School of Medicine

Wayne State University School of Medicine

Clinical Divisions

The Head and Neck Surgery service is established to diagnose and treat tumors of the head and neck region. Physicians within this service are Board-Certified Otolaryngologists who have years of experience in the management and rehabilittion of the head and neck cancer patient. Working with medical oncologists and radiation oncologists, these physicians evaluate new patients, review the reports and tests, and discuss the diagnosis and treatment at a Karmanos or Oakwood Tumor Board. New methods, including endoscopic and robotic approaches are used to minimize morbidity of surgical intervention. Many of these patients will be evaluated and treated at Karmanos or one of the affiliated institutions (Crittenton or Oakwood hospitals).

The clinical service has opportunity for resident education and fellowship training. Staff physicians serve on the Wayne State University faculty, participate in clinical trials, and conduct basic and translational research on the detection of head and neck cancer.

Areas of Interest:

  • Malignant and benign tumors of the parotid
  • Squamous cell carcinoma of the mouth, throat, and voicebox
  • Thyroid tumors
  • Skull base and sinus tumors
  • Vascular tumors
  • Lymphomas
  • Skin Cancer and Sarcomas

Physicians: George Yoo, M.D., Ho-Sheng Lin, M.D., Adam Folbe, M.D., Mahdi Shkoukani, M.D., and Naweed Raza, M.D.
Offices are located in Dearborn, Southfield, Rochester Hills, Troy, Wertz Clinic and Weisburg Clinic.

The Pediatric Otolaryngology service is a division of otolaryngology dedicated to the management of ear nose and throat problems in infants and children. Pediatric otolaryngologists manage acute and chronic sinus disease, acute and chronic ear disease, and hearing loss in infants and children. This specialty also deals with management of the pediatric airway including surgical reconstruction, congenital head and neck masses, and ear nose and throat problems in syndromic children. This division employs cutting edge surgical techniques which include plasma devices for management of tonsillar hypertrophy, laser supraglottaplasty, endobronchial laser surgery, and image guided techniques in the management of congenital ear and nasal problems.

This clinical division provides resident training and participates in research focusing on acute and chronic ear and sinus infections in infants and children. Drs. Gonik and Siegel head the Multidisciplinary Pediatric Aerodigestive Program at Childrens Hospital of Michigan, which is staffed with faculty from pediatric otolaryngology, gastroenterology, pulmonology and speech therapy.

Areas of interest

Physicians: Nathan Gonik, M.D. MHSA, Bianca Siegel, M.D.
Audiologists: Leslie Parent, M.S., CCC-A, Karen Piggott, Au.D, CCC-A, Tiffany Miller, Au.D, CCC-A, Lyndsay Ball, Au.D, CCC-A, Nicole Taylor, Au.D, CCC-A, Gauri Sood, Au.D, CCC-A, D'Arcy Molloy, M.A., CCC-A. Offices are located in Detroit and Troy.

The Otology and Neurotology service (ear and inner ear) is established to diagnose and treat problems of the ear including acute and chronic infection, hearing loss, balance disturbance, and facial nerve paralysis. Board certified physicians will evaluate symptoms, order appropriate tests, and offer treatment. Treatment may involve medication, surgery, and counseling. The service also offers an affordable range of hearing aids, hearing implants, and therapy for facial nerve and balance problems.

Surgical and in-patient services are provided at Karmanos/Harper, Oakwood, Crittenton, Lahser Surgery (Sinai Grace), and William Beaumont-Royal Oak Hospitals.

This clinical division provides resident training and participates in research on mechanisms of hearing loss, ear infection, tinnitus, and hearing implants in the nationally recognized Wayne State University laboratories.

Areas of Interest:

  • Hearing loss
  • Vertigo, imbalance
  • Tinnitus (head noise)
  • Ear infection
  • Bell's palsy (facial paralysis)
  • Reconstructive microsurgery of the ear for infection and birth defects
  • Cochlear implants, Baha hearing implants
  • Cholesteatoma and mastoiditis
  • Vestibular schwannoma (acoustic neuroma), paraganglioma (glomus) and other tumors of the skull base
  • Gamma Knife stereotactic radiosurgery
  • Otosclerosis and laser stapes surgery
  • Meniere's disease

Physicians: Edwin M. Monsell, M.D., Ph.D. (adults and children), and Robert Hong, M.D., Ph.D. (adults and children)
Audiologists: Maryam Daryaee, AuD, CCC-A, Roya Daryaee, AuD, CCC-A
Physician offices are located in Southfield, Rochester Hills, and Dearborn.

The Laryngology service is established to diagnose and treat diseases of voice, speech and swallowing. Using the most recent video stroboscopic and radiologic techniques, a physician/faculty member evaluates and determines the best method of treating these disorders. The service also works closely with the physical medicine and rehabilitation department, and with speech therapists in the treatment of swallowing problems following stroke and brain injury. Recent advancements in the treatment of spastic dysphonia using neuro modulators such as BotoxTM, and the reconstruction of vocal folds using a variety of implants are available. The service also works closely with speech pathology and voice therapy in the rehabilitation of patients following head and neck cancer treatment.

This clinical service has the opportunity to train residents and do research in voice analysis and in the prevention and treatment of voice disorders.

Areas of Interest

  • Vocal cord nodules and polyps
  • Dysphonia
  • Swallowing difficulty (aspiration)
  • Vocal cord paralysis
  • Benign and malignant tumors of the larynx

Physicians: Ho-Sheng Lin, M.D. and Ross Mayerhoff, M.D.
Offices are located in Dearborn, Southfield, Rochester Hills, Troy, and the Karmanos Cancer Center.

The Rhinology, Allergy and Skull-Base service focuses on the diseases of the nose, sinus and skull base. A comprehensive approach to nasal obstruction and allergy is performed in the clinical setting through the use of skin and serum allergy testing, desensitization, and endoscopic evaluation. New methods of endoscopic examination and treatment are available to reduce morbidity from surgical procedures. The staff also works with neurosurgeons in approach of the skull base to remove lesions formerly approached only by craniotomy.

The clinical service has opportunity for resident education, and research into the cause and treatment of sinus diseases.

Areas of Interest:

  • Nasal Obstruction
  • Sinusitis
  • Sinus Allergy and Polyps
  • Septal deflection and proformation
  • Nasal and sinus tumors
  • Lacrimal duct obstruction
  • Sleep apnea
  • Snoring

Physicians: Adam Folbe, M.D., George Yoo, M.D., Michael Carron, M.D., Giancarlo Zuliani, M.D., and Ho-Sheng Lin, M.D.
Offices are located in Dearborn, Southfield, Rochester Hills, and the Karmanos Cancer Center.

The Facial Plastics service is dedicated to comprehensive care of the face, cosmetic and functional head and neck, provided by double Board-certified surgeons who have extensive training and expertise in the management of maxillofacial injuries, internal and external nasal deformity, nasal obstruction, aging of the forehead and brow region, upper and lower eyelid excess and the aging face and neck. In addition, services are provided to treat pigmentary abnormalities, sun damage, fine lines and wrinkles of the face with dermabrasion and chemical peeling. Expert care is available in reconstructing skin cancer defects of the face and nose, treating major and minor soft tissue injuries of the face and improving the appearance of scars. This service is also dedicated to providing rehabilitation of the paralyzed face in conjunction with our otology and lateral skull base colleagues.

The facial plastic and reconstructive surgeons are full time faculty at Wayne State University School of Medicine. Dedicated to research and teaching, they have published books, book chapters and articles and have lectured extensively on craniomaxillofacial trauma, innovative and new techniques in rhinoplasty, the treatment of soft tissue injuries of the face, and rejuvenation of the aging face. Students and residents are trained in both the classic and cutting edge principles of facial plastic and reconstructive surgery.

Areas of Interest:

  • Forehead and browlifting
  • Upper and lower lid blepharoplasty
  • Otoplasty or ear pinning
  • Facelifting
  • Rhinoplasty
  • Rejuvenation of the aging neck
  • Chin and cheek augmentation
  • Liposuction of the neck and face
  • Skin resurfacing with dermabrasion and chemical peeling
  • MOHs/Skin cancer reconstruction
  • Craniomaxillofacial injuries
  • Facial reanimation

Physicians: Michael A. Carron, M.D., Giancarlo Zuliani, M.D., and Mahdi Shkoukani, M.D.
Offices are located in Dearborn, Southfield, Rochester Hills, Troy, and the Karmanos Cancer Center

The Audiology service is established to handle most hearing loss and balance problems. This service is available for offsite referrals, although referrals to otolaryngologists in conjunction with audiologists are encouraged. Patients with hearing loss and related disorders are evaluated by pure tone testing and speech discrimination, tympanometry, average evoked brainstem responses (ABR), and otoacoustic emissions.
Patients with dizziness, balance problems and vertigo are evaluated with ENG, oculomotor tests, position tests, and gait analysis.
Areas of Interest:
  • Traumatic hearing loss
  • Hearing loss due to age
  • Ototoxicity
  • Acoustic tumors
  • Ear infections (including cholesteatoma)
  • Delayed speech
  • Dizziness
  • Balance disorders
  • Vertigo
  • Meniere's disease
  • Benign positional vertigo
Audiologists: Maryam Daryaee, AuD, CCC-A, Roya Daryaee, AuD, CCC-A
Offices are located in Rochester Hills, Dearborn and Southfield.

The Voice, Swallowing and Airway Pathology service is established to evaluate and treat disorders of speech, voice and swallowing, regardless of etiology. Kay/Pentax state-of-the-art videostroboscopic laryngeal imaging, FEES (fiberoptic endoscopic evaluation of swallowing) and modified barium swallow examinations are used to facilitate the evaluation and to guide the treatment process. The Voice, Swallowing and Airway Pathology service collaborates with Laryngology, Radiology, Pulmonology, Medical Oncology and Radiation Oncology to provide the highest quality of individualized medical, surgical and behavioral care for patients.

Areas of Interest:

  • Dysarthria (disorder of speech) including but not limited to:
    Neurological/Neurogenic Disorders
    Head, neck and oral surgery
    Medication effects
  • Dysphonia (disorder of voice) including but not limited to:
    Neurological/Neurogenic Disorders
    Vocal Fold Pathologies including nodules, polyps, cysts, granulomas, Reinke's edema, recurrent respiratory papillomatosis, presbylaryngis, non-cancerous and cancerous lesions
    Injury or surgery to the head, neck and chest (vocal fold paralysis)
    Laryngopharyngeal Reflux (LPR)
    Muscle Tension Dysphonia
    Irritable Larynx Syndrome
    Paradoxical Vocal Fold Motion
    Chronic Cough
    Radiation Therapy
  • Dysphagia (disorder of swallowing) including but not limited to:
    Neurological/Neurogenic Disorders
    Injury or surgery to the head, neck and chest
    Oral, Pharyngeal and Laryngeal Cancer
    Gastroesophageal Reflux Disease (GERD)
    Laryngopharyngeal Reflux Disease (LPR)
    Radiation Therapy
  • Alaryngeal Voice Restoration due to laryngeal carcinoma
    Electrolarynx and Esophageal Speech Training
    Voice Prosthesis Fitting and Management
    Videofluoroscopic evaluation of pharyngoesophageal spasm with coordinated ENT
    Botox injection

Speech and Swallowing Pathologists:

Deborah M. Simpson, M.A., C.C.C., SLP; Mark L. Simpson, Ph.D., C.C.C., SLP
Offices are located in Southfield and at Karmanos Cancer Center