Randal A. Otto, MD, FACS
Professor and Chairman
Thomas Walthall Folbre, M.D., Endowed Chair in Otolaryngology
Email: otto@uthscsa.edu

Clinical interests
   Head and neck oncology
   Diseases of the thyroid and parathyroid
   Paranasal sinus disease, particularly fungal sinusitis
   General otolaryngology, including otology

Research interests
   Head and neck oncology: outcomes analysis, gene therapy, and organ preservation therapy
   Facial nerve paralysis: restoration of function by functional electrical stimulation
   Standards of care

Background

Board certified in Otolaryngology - Head and Neck Surgery, 1987. Medical licenses: Active in Texas, Hawaii, Florida and South Carolina.

June 2001-present: Endowed Chair Thomas Walthall Folbre, M.D. Endowed Chair in Otolaryngology

March 2001-present: Chairman Dept of Otolaryngology-Head and Neck Surgery The University of Texas Health Science Center San Antonio, Texas

1999-March 2001: Interim Chairman, Department of Otolaryngology-Head and Neck Surgery, The University of Texas Health Science Center, San Antonio, Texas.

1998-1999: Deputy Chairman, Department of Otolaryngology-Head and Neck Surgery, The University of Texas Health Science Center, San Antonio, Texas.

1997-1998: Professor, Department of Otolaryngology-Head and Neck Surgery, The University of Texas Health Science Center, San Antonio, Texas.

1991-present: Clinic Supervisor, Department of Otolaryngology-Head and Neck Surgery, The University Clinic, San Antonio, Texas.

1992-1997: Associate Professor, Department of Otolaryngology-Head and Neck Surgery, The University of Texas Health Science Center, San Antonio, Texas.

1995-June 2001 (and 1989-1991): Chief, Otolaryngology Section, South Texas Veterans Health Care System, San Antonio, Texas.

1989-1992: Assistant Professor, Department of Otolaryngology-Head and Neck Surgery, The University of Texas Health Science Center, San Antonio, Texas.

1989-1990: Acting Chairman, Department of Otolaryngology-Head and Neck Surgery, The University of Texas Health Science Center, San Antonio, Texas.

1988-1989: Chief, Otolaryngology Service, Gainesville Veterans' Administration Hospital, Gainesville, Florida.

1987-1989: Assistant Professor, Department of Otolaryngology, University of Florida, Gainesville, Florida.

Education

Residency: Otolaryngology-Head and Neck Surgery, University of Missouri School of Medicine, Columbia, Missouri, 1982-1987.

Internship: Pathology, University of Hawaii, Honolulu, Hawaii, 1981-1982.

M.D., University of Missouri School of Medicine, Columbia, Missouri, 1977-1981.

B.S., Cum Laude, Chemistry, Southeast Missouri State University, Cape Girardeau, Missouri, 1973-1977.

Recent Books and/or Chapters:

Otto RA, Co-Editor-in-Chief. Yearbook of Otolaryngology-Head & Neck Surgery 2003. St. Louis: Mosby-Year Book, Inc. 2003.

Otto RA, Miller FR, C0-Editor. Thyroid Gland Physiology and Thyroid Function Testing. Otolaryngologic Clinics of North America, Published in 2003.

Otto RA, Co-Editor-in-Chief. Yearbook of Otolaryngology-Head & Neck Surgery 2002. St. Louis: Mosby-Year Book, Inc., Published in 2002.

Otto RA, Co-Editor-in-Chief. Yearbook of Otolaryngology-Head & Neck Surgery 2002. St. Louis: Mosby-Year Book, Inc. 2002.

Otto RA, Co-Editor-in-Chief. Yearbook of Otolaryngology-Head & Neck Surgery 2001. St. Louis: Mosby-Year Book, Inc., Published in 2001.

Otto RA, Dobie RA, Lawrence V, Sakai CS. The Impact of a Laryngectomy Upon Quality of Life: Perspective of the Patient vs. Health Care Provider. Home Study Course, Section 7, 2000/2001.

Otto RA, Co-Editor-in-Chief. Yearbook of Otolaryngology-Head & Neck Surgery. St. Louis: Mosby-Year Book, Inc., In production, due to be published Sept 2000.

Otto RA, Hom D, Co-editor. Trauma and Critical Care Home Study Course. Alexandria VA: American Academy of Otolaryngology-Head & Neck Surgery. Published in 2000.

Otto RA, Associate Editor. Yearbook of Otolaryngology-Head & Neck Surgery. St. Louis: Mosby-Year Book, Inc., 1999.

Otto RA, Nuss D, Co-editor. Trauma and Critical Care Home Study Course. Alexandria VA: American Academy of Otolaryngology-Head & Neck Surgery. 1997.

Recent papers published or in press (star (*) indicates refereed papers):

Bao A, Zhao X, Phillips W, Otto R, Goins B, Hevezi J. Theoretical Study of the Influence of a Heterogeneous activity distribution on Intratumoral Absorbed dose distribution. Medical Physics, 2005;32(1):200-208

Fewins JL, Otto PM, Otto RA. CT Generated Templates - A New Approach to Frontal Sinus Osteoplastic Flap Surgery. American Journal of Rhinology, 2004;18(5):285-290.

*Green R, Dewitt A, Otto RA. Management of T3N0 and T4N0 glottic carcinomas: results of a national survey. Otolaryn Head Neck Surg, 2003;128(2):191-195.

Amin KS, McGuff HS, Cashman SW, and Otto RA. Epithelioid hemangioendothelioma of the parotid gland with atypical features. Otolaryngol Head Neck Surg 2003;129(5):596-598.

Rinnaggio J, McGuff HS, Otto RA, Hickson C. Postauricular sebaceous carcinoma arising in association with nevus sebaceus. Head Neck, 2002;24(2):212-216.

*Otto R, Cochran CS. Sensitivity and Specificity of Intra-Operative Recurrent Laryngeal Nerve Stimulation in Determining Post-Operative Nerve Palsy. Ann Otol Rhinol Laryngol, 2000;111(11):1005-1007.

*Ganley I, VonHoff DD, Eckhardt G, Rodriguez GI, Otto RA and Gulley ML. First evidence of biological activity of ONYX-015, an E1B attenuated adenovirus, in patients with recurrent P53(-) head and neck cancer. Clinical Cancer Res, 2000;6(3):798-806.

McGuff HS, Otto R and Aufdemorte TB. Clinical Warning Signs and Symptoms of Head and Neck Cancer. Texas Dental Journal, 2000;117(6):14-19.

*Gluth M, Masca S, Nelson J and Otto RA. Postoperative Management of Pediatric Tracheostomies: Results of a Nationwide Survey. Otolaryngology-Head & Neck Surgery. Otolaryngol Head Neck Surg, 2000;122(5):701-5.

*KL Wirfel, ML Richards and Otto RA. Papillary Cancer of the Thyroid in Low Risk Patients - The University of Texas Health Science Center at San Antonio's Prospective. Arch Otolaryngol Head Neck Surg. In press June 1999. (Manuscript on this topic requested by Journal editor to senior author.).

*Anstead GM, Sutton DA, Thompson EH, Weitzman I, Otto RA and Ahuja S. Disseminated Zygomycosis Due to Rhizopus schipperae after Heatstroke. J Clin Microbiol, 1999;37(8):2656-2662.

*Tamez OA, McGuff HS, Prihoda TJ and Otto RA. Securing meshed split-thickness skin grafts with Nexaband. Otolaryngol Head Neck Surg, 1999;121(5):562-566.

*Krempl GA, McGuff HS, Pulitzer DR, Otto RA. Lipoblastoma in the Parotid Gland of an Infant. Otolaryngol Head Neck Surg, 1997;117(6):S234-237.

Note: Authorship of manuscripts submitted from 1985 through 1995 was listed in order of contribution, starting in August 1995, Senior and/or Second authorship is listed as last author.

*Thomas S, McGuff HS, Otto RA. Case Report: Leiomyosarcoma of the Larynx. Ann Otol Rhinol Laryngol, 1999;108:794-796.

*Krempl GA and Otto RA. Fracture at Fenestration of Synthetic Tracheostomy Tube Presenting as Airway Foreign Body. South Med J, 1999;92(5):526-528.

Otto PM, Otto RA. Metastatic cervical lymph nodes with occult primary carcinomas. Current Opinion in Otolaryngol Head Neck Surg, 1998;6:102-105.

*Smith-Hammond C, Davenport PW, Otto RA. Candidate's Thesis Paper. Motor Innervation of the Cricopharyngeus Muscle by the Recurrent Laryngeal Nerve. J Appl Physiol, 1997;83(1):89-94.

*Krempl GA, McGuff HS, Pulitzer DR, Otto RA. Lipoblastoma in the Parotid Gland of an Infant. Otolaryngol Head Neck Surg, 1997;117(6):S234-237.

*Otto RA. Candidate's Thesis paper, Restoration of Function in the Paralyzed Rabbit Orbicularis Oculi Muscle by Direct Functional Electrical Stimulation. Laryngoscope, 1997;107:101-111.

*Otto RA, Dobie RA, Lawrence V, Sakai CS. The Impact of a Laryngectomy Upon Quality of Life: Perspective of the Patient vs. Health Care Provider. Ann Otol Rhinol Laryngol, 1997;106:693-699.

*Noorily AD, Otto RA and Noorily SH. The intranasal anesthetic effects of lidocaine and tetracaine compared. Otolaryngol Head Neck Surg, 1995;113(4):370-4.

*Noorily SH, Noorily AD and Otto RA. Cocaine, Lidocaine, Tetracaine: Which is best for topical nasal anesthesia? Anesth Analg. 1995;81:724-7.

*Streitman MJ, Otto RA and Sakai CS. Anatomical considerations in complications of endoscopic and intranasal sinus surgery. Ann Otol Rhinol Laryngol 1994;103(2): 105-109.

*Hutchison AA, Wozniak JA, Choi H-G, Otto RA, Abrams RM and Kosch PC. Respiratory muscle activities after birth in asphyxiated preterm lambs. Acta Paediatr 1994;83:241-8.

*Otto RA and Noorily AD. Cephalosporin antibiotics. Ear Nose Throat J, 1994;73(12):900-913.

*Hutchison AA, Wozniak JA, Choi H, Conlon M, Otto RA, Abrams RM and Kosch PC. Laryngeal and diaphragmatic muscle activities and airflow patterns after birth in premature lambs. J Appl Physiol, 1993;75(1):121-131.

Marenda SA and Otto RA. Adnexal carcinomas of the skin. Otolaryngol Clin North Am 1993;26(1):87-116.

*Gerhardt KJ, Otto RA, Abrams RM, Colle JJ and Burchfield DJ. Cochlear microphonics recorded from fetal and newborn sheep. Am J Otolaryngol 1992;13(4):226-233.

*Otto PM, Otto RA, Virapongse C, Friedman SM, Emerson S, Li KC, Malot R, Kaude JV and Staab EV. Screening test for detection of metallic foreign objects in the orbit before magnetic resonance imaging. Invest Radiol 1992;27(4):308-311

*Pingree TF, Holt GR, Otto RA and Rinaldi MG. Bipolaris-caused fungal sinusitis. Otolaryngol Head Neck Surg 1992;106(3):302-305.

*Reichman OS and Otto RA. Effect of intranasal cocaine on the urine drug screen for benzoylecgonine. Otolaryngol Head Neck Surg 1992;106(3):223-225.

*El-Zayat AE, Pingree TF, Mock PM, Clark GM, Otto RA and Von Hoff DD. Epidermal growth factor receptor amplification in head and neck cancer. Cancer 1991;4(6):375-381.

Otto RA and Bowes AK. Neck masses: Benign or malignant? Sorting out the causes by age-group. Postgrad Med 1990;88(1):199-204.

*Otto RA, Templer JW, Renner G and Hurt M. Secondary and metastatic tumors of the orbit. Otolaryngol Head Neck Surg 1987;97(3):328-334.

*Gaughan RN, Otto RA, Renner GJ, Templer JW and Davis WE. The effect of sterile inflammation on skin flap survival. Otolaryngol Head Neck Surg 1986;95(1):90-93.

*Otto RA and Davis W. Functional electrical stimulation for the treatment of bilateral recurrent laryngeal nerve paralysis. Otolaryngol Head Neck Surg 1986;95(1):47-51.

*Otto RA, Gaughan RN, Templer JW and Davis WE. Electrical restoration of the blink reflex in experimentally induced facial paralysis. Ear Nose Throat J 1986;65(9):30-32, 37.

*Otto RA, Templer J, Davis W, Homeyer D and Stroble M. Coordinated electrical pacing of vocal cord abductors in recurrent laryngeal nerve paralysis. Otolaryngol Head Neck Surg 1985;93(5):634-638.

*Otto RA, Davis W, Betten JR, Downen P and Otto PM. Electrophysiologic pacing of vocal cord abductors in bilateral recurrent laryngeal nerve paralysis. Am J Surg 1985;150(4):447-451.

*Otto RA and Davis W. Tracheostomy tube fracture: An unusual etiology of upper respiratory airway obstruction. Laryngoscope 1985;95(8):980-981.

Honors and Awards:

2005 - Academic Keys Who's Who in Medical Sciences Educations
2004-2005 - Selected to Madison Who's Who
2004 - Pioneer of Healthcare Reform, The National Republican Congressional Committee, Physician's Advisory Board
2004 - Texas Businessman of the Year, Business Advisory Council, National Republican Congressional Committee, Washington, D.C.
2004 - Who's Who in Health Care & Fitness, San Antonio, Tx
2003-2004 - Best Doctors in America
2004 - UHS "Shining Star" recognition for excellence in customer service
2004 - Selected to International Who's Who of Professionals
2003 - TMA Lloyd Storrs Research Award
2003 - 2003 Physician of the Year, The National Republican Congressional Committee's Physicians' Advisory Board
2003, 2004 - Selected to Marquis Who's Who in Medicine and Healthcare, 4th, 5th Edition
2003 - National Leadership Award, The National Republican Congressional Committee
2001-2007 - Physician's Recognition Award, American Medical Association
2001-2003 - America's Top Doctors, Castle Connolly Medical Ltd. 1st, 2nd, 3rd, 4th edition.
2001-2004 - Physicians' Recognition Award, American Medical Association
2000-present - Selected to National Register Who's Who
2001-2002 - Selected to Marquis Who's Who in America, 55th Edition
2000-2001 - Selected to Marquis Who's Who in America, 54th Edition
2000-2001 - Outstanding Teaching Award, University of Texas Health Science Center
2000-2001 - Selected to Strathmore's Who's Who
1999-2000 - Selected to Nationwide Register's Who's Who in Executives and Businesses.
1999-2000 - Selected to the "The Best Doctors in America", Woodward/White, Inc.

National Committee

2000-present - Member, Fellowship and Scholarship Committee, American Head and Neck Society
2000-2005 - Chairman, Otorhinolaryngology Advisory Panel, United States Pharmacopeial
Convention, Inc. (USP) 2000-2005 - Council of Experts, United States Pharmacopeial, Inc. (USP)
1997 - present - Member, Southwest Oncology Group Head and Neck Subcommittee, Supraglottic Laryngectomy Protocol, San Antonio, Texas
1997 - present - Member, Rehabilitation Committee, American Society for Head and Neck Surgery
1997 - Member, American Society for Head and Neck Surgery Program Committee
1996-1997 - The Best Doctors in America: Central Region
1996 - American Academy of Otolaryngology-Head and Neck Surgery Honor Award
1995-present - Member, Southwest Oncology Group Head and Neck Subcommittee, San Antonio, Texas
1995-2000; 1990-1995 - Member, Advisory Panel on Otorhinolaryngology, United States Pharmacopeial Convention, Inc. (USP)
1995-1997 - The Continuing Medical Education Achievement Award, American Academy of Otolaryngology-Head and Neck Surgery Foundation, Inc.

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