Annual Scientific Meeting Meeting Materials View Posters Download Attendee Guide Download the PAO-HNS Attendee Guide to access important meeting details, including instructions for claiming CME credits. Download Attendee Guide Exhibitor BINGO Don't forget to submit your BINGO Card at the registration desk by Saturday morning at 10:00am! If 10+ people turn in their BINGO card, the prize increases to $500! Submit your BINGO Card and BOOST the prize! Questions? Visit the PAO-HNS registration desk onsite.

PAO-HNS 2026 Abstracts Each year the PAO-HNS invites practicing otolaryngologists to share their research, techniques, and ideas that they incorporate into their practices to improve patient outcomes, practice efficiency, or patient safety/quality improvement. All resident levels, including fellows and medical students are urged to submit. We are proud to share this year's top submissions. Thank you to all our participants!

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COVID-19 Resources The Pennsylvania Academy of Otolaryngology - Head and Neck Surgery (PAO-HNS) is aware of our members concerns during this challenging time. Information on the coronavirus and COVID-19 continues to grow, which creates new recommendations that evolve and even change frequently. Many national organizations have created resources for physicians seeking guidance on the disease, its impact to our patients, the growing evidence of unique risks we face as surgeons, and the business challenges of practice operation during this time of limited patient visits and surgeries. In an effort to guide our colleagues in the state to helpful sources of information, we are providing these resources. The PAO-HNS hopes that as we remain dedicated to the care of our patients, we can likewise function in an educated and safe fashion to protect ourselves, our fellow healthcare workers, and our families. American Academy of Otolaryngology - Head and Neck Surgery Coronavirus 2019 Resources American College of Surgeons COVID-19 and Surgery Centers for Disease Control and Prevention Information for Healthcare Providers Pennsylvania Department of Health COVID-19 Information for Health Care Professionals Sub-Specialty Societies American Head and Neck Society COVID-19 Bulletin Board American Society of Pediatric Otolaryngology IPOD COVID-19 Survey Report American Rhinologic Society Coronavirus (COVID-19) Updates

Acoustic Neuroma Author: Andrew A. McCall, MD, University of Pittsburgh Medical Center Overview: Acoustic neuroma, otherwise known as vestibular schwannoma, is a benign intracranial tumor that develops in the space between the brainstem and inner ear (the cerebellopontine angle). Although the tumor is commonly referred to as acoustic neuroma, this term is a misnomer because these tumors usually arise from the vestibular (balance) nerve rather than the acoustic (hearing) nerve. Most often these tumors develop spontaneously, however in a small percentage of cases they develop as a result of an underlying genetic disorder (Neurofibromatosis type 2) where the tumors are present on both sides. Symptoms: Symptoms of acoustic neuroma include unilateral or asymmetric sensorineural hearing loss (hearing loss originating from the inner ear and/or hearing nerve), tinnitus (ringing or buzzing in the ear), and imbalance or dizziness. Less common symptoms include facial numbness and rarely facial weakness or paralysis. What to Expect at Your Otolaryngologist Office Visit: A complete history and physical examination of the head and neck will usually be obtained for patients who present with symptoms suggestive of an acoustic neuroma. An audiogram will often be obtained for hearing related complaints. Vestibular testing may be performed for balance related symptomatology. If an acoustic neuroma is suspected, a MRI scan will typically be obtained to evaluate for the presence of a tumor. Many other disease processes (e.g. Meniere’s disease, sudden sensorineural hearing loss, labyrinthitis, etc.) can mimic the symptoms of acoustic neuroma, but do not share the MRI findings of a tumor. Once the diagnosis of acoustic neuroma is established, consultation is typically sought with a specialized otolaryngologist known as an otologist/neurotologist. Treatment: While each patient and situation is unique, three main treatment options should be considered: observation, surgical resection, and radiosurgery. Observation of acoustic neuroma entails evaluating the tumor for growth with serial MRI scanning. Acoustic neuroma, on average, tends to be very slow growing – on the order of one or two millimeters per year. However, some tumors are dormant and do not grow and, occasionally, some tumors grow at a more rapid pace. If a tumor should grow during observation, more active intervention with surgery or radiosurgery would likely be recommended. There are three surgical approaches used to remove acoustic neuroma: translabyrinthine, retrosigmoid, and middle fossa. The decision upon which surgical approach is best for a particular patient and tumor is highly individualized and should be discussed in detail with the treating physician. Surgery for these tumors is often performed as a team approach incorporating the skills of an neurotologist and a neurosurgeon because these tumors reside at the junction between the inner ear and brainstem. Radiosurgery is used to arrest growth of acoustic neuroma. Radiosurgery involves steering beams of radiation from multiple angles to concentrate the radiation on the tumor and spare adjacent structures, such as the inner ear or brainstem. One of several different machines may be recommended for delivery of the radiation treatment (e.g. Gamma Knife and Cyber Knife).

World Voice Day 2025 Events We're planning for 2026! PAO-HNS PAO-HNS is a not-for-profit membership organization which represents and serves Otolaryngologists, Head and Neck Surgeons in Pennsylvania and the region. PAO-HNS is dedicated to the professional interests of otolaryngologists and their patients, promoting the highest professional and ethical standards of practice through education and advocacy. Check out Previous Meeting Highlights View the 2025 Photo Gallery Soundings Read the Winter 2026 PAO-HNS Newsletter!

Contact PAO-HNS General Inquiries info@otopa.org 1-833-770-1544 PAO-HNS Staff Executive Director Ariel Jones Phone: 717-909-2688 Email: ajones@pamedsoc.org Meeting Manager Jessica Winger Phone: 717-909-2693 Email: jwinger@pamedsoc.org Association Coordinator Lauren Newmaster, CMP Phone: 717-909-2691 Email: lnewmaster@pamedsoc.org Contact Us

Exhibitor & Sponsor Registration Support PAO-HNS at the Annual Scientific Meeting Exhibitor & Sponsor Registration is NOW OPEN! Click the image to the left to view the full prospectus. Support Opportunities $3,500 Exhibitor Package SOLD $2,000 WIO Sponsorship One Hour Session with presentation from an esteemed female leader in the specialty of otolaryngology. The events will featuring drinks and hors d'oeuvres. $4,000 Logo on Hotel Key Card Sleeve Have your company logo on the Lancaster Marriott key card sleeve. Each attendee will receive two key cards with your company logo on the key card sleeves when checking into the Lancaster Marriott. SOLD $1 ,000 Open Table Discussion and Networking with Residents Sponsorship This is a networking session that happens just before the Women in Otolaryngology event on Friday, June 12, from 4:30–5:00 pm. Your company logo will be displayed on signage throughout the session. SOLD $3,000 Lanyard Sponsor Provide lanyards for all attendees with your company logo. Purchasing company will order/design lanyards and ship to the hotel. $6,000 Jeopardy Sponsorship Exclusive sponsor of the Jeopardy, Company name listed on the agenda as the sponsor for Jeopardy, Opportunity to address attendees before Jeopardy, and Submit a question for Jeopardy that can be product or marketing related . SOLD ISS Program | $10,000 Friday, June 12 - Lunch 1:15pm-2:15pm Take advantage of the opportunity to present information about your product(s) one-on-one with program attendees by purchasing an Industry Sponsored Symposium (ISS). ISS programs are a separate, private function which do not compete with the PAO-HNS educational program or other events. You will have exclusive access to meeting attendees. Only paid exhibitors may purchase an ISS. Register Now User 2-Step Registration Process Our registration system has a two-step process. If you attended last year's meeting, use the same credentials to log in. If you are new, you will need to create a profile to register. STEP 1: Create profile/account. STEP 2: Register Register Now

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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Nose, Sinus, and Allergy In This Section: Allergic Rhinitis Aspirin Exacerbated Respiratory Disease (AERD) Chronic Rhinosinusitis (CRS) Deviated Nasal Septum Allergic Rhinitis Authors: Heather N. Ungerer, BA (University of Pennsylvania Hospital), Nithin D. Adappa, MD (University of Pennsylvania Hospital) Overview: Allergic Rhinitis is an inflammatory condition characterized by hypersensitive and overreactive immune system responses to allergens (otherwise harmless substances that do not cause symptoms for other individuals). Common allergens include pollen, airborne mold spores, animal dander, cockroach particles and dust mites. In patients with allergic rhinitis, the immune system responds to allergens by releasing histamine, a chemical that causes a variety of symptoms in the nose, throat, eyes, ears, and skin.[1] Allergic rhinitis can be either seasonal or perennial (year-around). Patients with seasonal allergic rhinitis will notice flare-ups in symptoms around the changing of the seasons or during certain times of the year. Allergic rhinitis is a common condition that impacts over 24 million people in the United States and between 10-30% of the worldwide population[2] [3] . A common variant of allergic rhinitis is nonallergic rhinitis with eosinophilia syndrome (NARES). NARES is a condition of unknown cause but presents with symptoms similar to that of allergic rhinitis. The primary difference between allergic rhinitis and NARES is that patients with NARES will test negative to allergens in skin tests or blood tests. Additionally, a key component of NARES is the presence of eosinophils (a type of white blood cell) in nasal secretions. While the cause remains unknown, treatment for NARES generally consists of steroid nasal sprays which can be combined with antihistamines. Symptoms: Patients with Allergic rhinitis may experience a combination of any of the following symptoms: Rhinorrhea (runny nose) or nasal obstruction Itchy or watery eyes Itchy skin or mouth Sneezing Sore or irritated throat accompanied by a cough Fatigue Headaches What to expect at your office visit: Your office visit will begin with your allergist or otolaryngologist asking you detailed questions about the onset and nature of your symptoms in addition to questions about your lifestyle in order to identify the cause of your symptoms. Important considerations include your work conditions, home conditions, exposure to household pets, geographical factors, and family medical history. A clinical diagnosis can be made based on the characteristics of the symptoms, however, in most cases your physician will recommend allergy testing in order to determine specific allergies and the severity of each. If you are experiencing severe nasal symptoms, your physician may also perform a nasal endoscopy during which a nasal endoscope, a long, thin device with a camera and light at the end, is used to access and view your sinuses. Treatment: Treatment of allergic rhinitis depends on symptoms and severity. Luckily, there are a variety of options available. Lifestyle changes (replacing carpet, air filters, using humidifiers, protective bedding) Patients benefit from small lifestyle changes that reduce their exposure to certain allergens. Airborne particulate matter can be controlled by regularly replacing air filters or using a stand-alone air filter. Dusting hardwood surfaces, vacuuming carpeted floors, and using protective bedding to control exposure to dust mites has also proved beneficial to patients with specific dust mite allergies. Antihistamines Antihistamines act by limiting the amount of histamine produced by the immune system when exposed to an irritating allergen. This mediates the body’s response to the allergen. Many over the counter options are available as either oral tablets, nasal sprays, or eye drops. Some common antihistamines include Loratadine, Ceterizine, and Fexofenadine. Please consult your doctor before beginning a new medication. Decongestants Decongestants are often confused with antihistamines. While antihistamines can help with itching and sneezing, decongestants target the inflammation inside your nose that makes you feel congested or experience sinus pressure. Decongestants are readily available over the counter but can also be prescribed in more severe cases. Decongestants should only be used for a few days at a time, otherwise side effects may occur and result in a worsening of symptoms. Immunotherapy (allergy shots) Immunotherapy, or allergy shots, is an effective way to manage allergic rhinitis that has otherwise failed to respond to medication. Immunotherapy is a long-term treatment option that can last anywhere from 3-5 years. Patients undergoing immunotherapy are incrementally exposed to the allergen(s) that cause their symptomatic response, thereby actually training the immune system to become less sensitive to the allergen. Initially, shots are administered once or twice weekly until a maintenance dose is reached. Once patients are in the maintenance phase, allergy shots are administered every two to four weeks. [1] https://www.aaaai.org/conditions-and-treatments/allergies/rhinitis [2] http://www.aafa.org/allergy-facts/ [3] https://www.healthline.com/health/allergic-rhinitis Aspirin Exacerbated Respiratory Disease (AERD) Authors: Heather N. Ungerer, BA (University of Pennsylvania Hospital), Nithin D. Adappa, MD (University of Pennsylvania Hospital) Overview: Aspirin Exacerbated Respiratory Disease (AERD), formerly known as Samter’s Triad, is a chronic inflammatory condition and a difficult to treat variant of asthma, known for its triad of symptoms: nasal polyps, asthma, and hypersensitivity or allergy to non-steroid anti-inflammatory drugs (NSAIDs) including Aspirin. Patients with AERD experience acute reactions that mimic an asthma attack when exposed to NSAIDs. AERD is an acquired condition with no known cause and generally presents around age 30-40. Symptoms: Patients with AERD will find themselves suffering from all of the following symptoms: Sensitivity to non-steroid anti-inflammatory drugs (NSAIDs) including Aspirin Nasal Polyps Asthma These symptoms can present in any order and are often accompanied by chronic rhinosinusitis and anosmia (loss of the sense of smell). What to expect at your office visit: Your office visit will begin with your physician asking you questions about the onset and nature of your symptoms in order to gain an understanding of the duration and severity. In cases where a patient has a known history of NSAID sensitivity, asthma and nasal polyps, a diagnosis can be made with minimal further testing. Your doctor will use a nasal endoscope, which is a long, thin device with a camera and light at the end, to access and view your sinuses to determine the presence of nasal polyps. You may also be asked to obtain a CT of your sinuses which will allow your physician to visualize areas unable to be accessed with the endoscope. If NSAID sensitivity is unknown, your physician may also recommend an aspirin challenge during which you will be exposed to a small amount of aspirin to see if you have a respiratory response in a carefully monitored medical setting. Treatment: Treatment of AERD is a multifaceted process that almost always involves surgical intervention, aspirin desensitization and long-term aspirin therapy. Once a positive diagnosis of AERD has been made your physician will discuss sinus surgery in order to remove nasal polyps. You can expect approximately four to six weeks after surgery to undergo aspirin desensitization. Aspirin desensitization is a procedure in a closely monitored clinical setting where you are incrementally exposed to a higher dose of aspirin until you are able to tolerate the dosage with no adverse systemic reactions. After this, your physician will place you on a daily aspirin regimen. Over time, the dosage will be lowered until you are on a maintenance dose daily. AERD is one of the most difficult forms of chronic rhinosinusitis and nasal polyposis to manage. Data supports this multidisciplinary approach as patients who are not correctly treated have multiple surgeries and continue to be symptomatic. Chronic Rhinosinusitis (CRS) Authors: Heather N. Ungerer, BA (University of Pennsylvania Hospital), Nithin D. Adappa, MD (University of Pennsylvania Hospital) Overview: Sinuses are small, air filled cavities between the bones of the head and face. Healthy sinuses are lined with soft tissue called mucosa and a thin layer of mucus. This thin layer of mucus lubricates your nose and acts to drain out allergens and bacteria down the back of your throat. Chronic Rhinosinusitis is a condition in which the sinuses become inflamed for a period of twelve weeks or longer. This inflammation disrupts the normal drainage of mucus, causing it to accumulate within the sinuses. The causes of CRS are multifaceted and are most commonly a result of the body’s natural inflammatory response to allergens and other airborne particulates. Chronic rhinosinusitis can also be due in part to chronic infections which lead patients to become chronically inflamed and swollen. The physical structure of the sinuses, including a deviated nasal septum and/or nasal polyps, respiratory disorders such as cystic fibrosis, autoimmune disorders and immunosuppressant drugs are also related to chronic rhinosinusitis. Symptoms: Patients with CRS will find themselves suffering from two or more of the four following symptoms: Facial pain or pressure or headaches around and above the eyes Thick, discolored drainage running from the nose or down the throat Congestion and nasal obstruction and difficulty breathing through the nose Loss of sense of smell What to expect at your office visit: Your office visit will begin with your physician asking you questions about the onset and nature of your symptoms in order to gain an understanding of the duration, severity and potential causes of your condition. In order to make an accurate diagnosis of your condition your doctor will use a nasal endoscope, which is a long, thin device with a camera and light at the end, to access and view your sinuses. You may be asked to obtain a CT of your sinuses which will allow your physician to visualize areas unable to be accessed with the endoscope. Your physician may also take a culture of your sinuses to determine if a bacteria is present. Treatment: If you are actively infected at the time of your visit you can expect to be prescribed a course of antibiotics and/or a steroid taper. Additional therapies may include routine sinus rinses. This can be done with an OTC nasal irrigation squeeze bottle and either a plain saline solution or with steroids and/or antibiotics that can be added to the saline. In some cases, nasal sprays will also be prescribed. Patients with severe allergy induced inflammation can expect to be directed to their local allergist for evaluation and potential immunotherapy/allergy shots. For patients with a history of long-term sinus disease, lasting over 3 months, who have exhausted all medical management, surgery is an option. Sinus surgery is also commonly known as Functional Endoscopic Sinus Surgery or FESS. Patients undergoing functional endoscopic sinus surgery can expect their surgeon to open up their sinuses by removing small bony partitions and all purulent drainage. If you have a deviated nasal septum, your surgeon will also perform a septoplasty to straighten the septum. In the case of nasal polyps, your surgeon will also remove these during surgery. In general, the vast majority of patients do well with surgery but must continue long-term with nasal rinses and allergy management (if necessary). References: https://www.uptodate.com/contents/chronic-rhinosinusitis-beyond-the-basics http://www.entnorthtexas.com/Documents/Sinus%20Surgery%20Description.pdf https://www.americansinus.com/where-does-sinus-drainage-go/ Deviated Nasal Septum Authors: Heather N. Ungerer, BA (University of Pennsylvania Hospital), Nithin D. Adappa, MD (University of Pennsylvania Hospital) Overview: A nasal septum is the piece of cartilage and bone that separates the two sides of the nasal cavity. A deviated septum is a common condition that occurs when the septum is bent, or deviated, causing one side of the nasal cavity to be narrower than the other. While patients with severe deviations can present with a variety of symptoms, most patients with a deviated septum are asymptomatic and unaware that they have a deviation. A patient with a severely deviated septum often has difficulty breathing through one side of their nose and may notice an unusual amount of nasal obstruction from one or both sides of the nose. A deviated nasal septum can be present at birth or can result from trauma to the face and nose leading to misalignment of the septum. It is important to note that a deviated septum is often not visible from the outside of the nose and does not necessarily change the apparent structure of the nose itself. Symptoms: The most common symptom of a deviated nasal septum is nasal obstruction which leads to difficulty breathing and the feeling of congestion, predominately from one side of the nose. Other symptoms include: Nosebleeds Snoring or loud breathing during sleep Headaches or facial pain Frequent or seemingly constant sinus infections What to expect at your office visit: Your office visit will begin with your physician asking you questions about the onset and nature of your symptoms. In order to make an accurate diagnosis of your condition your doctor will use a nasal endoscope, which is a long, thin device with a camera and light at the end, to access and view your septum and your sinuses. You may also be asked to obtain a CT of your sinuses which will allow your physician to more clearly visualize the severity of your septal deviation. Treatment: Currently, the only treatment for a deviated nasal septum is a surgical procedure called a septoplasty. During a septoplasty, your surgeon will straighten your septum by removing parts of the septum, repositioning them and then reinserting them. The pieces are then held in place by dissolvable stiches. Patients can generally expect 1-2 follow up visits with their surgeon to make sure that the septum has healed properly and in the correct position. Rather than surgery, patients can also attempt to manage symptoms caused by their deviated septum. Initial treatment consists of nasal steroid sprays. While nasal steroid sprays will not help the deviated septum, they act to shrink the inferior turbinates which will allow more airflow through your nasal cavities decreasing the amount of nasal obstruction. If this is not successful, surgery is the next option.

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 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