Research Overview

Roger Nuss' research interests focus upon pediatric laryngology and voice disorders. Currently, he is developing grading scales to describe vocal fold nodules in children, and studying the long-term outcomes of children with vocal fold nodules. Additional research interests include management of vocal fold immobility and airway scarring. 

Research Background

Roger Nuss received a BS degree in Engineering from Swarthmore College, and his MD degree from Harvard Medical School. He completed an internship in Surgery at University of Massachusetts Medical School, a residency in Otolaryngology-Head and Neck Surgery at Massachusetts Eye and Ear Infirmary, and a fellowship in Pediatric Otolaryngology at Childrens Hospital Boston. He is active on staff at Childrens Hospital Boston, directs the Voice Clinic and co-directs the Velopharygneal Dysfunction Clinic.

Selected Publications

  1.  Nuss RC, Ward J, Huang L, Volk M, Woodnorth GH. Correlation of vocal fold nodule size in children and perceptual assessment of voice quality. Ann Otol Rhinol Laryngol. 2010 Oct;119(10):651-5.
  2.  Shah RK, Feldman HA, Nuss RC. A grading scale for pediatric vocal fold nodules. Otolaryngol Head Neck Surg. 2007 Feb;136(2):193-7.
  3.  Shah RK, Harvey-Woodnorth G, Glynn A, Nuss RC. Perceptual voice characteristics in pediatric unilateral vocal fold paralysis. Otolaryngol Head Neck Surg. 2006 Apr;134(4):618-21.
  4.  Shah RK, Woodnorth GH, Glynn A, Nuss RC. Pediatric vocal nodules: correlation with perceptual voice analysis. Int J Pediatr Otorhinolaryngol. 2005 Jul;69(7):903-9. Epub 2005 Mar 16.
  5.  Rahbar R, Litrovnik BG, Vargas SO, Robson CD, Nuss RC, Irons MB, McGill TJ, Healy GB. The biology and management of laryngeal neurofibroma. Arch Otolaryngol Head Neck Surg. 2004 Dec;130(12):1400-6.

Education

Medical School

Harvard Medical School
Boston MA

Internship

University of Massachusetts Medical Center
Worcester MA

Residency

Massachusetts Eye and Ear Infirmary
Boston MA

Fellowship

Boston Children's Hospital
Boston MA

Publications

  1. Multidisciplinary Velopharyngeal Dysfunction Evaluation Helps Detect Non-classic Cases of 22q11.2 Deletion. Cleft Palate Craniofac J. 2024 Jul 23; 10556656241266464. View Abstract
  2. Tracheostomy care quality improvement in low- and middle-income countries: A scoping review. PLOS Glob Public Health. 2023; 3(11):e0002294. View Abstract
  3. Comparative Study of Pharyngeal Flap Outcomes between Children with 22q11.2 Deletion Syndrome and Nonsyndromic Cleft Lip and Palate. Plast Reconstr Surg. 2024 07 01; 154(1):151-160. View Abstract
  4. Comprehensive management of anterior drooling: An International Pediatric Otolaryngology Group (IPOG) consensus statement. Int J Pediatr Otorhinolaryngol. 2023 May; 168:111500. View Abstract
  5. Pediatric Dysphonia: When to Refer. Clin Pediatr (Phila). 2023 10; 62(10):1261-1268. View Abstract
  6. Utility of telemedicine in tracheostomy-dependent children. Laryngoscope Investig Otolaryngol. 2022 Dec; 7(6):1751-1755. View Abstract
  7. Videofluoroscopy Versus Nasopharyngoscopy of Lateral Pharyngeal Wall Movement for Assessment of Velopharyngeal Insufficiency. J Craniofac Surg. 2023 Jan-Feb 01; 34(1):40-44. View Abstract
  8. Laryngeal pathologies in dysphonic children with Down Syndrome. Int J Pediatr Otorhinolaryngol. 2022 Jun; 157:111118. View Abstract
  9. Telehealth for Treatment of Pediatric Dysphonia. J Voice. 2024 May; 38(3):683-687. View Abstract
  10. Barriers to Voice Therapy in Dysphonic Children. J Voice. 2023 May; 37(3):410-414. View Abstract
  11. International Pediatric Otolaryngology Group (IPOG) survey: Efforts to avoid complications in home tracheostomy care. Int J Pediatr Otorhinolaryngol. 2021 Feb; 141:110563. View Abstract
  12. International Pediatric Otolaryngology Group (IPOG) consensus recommendations: Management of suprastomal collapse in the pediatric population. Int J Pediatr Otorhinolaryngol. 2020 Dec; 139:110427. View Abstract
  13. Patient and caregiver experiences at a Multidisciplinary Tracheostomy Clinic. Int J Pediatr Otorhinolaryngol. 2020 Oct; 137:110250. View Abstract
  14. A 10-year Retrospective Review of Botulinum Toxin Injections and Surgical Management of Sialorrhea. Cureus. 2020 May 01; 12(5):e7916. View Abstract
  15. Laryngeal Web in the Pediatric Population: Evaluation and Management. Otolaryngol Head Neck Surg. 2020 Feb; 162(2):234-240. View Abstract
  16. Association of a Multidisciplinary Care Approach With the Quality of Care After Pediatric Tracheostomy. JAMA Otolaryngol Head Neck Surg. 2019 Nov 01; 145(11):1035-1042. View Abstract
  17. Improving Tracheostomy Care in Resource-Limited Settings. Ann Otol Rhinol Laryngol. 2020 Feb; 129(2):181-190. View Abstract
  18. International Pediatric Otolaryngology Group (IPOG): Juvenile-onset recurrent respiratory papillomatosis consensus recommendations. Int J Pediatr Otorhinolaryngol. 2020 Jan; 128:109697. View Abstract
  19. Preoperative augmentative and alternative communication enhancement in pediatric tracheostomy. Laryngoscope. 2020 07; 130(7):1817-1822. View Abstract
  20. Vocal Pitch Discrimination in Children with and without Vocal Fold Nodules. Appl Sci (Basel). 2019 Aug; 9(15). View Abstract
  21. Prevalence of voice disturbances in pediatric airway patients: Are we missing anything? Int J Pediatr Otorhinolaryngol. 2019 Mar; 118:59-61. View Abstract
  22. Medialization Laryngoplasty in Pediatric Patients With Unilateral Vocal Fold Immobility: A Case Series. Ann Otol Rhinol Laryngol. 2019 Feb; 128(2):145-151. View Abstract
  23. Aspiration in children with unilateral vocal fold paralysis. Laryngoscope. 2019 03; 129(3):569-573. View Abstract
  24. Pediatric vincristine-related vocal fold paralysis. Int J Pediatr Otorhinolaryngol. 2018 11; 114:166-169. View Abstract
  25. Voice Abnormalities and Laryngeal Pathology in Preterm Children. Ann Otol Rhinol Laryngol. 2018 Aug; 127(8):508-513. View Abstract
  26. A standardized, closed-loop system for monitoring pediatric tracheostomy-related adverse events. Laryngoscope. 2018 10; 128(10):2419-2424. View Abstract
  27. Nasal septal perforation in children: Presentation, etiology, and management. Int J Pediatr Otorhinolaryngol. 2017 Jan; 92:176-180. View Abstract
  28. Paradoxical vocal fold motion in children presenting with exercise induced dyspnea. Int J Pediatr Otorhinolaryngol. 2016 Nov; 90:165-169. View Abstract
  29. International Pediatric Otolaryngology Group (IPOG) consensus recommendations: Routine peri-operative pediatric tracheotomy care. Int J Pediatr Otorhinolaryngol. 2016 Jul; 86:250-5. View Abstract
  30. Upper Airway Anomalies in Congenital Tracheoesophageal Fistula and Esophageal Atresia Patients. Ann Otol Rhinol Laryngol. 2015 Oct; 124(10):808-13. View Abstract
  31. A retrospective review of the progression of pediatric vocal fold nodules. JAMA Otolaryngol Head Neck Surg. 2014 Mar; 140(3):233-6. View Abstract
  32. Validation of a pediatric vocal fold nodule rating scale based on digital video images. Ann Otol Rhinol Laryngol. 2012 Jan; 121(1):1-6. View Abstract
  33. Predictors of velopharyngeal insufficiency after Le Fort I maxillary advancement in patients with cleft palate. J Oral Maxillofac Surg. 2011 Aug; 69(8):2226-32. View Abstract
  34. Minimally invasive endoscopic management of subglottic stenosis in children: success and failure. Int J Pediatr Otorhinolaryngol. 2011 May; 75(5):652-6. View Abstract
  35. Correlation of vocal fold nodule size in children and perceptual assessment of voice quality. Ann Otol Rhinol Laryngol. 2010 Oct; 119(10):651-5. View Abstract
  36. A grading scale for pediatric vocal fold nodules. Otolaryngol Head Neck Surg. 2007 Feb; 136(2):193-7. View Abstract
  37. The presentation and management of laryngeal cleft: a 10-year experience. Arch Otolaryngol Head Neck Surg. 2006 Dec; 132(12):1335-41. View Abstract
  38. Perceptual voice characteristics in pediatric unilateral vocal fold paralysis. Otolaryngol Head Neck Surg. 2006 Apr; 134(4):618-21. View Abstract
  39. Reliability of progressive and additive MRI scoring systems for evaluation of haemophilic arthropathy in children: expert MRI Working Group of the International Prophylaxis Study Group. Haemophilia. 2005 May; 11(3):245-53. View Abstract
  40. Pediatric vocal nodules: correlation with perceptual voice analysis. Int J Pediatr Otorhinolaryngol. 2005 Jul; 69(7):903-9. View Abstract
  41. The biology and management of laryngeal neurofibroma. Arch Otolaryngol Head Neck Surg. 2004 Dec; 130(12):1400-6. View Abstract
  42. Physical therapy and imaging outcome measures in a haemophilia population treated with factor prophylaxis: current status and future directions. Haemophilia. 2004 Oct; 10 Suppl 4:88-93. View Abstract
  43. The role of mitomycin in the prevention and treatment of scar formation in the pediatric aerodigestive tract: friend or foe? Arch Otolaryngol Head Neck Surg. 2002 Apr; 128(4):401-6. View Abstract
  44. The varicella-autoantibody syndrome. Pediatr Res. 2001 Sep; 50(3):345-52. View Abstract
  45. Changes in the occurrence of and risk factors for hemophilia-associated intracranial hemorrhage. Am J Hematol. 2001 Sep; 68(1):37-42. View Abstract
  46. Late clinical, plain X-ray and magnetic resonance imaging findings in haemophilic joints treated with radiosynoviorthesis. Haemophilia. 2000 Nov; 6(6):658-63. View Abstract
  47. Mortality among males with hemophilia: relations with source of medical care. The Hemophilia Surveillance System Project Investigators. Blood. 2000 Jul 15; 96(2):437-42. View Abstract
  48. MRI findings in haemophilic joints treated with radiosynoviorthesis with development of an MRI scale of joint damage. Haemophilia. 2000 May; 6(3):162-9. View Abstract
  49. Combined thrombolytic and anticoagulant therapy for venous thrombosis in children. J Pediatr. 2000 Apr; 136(4):446-53. View Abstract
  50. Electroglottography in the pediatric population. Arch Otolaryngol Head Neck Surg. 1999 Oct; 125(10):1105-8. View Abstract
  51. Management of distal tracheal stenosis. Arch Otolaryngol Head Neck Surg. 1999 Mar; 125(3):325-8. View Abstract
  52. Medical care for haemophilia. Haemophilia. 1998 Nov; 4(6):806-11. View Abstract
  53. Activated protein C resistance and the factor V Leiden mutation in children with thrombosis. Am J Hematol. 1998 Jan; 57(1):29-32. View Abstract
  54. Health care provider and self-assessment of health status and sexual behaviour in HIV-seropositive young men with haemophilia. Haemophilia. 1997 Oct; 3(4):270-6. View Abstract
  55. The factor V Leiden mutation in children with cancer and thrombosis. Br J Haematol. 1997 Mar; 96(3):484-9. View Abstract
  56. Lupus anticoagulant and protein S deficiency in children with postvaricella purpura fulminans or thrombosis. J Pediatr. 1996 Mar; 128(3):319-23. View Abstract
  57. Hemostasis in Ehlers-Danlos syndrome. Patient report and literature review. Clin Pediatr (Phila). 1995 Oct; 34(10):552-5. View Abstract
  58. Endolymphatic sac tumors: histopathologic confirmation, clinical characterization, and implication in von Hippel-Lindau disease. Laryngoscope. 1995 Aug; 105(8 Pt 1):801-8. View Abstract
  59. Childhood thrombosis. Pediatrics. 1995 Aug; 96(2 Pt 1):291-4. View Abstract
  60. Efficacy and safety of heparin anticoagulation for neonatal renal vein thrombosis. Am J Pediatr Hematol Oncol. 1994 May; 16(2):127-31. View Abstract
  61. Cardiopulmonary function in men with sickle cell trait who reside at moderately high altitude. J Lab Clin Med. 1993 Oct; 122(4):382-7. View Abstract
  62. Plasma-mediated excimer laser ablation of bone: a potential microsurgical tool. Am J Otolaryngol. 1989 Mar-Apr; 10(2):76-84. View Abstract
  63. Cervical human papilloma virus infection: is treatment possible? J Fla Med Assoc. 1988 Dec; 75(12):799-800. View Abstract
  64. Infrared laser bone ablation. Lasers Surg Med. 1988; 8(4):381-91. View Abstract
  65. Unscheduled DNA synthesis following excimer laser ablation of the cornea in vivo. Invest Ophthalmol Vis Sci. 1987 Feb; 28(2):287-94. View Abstract

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