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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. 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. Integral to otologic training is the careful dissection of cadaveric temporal bones in the lab. With the closure of the 134 Atlantic office in 2014, the space for our laboratory was lost. Until the new lab can be built at SUNY, we have been generously allowed the usage of the lab belonging to the NYU residency at Bellevue Hospital. This has allowed us to maintain a yearly course schedule for all five years of training of our residents. It is anticipated that a new, state –of-the-art lab will be up and running by 2016
We also continue to benefit from our close affiliation with the Auditory Oral School of New York. This is an amazing institution that provides for auditory-oral education for children and has become a major resource for our cochlear implant program. Through this school, we are able to provide and coordinate for the speech therapy, auditory/verbal therapy and educational needs of our pediatric implant patients. The full-time audiologists at the school participate in our cochlear implant conferences and are often present for the surgeries to obtain intraoperative neural responses at the time of implantation to facilitate the device programming.
The Otology division continues to benefit from the activity of Dr. Michal Preis, who joined the staff at Maimonides Medical Centerin 2013. 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. Dr. Preis has dramatically expand the otologic experience of the residents with a large clinical volume art Maimonides and participates in all aspects of resident otologic education, including conferences and temporal bone dissection lab.
The closure of Long Island College Hospital in 2014 had caused some dispersion of the Otologic practice previously centered at that institution The Neurotologic/Skull base practice has moved to the New York Methodist site, where we continue to work closely with the same Neurosurgeons we had at LICH. The affliation with NYMH now also allows us to offer stereotactic radiosurgery to our patients with skull base 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.