Robert Harold Miller, M.D., M.B.A., F.A.C.S. (born July 2, 1947) is an American surgeon and the executive director of the American Board of Otolaryngology [1] in Houston, Texas, U.S.A.
Miller graduated from Metairie Park Country Day School in 1965. Miller received his B.S. degree in Biology from Tulane University in New Orleans in 1969, and his M.D. degree from Tulane's School of Medicine in 1973. He was also named to the Alpha Omega Alpha Medical Honor Society that same year. He completed Otolaryngology - Head and Neck Surgery residency training in 1978 at Ronald Reagan UCLA Medical Center in Los Angeles, California, and subsequently practiced at Baylor College of Medicine in Houston. He was a fellow of Triological Society and American Laryngological Association in 1986 and 1987 respectively, [1] since which he also became the fifth chairman of the Tulane Department of Otolaryngology - Head and Neck Surgery.
While chair of the department, he received his M.B.A. degree from the A.B. Freeman School of Business at Tulane University in 1996. [1] A year later, he completed a Robert Wood Johnson Health Policy Fellowship in Senator John Breaux's office (Washington, DC). In 1999, he became the Dean of the University of Nevada School of Medicine. In 2002, he returned to New Orleans as a Professor of Clinical Otolaryngology, until he assumed his current position as Executive Director of the American Board of Otolaryngology in 2004. He is a member of the Board of Directors of the American Board of Otolaryngology, and served as the Executive Secretary/Treasurer of the Triological Society from 1992 to 2004. He has many publications. [2]
In 2006, Dr. Miller had founded ETNtoday, a magazine of Triological Society, and served as its editor until his retirement in 2017. [3]
Otorhinolaryngology is a surgical subspeciality within medicine that deals with the surgical and medical management of conditions of the head and neck. Doctors who specialize in this area are called otorhinolaryngologists, otolaryngologists, head and neck surgeons, or ENT surgeons or physicians. Patients seek treatment from an otorhinolaryngologist for diseases of the ear, nose, throat, base of the skull, head, and neck. These commonly include functional diseases that affect the senses and activities of eating, drinking, speaking, breathing, swallowing, and hearing. In addition, ENT surgery encompasses the surgical management of cancers and benign tumors and reconstruction of the head and neck as well as plastic surgery of the face and neck.
A hoarse voice, also known as dysphonia or hoarseness, is when the voice involuntarily sounds breathy, raspy, or strained, or is softer in volume or lower in pitch. A hoarse voice, can be associated with a feeling of unease or scratchiness in the throat. Hoarseness is often a symptom of problems in the vocal folds of the larynx. It may be caused by laryngitis, which in turn may be caused by an upper respiratory infection, a cold, or allergies. Cheering at sporting events, speaking loudly in noisy situations, talking for too long without resting one's voice, singing loudly, or speaking with a voice that's too high or too low can also cause temporary hoarseness. A number of other causes for losing one's voice exist, and treatment is generally by resting the voice and treating the underlying cause. If the cause is misuse or overuse of the voice, drinking plenty of water may alleviate the problems.
The superior laryngeal nerve is a branch of the vagus nerve. It arises from the middle of the inferior ganglion of vagus nerve and in its course receives a branch from the superior cervical ganglion of the sympathetic nervous system.
Globus pharyngis or globus sensation is the persistent but painless sensation of having a pill, food bolus, or some other sort of obstruction in the throat when there is none. Swallowing is typically performed normally, so it is not a true case of dysphagia, but it can become quite irritating. It is common, with 22–45% of people experiencing it at least once in their lifetime.
The American Board of Otolaryngology, located in Houston, Texas, is a non-profit corporation that has set the mission of ensuring professional standards with certificates and memberships, and have offered training in the fields of head neck surgery to professionals since 1924.
Laryngotracheal stenosis refers to abnormal narrowing of the central air passageways. This can occur at the level of the larynx, trachea, carina or main bronchi. In a small number of patients narrowing may be present in more than one anatomical location.
Spasmodic dysphonia, also known as laryngeal dystonia, is a disorder in which the muscles that generate a person's voice go into periods of spasm. This results in breaks or interruptions in the voice, often every few sentences, which can make a person difficult to understand. The person's voice may also sound strained or they may be nearly unable to speak. Onset is often gradual and the condition is lifelong.
Eric M. Genden, MD, MHCA, FACS is a United States head and neck cancer surgeon at the Icahn School of Medicine at Mount Sinai and Mount Sinai Health System in New York City. where he serves as the Isidore Friesner Professor and Chairman of Otolaryngology–Head and Neck Surgery and Professor of Neurosurgery and Immunology. According to his biography at Mount Sinai, Genden's professional titles also include Senior Associate Dean for Clinical Affairs, He is Executive Vice President of Ambulatory Surgery, and Director of the Head and Neck Institute at the Mount Sinai Health System.
The Bethesda system (TBS), officially called The Bethesda System for Reporting Cervical Cytology, is a system for reporting cervical or vaginal cytologic diagnoses, used for reporting Pap smear results. It was introduced in 1988 and revised in 1991, 2001, and 2014. The name comes from the location of the conference, sponsored by the National Institutes of Health, that established the system.
Patrick Gullane, CM, OOnt, MB, FRCSC, FACS, FRACS (Hon), FRCS (Hon), FRCSI (Hon) is a Professor in the Department of Otolaryngology-Head and Neck Surgery, and a Professor of Surgery, Faculty of Medicine at the University of Toronto.
Rande Lazar is an otolaryngologist with a primary focus in pediatric ear, nose, and throat disorders. He has special expertise in adult and pediatric sleep and snoring disorders and surgery, as well as adult and pediatric sinus disorders.
Lloyd Brooks Minor M.D. is an American surgeon, researcher, educator, and academic administrator. Since December 2012, he has served as the Carl and Elizabeth Naumann Dean of Stanford University School of Medicine at Stanford University. Previously, he was the provost of Johns Hopkins University.
Babak Larian, MD, FACS is the director of the Center for Advanced Head & Neck Surgery in Beverly Hills, Los Angeles. He is also the director of the Head and Neck Cancer Center at Cedars-Sinai. He is also involved at the Cedars-Sinai Thyroid Cancer Center and the Cedars-Sinai Sinus Center. Currently he also serves as the assistant clinical professor of surgery at the David Geffen School of Medicine. Larian is the current medical director of the HELPS International Medical Mission. As a medical author, he has served as a member of the editorial review panel for several peer-reviewed journals. He is the managing partner of the LaPeer Surgery Center, a medical organization specializing in various fields including Plastic & Reconstructive Surgery.
Jonathan E. Aviv is an American otolaryngologist–head and neck surgeon and a professor of Otolaryngology–Head and Neck Surgery at Icahn School of Medicine at Mount Sinai Hospital in New York City, New York. He is also Clinical Director of the Voice and Swallowing Center at ENT and Allergy Associates in New York City, New York. An inventor, author, educator, physician and surgeon, he is best known for his invention of Flexible Endoscopic Evaluation of Swallowing with Sensory Testing (FEESST), a medical device that allows office-based assessment of oropharyngeal dysphagia, or swallowing disorders, without the use of X-ray. He is also known for his development of Transnasal Esophagoscopy (TNE), a method of examining the esophagus without using conscious or intravenous sedation. From 1991 to 2009, he was a full-time academic surgeon and director of the division of head and neck surgery at Columbia University College of Physicians and Surgeons.
Hyoid suspension, also known as hyoid myotomy and suspension or hyoid advancement, is a surgical procedure or sleep surgery in which the hyoid bone and its muscle attachments to the tongue and airway are pulled forward with the aim of increasing airway size and improving airway stability in the retrolingual and hypopharyngeal airway. The horseshoe shaped hyoid bone sits directly below the base of tongue with the arms of the bone flanking the airway. Hyoid suspension is typically performed as a treatment for obstructive sleep apnea (OSA). This procedure is frequently performed with a uvulopalatopharyngoplasty (UPPP) which targets sites of obstruction higher in the airway. Typically, a hyoid suspension is considered successful when the patient's apnea-hypopnea index is significantly reduced after surgery.
Laryngeal cysts are cysts involving the larynx or more frequently supraglottic locations, such as epiglottis and vallecula. Usually they do not extend to the thyroid cartilage. They may be present congenitally or may develop eventually due to degenerative cause. They often interfere with phonation.
TransOral Robotic Surgery (TORS) is a modern surgical technique used to treat tumors of the mouth and throat via direct access through the mouth. TransOral Robotic Sleep Apnea (TORSA) surgery utilizes the same approach to open the upper airway of patients with obstructive sleep apnea. In TORS and TORSA procedures, the surgeon uses a surgical robot to view and access structures in the oral cavity (mouth) and pharynx without any incisions through the neck, chin or lip. Current TORS techniques include radical tonsillectomy, resection of palate and base of skull tumors, hemiglossectomy and resection of tumors above and involving the larynx. The TORSA technique is used for uvulopalatopharyngoplasty, hemiglossectomy, and other airway procedures.
Endoscopic laser cordectomy, also known as Kashima operation, is an endoscopic laser surgical procedure performed for treating the respiratory difficulty caused as a result of bilateral abductor vocal fold paralysis. Bilateral vocal fold paralysis is basically a result of abnormal nerve input to the laryngeal muscles, resulting in weak or total loss of movement of the laryngeal muscles. Most commonly associated nerve is the vagus nerve or in some cases its distal branch, the recurrent laryngeal nerve. Paralysis of the vocal fold may also result from mechanical breakdown of the cricoarytenoid joint. It was first described in by Kashima in 1989.
Thyroplasty is a phonosurgical technique designed to improve the voice by altering the thyroid cartilage of the larynx, which houses the vocal cords in order to change the position or the length of the vocal cords.
Patrick Froehlich is a French M.D. and novelist. For several decades, he practiced surgery and has published six novels. His main subjects are children's pain, the struggle against disease and the trauma resulting from situations on the edge of life. He contributed to the development of image-guided mini invasive surgery.
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