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Jeffrey
E. Terrell, M.D.
Director, Michigan Sinus Center
Assistant Professor
Division of Head and Neck Surgery
Department
of Otolaryngology
Clinical and Research Interests
We
have started an interesting outcomes study on chronic sinusitis.
Chronic sinusitis effects 31 million people in the United States
and accounts for more than 16 million outpatient visits per
year and, as yet, an unknown amount of health care dollars.
Traditional sinus surgery was exenterative in nature, performed
often through external incisions, and associated with significant
pain and morbidity. In contrast, the more recent endoscopic
approaches to sinus disease are less invasive, less painful,
and have less morbidity.
With the current changes in the health care environment and
limitations on health care expenditures, information about functional
status, well being, and general health outcomes will be essential.
Policy analysts will need accurate outcomes data to compare
costs and benefits of different health care delivery systems.
Health care organizations will use outcome data to decide the
best value for the health care dollar. Clinicians, clinical
researchers, and purchasing groups will need outcomes data to
evaluate clinical effectiveness of interventions for disease
states.
We have developed an outcomes study for patients with chronic
sinusitis that assists as both general health measures and disease
specific health measures. We will follow patients with chronic
sinusitis who were treated with medical therapy or surgical
therapy to access patient outcomes of therapy over the short
term and long term.
Education
| Undergraduate: |
B.S.,
Biology, University of Chicago |
| Medical
School: |
M.D.,
Harvard University School of Medicine |
| Internship: |
General
Surgery, St. Elizabeth's Hospital of Boston |
| Residency: |
Otolaryngology--Head
and Neck Surgery, Harvard University, Massachusetts Eye
and Ear Infirmary |
Board Certified, American Board of Otolaryngology
Member, American Academy of Otolaryngology
Member, American Rhinologic Society
Member, Michigan Oto-Laryngological Society
Recent
Publications
- Orlandi
RR, Rubin A, Terrell JE, Anzi Y, Bugdaj M, Lanza DC. “
Sinus inflammation associated with contralateral inverted
papilloma. American Journal of Rhinology 16(2) 91-95, 2002.
- Orlandi
RR, Terrell JE. “Analysis of the adult chronic rhinosinusitis
working definition”. American Journal of Rhinology, 16(1):7-10,
2002.
- Fergusson,
BJ, Barnes L, Berstein J, Terrell JE, et al. “Geographic
variation in allergic fungal rhinosinusitis,” Otolaryngologic
Clinics of North America, Vol 33, No. 2, April 2000, P 441-449.
- Li KK,
Teknos TN, Lai A, Lauretano A, Terrell J, Joseph MP, Extracranial
optic nerve decompression: a 10-year review of 92 patients
(Review) (34 refs), Journal of Craniofacial Surgery, 10(5):454-9,
Sept 1999
- Terrell
JE, Bready LL, Mullins RM, Noorily SH, Smith RB: "Endoscopic
Sinus Surgery." Decision Making in Anesthesiology, Third
Edition. Mosby, St. Louis, 1999
- Terrell
JE: "Endoscopic Sinus Surgery." Otolaryngology -
Head and Neck Surgery, 3rd Edition. Cummings (eds), Mosby,
St. Louis, 1998.
- Terrell
JE, Grum CM: "Nasal Polyposis." Current Diagnosis
& Treatment: A Quick Reference for the General Practitioner,
Second Edition. Woolliscroft JO, (eds), Mosby, St. Louis,
1998.
- Terrell
JE, Grum CM: "Sinusitis." Current Diagnosis &
Treatment: A Quick Reference for the General Practitioner,
Second Edition. Woolliscroft JO, (eds), Mosby, St. Louis,
1998
- Metson
R, Gliklich RE, Stankiewicz JA, Kennedy DW, Duncavage JA,
Hoffman SR, Ohnishi T, Terrell JE, “Comparison of sinus
computed tomography staging systems” Otolaryngology-Head
and Neck Surgery, Vol. 117, No. 4, October 1997, P. 372-379.
- Terrell
JE, “Endoscopic approaches to CSF leaks and encephaloceles,”
Current Opinion in Otolaryngology & Head and Neck Surgery,
Vol. 5, No. 1, 1997, P. 25-31.
- Griffith
AJ, Terrell JE, “Transsphenoid endoscopic management
of petrous apex cholesterol granuloma” Otolaryngology-Head
and Neck Surgery, Vol. 114, No. 1, January 1996, P. 91-94.
University
of Michigan Medical Center
1500 East Medical Center Drive
Department of Otolaryngology
1904 Taubman Center, Box 0312
Ann Arbor, MI 48109-0312
Phone: 734-936-7633
Fax: 734-936-9625
e-mail: terrelj@umich.edu
Melissa
A. Pynnonen, M.D.
Clinical
and Research Interests
Dr. Pynnonen
is board certified in otolaryngology and specializes in the medical
and surgical management of diseases of the nose and sinuses. In
addition to rhinology and sinusitis, her clinical interests include:
salivary gland disorders and tumors, voice disorders, otology
and thyroid neoplasms. Her research interests pertain to understanding
the causes of chronic sinusitis and nasal polyps.
Education
| Undergraduate: |
B.S.,
Western Michigan University |
| Medical
School: |
M.D.,
University of Michigan Medical School |
| Internship: |
General
Surgery, University of Michigan Medical Center |
| Residency: |
Otolaryngology,
University of Michigan Medical Center |
Member, American Academy of Otolaryngology/Head and Neck Surgery
Member, Michigan Otolaryngological Society
Member, American Rhinologic Society
University
of Michigan Medical Center
Department of Otolaryngology - Head and Neck Surgery
1904 Taubman Center
1500 East Medical Center Drive
Ann Arbor, MI 48109-0312
phone: 734.936.3172
fax: 734.936.9625
email: pynnonen@umich.edu
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