The Virginia Society of Otolaryngology -

Head & Neck Surgery

ANNUAL MEETING PROGRAM

Hilton Virginia Beach Oceanfront Virginia Beach, Virginia May 17th & 18th, 2013

Preliminary ScheduleThursday, May 16, 20133:00 p.m. Board of Directors Meeting Peacock Ballroom A Board Room

6:30 p.m. Board Reception & Dinner Courtney Terrace

Friday, May 17, 20137:30 a.m. Registration Continental Breakfast Exhibit Hall Opens Poster Presentations Open (Prefunction area) Peacock Ballroom C

8:00 a.m. - Scientific Session Peacock Ballroom A & B

7:30 a.m. Business Meeting during lunch Peacock Ballroom A & B

6:30 p.m. Cocktail Reception Peacock Ballroom C

saTurday, May 18, 2013 7:00 a.m. Registration Prefunction outside Peacock Ballroom C Continental Breakfast Exhibit Hall Opens Poster Presentations Open (Prefunction area) Peacock Ballroom C

7:45 a.m. - Scientific Session Peacock Ballroom A & B 12:10 p.m.

PEDIATRIC AMELOBLASTIC CARCINOMA OF THE MAXILLA, A CASE REPORTJonathan Mark, MD, Gordon Nathaniel, MD, Megan Burke, MD, Daniel Karakla, MD, FACSEastern Virginia Medical SchoolINTRANASAL AVASTIN INJECTION FOR TREATMENT OF RECURRENT EPISTAXIS IN A PEDIAT-RIC PATIENT WITH HEREDITARY HEMORRHAGIC TELANGIECTASIALyndy Wilcox, MD, David Darrow, MD, DDS, FAAPEastern Virginia Medical School

RECURRENT PEDIATRIC SACCULAR CYSTS: SURGICAL MANAGEMENT AND CHALLENGESPhillip Whiting, MD, Craig Derkay, MD, Christina Baldassari, MDEastern Virginia Medical School

SIALOBLASTOMA OF THE SUBMANDIBULAR GLAND: CASE REPORT AND REVIEW OF THE LITERATUREVincent A. Zizak, LCDR, MC, USN; Aru Panwar, MD; Russel Smith, MD Naval Medical Center, Portsmouth

HUMANITARIAN OTOLARYNGOLOGY: MORE THAN JUST TUBES?LCDR J.L. Chadwck, MC, CAPT A.O. Mitchell, MC, CAPT E.M. Gessler, MCNaval Medical Center, Portsmouth

STANDARD UPTAKE VALUE OF 2-[18F] FLUORO-2-DEOXY-D-GLUCOSE IN PREDICTING NODAL RESPONSE TO RADIOTHERAPY WITH OR WITHOUT CHEMOTHERAPY IN OROPHARYNGEAL SQUAMOUS CELL CARCINOMA.Blake Kimbrell, MDEastern Virginia Medical School

PAPILLARY THYROID CARCINOMA PRESENTING AS A BRANCHIAL CLEFT CYST: A POTENTIAL PITFALL IN DIAGNOSISL.M. Dominguez, MD, A.L. Childers, MD, L. J. DiNardo, MDVirginia Commonwealth University Health System

REDEFINING THE NEED FOR VISUALIZATION DURING SILASTIC MEDIALIZATION THYRO-PLASTYSal Taliercio, MM, John Sinacori, MDEastern Virginia Medical School

NASAL SEPTAL MUCOCELE: A CASE REPORTJonathan M. Melzer, MD, Ashleigh Schroeder, MDNaval Medical Center, Portsmouth

TOPICAL SAFETY OF MITOMYCIN C AND KELOID EXCISION: A PILOT STUDYLCDR Virginia Teti, MD, USN, MC, LCDR Thomas Gallagher, DO, USN. MCNaval Medical Center, Portsmouth

Poster Presentations

OTOLARYNGOLOGIC MANIFESTATIONS OF MUENKE SYNDROME - A CASE REPORT AND LITERATURE REVIEWDinchen Jardine, MD, LCDR, MC, Thomas Gallagher, DO, LCDR, MC, Craig Folsom, MD, LT, MCNaval Medical Center, Portsmouth VA

SYMPATHETIC HEARING LOSS: LITERATURE REVIEW AND REPORT OF TWO CASESPatrick Morgan, BS, Peter Volsky, MD, Barry Strasnick, MD, FACSEastern Virginia Medical School

SUBMANDIBULAR (UNDESCENDED) ECTOPIC PARATHYROID GLAND: RARE AND CHALLENGING TO LOCALIZESuhyla Alam, MS, Peter Volsky, MD, Marc Silverberg, MD, Trad Wadsworth, MD, FACS, Daniel Karakla, MD, FACSEastern Virginia Medical School

SINONASAL BASALOID SQUAMOUS CELL CARCINOMA WITH SOLITARY PANCREATIC METASTASIS: A CASE REPORT AND LITERATURE REVIEWBenjamin Hull, MD, Matthew Bak, MD, Marc Silverberg, MDEastern Virginia Medical School

INTERVAL VS. MASSED TRAINING: HOW BEST DO WE TEACH SURGERY?Bradley Kesser, MD, Matt Hallman, Loren Murphy,Maggie Tillar, Shayn Peirce-Cottler, PhD, Meg Keeley, MDUniversity of Virginia School of Medicine

FACIAL PARALYSIS IN A PATIENT WITH EAGLE SYNDROME: CASE REPORT AND LITERATURE REVIEWStephanie Ambrose, MD, Jonathan Young, MD, Richard Goldman, MD, Evan Reiter, MD, FACSVirginia Commonwealth University Health System

EXTRAMEDULLARY PLASMACYTOMA OF CRICOID CARTILAGE CAUSING AIRWAY COMPROMISEAdrienne Childers, MD, Laura Dominguez, MD, Evan Reiter, MD, FACSVirginia Commonwealth University Health System

PEDIATRIC PAPILLARY THYROID CANCER: A CASE REPORT AND REVIEW OF THE LITERATUREWilliam Falls, MD, LCDR MC USN, Virginia Teti, MD, LCDR MC USN, Thomas Gallagher, DO, LCDR MC USNNaval Medical Center, Portsmouth VA

TONSILLECTOMY COMPLICATION RATE FOLLOWING INTRAOPERATIVE HIGH DOSE DEXAMETHASONE ADMINISTRATION: A RETROSPECTIVE REVIEWSamuel Frasier, LT MC, Erin Spadaro, MD, LT MC, Ashley Schroeder MD, CAPT MC, Eric Gessler, MD, CAPT MCNaval Medical Center, Portsmouth VA

ACCREDITATION STATEMENTThis 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 of Surgeons is accredited by the ACCME to provide continuing medical education for physicians.AMA PRA Category 1 Credits™

Continuing Medical Education

The American College of Surgeons designates this live activity for a max-imum of 11 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

EDUCATIONAL OBJECTIVESAt the end of this education activity, participants will:

• Increase the use of in-office evaluation and treatment of vocal fold weakness.

• Increase the use of office esophagoscopy and manometry.

• Learn to individualize management of chronic sinusitis based on patient’s specific type of chronic sinusitis.

• Gain a comprehensive management plan for the management of the patient with Meniere’s Disease

• Understand the role of office ultrasound in the management of thyroid and parathyroid patients.

• Learn new techniques to perform a tracheoesophageal puncture.

• Understand the use of PSG post T&A and other Sleep Surgery adjuncts.

American College of Surgeons Division of Education

DISCLOSURE INFORMATIONIn compliance with ACCME Accreditation Criteria, the American College of Surgeons, as the accredited provider of this activity, must ensure that anyone in a position to control the content of the educational activity has disclosed all relevant financial relationships with any commercial interest. All reported conflicts are managed by a designated official to ensure a bias-free presentation. Please see the insert to this program for the complete disclosure list.

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 Gregory Postma, MD who will be presenting this year’s Elbyrne G. Gill Lectures.

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, Nose 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 on the board of the Gill Foundation, respec-tively. The Foundation continues to be dedicated to the prevention of blindness and deafness.

Elbyrne G. Gill Lecture

PresidentAndrew Heller, MD

Richmond

President-ElectBradley Kesser, MD

Charlottesville

Secretary-TreasurerNariman Dash, MD

Fredericksburg

Chairman, Board of DirectorsRichard Gardner, MD

Woodbridge

Board Members at LargeKelley Dodson, MD

Richmond

Eric Furst, MDSpringfield

Joseph Han, MD

Norfolk

John Mason, MDCharlottesville

Edilberto Pelausa, MDSuffolk

Wayne Shaia, MDRichmond

BOG RepresentativesSpencer Payne, MD

Governor

Kelley Dodson, MDLegislative Representive

Eric Gessler, MDPR Representative

Officers and Directors 2012 - 2013

Scientific SessionTHURSDAY, MAY 16, 2013

3:00 VSO Board of Directors Meeting

6:00 Board Dinner

Scientific SessionFRIDAY, MAY 17, 2013

7:30 Registration/Breakfast with Exhibitors

8:00 Welcome and Opening Remarks Andrew Heller, MD VSO President 8:05 Laryngoscope Illuminance in a Tertiary-Care Children’s Hospital: Industry Standards and Implications for Quality Direct Laryngoscopy Michael Murphy, BS, Peter Volsky, MD, David Darrow, MD, DDS, FAAP Eastern Virginia Medical School

8:15 Introduction of Elbyrne G. Gill Lecturer Andrew Heller, MD ELBYRNE G. GILL LECTURE8:15 Management of Laryngeal Paresis and Paralysis Gregory Postma, MD Augusta, Georgia Moderator: Richard Gardner, MD

9:00 Risk Factors Associated with Unilateral Hearing Loss Joshua Yelverton, MD, Laura Dominguez, MD, Derek Chapman, PhD, Shuhui Wang, MS, Arti Pandya, MD, Kelley Dodson, MD Virginia Commonwealth University Health System

9:10 Analysis of Risk Factors Associated with Bilateral Hearing Loss Identified Through Newborn Hearing Screening Jonathan Young, MD, Stephanie Ambrose, MD, Joshua Yelverton, MD, Laura Dominguez, MD, Derek Chapman, PhD, Shuhui Wang, MS, Arti Pandya, MD, Kelley Dodson, MD Virginia Commonwealth University Health System

9:20 Inflammatory Aspects of Meniere’s Disease Jennifer Derebery, MD Los Angeles, California

10:00 Break – Visit Exhibitors!

10:20 Management of Dizzy Patient Moderator: Bradley Kesser, MD Panelists: Jennifer Derebery, MD- Los Angeles, CA Daniel Coelho, MD – Richmond, VA George Hashisaki, MD – Charlottesville, VA

11:05 Topiramate for the Management of Vestibular Migraine: A Pilot Study Angel Perez, MD, LT MC USN, Dinchen Jardine, MD, LCDR MC USN, Jonathan Melzer, MD, LT MC USN Jeffery Kuhn, MD Naval Medical Center, Portsmouth, VA

11:15 Flow Cytometric Cytokine Profiling in Chronic Rhinosinusitis Subtypes Chris Benson, BS, Seth McAfee, MD, Elena Galkina, PhD, Joseph Han, MD, Matthew Butcher, BS, Rachel Moebus, MS Eastern Virginia Medical School

11:25 Personalized Management of Chronic Sinusitis Joseph Han, MD Professor in the Department of Otolaryngology & Head and Neck Surgery Eastern Virginia Medical School

12:00 VSO BUSINESS LUNCHEON

VSO Update Andrew Heller, MD

“The Future of Healthcare Policy” Delegate Chris Stolle, MD (R-Virginia Beach)

Legislative Update Cal Whitehead

Moderator: Bradley Kesser, MD

1:00 The Financial Value of Fellowship Training in Otolaryngology Benjamin Hull, M, Craig Derkay, MD, David Darrow, MD Eastern Virginia Medical School

1:10 Practical Dysphagia Evaluation and Surgery Gregory Postma, MD Augusta, Georgia

1:50 Questions and Answers

2:00 Practiced Based Learning in Graduate Medical Education: A Soft Tissue Skills Surgical Simulator Daniel Barker, MD, Nikita Kohli, BS, Jared Christophel, MD University of Virginia Medical School

2:10 Evaluation of Dexterity and Visual-Spatial Testng in Medical Students Applying to General Surgery and Otolaryngology Residency-A Pilot Study Dinchen Jardine, MD, LCDR, MC, Benjamin Hoagland, MD, LT, MC, Angel Perez, MD, LT, MC, Angela Earley, MD, CDR, MC, Eric Gessler, MD, CAPT, MC Naval Medical Center, Portsmouth VA

2:20 New Technology Panel Joseph K Han, MD – Moderator Panelists: H. Jeffrey Kim, MD – Washington, DC Kelly Dodson, MD – Richmond, VA Ameet Singh, MD – Washington, DC Michelle Morrison, MD - Portsmouth, VA J Jared Christophel, MD – Charlottesville, VA Matthew J Bak, MD – Norfolk, VA

3:15 Questions and Answers

3:15 Break – Visit Exhibitors!

3:30 ACADEMIC BOWL Moderator: Eric Dobratz, M.D. Residency Program Teams

4:20 Announcements/Adjourn

6:30 Cocktail Reception

Scientific SessionSATURDAY, MAY 18, 2013 Moderator: John Mason, MD

8:00 The Results of a Single Surgeon’s Experience with Non-Melanoma Skin Carcinoma over 10 year period Michael Alexiou, MD

8:10 Emerging Treatments of Sensorineural Hearing Loss Jennifer Derebery, MD Los Angeles, California

8:50 Affordable Care Act: What You Need to Know Carolyn Engelhard, MPA Director, Health Policy Program University of Virginia School of Medicine

9:40 Challenges of Documenting Immunization Status of Children in a Cochlear Implant Program: An Immunization Verification Protocol Daniel Ballard, BA, Peter Volsky, MD, Stephanie Moody-Antonio, MD Eastern Virginia Medical School

9:50 A Comparison of Transoral Robotic Surgery for Salvage versus Primary Treatment David Shonka, MD, Mark Jameson, MD, PhD University of Virginia Medical School

10:00 Break – Visit Exhibitors!

10:20 Prevention of Hypocalcemia with Preoperative Vit D Supplementation Derek Robinson, MD, Anne Maxwell, BS, Paul Levine, MD, David Shonka, MD University of Virginia Medical School

10:30 Thyroid/Parathyroid Surgery Panel Moderator: Dan Karakla, MD Panelists: Mark Jameson, MD – Charlottesville, VA David Shonka, MD – Charlottesville, VA Evan Reiter, MD – Richmond, VA Allen Mitchell, MD – Portsmouth, VA Matthew Bak, MD – Norfolk, VA David Lieb, MD - Norfolk, VA

11:15 Adenotonsillectomy versus Observation for Management of Mild Obstructive Sleep Apnea in Children Peter Volsky, MD, Meghan Woughter, BS, Hind Beydoun, PhD, Cristina Baldassari, MD Eastern Virginia Medical School

11:25 Pediatric Sleep Apnea Panel Thomas Gallagher, MD, Moderator Panelists: Stacey Ishman, MD, MPH – Baltimore, MD Cristina Baldassari, MD- Norfolk, VA Steve Early, MD – Charlottesville, VA

12:10 Questions and Answers – Final Announcements – Resident Awards Dr. Heller continues as president for 2013

12:30 Adjourn

The VSO-HNSextends their appreciation for exhibitor support!

Platinum Level

Silver Level

Bronze Level

Elbyrne G. Gill Foundation

Advanced Bionics Arthocare

Cochlear AmericasCook Medical

DePuy Synthes CMFEntellus Medical, Inc.

GenentechKarl Storz Endoscopy American

KayPentaxMag Mutual Insurance Company

MEDA PharmaceuticalsMedtronic Surgical Technologies

Nautilus Surgical, Inc.Oticon MedicalRadysans, Inc.

Richard Wolf Medical Instruments Corp.SinuScience Network

SophonoStryker

Teva Respiratory