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Heads Up!
Otolaryngology — Head and Neck Surgery Newsletter
Volume 2, Issue 1 / Spring 2005 University of California, San Francisco / Department of Otolaryngology — Head and Neck Surgery
Exciting Developments You Oto Know
Chairman’s Address News and Events
Welcome to the Spring 2005 edi- Gibson, our department develop- Andrew H. Murr, MD has been
tion of Heads Up!, the UCSF De- ment officer, has initiated an am- promoted to Professor of Clinical
partment of Otolaryngology – bitious fundraising campaign in an Otolaryngology, UCSF Department
Head and Neck Surgery Newslet- effort to further advance the R. A. of Otolaryngology — Head and
ter. Since our last edition, our Schindler Temporal Bone Labora- Neck Surgery.
Department has expanded fur- tory. We gratefully acknowledge
ther, resulting in enrichment of all of the generous donations that Steven W. Cheung, MD has been
both our patient care services and have made this effort possible. awarded the Edmund Prince Fowler
educational offerings. This edi- Award, given for excellence in Basic
tion of our newsletter presents Endowed lectureships are an Research by The Triological Society.
some of the exciting new develop- important way to bring our faculty,
David W. Eisele, MD ments. residents, alumni, and community 2004 AAO-HNSF Annual
Professor and Chairman surgeons together for enlighten- Meeting Awards and Honors:
Grand Rounds In this issue, we highlight three of ing discourse on the advances in
Mondays 4:30-6:30pm our enhanced clinical programs: our specialty. The Lewis Francis David W. Kim, MD
N225, Parnassus Head and Neck Endocrine Sur- Morrison, MD Lectureship in AAFPRS Leslie Bernstein
gery, the UCSF Voice Center, Head and Neck Surgery and the Investigator Development Grant
Skull Base Conference and Facial Plastic and Recon- Robert A. Schindler, MD Lecture- Eric J. Kezirian, MD
3rd Wednesday of every Month structive Surgery. These services ship in Otology, are two newly- Earleen Elkins Research
7-8am A723, Parnassus are directed by three of our tal- established endowed lectureships Training Award
ented faculty, Lisa Orloff, MD, in the department. We encourage David W. Eisele, MD
Head & Neck Tumor Board Mark Courey, MD, and David all of you to join us at these an- Distinguished Service Award
Wednesdays 7:30-9am Kim, MD, respectively. These nual educational events.
H3805, Mt. Zion specialists provide contemporary, UCSF Association of Clinical
state-of-the-art clinical expertise I hope you find this edition of our Faculty - department promotions:
Upcoming Lectures and Courses
Challenges in Facial and educational leadership in newsletter interesting, and I wel-
Plastic Surgery Conference these subspecialties. come your comments at Eisele’s Sheldon S. Kabaker, MD
2nd Friday of every Month Corner on our Department web- Clinical Professor
8-9am, 2330 Post Street Resident education is a top prior- site at http://ohns.ucsf.edu/. David J. Quenelle, MD
5th Floor Conference Room ity for our department. With the Clinical Professor
building of our new Robert A. Sincerely, Brian E. Schindler, MD
OHNS Resident Schindler, MD Temporal Bone Clinical Professor
Research Symposium Laboratory this year under the Carol Dimeling, MD
Friday, June 17, 1pm direction of Dr. Lawrence Lustig, Associate Clinical Professor
N225, Parnassus Director of the Division of Otol- Jacob Johnson, MD
ogy, Neurotology and Skull Base Assistant Clinical Professor
Francis Sooy Lectureship Surgery, resident training in Otol- David W. Eisele, MD
Saturday, June 18, 7:30am ogy and Skull Base Surgery will Professor and Chairman The Head and Neck Surgery prac-
N225, Parnassus be greatly enhanced. Candler tice scored an impressive 96.9% on
the January 2005 Press Ganey
Otolaryngology Update
November 10-12
A Lifetime of Service Patient Satisfaction Survey question.
Ritz Carlton Hotel, SF Dr. Robert A. Schindler’s Retirement
For More Information, please Dr. Robert A. Schindler’s world- Wersall and Åke Flock at one of other areas of investigation. Due
contact Rachelle Venegas: renowned research career at the world’s foremost inner ear to his initiative and fundraising
(415) 476-4952 UCSF was highlighted at the re- biology research laboratories at efforts, the UC Board of Regents
cent research symposium and the King Gustav V Karolinksa Insti- established the Epstein Laboratory
retirement dinner held at the tute in Stockholm, Sweden. After in 1976.
Westin St. Francis Hotel. his tenure in the Karolinska’s
world-class facilities, Dr. Schindler The mid-1970’s to the early 1980’s
Dr. Schindler’s research in co- developed his vision of a state-of- saw important developments in
chlear implants began with animal the-art morphology and electron cochlear implant research. A clini-
studies conducted in the Coleman microscopy laboratory to comple- cal trial of the first true multichan-
Laboratory in the early 1970’s in ment the electrophysiological labo- nel device - a 4-channel implant
collaboration with Michael Merzen- ratories in the Coleman Laboratory fabricated in the Coleman Lab -
ich, Robin Michelson and others. and to provide facilities for multi- was initiated with Dr. Schindler as
In 1973 he received a Fogarty disciplinary approaches to re- the surgeon.
Fellowship to work with Drs. Jan search on cochlear implants and Continued on back page
Alfred E. Mann and Dr. Schindler
The Lewis Francis Morrison
Endowed Lectureship in
Head and Neck Endocrine Surgery
Head and Neck Surgery The Department is pleased to welcome its microscopic head and neck surgery. A
newest faculty member, Lisa A. Orloff, MD, graduate of Stanford University and UCLA
The Inaugural Lewis Francis Morrison, M.D. En- a specialist in the surgical care of patients School of Medicine, Dr. Orloff completed
dowed Lectureship in Head and Neck Surgery was with thyroid and parathyroid diseases. Dr. her residency training at the University of
held on March 24, 2005. Orloff has joined the Division of Head and Washington, and a visiting fellowship in
Neck Surgery at UCSF Medical Center and microvascular and reconstructive surgery at
Dr. Lewis Francis Morrison at- the UCSF Comprehensive Cancer Center Mount Sinai Medical Center in New York.
tended UC Berkeley, receiving as Professor of Clinical Otolaryngology – She has enhanced her ultrasonography
his BA in May 1920, his MS in Head and Neck Surgery. experience through a recent Fulbright
bacteriology in December 1920 scholarship and visiting professorship at
and his MD in 1926. He then In addition to her expertise in head and the Universities of Mainz and Regensburg
entered into private practice in neck endocrine surgery, Dr. Orloff brings a in Germany. Prior to joining the faculty at
otorhinolaryngology with Wallace new dimension to the clinical practice in the UCSF, Dr. Orloff was a member of the fac-
B. Smith, MD, and was ap- form of real-time, office-based ultrasono- ulty and Co-Director of the Multidisciplinary
pointed Instructor in the depart- graphy. Not only is this non-invasive and Thyroid/Parathyroid Clinic at the University
ment of Otorhinolaryngology at painless imaging modality dynamic, sensi- of California, San Diego.
UCSF, beginning a 30-year association with the tive, interactive, and convenient for pa-
university. He rose in the department from Instruc- tients, but also it has proven to be an ex-
tor in 1928 to Clinical Professor and Chairman of tremely useful tool for operative planning
the Division in 1944. He became a Director of the and anatomic teaching. State-of-the-art
American Board of Otolaryngology in 1952. As a management of patients with thyroid cancer
testament to his success at teaching, Dr. Morrison involves ultrasonographic surveillance for
was presented with a silver laryngoscope at a tes- thyroid bed and lymph node metastases,
timonial dinner in 1952 by the doctors he had which Dr. Orloff incorporates into her
trained. perioperative care. Additionally, ultrasound
is valuable in the staging and monitoring of
At the time of his death in 1958, he was president- primary tumors and lymph node metasta-
elect of the Triological Society. Dr. Morrison is ses in patients with benign and malignant
best known for his monumental contributions in head and neck and salivary gland tumors.
laryngology. He clarified our understanding of Dr. Lisa Orloff performing a neck
anatomy of the recurrent laryngeal nerves, the Dr. Orloff has additional expertise in laryn- examination in the Head and Neck
paralyzed larynx and cancer therapy. He origi- gology, microvascular surgery, and head Surgery Clinic using a high-resolution
nated the reverse King operation, and pioneered and neck surgical oncology. She performs ultrasound unit
the use of radioactive cobalt in otolaryngology and endoscopic, minimally invasive, open and
the application of Papanicolau smear technique for
malignancies of the nasopharynx.
The Morrison Endowed Lectureship was estab- UCSF Voice Center
lished by a generous gift from Dr. Morrison's In April 2004, Mark Courey, MD joined the related to tremor, Parkinson’s disease and
daughter Helen M. Elkus and her husband, Rich- Department as Director, Division of Laryn- ALS. Patients with voice disorders such as
ard J. Elkus, Jr. gology. Previously he was an Associate hoarseness, early laryngeal cancer, recur-
Professor at Vanderbilt University and Medi- rent respiratory papilloma and vocal fold
The first Morrison Lecturer was Herbert H. Dedo, cal Director of the Vanderbilt Voice Cen- paralysis are evaluated by the team of pro-
MD, Professor, Department of Otolaryngology - ter. Dr. Courey’s practice focuses on pa- fessionals daily.
Head and Neck Surgery, University of California, tients with hoarseness, breathing difficulties,
San Francisco. Dr. Dedo has been associated swallowing disorders, and early laryngeal Miriam van Mersbergen, PhD is the Director
with UCSF since 1951. He earned his BA at UC cancers. He works extensively with profes- of Singing Arts and Sciences for the Center.
Berkeley in 1954 and his MD from UCSF in 1958. sional voice users including teachers, attor- Dr. van Mersbergen has experience in both
He joined the Department of Otolaryngology, neys, commercial and classically trained commercial and classical singing tech-
UCSF, as an Assistant Professor in 1966. He singers and broadcasters. Through his niques. With her expertise in the behavioral
served as Vice Chair in Otolaryngology from 1974 research on benign laryngeal diseases, aspects of treatment of professional voice
to 1991, becoming a Professor in 1982. He has effects of laryngeal injection on vocal fold problems, the center will clinically manage
received, for his research on laryngeal paralysis, physiology and electrical stimulation of the patients with all types of dysphonia. This
the prestigious Harris P. Mosher Award of the paralyzed vocal fold, Dr. Courey gained exciting, technologically-advanced program
Triological Society in 1970. experience in the management of laryngeal is the first multidisciplinary center for pa-
diseases. tients with voice and swallowing disorders in
Dr. Dedo is renowned for inventing the Dedo- the Northern California/Bay area.
Pilling Laryngoscope and for developing recurrent At UCSF, Dr. Courey’s goal has been to
laryngeal nerve resection for treatment of spas- establish a multidisciplinary center for pa-
modic dysphonia. Dr. Dedo is a world-famous tients’ with voice and swallowing disorders.
laryngologist who trained in Otolaryngology during Building on work begun by Mark Singer, MD
the time when Dr. Morrison was Chairman of the and Susan Langmore, PhD, Dr. Courey
Division of Otolaryngology at UCSF. designed a comprehensive Voice and Swal-
lowing Center which offers patients com-
Dr. Morrison's
plete diagnostic testing for voice disorders,
daughter Helen
including laryngeal stroboscopy, laryngeal
M. Elkus
electromyography and acoustic analysis;
(center) with her
Dr. Langmore provides fluoroscopic and
husband, Rich-
fiberoptic evaluations of swallowing.
ard J. Elkus, Jr.
(left) and Dr.
Specialized clinics are held weekly for pa-
Herbert H. Dedo
tients with spasmodic dysphonia and other Dr. Mark Courey performing a video-
neurolaryngeal disorders including those stroboscopic examination in the Voice Center
Facial Plastic and Reconstructive Surgery The Francis A. Sooy, MD
End of the Year Lectureship and Program
Dr. David W. Kim joined us in July 2003 as challenging problems are examined and
Director of the Division of Facial Plastic and discussed by a panel of UCSF experts in The Francis A. Sooy Lectureship will
Reconstructive Surgery. His areas of spe- facial plastic surgery, dermatologic surgery, be held on June 18, 2005.
cial interest are rhinoplasty, functional na- oculoplastic surgery, and otolaryngology.
sal airway surgery, facial reconstruction, The 2005 Sooy Lecturer will be Ellen
and rejuvenation surgery of the aging face. Dr. Kim received the prestigious Leslie Bern-
M. Friedman, MD, FAAP, FACS,
stein Young Investigator Grant in 2003 for his
Chief of Service, Department of Oto-
Dr. Kim has developed a state-of-the-art study, “Functional Rhinoplasty: A Multicenter
laryngology, Texas Children's Hospi-
UCSF Facial Plastic and Reconstructive Prospective Outcomes Study.” He is the
tal, Houston, TX, and Professor, Baylor College of
Surgery Center. With aesthetic nurse spe- principal investigator of this 3-year project in
Medicine. Dr. Friedman is also a Director of the
cialist Janet Tanaka, Dr. Kim receives pa- which national leaders of rhinoplasty study
American Board of Otolaryngology. Her primary
tient referrals with difficult or revision nasal patients undergoing nasal valve surgery clinical interests are pediatric otolaryngology, air-
deformities, deformities related to facial within a protocol aimed toward determining way problems, and congenital malformations of the
paralysis, and facial stigmata of the aging the effectiveness of the various techniques head and neck.
process. used. Practitioners wishing to enroll patients
into this protocol or who would like to refer a
Dr. Francis A. Sooy was associated with the Uni-
Equipped with the latest technology in pho- patient may do so by calling (415) 885-7700
versity of California for 50 years, beginning with his
tographic and video imaging, computer or through the center’s web site:
undergraduate years at Berkeley in 1933 to his
imaging manipulation, and low-impact facial www.FacialPlasticSurgeryUCSF.com
graduation from medical school at UCSF in 1941.
rejuvenation (intense pulse light therapy),
Dr. Sooy joined the Division of Otolaryngology and
Dr. Kim provides his patients with a thor-
transformed the enterprise to a department, serv-
ough and individualized consultation. Pa- ing as Chairman from 1967 to 1972. He then went
tients may receive surgical treatment and/ on to serve as Chancellor of UCSF from 1972 -
or an assortment of minimally invasive in- 1982. During his tenure as Chancellor, UCSF
office procedures such as botulinum toxin, gained recognition as a premier health sciences
intense pulse light therapy, or injectable
campus, and Dr. Sooy oversaw the completion of
fillers; his treatment plans reflect a conser-
the new School of Dentistry building, the new mod-
vative approach to surgery that minimizes
ernized Moffitt-Long Hospital. Dr. Sooy recruited
risks and complications and emphasizes
many outstanding physicians and scientists, in-
creating natural-appearing improvements.
cluding three new deans.
Dr. Kim has established a monthly multidis-
The Sooy Lectureship was established in his mem-
ciplinary Challenges in Facial Surgery con- ory by gifts from his family, colleagues, friends and
Dr. David Kim uses the Mirror System to
ference in which patients with especially former patients.
provide post operative projections
Robert A. Schindler, MD Robert A. Schindler, MD
Endowed Lectureship in Otology
Temporal Bone Laboratory Established
With the decision to name the department's dation that has supported research in the The Inaugural Robert A. Schindler MD
temporal bone and microvascular laboratory department annually for over 16 years. Endowed Lectureship in Otology was
in honor of Dr. Robert Schindler (see article held on October 9, 2005 at the Westin
on his retirement, pg. 1), plans are rapidly St. Francis Hotel in San Francisco.
emerging for the lab's design and its equip- The Inaugural Lecturer was Alfred E.
ment needs. Dr. Lawrence Lustig, Director Mann who presented "How Bob
of Otology, Neurotology, and Skull Base Schindler Helped the Deaf to Hear."
Surgery, is heading up our effort to design
and equip the Robert Schindler Temporal Al Mann is one of the world's most influential and
Bone Laboratory. well-respected medical technology entrepreneurs.
Mr. Mann is Chairman and Co-Chief Executive
Space has been secured in UCSF’s Mission Officer of Advanced Bionics Corporation, a global
Center Building at 15th and Folsom Streets leader in implantable neurostimulation devices.
for the department to build the laboratory The company was founded in 1993 to manufacture
and equip it with 12 surgical instrumentation and distribute the CLARION ® cochlear implant to
stations and microscopes. The goal of the treat total deafness.
Dr. Robert A. Schindler receiving a plaque
lab will be to train residents and visiting from Chief Resident Dr. Steven Pletcher
surgeons in all aspects of temporal bone This lectureship is named for Dr. Robert A.
anatomy and surgical technique. Schindler, who served as Chairman of the Depart-
ment of Otolaryngology - Head and Neck Surgery
After directing renovation of the new space, from 1989-1999, and retired from UCSF in the fall
Dr. Lustig will continue to work with his col- of 2004. Dr. Schindler performed fundamental
leagues to identify additional funding research documenting auditory nerve survival in
sources to outfit the lab. They will be looking chronically implanted experimental animals, which
for both corporate and private cash gifts or provided early impetus for the development of
gifts-in-kind donations of equipment to use long-term intracochlear multichannel implants. It
in the laboratory. It is estimated that the was this groundbreaking research that prompted
total cost of the project will approach Al Mann to develop the CLARION ® cochlear im-
$400,000. To date, the department has plant for commercial use by patients.
raised approximately $150,000 from our
generous alumni as well as timely support Faculty managing the laboratory. Left to The endowed lectureship was established by a
from Hearing Research Inc., a private foun- right: Drs. Cheung, Lustig, Wang and Murr generous gift from Dr. Robert A. Schindler and
Mrs. Janet Feinberg Schindler.
Head and Neck Surgery, Univer-
Continued from front page response to ototoxic drugs, fluid/
particle transport, hyaluronan
Calling Alumni sity of Texas at Houston.
He developed an instrument for synthesis and effects of endolym- News and Updates Send us your news:
inserting spiral electrode arrays phatic duct occlusion. In 1991 the
vweigel@ohns.ucsf.edu, or
into the cochlea and contributed Coleman Lab became part of the Congratulations to 1994 Resident Otolaryngology - Alumni News
extensively to the remarkable new Keck Center, and the Epstein Alumnus Dr. C.Y. Joseph Chang Attn: Vivian Weigel
improvements in devices that Lab relocated into larger, better- recently appointed Chairman, 400 Parnassus Ave, Box 0342
occurred over the ensuing years. equipped facilities that include an Department of Otolaryngology — San Francisco, CA 94143-0342
animal surgery and electrophysi-
In 1993, Dr. Schindler convinced ology suite and new electron and
Mr. Al Mann to undertake the light microscopy suites. The mul-
commercial development of the
UCSF multichannel cochlear im-
tidisciplinary approach to complex
research issues continues with
Residents’ Spotlight
plant through the establishment of projects focused in areas that Congratulations to our Graduating Chief Residents:
Advanced Bionics Corporation. include cochlear implant re-
Contemporary cochlear implants search, auditory system develop-
have now exceeded the most ment and plasticity and critical
optimistic early hopes that they periods. The laboratory has pro-
would restore speech understand- vided training and collaboration to
ing to profoundly deaf individuals. dozens of medical and graduate
The latest technology provides students, postdoctoral fellows, Dov Bloch, MD Karsten Munck, MD Steven Pletcher, MD
more channels, reverse telemetry visiting scientists and faculty from Private practice U.S. Air Force Fellowship with
for assessing neural responses around the world, and it will play a Multi-Specialty Travis Air Base Dr. Ralph Metson at the
and high rate/flexible speech major role in the research mission Group in Danbury/ Fairfield, CA Massachusetts Eye and
processors, small enough to be of the department in the future. Ridgefield, CT Ear Infirmary, Harvard
worn behind the ear. Today, The Epstein Laboratory is Dr. University, Boston, MA
many of the 85,000 cochlear im- Schindler’s important legacy to
Welcome to our new 2005 / 2006 Program Year 2 Residents:
plant users enjoy 80-90% speech the department.
recognition and use the tele-
phone. A few even appreciate
music.
Over the past three decades, the
Epstein Lab has continued to
grow. In 1980 Dr. Schindler be- Theresa Kim, MD Frederick Roediger, MD David Saito, MD
came the first member of the
Welcome to our new 2005 / 2006 Program Year 1 Residents:
UCSF faculty to be a recipient of
the Triological Society Fowler
Award for his research on the
human endolymphatic sac. Dur-
ing the next 20 years he collabo-
rated with residents, fellows and
visiting faculty to study and pub- Dr. Robert A. Schindler using an
lish articles on the ultrastructure electron microscope to examine Harry Hwang, MD Krista Rodriguez - Betty Tsai, MD
and pathology of the endolym- the inner ear in 1976 Bruno, MD
phatic sac in Meniere’s disease,
Contact Us Heads Up! Giving Back: Donors
General Otolaryngology Volume 2, Issue Philanthropy has provided vi- dowed Lectureship in Otology,
415-353-2757 tal support for our educational which was inaugurated last fall by
Department Chairman, mission. The Robert A. medical device entrepreneur Al-
Pediatric Otolaryngology Editor in Chief: Schindler, MD Temporal Bone fred E. Mann. It was at Dr.
415-353-2757 David W. Eisele, MD Laboratory will offer a state-of- Schindler's retirement event that
the-art facility for our residents to the Elkuses decided to make their
Otology and Neurotology Executive Editor: develop skills in surgery of the generous commitment.
415-353-2757 Louisa T. Burgio, MA, MBA temporal bone and microvascular
anatomy. This facility will be the All of us in the department thank
Cochlear Implant Program Managing Editor: first of its kind at UCSF and al- our donors for helping us expand
415-353-2464 Emerald Light lows us to enhance our national our educational opportunities and
reputation for outstanding resi- to support our commitment to
Head & Neck Surgery and Editors: dency training. excellence in patient care and
Rehabilitation Center Kathy Buchanan research.
415-885-7528 Candler Gibson Philanthropy has strengthened
Katherine Rollins-McLean our educational offerings. The Candler Gibson,
Facial Plastic Surgery Vivian Weigel Lewis Francis Morrison, MD En- Development Director
415-885-7700 Holly Wong, MA dowed Lectureship in Head and Otolaryngology -
Neck Surgery has been estab- Head and Neck Surgery
Voice and Swallowing Center Artistic Design and Graphics: lished by a generous gift from (415) 476-3403
415-885-7700 Bobby Penn, MBA Helen M. and Richard J. Elkus, UCSF Box 0248
Jr. Dr. Robert Schindler and his 44 Montgomery St., Suite 2200
Online Special thanks to photographic wife Janet generously established San Francisco, CA 94143-0248
http://ohns.ucsf.edu contributors. the Robert A. Schindler, MD En- cgibson@support.ucsf.edu
