Division of Laryngology, Rhinology and General Otolaryngology (LaRGO)

The LaRGO Division is the most recently established Division in the Department of Otolaryngology-Head and Neck Surgery at the University of Michigan. Care is provided for adult patients in the core subspecialties of laryngology and rhinology, as well as for patients falling within the broad scope of general otolaryngology. Faculty are established leaders in their fields, with national reputations for clinical care and academic leadership. Patient care, education, research, and service are the missions of this Division.

The Laryngology and Voice Disorders Program provides evaluation and treatment for disorders of the larynx and associated structures. This includes voice, swallowing, and breathing problems, and encompasses both benign and malignant diseases. Under the direction of Norman D. Hogikyan, M.D., F.A.C.S., Professor of Otolaryngology-Head and Neck Surgery, and Professor of Music, the program provides care at the main UMHS Medical Center in Ann Arbor.

State-of-the-art instrumentation is used for clinical voice evaluations, and the full range of medical and surgical therapeutic options are available to patients. There is a close working collaboration with the UMHS Speech Pathology Program. In addition to a laryngologist and speech pathologist, the Multidisciplinary Clinic for Occupational and Professional Voice Users at the Vocal Health Center also includes voice training faculty from the Division of Vocal Arts, University of Michigan School of Music, Theatre and Dance.

The Rhinology Program provides evaluation and treatment for diseases and disorders of the nose and paranasal sinuses. Rhinology faculty are: Jeffrey E. Terrell, M.D., Professor of Otolaryngology-Head and Neck Surgery, Melissa A. Pynnonen, M.D., Associate Professor of Otolaryngology-Head and Neck Surgery, and Mark A Zacharek, M.D., F.A.C.S., Associate Professor of Otolaryngology-Head and Neck Surgery . Care is provided both at the main UMHS Medical Center in Ann Arbor, and the Michigan Sinus Center in Livonia, Michigan.

Chronic sinusitis is a common disorder, which has been reported by as many as 35 million Americans. Until relatively recently, chronic sinusitis has been difficult to diagnose. With advances in imaging techniques, endoscopic instruments and basic research on mechanisms of sinusitis, doctors have a new set of tools to diagnose and treat patients with chronic sinus disorders. Our faculty utilize state-of-the-art technology and expertise in providing patients with the highest quality evaluation and treatment for nasal and sinus disorders. The Michigan Sinus Center expands the care concept to include a multidisciplinary clinic. Through close collaboration with faculty from Allergy and Immunology, Pulmonary Medicine, and other specialties, goals of the Michigan Sinus Center are to provide high quality, efficient, multidisciplinary care for patients with difficult to treat sinusitis or other disorders of the nose and sinuses. Coming soon to the Michigan Sinus Center will also be the Otolaryngic Allergy Program under the direction of Dr. Zacharek.

The General Otolaryngology Program is lead by Jeffrey J. Stanley, M.D., Assistant Professor of Otolaryngology-Head and Neck Surgery. Dr. Stanley has extensive experience with the entire scope of this field, and also has completed a subspecialty fellowship in Sleep Medicine. Dr. Stanley sees patients at the Livonia Center for Specialty Care, and general otolaryngology services are also available in the main UMHS Medical Center in Ann Arbor.

While delivery of superb clinical care in all areas is a fundamental mission of this Division, the missions of education, research and service are also pursued vigorously. Clinical and didactic teaching of residents and medical students take place on a daily basis, and faculty also instruct in courses for undergraduates, graduate students, and continuing medical education. Drs. Terrell and Hogikyan have each been honored in the past as teacher of the year in the UMHS Department of Otolaryngology-Head and Neck Surgery, and Dr. Zacharek received this honor at his former institution.

Current clinical research projects include health services research in rhinology and laryngology, trials of anti-inflammatory intranasal medications in post-operative rhinology patients, use of computer aided sinus imaging, and studying the relationship between inverting papilloma and allergic rhinitis. Basic science research endeavors include use of gene therapy, reinnervation and stem cells in treatment of laryngeal paralysis, and exploration of culture independent molecular-based techniques to aid in the diagnosis of ventilator associate pneumonia. Dr Terrell is a UMHS leader in information technology (IT),and is spearheading introduction of multiple novel IT applications in healthcare. Service to the community and beyond is another essential LaRGO activity and includes lectures to public school students about tobacco use, free throat cancer screenings, and informational lectures to community and professional groups.

The LaRGO Division is committed to making the Michigan Difference in all of our missions.