents advance to performing anastomoses on smaller vessels. These trainings complement the microsurgical resident competency training course.

Residents complete a quarterly microvascular training course, a new course focusing on training for microvascular skills. The course is led by Dr. Jessyka Lighthall and co-instructed by Dr. Neerav Goyal.

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Inaugural Research-Focused Resident Tackles Thyroid Cancer Prevention and Treatment Darrin Bann, M.D, Ph.D., joined the Division of Otolaryngology–Head and Neck Surgery in 2015 as the inaugural research track resident. In this role, Dr. Bann was presented with the opportunity to fulfill a year of research with the Institute for Personalized Medicine at Penn State Health Milton S. Hershey Medical Center prior to starting his clinical training with the Division of Otolaryngology—Head and Neck Surgery. The goal of the program is to train the next generation of surgeon-scientists and leaders in the field. Dr. Bann earned his undergraduate degree from Ithaca College in Ithaca, N.Y., prior to entering the combined M.D./Ph.D. training program at Penn State College of Medicine in 2007. After completing the first two years of medical school, he joined the laboratory of Leslie Parent, M.D., where he used a combination of classic molecular biology and highly advanced imaging techniques to study the molecular mechanisms of retroviral assembly. Dr. Bann earned his Ph.D. in 2013, before returning to medical school where he discovered his passion for otolaryngology and conducted several research projects aimed at understanding the epidemiology of thyroid cancer in Pennsylvania. He graduated from medical school in 2015. During his research year, Dr. Bann studied the biology and epidemiology of thyroid cancer, which is diagnosed in more than 62,000 people per year in the U.S. He is a key member of a multidisciplinary research team that has identified a novel mutation associated with hereditary thyroid cancer and provided insight into why people with specific genetic profiles have a higher risk of developing thyroid tumors. In the future, results from this study may help identify

people at high-risk for thyroid cancer−potentially allowing these individuals to receive appropriate screening or even cancer-preventing therapy. His additional research projects are aimed at using novel molecular approaches to diagnose and appropriately stratify treatment for thyroid cancer, identifying large-scale genetic rearrangements in cancer genomes, and understanding how disparities in access to health care impact thyroid cancer diagnosis. Dr. Bann has been recognized and has received numerous awards for his work, including independent funding from the National Cancer Institute, the Penn State College of Medicine Dean’s Award for Scholarly Achievement, the John W. Kreider Award for Research and Academic Excellence in the Cell and Molecular Biology Graduate Program, the John F. Enders Commencement Award from the Penn State College of Medicine Department of Microbiology and Immunology, and the E. Chester Ridgeway Trainee Award from the American Thyroid Association. In addition, he was recently one of six otolaryngology residents from across the country selected to serve on the American Academy of Otolaryngology–Head and Neck Surgery Centralized Otolaryngology Research Effort (CORE) Study Section. He has authored nearly 20 peer-reviewed publications, several book chapters, and has presented his research at more than 30 meetings across the country. After completing his residency training, Dr. Bann plans to pursue fellowship training in head and neck surgery and microvascular reconstruction. His long-term objective is to divide his time between research and clinical practice in an academic setting. When he’s not working, Dr. Bann enjoys spending time with his wife and three dogs, cooking and hiking. We congratulate Dr. Bann on his success.

As the inaugural research track resident, Dr. Darrin Bann performs research with the Institute of Personalized Medicine at Penn State Health Milton S. Hershey Medical Center prior to starting his clinical training with the Division of Otolaryngology—Head and Neck Surgery. 6

Happenings

The John R. Fenstermacher Memorial Golf Tournament was held Sept. 11, 2015. Presentation of the 2015 John R. Fenstermacher Memorial Golf Tournament check for the benefit of the head and neck cancer research fund at the Milton S. Hershey Medical Center.

Annual George H. Conner Lecture The Division of Otolaryngology-Head and Neck Surgery proudly welcomed Peter Hilger, M.D., MS, FACS, professor, Division of Facial Plastic Surgery, Department of Otolaryngology at the University of Minnesota Hospital as the 2016 George H. Conner Visiting Professor on Thursday, April 7, 2016. Dr. Hilger presented the 30 Year Evolution of a Rhinoplasty Practice.

Dr. David Goldenberg and Peg Fenstermacher

Penn State Health Milton S. Hershey Medical Center hosted the Inaugural Temporal Bone Course April 22-23, 2016. This provides otolaryngologists and residents and fellows in training with a comprehensive experience in temporal bone anatomy, disease management and applied surgical techniques.

Thanks to Our Generous Donors Dr. and Mrs. George Conner, 1974 Richard Ferraro, M.D., 2003 David Goldenberg, M.D. Harold Hessan, M.D., 1988 John Isaacson, M.D. Michael Orsini, M.D., 1982 W. Cooper Scurry, M.D., 2007

Division of Otolaryngology attending providers with Peg Fenstermacher From L-R: Drs. Jessyka Lighthall and David Goldenberg, Peg Fenstermacher, Drs. Neerav Goyal and Genevieve Andrews

Thank You for Your Contributions! The residency program extends its sincere thanks to alumni and friends who have contributed to the Resident Gift Fund. The continued support from generous donors allows the Division to further its resident research and educational missions. Your funds send residents to regional and national conferences, workshops and on mission trips. Donations of any size are accepted and are tax-deductible. Please contact Joy Burchill at [email protected] with any questions. To mail your contribution, please make your check payable to Penn State College of Medicine Otolaryngology Resident Gift Fund and mail to: Otolaryngology-Head and Neck Surgery at Penn State Health Milton S. Hershey Medical Center Milton S. Hershey Medical Center PO Box 850, Mail Code H091 Hershey, PA 17033-0850

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Alumni Spotlights

Awards

Ayesha Khalid, M.D., MBA, 2008 resident graduate, was elected as the incoming Chair of the Women in Otolaryngology Committee for the American Academy of Otolaryngology-Head and Neck Surgery (AAO-HNS). The position serves on the AAO-HNS Board of Directors and develops the educational program for the fall AAO-HNS meeting that brings together women in otolaryngology. Dr. Khalid is excited to promote improved training for women in otolaryngology on contract negotiations and education on changing models for practicing medicine. Congratulations to Dhave Setabutr, M.D., 2013 resident graduate, and Thipnapa Patthnathamrongkasem, who married May 28, 2016, in Bangkok, Thailand. Dr. Setabutr lives in New York, N.Y., and is an assistant professor in the Department of Otolaryngology at the Cohen’s Children’s Hospital, Hofstra University School of Medicine/Northwell Health. Congratulations and best wishes Dhave and Thipnapa!

Michele M. Carr, M.D., M.Ed., Ph.D. Inspired Award, Community Service Award 2015 Penn State Health Milton S. Hershey Medical Center Dale DiSalvo, M.D., and Michele Carr, M.D. M.Ed., Ph.D. Pennsylvania Academy of Otolaryngology Annual Meeting abstract poster award winners for “Direct Laryngoscopy Findings in Pediatric Patients with Obstructive Sleep Apnea without Adenotonsillar Hypertrophy.”

Thanks to our Visiting Professors

Umamaheswar Duvvuri, M.D., Ph.D. University of Pittsburgh, presented Surgical Robotics: the present and the future.

Wade Chien, M.D. Johns Hopkins School of Medicine, presented Development of gene therapy for hearing loss and vestibular dysfunction.

Dennis Fitzgerald, M.D. Washington Hospital Center Georgetown University, presented Perilymphatic Fistula.

Penn State Health to Participate in Otolaryngology Education Alliance The OEA (Otolaryngology Education Alliance) Lectureship is bestowed on promising junior faculty to promote educational exchange and enable inter-institutional collaboration. Recipients visit other OAE institutions to deliver Grand Rounds and meet with host faculty, fellows and residents to catalyze new creative endeavors. Participating institutions include University of Maryland School of Medicine, Penn State College of Medicine, Weill-Cornell Medical College, Sidney Kimmel Medical College at Thomas Jefferson University and Johns Hopkins School of Medicine.

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Alexander Hillel, M.D. Johns Hopkins School of Medicine

We welcome the following guest speakers:

June 9, 2016 Joseph Curry, M.D. Thomas Jefferson

June 23, 2016 Ronna Hertzano, M.D. University of Maryland

The FACES Foundation Surgical Campaign Team poses for a group photo during their service in Lambayeque, Peru to repair cleft lip and palate defects for those in need.

Continued Focus on International Health Care As part of FACES Foundation Surgical Campaign, Jessyka Lighthall, M.D., joined a team of 30 and once again traveled to Lambayeque, Peru, to repair cleft lip and palate defects to those in need. The FACES surgical team, representing organizations such as the Oregon Health Science University, Kaiser Permanente in Portland, and Hershey Medical Center, treated 54 patients and performed 103 procedures in six days at two hospitals in Peru: Hospital Belen in Lambayeque and Hospital Regional in the neighboring city of Chiclayo. The FACES surgical team also partnered with local providers (nursing students, medical students, dental students, surgeons and anesthesiologists) to improve preoperative and postoperative care of patients. These providers are critical to providing in-country care and follow-up to assist patients during the recovery period. A nonprofit organization, the FACES Foundation seeks to provide highquality comprehensive care for indigent and medically isolated patients with cleft lip and palate deformities. The focus is not just on the surgical intervention, but also on the sustainability and completeness of patient care. As such, the relationship between the surgical campaign teams and the local providers help to improve long-term patient care and outcomes. In addition, the foundation assists in organizing several follow-up services for patients, including plastic surgery, dental care, imaging and speech therapy. Because care is provided at the same location every year, the team has the opportunity to follow patient outcomes and provide longitudinal care for them.

It’s not all work for the surgical team. Above, members of the team perform a local Peruvian dance, with locals at the end of trip banquet.

The success of this trip is largely dependent upon the strong support from Peruvian liaisons, the Lions Clubs and many Peruvian volunteers and local hospitals. Dr. Lighthall is proud to be a part of the FACES Foundation Surgical Campaign and hopes to continue her international mission work in the future. For more information on FACES Foundation and to see photos from the trip, visit FacesFoundation.org.

Dr. Lighthall works with local surgeons and educates local medical and nursing students.

Dr. Lighthall holds an infant in the preoperative holding bay prior to his cleft lip repair. 9

Scholarly Activity Publications: Pachuski J, Vaida S, Donahue K, Goldenberg D. et al. Effect of laryngotracheal topical anesthesia on recurrent laryngeal nerve monitoring during thyroid surgery. J Clin Anesth. 2016;29:10-13. Payne SJ, Mitzner R, Kunchala S, Roland L, McGinn JD. Acute invasive fungal rhinosinusitis: a 15-year experience with 41 patients. Otolaryngol Head Neck Surg. 2016 Feb 16. [Epub ahead of print] O’Connell Ferster AP, Tanner AM, Karikari K, Roberts C, Wiltz D, Carr MM. Factors related to persisting perforations after ventilation tube insertion. Int J Pediatr Otorhinolaryngol. 2016;81:29-32. Magister MJ, Goldenberg D. Caution against overinvestigation of small thyroid nodules-reply. JAMA Otolaryngol Head Neck Surg. 2016;142(1):103. Hennessy M, Goldenberg D. The role of prophylactic central neck dissection in the treatment of differentiated thyroid cancer. Rambam Maimonides Med J. 2016;7(1). Bann DV, Goldenberg D. Four cystic parathyroid adenomas in a 71-year-old man. Ear Nose Throat J. 2016;95(1):21-22. Enomoto LM, Schaefer EW, Goldenberg D, Mackley H, Koch WM, Hollenbeak CS. The cost of hospice services in terminally ill patients with head and neck cancer. JAMA Otolaryngol Head Neck Surg. 2015;141(12):1066-1074. Magister MJ, Chaikhoutdinov I, Schaefer E, Williams N, Saunders B, Goldenberg D. Association of thyroid nodule size and Bethesda class with rate of malignant disease. JAMA Otolaryngol Head Neck Surg. 2015;141(12):1089-1095. DiSalvo DS, Oberman BS, Warrick JI, Goldenberg D. Pharyngeal presentation of Goltz syndrome: a case report with review of the literature. Head Neck Pathol. 2015 Nov 17. [Epub ahead of print]

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Saadi R, Goldenberg D. An intrathyroidal thyroglossal duct cyst. Ear Nose Throat J. 2015;94(10-11):446-447. Magister MJ, Crist H, Oberman BS. Rapid progression of necrotic lesion of the mandibular gingiva in a pancytopenic patient. Invasive necrotizing fungal gingivitis. JAMA Otolaryngol Head Neck Surg. 2015;141(10):937-938. Portela RA, Choby GW, Manni A, Campbell D, Crist H, Goldenberg D. Unusual sites of metastasis of papillary thyroid cancer: case series and review of the literature. Ear Nose Throat J. 2015;94(8):E43-47. Lighthall JG, Kempton JB, Hausman F, MacArthur CJ, Trune DR. Control of middle ear inflammatory and ion homeostasis genes by transtympanic glucocorticoid and mineralocorticoid treatments. PloS One. 2015;10(3):e0119228. Hollenbeak CS, Kulaylat AN, Mackley H, Koch W, Schaefer EW, Goldenberg D. Determinants of Medicare costs for elderly patients with oral cavity and pharyngeal cancers. JAMA Otolaryngol Head Neck Surg. 2015;141(7):628-635. Davies L, Morris LG, Haymart M, et al. American Association of Clinical Endocrinologists and American College of Endocrinology Disease State Clinical Review: the increasing incidence of thyroid cancer. Endocr Pract. 2015;21(6):686-696. Bann DV, Zacharia T, Goldenberg D, Goyal N. Parathyroid localization using 4D-computed tomography. Ear Nose Throat J. 2015;94(4-5):E55-57. Magreni A, Bann DV, Schubart JR, Goldenberg D. The effects of race and ethnicity on thyroid cancer incidence. JAMA Otolaryngol Head Neck Surg. 2015;141(4):319-323.

Presentations: Bann DV, Sheldon KE, Houser K, Zhang L, Broach J, and Goldenberg D. Variations in genome structure between follicular variant and highly aggressive papillary thyroid cancer. 2016 Multidisciplinary Head and Neck Cancer Symposium. February 2016, Scottsdale, AZ. Bann DV, Kim Y, Zacharia T, and Goldenberg D. The effect of aging on the anatomic position of the thyroid gland. American Society for Geriatric Otolaryngology Annual Meeting (part of the 2016 Triological Society Combined Sections Meeting). January 2016, Miami, FL. Goldenberg-Molecular Genetics of Thyroid Cancer: Diagnostic and Therapeutic Clinical Applications Grand Rounds Department of Otolaryngology-Head and Neck Surgery. January 2016, St. Louis, MO. Schwartz S, Shah-Becker S, Williams N, Andrews G. Cutaneous Extension of Parotid Mucoepidermoid Carcinoma from a Malignantly Transformed Warthin Tumor Mimicking Primary Cutaneous Adnexal Carcinoma. January 2016, Miami Beach, FL. Bann DV. You are here: Mapping the cancer genome. Ithaca College Department of Biology Seminar Series. December 2015, Ithaca, NY. Goldenberg-Ultrasonic Imaging of the Thyroid ultrasonic Imaging of the Parathyroids ACS Ultrasound Course: Thyroid and Parathyroid Ultrasound Skills-Oriented Course. November 2015, Toronto, Canada. Bann DV, Goyal N, Lin J, Camacho F, Goldenberg, D. Epidemilogical and Histological Variables Predicting Recurrence in Papillary Thyroid Cancer. 15th International Thyroid Congress. October, 2015, Orlando, FL.

Bann DV, Lin J, Camacho F, Goldenberg D, and Goyal N. Diseaseand treatment-specific variables predicting papillary thyroid cancer recurrence. 15th International Thyroid Congress. October 2015, Lake Buena Vista, FL. Hussain SL, Carr MM. 24-Hour Course of Post-Tonsillectomy Hemorrhage. American Academy of Otolaryngology-Head and Neck Surgery Annual Meeting. September 2015, Dallas, TX. Shah-Becker S, Roberts C, Derr J, Sedeek K, Carr MM. Intraop IV Acetaminophen and Pain Following Pediatric Tonsillectomy. American Academy of Otolaryngology-Head and Neck Surgery Annual Meeting. September 2015, Dallas, TX. DiSalvo DS, Carr MM. Laryngeal findings in pediatric patients with obstructive sleep apnea. American Academy of Otolaryngology-Head and Neck Surgery Annual Meeting. September 2015, Dallas, TX. Hollenbeak C, Enomoto LM, Bann DV, Goldenberg D. Trends in the Incidence of Oropharyngeal Cancers in the U.S. American Academy of Otolaryngology – Head and Neck Surgery Annual Meeting. September 2015, Dallas, TX. Baker AR, Oberman BS, Warrick J, Andrews G. Intranasal Acetaminophen Abuse: A Case Report and Review of the Literature. American Academy of Otolaryngology – Head and Neck Surgery Annual Meeting. September 2015, Dallas, TX. Bann DV, Sheldon KE, Houser K, Zhang L, Broach J, and Goldenberg D. De Novo Genome Mapping of a Follicular Variant Papillary Thyroid Cancer. Penn State University Bioinformatics and Genomics Retreat. August 2015, State College, PA.

Bann DV, Sheldon KE, Houser K, Zhang L, Broach J, Goldenberg D. De Novo Genome Mapping of a Follicular Variant Papillary Thyroid Cancer. 15th International Thyroid Congress. October 2015, Orlando, FL.

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Penn State Health Milton S. Hershey Medical Center P.O. Box 855, MC A140 Hershey, PA 17033

How to Refer A Patient • Adult and pediatric otolaryngology, head and neck cancer, facial plastic and reconstructive surgery, audiology and hearing aid services: 717-531-6822 • Cosmetic facial plastic surgery consults: 717-761-8900, option 5 • Fax records for review: 717-531-6160

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