UAB Insight ENT Volume 4 - Page 2

P U B LI C AT I O N S O F N OT E N E W P HYS I C I A N s Brian Kulbersh, MD, has joined the faculty as a clinical associate professor. He earned his medical degree from the Medical College of Georgia, Augusta, and completed his internship and residency at UAB before undergoing a pediatric otolaryngology fellowship at Children’s Memorial Hospital, Chicago. His special interests include the management of complex vascular anomalies, hemangiomas, and head and neck masses, as well as airway lesions, laryngotracheal reconstruction, and pediatric sinus and chronic ear diseases. Kulbersh has founded the Vascular Anomalies Treatment Group at Children’s of Alabama. This multidisciplinary team was created to identify and treat children with head and neck masses, vascular lesions, congenital birthmarks, and hemangiomas. Large UAB Pediatric ENT Group Serves Alabama and SE UAB MEDICINE NEWS Netterville Delivers Residents’ Day Lecture James Netterville, MD, of Vanderbilt University Medical Center, Wilkerson Center for Otolaryngology and Communication Alabama, a state with a population of just Brian Wiatrak, MD, examines a young patient. under 5 million people. Over more than 20 Photo by Denise McGill, Children’s of Alabama years, Wiatrak has helped build a formidable array of programs at Children’s and its recently opened to discuss new patients and plan case management. They also Benjamin Russell Hospital for Children adjacent to the UAB have input and services from a dedicated feeding team and campus. The physicians also practice at a convenient pediatric representatives from Nutrition, General Surgery, and others. clinic in suburban Birmingham. Other pediatric ENTs in the program include Peyton Shirley, MD, Nicholas Smith, MD, and Brian Kulbersh, MD. The Vascular Anomaly Program is directed by new faculty sinuses, voice, and more. The practice’s clinical and research member Brian Kulbersh, MD, and includes team members from reputation, however, is based on four major program areas: Pediatric Interventional Ra diology, Dermatology, Hematology- The Cochlear Implant Program, directed by specialist Oncology, Gastrointestinal Medicine, and others. They meet Audie Wooley, MD, is one of the largest in the nation, having monthly to arrive at optimal management plans. Kulbersh performed more than 350 cases since 1995. It also was one of recently received IRB approval for a study of a new drug for the test sites for bilateral cochlear implants in children aged hemangiomas. under 18 months. Nicholas Smith, MD, has joined the The Aerodigestive Program, directed by Wiatrak, provides The Velopharengeal Insufficiency Program, directed by the aegis of the Division of Otolaryngology-Head and Neck current president of the American Academy of Otolaryngology because there are no other such programs in The UAB Health System’s newest Allergy Clinic is under voice disorders and in head and neck oncologic surgery. He is the practice director Brian Wiatrak, MD, probably ENT Develops Allergy Clinic Sciences, Netterville promotes education and research in both The group of six physicians is large, says for the range of problems involving the ears, tonsils, adenoids, participation. of Head and Neck Surgery, and associate director of the Bill health system, Children’s of Alabama. They operate a general pediatric practice, providing care faculty, with physicians to receive 25 hours of CME credit for roles as professor of otolaryngology, director of the Division in affiliation with Alabama’s only pediatric will involve all staff from clerical assistants to residents and Hicks Lectureship in Otolaryngology on May 18, 2013. In his and operate a formidable array of programs the moment of a patient’s initial phone call.” The program Residents’ Research Day and 8th Annual Ann B. and Julius N. one of the largest such groups in the nation UAB Health System to enhance the patient experience from Nashville, Tennessee, delivered the keynote lecture at UAB UAB pediatric otolaryngologists comprise involved. This is a unique opportunity for our specialty and the Surgery. It is directed by well-known allergy specialist and – Head and Neck Surgery (AAO-HNS). An eminent researcher otolaryngologist Richard Waguespack, MD, who recently and clinician, he has published more than 100 papers in peer- joined the faculty following 3 decades in private practice in the reviewed journals and is a senior examiner for the American Birmingham area. Waguespack served for years on the board of Board of Otolaryngology. directors for the American Academy of Otolaryngology-Head and Neck Surgery and is president-elect for the 2013-2014 Seeking to Improve the Patient Experience term. He also is on the editorial board of the Laryngoscope. The The Division of Otolaryngology-Head and Neck Surgery is Allergy Clinic is located in the multidisciplinary Kirklin Clinic developing a performance improvement project to serve as a at UAB. For information and referrals, contact Waguespack pilot for clinics in the UAB Health System. Division Quality through the UAB MIST operators, 800.822.6478. Officer Glenn Peters, MD, says planning is underway and the project will be implemented in the next year. “Patient satisfaction Multidisciplinary Group Tackles Vascular Anomalies scores are the best feedback we have to know we are providing The Pediatric ENT Vascular Anomalies Treatment Group offers the best quality to our patients. Furthermore, we know that the latest diagnostic and medical and surgical treatments as these results will be publically available and physicians will be part of comprehensive consultation services to physicians and held responsible for these metrics – so we need to be intimately families. The group, located at Children’s of Alabama health a multidisciplinary approach to diseases and conditions of functional speech problems related to palate or pharyngeal in Pediatric Otolaryngology – Head the aerodigestive tract. Wiatrak’s codirectors are pediatric anomalies. He works with speech pathologists and genetics and Neck Surgery. Smith earned gastroenterologist Reed Dimmit, MD, and pediatric his MD degree from UAB School of team representing ENT, specialists to provide better management through special pulmonologist Thomas Harris, MD. The team meets biweekly therapies for this complicated disorder. Medicine, where he also completed an otolaryngology residency. His pediatric otolaryngology fellowship M easures of S uccess Radiology, General Surgery, Plastic Surgery, and Orthopedic Surgery. Director Brian Kulbersh, MD, to identify patients eligible for local and national clinical trials, Children’s Hospital Medical and to establish clinical trials at UAB,” says Schmalbach. says members have made melanoma basal cell and squamous cell carcinomas (cSCC) comprise 90% of cases of cutaneous skin cancer. Schmalbach Center, Ohio. At UAB, his specialty The new tumor board will review new and complicated interests include the endoscopic cutaneous skin cancer cases in an evidence-based manner, discuss available treatment protocols for advanced skin cancer increased risk for neck metastasis, poor local control, and airway reconstruction, voice and patients, identify potential research collaborations, and review further cancer recurrence. swallowing disorders, sinonasal pertinent journal articles and changes in practice guidelines. Physicians who wish to refer a patient with head and neck Skin cancer is the most common form of cancer in the US the field, including the new of patients who present with advanced disease and are at management of airway lesions, innovative contributions to notes that the UAB specialists usually see the 5% to 10% skin cancer for evaluation at UAB may contact Clinical Care conditions, chronic ear disease, and health outcomes research. 2 For Referrals: 800.822.6478 Hematology-Oncology, Dermatology, Interventional continued from cover was completed at Cincinnati with more than 3.5 million people diagnosed annually. Non- Coordinator Paula Cooper, RN, at 205 .801.8461. Rosenthal EL, Kejner AE, Burch MB, Sweeny L. “Bone morphogenetic protein 6 expression in oral cavity squamous cell cancer is associated with bone invasion.” Laryngoscope. 2013 Jun 17. Epub ahead of print. Day KE, Sweeny L, Kulbersh B, Zinn KR, Rosenthal EL. “Preclinical Comparison of Near-Infrared-Labeled Cetuximab and Panitumumab for Optical Imaging of Head and Neck Squamous Cell Carcinoma.” Mol Imaging Biol. 2013 May 29. Epub ahead of print. Chaaban MR, Illing E, Riley KO, Woodworth BA. “Spontaneous cerebrospinal fluid leak repair: A five year prospective evaluation.” Laryngoscope. 2013 Jun 20. Epub ahead of print. Chaaban MR, Illing E, Riley KO, Woodworth BA. “Acetazolamide for high intracranial pressure cerebrospinal fluid leaks.” Int Forum Allergy Rhinol. 2013 Jun 3. Epub ahead of print. system, is a unique physician Peyton Shirley, MD, evaluates and treats young patients with UAB faculty as assistant professor Heath CH, Deep NL, Beck LN, Day KE, Sweeny L, Zinn KR, Huang CC, Rosenthal EL. “Use of panitumumab-IRDye800 to image cutaneous head and neck cancer in mice.” Otolaryngol Head Neck Surg. 2013 Jun;148(6):982-90. drug rapamycin to treat lymphatic malformations. Hemangiomas and vascular malformations are similar in appearance, but biologically * denotes annualized data different and require different treatment, he says. F e at u r e d c l inica l TR I A L S Dynasplint for Trismus in Head and Neck Cancer. This study will compare two types of treatment for trismus. Subjects will be randomized to treatment using Dynasplint vs treatment using tongue depressors. NCT00507208. PI: William Carroll, MD. Contact: Lisa Clemons, 205.934.9714. Safety Study of Adenovirus/PNP Coupled With Fludarabine Phosphate to Treat Solid Tumors. This phase 1, dose-escalating study consisting of four cohorts with three subjects in each cohort will evaluate the safety and pharmacokinetics of a new treatment, injected intratumorally, in subjects who have failed standard treatment. NCT01310179. PI: Eben Rosenthal, MD. Contact: Lisa Clemons, 205.934.9714. M o r e I nfo r ma t ion : u a b m e d i c i n e . o r g / p h y s i c i a n 3