FALL 2020 | VOL. 17, ISSUE 2 HeadsUp! News from the UCSF Department of Otolaryngology – Head and Neck Surgery

Photos of those in the UCSF OHNS Residency Program reveal the wearing of masks, one of the adjustments resulting from the COVID-19 pandemic. OHNS Residency Program Responds to COVID-19 esidency programs across the U.S. adjusted many aspects of their training in the wake of the COVID-19 pandemic. The residency training program R at UCSF’s Department of Otolaryngology – Head and Neck Surgery was Also in This Issue no different. Steven Pletcher, MD, a professor of Clinical Otolaryngology and director of the 2 Message from the Chair UCSF OHNS residency training program, says the program quickly pivoted to 4 Taking a Meticulous Approach address drastic changes in the health care environment when the magnitude of the to Patients Suffering from COVID-19 pandemic became apparent in late February. Chronic Cough “There was an initial recognition of the potential impact of the pandemic on all of 5 A Valuable Option for Treating our medical systems,” says Dr. Pletcher. “That resulted in a shutdown of Obstructive Sleep Apnea non-emergent clinical operations as well as a realignment of all of our clinicians – faculty, residents, and allied health providers – to limit risk of exposure to our 6 Department Statement on Diversity, Equity, and Inclusion patients and to avoid exposing ourselves to the virus. “Normally, many of our clinicians travel between our and campuses: 7 News Briefs Zuckerberg General ; the hospitals at Parnassus, Mission 8 Upcoming Events Bay, and Mount Zion; our pediatric hospitals; and the San Francisco Veterans Affairs Medical Center. Very early on, we implemented a strict ‘cohorting’ approach, where all of our physicians were assigned to a single hospital site and scheduled to work on alternating shifts. That was done to ensure that our physicians would not serve as a vector for disease transmission between campuses.” Continued on next page

Inspired by our patients, driven by our passion, energized by innovation Message from the Chair COVID-19 response hese times are unlike any I can recall. Two issues in particular – a Continued from page 1 pandemic and racial strife – indicate how our society is in upheaval. According to Dr. Pletcher, that Here in San Francisco, UCSF is a hotbed of creativity on both issues. T substantive change in scheduling First and foremost, there is major creative energy being devoted to battling prepared the team to handle a worst- COVID-19 at UCSF, Zuckerberg San Francisco General Hospital, and the case scenario, but fortunately in the San Francisco Veterans Administration Medical Center. Frontline health care the initial wave is rapidly prototyping strategies to save lives and limit the spread of infection. of disease was lower than anticipated. I am in awe of the power of UCSF’s research infrastructure, as evidenced by how epidemiology research, vaccine research, clinical therapeutic innovation, Protecting Patients and and device prototyping are all occurring at breakneck speed. What impresses the Team me even more is how an undercurrent of professional collegiality complements “It was a time when we returned to the the research roots of medicine, with a primary infrastructure, and responsibility to keep our patients and that is a top reason ourselves safe,” says the program why it is so stimu- director. “In order to do that, our faculty lating to work here. and residents worked in very small team UCSF’s passion structures that partnered to limit risks for social justice is while efficiently caring for patients with also at the forefront urgent issues.” these days. In Clear roles for both residents and acknowledgement of faculty allowed for efficient patient care. the Black Lives Matter “Because of the anatomic region that movement, our our specialty focuses on, we are at a medical community high risk for transmission in a lot of our has been given the clinical encounters – more so than many freedom to contribute other specialties. Therefore, we wanted and to speak out. to be really sure we were not putting our The Department created a position statement on social Many forums have justice, diversity, and inclusion – see page 6. trainees at risk. We restructured teams been created for to have the most experienced providers education and for social discourse. As an example, our first year medical involved in daily clinical care, thus students have been given options to pursue social justice work contempor- limiting the exposure of our less aneously and congruently with their first year educational responsibilities. You experienced trainees in scenarios where can check out some of our educational offerings at https://diversity.ucsf.edu/. a patient’s COVID-19 status was in The department has taken the time to create its own position statement on question. We made our faculty the social justice, diversity, and inclusion, which you can see on page 6. This is a primary clinicians to perform the highest living document, not a static one, and it will be used as a baseline for progress risk exams in our patient population – as we strive for enhanced education and progress in our culture and society, the opposite of what we normally do with an emphasis on equality and respect for all. The education and leadership as a training program. Previously, the teams will be working on a curriculum to drive attention to and advancement of more junior trainee did the initial physical diversity, equity, and inclusion in the Department of Otolaryngology – Head and examination and then presented it to Neck Surgery. a more senior person. That whole I want to thank all our alumni, graduates, students, fellows, and friends for system was turned upside down to your courage and for your social contribution during this extraordinary period. provide efficient patient care while We are so fortunate to be in the field of medicine, where our mission to improve lowering risk to all our practitioners,” the lives of others is tangible and attainable every day we come to work. Dr. Pletcher says. Finally, every election is an opportunity to weigh in on issues that will affect Still, the team was able to maintain our society today and in the long term. As we go to press, I want to thank you a focus on resident education. “A lot for voting in the 2020 election! of the patient evaluation and discussion Warmly, happens outside the patient room – whether it is reviewing imaging Andrew H. Murr, MD, FACS studies, discussing history, reviewing Professor and Chair audiograms or other clinical tests – UCSF Department of Otolaryngology – and so there are a lot of teaching Head and Neck Surgery opportunities without the risk of direct patient care, he adds.

2 HeadsUp! Fall 2020 Making decisions affecting patients, Rapid, accurate testing, combined particularly in the early phases of the with access to personal protective pandemic, became much more equipment, facilitated restoring our complicated. An examination such as a clinical operations to a level approaching flexible laryngoscopy – which was where we were before the pandemic. routine for an otolaryngologist in the By summer we were able to return to a non-COVID era – turned into a high-risk much more normal approach to resident aerosolizing procedure. Questions arose training,” he says with a sense of relief. as to when it is appropriate to do that procedure, when it is necessary, and Focusing on Goals when it is critical. Dr. Pletcher notes Dr. Pletcher indicates that throughout that these types of discussions form the the pandemic the goals of the residency core of a comprehensive educational program have remained the same. process for UCSF’s OHNS residents. He says that “it is clear COVID-19 “In the end, our residents are will have a lasting impact on our going to do thousands of flexible medical system at UCSF as well as laryngoscopies during their clinical nationally and globally, so this becomes training. The actual process of doing a an opportunity to rethink how training scope exam is much less valuable to “One of the biggest challenges takes place and how it affects our their training than the in-depth delivery of clinical care. That discussion of the goal of doing that currently is the social impact component of our educational program exam. How does that examination of COVID-19 on our team.” has moved from a low priority to a change the management decisions for very prominent part of our planning. this specific patient? When are there — Steven Pletcher, MD “One of the biggest challenges risks associated with it? And how do we currently is the social impact of balance the risk and potential benefit? faculty at the University of Southern COVID-19 on our team,” he adds. All of these considerations created a who also had spent time “Taking away conferences and the different educational structure during teaching and training here at UCSF,” many other routine opportunities to the initial height of the COVID-19 Dr. Pletcher notes. “That group created gather in person has an emotional response,” Dr. Pletcher says. a two-hour-per-day lecture series for impact on the program as a whole, As it became clear that in San residents. It was initially designed for as well as on individuals at all levels. Francisco and regionally there were residents in the West, but it eventually That was clearly evident during the not the types of case numbers and spread nationally. Faculty provided end of the last academic year and infection rate spikes that were seen didactic instruction on topics of the beginning of the current academic elsewhere in the United States, OHNS interest. That model was followed by year. It was painful to have our chief was able to create protocols for regional groups in the Midwest and residency class graduate without an managing patients in ways that could the East Coast, which significantly in-person ceremony to honor their protect both the patients and the team increased educational collaboration, accomplishments. as a step to expanding care beyond both regionally and nationally, within “It was similarly frustrating to have a emergency interventions. our specialty. new class of residents come in without “We addressed issues like “As we entered a later stage of the in-person welcome that helps determining how long we needed to the pandemic, we gained a better establish relationships early on. But we shut down a clinic room after an aerosol understanding of the potential risk of are all pulling together and doing our generating procedure,” Dr. Pletcher contracting the disease and transmission very best to take care of patients and explains. “This included measuring air rates among our physician community each other.” turnover time in clinical exam rooms at UCSF. We also had much wider Demonstrating resilience, current before bringing our cleaning crew in to access to testing both for patients and residents created a welcome video for process the room and get it ready for for practitioners, as well as experiencing the residency program webpage that the next patient.” faster turnaround for test results,” captures the essence of the program the program director observes. during this challenging time. The video Expanding Educational “UCSF developed an in-house can be viewed by visiting https://ohns. Opportunities COVID-19 test very quickly. Work ucsf.edu/education/residency-program. Something else was recognized early ramped up so the test could be used With an air of steadfastness, Dr. during the pandemic: OHNS residents elsewhere within the San Francisco Pletcher says, “We look forward to wanted additional regional and national Bay Area. Because test results could when we can be together as a large educational opportunities. be obtained quickly, it allowed us to group, but for now we are making do “Our team partnered with a group reopen our operating rooms for with smaller in-person interactions and of California otolaryngologists led by non-emergent and surgical cases. virtual large gatherings.” n

HeadsUp! Fall 2020 3 Chronic Cough Clinic Taking a Meticulous Approach to Patients Suffering from Chronic Cough oughing is a reflexive response pulmonary, allergy, , that seldom merits much and consultants to optimize C concern by itself. Nevertheless, the evaluation and care of patients with “All too often, chronic cough Americans spend about $4 billion a year chronic cough. patients ... are not given assistance on cough suppressants, and a chronic A unique aspect of the Chronic cough is one of the top complaints Cough Clinic is the strong collaboration with how to find the proper cause among patients seeking primary care with speech language pathologists and treatment for their cough. evaluation. (SLPs), professionals who work to By definition, chronic cough is a prevent and treat speech, language, The Chronic Cough Clinic is persistent cough lasting more than eight and swallowing disorders. here for these individuals.” weeks. The condition can be quite “The SLPs in our clinic are specialized – Clark Rosen, MD debilitating, and determining the cause in voice, swallowing, and upper airway of a patient’s chronic cough is key to disorders such as chronic cough and effectively treating it. have specific training in these areas to A Coordinated Care Plan That’s why, in 2018, UCSF estab- maximize treatment outcomes for our “The patient may suffer for years and lished the Chronic Cough Clinic at the patients”, says Sarah Schneider, MS, often go from primary care to urgent care UCSF Voice and Swallowing Center CCC-SLP, a speech pathologist and and in some cases to the Emergency within the Department of Otolaryngology co-director of the UCSF Voice and Room. They may also be sent to multiple – Head and Neck Surgery. Swallowing Center. specialists such as allergists, “The Chronic Cough Clinic is a unique gastroenterologists, and pulmonologists. resource. It is a place where patients Addressing the Individual Patient The result is that people with chronic suffering from chronic cough can Many patients with chronic cough cough don’t receive a comprehensive receive meticulous review of past care, have had poor success seeking care, coordinated care plan and may feel that multidisciplinary evaluation, and says Physician Assistant Matthew they are bounced back and forth treatment by a team of experts who Stephen, MMS PA-C, a team member between different providers’ care,” specialize in caring for the patient with in the clinic. Stephen says. chronic cough,” says its director, Clark “One goal is to coordinate multiple “In the Chronic Cough Clinic we Rosen, MD, Professor of Otolaryngology perspectives in the evaluation and perform comprehensive chart reviews – Head and Neck Surgery and Chief of treatment of our patients, many of whom with input from multiple disciplines to the Division of Laryngology. have struggled with the condition for a determine if the workup to this point has very long time. Once we have ruled out been sufficient or if there are areas for typical chronic cough factors, other further investigation. We access the most causes are evaluated, such as laryngeal current research to help guide our sensitivity or a very irritated larynx, treatment plan. We want patients and where a lot of research is now focused. providers to know that we are here to For example, a patient may have had an perform a deep dive into the patient’s initial injury a decade ago, such as a presentation, symptoms, and treatment,” really bad cold and cough. Maybe the he adds. cold resolved, but the imprint of that Recent research at the Chronic Cough initial injury has persisted. If the throat Clinic is targeted at laryngeal hyper- becomes irritated, that initial injury sensitivity and chronic cough. A superior From left: Clark Rosen, MD; Sarah Schneider, makes the patient more susceptible to laryngeal nerve block clinical trial, which MS, CCC-SLP; Matthew Stephen, MMS PA-C behavioral patterns of coughing,” is now open to qualifying patients, will Stephen says. address treatment. The clinical trial is a Working Across Disciplines An SLP who sees a patient for prospective clinical pathway for patients Because common reasons for chronic cough management therapy develops with chronic cough who may benefit cough may be conditions such as acid a patient specific treatment plan to from a superior laryngeal nerve block. reflux, respiratory disorders, or nerve address the individual’s complaints and This is a new treatment modality that has injury, the Chronic Cough Clinic was manifestations of cough. The speech not been prospectively evaluated in a designed as a multi-disciplinary center of therapy is focused on the throat and systematic manner. excellence for patients requiring or includes cough management breathing “All too often, chronic cough patients desiring expert tertiary or quaternary techniques, relaxation, massage in the are told by specialists what is not the examination and treatment for their front of the neck, and sometimes even cause of their cough,” says Dr. Rosen. cough condition. voice exercises if a person’s cough is “They are not given assistance with how The clinic involves in-house triggered by talking. Therapy techniques to find the proper cause and treatment for laryngology and speech language are supported by research and can be their cough. The Chronic Cough Clinic is pathology and close collaboration with very beneficial in addressing symptoms. here for these individuals.” n

4 HeadsUp! Fall 2020 Hypoglossal Nerve Stimulation A Valuable Option for Treating Obstructive Sleep Apnea

“ bstructive Sleep Apnea, or OSA, still have very important roles in altering the can be an extremely debilitating anatomy of the airway,” says Dr. Chang. O condition,” says Jolie Chang, MD, Associate Professor of Otolaryngology – Determining Eligibility Head and Neck Surgery and Chief of the Several steps are involved before a UCSF Division of Sleep Surgery. patient can be evaluated for candidacy She has a wealth of experience in for sleep apnea surgery: a sleep study to treating sleep disorders, especially OSA, diagnose sleep apnea; a home trial of the most common type of sleep apnea. CPAP, the standard and best medical Dr. Chang describes OSA as “a therapy for OSA; an evaluation in the disorder where the upper throat or airway clinic with a sleep surgeon; and an muscles relax during sleep, causing evaluation of the upper airway with a collapse of the airspace during sleep and laryngoscopy, which is sometimes leading to decreased airflow and oxygen performed in the operating room (called reaching the lungs and the body. The “OSA is a disorder a drug-induced sleep endoscopy). repeated obstruction or blockage of the where the upper throat “During drug-induced sleep endo- airway at nighttime disrupts sleep and or airway muscles scopy we evaluate the unique upper relax during sleep, can lead to unrefreshing sleep and airway shape and collapse patterns causing collapse of the associated with sleep apnea for that daytime sleepiness.” airspace during sleep Moderate to severe levels of OSA and leading to individual. Some types of airway collapse impact mortality and is associated with decreased airflow and do better than others with an HNS a number of serious health risks such oxygen reaching the implant. As we consider whether a patient as heart disease, stroke, and memory lungs and the body.” is a suitable candidate for the HNS and concentration issues. OSA also — Jolie Chang, MD treatment or other forms of sleep surgery, contributes to motor vehicle and we evaluate the candidate’s treatment occupational accidents. on each patient’s sleep apnea test, goals, BMI, upper airway anatomy, the A variety of OSA treatments – both anatomy, and treatment goals. sleep study, the trial of CPAP and why it non-surgical and surgical – are offered at The current HNS system, branded as didn’t work for the individual, and a the UCSF Divisions of Sleep Medicine Inspire®, relies on a device that is discussion with the candidate about the and Sleep Surgery. First line treatment implanted under the skin through three risks, benefits, and outcomes of the includes continuous positive airway small incisions – one under the chin/jaw, therapy itself,” Dr. Chang explains. pressure (CPAP) therapy, which uses air one under the collar bone, and one “We typically perform implantation of pressure to keep the upper throat open between the ribs. The device includes a the HNS device as an outpatient in sleep and involves a mask over the pulse generator that supplies energy to procedure at UCSF Medical Center at nose or face. Some patients cannot use an electrode that is placed around a Mount Zion. Following the two and a half CPAP effectively and may be candidates portion of the hypoglossal nerve, which hour procedure for implantation and for CPAP-alternative therapies including is the nerve that controls the tongue device testing, there is standard post- possible surgery. A full evaluation by an muscle tone during sleep. After the operative care, and most patients go otolaryngologist is essential for selecting device has been implanted and incisions home the same day a few hours later. and planning the best approach to have healed, the patient receives a One month after the procedure there is a treating OSA when considering surgery. handheld remote control for turning on postoperative visit so we can evaluate the Both sleep medicine and sleep surgery the device at nighttime, prior to sleep. patient’s healing, activate the implanted physicians work together to determine the After the patient falls asleep the device device, and teach the patient how to use best treatment options for each patient. stimulates the hypoglossal nerve. This it and uptitrate the settings at home,” says leads to increased muscle tone and Dr. Chang. “There are subsequent visits as Hypoglossal Nerve Stimulation reverses the airspace collapse that well as a sleep study to make sure the In 2014, the U.S. Food and Drug happens in OSA. Placement of the implanted device is working well,” she adds. Administration granted approval for an electrode on the nerve is performed very After the HNS implantation surgery upper airway stimulation system known precisely to make sure the proper has healed, patients can fly and engage as hypoglossal nerve stimulation, or branches of the hypoglossal nerve are in other normal activities. Other than HNS. The UCSF Division of Sleep targeted to ensure optimum therapeutic some MRI restrictions, there are no major Surgery began offering the treatment in function of the HNS system. lifestyle limitations with the implant. 2016 and considers it an important “The exciting part of HNS surgery is it “HNS therapy can be a valuable surgical option for patients who have offers another way of supporting upper option for patients who did not receive not had success with traditional airway collapse that occurs in OSA by much benefit from traditional treatments therapies for OSA. It is considered increasing muscle tone that is typically lost for OSA, and we are excited to be able complementary to the other surgical during sleep. Traditional surgery for OSA – to offer HNS treatment along with options for OSA, and the best surgical including palatoplasty, tongue base individualized evaluations for sleep option is individually determined based surgery, and jaw advancement surgery – apnea solutions,” says Dr. Chang. n

HeadsUp! Fall 2020 5 August 25, 2020 Department Statement on Diversity, Equity, and Inclusion he UCSF Department of Otolaryngology – Head and Neck Surgery is committed to Diversity, Inclusion, and Respect for all members of our society. Recent societal events lay bare the disproportionately high incidence of violence perpetrated Tagainst the Black community. The coronavirus pandemic disproportionately infects and kills members of the Black, Latinx, and Native American populations. Our department stands in firm solidarity against bias, hate, and discrimination of all kinds against any and all minorities or under-represented groups, and any and all people. We intend to amplify the message that Black Lives Matter. As a department, we respect and celebrate the diversity and rich cultural contributions of our entire community, especially our staff, residents, fellows, students and faculty. We will continue to address our individual and institutional biases, strongly advocate for an anti-racist environment, and work diligently to minimize implicit bias and micro-aggressions in the workplace. We will continue to provide the highest level of compassionate and exceptional patient care for our community and for all who seek our expertise.

Andrew H. Murr, MD, FACS Marla K. Gust, MSN, RN Brian J. Malone, PhD Marika D. Russell, MD, FACS Professor and Chairman Administrative Director of Associate Professor Associate Professor Otolaryngology – Head and Neck Coleman Memorial Laboratory Division of Head and Neck Andrew N. Goldberg, MD, Surgery UCSF Department of Oncologic and Endocrine Surgery MSCE, FACS Otolaryngology – Head and Neck Chief of Otolaryngology – Head Vice Chair of Clinical Affairs Patrick K. Ha, MD Surgery and Neck Surgery Jacobs Professor and Chief of Kavli Institute for Fundamental Zuckerberg San Francisco General Daniel E. Johnson, PhD Division Neuroscience Hospital Professor and Vice Chair for Head and Neck Oncologic Surgery Research and Endocrine Surgery Anna K. Meyer, MD, FACS, Matthew S. Russell, MD FAAP Associate Professor Payal Anand, AuD, F-AAA, Chase M. Heaton, MD Associate Professor William R. Ryan, MD, FACS CCC-A Assistant Professor Program Director – Pediatric Head and Neck Oncologic Surgery Otolaryngology Fellowship Associate Professor Director, Audiology Head and Neck Oncologic/ Assistant Clinical Professor John F. Houde, PhD Garani S. Nadaraja, MD Endocrine/Salivary Surgery Mary Bobel, MBA Professor Medical Director & Section Chief Director, Speech Neuroscience Sarah L. Schneider, MS, Chief Administrative Officer Pediatric Otolaryngology Laboratory UCSF Benioff Children’s Hospital CCC-SLP Oakland Co-Director, Voice and Swallowing Anna Butrymowicz, MD Taha A. Jan, MD Assistant Professor Associate Clinical Professor Center Assistant Professor Speech-Language Pathology Srikantan Nagarajan, PhD Director Dylan K. Chan, MD, PhD Young-wook Jun, PhD Associate Professor Director, Biomagnetic Imaging Assistant Clinical Professor Associate Professor Laboratory Jolie L. Chang, MD Departments of Otolaryngology & Professor, Department of Jeffrey D. Sharon, MD Pharmaceutical Chemistry Radiology and Biomedical Imaging Associate Professor of Clinical Assistant Professor Director of Balance and Falls Otolaryngology P. Daniel Knott, MD, FACS Steven D. Pletcher, MD Chief of Sleep Surgery Center Professor and Director, Section of Professor and Director, Residency David E. Conrad, MD, FAAP Facial Plastic and Reconstructive Program Matthew H. Spitzer, PhD Surgery Chief, ENT Section Assistant Professor Werbe Assistant Professor Fellowships Co-Director: Facial San Francisco VA Medical Center Depts. of Otolaryngology – Head Plastic and Microvascular Josephine A. Czechowicz, and Neck Surgery & of Reconstruction Lauren T. Roland, MD, MSCI Microbiology and Immunology MD Assistant Professor G.W. Hooper Foundation Assistant Professor Charles J. Limb, MD Bakar ImmunoX Program Francis A. Sooy Professor Kristina W. Rosbe, MD, Jonathan R. George, MD, Chief, Division of Otology, FAAP, FACS Joanna Times Neurotology and Skull Base MPH Professor of Otolaryngology and Operations Manager Surgery Associate Professor, Head & Neck Pediatrics Chief, Division of Director, Douglas Grant Cochlear Surgical Oncology Pediatric Otolaryngology Aaron D. Tward, MD, PhD Implant Center Associate Professor Jennifer R. Grandis, MD Departments of Otolaryngology – Clark A. Rosen, MD Werbe Professor Head & Neck Surgery and Jacqueline E. Weinstein, MD Lewis Francis Morrison, MD Endowed Chair in Laryngology Assistant Professor José Gurrola II, MD Patricia A. Loftus, MD Professor and Director, UCSF Assistant Professor Voice and Swallowing Center VyVy N. Young, MD, FACS Assistant Professor Rhinology and Skull Base Surgery Chief, Division of Laryngology Associate Professor and Associate John A. Watson Faculty Scholar Residency Yue Ma, MD Program Director Assistant Professor Voice and Swallowing Center

6 HeadsUp! Fall 2020 News Briefs Dr. Patrick Ha Honored as an Outstanding Teacher Patrick Ha, MD, the Irwin Mark and Joan Klein Jacobs Distinguished US News & World Report Gives High Ratings Professor and Chief of Head and Neck to UCSF OHNS Oncologic Surgery in the Department of The UCSF Department of Otolaryngology – Head and Neck Surgery Otolaryngology – Head and Neck at UCSF, was named a recipient of the Surgery was ranked first in Northern 2020 Excellence in Teaching for Clinical California and second in the West in Faculty Award in May. Each year, the the 2020-2021 US News & World graduating medical student class selects Report Best Hospitals Honor Roll residents, fellows, and faculty who have and Medical Specialties Rankings. been outstanding teachers, mentors, and role models to The ratings, for each state and the medical students during their clinical years at UCSF. nation, were published at the Recipients are selected on the basis of their dedication to end of July. The department’s overall rank nationwide is #14, teaching excellence and creating a stellar student experience, and UCSF Medical Center is ranked #8 nationwide. as well as their commitment to the UCSF PRIDE values of Professionalism, Respect, Integrity, Diversity and Excellence. Dr. Jennifer Grandis Appointed Special Consultant within the NIH Dr. Lauren Roland Selected as Perstein Awardee Jennifer R. Grandis, MD, professor of In June, Lauren Roland, MD, an assistant Otolaryngology – Head and Neck professor in Otolaryngology – Head and Surgery, has been appointed as a special Neck Surgery, was named the recipient consultant to National Institute on of the UCSF School of Medicine’s 2020 Deafness and Other Communication Irene Perstein Award for her research Disorders (NIDCD) Director Debara Tucci, investigations in allergy, immunology and MD. Dr. Grandis, who started the position rhinology. Her specific research focus is in August 2020, will collaborate to on abnormalities in nasal immunity in the determine future directions of the clinical immunocompromised host. The UCSF program, advise on clinical trials, and School of Medicine Perstein Awards were established in 2007 add value with regard to data management. It is expected with the goal of supporting women faculty members, that Dr. Grandis’s perspective will drive transformation and appointed at the assistant professor rank, who are expected expansion of the NIDCD clinical programs and translational to develop high caliber independent research programs in research for the NIDCD mission. basic, clinical, or translational science. The highly competitive awards are based on criteria including the novelty and Dr. Dylan Chan Develops Online Pediatric innovation of the science, and the potential impact on human COVID-19 Risk Assessment Tool health. This unique award honors the legacy of Ms. Irene Dylan Chan, MD, PhD, associate Perstein, who donated funds to support junior women faculty professor in pediatric otolaryngology, and at UCSF. Ana Marija Sola, a UCSF medical student, have created an online tool to determine In Memoriam: Dr. Charles Patrick Hybarger the risk of asymptomatic infection with Charles Patrick Hybarger, MD, a 1978 SARS-CoV-2 for children in the United graduate of the UCSF Otolaryngology – States. The interactive calculator Head and Neck Surgery residency determines the likelihood that a child program, passed away at home on June without COVID-19 symptoms will have an 30, 2020. Dr. Hybarger, affectionately asymptomatic infection of COVID-19. It is known as “Dr. Pat,” was a head and neck important to note that these estimates relate to children with surgeon at , San asymptomatic infections with SARS CoV-2, detected by the Rafael and the Chief of the MOHS standard RT-PCR test. The infectivity of these children is not Micrographic Surgery and Reconstruction well established; therefore, the true risk of transmission due to Program, for which he was awarded the these cases is not known. More information is available by 2004 The Permanente Medical Group Exceptional visiting https://ohns.ucsf.edu/pediatric/covid_tool. Contribution Award. n

HeadsUp! Fall 2020 7 First-class Mail U.S. Postage PAID San Francisco, CA Permit No. 8285

Otolaryngology – Head and Neck Surgery 2233 Post Street, UCSF Box 1225 San Francisco, CA 94115

ADDRESS SERVICE REQUESTED

Upcoming Events

Management Strategies in Early and Late Stage Head and Neck Cancer HeadsUp! November. 6-7, 2020, 7:30 am-5:00 pm FALL 2020 | VOL. 17, ISSUE 2 Interactive Webinar Department Chair, Editor-in-Chief: Registration: https://tinyurl.com/early-and-late-stage Andrew H. Murr, MD Event and Communications Manager: Multidisciplinary Management of Head and Neck Cancer – Maximizing Katherine Murphy Voice and Swallowing Outcomes Web and Media Specialist: Clinton Louie November 8, 2020, 7:30 am-5:00 pm Design: Laura Myers Design Interactive Webinar Photography: Clinton Louie, Marco Sanchez Registration: https://tinyurl.com/voice-and-swallowing © 2020 THE REGENTS OF THE

The Annual Robert A. Schindler, MD, Endowed Lecture in Otology “Diagnosis and Management of Eustachian Tube Disorders” Contact Us General Otolaryngology December 3, 2020 – Time: 4:00 pm Pediatric Otolaryngology – HNS Speaker: Dennis Poe, MD, Harvard Medical School Otology, Neurotology and Skull Base Surgery and Boston Children’s Hospital Rhinology and Sinus Surgery, Sleep Surgery Meeting ID: 974 4464 5265 415/353-2757 Password: 687067 Cochlear Implant Center 415/353-2464 Zoom Link: http://tiny.ucsf.edu/DennisPoe Facial Plastic and Aesthetic Surgery Practice UCSF Medical Center NOTE: The COVID-19 outbreak has caused significant travel disruptions to national 415/353-9500 and international conferences. The health and safety of our meeting attendees HNS – Facial Plastic and Post-Oncologic is of utmost importance to the UCSF Department of Otolaryngology – Head and Reconstructive Surgery, UCSF Helen Diller Neck Surgery. Our meetings have moved to a virtual platform through June 2021. Family Comprehensive Cancer Center 415/885-7528 Decisions on whether to hold a meeting or CME conference are based on information from UCSF and national health officials. Head and Neck Surgery and Oncology Head and Neck Endocrine Surgery For further information about CME courses, please go to https://cme.ucsf.edu. Salivary Gland Center For information on Grand Rounds and departmental events, please visit 415/885-7528 https://ohns.ucsf.edu or contact Ofeibia Laud-Darku at [email protected]. Balance and Falls Center 415/353-2101 Voice and Swallowing Center 415/885-7700 To support the Department of Otolaryngology – Head and Neck Surgery, please contact Audiology 415/353-2101 Director of Development Darrell Young at 415/502-8389 or [email protected]. Berkeley Outpatient Center 510/985-2000

News from the UCSF Department of Otolaryngology – Head and Neck Surgery | https://ohns.ucsf.edu