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Department of Otolaryngology - Service Chief Reports
Division of Otology
Matthew B. Hanson, MD
The Division of Otology and Neurotology provides sub-specialized care for patients with diseases of the ear and temporal bone. In striving for optimal outcomes for our patients, their care is carefully coordinated with our colleagues in the Division of Communicative Disorders, where accurate diagnosis relies on advanced technology. Our Skull-Base team for treatment of neuro-otologic disorders includes colleagues in head and neck surgery and neurosurgery. We provide advanced care for the hearing impaired, including cochlear implantation, bone-anchored hearing implants, and early detection of hearing loss. Newborn hearing screening is routine at our participating hospitals and regularly identifies hearing loss at the youngest possible age. This enables early intervention to foster language development. Otology education is supplemented by the careful and precise study of the temporal bone anatomy. The Temporal Bone Laboratory provides intensive training for all residents during each of their four years. Our laboratory is also available for post-graduate training. Routine educational conferences in otology take place through the Grand Rounds schedule, as well as during weekly Temporal Bone Radiology Conferences, Vestibular conferences and weekly Case Review Conferences. We also benefit from our close affiliation with the Auditory Oral School of New York, which provides pre- and post-operative services for our cochlear implant patients of all ages.
The past year has seen a tremendous growth to the Otology Division in the addition of Dr. Michal Preis to the staff at Maimonides Medical Center. Dr. Preis completed her Otolaryngology training at Rabin Medical Center in Israel and recently finished a fellowship in Otology/Neurotology with Dr. Jay Rubenstein in Seattle. Already very busy, Dr. Preis will dramatically expand the otologic experience of the residents with a large clinical volume art Maimonides and will participate in all aspects of resident otologic education.
At the same time, the closure of Long Island College Hospital has caused some dispersion of the Otologic practice previously centered at that institution The Neurotologic/Skullbase practice has moved to the New York Methodist site, where we continue to work closely with the same Neurosurgeons we had at LICH. The affiliation with NYMH now also allows us to offer stereotactic radiosurgery to our patients with skullbase tumors. This was previously not available in our program. The SUNY Downstate Bay Ridge Site has proven to be an outstanding facility for general outpatient otologic cases and has allowed the caseloads of chronic ear surgery, stapedectomy and cochlear implants previously done at LICH to continue unabated.
The next year is expected to offer further changes related to the closure of LICH. It is planned for the Temporal Bone lab to be moved to the SUNY UHB Site and re-outfitted with new equipment and stations. This relocation will make this lab more accessible to the residents to use in their off hours. It is planned that the new lab will have multi-specialty functionality and awill also be used for resident courses in facial plating, soft tissue surgery and microvascular anastomosis.