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B. Joseph Touma, M.D.

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Our Doctors
B. Joseph Touma, M.D.
  • Neurotology
  • Ear and Balance
  • Cochlear Implants
  • Laser Ear Surgery
Curriculum Vitae
 
B. Joseph Touma, M.D.
Ear and Balance Specialist – Neurotologist
 

Education and Training

UNDERGRADUATE:

Dates Attended Name and Location of Institution Degree Major Subject
1987-1990 Duke University B.A. Political Science
Durham, North Carolina
B.A. Political Science

GRADUATE:

Dates Attended Name and Location of Institution Degree Major Subject
1990-1994 West Virginia University M.D.
School of Medicine
Morgantown, WV
M.D.  

POST GRADUATE:

Dates Attended Name and Location of Institution Name of Program Director
and Discipline
1994-1995 Department of Surgery
West Virginia University
School of Medicine
Morgantown, WV
Gordon F. Murray, MD, F.A.C.S. Surgery
1995-1999 Department of Otolaryngology
West Virginia University
School of Medicine
Morgantown, WV
Stephen J. Wetmore, MD, F.A.C.S.
Otolaryngology
1999-2001 Neurotology Fellow
Department of Otolaryngology
University of Pittsburgh
School of Medicine
Pittsburgh, PA
Barry E. Hirsch, MD
Otolaryngology

Appointments and Positions

ACADEMIC

Years Inclusive Name and Location of Institution Rank/Title
1999-2001 Department of Otolaryngology
University of Pittsburgh School of Medicine Pittsburgh, Pennsylvania
Instructor

NON-ACADEMIC

Years Inclusive Name and Location of Institution Rank/Title
1999-present UPMC Presbyterian Hospital
Pittsburgh, Pennsylvania
Active
1999-present UPMC Southside Active
Pittsburgh, Pennsylvania
Active

Certification and Licensure

MEDICAL OR OTHER PROFESSIONAL LICESURE

State Board of Medicine/Pennsylvania 1999-Present MD-068139-L

SPECIALTY CERTIFICATION

American Board of Otolaryngology Certificate Certificate April 24, 2000
West Virginia Board of Medicine 2001, License # 18680

Memberships in Professional and Scientific Societies

Year Name of Society
1995 – Present American Academy of Otolaryngology – Head and Neck Surgery
1996 – 1999 WV Academy of Otolaryngology-Head and Neck Surgery

Honors and Awards

1993 Whittlesey History of Medicine Award: History of Hearing Devices
1997 Fortunata Lim Award: West Virginia University Alumni Day Presentation

PUBLICATIONS

Published Articles:

  • Wax MK, Touma BJ, Ramadan HH. Tracheostomal Stenosis following laryngectomy: incidences and predisposing factors. Otolaryngology Head Neck Surg 113:242-247, 1995.
  • Wax MK, Touma BJ, and Ramadan HH. Tracheostomal stenosis following laryngectomy. Highlights of the Instructional Courses. I;205-215, 1995.
  • Jackson CG, Schall DC, Glasscock ME, Macias JD, Widick MH, Touma BJ. A surgical solution for the difficult chronic ear. Am J Otology 17:7-14, 1996.
  • Wax MK, Touma, BJ, Ramadan HH. Tracheostomal stenosis revision with simultaneous tracheoesophageal puncture. Laryngoscope 108(10):1509-13, 1998.
  • Wax MK, Touma BJ. Management of the N0 neck during salvage laryngectomy. Laryngoscope 109(1):4-7, 1999.
  • Wax, MK, Touma BJ, Ramadan HH. Management of tracheostomal stenosis. Laryngoscope 109(9):1397-401, 1999.
  • Touma BJ, Ramadan HH, Bringman JJ, Rodman S. Maxillofacial injuries caused by all-terrain vehicle accidents. Otolaryngology Head and Neck Surgery 121(6):736-9, 1999.
  • Touma BJ and Hirsch BE. Management of Benign Paroxysmal Positional Vertigo. Accepted for publication in Emergency, January 2001

PROFESSIONAL ACTIVITIES

Teaching

  • Fellows and Post-doctoral Students
  • Graduate Students Thesis Advisee
  • Medical Students and Undergraduates
    Lecture series for Medical Students on Diagnosis and Management of Vertigo and Hearing Loss 1999-2000 at the University of Pittsburgh
  • Courses, Lectures, Seminars and Tutorials
    Temporal Bone Course University of Pittsburgh, October 1999
    Temporal Bone Course University of Pittsburgh, October 2000
    October 2000 Medical Management of Vertigo. University of Pittsburgh Otology Miniseminar, Pittsburgh, PA.
    October 2000 Surgical Approaches to the Petrous Apex. University of Pittsburgh Temporal Bone Course.

Research Seminars and Invited Lectureships

  • April, 1993
History of Hearing Devices, Whittlesey History of Medicine competition, Morgantown, WV
  • October, 1999
History of Hearing Devices, Annual Meeting, American Academy of Otolaryngology-Head and Neck Surgery, Minneapolis, MN.
  • June, 1994
Tracheostomal Stenosis Following Total Laryngectomy, Fifth Annual Otolaryngology Alumni
Conference, West Virginia University Department of Otolaryngology.
  • September, 1994
Tracheostomal Stenosis Following Total Laryngectomoy. Annual Meeting, American Academy of
Otolaryngology – Head and Neck Surgery, San Diego, CA.
  • June, 1996
Frontal Sinus Fractures: WVU Experience and New Trends in Management. Seventh Annual
Otolaryngology Alumni Conference, West Virginia University Department of Otolaryngology.
  • September, 1996
Joseph Toynbee: An Historical Perspective. Annual Meeting, American Academy of Otolaryngology –
Head and Neck Surgery, Washington, DC.
  • April, 1997
April, 1997 The Role of Interleukin-I in Otitis Media. George C. Schein Resident Research Forum,
Pittsburgh, PA
  • May 1997
Congenital Imperforate Submandibular Duct: a Case Report. COSM, Scottsdale, AZ
  • June 1997
The Role of Interleukin-I in Otitis Media. Eighth Annual Otolaryngology Alumni Conference,
West Virginia University Department of Otolaryngology, Morgantown, WV
  • September, 1998
Maxillofacial Injuries Caused by All-Terrain Vehicle Accidents. American Academy of
Otolaryngology-Head and Neck Surgery, San Antonio, TX.
  • June, 1999
Maxillofacial Injuries Caused by All-Terrain Vehicles Accidents. Ninth Annual Otolaryngology
Alumni Conference, West Virginia University Department of Otolaryngology, Morgantown, WV.

Service

  • 1989-90 House Council Member of Dormitory, Duke University
  • 1993-94 Student AMA President of West Virginia University – Charleston, WV
  • 1993 National Student AMA Delegate at Annual AMA Meeting-Chicago, IL
  • 1993-94 WVSMA-MSS Long Range Planning Committee
  • 1993-94 WVSMA-MSS Executive Council Member

Scott R. Gibbs, M.D.

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Our Doctors
Scott R. Gibbs, M.D.
  • Comprehensive Ear, Nose & Throat
  • Endoscopic Sinus Surgery
  • Hoarseness/Voice Problems
  • Snoring & Sleep Apnea
Curriculum Vitae
 
Scott R. Gibbs, M.D.
Comprehensive Ear, Nose & Throat
Fellowship – Trained Larynologist
Swallowing Disorders
 
Date of Birth: June 25, 1965
Office Address: 1616 13th Avenue, Suite 100 Huntington, WV 25701-1692
Office Phone: 304.522.8800


Post – Graduate Education

Fellow 7/98 – 6/99 Laryngology/Neurolaryngology
Roosevelt/St. Luke’s Medical Center
New York, New York
Resident 7/94- 6/98 Otolaryngology
UTSW Medical Center, Parkland Hospital
Dallas, Texas
Resident 7/93 – 6/94 General Surgery
UTSW Medical Center, Parkland Hospital
Dallas, Texas
Intern 7/92 – 6/93 General Surgery
UTSW Medical Center, Parkland Hospital,
Dallas, Texas
Medical School 8/88 – 5/92 Vanderbilt University
Nashville, Tennessee
Undergraduate 8/84 – 5/88 Vanderbilt University
Nashville, Tennessee
B.A., Chemistry & Molecular Biology
Certifications American Board of Otolaryngology-
Head and Neck Surgery, May 1999
Licensure Exams FLEX 1992
West Virginia License (19758)
Kentucky Medical License (34885)
Memberships American Academy of Otolaryngic Allergy
American Academy of Otolaryngology-Head and Neck Surgery
American Medical Association
Grants AAOA Hansel Research Award 1997
NIH Basic Summer Research Grant 1989

Honors

Residency
Best Resident Research Paper Award
American Academy of Otolaryngic Allergy Annual Meeting, September 1997

Medical School

  • Mountcastle Merit Scholar
  • William J. McMannis Educational Trust Fund recipient, 1989-1992
  • Charles M. Ross Scholarship Trust Fund, 1990-1992
  • Vanderbilt Medical Center Research Forum Presenter, 1989
  • Association for Academic Surgery Outstanding Surgical Research Award, May 1992

Undergraduate

  • Summa Cum Laude
  • CRC Outstanding Freshman Chemistry Award
  • Lotus Eaters Outstanding Freshman Scholarship Award
  • Ada B. Stapleton Scholarship
  • Dana W. Nance Prize – This award is given to the senior premedical students who “overcame
    academic, financial and social obstacles to succeed in the premedical curriculum”
  • Phi Beta Kappa, Omicron Delta Kappa, Mortar Board

Research Experience

  • “Allergic Fungal Sinusitis Induced Vision Loss,” Presentation, American Rhinologic Society
    COSM, May 1998
  • “Electrocochleographic Responses to Inhalant Allergen Challenge in Patients with Meniere’s
    Disease,” Presentation, AAOA Annual Meeting 1997
    PGY-5 Research Project
  • “Establishment of the Collagen Phenotype of Rabbit Proximal Tubular Epithelial Cells in Culture,” Summer 1990
    Presented at the American Society of Nephrology national meeting, 1991
  • “Madin-Darby Canine Kidney Cells Synthesize both Type IV and Type V Collagens,” Summer 1988-89
    “Mouse Embryo-Teratocarcinoma Cells Synthesize Collagen Molecules Containing Only Alpha (IV) Collagen,” Summer 1988

Publications

  • Gibbs SR, Blitzer A, Rosen CA, Murry T (eds.). Botulinum toxin for the treatment of spasmodic dysphonia. In: The Otolaryngologic Clinics of North America. Philadelphia, W.B. Saunders, 2000, p 879-94.
  • Marple BF, Gibbs SR, Newcomer MT, Mabry RF. Allergic fungal sinusitis induced vision loss. American Journal of Rhinology 1999;13(3):191-5.
  • Gibbs SR, Mabry RL, Shoup AS, Roland PS. Electrocochleographic changes after intranasal allergen challenge: a possible diagnostic tool in patients with Meniere’s disease. Otolarngol Head Neck Surg 1999;121(3):283-4.
  • Gibbs SR, Murray AM. Respiratory difficulty following bismuth subgallate aspiration. Presented at the American Academy of Otolaryngology 1997 Annual Meeting. Arch Otolaryngol Head Neck Surg 2000; 126(1):79-81
  • Gibbs SR, Biavati MJ, Manning SM, Vuitch F. Primitive neuroectodermal tumors: diagnostic challenge in evaluation of pediatric head and neck masses. Presented as a poster at the 1995 American Society of Pediatric Otolaryngology meeting.
  • Gibbs SR, Biavati MJ. Laryngeal burn injury in a child resulting from tetracycline aspiration. Poster presentation at the 1996 Annual Meeting of the American Academy of Otolaryngology-Head and Neck Surgery.
  • Gibbs SR, Goins RA, Belvin EL, DiMari SJ, Harris RC, Haralson MA. Characterization of the collagen phenotype of primary cultures of rabbit proximal tubule cells. Under review by JASN.
  • Haralson MA, Gibbs SR, DiMari SJ, Madine-Darby. Kidney cells synthesize both Type IV and V collagens. Annals of the New York Academy of Science, 580. 498-500, 1990.

James Brett Chafin, M.D.

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Our Doctors
James Brett Chafin, M.D.
  • Comprehensive Ear, Nose & Throat
  • Endoscopic Sinus & Laryngeal Surgery
  • Pediatric Ear, Nose & Throat
  • Snoring & Sleep Apnea

Curriculum Vitae James Brett Chafin, M.D.
Comprehensive Ear, Nose and Throat
Sinus Endoscopic Surgery
Sleep Apnea and Snoring Date of Birth:June 17, 1966Residency:

Department of Otolaryngology-Head and Neck Surgery
West Virginia University Medical Center
Morgantown, WV 26506
Chairman: S.J. Wetmore, MD, F.A.C.S.
7/93 – 7/97

Internship:  

West Virginia University Department of Surgery
Charleston Area Medical Center
Charleston, WV 25301
Chairman: J. Boland, MD, F.A.C.S.
7/92 – 6/93

Medical School:

West Virginia University School of Medicine
Morgantown, WV 26506
Doctor of Medicine
May 1992

College: 

Wake Forest University
Bachelor of Science, Biology
Magna Cum Laude
May 1988

High School:

Huntington High School
Huntington, WV
Diploma
Graduated Very High Honors
May 1984

Licensure/Certification:American Board of Otolaryngology-Head and Neck Surgery (April, 1998)

West Virginia State Medical License (November 1995)

Kentucky State Medical License (February 1998)Awards and Honors

  • Fortunata Lim Award for Outstanding Head and Neck Presentation. Seventh Annual Otolaryngology Alumni Conference, West Virginia University, Morgantown, WV, June, 1996.
  • George C. Schein Research Competition, First Place, Pittsburgh, PA, April 1996. University of Pittsburgh, Department of Otolaryngology, Pittsburgh, PA.
  • Sobisca S. Hall Award for Overall Outstanding Resident Presentation, June 1995. Sixth Annual West Virginia University Department of Otolaryngology Alumni Conference, Morgantown, WV.
  • George C. Schein Research Competition, Third Place, Pittsburgh, PA, April 1995. University of Pittsburgh Department of Otolaryngology, Pittsburgh, PA.
  • Fortunata Lim Award for Outstanding Head and Neck Presentation, June 1994. Fifth Annual West Virginia University Department of Otolaryngology Alumni Conference, Morgantown, WV.
  • The Lange Medical Publications Award for Outstanding Achievement, 1992
  • Alpha Omega Alpha (AOA), elected Junior Year of medical school, 1991.
  • American Society of Clinical Pathologists Award for Academic Excellence and Achievement, 1990.

Academic Appointments:

Marshall University School of Medicine
Clinical Instructor
Otolaryngology-Head and Neck Surgery
August 1997

Special Qualifications:

Microsurgical Training 1994

Professional Organizations:

  • West Virginia State Academy Otolaryngology Head and Neck Surgery
1997 – Present
  • West Virginia State Medical Association
1989 – Present
  • American Medical Association
1989 – Present
  • American Academy of Otolaryngology-Head and Neck Surgery
1993 – Present
  • American Academy of Otolaryngic Allergy/Resident Member
1994 – Present
  • Cabell County Medical Society
1997 – Present
  • Cabell County Jr. Medical Society
1997 – Present

Research Experience:

  • West Virginia University Department of Otolaryngology/Orthopedics, 1994-1995
  • West Virginia University Department of Internal Medicine, 1989

Courses/Conferences Attended:

  • 8th Annual West Virginia University Department of Otolaryngology Alumni Conference, Morgantown, WV, June 1997
  • 8th Annual West Virginia University Department of Otolaryngology Endoscopic Sinus Course, March 1997
  • 13th Annual Bronchoesophagology Lecture and Practicum. VCU/MCV Department of Otolaryngology-Head and Neck Surgery, Richmond, VA, October 1996
  • American Academy of Otolaryngology-Head and Neck Surgery Annual Meeting, Washington, D.C., September 1996
  • Update: Pediatric Otolaryngology, University of Pittsburgh, Department of Otolaryngology- Head and Neck Surgery, Pittsburgh, PA, July 1996
  • Seventh Annual West Virginia University Department of Otolaryngology Alumni Conference, Morgantown, WV, June 1996
  • George C. Schein Research Day (Research Competition for Otolaryngology Residents), Pittsburgh, PA, April 1996
  • Seventh Annual West Virginia University Department of Otolaryngology Endoscopic Sinus Surgery Course, Morgantown, WV, March 1996
  • American Society for Reconstructive Microsurgery, Annual Meeting, Tucson, AZ, January 1996
  • Society of Microsurgical Specialists, Annual National Meeting, Morgantown, WV, September 1995
  • American Academy of Otolaryngology-Head and Neck Surgery, Annual Meeting, New Orleans, LA, September 1995
  • American Academy of Facial Plastic and Reconstructive Surgery, Annual Meeting, New Orleans, LA, September 1995
  • Dallas Ear Foundation Temporal Bone Course, Dallas, TX, September 1995
  • Sixth Annual West Virginia University Department of Otolaryngology Alumni Conference, Morgantown, WV, June 1995
  • George C. Schein Research Day (Research Competition for Otolaryngology Residents), Pittsburgh, PA, April 1995
  • Sixth Annual West Virginia University Department of Otolaryngology Endoscopic Sinus Surgery Course, Morgantown, WV, March 1995
  • Eastern Section Meeting of the Trilogic Society, Pittsburgh, PA, January 1995
  • Fifth Annual West Virginia University Department of Otolaryngology Alumni Conference, Morgantown, WV, June 1994
  • George C. Schein Research Day (Research Competition for Otolaryngology Residents), Pittsburgh, PA, April 1994
  • Fifth Annual West Virginia University Department of Otolaryngology Endoscopic Sinus Surgery Course, Morgantown, WV, March 1994

Abstracts

  • Quraishi HA, Wax MK, Chafin JB, Clovis NB, Ryu J. Effect of anemia on primary ischemic time in free flaps. Poster at the American Academy of Otolaryngology-Head and Neck Surgery, Washington, DC, September 1996
  • Chafin JB, Wax MK, Clovis, NB, Ryu J. Different methods of inducing primary ischemic times and their effect on flap survival. Poster at the Scientific Session of the American Academy of Otolaryngology-Head and Neck Surgery, Washington, DC, September, 1996
  • Chafin JB, Wax MK, Clovis, NB, Ryu J. Different methods of inducing primary ischemic times and their effect on flap survival. Poster at the American Society of Reconstructive Microsurgery, Tucson, AZ, January 1996
  • Chafin JB, Wax MK, Johnstone RE, Bishop DJ. Pharmacokinetics of serum blood levels of lidocaine in patients undergoing free flap reconstruction of head and neck defects. Poster at the American Academy of Otolaryngology-Head and Neck Surgery, 1995; 113(2):88
  • Chafin JB, Wax MK, Clovis NB, Ryu J. Ischemic times in microvascular surgery. Outline of Presentations for the Society of Microsurgical Specialists, Morgantown, WV, September, 1995
  • Chafin JB, Wax MK. Use of lidocaine in microvascular reconstruction. Outline of Presentations for the Society of Microsurgical Specialists, Morgantown, WV, September, 1995
  • Chafin JB, Wax MK, Johnstone RE, Bishop DJ. Serum blood levels of lidocaine in free fasciocutaneous flaps. Proceedings of the Canadian Society of Otolaryngology, June 1995
  • Chafin JB, Wax MK. Use of lidocaine in microvascular reconstruction. West Virginia University Department of Otolaryngology Alumni Conference, Morgantown, WV, June 1994

Publications

  • Chafin JB, Wax MK, Johnstone RE, Bishop DJ. Use of lidocaine in microvascular surgery. Otolaryngol Head and Neck Surg 1997;117:93-8.
  • Varghese MR, Farr RW, Was MK, Chafin JB, Owens BO. Vibro Fluvialis wound infection during medicinal leech therapy. Clin Infect Dis 1996;22:709-710.
  • Johnstone RE, Wax MK, Bishop DJ, Chafin JB. Large doses of topical lidocaine during microvascular surgery are not associated with toxic blood concentration. Anesthesiology 1995;82:593-596.
  • Chafin JB, Belmont M, Quraishi H, Clovi, N, Wax M. Effect of clamp versus anastomotic-induced ischemia on critical ischemic time and survival of rat epigastric fasciocutaneous flap. Head and Neck, 1999:198-203

Presentations

  • Chafin JB. Cochlear implantation. Norval Carter Medical Society, Huntington, WV, February 1998
  • Chafin JB. Frontal and mid-facial fractures. Eleventh Annual Family Practice Weekend and Sports Medicine Conference, Huntington, WV, November 1997
  • Chafin JB. Upper Airway Obstruction in Children. Marshall University Department of Pediatrics Grand Rounds, Huntington, WV, November 1997
  • Chafin JB. Medical and surgical management of otitis media. ENT Update and Symposium, Marshall University School of Medicine Special Outreach. Williamson, WV, October 1997.
  • Chafin JB. Evaluation of Hoarseness. Huntington Internal Medicine Group, Huntington, WV, July 1997
  • Chafin JB. Role of Adenoidectomy vs Endoscopic Sinus Surgery in the Treatment of Chronic Sinusitis in the Pediatric Population. 8th Annual West Virginia University Department of Otolaryngology Alumni Conference, Morgantown, WV, June 1997
  • Chafin JB., Wax MK. The use of latissimus dorsi flaps in head and neck reconstruction. Seventh Annual West Virginia University Department of Otolaryngology Alumni Conference. Morgantown, WV, June 1996
  • Chafin JB, Wax, MK, Clovis NB, Ryu J. Ischemic times in microvascular surgery. University of Pittsburgh, Department of Otolaryngology, George C. Schein Resident Research Forum. Pittsburgh, PA, April 1996.
  • Chafin JB, Wax MK, Clovis, NB, Ryu J. Different methods of inducing primary ischemic times and their effect on flap survival. American Society for Reconstructive Microsurgery. Tucson, AZ, January 1996.
  • Chafin JB, Wax, MK. Use of lidocaine in microvascular reconstruction. American Academy of Otolaryngology-Head and Neck Surgery Annual Meeting. New Orleans, LA, September 1995.
  • Chafin JB, Wax MK. The use of latissimus dorsi flaps in head and neck reconstruction. American Academy of Facial Plastic and Reconstructive Surgery Annual Meeting, New Orleans, LA, September 1995.
  • Chafin JB, Wax MK, Clovis NB, Ryu J. Ischemic times in microvascular surgery. Society of Microsurgical Specialists Annual Meeting, Morgantown, WV, September 1995.
  • Chafin JB, Wax, MK. Use of lidocaine in microvascular reconstruction. 49th Meeting of the Canadian Society of Otolaryngology. St. Andrews by the Sea, Canada, June 1995.
  • Chafin JB, Wax MK, Clovis NB, Ryu J. Ischemic times in microvascular surgery. Sixth Annual West Virginia Department of Otolaryngology Alumni Conference, Morgantown, WV, June, 1995
  • Wax MK, Chafin JB. Sternocleidomastoid flap in head and neck reconstruction. American Academy of Facial Plastic and Reconstructive Surgery. Palm Desert, CA, May 1995
  • Chafin JB, Wax MK. Use of lidocaine in microvascular reconstruction. University of Pittsburgh Department of Otolaryngology, George C. Schein Resident Research Forum, Pittsburgh, PA, April 1995.
  • Chafin JB, Wax MK. Use of lidocaine in microvascular reconstruction. West Virginia Department of Otolaryngology Fifth Annual Alumni Conference, Morgantown, WV, June 1994.

Joseph B. Touma, M.D.

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Our Doctors
Joseph B. Touma, M.D.
  • Ear and Balance Specialist
  • Laser Microscopic Ear Surgery
  • State-of-the-Art Inner Ear Lab
  • Cochlear Implants
  • Digital Hearing Aids
Curriculum Vitae
Joseph B. Touma, M.D., F.A.C.S.
Ear and Balance Specialist
Date of Birth: May 27, 1938
Office Address: 1616 Thirteenth Avenue, Suite 100,
Huntington, WV 25701-1692
Office Phone: 304.522.8800   Fax: 304.523.4303
Citizenship: U.S. Citizen
Marital Status: Married, wife Omayma Touma, MD; two children, B. Joseph Touma, MD, Neurotologist, and Mona Touma, Attorney.
Medical Training: Premed and medical school: Damascus University School of Medicine.
Internship: Rotating and straight (ENT and Surgery): Damascus University or Medicine Affiliated Hospitals, 1961-1963
Residency, General Surgery: William Beaumont Hospital, Royal Oak, Michigan, 1966-1967
Residency, Otolaryngology: Veterans Administration Hospital and University of Tennessee, Memphis, Tennessee 1967-1970
Fellowship and additional Residency, Otology and Pediatrics ENT, Wayne State University, Detroit, Michigan 1970-1971
Board Certification: Certified by the American Board of Otolaryngology, May 1970
Medical Licensure: West Virginia State Medical License #9727, 1971
Kentucky State Medical License #21910, 1979
Membership in Academic and Professional Organizations: Fellow, American Academy of Otolaryngology- Head and Neck Surgery, 1970- present
Member, West Virginia Medical Association, 1971-present
Member, Cabell County Medical Society, 1971-present
Fellow, American College of Surgeons, 1974-present
Member, Southern Medical Association, 1975-present
Member, International Society for the History of Otolaryngology, 1976-present
Fellow, International College of Surgeons, 1976-present
Member, West Virginia Academy of Otolaryngology-Head and Neck Surgery, 1977-present
Member, Centurion Club, Deafness Research Foundation, 1978-present
Fellow, American Neurotological Society, 1986-present
Member, National Hearing Conservation Association, 1991
Member, American College of Occupational and Environmental Medicine, 1992
Member, Noise and Hearing Conservation Committee, American College of Occupational and Environmental Medicine, 1992
Member, Industrial Health Foundation, 1993
Academic Appointments: Clinical Professor, Marshall University School of Medicine, Huntington, WV
Clinical Professor, West Virginia University School Of Medicine, Morgantown, WV

Awards:

  • Physician’s Recognition Award: American Medical Association, 1972-present
  • Regent of the Year: International College of Surgeons, 1984
  • Citizen of the Year Nominee, 1991
  • Honor Award Recipient: American Academy of Otolaryngology-Head and Neck Surgery, October 2, 1993, Minneapolis, MN
  • West Virginia Entrepreneur of the Year Finalist, 1995
  • Greater Huntington Wall of Fame, inducted 10/4/97
  • West Virginia Philanthropist of the Year Award, November 9, 1999
  • Distinguished West Virginian Award by Governor Cecil Underwood, November 9, 1999

Positions Held:

  • President, Cabell County Chapter American Cancer Society, 1978-1980
  • President, West Virginia Academy of Otolaryngology- Head and Neck Surgery, 1984-1986
  • President, International Society for the History of Otolaryngology, 1984-1987
  • President, Arab American Medical Association (National) 1986-1987
  • President, Medical Staff, St. Mary’s Hospital, (1/1/89 – 12/31/90)
  • Regent, West Virginia Chapter, International College Of Surgeons, 1978-present
  • Counselor, West Virginia Medical Association, 1989-1990
  • Vice President, Board of Trustees, St. Mary’s Hospital, 1990
  • Chairman, Executive Committee, St. Mary’s Hospital, 1/1/89 – 12/31/90
  • President, Cabell County Medical Society, 1991
  • President, AAMA Foundation: (Provides medical, technical and educational assistance to various middle eastern medical schools and health organizations, 1/1/90 – 9/15/91
  • Chairman, Credentials Committee, St. Mary’s Hospital, 1/1/84 -12/31/88; 1/1/91 – present
  • Member, Subcommittee on Hearing, American Academy of Otolaryngology-Head and Neck Surgery, 1985-1991
  • Member, Subcommittee of History and Archives, American Academy of Otolaryngology-Head And Neck Surgery, 1991-1997
  • Member, West Virginia Compensation Advisory Subcommittee on Noise-Induced Hearing Loss
  • Member, Subcommittee on Medical Aspects of Noise, American Academy of Otolaryngology-Head and Neck Surgery, 1992
  • Founding Board Member, Doctor’s Care of Cabell County (for delivery of free health care for the uninsured), 1991 – present
  • Vice President, Huntington Medical Education Foundation, Inc. 1992
  • President, Huntington Medical Education Foundation, Inc. 1993 – present
  • President, West Virginia Chapter, Arab American Medical Association, January 1993 – present
  • Chief, ENT Section, St. Mary’s Hospital, Huntington, WV, 1971 – 2000
  • President, Medical Staff, Cabell Huntington Surgery Center, 7/1/93 – 6/30/95
  • Member, Noise and Hearing Conservation Committee, American College of Occupational and Environmental Medicine, 1993
  • Chairman, West Virginia Chapter Better Hearing and Speech Foundation, 1986 – present

Hospital Appointments:

  • St. Mary’s Hospital, Huntington, WV
  • Cabell Huntington Hospital, Huntington, WV
  • VA Medical Center, Huntington, WV
  • Cabell Huntington Surgery Center, Huntington, WV
  • West Virginia University Hospital, Morgantown, WV
  • King’s Daughters’ Hospital, Ashland, KY
  • Our Lady of Bellefonte Hospital, Ashland, KY

Publications/Articles:

  1. Extramedullary plasmocytoma of the head and neck. The Journal of Laryngology & Otology 1971 Feb
  2. Ossicular chain transplantation in cats. Ann Otol Rhino Laryngol 1973 Jan-Feb;82(1):62-8
  3. Mucocele of the sphenoid sinus: report of a case. Otolaryngol Head Neck Surg 1979 Nov-Dec:87(6):749-50
  4. Touma tympanic membrane mucosal dissectors for the removal of the remnants of the perforated eardrum. Am J Otol 1980 Jan;1(3);179
  5. Touma 45-degree crook-tipped 20 and 22 gauge Suction tubes. Otolaryngol Head Neck Surgery 1984 Aug:92(4):488-9
  6. Prospore Meniere: A glimpse at his personality and Time from his introduction of Kramer’s book, “Diseases of the Ear” Am J Otol 1986 Jul;7(4);305-8
  7. “Why Looking Back” (Editorial) Am J Otol 1987 Sept;8(5):468
  8. Controversies in Noise-Induced Hearing Loss Ann Occup Hyg 1992 Apr;36(2):199-209
  9. Revision of Radical Mastoidectomy Insights in Otolaryngology 1993 Feb;8(1)
  10. Deafness, Tinnitus and Disequilibrium Secondary to Noise Exposure. The Collected Letters of the International Correspondence Society of Otolaryngologists, Series XXXVII, 5/15/93
  11. Presbycusis and Noise-Induced Hearing Loss: The Collected Letters of International Correspondence Society of Otolaryngologists, Series XXXIX, 63-64, 1994
  12. Articles: Several articles published in the Collected Letters of International Correspondence Society of Otolaryngologists
  13. Noise and Hearing, West Virginia State Medical Journal, Vol. 90, No. 8, pp 327-329, August 1994

Book Chapters:

  1. Controversies in Noise-Induced Hearing Loss, Noise and Man 93, Noise as a Public Health Problem, Vo. 2, p. 139-140
  2. Noise-Induced Hearing Loss: Compensation and Controversies, Highlights of Instructional Courses Textbook, American Academy of Otolaryngology-Head and Neck Surgery, Vol 7, pp 381-91, 1994
  3. Evaluation of People Reporting Occupational Hearing Loss, AAO-HNS Monograph (1997) Co-author with members of Subcommittee on Medical Aspects of Noise, (American Academy Of Otolaryngology-Head and Neck Surgery).

Other Publications:

  1. Several articles appeared in local newspapers relating to deafness and Otology
  2. Tinnitus: An article appeared in several national and international newspapers and publications distributed by the United Press International (UPI)

Editorial Board:

  1. Member of the Editorial Board of the American Journal of Otology 1986 – 1991
  2. Member Editorial Board of International College Of Surgeons Journal 1977 – 1980

National and International Lectures:

    1. Ossicular Chain Transplantation in Cats, Greater Detroit ENT Association, February, 1970, Detroit, Michigan
    2. Tympanoplasty, Pan American Association of Oto-Rhinolaryngology and Bronchoesophagology, 11/6-11/76, New Orleans, Louisiana
    3. Homograft Ossicles in Tympanoplasty, Seventy-First Annual Scientific Assembly of the Southern Medical Association, 11/6-7/77, Dallas, Texas
    4. Surgical Treatment of Deafness, AAUG Medical Section Conference, 11/21- 23/77, Detroit, MI
    5. Surgical Treatment of Deafness Secondary to Chronic Otitis Media, AAUG Medical Section Conference, 11/21-23/77, Detroit, Michigan
    6. Homografts in Tympanoplasty, AAMA Overseas Meeting, 4/11-17/81, Amman, Jordan
    7. Touma Tympanic Membrane Mucosal Dissectors (New Instrument), American Academy of Otolaryngology-Head and Neck Surgery, 9/20-24/81, New Orleans, Louisiana
    8. Touma #18 and #20 Crooked-Tipped Suctions (New Instrument), American Academy of Oto-Laryngology-Head and Neck Surgery, 10/23-27/83, Anaheim, CA
    9. Serious Complications of Otitis Media, Eighth Saudi Medical Conference, 10/30-11/3/83, Riyadh, Saudi Arabia
    10. Ossicular Reconstruction, AAMA Overseas Meeting, 2/84, Cairo, Egypt
    11. Surgical Treatment of Deafness, ENT Update For Non-Otolaryngologists, Marshall University School of Medicine 9/8/84, Huntington, WV
    12. Serious Complications of Otitis Media, ENT Update for Non-Otolaryngologists, Marshall University School of Medicine, 9/8/84, Huntington, WV
    13. The Dizzy Patient: Diagnosis and Treatment, ENT Update for Non-Otolaryngologists, Marshall University School of Medicine, 9/8/84, Huntington, WV
    14. Serious and Intracranial Complications of Otitis Media, Northwestern University Medical School. Management of Trauma in Critically Ill Patients, 8/10-16/85, Damascus, Syria
    15. Complications of Otitis Media, Sixth Overseas Medical Conference, AAMA, 2/15-22/87 Rabat, Morocco
    16. Temporal Bone Trauma, Northwestern University Medical School, Course on Management of Trauma in Critically Ill Patients, 6/22-25/86, Damascus, Syria
    17. Fractures and Trauma of the Temporal Bone, Eighth Annual Scientific Meeting, AAMA, 9/26-28/86, Charleston, WV
    18. Surgery for Vertigo, The Seventh Overseas Scientific Medical Conference, AAMA, 7/11-18/87, Damascus, Syria
    19. Ossicular Reconstruction, The Seventh Overseas Scientific Medical Conference, AAMA, 7/11-18/87, Damascus, Syria
    20. The Audiant Implant, Eighth Overseas Conference, 6/17-23/88, AAMA, Monastir, Tunisia
    21. Advances in Evaluation of the Dizzy Patient, ENT Update for Family Practitioners courses presented by Marshall University School of Medicine, October 21, 1989
    22. Advances in Surgery for Deafness, ENT Update For Family Practitioners courses presented by Marshall University School of Medicine, October 21, 1989
    23. Advances in Rehabilitation of the Deaf, ENT Update for Family Practitioners courses presented by Marshall University School of Medicine, October 21, 1989
    24. Revision of Old Radical Mastoidectomy, West Virginia University- Otolaryngology, First Annual Alumni Day, Morgantown, WV 6/9/90
    25. Collecting ENT Antique Instruments and Old Books, American Academy of Otolaryngology- Head and Neck Surgery, History and Archives Committee Program 9/10/90
    26. Evaluation, Diagnosis and Management of the Dizzy Patient, Huntington, WV, 89th Annual Spring Convention, West Virginia Society of Osteopathic Medicine, Inc. 4/27/91
    27. Ear, Nose and Throat Examination and Fiberoptic Endoscopic ENT Examination, Huntington, WV, 89th Annual Spring Convention, West Virginia Society of Osteopathic Medicine, Inc. 4/27/91
    28. Controversies in Noise-Induced Hearing Loss, West Virginia University, ENT Department Ground Rounds, 11/2/91
    29. Evaluation of the Dizzy Patient, Fifth Annual West Virginia Academy of Family Practice Conference, 11/9/91
    30. Rehabilitation of the Deaf, Fifth Annual West Virginia Academy of Family Practice Conference, 11/9/91
    31. Medical Legal Aspects of Noise Induced Hearing Loss, ENT Department, West Virginia University, Morgantown, WV, 2/18/92
    32. Noise-Induced Hearing Loss, Huntington Internal Medicine Group, Huntington, WV, 7/28/92
    33. Controversies in Noise-Induced Hearing Loss, Family Practice Department Ground Rounds, Marshall University School of Medicine, Huntington, WV, 12/17/92
    34. Neuro-Otology, Anatomy & Physiology, annual Lecture, Department of Anatomy, Marshall University School of Medicine, Huntington, WV since 1981
    35. Otitis Media, Treatment and Complications, Williamson Memorial Hospital, Williamson, WV, 3/24/93
    36. Otitis Media, Treatment and Complications, Logan General Hospital, Logan, WV 5/17/93
    37. Serious Complications of Otitis Media and Cholesteatoma, Alumni Day Conference, ENT Dept., West Virginia University, Morgantown, WV, 6/20/93
    38. Otology and Water Sports, Sports Medicine Conference, West Virginia Chapter American Academy of Family Physicians, Huntington, WV, 11/11/94
    39. Noise-Induced Hearing Loss in Young People, Pediatrics Grand Rounds, Marshall University School of Medicine, 1/6/95
    40. Ears and Water Sports, 93rd Annual Spring Convention of Osteopathic Medicine, Huntington, WV 4/29/95
    41. ENT Workshop, Office Diagnostic Techniques In Otology, 93rd Annual Spring Convention Of Osteopathic Medicine, Huntington, WV, 4/29/95
    42. Ear Trauma in Water Sports, Sports Medicine Conference, Huntington, WV 11/10/95
    43. National Better Hearing and Speech Month, Rotary Club, Huntington, WV, 5/6/96
    44. Hearing Loss, Advances and Treatment, Quota Club International, Huntington, WV 5/7/96
    45. Noise-Induced Hearing Loss: 1st International Congress of Otolaryngology, Damascus, Syria, 10/13/96
    46. Advances in Evaluating and Treating the Dizzy Patient: 1st International Congress of Otolaryngology, Damascus, Syria, 10/24/96
    47. Revision of Radical Mastoidectomy: 1st International Congress of Otolaryngology, Damascus, Syria, 10/24/96
    48. Noise-Induced Hearing Loss, Family Practice Grand Rounds, Marshall University School of Medicine, 11/7/96
    49. Noise and Hearing Loss in Sports, Sports Medicine Conference, Huntington, WV 11/15/96
    50. History of Medical Devices, Sports Medicine Conference, Huntington, WV, 11/16/96
    51. History of Medicine, St. Mary’s Hospital Annual Board and Executive Committee Meeting, Huntington, WV, 1/15/97
    52. History of Development of Medical Instruments, Cabell County Medical Society, Doctors Day, Huntington, WV, 3/26/97
    53. History of Arabic Medicine, West Virginia Chapter AAMA Annual Meeting, Huntington, WV, 5/24/97
    54. Effect of Noise on Hearing, Williamson Memorial Hospital, Williamson, WV 9/9/98
    55. Factors Influencing Noise-Induced Hearing Loss, Symposium on Noise Induced Hearing Loss by the American Academy for Voice and Ear Reseach, Philadelphia, PA 11/9/99
    56. Noise-Induced Hearing Loss, Pleasant Valley Hospital Medical Staff, Point Pleasant, WV, 3/23/00
    57. History of Otoscopy, Boston University, ENT Department. Boston, MA 11-10-200

Courses Given:

    1. Revision of Old Radical Mastoidectomy (Course #1820), American Academy of Otolaryngology-Head and Neck Surgery, Washington, DC, 9/27/88
    2. Revision of Old Radical Mastoidectomy (Course 3515), 93rd Annual Meeting, American Academy of Otolaryngology-Head and Neck Surgery, New Orleans, LA, 9/27/89
    3. Revision of Radical Mastoidectomy, (Course #4613-1), American Academy of Otolaryngology-Head and Neck Surgery, 94th Annual Meeting, San Diego, CA 9/12/90
    4. Revision of Radical Mastoidectomy (Course #1706), American Academy of Otolaryngology-Head and Neck Surgery, 95th Annual Meeting, Kansas City, MO, 9/23/91
    5. Controversies in Noise-Induced Hearing Loss (Course #2611), American Academy of Otolaryngology-Head and Neck Surgery, 95th Annual Meeting, Kansas City, MO, 9/23/91
    6. How to Handle Noise-Induced Hearing Loss Compensation Hearings, (Course #4833-1), American Academy of Otolaryngology-Head And Neck Surgery, Washington, DC, 9/92
    7. Controversies in Noise-Induced Hearing Loss, An Update, (Course #4624-1), American Academy Of Otolaryngology-Head and Neck Surgery, Washington, DC, 9/92
    8. Revision of Radical Mastoidectomy (Course #2612-1), American Academy of Otolaryngology-Head and Neck Surgery, Washington, DC, 9/92
    9. Noise-Induced Hearing Loss, Compensation and Controversies, (Course #2502-2), American Academy of Otolaryngology-Head and Neck Surgery Annual Convention, Minneapolis, MN, 10/3/93
    10. Revision of Radical Mastoidectomy, (Course #4726-1), American Academy of Otolaryngology-Head and Neck Surgery Annual Convention, Minneapolis, MN, 10/5/93
    11. Noise-Induced Hearing Loss, Compensation and Controversies, (Course #3510-2), American Academy of Otolaryngology-Head And Neck Surgery Annual Convention, San Diego, CA 9/19/94
    12. Noise-Induced Hearing Loss Compensation and Controversies (Course #4614-2), American Academy of Otolaryngology-Head and Neck Surgery Annual Convention, New Orleans, LA, 9/20/95
    13. Noise-Induced Hearing Loss Controversies, (Course #3701-1), American Academy of Otolaryngology-Head And Neck Surgery Annual Meeting, Washington, DC, 10/1/96
    14. Noise-Induced Hearing Loss Controversies, (Course #4635-1), American Academy of Otolaryngology-Head and Neck Surgery Annual Meeting, San Francisco, CA 9/10/97
    15. Noise-Induced Hearing Loss Controversies, (Course #2715-1), American Academy of Otolaryngology-Head And Neck Surgery Annual Meeting, San Antonio, TX 9/14/98
    16. Noise-Induced Hearing Loss Compensation and Controversies, (Course #1630-1), American Academy of Otolaryngology-Head and Neck Surgery Annual Meeting, New Orleans, LA, 9/26/99

Scientific Postures:

  1. Idiopathic Necrosis of the Crura of the Stapes, American Academy of Otolaryngology, Las Vegas, Nevada, 9/10-13/78
  2. Blindness Secondary to Sphenoid Mucocele, American Academy of Otolaryngology-Head And Neck Surgery, New Orleans, LA, 10/17- 21/82

Scientific Exhibits:

    1. Touma Ear Foundation, Inc.: Exhibit consists of Video surgical programs and historical exhibits, American Academy of Otolaryngology-Head and Neck Surgery, Minneapolis, MN, 10/2-6/93
    2. History of Otoscopy: 300 Years of Progress, American Academy of Otolaryngology-Head And Neck Surgery Annual Meeting, Washington, DC, 9/26 – 10/2/96

Seminars:

  1. Noise-Induced Hearing Loss and Industry (seminar for area employers) at Touma Museum of Medicine, Huntington, WV 12/2/98
  2. Noise-Induced Hearing Loss and Industry seminar for West Virginia Workers’ Compensation employees, Charleston, WV 3/22/99
  3. Digital Hearing Aids and Cochlear Implant Technology Educational Forum, Touma Museum of Medicine, Huntington, WV 3/31/99

Other Organizations:

  • Rotary Club Member, 1974- present
  • Huntington Chamber of Commerce Member since 1978
  • John Marshall Society Member, 1986-present
  • Member, Marshall University Foundation, 1992 – present
  • Member, Marshall University Foundation Board, 1996-present
  • Huntington Museum of Art, Board member, 1986 – present
  • Huntington Museum of Art Endowment Circle Chairman, 1989
  • Huntington Museum of Art, Chairman, Capital Campaign Steering Committee To raise 6.3 million dollars, 1994-1995
  • Huntington Museum of Art Chairman, Collections Committee 1994- present
  • Huntington Chamber of Commerce, Board member 3/1/90 – 3/28/94
  • President, Church Council, Holy Spirit Orthodox Christian Church, 1997- 2000

Foundations:

  • Touma Ear Foundation, Inc.:Founder and President. A non-profit foundation dedicated to achieve the following:
    1. Public education through newspaper articles, brochures and seminars
    2. Professional education through video programs and seminars
    3. College scholarships for the hearing impaired
    4. Financial assistance to the hearing impaired needy to help off-set the rehabilitation cost
    5. Maintaining a historic library and historic medical instrument collection
  • Touma Foundation, Inc.: Founder and President. A nonprofit foundation dedicated to achieve the following:
    Same as the Touma Ear Foundation, Inc.

    1. Wide range of charitable activities
       
    TOUMA FOUNDATION 
    AWARDS
    1) Annual Resident Award, West Virginia University, ENT Department, best Otologic and ear related diseases paper, ($250.00)
    2) Annual Award, American Neuro-Otologic Society, best research paper on Deafness and ear related diseases ($1000.00)

Educational Video Programs:

    1. Ossicular Chain Reconstruction
    2. Revision of Old Radical Mastoidectomy
    3. Total Simple Mastoidectomy
    4. Tympanoplasty Type I
    5. Facial Nerve Surgery
    6. Surgery for Vertigo
    7. Laser and Conventional Stapedectomy
    8. Surgery for Cholesteatoma
    9. Introduction to Microsurgery of the Ear
    10. Serous Otitis Media
    11. Noise-Induced Hearing Loss Compensation
    12. History of Otoscopy
    13. Dizziness: Diagnosis and Management For the primary care physician

Patient Information Brochures:

    1. Tinnitus
    2. Noise, Ears, and Hearing
    3. How to Clean the Ears
    4. Ears and Airplane Travel
    5. Deafness and the Elderly
    6. Hearing Loss in Children
    7. Can Your Child Hear?
    8. Swimmer’s Ear
    9. Middle Ear Infections in Children
    10. Hearing Aids
    11. Dizziness

Medical Inventions:

    1. Touma Mucosal Dissector, 45 degree angle tip (Catalog No. 2376), manufactured by Xomed, Jacksonville, FL
    2. Touma Mucosal Dissector, 110 degree angle tip (Catalog No. 2377), manufactured by Xomed, Jacksonville, FL
    3. Touma Dissector (Catalog No. N1705-86), manufactured by Stortz Instrument Company, St. Louis, MO
    4. Touma Ossicle Holder (Catalog No. SP7-25613), manufactured by Stortz Instrument Company, St. Louis, MO
    5. Touma Deep Left-hand Cup Forceps (Catalog No. SP7-27578), manufactured by Stortz Instrument Company, St. Louis, MO
    6. Touma Crooked Tipped Suction Tube, #3 French (Catalog No. N1685-S27), manufactured by Stortz Instrument Company, St. Louis, MO
    7. Touma Crooked Tipped 20 gauge Suction Tip (Catalog No. N-1685- S28), manufactured by Stortz Instrument Company, St. Louis, MO
    8. Touma Crooked Suction Tube, 22 gauge (Catalog No. N-1685-S29), manufactured by Stortz Instrument Company, St. Louis, MO
    9. Touma T-type Grommet Tube (Catalog No. 6012, 6012T, 6012B), manufactured by Xomed , Jacksonville, FL
    10. Touma T-Tube (Catalog No. VT-0405), manufactured by MicroMedic, St. Paul, MN
    11. Tiny Touma Grommet (Catalog No. VT-1601), manufactured by MicroMedics, St. Paul, MN
    12. Touma Tiny Tube (Catalog No. 91-16320), manufactured by Xomed, Jacksonville, FL
    13. Touma T. Grommet Tube, Tapered, I.D. Activent, (Catalog No. 1066-012), Manufactured by Xomed, Jacksonville, FL
    14. Touma “All Purpose” Prosthesis, (Catalog No. 91-00508), Xomed, Jacksonville, FL

Featured Articles:

    1. Several Articles in Herald Dispatch
    2. Several articles in Charleston Newspapers
    3. Huntington Quarterly, Profile: Dr. Joseph Touma, Winter 1999
    4. AlHakeem Magazine, The Touma Near Eastern Gallery: A Beacon of Light, Volume 5, Nos. 1 & 2, Winter/ Spring 1999
    5. MD News, Dr. Joseph B. Touma, Renaissance Man, March 2000

Others:

  1. Huntington Museum of Art: “The Touma Near Eastern Gallery” housing approximately 500 items of Near Eastern Art, rugs, illuminated manuscripts, Roman antiquities, icons, and furniture; donated in 1992 by Joseph and Omayma Touma.
  2. Touma Museum of Medicine: Established by Joseph B. Touma, MD in 1996. Consists of 4000 square feet of historic medical instruments, artifacts, furniture, and books, covering all aspects of medicine, including an extensive ear trumpet collection, a historic pharmacy, dental office, ENT examining room, a 1913 doctor’s buggy, and 1926 Doctors Model T Coupe.

Dizziness

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B Joseph Touma, MD
Dizziness

Dizziness afflicts people of all ages. It is the second most common complaint following lower back pain, in people over 50. It is described as unsteadiness, spinning, whirling, light-headedness, swimming in the head, and staggering, etc.

Cause of Dizziness

Dizziness can be caused by either inner ear problems or other general conditions:

Inner Ear Dizziness

Meniere’s Disease with episodic dizziness, fullness, hearing loss in one or both ears, ear noise, nausea, etc.

Viral Infection of the inner ear nerve with severe dizziness lasting for a few days without any hearing problem.

Benign Paroxysmal Vertigo with the dizziness occurring only when the head is in a specific position.

Acute Occlusion of the feeding blood vessel to the inner ear with or without hearing loss.

Other Disorders, such as head trauma, leak of the inner ear fluids, ototoxic drugs, and other rare conditions.

 

Central General Dizziness

Circulatory Problems, such as a stroke, occlusion or spasm of some arteries in the brain.

High or low blood pressure.

Abnormal Heart Rate: slow, fast, or irregular.

Medications, such as sleeping pills, antihistamines, blood pressure medications, ototoxic drugs, or nerve pills.

General Medical Condition, such as anemia, kidney problems, liver or visual problems, etc.

Neurological Problems, such as a brain tumor, stroke, spinal cord tumors, cerebral or cerebellar atrophy.

Allergies

Examination and Testing

In order to diagnose your problem, one or more of the following tests will be performed:

Hearing Test (Audiogram)
Since the hearing and the balance components of the inner ear are closely related, testing the hearing is very valuable.

Computerized Inner Ear Test (Electronystagmogram / ENG)
The computer monitors the eye movements that are elicited by the inner ear due to direct connection between them and centers that control the eye movement. The head electrodes will be pasted around the eyes and the head will be placed in various positions. The ears will be irrigated with slightly warm and cool water.

Computerized Rotary Chair
Your eye movements will be monitored as you turn around at different speeds in a darkened room. This test is helpful when the ENG results are inconclusive, checking children, or following head trauma.

Auditory Brain Stem Evoked Response Potential Test
This studies the transmission of the sound from the inner ear to the brain. It is helpful in ruling out tumors pressing on the nerve of hearing.

Allergy Testing
Either through computerized evaluation of a blood sample or skin testing.

X-rays, CT scan or MRI can be helpful.

Other tests such as blood tests, medical evaluation and other general or specialized studies may be needed to help determine the cause of imbalance.

Treatment

After the diagnosis is established, one or more of the following methods of treatment will be used. However, treatment can be lengthy and requires your patience and cooperation.

Inner Ear Suppressants
These drugs control the abnormal emission of stimuli from the inner ear and help keep you comfortable while the inner ear has a chance to recover.

Fluid Pills (diuretics)
Diuretics are helpful in Meniere’s Disease.

Vasodilators
These help improve the circulation in the inner ear.

Diet
Low salt diet is very helpful in Meniers’s Disease. Eliminating caffeine reduces stimulation of the inner ears. Balanced diet and good eating habits control fluctuations in blood sugar levels.

Physical Therapy and special exercises can also be helpful.

Surgery
Reserved only for those cases which do not improve with other measures. There are several surgical procedures, depending on the type and nature of the disease.

Treatment for Central Dizziness is directed toward the cause, such as high blood pressure, low blood pressure, low thyroid, neurological diseases, etc.

For additional information or to make an appointment, please contact River Cities Ear, Nose & Throat Specialists, P.L.L.C. at (304) 522-8800 or (800) 955-3277.

 


B. Joseph Touma, M.D.
Touma Ear and Balance Center
1616 13th Avenue, Suite 100
Huntington, WV 25701
304.522.8800 or 800.955.3277

Meniere’s Disease

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B Joseph Touma, MD
Meniere’s Disease

Meniere’s disease is an inner ear condition characterized by dizzy spells that last for a few hours at a time associated with nausea, vomiting, fullness, pressure in one ear, and fluctuating hearing loss. Some variations of these symptoms can exist.

There are several new developments in managing this incapacitating disease such as:

Medical Management with strict low salt diet, diurectics (fluid pills), anti-nausea medications, anti-dizziness medications, steroids and others.

Surgery is indicated when medical treatment fails: There are several kinds of surgical procedures:

a. The first procedure is to drain the sac that absorbs the inner ear fluids. This is an outpatient surgery that is done under general anesthesia.

b. Destruction of the inner ear, which is usually reserved to patients with severe hearing loss.

c. Other surgery on the balance nerve.

Chemical destruction of the inner ear. This is accomplished by injecting medicine in the middle ear that causes destruction of the area responsible for the dizziness. This is an office procedure and will be repeated weekly until satisfactory results are achieved.

With today’s advances in medicine, control of Meniere’s disease can be achieved, however it takes time and patience until such a favorable result is accomplished.

For additional information or to make an appointment, please contact River Cities Ear, Nose & Throat Specialists, P.L.L.C. at (304) 522-8800 or (800) 955-3277.


B. Joseph Touma, M.D.
Touma Ear and Balance Center
1616 13th Avenue, Suite 100
Huntington, WV 25701
304.522.8800 or 800.955.3277

Laser in Ear Surgery

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B Joseph Touma, MD
Laser in Ear Surgery

The use of lasers allows the ear surgeon to perform microsurgery more accurately with less trauma. The advances in laser technology allow the beam to be extremely narrow, with versatility in duration and power.

The applications of lasers in ear surgery include the following:

1) Otosclerosis (fixation of the stirrup bone which prevents the sound from reaching the nerve of hearing):
Because of the accuracy of lasers and reduced trauma, dizziness is usually minimal, allowing an early return to work. The higher frequencies are better preserved with this technique.

2) The laser makes it possible to remove residual disease accurately and safely from the many important structures in the middle ear.

3) The laser is used to reduce the size of the benign tumors growing on the nerve of balance and makes it easier to dissect the growth and control bleeding.

For additional information or to make an appointment, please contact River Cities Ear, Nose & Throat Specialists, P.L.L.C. at (304) 522-8800 or (800) 955-3277.


B. Joseph Touma, M.D.
Touma Ear and Balance Center
1616 13th Avenue, Suite 100
Huntington, WV 25701
304.522.8800 or 800.955.3277

Advances in Diagnosis & Treatment of Ear Diseases

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B Joseph Touma, MD
Advances in Diagnosis & Treatment of Ear Diseases

Many recent advances in diagnosing and treating ear diseases enable the ear specialist to make an early diagnosis of ear ailments and institute some of the most advanced technology and techniques to correct the disease and improve the hearing. The following is a list of some of these advances:

Otoacoustic Emissions Test

Hearing loss can be detected in a matter of a few seconds, which enables the specialist to institute early intervention, such as hearing aids and medical or surgical treatment.

Auditory Brain Stem Testing

This technology enables us to detect hearing loss even in a premature infant. Early amplification can give an infant a chance to acquire language and be mainstreamed with other children.

Cochlear Implants

Patients with severe nerve deafness were neglected before electrodes could be implanted directly in the cochlea where the nerve of hearing originates.

Laser in Ear Surgery

Lasers allow the specialist to perform certain kinds of ear surgery more accurately with less trauma, resulting in better hearing and less side effects

Endoscopic Middle Ear Surgery

With small endoscopic middle ear scopes, the ear specialist can detect the condition of the windows to the inner ear, the bones in the middle ear, and disease in the middle ear without elevating the eardrum and exposing the patient to a more invasive operation.

MRI

MRI has enabled us to early detect a growth on the nerve of balance, which usually causes some ringing in one ear and progressive hearing loss in the same ear, with some imbalance.

For additional information or to make an appointment, please contact River Cities Ear, Nose & Throat Specialists, P.L.L.C. at (304) 522-8800 or (800) 955-3277.


B. Joseph Touma, M.D.
Touma Ear and Balance Center
1616 13th Avenue, Suite 100
Huntington, WV 25701
304.522.8800 or 800.955.3277

Acoustic Neuroma

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B Joseph Touma, MD
Acoustic Neuroma

Acoustic neuroma is a benign tumor that grows on the nerve of balance

Symptoms

Ringing (tinnitus) can be the only symptom when the tumor is small. However, as it gets larger, some balance problems will occur. Hearing progressively deteriorates as the tumor gets larger. Later, the patient will have numbness in the side of the face, more balance problems, and sometimes trouble swallowing.

Diagnosis

Patients with hearing loss and ringing in one ear should undergo Auditory Brainstem Testing (ABR) that monitors the conduction of the sound through the nerve of hearing, which can detect early pressure on the nerve. However, the definite diagnosis can be obtained with a MRI.

Treatment

There are several modalities in treating acoustic neuromas:

1) Observation: In older patients, patients with health problems, and in small tumors, the lesion can be observed with interval MRI’s, especially since this tumor is slow growing.

2) Surgery: There are several approaches to remove the tumor. Any technique poses some risk since the tumor is inside the skull and is surrounded with several important structures and nerves, such as the facial nerve and the cochlear nerve. The surgeon must be an experienced one and perform this kind of surgery routinely. In small tumors, an attempt should be made to preserve the hearing. In every case, the preservation of the facial nerve is important.

3) Radiation: Radiation using the gamma knife is performed in only a few centers and carries some risk of damage to the adjacent tissues from radiation.

For additional information or to make an appointment, please contact River Cities Ear, Nose & Throat Specialists, P.L.L.C. at (304) 522-8800 or (800) 955-3277.


B. Joseph Touma, M.D.
Touma Ear and Balance Center
1616 13th Avenue, Suite 100
Huntington, WV 25701
304.522.8800 or 800.955.3277

Cochlear Implants

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B Joseph Touma, MD
Cochlear Implants

The severely hearing impaired patients now can achieve a substantial improvement in their hearing thanks to the recent technological advances by the use of the Cochlear Implant.

This technology has been evolving for several years and recently it became an outstanding way to help severely hearing handicapped people.

The principle of this technology is to introduce multichannel electrodes to the cochlea (where the nerve of hearing begins) connected to a processor fastened to the bone behind the ear and covered with skin. The sound will be delivered to the processor through a receiver that is coupled to it by a magnet.

This technology allows the signal to stimulate various areas of the cochlea that coincide with various pitches. Following surgery, a team consisting of an audiologist, a speech pathologist, and the ear surgeon will conduct rehabilitation that usually lasts for a few weeks of training and counseling.

The Huntington Ear, Nose and Throat Specialist, PLLC staff and Joseph B. Touma, M.D.,F.A.C.S. (Ear and Balance Specialist) have multidisciplinary teams to perform this exciting and promising service for the Tri-State’s severely hearing impaired patients.

For additional information or to make an appointment, please contact River Cities Ear, Nose & Throat Specialists, P.L.L.C. at (304) 522-8800 or (800) 955-3277.


B. Joseph Touma, M.D.
Touma Ear and Balance Center
1616 13th Avenue, Suite 100
Huntington, WV 25701
304.522.8800 or 800.955.3277