Monday, July 17, 2017

Excellence in Nursing-Karen Ulmer, RN

Karen M. Ulmer, MS, RN, CORLN
Otolaryngology Nurse Specialist

The winners will be featured in the May issue of Baltimore Magazine and will be celebrated at a dinner and awards reception oat the Belvedere on Wednesday, April 19, from 6-9 pm.

Monday, May 22, 2017

Prophylactic Swallow Therapy

Dance Center Head & Neck Team's research on prophylactic swallow therapy for patients with head and neck cancer undergoing chemoradiotherapy was recently published in the peer reviewed journal, Dysphagia.

 Prophylactic Swallow Therapy for Patients with Head and Neck Cancer

Friday, May 19, 2017

Prognosis After Squamous Cell Carcinoma of the Glottis

I was diagnosed with Squamous cell carcinoma in March of this year after years of chronic hoarseness. I had surgery to excise the area effected on my left vocal cord. Clear margins could not be determined on the Pathology report. We waited one month then my doctor looked at the area again and recommended we go back to get clear margins. I am waiting for this report. My question is it typical to keep removing part of the cord opposed to radiation. I do not by any means want to do radiation but I also feel like my voice quality is suffering more and more. I am a non smoker, non drinker. No family history of head and neck cancer. Thanks for info.

Melissa Kim, M.S., CCC-SLP writes...

The only way to determine the most appropriate treatment course, with regards to your question about the options of further excision versus radiation therapy, would be to discuss these options with both your surgeon and a radiation oncologist. I certainly understand your concerns regarding vocal quality, but only a physician who has reviewed a detailed medical history and specifics of your previous excision and pathology would be able to offer guidance as to the most appropriate treatment plan and anticipated functional outcomes.

Best of luck to you -

Friday, May 5, 2017

Laryngology Grand Rounds

Johns Hopkins Voice Center
Greater Baltimore Medical Center


Laryngology Grand Rounds
Friday, May 12, 2017

Physician Pavilion West 3rd Floor Conference Center
7:30 AM – 8:30 AM

“Interesting Cases in Laryngology” 

Lee Akst, M.D.

Thursday, April 27, 2017

Laryngeal Pharyngeal Reflux - LPR

Hi there,

I'm a professional recording artist and in January I noticed a very sudden shift in my vocal capacities, tone and range. It happened (literally) overnight. I went to a Center in Denver, and the Dr. there scoped me and said LPR was the culprit.

Although I am only 31 and fit, and don't drink or smoke, I still altered my diet to improve it even more and to avoid citrus, chocolate, etc. It's been some time now that I've changed my diet and lifestyle according to the suggestions on your blogs (and other resources I've read) but I have not regained tone, clarity, or my original range. I'm unable to sing clearly notes that were, in January, very, very easy to hit and resonate. The "sweet spot" of my range is essentially missing.

Can you advise how long is average to recover from the impacts of LPR and if you think it's possible to recover completely? I'm wondering if the alterations to my voice are permanent.

Thank you very much for any insight.

Melissa Kim, M.S., CCC-SLP writes...

It is very possible that your voice difficulties are secondary to muscle tension dysphonia, a general term to describe excessive and unnecessary tension of laryngeal muscles during voicing. Muscle tension dysphonia is often seen in response to an underlying condition, such as acid reflux, that causes irritation and subsequent compensatory change in vocal technique. Treatment involves intervention for any underlying condition, in your case acid reflux, and voice therapy with a speech pathologist who specializes in the treatment of voice disorders; ask your physician for a referral.

Best of luck to you!

Sunday, April 23, 2017

Hopewell Cancer Support - 20th Reach Out and Run Race

Hopewell Cancer Support...20th Reach Out and Run Race was held 4/23/2017. Thank you to Hopewell for the compassionate care and programs offered to cancer survivors in our community. Thank you to the Dance Endowment who continue to provide annual support for this race.

Tuesday, April 11, 2017

Karen T. Pitman, MD, FACS

Karen T. Pitman MD, FACS currently serves as the Medical Director of the Milton J. Dance Jr, Head and Neck Center. Dr. Pitman graduated from the University of Maryland prior to receiving her medical degree from the Uniformed Services University of the Health Sciences in Bethesda MD. She completed her otolaryngology residency at Naval Medical Center Portsmouth VA and fellowship training in Advanced Head and Neck Oncologic Surgery at the University of Pittsburgh School of Medicine. Dr. Pitman’s clinical interests include quality of life in head and neck cancer patients, premalignant lesions, and young patients with head and neck cancer. She specializes in tumors of the tongue, oral cavity, throat, larynx, thyroid, parathyroid glands and salivary glands, and advanced skin cancers.

A Clinical Pathway for Swallowing Services for Patients with Head and Neck Cancer: A Service Implementation Evaluation.

Congratulations to Barbara Pisano Messing on her well received poster presentation at the annual meeting of the Dysphagia Research Society in Portland Oregon. A Clinical Pathway for Swallowing Services for Patients with Head and Neck Cancer: A Service Implementation Evaluation.

Wednesday, March 22, 2017

Tuesday, April 18, 2017

Lee Akst, MD -- Johns Hopkins Voice Center 

Daniel Sherwood, MS/CCC-SP, HSE -- Speech Pathology 

This lecture will be filmed and broadcast through Facebook Live 

Held at 6:30pm in the Civiletti Conference Center - GBMC Physician's Pavilion East

Tuesday, March 7, 2017

Laryngology Grand Rounds
Friday, March 10, 2017
Physician Pavilion East Conference Center

7:30 AM – 8:00 AM
“Voice Restoration in Presbyphonia" 
Topic Presentation/Discussion:
Andrew Lee, M.D. 

8:00 AM – 8:30 AM
“Laryngeal Sensory Neuropathy" 
Topic Presentation/Discussion:
Grace Tan, M.D.

Monday, February 20, 2017

Singing Voice / Beat-box Voice

Good afternoon! I am inquiring on behalf of my cousin, who seems to be at a loss for what to do next, concerning his voice. He is a beat-boxer and has recently injured himself and would like any advice on how he can proceed and/or any tips on how to rest his voice for the best recovery possible. I would really appreciate whatever you can do for us. Thank you!

"It begins a little different, seeing as though, it was a beat-boxing injury. I was recently attempting to play with lower registers and I had a very sharp and severe pain stem from throat that shot through the body. I went into shock and went to the ER where they dismissed me with generalized laryngitis and gave me anxiety medication. The proceeding days, I found it almost impossible to swallow with the sensation of something catching/grinding near my Adam's apple. I then noticed rubber band popping sensation under my jaw when swallowing. An ear, nose, and throat doctor noticed bruising along my chords, but this didn't seem like enough for my other symptoms. My last observation has been if I consciously lower my Adam's apple from its stationary position, there is a popping sensation that occurs that is occasionally painful."

Melissa Kim, M.S., CCC-SLP writes...

Unfortunately, I can’t offer any helpful advice without more information as to the cause of his symptoms. If his current ENT has not offered a diagnosis which would explain his symptoms, a second opinion would be in order. I would counsel your cousin to ask if additional imaging (e.g., CT of the neck) may be helpful in determining the cause of his pain. Best of luck to you both.

Thursday, February 2, 2017


Laryngoscopy Grand Rounds

Friday, February 10, 2017
7:30 AM – 8:30 AM
Physician Pavilion East Conference Center

" Surgical Management of Dysphagia"

Topic Presentation/Discussion:
Elizabeth Guardiani, M.D.

Wednesday, January 25, 2017

Head and Neck Cancer Care - Grand Rounds

Head & Neck Grand Rounds

Friday, February 3, 2017

7:30 AM – 8:30 AM
Physician Pavilion East Conference Center

Christine Gourin, MD presents:

“Identifying Value in Head and Neck Cancer Care”

Monday, January 9, 2017

Laryngoscopy Grand Rounds

Johns Hopkins Voice Center
Greater Baltimore Medical Center


Laryngoscopy Grand Rounds

Friday, January 13, 2017
7:30 AM – 8:30 AM

Physician Pavilion East Conference Center 

" Infectious Diseases of the Larynx"
Topic Presentation/Discussion by:
Rebecca J. Kamil, M.D.


“Epidemiological Trends for Non-smokers and Young
Adults with Laryngeal Squamous Cell Carcinoma”
Topic Presentation/Discussion by:
Ian Malm, M.D.

Karen T. Pitman, MD FACS, Medical Director of the Milton J. Dance, Jr. Head and Neck Center & Professor, Johns Hopkins Department of Otolaryngology-Head and Neck Surgery, Ryan H. Sobel, MD, and Ray Gervacio F. Blanco, MD, FACS, Assistant Professor, Johns Hopkins University.
Our teams work together to ensure a coordinated plan of care for patients with head and neck conditions.  Schedule your appointment.