Executive Council and Committees Executive Council President Colin T. Huntley, MD Jefferson University - Otolaryngology - Head & Neck Surgery President Elect Pamela C. Roehm, MD, PhD Temple Otorhinology Associates Secretary/Treasurer Neerav Goyal, MD, MPH Penn State Health Milton S. Hershey Medical Center - Otolaryngology - Head & Neck Surgery Immediate Past President Jessyka G. Lighthall, MD, FACS Penn State Health Milton S. Hershey Medical Center Otolaryngology - Head & Neck Surgery Nithin Dev Adappa, MD University of Pennsylvania, Department of Otorhinolaryngology Robert Brody, MD Hospital of the University of Pennsylvania and the Veteran's Administration Medical Center David M. Cognetti, MD, FACS J efferson University - Otolaryngology - Head & Neck Surger y Richard E. Ferraro, MD Carlisle Ear Nose & Throat Assoc. David Goldenberg, MD, FACS Penn State Health Milton S. Hershey Medical Center Otolaryngology - Head & Neck Surger y Thomas Kaffenberger, MD UPMC – Otolaryngology Kevin Kovatch, MD Geisinger Health, Danville Phillip K. Pellitteri, DO, FACS Guthrie Clinic Nicholas Purdy, DO Geisinger Health, Danville Karen A. Rizzo, MD, FACS Lancaster Ear Nose and Throa t Justin C. Ross, DO Philadelphia College of Osteopathic Medicine – Otolaryngology Robert T. Sataloff, MD, DMA, FACS Drexel University - Philadelphia ENT Associates Cecelia Schmalbach, MD, MSc, FACS Temple University Department of Otolaryngology – Head & Neck Surgery, Temple Head & Neck Institut e Jeffrey P. Simons, MD, FACS Children's Hospital of Pittsburgh of UPMC Ahmed M.S. Soliman, MD Temple University Department of Otolaryngology – Head & Neck Surgery, Temple Head and Neck Institut e Kevin Stavrides, MD Geisinger Wyoming Valley Medical Center Sandra Stinnett, MD University of Pittsburgh School of Medicine Department of Otolaryngology Paul B. Swanson, MD ENT and Allergy Specialists Scott Walen, MD Penn State Health Milton S. Hershey Medical Center - Otolaryngology - Head & Neck Surgery Christina M. Yver, MD, MBA University of Pittsburgh School of Medicine, Facial Plastic & Reconstructive Surgery Resident Liasons Jeffrey Lorenz, MD Penn State Health William "Jack" Palmer, MD Jefferson University - Otolaryngology - Head & Neck Surgery Committees Allergy & Rhinology Chair: Nithin Adappa, MD Awards Chair: Robert Thayer Sataloff, MD, DMA, FACS David M. Cognetti, MD, FACS Karen A. Rizzo, MD Jeffrey P. Simons, MD, MMM, FAAP< FACS Philip F. Dunn Bylaws Chair: Philip Pellitteri, DO Facial Plastic & Reconstructive Surgery Chairs : Scott Walen, MD,; Christina M. Yver, MD, MBA Head and Neck Surgery Chair: Neerav Goyal, MD Legislative Chair: Richard Ferraro, MD Membership Chair: Pamela Roehm, MD, PhD Nominating Chair: Jessyka Lighthall, MD, FACS Ototology Chair/term 2024-2026: Pamela Roehm, MD, PhD Patient Safety Chair: Neerav Goyal, MD Pediatrics Chair: Jeffrey Simons, MD Scientific Program 2026 Co-Chair: Sandra Stinnett, MD; Co-Chair: Arielle Thal, MD Sleep Medicine Chair: Vacant Voice, Speech, Swallowing Co-Chair: Ahmed Soliman, MD; Co-Chair: Aaron Jaworek, MD

Voice and Throat Disorders In This Section: Airway Stenosis Chronic Cough Dysphagia (difficulty swallowing) Spasmodic Dysphonia Zenker’s Diverticulum Airway Stenosis Author: Ahmed M.S. Soliman, MD Overview: The term stenosis refers to the abnormal narrowing of a tube-shaped organ. In the human airway, the three main areas where this can occur are in the larynx (voice box), subglottis (just below the vocal folds), and trachea (windpipe). The main cause of laryngeal narrowing is having had a breathing tube in place. Other causes include certain autoimmune/rheumatological conditions (Wegener’s granulomatosis, Sarcoidosis Relapsing polychondritis, Amyloidosis), trauma to the neck or voice box, and surgery, or radiation to the larynx. Symptoms: Symptoms include noisy breathing, coughing, and shortness of breath. It is frequently misdiagnosed as asthma. The symptoms may become quite severe and life threatening. What to Expect at Your Otolaryngologist Office Visit: Evaluation will start with a complete examination of the head and neck. It will also include examination of the nose, voice box and the throat using a laryngoscope. Your doctor may order a chest X-ray, CT or other tests as appropriate. If you have had any of these already done, please bring them with you to the visit. Treatment: Treatment usually starts with evaluation of the larynx, subglottis, and trachea in the operating room. Endoscopic treatment with the laser and dilation is usually successful although sometimes, surgical reconstruction through the neck is necessary. Chronic Cough Author: Ahmed M.S. Soliman, MD Overview: A chronic cough is a cough that persists for eight or more weeks. Chronic cough can lead to exhaustion, rib fractures, vomiting, hoarseness and lightheadedness. Symptoms: Chronic cough is a symptom and not a diagnosis. It is typically the result of an underlying condition or health factor. The most common of these include tobacco use, certain blood pressure medications, asthma, chronic rhinosinusitis, and acid reflux. Other causes of chronic cough include respiratory infections, and chronic bronchitis. What to Expect at Your Otolaryngologist Office Visit: Evaluation will start with a complete examination of the head and neck. It will also include examination of the nose, voice box and the throat using a laryngoscope. You may be given some food to eat while the doctor examines your throat (called flexible evaluation of swallowing or FEES). Your doctor may order a chest X-ray, modified barium swallow, esophagram, sinus CT or other tests as appropriate. If you have had any of these already done, please bring them with you to the visit. Treatment: Treatment will depend upon what the underlying cause or causes. This may include dietary and behavioral modifications, antibiotics, antireflux medications, inhalers, etc. Dysphagia (difficulty swallowing) Authors: Nausheen Jamal, MD – Department of Otolaryngology-Head & Neck Surgery, Lewis Katz School of Medicine, Temple University Overview: Dysphagia refers to any difficulty swallowing that a person may have. This difficulty may occur in many different forms and will affect a person’s ability to eat or drink in the upper digestive tract – in other words, anywhere from the lips down to the stomach. Causes of dysphagia vary as well. These include weakness of throat muscles, “pouches” within the throat or food pipe, narrowing of the throat or food pipe, muscle spasms, trouble with coordination within the throat or food pipe, or even issues with the teeth or dentures. Sometimes other medical conditions can lead to dysphagia. These include medications, prior stroke, any tumors, and prior surgeries. Trouble with swallowing can cause drastic quality of life issues. In addition, it can lead to serious medical complications, such as pneumonia, malnutrition, and undesired weight loss. Symptoms: Coughing and choking during eating Extra time needed to eat meals Avoiding or having difficulty with certain food consistencies because of swallowing difficulty Drooling Difficulty chewing Difficulty starting a swallow Waking up at night choking or drooling Food coming back up into the throat or nose during eating Feeling food stick in the throat or chest History of pneumonia Weight loss and malnutrition What to Expect at Your Otolaryngologist Office Visit: A careful examination of your mouth and throat will provide your doctor with a lot of information. Your otolaryngologist may perform specialized tests, including a laryngoscopy (“scope” procedure through your nose and into your throat), a swallow evaluation, and possibly even a procedure to look in your food pipe. It is possible that your otolaryngologist will order specialized testing, including x-ray swallow tests (such as a barium swallow or modified barium swallow). You may be given a referral to see a speech pathologist who is also trained in swallow disorders. Treatment: Because the causes of swallow disorders vary, so do the treatments. Generally speaking, swallow disorders that are caused by issues of weakness or lack of muscle coordination are treated with swallow therapy, which is like physical therapy for the swallowing muscles of the throat. This therapy is performed by a speech pathologist. Swallow disorders that are caused by areas of narrowing, “pouches,” certain types of muscle spasms, voice box movement disorders, or tumors are typically treated with surgery. Most of these surgeries are performed endoscopically, meaning that they are performed through the mouth without a need for incisions in the neck. Sometimes, however, a surgery that requires an incision in the neck is needed. Most surgeries require staying in the hospital for at least one night following the operation. A few minimally invasive surgeries may allow discharge on the same day as the operation. Your doctor will discuss if surgery is the right option for you, and what an operation might involve. Spasmodic Dysphonia Author: Ahmed M.S. Soliman, MD Overview: Spasmodic dysphonia (SD) is a rare neurologic disorder in which the larynx experiences involuntary spasms. There are three forms of the condition, adductor SD, Abductor SD, and Mixed SD, each with distinct vocal symptoms. It is estimated that roughly 50,000 people in North America have some form of SD. The condition usually sets in gradually during middle age, and is more likely to affect woman than men. Symptoms: Adductor SD, the most common form, causes the vocal folds to involuntarily close while speaking. The speech of someone with adductor SD sounds choppy, strained or strangled. Abductor SD is much less common and causes the vocal folds to involuntarily open with speaking that they do not vibrate properly. As a result, the voice may sound soft, weak or breathy. Mixed SD has features of both types and is rare. What to Expect at Your Otolaryngologist Office Visit: Evaluation will start with a complete examination of the head and neck. It will also include examination of the larynx or voice box using a laryngoscope. The examination is often videotaped and played back. Your doctor may order an MRI of your brain, and evaluation by Neurology and Speech Pathology. Treatment: Treatment usually involves weakening of the overactive muscle group with botulinum toxin. This treatment is usually done in the office and is highly successful. Voice therapy is often used as an adjunct to treatment. Rarely surgical procedures of the larynx are performed for this. Zenker’s Diverticulum Author: Ahmed M.S. Soliman, MD Overview: Zenker's diverticulum is a pouch that forms in the throat, where the esophagus meets the uppr part of the throat called the pharynx. The pouch forms by pushing through a weakened portion of the pharynx and balloons outward. The condition tends to occur in patients over 60 years but may occur in younger patients. It does not appear to be hereditary. Symptoms: The main symptom of Zenker's diverticulum is dysphagia, or difficulty swallowing. Undigested food or liquid can rise back into the throat and mouth even hours after swallowing. Other symptoms include choking, a buildup of mucous in the throat, bad breath, hoarseness, and recurrent pneumonias. What to Expect at Your Otolaryngologist Office Visit: Evaluation will start with a complete examination of the head and neck. It will also include examination of the voice box and the pharynx using a flexible laryngoscope. You may be given some food to eat while the doctor examines your throat (called flexible evaluation of swallowing or FEES). If you have had a swallowing test, please bring it with you. Otherwise, your doctor will likely order one. Treatment: In cases of mild dysphagia, Zenker's diverticulum can be treated with lifestyle changes. These include: Avoiding fatty, spicy and acidic foods, thoroughly chewing foods before swallowing, drinking lots of water after eating. If the dysphagia is severe, there are a variety of surgical options. The exact procedure our surgeons use will depends on the size and location of the diverticulum and include: Cricopharyngeal myotomy: This procedure is ideal for removing small diverticula. It can be performed directly through the mouth with the laser or through a small incision in the neck. Endoscopic diverticulotomy: This option involves dividing the wall between the esophagus and the diverticulum using the laser or a special staper/cut device. Once the wall is divided, food particles stuck inside the pouch are free to drain into the esophagus. The vast majority of Zenker’s diverticula are treated successfully in this minimally invasive manner. Diverticulectomy and cricopharyngeal myotomy: This procedure is the complete removal of the pouch along with a cricopharyngeal myotomy and is used for a small percentage of patients where the sac is very large or cannot be accessed through the mouth. It is done through a small neck incision.

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Privacy Policy PRIVACY POLICY/YOUR PRIVACY RIGHTS Pennsylvania Academy of Otolaryngology – Head and Neck Surgery (“Owner” or “us” or “we” or “our”) owns and operates the www.otopa.org site (“Site”). Owner is committed to protecting your privacy when you visit and interact with the Site. As such, Owner’s privacy practices are explained in this Privacy Policy (“Policy”). This Policy contains details about how Owner collects and uses information from you when you use the Site. This Policy covers only the Site. Other Owner sites and other online locations may have their own privacy policies, and you should consult those accordingly. This Policy is effective as of: November 13, 2015. Policy Changes Owner may update this Policy from time to time. Any changes to this Policy will be posted below for a period of thirty (30) days and will be effective when posted. The changes will also be immediately incorporated into this Policy. Your continued use of the Site after any changes are made to this Policy constitutes your acceptance of the changes. If any of the changes are unacceptable to you, you should cease using the Site. If any changes to this Policy affect how Owner treats or handles personally identifiable information already provided by you to Owner, Owner will notify you by email (if Owner has a valid email address to use) and give you thirty (30) days to opt out of the changes as they pertain to your information. Collection and Use of Information You can generally visit the Site without revealing any personally identifiable information about yourself. Personally identifiable information (“PII”) is generally defined as information that may be able to identify you such as, but not limited to, name, address, telephone number, email address, birthday, credit card number, photograph, age, etc. There are areas on the Site where you may be asked to provide Owner with PII. For example, PII such as name, mailing address, email address, phone number, credit card number, birthday, gender, office address and other business information, education background, and/or professional license information may be collected from you when you: apply to be a PAO-HNS member; pay PAO-HNS membership dues; access the “Members Only” section of the Site; make contributions to PA Otolaryngology PAC; register for Owner meetings or events; contact Owner with questions or comments; participate in surveys, questionnaires, or contests; and/or sign up for the Owner’s newsletter. Owner may use your PII to: process your PAO-HNS membership application; maintain proper PAO-HNS membership information and records; process payment of PAO-HNS membership dues; administer the “Members Only” section of the Site; process contributions made to the PA Otolaryngology PAC; schedule/administer meetings and events; respond to questions or comments; deliver services through the Site; process and catalog responses to surveys or questionnaires; enter you in contests and other promotions; send you Owner newsletters and other updates; and/or improve the content and general administration of the Site. The Site may use cookies. Cookies are files that are transmitted to your computer when you visit the Site. Cookies allow Owner to recognize your browser when you subsequently return to the Site. Cookies may also collect your user preferences when you visit the Site. Owner does not use cookies to collect PII. You may be able to delete the cookies by consulting your browser and/or computer instructions. Please note that any deletion of cookies could affect how the Site appears and/or operates for you. Owner uses Google Analytics to track website traffic, which may use cookies. More information on how Google collects and processes data can be found at the following “How Google uses data when you use our partners’ sites or apps” link (http://www.google.com/policies/privacy/partners/ ). Owner may also use other technology to anonymously track Site traffic to learn how users visit and interact with different areas of the Site. By providing to Owner the PII and other information referenced above, you agree that Owner may use the PII and other information in accordance with the terms of this Policy. Sharing of PII and Other Information Except as noted herein, Owner does not sell or share your PII with any person or entity outside of Owner. Owner may share certain elements of collected PII with the following entities: - Pennsylvania Medical Society (PAMED) –Owner participates in a unified database with PAMED to serve the shared needs of PAMED and other participating organizations, including component county medical societies, specialty organizations that are administered by PAMED, the Foundation of the Pennsylvania Medical Society (Foundation), the Educational and Scientific Trust of the Pennsylvania Medical Society (Trust), and our Pennsylvania Medical Society Consulting Company (PMSCO) subsidiary. - American Academy of Otolaryngology – Head and Neck Surgery – for informational purposes and to assist in data collection on state ophthalmology society membership. AAO-HNS Privacy Policy can be found at http://www.entnet.org/content/privacy-policy . If you would like to opt-out of having your PII shared with any of the above entities for direct marketing purposes, please email Owner at info@otopa.org or (717) 558-7750 ext. 1519. Except as noted elsewhere in this Policy, third parties will not be able to directly collect any information through the Site. Owner will share certain portions of PII with its vendors in order to make the Site and Site related services function properly. This may include: - sharing PII with our credit card processing entity in order to process any credit card payments made through the Site; - sharing names and email addresses with MailChimp so it can send out emails on Owner’s behalf (http://mailchimp.com/legal/privacy/ ); and - sharing names and mailing addresses with the U.S. Postal Service in order for the USPS to deliver mail to Owner members and contributors (http://about.usps.com/who-we-are/privacy-policy/privacy-policy-highlights.htm ). Owner will disclose your PII if it reasonably believes it is required to do so by law or in cooperation with a governmental or law enforcement investigation. Owner may also share PII or other information in order to avoid imminent physical harm to any person or harm to any Owner property. Owner may share your PII with a third party if Owner’s ownership status changes, such as it being acquired. Other than what is referenced above, the PII collected from you is not shared with nor sold to any person or entity outside of Owner. Review of Collected PII If you would like to review, edit, or delete any of the PII Owner collected from you, or wish Owner to cease using your PII in the manners specified in this Policy, you can do one of two things. First, if you are a member physician, you can make updates to your member profile through the Find an Otolaryngologist feature. For all other requests, please contact Owner at info@otopa.org or (717) 558-7750 ext. 1519. Please note that Owner will do its best to accommodate your request, but Owner cannot guarantee it can remove all PII from the specified uses. Therefore, please be as specific as possible in your request. If the request relates to information that Owner needs to make the Site function properly for you, you may not be able to use the Site properly moving forward. Please note that Owner reserves the right to maintain proper business records as required by law, even if such records contain your PII. If you would like to opt out of receiving further promotional emails from Owner, please follow the opt out instructions at the bottom of the email or send Owner a detailed email to info@otopa.org . Owner does not knowingly collect any information from minors, nor is the Site directed at or intended for minors. If a minor uploads/posts information to the Site that is publically available, and the minor subsequently wants that same information deleted, the minor has a right to request that said information be removed from public viewing. Please contact Owner at info@otopa.org or (717) 558-7750 ext. 1519 to make this type of request. Please note that any removal of content by Owner does not ensure or guarantee complete or comprehensive removal of the content in all places. The content may have been shared or reposted by other parties. Response to “Do Not Track” Requests/Signals Owner does not respond to nor processes “Do Not Track” or similar technical requests not to be tracked. Data Security and Retention Owner uses, implements, and maintains industry standard technological security measures that are reasonably designed to help protect PII from loss, unauthorized access, and/or disclosure. This includes the use of SSL encryption to help prevent unauthorized access to PII transmitted to the Site. While Owner takes the issue of protecting your PII seriously, you should exercise discretion in what information you disclose and/or transmit to the Site. Owner cannot guarantee that information sent over the Internet is fully secure, and therefore the transmitted information may be intercepted by others before it reaches Owner. If you are concerned about sending information to Owner over the Internet, please send the information by mail or call us to make other arrangements. Owner is not responsible for the security of information sent over the Internet. Owner takes steps to make sure that any PII shared with third parties is secured in a manner consistent with this Policy. These include ensuring agreements with third parties that limit the use of your PI to purposes consistent with this Policy. Owner retains collected information for a reasonable amount of time in order to fulfill the stated purpose for why the information was collected. Owner will also retain collected information connected to business records for periods of time required by law. If Owner determines that collected information is no longer needed, it will delete such information. Our collection times will be consistent with applicable law. Owner will maintain a membership list that includes some PII. Children’s Privacy The Site is intended for individuals 18 years of age and older located in the United States. The Site is not directed at, marketed to, nor intended for, children under 13 years of age. Owner does not knowingly collect any information, including PII, from children under 13 years of age. If Owner learns that any information was provided through the Site by a person younger than 13 years of age, Owner will delete the information immediately. Non-U.S. Concerns The Site is meant for individuals within the United States. Owner only knowingly collects information from individuals within the United States. If you provide information to Owner from outside of the United States, you do so at you own risk. If you are outside of the United States, you are responsible for complying with any local laws regarding use of the Site, and related data collection. This Policy only addresses data collection from individuals within the United States. You also agree and acknowledge that by providing any information, including PII, through the Site, that such information will be transmitted to, and stored in, the United States. External Links The Site may contain links to external sites, including those embedded in third party advertisements or sponsor information, that are not controlled by Owner. Owner is not responsible for the privacy practices and data collection policies for such third party sites. You should consult the privacy policies of those sites for details. Owner may also allow interaction between the Site and other sites or mobile applications such as Facebook or other social media providers. This may include the “Like” button or other plugins available through the Site that allow you to share information with persons outside of the Site. Please consult the privacy policies of those third party providers before using them to make sure you are comfortable with the level of sharing. Terms of Use The Terms of Use for the Site is incorporated by reference into this Policy. Miscellaneous If you have any questions regarding this Policy, please contact Owner at: EMAIL: info@otopa.org PHONE: (717) 558-7750 ext. 1518 MAIL: 400 Winding Creek Boulevard | Mechanicsburg, PA 17050 It is the policy of Owner to strictly enforce this Policy. If you believe there has been some violation of this Policy, please contact Owner. This Policy was last updated on November 13, 2015

Meeting Agenda

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