Nose & Throat-
Effective, and Compassionate Care
|Dr. David M. Jakubowicz,
Chairman, Ear, Nose, and
following up with
David M. Jakubowicz, Chairman,
Ear, Nose, and Throat, is proud
of the outstanding staff he has
assembled to serve the Bronx community.
Oral Cancer is increasingly related not
only to traditional risk factors of smoking
and drinking, but also to the human papilloma
virus (HPV) or wart virus.
is among the most dangerous of
oral health diseases and our
ENT team is taking an important leadership
role in addressing this most serious problem,” stated
of this disease requires close coordination
of services between Otolaryngology, Oncology,
Speech Language Pathology, Radiology
and Dentistry. At Bronx-Lebanon, Dr. Walter
Ralph, Attending, Head and Neck
Surgery, Ear, Nose and Throat, serves as
the Cancer Committee Physician Liaison.
world class physicians and allied
audiology and speech language
pathology staff are the strength of the
department. Increasingly, medical providers
that have a choice to practice anywhere,
David M. Jakubowicz, Chairman,
Ear, Nose, and Throat
|In this capacity, he is continually striving to
improve care and outcomes for patients with oral, head, and
Accurately staging oral cancer is crucial to achieving optimal
outcomes. Dr. Jakubowicz is one of the few head and neck surgeons
credentialed in ultrasound. Sonography offers the benefit
of minimally invasive office based needle biopsies for neck
masses, possibly eliminating the need for invasive surgery.
For patients whose tumors could be potentially disfiguring,
Dr. Srinivasan Krishna brings his proven expertise in reconstructive
and cosmetic facial and plastic surgery to the community.
He is achieving optimal outcomes for patients with lip and skin cancers, using the latest techniques in tissue transfer and
For those dissatisfied with their appearance, his skills in
surgery of the aging face and use of fillers and Botox are pleasing
the most discerning of patients.
Snoring and sleep apnea can result from oral disease. Enlarged
tonsils and floppy oral structures can narrow breathing passages
resulting in sleeping problems in patients. The noise from
snoring often interrupts sleeping patterns for other members
of the household. Close coordination with the physicians in the
Department of Medicine results in accurate disease assessment.
When intervention is required, Dr. Radoslav Toshkoff’s skills in
surgical and non-surgical management of these disorders give
his patients a more restful sleep.
Swallowing and speech are essential functions of the oral cavity,
and the ENT department excels in helping patients perform
these tasks better.
Andrea Leone, Director of Speech Language
Pathology, uses specialized fiber optic cameras and radiologic
tests to accurately diagnose and treat patients. Newly added
videostroboscopy, the use of rapid pulses of light to virtually
slow the movement of the vocal cords, allows for the diagnosis of
the most subtle derangements of the voice.
Joining the department
from training at the prestigious Columbia University and
Manhattan Eye and Ear Infirmary, Stephany Carambia is helping
patients speak clearer, sing louder, and eat better.
|Dr. Walter Ralph, Attending, Head and Neck Surgery, Ear, Nose, and Throat,
performing throat surgery on patient, assisted by Jason Lopez, Certified
Operating Room Technician.
||Dr. Srinivasan Krishna, Attending, Facial Plastic and Reconstructive
Surgery, Ear, Nose, and Throat, examining patient.
In 2009, the department introduced new providers in the Audiology and Speech Language Pathology areas. Snyde Simbert joined Carmen A. Santiago, Director of Audiology, to further expand care for patients with hearing and balance disorders.
Their efforts involve both subjective and objective measures to improve diagnostic accuracy, thereby enabling patients with balance disorders to walk with more stability, and those with hearing problems to better communicate with their loved ones.
Cassie Green joined Andrea Leone, Director of Speech Language Pathology, to provide a greater array of outpatient speech therapy services. Their care will help patients to speak clearer, sing louder, and eat better.
|Andrea Leone, Director, Speech Pathology, examining patient.
||Dr. Radoslav Toshkoff, Attending, Ear, Nose, and Throat, examining patient.
|The Audiology Division, under the direction of Carmen Santiago,
AuD, is further expanding care for patients with hearing and
balance disorders. Her efforts involve subjective and objective
measures to improve diagnostic accuracy, thereby enabling
patients with balance disorders to walk with more stability,
and those with hearing problems to better communicate with
their loved ones. Recently, Dr. Sairah Ahmad, an expert in the
audiology field, joined the ENT team.
|Dr. Jakubowicz examining pediatric patient.
|The ENT Department now provides 14,000 outpatient visits
annually, more than double its patient volume in a three-year
period. Its comprehensive and high quality services, as well
as expert and experienced staff have contributed to this rapid
growth. “The success of Bronx-Lebanon’s Otolaryngology (ENT)
Department comes from our professional expertise and focus
on comprehensive medical and surgical care, with a human
touch,” stated Dr. Jakubowicz.
|Srinivasan Krishna, M.D.
Srinivasan Krishna, M.D., Attending, Facial, Plastic and Reconstructive Surgery, Otolaryngology, specializes in all types of facial, head, neck and plastic surgeries.
Among the many procedures that Dr. Krishna performs are complex endoscopic sinus surgery and removal of facial cancer and cancers of the jaw, thyroid, saliva glands, throat and larynx as well as elective facial rejuvenation and cosmetic procedures.
Dr. Krishna utilizes a new computer guidance system that allows Ear, Nose and Throat physicians to perform less invasive procedures near vital organs like the brain and eyes.
“We have some of the best endoscopic equipment in the region that allows us to diagnose and treat many patients that were inoperable in the past,” stated Dr. Krishna.
|Many of Dr. Krishna’s patients experience a wide range of trauma to their head, neck and face and require his expert medical care to regain full function and aesthetics to the area.
| These patients often have injuries caused by events such as automobile accidents and animal bites. Dr. Krishna also performs an extensive number of rhinoplasty and brow lift procedures that are improving his patients’ quality of life. “Plastic surgery is an art. You are working on masterpieces and you have to anticipate how they’ll look in the future,” stated Dr. Krishna.
Throughout the years, Dr. Krishna has achieved many successful outcomes for his patients, which are a source of pride to him. Dr. Krishna received his Medical Degree at the University of Madras in India and his Master’s Degree in Public Health from Johns Hopkins University.
He also completed a three-year residency in general surgery at the Medical College of Virginia and completed his training at Boston University, including a two-year clinical and research fellowship in Otolaryngology and head and neck surgery. Dr. Krishna is a member of several professional associations including the Bronx County Medical Society, New York State Medical Society, and the American Board of Otolaryngology.
He regularly attends conferences with the American Academy of Facial, Plastic and Reconstructive Surgery to keep updated on the latest techniques in his field. Dr. Krishna also serves as a contributing author for several medical journals and publications and recently authored a portion of the Atlas of Facial Plastic Surgery.
When he is not relaxing at his apartment in Manhattan, Dr. Krishna enjoys jogging, hiking the Catskill Mountains, playing tennis and practicing yoga. Dr. Krishna is passionate about volunteer work and regularly donates his time at a local soup kitchen. He also spends time with family and friends and hopes to someday run in the New York Marathon with his brother.