Bronx-Lebanon Hospital Center

-Ear, Nose & Throat-
Efficient, Effective, and Compassionate Care

Dr. David M. Jakubowicz, Chairman, Ear, Nose, and Throat, following up with post-operative patient.
Dr. 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. “It 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 Dr. Jakubowicz. Optimal treatment 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.
“Our 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, choose Bronx-Lebanon.” - Dr. 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 neck tumors. 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 repair. 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.