Otolaryngologist (ear, nose, throat)
9 years of experience

Accepting new patients
West End
Massachusetts Eye & Ear Associates
243 Charles St
Boston, MA 02114
617-573-4084
Locations and availability (4)

Education ?

Medical School Score Rankings
Indiana University (2001)
  • Currently 3 of 4 apples
Top 50%

Awards & Distinctions ?

Associations
American Head and Neck Society
American Board of Otolaryngology

Affiliations ?

Dr. Emerick is affiliated with 4 hospitals.

Hospital Affilations

Score

Rankings

  • Massachusetts General Hospital
    Otolaryngology
    55 Fruit St, Boston, MA 02114
    • Currently 4 of 4 crosses
    Top 25%
  • Mass General Hospital
  • Mass General Hospital Out Pt
  • Massachusetts Eye And Ear Infirmary
    243 Charles St, Boston, MA 02114
  • Publications & Research

    Dr. Emerick has contributed to 12 publications.
    Title Marginal Zone B-cell Lymphoma of the Infratemporal Fossa: a Rare Case and Review.
    Date January 2011
    Journal The Laryngoscope
    Excerpt

    Although it represents the second most common neoplasm of the head and neck, lymphoma is generally not surgically managed and thus may be less familiar to otolaryngologists than other malignancies. However, otolaryngologists are often involved in the initial diagnosis, and should be aware of unusual presentations and the main lymphoma subtypes. We present a case of an extranodal marginal zone B-cell lymphoma, an indolent non-Hodgkin's lymphoma subtype. This type of lymphoma most commonly occurs in the stomach, but was found in the infratemporal fossa. This is the first report of an extranodal marginal zone B-cell lymphoma occurring in this location.

    Title Malignant Transformation of a Highly Aggressive Human Papillomavirus Type 11-associated Recurrent Respiratory Papillomatosis.
    Date October 2010
    Journal American Journal of Otolaryngology
    Excerpt

    The objective is to present an uncommon case of squamous cell carcinoma (SCC) arising from extensive recurrent respiratory papillomatosis (RRP) involving the upper and lower airway and temporal bone.

    Title Primary Versus Secondary Tracheoesophageal Puncture in Salvage Total Laryngectomy Following Chemoradiation.
    Date April 2009
    Journal Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-head and Neck Surgery
    Excerpt

    To compare the rate of postoperative wound-healing complications and voice fluency in primary vs secondary tracheoesophageal puncture (TEP) following chemoradiation.

    Title Nasofacial Reconstruction with Calvarial Bone Grafts in Compromised Defects.
    Date September 2008
    Journal The Laryngoscope
    Excerpt

    OBJECTIVES/HYPOTHESIS: To determine the utility of calvarial bone grafting in multiple reconstructive settings. In particular to examine the success of calvarial bone grafting of the nasofacial skeleton in a compromised wound bed. STUDY DESIGN: Case series. METHODS: A retrospective review was performed to identify patients undergoing calvarial bone graft reconstruction of the nasofacial skeleton. Patients were identified from operative records and the medical record was reviewed to identify age, gender, site of defect, indication for the operation, size of bone graft harvested, postoperative and delayed complications, radiation exposure, need for additional soft tissue, and graft loss. RESULTS: Eighty-seven patients who underwent split calvarial bone grafts were identified and had a complete medical record available for review. Ninety grafts were harvested. Five subsites in the nasofacial skeleton were identified as sites for reconstruction. Forty cases were performed for revision of a previous complication, including 13 who had a previous alloplastic implant. Twenty-four additional cases were performed in a compromised wound bed and 64% of all cases were performed in either a revision or compromised setting. There was an 11% incidence of early postoperative complications, but there were no major complications at the donor site and only two major complications at the recipient site. CONCLUSION: Calvarial bone is a very useful material in the primary, revision, and compromised settings. This series suggests that split calvarial bone grafts is an adaptable, durable, and reliable material. It can be reliably used in the setting of radiation, infection, and inflammation.

    Title State-of-the-art Mandible Reconstruction Using Revascularized Free-tissue Transfer.
    Date March 2008
    Journal Expert Review of Anticancer Therapy
    Excerpt

    Mandible defects are created by trauma as well as ablative surgery for both benign and malignant tumors. Ablative surgery for malignant tumors creates complex defects that impact form and function. This is often further complicated by the use of chemotherapy and radiation. In order to achieve a highly functional reconstruction with an acceptable cosmetic result, patients must be properly evaluated preoperatively. A patient's performance status and expectations for postoperative form and function can impact reconstruction. Once the defect is created, both the bone and soft-tissue loss must be considered. A structured approach to mandible defects will enable the re-establishment of mandible continuity and optimal soft-tissue reconstruction. This will ultimately lead to a patient with oral competence and limited swallowing deficits, as well as the ability to communicate effectively and interact with their community in a meaningful manner. There are ongoing investigations into new techniques and materials, such as distraction osteogenesis and tissue engineering, which will hopefully advance our ability to reconstruct the mandible.

    Title Incidence of Donor Site Skin Graft Loss Requiring Surgical Intervention with the Radial Forearm Free Flap.
    Date October 2007
    Journal Head & Neck
    Excerpt

    BACKGROUND: Many methods of managing the fasciocutaneous radial forearm free flap (RFFF) donor site have been described. Ideal management would be technically easy to perform, reliable, cost-effective, and prevent further complications. METHODS: The clinical records of 54 consecutive patients undergoing RFFF surgery by the senior author were reviewed. Records were reviewed to identify donor sites with significant breakdown that required intervention. RESULTS: Fifty-four patients were identified. Only 1 patient had significant tendon exposure. A V to Y closure was performed. The site healed well following this procedure and no further intervention was required. No other donor site complications were noted in this group. CONCLUSION: The incidence of wound breakdown requiring surgical intervention at the RFFF donor site is less than 2% utilizing a simple technique of split thickness skin grafting, bolster, and short-term splinting. This study demonstrates the low donor site morbidity of the RFFF.

    Title Clinical Presentation, Management, and Outcome of High-grade Mucoepidermoid Carcinoma of the Parotid Gland.
    Date June 2007
    Journal Otolaryngology--head and Neck Surgery : Official Journal of American Academy of Otolaryngology-head and Neck Surgery
    Excerpt

    OBJECTIVE: To describe clinical features of high-grade (HG) mucoepidermoid carcinoma (MEC) of the parotid gland and assess clinical outcomes of one surgical management approach. DESIGN/SETTING/METHODS: Retrospective case series in a tertiary care academic institution. Pathology records were reviewed from 1977 to 1997, identifying patients with parotid HG MEC. Available medical records were reviewed for data on clinical features, treatment, and outcome. RESULTS: Increased stage, increased T stage, presence of neck metastasis, and distant metastasis were all associated with poor outcome. Wide local excision and postoperative radiation (XRT) provided 82% local control. XRT alone for N0 disease provided 86% regional control, while XRT and neck dissection yielded 74% control in N(+) cases. CONCLUSION: High-grade MEC of the parotid gland is an aggressive disease that frequently presents at advanced stage. Parotidectomy with modified radical neck dissection and postoperative XRT provides reasonable local and regional control for patients with N(+) disease. Elective selective neck dissection and radiation should be considered for T3 and T4 tumors with N0 status.

    Title The Effect of Low-molecular-weight Heparin on Microvenous Thrombosis in a Rat Model.
    Date March 2007
    Journal Archives of Facial Plastic Surgery : Official Publication for the American Academy of Facial Plastic and Reconstructive Surgery, Inc. and the International Federation of Facial Plastic Surgery Societies
    Excerpt

    OBJECTIVE: To assess the impact of a low-molecular-weight heparin sodium, dalteparin sodium, on a thrombogenic microvenous anastomosis, using a randomized, blinded animal model. METHODS: Using male Sprague-Dawley rats, 70 IU/kg of dalteparin sodium (for the treatment group) or isotonic sodium chloride solution (for the control group) were administered subcutaneously in a blinded randomized fashion. Using microsurgical techniques, the femoral venous pedicle was isolated bilaterally. A tuck anastomosis was then performed on each side. Vessel patency was assessed periodically for 3 hours using a strip and refill test. Patency or thrombosis was confirmed by cutting the vessel proximal to the anastomosis and examining the lumen for thrombus. RESULTS: A total of 58 venous tuck anastomoses were performed. There was no difference in bleeding complications between the treatment and control groups. The control group had a thrombosis rate of 50%, and the treatment group had a thrombosis rate of 60%. The chi2 analysis does not indicate a statistical difference between these 2 groups (P = .59). CONCLUSION: Low-molecular-weight heparin, at standard therapeutic dosing, may not provide an adequate antithrombotic effect to prevent anastomotic thrombosis in free tissue transfer.

    Title Common Ent Disorders.
    Date November 2006
    Journal Southern Medical Journal
    Excerpt

    OBJECTIVE: To provide a succinct and updated discussion on common ear, nose, and throat (ENT) disorders encountered by primary care physicians. METHODS: Review of recent and pertinent literature. RESULTS: Recent data was identified via a PubMed search as well as commonly utilized texts in otolaryngology. DISCUSSION: While it is impossible to discuss all of the ENT disorders encountered by primary care physicians, it is helpful to have a succinct resource to highlight the common disorders and their presenting signs, symptoms and initial treatments. CONCLUSION: Recognizing specific signs and symptoms can help primary care physicians diagnose common ENT disorders. This review discusses these presentations and provides the initial management steps, as well as when to refer patients for further evaluation.

    Title Tubal Tonsil Hypertrophy: a Cause of Recurrent Symptoms After Adenoidectomy.
    Date March 2006
    Journal Archives of Otolaryngology--head & Neck Surgery
    Excerpt

    OBJECTIVES: To assess the incidence of symptomatic tubal tonsil hypertrophy (TTH) after adenoidectomy and to attempt to differentiate the clinicoradiographic presentation of TTH from that of recurrent or residual adenoid. DESIGN: Retrospective case series review. SETTING: Pediatric otolaryngology practice in a tertiary care hospital. PATIENTS: The charts of all patients scheduled to undergo revision adenoidectomy or nasopharyngeal examination under anesthesia over a 5-year period in 1 pediatric otolaryngologist's practice were reviewed. MAIN OUTCOME MEASURE: Presence of TTH in patients with recurrent symptoms after previous adenoidectomy. RESULTS: Forty-two patients were identified, 24 of whom satisfied the established criteria of recurrent symptoms after previous adenoidectomy. Ten (42%) of these patients were identified as having TTH. The average age at presentation was 7 years 2 months, at an average time interval of 4 years 2 months after adenoidectomy. The comparative incidence of recurrent or residual adenoid was 54%. The symptomatic manifestations of TTH included nasal obstruction, obstructive sleep disorder, rhinosinusitis, recurrent otitis media, and otitis media with effusion. Preoperative radiographic evaluation was not useful in distinguishing TTH from recurrent or residual adenoid; nasopharyngoscopy appears to have better diagnostic potential. Thermal ablation with suction cautery was therapeutically effective. CONCLUSIONS: Tubal tonsil hypertrophy is a significant clinical entity as a cause of recurrent symptoms after adenoidectomy. The study patients demonstrated the entire spectrum of signs and symptoms seen in patients with adenoid hypertrophy. Operative nasopharyngeal examination is required to definitively distinguish TTH from recurrent or residual adenoid.

    Title Pathology Quiz Case 1. Adenocarcinoma with Features of Mucinous Adenocarcinoma (mac) and Cystadenocarcinoma (cac).
    Date January 2006
    Journal Archives of Otolaryngology--head & Neck Surgery
    Title Surgical Salvage of the Oropharynx After Failure of Organ-sparing Therapy.
    Date
    Journal Head & Neck
    Excerpt

    BACKGROUND: The purpose of this study was to evaluate the efficacy of salvage surgery for local recurrences of oropharyngeal squamous cell carcinoma (OPSCC) and identify predictors of survival. METHODS: The authors reviewed 264 patients with OPSCC treated with radiation or chemoradiation identified retrospectively. Of the 77 patients that experienced recurrences, 37 had local or local and regional recurrences and were considered for salvage surgery. RESULTS: Of the 37 patients with local or local and regional recurrence, 5 had unresectable disease whereas 3 refused surgery. The remainder underwent salvage surgery with 2-year and 5-year survival rates of 64.5% and 43.4%, respectively. A history of alcohol abuse and positive surgical margins were the only predictors of poorer overall survival (p < .05) after salvage surgery. CONCLUSION: Surgical salvage of locoregional recurrences can be effective if wide resections are performed so that negative margins can be achieved. © 2010 Wiley Periodicals, Inc. Head Neck, 2010.

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