Scholars@Duke

• Background
• 

  Education, Training, & Certifications

  • M.H.S., Duke University School of Medicine 2011
  • M.D., University of Miami 1996
• 

  Previous Appointments & Affiliations

  • Associate Professor of Surgery, Head and Neck Surgery & Communication Sciences, Clinical Science Departments 2014 - 2016
  • Assistant Professor of Surgery, Head and Neck Surgery & Communication Sciences, Clinical Science Departments 2012 - 2014
  • Assistant Professor of Surgery, Head and Neck Surgery & Communication Sciences, Clinical Science Departments 2006 - 2012
  • Clinical Associate in the Department of Surgery, Surgery, Clinical Science Departments 2004 - 2006
• Publications & Artistic Works
• 

  Selected Publications

  • Academic Articles

    • Cohen, Jonathan, William Reed, Matthew W. Foster, Russel R. Kahmke, Daniel J. Rocke, Liana Puscas, Trinitia Y. Cannon, and Walter T. Lee. “Octreotide may improve pharyngocutaneous fistula healing through downregulation of cystatins: A pilot study.” Laryngoscope Investigative Otolaryngology, November 28, 2022. https://doi.org/10.1002/lio2.962.
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    • Cabrera-Muffly, Cristina, Cristen Cusumano, Michael Freeman, Dink Jardine, Judith Lieu, R Peter Manes, Bradley Marple, et al. “Milestones 2.0: Otolaryngology Resident Competency in the Postpandemic Era.” Otolaryngol Head Neck Surg 166, no. 4 (April 2022): 605–7. https://doi.org/10.1177/01945998211033235.
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    • Belcastro, A., W. Reed, and L. Puscas. “The Management of Salivary Fistulas.” Seminars in Plastic Surgery, January 1, 2022. https://doi.org/10.1055/s-0042-1759561.
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    • Campbell, James C., Hui-Jie Lee, Trinitia Cannon, Russel R. Kahmke, Walter T. Lee, Liana Puscas, and Daniel J. Rocke. “Surgeon Volume and Complications in Lateral Neck Dissection for Squamous Cell Carcinoma: A Multidatabase Analysis.” Otolaryngol Head Neck Surg 165, no. 6 (December 2021): 838–44. https://doi.org/10.1177/01945998211000438.
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    • Smith, Blaine D., Oyomoare L. Osazuwa-Peters, Trinitia Y. Cannon, William T. Reed, Liana Puscas, and Nosayaba Osazuwa-Peters. “Nonsurgical Risk Factors Associated With Pharyngocutaneous Fistula in Patients Who Have Undergone Laryngectomy.” Jama Otolaryngol Head Neck Surg 147, no. 11 (November 1, 2021): 966–73. https://doi.org/10.1001/jamaoto.2021.2433.
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    • Puscas, Liana, Jennifer R. Kogan, and Eric S. Holmboe. “Assessing Interpersonal and Communication Skills.” J Grad Med Educ 13, no. 2 Suppl (April 2021): 91–95. https://doi.org/10.4300/JGME-D-20-00883.1.
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    • Smith, Blaine D., Taofik O. Oyekunle, Samantha M. Thomas, Liana Puscas, and Daniel J. Rocke. “Association of Lymph Node Ratio With Overall Survival in Patients With Metastatic Papillary Thyroid Cancer.” Jama Otolaryngol Head Neck Surg 146, no. 10 (October 1, 2020): 962–64. https://doi.org/10.1001/jamaoto.2020.2053.
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    • Givi, Babak, Michael G. Moore, Arnaud F. Bewley, Charles S. Coffey, Marc A. Cohen, Amy C. Hessel, Scharukh Jalisi, et al. “Advanced head and neck surgery training during the COVID-19 pandemic.” Head Neck 42, no. 7 (July 2020): 1411–17. https://doi.org/10.1002/hed.26252.
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    • Brown, C Scott, Calhoun D. Cunningham, Walter T. Lee, and Liana Puscas. “Development of a Surgical Video Atlas for Resident Education: 3-Year Experience.” Oto Open 4, no. 3 (2020): 2473974X20939067. https://doi.org/10.1177/2473974X20939067.
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    • Brown, Clifford Scott, Calhoun D. Cunningham, Walter T. Lee, and Liana Puscas. “Response to Letter "Regarding Development of a Surgical Video Atlas for Resident Education: 3-Year Experience".” Oto Open 4, no. 3 (2020): 2473974X20959277. https://doi.org/10.1177/2473974X20959277.
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    • Rocke, Daniel J., Hillary Mulder, Derek Cyr, Russel Kahmke, Walter T. Lee, Liana Puscas, Kristine Schulz, and David L. Witsell. “The effect of lateral neck dissection on complication rate for total thyroidectomy.” Am J Otolaryngol 41, no. 3 (2020): 102421. https://doi.org/10.1016/j.amjoto.2020.102421.
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    • Microvascular Committee of the American Academy of Otolaryngology-Head & Neck Surgery*, Warren S. “Salvage laryngectomy and laryngopharyngectomy: Multicenter review of outcomes associated with a reconstructive approach.” Head Neck 41, no. 1 (January 2019): 16–29. https://doi.org/10.1002/hed.25192.
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    • Puscas, Liana. “Junior otolaryngology resident in-service exams predict written board exam passage.” Laryngoscope 129, no. 1 (January 2019): 124–28. https://doi.org/10.1002/lary.27515.
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    • Honeybrook, Adam, Matthew Ellison, Liana Puscas, and Eileen Raynor. “Otolaryngologist adherence to the AAO-HNSF Allergic Rhinitis Clinical Practice Guideline.” Int Forum Allergy Rhinol 8, no. 6 (June 2018): 741–50. https://doi.org/10.1002/alr.22096.
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    • Bowe, Sarah N., Kaalan Johnson, and Liana Puscas. “Facilitation and Debriefing in Simulation Education.” Otolaryngol Clin North Am 50, no. 5 (October 2017): 989–1001. https://doi.org/10.1016/j.otc.2017.05.009.
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    • Choi, Kevin J., Bora Chang, Charles R. Woodard, David B. Powers, Jeffrey R. Marcus, and Liana Puscas. “Survey of Current Practice Patterns in the Management of Frontal Sinus Fractures.” Craniomaxillofac Trauma Reconstr 10, no. 2 (June 2017): 106–16. https://doi.org/10.1055/s-0037-1599196.
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    • Puscas, Liana, CW David Chang, Hui-Jie Lee, Rodney Diaz, and Robert Miller. “USMLE and Otolaryngology: Predicting Board Performance.” Otolaryngol Head Neck Surg 156, no. 6 (June 2017): 1130–35. https://doi.org/10.1177/0194599817702874.
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    • Cabrera-Muffly, Cristina, CW David Chang, and Liana Puscas. “Current Interview Trail Metrics in the Otolaryngology Match.” Otolaryngol Head Neck Surg 156, no. 6 (June 2017): 1097–1103. https://doi.org/10.1177/0194599817690723.
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    • Choi, Kevin J., Russel R. Kahmke, Matthew G. Crowson, Liana Puscas, Richard L. Scher, and Seth M. Cohen. “Trends in Otolaryngology Consultation Patterns at an Academic Quaternary Care Center.” Jama Otolaryngol Head Neck Surg 143, no. 5 (May 1, 2017): 472–77. https://doi.org/10.1001/jamaoto.2016.4056.
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    • Crowson, Matthew G., Marisa A. Ryan, Daniel J. Rocke, Eileen M. Raynor, and Liana Puscas. “Variation in tonsillectomy rates by health care system type.” Int J Pediatr Otorhinolaryngol 94 (March 2017): 40–44. https://doi.org/10.1016/j.ijporl.2017.01.014.
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    • Johnson, Sean M., C Scott Brown, and Liana Puscas. “Persistent Acute Onset Macroglossia Treated with Compression Therapy.” Case Rep Otolaryngol 2017 (2017): 6402413. https://doi.org/10.1155/2017/6402413.
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    • Puscas, Liana. “Viewpoint From a Program Director They Can't All Walk on Water.” J Grad Med Educ 8, no. 3 (July 2016): 314–16. https://doi.org/10.4300/JGME-D-16-00237.1.
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    • Moses, Helen, David Powers, Jarrod Keeler, Detlev Erdmann, Jeff Marcus, Liana Puscas, and Charles Woodard. “Opportunity Cost of Surgical Management of Craniomaxillofacial Trauma.” Craniomaxillofac Trauma Reconstr 9, no. 1 (March 2016): 76–81. https://doi.org/10.1055/s-0035-1566160.
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    • Atisha, Dunya M., Tucker van Rensselaer Burr, Alexander C. Allori, Liana Puscas, Detlev Erdmann, and Jeffrey R. Marcus. “Facial Fractures in the Aging Population.” Plast Reconstr Surg 137, no. 2 (February 2016): 587–93. https://doi.org/10.1097/01.prs.0000475791.31361.9a.
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    • Hawkins, Richard E., Catherine M. Welcher, Victoria Stagg Elliott, Richard S. Pieters, Liana Puscas, and Paul H. Wick. “Ensuring Competent Care by Senior Physicians.” J Contin Educ Health Prof 36, no. 3 (2016): 226–31. https://doi.org/10.1097/CEH.0000000000000080.
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    • Puscas, Liana, and Ramon Esclamado. “Use of a Secondary Essay in the Residency Application Process.” Jama Otolaryngol Head Neck Surg 141, no. 7 (July 2015): 591–92. https://doi.org/10.1001/jamaoto.2015.0677.
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    • Puscas, Liana. “Midline cervical cleft: review of an uncommon entity.” Int J Pediatr 2015 (2015): 209418. https://doi.org/10.1155/2015/209418.
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    • Patki, Aniruddha, and Liana Puscas. “A Video-Based Module for Teaching Communication Skills to Otolaryngology Residents.” J Surg Educ 72, no. 6 (2015): 1090–94. https://doi.org/10.1016/j.jsurg.2015.07.008.
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    • Ryan, Marisa, David B. Powers, and Liana Puscas. “Mandibular mass. Focal cemento-osseous dysplasia (FCOD).” Jama Otolaryngol Head Neck Surg 140, no. 10 (October 2014): 985–86. https://doi.org/10.1001/jamaoto.2014.1984.
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    • Rocke, Daniel J., Halton W. Beumer, Donald H. Taylor, Steven Thomas, Liana Puscas, and Walter T. Lee. “Physician and Patient and Caregiver Health Attitudes and Their Effect on Medicare Resource Allocation for Patients With Advanced Cancer.” Jama Otolaryngol Head Neck Surg 140, no. 6 (June 2014): 497–503. https://doi.org/10.1001/jamaoto.2014.494.
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    • Rocke, Daniel J., Steven Thomas, Liana Puscas, and Walter T. Lee. “Physician knowledge of and attitudes toward the Patient Protection and Affordable Care Act.” Otolaryngology  Head and Neck Surgery : Official Journal of American Academy of Otolaryngology Head and Neck Surgery 150, no. 2 (February 2014): 229–34. https://doi.org/10.1177/0194599813515839.
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    • Schulz, Kristine, Liana Puscas, Debara Tucci, Charles Woodard, David Witsell, Ramon M. Esclamado, and Walter T. Lee. “Surgical Training and Education in Promoting Professionalism: a comparative assessment of virtue-based leadership development in otolaryngology-head and neck surgery residents.” Med Educ Online 18 (October 29, 2013): 22440. https://doi.org/10.3402/meo.v18i0.22440.
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    • Lee, Walter T., Ramon M. Esclamado, and Liana Puscas. “Selecting Among Otolaryngology Residency Applicants to Train as Tomorrow's Leaders.” Jama Otolaryngol Head Neck Surg 139, no. 8 (August 1, 2013): 770–71. https://doi.org/10.1001/jamaoto.2013.3982.
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    • Rocke, Daniel J., Walter T. Lee, Halton W. Beumer, Donald H. Taylor, Kristine Schulz, Steven Thomas, and Liana Puscas. “Physician allocation of Medicare resources for patients with advanced cancer.” J Palliat Med 16, no. 8 (August 2013): 857–66. https://doi.org/10.1089/jpm.2012.0636.
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    • Kahmke, Russel, Walter T. Lee, Liana Puscas, Richard L. Scher, Michael J. Shealy, Warner M. Burch, and Ramon M. Esclamado. “Utility of Intraoperative Frozen Sections during Thyroid Surgery.” Int J Otolaryngol 2013 (2013): 496138. https://doi.org/10.1155/2013/496138.
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    • Schulz, Kristine, Liana Puscas, Debara Tucci, Charles Woodard, David Witsell, Ramon M. Esclamado, and Walter T. Lee. “Surgical Training and Education in Promoting Professionalism: a comparative assessment of virtue-based leadership development in otolaryngology-head and neck surgery residents.” Med Educ Online 18, no. 1 (January 2013): 22440. https://doi.org/10.3402/meo.v18i0.22440.
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    • Puscas, Liana. “Otolaryngology resident in-service examination scores predict passage of the written board examination.” Otolaryngol Head Neck Surg 147, no. 2 (August 2012): 256–60. https://doi.org/10.1177/0194599812444386.
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    • Lee, Walter T., David S. Yoo, Liana Puscas, David Witsell, Seth M. Cohen, Samuel R. Fisher, Richard Scher, et al. “Treatment-induced changes in vocal cord mobility and subsequent local recurrence after organ preservation therapy for laryngeal carcinoma.” Head Neck 34, no. 6 (June 2012): 792–96. https://doi.org/10.1002/hed.21813.
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    • Puscas, Liana, Scott R. Sharp, Brian Schwab, and Walter T. Lee. “Qualities of residency applicants: comparison of otolaryngology program criteria with applicant expectations.” Arch Otolaryngol Head Neck Surg 138, no. 1 (January 2012): 10–14. https://doi.org/10.1001/archoto.2011.214.
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    • Beumer, H Wolfgang, Karthik Vishwanath, Liana Puscas, Hamid R. Afshari, Nimmi Ramanujam, and Walter T. Lee. “Detection of squamous cell carcinoma and corresponding biomarkers using optical spectroscopy.” Otolaryngol Head Neck Surg 144, no. 3 (March 2011): 390–94. https://doi.org/10.1177/0194599810394290.
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    • Sharp, Scott, Liana Puscas, Brian Schwab, and Walter T. Lee. “Comparison of applicant criteria and program expectations for choosing residency programs in the otolaryngology match.” Otolaryngol Head Neck Surg 144, no. 2 (February 2011): 174–79. https://doi.org/10.1177/0194599810391722.
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    • Beumer, H Wolfgang, and Liana Puscas. “Computer modeling and navigation in maxillofacial surgery.” Curr Opin Otolaryngol Head Neck Surg 17, no. 4 (August 2009): 270–73. https://doi.org/10.1097/MOO.0b013e32832cba7d.
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    • Gellad, Z. F., D. Hampton, C. L. Tebbit, L. Puscas, and D. A. Pavey. “Bilateral vocal cord paralysis following stent placement for proximal esophageal stricture.” Endoscopy 40 Suppl 2 (September 2008): E150. https://doi.org/10.1055/s-2007-995773.
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    • Puscas, Liana. “The role of human papilloma virus infection in the etiology of oropharyngeal carcinoma.” Curr Opin Otolaryngol Head Neck Surg 13, no. 4 (August 2005): 212–16. https://doi.org/10.1097/01.moo.0000170524.74264.b1.
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  • Other Articles

    • Puscas, L. “Delegate's report.” Jama, September 29, 1999. https://doi.org/10.1001/jama.282.12.1196.
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    • Puscas, L. “Delegate's report.” Jama, February 10, 1999. https://doi.org/10.1001/jama.281.6.572.
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    • Puscas, L., and L. L. Meyers. “AMA adopts resolutions relevant to residents.” Jama, January 1, 1999. https://doi.org/10.1001/jama.282.15.1488-a.
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  • Conference Papers

    • Rocke, D., S. R. Sharp, L. Puscas, D. Wiener, and W. T. Lee. “Upper Airway Surgery in Patients with Sleep Apnea.” In Otolaryngology  Head and Neck Surgery : Official Journal of American Academy of Otolaryngology Head and Neck Surgery, 147:P264, 2012.
    • Puscas, Loan, Andrei Todea, Sanda Stanca, Gabriela Domuta, Marceta Coltau, Lucian Unita, Lorena Indries, Daniela Cordea, and Cosmin Teusdea. “Diffuse gastric mucosa lesions produced to patients with diabetes insipidus after desmopressin administration. Mechanism of action.” In Gastroenterology, 134:A572–73. W B SAUNDERS CO-ELSEVIER INC, 2008.
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    • Puscas, Loan, Andrei Todea, Adrian Maghiar, Marcela Coltau, Gabriela Domuta, Paula Mare, and George Ionescu. “Somatostatin inhibits gastric acid secretion and reduces the activity of carbonic anhydrase IV in gastric parietal Cell. A new mechanism of action.” In Gastroenterology, 132:A387–A387. W B SAUNDERS CO-ELSEVIER INC, 2007.
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