The department evaluates approximately 13,000 patients per year in the otolaryngology outpatient clinics and performs nearly 1,700 hospital-based surgical procedures annually. The Department of Otolaryngology provides care for patients with problems involving the ears, sinuses, oral cavity, nose, throat, neck (ENT) including sinus conditions, allergy, sleep disorders, and snoring.
"Dr. Grillone is such a class act! Very accommodating and helpful! Saw him 8 years prior and he remembered me. I am happy he's right around the corner from my office. And he brings in fellow docs he can trust and will help make your case top priority."
The department also specializes in swallowing disorders, voice problems, dizziness and balance disorders, and hearing loss, cancers of the head and neck and the division of Facial Plastic and Reconstructive Surgery offers cosmetic surgery and management of facial deformities and facial fractures.
Our physicians are making headlines in local news.
Audiology (Hearing Problems)
Dizziness and Balance Problems
Facial Plastic Surgery
Head and Neck Cancer Program
Hereditary Hemorrhagic Telangiectasia Program (HHT)
Nose, Sinus, and Allergy Care
Pediatrics - Otolaryngology (ENT)
Skull Base Surgery
Speech Language Pathology
Voice and Swallowing (Throat Problems)
Conditions We Treat
- Aging and Swallowing
- Ankyloglossia (Tongue-tie)
- Autoimmune Inner Ear Disease (AIED)
- Allergic Rhinitis (also known as Hay Fever or Allergies)
- Bell’s Palsy
- Autoimmune Inner Ear Disease (AIED)
- Benign Paroxysmal Positional Vertigo (BPPV)
- Common Problems That Can Affect Your Voice
- Conductive Hearing Loss
- Deviated Septum
- Cricopharyngeal Muscle Dysfunction
- Ear Infection and Hearing Loss
- Ear Infection and Vaccines (Middle Ear Infection or Otitis Media)
- Earwax (Cerumen Impaction)
- Ears and Altitude (Barotrauma)
- Fine Needle Aspiration
- Fungal Sinusitis
- Gastroesophageal Reflux (GERD and LPR)
- Geriatric Rhinitis
- Graves’ Disease
- Head And Neck Cancer
- Human Papillomavirus (HPV)
- Hearing Loss
- Hyperacusis (Increased Sensitivity to Everyday Sounds)
- Hyposmia and Anosmia
- Laryngeal (Voice Box) Cancer
- Neck Mass in Adults
- Nasal Fractures
- Laryngopharyngeal Reflux (LPR)
- Ménière’s Disease
- Nodules, Polyps and Cysts
- Paradoxical Vocal Fold Movement (PVFM)
- Pediatric Hearing Loss
- Pediatric Gastroesophageal Reflux Disease (GERD)
- Pediatric Sleep-disordered Breathing
- Pediatric Feeding Disorders
- Pediatric Thyroid Cancer
- Perforated Eardrum
- Post-nasal Drip
- Ramsay Hunt Syndrome
- Salivary Glands Disorders
- Sensorineural Hearing Loss (SNHL)
- Salivary Glands Disorders
- Sinus Headaches
- Sore Throats
- Sinus Pain
- Snoring, Sleeping Disorders, and Sleep Apnea
- Swimmer's Ear (Otitis Externa)
- Temporo-Mandibular Joint (TMJ) Pain
- Tonsils and adenoids
- Vocal Cord Paralysis
- Thyroid Cancer
- Thyroid Nodules
- Tonsils and adenoids
- Turbinate Hypertrophy
- Vestibular Schwannoma (Acoustic Neuroma)
- Voice Box (Laryngeal) Cancer
- Zenker's Diverticulum
Treatments & Services
Ear Plastic Surgery
Ear deformities occur in a number of conditions. Some patients are born with absent (microtia), protruding or drooping ears, due to weak or poorly formed cartilage. Traumatic deformities of the ear also occur due to trauma (e.g. car wreck or dog bite) or torn earlobes. Deformity of the ears may cause social anxiety and may make children vulnerable to teasing. Regardless of the origin of the ear deformity, these ear conditions can be surgically corrected. These procedures do not alter the patient's hearing, but they may improve appearance and self-confidence.
Cochlear Implant Surgery
There are several types of cochlear implants. Working with the doctor, adults and children choose the cochlear implant to best fit their needs. The team provides explanations of the different options available for internal/external components, speech processors, etc.
Buteyko is a clinically-proven, natural, safe breathing retraining program which utilizes the body’s self-healing capacities. It is based on the standard medical principles of respiration and the Bohr effect.
Continuous Positive Airway Pressure (CPAP)
The most common and effective nonsurgical treatment for sleep apnea is Continuous Positive Airway Pressure or CPAP which is applied through a nasal or facial mask while you sleep. The CPAP device does not breathe for you. Instead, it creates a flow of air pressure when you inhale that is strong enough to keep your airway passages open. Once your otolaryngologist determines that CPAP is the right treatment, you will need to wear the CPAP mask every night.
Each year thousands of people undergo surgery of the nose. Nasal surgery may be performed for cosmetic purposes, or a combination procedure to improve both form and function. It also may alleviate or cure nasal breathing problems, correct deformities from birth or injury, or support an aging, drooping nose. Patients who are considering nasal surgery for any reason should seek a doctor who is a specialist in nasal airway function, as well as plastic surgery. This will ensure that efficient breathing is as high a priority as appearance.
The ear, nose, and throat specialist will prescribe many medications (antibiotics, decongestants, nasal steroid sprays, antihistamines) and procedures (flushing) for treating acute sinusitis. There are occasions when physician and patient find that the infections are recurrent and/or non-responsive to the medication. When this occurs, surgery to enlarge the openings that drain the sinuses is an option.
Treatment Options for Adults with Snoring
Snoring is a sound produced by vibration of the soft tissues of the upper airway during sleep and is indicative of increased upper airway resistance. Studies estimate that 45% of men and 30% of women snore on a regular basis. It can affect not only the snorer’s sleep but also the sleep of a spouse or other family members nearby. In fact, snoring causes many couples to sleep in separate rooms and often places strain on marriages and relationships. Recent evidence suggests that snoring may even cause thickening of the carotid arteries over time and potentially increase risk of stroke.
For patients who have moderate sleep apnea, or are unable to use a C-PAP device, an oral appliance can be an effective treatment. The oral appliance is a molded device that is placed in the mouth at night to position the lower jaw and bring the tongue forward, elevating the soft palate while keeping the tongue from falling back in the airway and blocking breathing.
Sleep Apnea Surgical Treatments
Inspire® therapy (Upper Airway Stimulation) is an FDA-approved, minimally invasive, implantable device that delivers mild stimulation to the nerves of the tongue muscles, thereby keeping the airway open during sleep.
Tonsillectomy and Adenoids Post-Op
The tonsils are two clusters of tissue located on both sides of the back of the throat. Adenoids sit high in the throat behind the nose and the roof of the mouth. Tonsils and adenoids are often removed when they become enlarged and block the upper airway, leading to breathing difficulty. They are also removed when recurrence of tonsil infections or strep throat cannot be successfully treated by antibiotics. The surgery is most often performed on children.
Otolaryngologists - Head and Neck Surgeons
Samantha Ashinoff, MS, CCC-SLP
Kim Boscodoss, MS, CCC-SLP
Michelle Ganann, CCC-SLP
Anna Lifvergren, CCC-SLP
Keri Miloro, CCC-SLP
Chloe Thorburn, CCC-SLP-CF 2023-2024
Marsela Demo, RN
Mckenzie Dollosa, RN
Sarah Frazier, BSN, RN
Susan Griever, NP
Brandy Kenner Keefe, FNP
Jennifer Lauver, RN
Sarietha Mathieu, NP
Opal Mitchell, NP
Jessica Overlan, NP
Ann Poulsen, RN
Researchers and Instructors
Gintas Krisciunas, MPH, MA
Many education and training opportunities exist for both existing medical professionals and medical students through the Department of Otolaryngology – Head and Neck Surgery. Please visit the sections below to learn more.
Students who are considering or intend to pursue a career in Otolaryngology are strongly encouraged to apply for the four week elective clerkship during their fourth year. To apply for this elective, Boston University Chobanian & Avedisian School of Medicine students should contact the Otolaryngology Education Coordinator, Janine Lipsky 617-638-7066 email@example.com and students from schools other than the Boston University Chobanian & Avedisian School of Medicine should apply for the month long elective through the AAMC’s Visiting Student Application Service (VSAS®) (https://www.aamc.org/students/medstudents/vsas/).
Boston University Chobanian & Avedisian School of Medicine 4th year students who wish to learn about Otolaryngology, but are not intending to pursue Otolaryngology as a career, can do a two week Surgical Subspecialty Otolaryngology elective clerkship during their fourth year General Surgery sub-i elective clerkship. A new innovative individualized curriculum is being developed to afford students coming to Otolaryngology for two weeks a customized learning experience that attempts to match their exposure to learning experiences with their intended career path. To sign up for the two week elective in Otolaryngology, contact Ms. Lana Ketlere at Lana.Ketlere@bmc.org.
FEES Course This Course is not currently being offered
The Fiberoptic Endoscopic Evaluation of Swallowing (FEES) was developed by Dr. Susan Langmore in 1988. Alongside the modified barium swallow (MBS) study, FEES has become a globally recognized gold standard for evaluating oropharyngeal dysphagia and for assessing swallowing function.
We are very pleased to welcome Marianella Paz-Lansberg, MD to Boston Medical Center and the Department of Otolaryngology-Head and Neck Surgery. Her focus will be to provide comprehensive, state-of…
We are very pleased to welcome Mark Vecchiotti, MD to Boston Medical Center and the Department of Otolaryngology-Head and Neck Surgery.
Diversity, Equity and Inclusion News from Dr. Marianella Paz-Lansberg, Chair of Otolaryngology DEI Committee
Continuing with our departmental initiative to strengthen Diversity, Equity, and Inclusion, our team recently had the incredible opportunity of participating in a Microaggressions Workshop and…
Cancer Clinical Trials
Please visit the external Boston University Chobanian & Avedisian School of Medicine Cancer Clinical Trials website for information on current research studies in head and neck oncology.
Center for Innovative Technology and Clinical Outcomes Research
The Center for Innovative Technology & Clinical Outcomes Research is located on the 5th floor of the BCD Building. The research in this center can be grouped into three major areas of work; 1) development and testing of novel imaging technology that enhances clinical care, 2) evaluating the efficacy of clinical interventions, and 3) designing, refining, and testing patient outcome measurement tools. This center involves a multidisciplinary group of clinicians and researchers who specialize in areas such as head and neck cancer, laryngology, speech language pathology, oral and maxillofacial surgery, pathology, bioengineering and biostatistics.
Current projects include the following:
1. ESS R01
2. ARF R01
3. Validation of BRACS
4. 3D endoscope development
5. PAS scale assessment
6. Variation in dysphagia care
7. Qualitative Dysphagia Assessment
8. Amitriptyline / CLH – assessing efficacy of this med
Early diagnosis of oral cancer using spectroscopic techniques
Early detection of oral cancer is critical for successful treatment and improvement of the survival rate. However, current detection is usually done by visual screening and biopsies. It presents a major challenge for even experienced clinicians.
Our findings from animal models and patient studies are very encouraging. Now, we are continuing to work on this study to develop new tri-modal spectroscope (a combination of three spectroscopic techniques) and scattering imaging techniques. We expect that our new study will further improve the sensitivity and specificity of diagnosis. We will also explore the feasibility of using these new technologies for intraoperative guidance of tumor surgery and for prediction of the treatment efficacy with cancer chemoprevention.
New chemoprevention strategy for head and neck cancers
Oral cancer is one of the most common neoplasms, and it is estimated that close to 40,000 Americans will be diagnosed with oral or pharyngeal cancer this year and it will cause will cause over 8,000 deaths. Its slow and cumulative process strongly supports the rationale for its prevention. Chemoprevention is a promising strategy, but its widespread use has been hampered by its significant toxic side effects. Anti-angiogenesis has been established as one of the cornerstones of chemoprevention.
Our previous studies have indicated the effectiveness of selective microvascular targeting with a 585 pulsed dye laser (PDL) for tumor inhibition with no damage to neighboring tissue. Importantly, PDL is capable of providing a synergic effect with some routine chemopreventive agents (i.e., retinoic acid) via its ability to selectively destroy existing microvasculature in targeted tissue. In our preliminary studies, a combination of PDL and chemoprevention called laser “photo-chemoprevention,” enabled us to significantly reduce the dose of the chemical agent without sacrificing its efficacy for inhibition of tumor growth. We also are testing a new approach for cancer chemoprevention with less systemic toxicity by topically delivering the agent with polymer “biofilm.” Our long-term goal is to develop new and effective treatment with fewer side effects for chemoprevention or early treatment of cancers.
Novel and less invasive approach for head neck surgery
Our group has been working on testing new laser or other techniques for more than 10 years to develop less invasive surgery or selective targeting therapy for head and neck diseases. Currently, our studies include (1) laser photothermolysis of vocal cord scarring. We are using an antibody-targeted laser photolysis to avoid or reduce hypertrophic scar growth in vocal cords. This method will allow us to apply highly-selective targeting while sparing neighboring tissue from collateral damage with diode laser surgery; and (2) less invasive laser surgery for laryngeal papilloma and vascular lesions. We will use a pulsed dye laser to selectively destroy the lesions while preserving the voice function.
Center for Voice and Swallowing Research
The Center for Voice and Swallowing Research is located on the 5th Floor of the BCD Building 800 Harrison Avenue, with a clinic in the 1st Floor of 830 Harrison Avenue at Boston Medical Center. For more information on this research, please visit the Center for Voice and Swallowing website.
Residency and Fellowship Information
We are extraordinarily proud of our residency program and we would be delighted to hear from you if you have any questions or we can provide for you additional information about our program so don't hesitate to get in touch with us.
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