Update in Head
and Neck Cancer: 2014

April 11–13, 2014
Meltzer Auditorium
Massachusetts Eye and Ear Infirmary
Boston, MA

Update in Head and Neck Cancer: 2014 will provide practitioners who care for patients with malignant diseases of the head and neck region with a comprehensive overview of the current standard of care practices for management of disorders of this region as well as an introduction and review of evolving and innovative treatment approaches. Management recommendations are rapidly evolving in this era of increasing HPV-related disease and will receive particular attention, including a discussion of de-escalation. Distinguished faculty from within the Harvard Medical School system as well as from prominent programs nationally will present a series of didactic lectures and participate in open panels which cover the management of malignancies in critical subsites within the head and neck such as the oral cavity, oropharynx, larynx, salivary gland, and others. They will also discuss cutaneous cancers, endocrine malignancies and skull-based cancers. Pertinent reconstructive and rehabilitative issues will similarly be addressed during specific sessions. The opening session will focus on the critical aspects of multidisciplinary management of head and neck cancer as it is currently evolving with presentations by national leaders from the specialties of otolaryngology – head and neck surgery, medical oncology and radiation oncology. This session will be highlighted by the Daniel Miller, MD Distinguished Lectureship in Head and Neck Cancer and the William Wayne Montgomery, MD Lectureship in Surgical Innovation.

Open interaction between faculty and participants will be encouraged throughout the course with particular emphasis during the scheduled panel discussions on challenges in multidisciplinary management, case controversies in oral cavity/oropharynx cancer, and challenges of the sinonasal tract.


Upon completion of this course, participants will be able to:

  • Describe the critical aspects of multidisciplinary evaluation, treatment and follow-up in the management of patients with head and neck malignancies with specific emphasis on the advances on organ preservation protocols and the evolving role of the head and neck surgeon in this era.
  • Implement current standard of care diagnostic and treatment protocols for common head and neck cancer subsites of oral cavity, oropharynx, larynx, salivary gland and cutaneous malignancies.
  • Appreciate the critical importance of associated specialties, such as radiology, pathology, endocrinology, dermatology and speech and swallow rehabilitative services, in delivering the best care to patients with head and neck cancer.
  • Synthesize innovations in basic science research, head and neck reconstruction and minimally invasive approaches to sinonasal malignant disease.


Otolaryngologists-Head and Neck Surgeons (Clinical, Teaching, Research, Trainees), Medical Oncologists (Clinical, Teaching, Research, Trainees), Radiation Oncology (Clinical, Teaching, Research, Trainees), Speech and Language Pathologists, Physicians Assistances and Nurse Practitioners with interest. Residents and fellows in the above specialties will be encouraged to attend. We encourage involvement of affiliated, local, regional, national and international learners.


The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Harvard Medical School designates this live activity for a maximum of 19 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The Royal College of Physicians and Surgeons of Canada recognizes conferences and workshops held outside of Canada that are developed by a university, academy, hospital, specialty society or college as accredited group learning activities.

AMA PRA Category 1 Credits™ claimed by physicians attending live events certified and organized in the United States for AMA PRA Category 1 Credits™ can be claimed through the agreement on mutual recognition of credits between UEMS and AMA, considered as being equal to the European Continuous Medical Education Credits (ECMEC©) granted by the UEMS. One AMA PRA Category 1 Credit™ is equivalent to one (1) hour of European EACCME Credit (ECMEC©), therefore up to 19 ECMEC© Credits are available. Each medical specialist should claim only those hours of credit that he/she actually spent in the educational activity.


FRIDAY, APRIL 11, 2014
7:00-7:45 Registration
7:45-7:50 Welcome from Chair
Chair, Dept. of Otology & Laryngology
7:50-8:00 Introduction
Daniel G. Deschler MD, Paul M. Busse MD, PhD, John R. Clark MD
Multidisciplinary Treatment of Head and Neck Cancer
Moderator: Paul M. Busse, MD, PhD
8:00-8:20 Role of the Multidisciplinary Clinic
Lori Wirth, MD
8:20-9:00 Evidence-based Decision Making in Head and Neck Cancer Treatment
Arlene Forastiere, MD
9:00-9:40 Daniel Miller Lectureship: Quality Metrics in Head and Neck Cancer
Randal Weber MD
9:40-10:00 BREAK
10:00-10:40 Radiation Oncology: RTOG and Beyond
David Brizel, MD
10:40-11:00 Multi-Modality Treatment for Advanced Laryngeal/Hypopharyngeal Cancer
William Lydiatt, MD
11:00-12:00 Challenges in Advanced Laryngeal and Hypopharyngeal Cancer Management Moderator: Daniel G. Deschler, MD,
Panel: Drs. Forastiere, Lydiatt, Wirth, Weber, Rocco, Busse, Brizol
12:00-1:00 LUNCH
Management of Oral Cavity Cancer & Oropharyngeal Cancer
Moderator: Daniel G. Deschler, MD
1:00-1:30 Management of Oral Cavity Cancer
Jatin Shah, MD
1:30-1:50 Chemoradiation for Oropharyngeal Cancer
John Clark, MD
1:50-2:15 Surgical Management of Oropharyngeal Cancer: Micro-Laser Resection
Richard Hayden, MD
2:15-2:40 Surgical Management of Oropharyngeal Cancer: Robot-assisted Resection
Bert O'Malley, Jr, MD
2:40-3:00 BREAK
Oropharynx Cancer and HPV
Moderator: James W. Rocco, MD, PhD
3:00-3:15 The Unknown Primary
Jeremy Richmon, MD
3:15-3:35 The HPV Epidemic or Oropharyngeal Staging – in need of repair
Erich Sturgis, MD
3:35-4:15 Treatment De-escalation Strategies
Robert Ferris, MD
4:15-4:35 What Every Patient Wants to Know about HPV
John Clark, MD
4:35-5:45 Panel: Case Controversies?
Moderator: James W. Rocco, MD, PhD
Panel: Drs. O'Malley, Hayden, Deschler, Ferris, Shah, Richmon,
Busse, Clark, Sturgis
5:45-7:00 Wine and Cheese Reception with Faculty
7:55-8:00 Introduction
Daniel Deschler, MD
Thyroid Cancer
Moderator: Derrick T. Lin, MD
8:00-8:30 Management of the Thyroid Nodule
Gregory Randolph, MD
8:30-9:00 Surgery of the Thyroid
Ashok Shaha, MD
9:00-9:20 The Role of Systemic Treatment in Advanced Thyroid Cancer
Lori Wirth, MD
9:20-9:50 Panel: Thyroid Cancer: Management Challenges
Moderator: Derrick T. Lin, MD
Panel: Drs. Randolph, Shaha, Wirth
9:50-10:10 Questions
10:10-10:30 BREAK
Salivary Gland Malignancy
Moderator: Daniel G. Deschler, MD
10:30-10:55 Management of Salivary Gland Malignancy
David Eisele, MD
10:55-11:15 Imaging of the Salivary Glands
Hugh Curtin, MD
11:15-11:40 Parapharyngeal Space Masses
James Netterville, MD
11:40-12:20 Milestones in Radiation Oncology
Paul Busse, MD, PhD
12:20-1:30 LUNCH
Cutaneous Malignancies and Reconstruction
Moderator: Kevin S. Emerick, MD
1:30-1:55 Sentinel Lymph Node Biopsy for Head and Neck Malignancies
Kevin Emerick, MD
1:55-2:30 The Evolution of the Neck Dissection
Jesus Medina, MD
2:30-3:00 Reconstruction of the Mohs Defect
Jennifer Kim, MD
3:00-3:30 Head and Neck Reconstruction: What is New?
Daniel Deschler, MD
3:30-4:00 William Wayne Montgomery Innovation Lecture: Facial Transplantation
Donald Annino, MD
SUNDAY, APRIL 13, 2014
Moderator: Daniel G. Deschler, MD
8:00-8:20 Uses of Hyperbaric Oxygen in Head and Neck Surgery
Daniel Deschler, MD
8:20-8:40 Speech Rehabilitation in the 21st Century
Glenn Bunting, MS, CCC-SLP
8:40-9:00 Rehabilitation of the Chemoradiation Patient
Tessa Goldsmith, MA, CCC-SLP
Malignancy of the Skull Base
Moderator: Derrick T. Lin, MD
9:00-9:20 Role of the Cranial Base Center
Stacey Gray, MD, William Curry, MD
9:20-9:40 Management of Nasopharyngeal Carcinoma
Annie Chan, MD
9:40-10:00 BREAK
10:00-10:20 Overview of Sinonasal Malignancy
D. Gregory Farwell, MD
10:20-10:45 Open Approaches to Sinonasal Malignancies
Dennis Kraus, MD
10:45-11:10 Endoscopic Surgery for Sinonasal Malignancies
Carl Snyderman, MD
11:10-11:35 Reconstruction of Sinonasal Defects Derrick Lin, MD
11:35-12:30 Panel: Challenging Cases within the Sinonasal Complex
Moderator: Derrick T. Lin, MD
Panel: Drs. Farwell, Netterville, Chan, Curry, Wirth, Kraus
12:30 Closing Remarks

*Program changes/substitutions may be made without notice.


Class Number #3424131

Tuition Fees:
Physicians: $575 (USD)
Residents and Fellows in Training: $325 (USD)
Allied Health Professionals: $325 (USD)


For specific tuition fees, see the registration form. Registration by credit card (VISA, MasterCard or American Express) can be made here. Registration by check (draft on a United States bank), please make payable to Harvard Medical School and mail with registration form to Harvard Medical School, P.O. Box 417476, Boston, MA 02241-7476. Telephone or fax registration is not accepted. Registration with cash payment is not permitted. Upon receipt of your paid registration an email confirmation from the HMS-DCE office will be sent to you. Be sure to include an email address that you check frequently. Your email address is used for critical information including registration confirmation, evaluation and certificate.


Inquiries should be directed to the above address, made by phone: (617) 384‑8600,
Monday ‑ Friday, 9 AM to 5 PM (EST), or by email: hms‑cme@hms.harvard.edu


This course is designed to meet one or more of the following Accreditation Council of Graduate Medical Education competencies:

  • Patient Care
  • Medical knowledge
  • Practice-Based Learning and Improvement


Harvard Medical School (HMS) adheres to all ACCME Essential Areas, Standards, and Policies. It is HMS's policy that those who have influenced the content of a CME activity (e.g. planners, faculty, authors, reviewers and others) disclose all relevant financial relationships with commercial entities so that HMS may identify and resolve any conflicts of interest prior to the activity. These disclosures will be provided in the activity materials along with disclosure of any commercial support received for the activity. Additionally, faculty members have been instructed to disclose any limitations of data and unlabeled or investigational uses of products during their presentations.


A handling fee of $60 is deducted for cancellation. Refund requests must be received by postal mail, email or fax one week prior to this activity. No refunds will be made thereafter.


All sessions for this course will be held at the Meltzer Auditorium, Massachusetts Eye and Ear Infimary, 243 Charles Street, Boston, MA 02114..


limited number of rooms have been reserved at Wyndham Boston Beacon Hill (Telephone: 617-742-7630) until April 6, 2014 and the Courtyard By Marriott Cambridge-Boston, 777 Memorial Drive, Cambridge, MA 02139 (Telephone: 617-492-7777, 866-323-4159 or 800-321-2211) until April 6, 2014. Please specify that you are enrolled in this activity to receive a reduced room rate of $199 per night Single/Double at Wyndham Boston Beacon Hill and $179 per night Single/Double at the Courtyard by Marriott. Please do not purchase non-refundable airline ticket(s) until you have received an email from our office confirming your paid registration. For airfare reservations, contact the HMS Travel Desk toll free at 1-877-4-HARVMD (1-877-442-7863) Monday - Friday, 9 am to 8 pm (ET). From outside the U.S., Canada, and Virgin Islands, please call 1-617-559-3764.

Course #3424131

Offered by

Eye and Ear Infirmary
Department of Otolaryngology

Department of Radiation
and Medical Oncology

Course Directors
Daniel G. Deschler, MD
Paul M. Busse, MD, PhD
John R. Clark, MD

No time to register now? Add your name to the mailing list to receive future notices about this course!


Harvard Medical School

Donald J. Annino, MD

Glenn W. Bunting, MS, CCC-SLP

Annie Chan, MD

William T. Curry, MD

Hugh D. Curtin, MD

Kevin S. Emerick, MD

Tessa Goldsmith, MA, CCC-SLP

Stacey T. Gray, MD

Derrick T. Lin, MD

Gregory W. Randolph, MD

James W. Rocco, MD, PhD

Lori J. Wirth, MD


Guest Faculty

David M. Brizel, MD

David W. Eisele, MD

D. Gregory Farwell, MD

Robert L. Ferris, MD, PhD

Arlene A. Forastiere, MD

Richard E. Hayden, MD

Jennifer C. Kim, MD

Dennis H. Kraus, MD

William M. Lydiatt, MD

Jesus E Medina, MD

James L. Netterville, MD

Bert W. O'Malley, Jr., MD

Jeremy D. Richmon, MD

Jatin P. Shah, MD

Ashok Shaha, MD

Carl Snyderman, MD

Erich M. Sturgis, MD

Randal S. Weber, MD


  Copyright © 2014, Harvard Medical School, Department of Continuing Education
    Last update 1.29.2014