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Mark Evan Gerber, M.D.

Mark Evan Gerber, M.D.

Mark Evan Gerber, M.D.

Pediatric Otolaryngology, Head & Neck Surgery
  • Locations
    Locations
    A

    NorthShore Medical Group

    71 Waukegan Rd.
    Suite 700
    Lake Bluff, IL 60044
    847.504.3300 847.503.3305 fax Get Directions This location is wheelchair accessible.
    B

    NorthShore Medical Group

    9669 Kenton Ave.
    Suite 206
    Skokie, IL 60076
    847.504.3300 847.504.3305 fax Get Directions This location is wheelchair accessible.
  • Publications
    Publications
    • Adenoidectomy With Balloon Catheter Sinuplasty: A Randomized Trial for Pediatric Rhinosinusitis.

      The Laryngoscope 2018 Sep 08

      Authors: Gerber ME
      Abstract
      To compare treatment outcomes in pediatric patients with chronic rhinosinusitis (CRS) using adenoidectomy and maxillary sinus irrigation with or without balloon catheter sinuplasty (BCS).
      Prospective, randomized, and blinded. Patients between 2 and 12 years who met clinical and computed tomography criteria for CRS unresponsive to maximal medical therapy and no prior sinus- or adenoid-related procedures were eligible. Twenty-five patients were randomized, had surgery, and completed the follow-up. The control group underwent adenoidectomy with maxillary sinus irrigation alone; the treatment group underwent the same, with the addition of maxillary BCS for the maxillary sinus irrigation. Patients and parents were blinded to group assignment throughout the follow-up time frame. A validated questionnaire, the Sinus and Nasal Quality of Life Survey (SN-5), was used to measure health status changes and quality of life (QOL) at baseline, 6 months, and 12 months postintervention. Data was analyzed using t tests and multivariate linear regression.
      There were 12 patients in the BCS group and 13 in the control group. Other than a higher atopic history in the control group (P = 0.047), there were no significant differences (P = 0.07) in the two groups (demographics and baseline SN-5 scores). Following surgery, both groups demonstrated similar improvement in QOL scores and median SN-5 scores in all domains (number of sinus infections, nasal obstruction, allergy symptoms, emotional distress, and activity limitations).
      The addition of BCS to adenoidectomy/maxillary sinus irrigation did not provide additional QOL and sinonasal symptom improvement in the surgical treatment of pediatric CRS.
      1b. Laryngoscope, 2017.
      PMID: 30195275 [PubMed - as supplied by publisher]
    • Ideal Characteristics of a Laser-Protected Endotracheal Tube: ABEA and AHNS Member Survey and Biomechanical Testing.

      The Annals of otology, rhinology, and laryngology 2018 Apr

      Authors: Friedman AD
      Abstract
      To determine the characteristics of laser-protected endotracheal tubes (LPETs) valued by otolaryngologists performing transoral laser surgery in the head and neck and to measure LPET stiffness.
      An online questionnaire was completed by American Broncho-Esophagological Association (ABEA) and American Head and Neck Society (AHNS) members. LPET distal end compliance was measured in a biomechanics laboratory.
      A total of 228 out of 2109 combined ABEA and AHNS members completed the survey. The following LPET characteristics, which were properties of the Medtronic Laser-Shield II tube (MLST), were highly valued: softness and flexibility, surface smoothness, and a tight-to-shaft balloon (all P < .01). Prior to industry-driven discontinuation of the MLST, 52% of surgeons (78% of fellowship-trained laryngologists [FTLs]) reported using it; afterward, 58% reported using the stainless steel, Mallinckrodt Laser-Flex tube (MLFT). Forty-six percent of all respondents (69% of FTLs) did not consider cost being a factor in LPET choice. Biomechanical testing revealed the distal end of the MLST to be 3.45 times more compliant than the MLFT ( P < .01).
      Members of the ABEA and AHNS, particularly FTLs, highly value distinguishing properties of the now discontinued MLST. Manufacturers should consider this in the design of new LPETs.
      PMID: 29426244 [PubMed - as supplied by publisher]
    • Pediatric Otolaryngology.

      Pediatric annals 2016 May 01

      Authors: Garg R, Rusciolelli C, Gerber ME
      Abstract
      An adolescent female with a past medical history significant for Crohn's disease presented with fevers, tonsillitis without exudate, and tender posterior cervical lymphadenopathy. Laboratory results showed transaminitis, leukocytosis with a left shift, and atypical lymphocytes on a blood smear. The patient did not respond to supportive care or dexamethasone, necessitating a tonsillectomy and adenoidectomy. Although her presentation was consistent with infectious mononucleosis, diagnosis was not confirmed until Epstein-Barr virus (EBV) polymerase chain reaction (PCR) from tonsillar tissue was positive. False-negative results on the heterophile antibody test are common in pediatric populations and the detection of EBV antibodies is further complicated in immunocompromised patients. Studies indicate PCR is a more sensitive test, although there is no consensus regarding ideal material to use or quantitative levels necessitating intervention.
      PMID: 27171803 [PubMed - as supplied by publisher]
    • Endoscopic posterior cricoid split and costal cartilage graft placement in children.

      Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery 2013 Mar

      Authors: Gerber ME, Modi VK, Ward RF, Gower VM, Thomsen J
      Abstract
      To review a multi-institutional experience using endoscopic posterior cricoid split and costal cartilage graft (EPCSCG) placement in the management of pediatric bilateral vocal fold immobility (BVFI), posterior glottic stenosis (PGS), and subglottic stenosis (SGS).
      Case series with chart review.
      Tertiary medical centers.
      Review of all patients treated between 2004 and 2012 with EPCSCG placement in 3 academic and multispecialty group settings. The main outcomes measured include indications, complications, and outcome (need for additional procedures, decannulation rate).
      A total of 28 patients underwent EPCSCG. Age range at time of surgery was 1 month to 15 years (mean, 56 months). Overall, 25 of 28 were decannulated or never required tracheostomy, and 24 of 28 had adequate symptom control with mean follow-up of 25 months. Twenty-two patients had resolution of their symptoms without additional procedures. Sixteen patients had SGS in isolation or in combination with cricoarytenoid fixation, glottic stenosis, or vocal fold immobility. Decannulation and/or symptom control was achieved in 14 of 16. Three patients had isolated PGS or cricoarytenoid fixation with all achieving decannulation. Nine patients had isolated BVFI with 7 being able to achieve resolution of their airway symptoms, 5 without additional procedures.
      This descriptive series shows a consistent outcome in more than double the number of cases previously reported in the previously published series. We believe that EPCSCG is an important option to have in the management of pediatric glottis/subglottic stenosis and bilateral vocal fold immobility.
      PMID: 23307912 [PubMed - as supplied by publisher]
    • Generation of consensus in the application of a rating scale to nasendoscopic assessment of velopharyngeal function.

      Archives of otolaryngology--head & neck surgery 2012 Oct

      Authors: Tieu DD, Gerber ME, Milczuk HA, Parikh SR, Perkins JA, Yoon PJ, Sie KC
      Abstract
      To generate consensus ratings of velopharyngeal function on nasendoscopy (NE) with the goal of creating a video instruction tool.
      The American Society of Pediatric Otolaryngology Velopharyngeal Insufficiency Study Group convened to identify NE segments to be included in an instructional video. Of 24 segments reviewed, 11 were selected based on the quality of the examinations and spectrum of closure patterns. Participating otolaryngologists independently rated NE segments using the Golding-Kushner scale. The participants then convened and rated each of the NE segments as a group. Thirty-nine members of the American Society of Pediatric Otolaryngology met and agreed with the group ratings, creating a consensus standard.
      Individual scores for palate and lateral wall motion showed high variability, ranging from 0 to 6 points difference from the consensus. Variability was also seen for the following qualitative findings: the Passavant ridge, aberrant pulsations, and dorsal palatal notch. The individual ratings are presented graphically to demonstrate the range of individual responses as well as to compare responses to the consensus ratings. No further changes were made to the proposed consensus ratings when reviewed by the larger group.
      Rating of NE evaluations of velopharyngeal function was variable among a group of pediatric otolaryngologists experienced in treating velopharyngeal insufficiency. These results highlight the need to develop a standardized method of reporting NE findings for velopharyngeal insufficiency. Despite this, consensus ratings were achieved that will facilitate development of a video instruction tool.
      PMID: 23069822 [PubMed - as supplied by publisher]
    • Efficacy of microdebrider intracapsular adenotonsillectomy as validated by polysomnography.

      The Laryngoscope 2009 Jul

      Authors: Reilly BK, Levin J, Sheldon S, Harsanyi K, Gerber ME
      Abstract
      To evaluate the efficacy of microdebrider intracapsular tonsillectomy (MT) as a treatment for pediatric obstructive sleep apnea (OSA) and sleep disordered breathing.
      A retrospective study evaluating polysomnogram outcomes for 26 patients who had undergone MT by a sole surgeon (M.G.) for OSA.
      Chart review of patients who underwent polysomnograms pre- and post-adenotonsillectomy. This study represents a single pediatric otolaryngologist's experience at two tertiary care medical centers (Children's Memorial Hospital and Evanston Hospital) in the greater Chicago area.
      Statistically significant improvement of both the apnea-hypopnea index (AHI) and apnea index with P < .0001. All 26 children in the cohort had improved AHI scores following intracapsular tonsillectomy. Statistical analysis was performed using a P value < .05, which was significant.
      MT is an effective means of treating obstructive sleep apnea. Because of its favorable surgical outcomes and minimal morbidity, an increasing number of studies have found MT to be an excellent option for the surgical management of adenotonsillar hypertrophy in pediatric patients with OSA.
      PMID: 19405091 [PubMed - as supplied by publisher]
    • Endoscopic posterior costal cartilage graft placement for acute management of pediatric bilateral vocal fold paralysis without tracheostomy.

      International journal of pediatric otorhinolaryngology 2008 Oct

      Authors: Thakkar K, Gerber ME
      Abstract
      Endoscopic posterior cricoid split with costal cartilage graft stabilization has previously been shont to allow for glottic/infraglottic expansion in children with long standing vocal fold paralysis. We report on an extension of this technique to use in the acute setting in the management of acute BVP in children with acute upper airway obstructive symptoms.
      PMID: 18691770 [PubMed - as supplied by publisher]
    • Marble in the right main-stem bronchus: management.

      Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery 2003 Feb

      Authors: Costello JM, Steinhorn D, McColley S, Gerber ME, Kumar SP
      Abstract
      Plastic bronchitis is a condition in which large, bronchial casts with rubber-like consistency develop in the tracheobronchial tree and cause airway obstruction. We describe a 4-year-old girl who had Fontan physiology and who developed plastic bronchitis and report for the first time the use of aerosolized tissue plasminogen activator for treatment of this condition. The literature is reviewed with emphasis placed on the occurrence of this disorder in patients with single ventricle physiology.
      PMID: 12601330 [PubMed - as supplied by publisher]
  • In the News
    In the News

    Sep 2015

    Mar 2014