Cutting-Edge ENT Care in Cedar Rapids
Call For Consult:
Education & Training
Degree in Chemistry, Suma cum Laud with Honors
BA, University of Iowa, Iowa City
Oxford University, Oxford, UK
MD, Weill Cornell Medical College, New York
ENT Residency, University of California Los Angeles (UCLA), Los Angeles
Chief Resident, University of California Los Angeles (UCLA), Los Angeles
Dr. Heineman completed his surgery training at the prestigious University of California - Los Angeles (UCLA) where he was involved in numerous research endeavors ranging from genomics of head and neck cancer to bioabsorbable sinus implants. In 2015, he participated in a healthcare consulting internship at McKinsey and Company after the completion of medical school at Weill Cornell Medical College in New York City. He received biomedical research training at The Rockefeller University completing a year-long research fellowship in the genomics of head and neck cancer which was funded by the NIH. He is a member of the Academy of Otolaryngology-Head and neck surgery, as well as numerous other professional societies.
Oral tongue squamous cell carcinoma survival as stratified by age and sex: A surveillance, epidemiology, and end results analysis, 2019
Objectives/hypothesis: To utilize the Surveillance, Epidemiology, and End Results (SEER) database to elucidate differences in predictors of survival in oral tongue squamous cell carcinoma (OTSCC) as stratified by age and sex.
Study design: Retrospective, population-based database analysis.
Methods: The SEER registry was utilized to calculate survival trends for patients with OTSCC between 1973 and 2012. Patient data were then stratified by age (≤40 years vs. >40 years) and sex, then analyzed with respect to race, stage, grade, and treatment modalities. Overall survival (OS) and disease-specific survival (DSS) were calculated and compared.
Results: There were 16,423 cases of OTSCC identified, with 526 and 706 young female and male patients, respectively. Young female patients had improved OS and DSS as compared to young male patients (75% vs. 67% at 5 years), which is better than older patients (P < .001). Younger patients were more likely to receive surgery (P < .001) and combination surgery and radiation (P < .001) as compared to older patients. On multivariate analysis, tumor stage was uniformly associated with worse OS and DSS (P < .05), with surgery predicting improved OS and DSS in all groups except young females (P < .05). Higher tumor grade predicted worse OS and DSS in older patients, but not younger patients (P < .05).
Conclusions: OTSCC appears to present with relatively heterogeneous characteristics across different age groups and sexes. Despite the rising incidence of OTSCC in young individuals, our study demonstrates that young patients have improved survival rates compared to older patients.
Level of evidence: NA Laryngoscope, 129:2076-2081, 2019.
Keywords: Epidemiology; Oral tongue cancer; Surveillance; and End Results; young tongue cancer.
Parathyroid Localization and Preservation during Transcervical Resection of Substernal Thyroid Glands, 2015
Objective: The feasibility of parathyroid preservation during thyroidectomy has not been well documented for cases in which the thyroid gland extends into the mediastinum.
Study design: Retrospective chart review.
Setting: Tertiary academic referral center.
Subjects and methods: In this retrospective cohort study, 70 consecutive patients who had substernal thyroid glands treated with a transcervical thyroidectomy between 1993 and 2013 were compared with 286 thyroidectomies that did not entail substernal extension within that same time period. All localized parathyroid glands were confirmed histologically.
Results: Of 160 possible parathyroid glands in the substernal cases, 119 (74%) were histologically confirmed intraoperatively (67 superior and 52 inferior). In nonsubsternal cases, 725 (89%) were histologically confirmed (372 superior and 353 inferior). There was a statistically significant difference between the substernal and nonsubsternal cases in the total number of glands found (P < .0001) and the number of superior and inferior glands that were identified (P = .009 and < 0.0001).
Conclusions: Even when the thyroid gland extends into the mediastinum, it is often possible, although with reduced efficiency, to identify and preserve the parathyroid glands.
Keywords: goiter; hypoparathyroidism; parathyroid; substernal; thyroidectomy.
- 2014 -
Alpha Omega Alpha
- 2015 -
The Coryell Prize in Surgery