About My Research
Dr. Nicolas BuSaba's research interests are in the fields of rhinology and paranasal sinus disorders, as well as sleep-disordered breathing. He has authored and co-authored several papers that focus on improving our understanding of the pathophysiology, genetics, clinical presentation, and medical and surgical treatment of chronic rhinosinusitis and paranasal sinus mucocele.
His research also focuses on outcomes of OSA surgery, outcomes of major head and neck surgery, and length of hospital stay following such surgeries.
He has presented his research at regional and national scientific meetings and has published in peer-reviewed medical journals.
Through his investigations, Dr. BuSaba determined that Connexin gene mutations do not play a major role in the pathogenesis of chronic rhinosinusitis. His research also elucidated the role of nasal inflammation (rhinitis) in the pathogenesis of sinusitis as well as the efficacy of Monteleukast in the treatment of rhinosinusitis with nasal polyposis.
In addition, he has studied the impact of a patient’s age and gender on the clinical presentation of rhinosinusitis and the surgical outcome on these patients. He has collaborated with colleagues in the Sinus Center on developing a management algorithm to treat patients who present with epistaxis.
Dr. BuSaba's current research initiatives include:
- The accuracy of sinus CT versus physical examination in predicting the severity of nasal septum deviation
- Volumetric analysis of silent sinus syndrome/atelectatic maxillary sinus
- The role of nasal surgery in the management of patients who suffer from sleep-disordered breathing (snoring and/or sleep apnea)
Education
BSc, Biology-Chemistry, American University of Beirut
MD, American University of Beirut
Postgraduate Training
Internship, Department of Surgery, Beth Israel Deaconess Medical Center/Harvard Medical School
Residency, Otolaryngology, Mass. Eye and Ear/Harvard Medical School
Clinical/Research Fellowship, General Otolaryngology, Mass. Eye and Ear/Harvard Medical School
Professional Societies
American Board of Otolaryngology
American Academy of Otolaryngology–Head and Neck Surgery
Association of Research in Otolaryngology
Association of Veterans’ Administration Otolaryngologists
Society of Veterans’ Administration Surgeons
New England Otolaryngology Society Massachusetts
Society of Otolaryngology–Head and Neck Surgery
American Rhinologic Society (Chair, International Committee)
American Broncho-Esophalogical Association
American College of Surgeons
American Academy of Otolaryngic Allergy Fellow, Triologic Society Fellow, American Rhinologic Society
Honors
MD with Distinction, American University of Beirut, Beirut, Lebanon
Resident Travel Award, Association of Research in Otolaryngology
Daiichi Clinical Scholars Program in Evidence-Based Medical Research
Honor Award, American Academy of Otolaryngology–Head and Neck Surgery Foundation
First Prize, Best Poster presentation at the Eastern Section Meeting of the Triologic Society
- Improvement in nasal obstruction and quality of life after septorhinoplasty and turbinate surgery. Laryngoscope. 2019 07; 129(7):1554-1560.
- SNOT-22 score patterns strongly negatively predict chronic rhinosinusitis in patients with headache. Int Forum Allergy Rhinol. 2019 01; 9(1):9-15.
- Expanding the limits of endoscopic intraorbital tumor resection using 3-dimensional reconstruction. Braz J Otorhinolaryngol. 2019 Mar - Apr; 85(2):157-161.
- Double-blind placebo-controlled randomized clinical trial of verapamil for chronic rhinosinusitis with nasal polyps. J Allergy Clin Immunol. 2017 07; 140(1):271-273.
- General antibiotic exposure is associated with increased risk of developing chronic rhinosinusitis. Laryngoscope. 2017 02; 127(2):296-302.
- Lobular capillary hemangioma formation: An unusual complication of submucous resection with power instrumentation of the inferior turbinate. Laryngoscope. 2015 Dec; 125(12):2653-5.
- Volumetric analysis of chronic maxillary atelectasis. Am J Rhinol Allergy. 2015 May-Jun; 29(3):166-9.
- Profibrotic transforming growth factor beta 1 and activin A are increased in nasal polyp tissue and induced in nasal polyp epithelium by cigarette smoke and Toll-like receptor 3 ligation. Int Forum Allergy Rhinol. 2015 Jul; 5(7):573-82.
- Radiographic evaluation of nasal septal deviation from computed tomography correlates poorly with physical exam findings. Int Forum Allergy Rhinol. 2015 Mar; 5(3):258-62.
- Outcomes analysis in epistaxis management: development of a therapeutic algorithm. Otolaryngol Head Neck Surg. 2013 Sep; 149(3):390-8.
- The impact of a patient's age on the clinical presentation of inflammatory paranasal sinus disease. Am J Otolaryngol. 2013 Sep-Oct; 34(5):449-53.
- Diagnostic characteristics of sinonasal organizing hematomas: avoiding misdiagnosis. Int Forum Allergy Rhinol. 2013 Jul; 3(7):598-602.
- Clinical assessment is an accurate predictor of which patients will need septoplasty. Laryngoscope. 2013 Jan; 123(1):48-52.
- Role of osteoplastic frontal sinus obliteration in the era of endoscopic sinus surgery. Int J Otolaryngol. 2012; 2012:501896.
- Negative predictive value of normal nasal endoscopy for sinus disease as a cause of isolated facial pain. J Laryngol Otol. 2011 Oct; 125(10):1038-41.
- Reformation of concha bullosa following treatment by crushing surgical technique: implication for balloon sinuplasty. Laryngoscope. 2009 Dec; 119(12):2454-6.
- An evidence-based review of endoscopic frontal sinus surgery. Am J Rhinol Allergy. 2009 Nov-Dec; 23(6):e59-62.
- Cigarette smoke combined with Toll-like receptor 3 signaling triggers exaggerated epithelial regulated upon activation, normal T-cell expressed and secreted/CCL5 expression in chronic rhinosinusitis. J Allergy Clin Immunol. 2008 Dec; 122(6):1145-1153.e3.
- Connexin 26 and 30 genes mutations in patients with chronic rhinosinusitis. Laryngoscope. 2008 Feb; 118(2):310-3.
- Impact of gender on clinical presentation of chronic rhinosinusitis with and without polyposis. J Laryngol Otol. 2008 Nov; 122(11):1180-4.
- Predictors of prolonged length of stay after major elective head and neck surgery. Laryngoscope. 2007 Oct; 117(10):1756-63.
- Staphylococcus aureus and endoscopic sinus surgery. Curr Opin Otolaryngol Head Neck Surg. 2006 Feb; 14(1):19-22.
- Correlation between middle turbinate and ipsilateral ethmoid histopathology in chronic rhinosinusitis. Otolaryngol Head Neck Surg. 2006 Feb; 134(2):250-4.
- Efficacy of montelukast in the treatment of nasal polyposis. Ann Otol Rhinol Laryngol. 2005 Dec; 114(12):941-5.
- Correlation between preoperative clinical diagnosis and histopathological findings in patients with rhinosinusitis. Am J Rhinol. 2005 Mar-Apr; 19(2):153-7.
- Microbiology of chronic ethmoid sinusitis: is this a bacterial disease? Am J Otolaryngol. 2004 Nov-Dec; 25(6):379-84.
- Clinical outcomes of septoplasty and inferior turbinate reduction in the geriatric veterans' population. Am J Rhinol. 2004 Nov-Dec; 18(6):343-7.
- Isolated chronic maxillary sinusitis of non-dental origin does not correlate per se with ipsilateral intranasal structural abnormalities. Ann Otol Rhinol Laryngol. 2004 Jun; 113(6):474-6.
- Same-day discharge for selected patients undergoing combined nasal and palatal surgery for obstructive sleep apnea. Ann Otol Rhinol Laryngol. 2004 Feb; 113(2):128-31.
- Ethmoid mucocele as a late complication of endoscopic ethmoidectomy. Otolaryngol Head Neck Surg. 2003 Apr; 128(4):517-22.
- Endoscopic sinus surgery for inflammatory maxillary sinus disease. Laryngoscope. 2002 Aug; 112(8 Pt 1):1378-83.
- Chronic invasive fungal sinusitis: a report of two atypical cases. Ear Nose Throat J. 2002 Jul; 81(7):462-6.
- Ectopic gastric mucosa in the cervical esophagus. Am J Otolaryngol. 2002 May-Jun; 23(3):181-4.
- Same-stage nasal and palatopharyngeal surgery for obstructive sleep apnea: is it safe? Otolaryngol Head Neck Surg. 2002 Apr; 126(4):399-403.
- Otologic manifestations of amyloidosis. Otol Neurotol. 2002 Mar; 23(2):158-9.
- Is imaging necessary in the evaluation of the patient with an isolated complaint of anosmia? Ear Nose Throat J. 2001 Dec; 80(12):892-6.
- Open Zenker's diverticulectomy using stapling techniques. Ann Otol Rhinol Laryngol. 2001 Jun; 110(6):498-501.
- Primary melanoma of the sphenoid sinus. Otolaryngol Head Neck Surg. 2000 Dec; 123(6):748-9.
- Sarcoidosis presenting as recurrent nasal polyps. Otolaryngol Head Neck Surg. 2000 Oct; 123(4):519-21.
- Bacteriology of nontraumatic maxillary sinus mucoceles versus chronic sinusitis. Laryngoscope. 2000 Jun; 110(6):969-71.
- Maxillary sinus mucoceles: clinical presentation and long-term results of endoscopic surgical treatment. Laryngoscope. 1999 Sep; 109(9):1446-9.
- Clinical presentation and management of labyrinthine fistula caused by chronic otitis media. Ann Otol Rhinol Laryngol. 1999 May; 108(5):435-9.
- Extent of lymphadenectomy achieved by various modifications of neck dissection: a pathologic analysis. Laryngoscope. 1999 Feb; 109(2 Pt 1):212-5.
- Invasive Pseudallescheria boydii fungal infection of the temporal bone. Otolaryngol Head Neck Surg. 1997 Dec; 117(6):S91-4.
- Teflon granuloma presenting as an enlarging, gadolinium enhancing, posterior fossa mass with progressive hearing loss following microvascular decompression. Am J Otol. 1995 Nov; 16(6):783-6.
- Significance of auditory brain stem response and gadolinium-enhanced magnetic resonance imaging for idiopathic sudden sensorineural hearing loss. Otolaryngol Head Neck Surg. 1995 Sep; 113(3):271-5.
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