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The Department of Otolaryngology offers the following services:
Head and Neck Oncology: In conjunction with the Departments of Radiation and Medical Oncology, patients with malignant head and neck tumors are reviewed in a multidisciplinary conference and co-managed. A unique selective chemotherapy infusion program (RADPLAT) in the treatment of advanced head and neck tumors is fully operational and cooperatively structured through interventional radiology, medical oncology, and radiation oncology. This medical center is one of the few in the nation to offer this therapeutic modality.
Endocrine Disorders and Tumors: In conjunction with the Division of Endocrinology/Department of Medicine, patients with thyroid malignancy are jointly managed to include provisions for adjunctive radioactive iodine and special followup considerations such as Thyrogen stimulation. Focused parathyroid surgery utilizing intraoperative parathyroid hormone assay is a unique management option.
Facial Reconstruction after MOHS Surgery: This cooperative service exists in conjunction with the Division of Dermatology. Special reconstructive problems are discussed and shared between the MOHS chemosurgeon and the otolaryngologic facial plastic surgeon.
Obstructive Sleep Apnea: Patients with these problems are considered jointly with the Department of Pulmonary Medicine and Neurology. Patients unable to be managed with positive pressure ventilation (CPAP) are referred for management with a variety of surgical techniques to include nasal septoplasty, UVPP, and tongue advancement techniques.
Laryngology and Voice Program: A laryngologist, speech and language pathologists, and consultants from the vocal arts provide a unique collaborative project for the management of dysphonia. In addition, Botox injection into the vocalis muscle is performed in conjunction with EMG monitoring with a staff neurologist.
Neurotology: Disorders of the skull base such as pituitary tumors, posterior fossa neoplasms, temporal bone lesions, and tumors of the anterior skull base are treated surgically through joint collaboration with the Division of Neurosurgery. A comprehensive Cochlear Implant Program in the management of profound sensorineural hearing loss utilizes the resources of surgical technology, audiology, deaf educators, and social services providers.
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