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The Craniofacial Center is home to specialists with a wide variety of backgrounds and areas of focus. As a team, this diversity makes us better prepared to care for your child’s unique needs. Learn more about our faculty and staff.
Howard M. Saal, MD, FACMG Director, Clinical Genetics
Director, Clinical Genetics
Director, Cytogenetics Laboratory
Co-Director, 22Q-VCFS Center
Professor, UC Department of Pediatrics
Craniofacial disorders; community genetics; growth disorders; 22Q-VCFS
Clinical and research interests include genetic etiologies and natural histories of craniofacial disorders and new syndrome delineation.
Howard M. Saal, MD, a highly respected clinical geneticist and dysmorphologist, is the head of the section of Clinical Genetics in the Division of Human Genetics at Cincinnati Children's Hospital Medical Center. In addition to being board certified in clinical genetics and pediatrics, Dr. Saal is a board certified cytogeneticist.
Early in his career, he was the Director of the Cytogenetics Laboratory at the University of Connecticut Health Center, where he was also the associate director of the Craniofacial Disorders Team.
Dr. Saal is interested in the genetic causes of craniofacial disorders, especially cleft lip and cleft palate. He also has a significant interest in the natural history of genetic conditions, and has authored or co-authored numerous publications centering on the natural history and management of various genetic conditions, with special attention to neurofibromatosis, cleft lip, cleft palate, Pierre Robin sequence and 22Q-VCFS. After leaving Connecticut, Dr. Saal went to Children's National Medical Center in Washington, DC, where he was the Vice-Chairman of the Department of Medical Genetics and co-director of the Craniofacial Center. His clinical activities included establishment of the Neurofibromatosis Clinic, the Biochemical Genetics Clinic, and the multidisciplinary Skeletal Dysplasia Clinic with his colleagues at Children's National Medical Center. His interest in community activities led to his being named to the Health Professionals Advisory Committee and later to the Board of Directors of the National Capital Area March of Dimes.
Dr. Saal joined the staff at Cincinnati Children's in 1993 as the Head of Clinical Genetics. He has been an active participant in numerous clinical settings and has established the Hereditary Cancer Program, a unique local resource for families with familial and inherited cancers.
Dr. Saal is involved in community activities and has established urban genetics outreach clinics at three sites in Hamilton County. He has also been appointed as acting director of the Craniofacial Center at Cincinnati Children's, where he continues to cultivate his interests in the care of children with craniofacial disorders.
MD: Wayne State University, Detroit, MI, 1975-1979.
Internship: University of Connecticut Integrated Program in Pediatrics, Farmington, CT, 1979-1980.
Residency: University of Connecticut Integrated Program in Pediatrics, Farmington, CT, 1980-1982.
Fellowship: University of Washington School of Medicine Division of Medical Genetics, Seattle, WA, 1982-1984.
Certification: American Board of Medical Genetics in Cytogenetics and Clinical Genetics, 1984; American Board of Pediatrics, 1985.
Zarate YA, Putnam PE, Saal HM. Intestinal malrotation in a patient with Pfeiffer syndrome type 2. Cleft Palate Craniofac J. 2010 Nov;47(6):638-41. Epub 2010 Feb 28.
Zarate YA, Martin LJ, Hopkin RJ, Bender PL, Zhang X, Saal HM. Evaluation of growth in patients with isolated cleft lip and/or cleft palate. Pediatrics. 2010 Mar;125(3):e543-9.
Knapke SC, Bender P, Prows C, Schultz JR, Saal HM. Parental perspectives of children born with cleft lip and/or palate: a qualitative assessment of suggestions for healthcare improvements and interventions. Cleft Palate Craniofac J. 2010 Mar;47(2):143-50.
Burrow TA, Saal HM, de Alarcon A, Martin LJ, Cotton RT, Hopkin RJ. Characterization of congenital anomalies in individuals with choanal atresia. Arch Otolaryngol Head Neck Surg. 2009 Jun;135(6):543-7.
Baboiu O, Collins M, Saal HM. Hepatic mesenchymal hamartoma: cytogenetic analysis of a case and review of the literature. Pediatric Pathology 2008 Jul-Aug;11(4):295-299.
Kogan JM, Egelhoff JC, Saal HM, Interstitial deletion of 13q associated with polymicrogyria. Am J Med Genet 2008;146A(7):910-916.
Kotsopoulos J, Lubinski J, Lynch HT, Klijn J, Ghadirian P, Neuhausen SL, Kim-Sing C, Foulkes WD, Moller P, Isaacs C, Domchek S, Randall S, Offit K, Tung N, Ainsworth P, Gershoni-Baruch R, Eisen A, Daly M, Karlan B, Saal HM, Couch F, Pasini B, Wagner T, Friedman E, Rennert G, Eng C, Weitzel J, Sun P, Narod SA; The Hereditary Breast Cancer Clinical Study Group. Age at first birth and the risk of breast cancer in BRCA1 and BRCA2 mutation carriers. Breast Cancer Res Treat 2007;10(2)5:221-228.
Friedman, E, Kotsopoulos, J, Lubinski, J, Lynch, HT, Paviz, G, Neuhausen, SL, Isaacs, C, Weber, B, Foulkes, WD, Moller, P, Rosen, B, Kim-Sing, C, Gershoni-Baruch, R, Ainsworth, P, Daly, M, Tung, N, Eisen, A, Olopade, OI, Karlan, B, Saal, HM, Garber, JE, Rennert, G, Gilchrist, D, Eng, C, Offit, K, Osborne, M, Sun, P, Narod, SA. Spontaneous and therapeutic abortions and the risk of breast cancer among BRCA mutation carriers. Breast Cancer Res. 2006;8(2):R15.
Gronwald, J, Tung, N, Offit, K, Gershoni, R, Daly, M, Kim-Sing, C, Olsson, H, Ainsworth, P, Eisen, A,Saal, H, Friedman, E, Olopade, O, Osborne, M, Weitzel, J, Lynch, H, Ghadirian, P, Lubinski, J, Sun P, Narod, SA al. (2006). Tamoxifen and contralateral breast cancer in BRCA1 and BRCA2 carriers: an update. Int J Cancer. 2006;118(9): 2281-4.
David A. Billmire, MD, FACS, FAAP Director, Plastic Surgery
Director, Plastic Surgery
Associate Professor, UC Department of Surgery
UC Department of Pediatrics
Craniofacial problems; cleft lip and palate surgery; craniosynostosis surgery
Cellular signaling in craniosynostosis
David A. Billmire, MD, has practiced plastic surgery in the Cincinnati area since 1983. He has centered his practice around pediatric patients, although he accepts select adult patients.
He received his BS and MD from Ohio State University. He completed training in general surgery and plastic surgery at the University of Cincinnati. His fellowship training included pediatric and craniofacial surgery at the Foundation for Craniofacial Deformities at the Baylor University Hospital and Children's Hospital of Dallas, Texas and aesthetic surgery training in Miami, Fla.
Dr. Billmire is the director of Plastic Surgery at Cincinnati Children's Hospital Medical Center. He has been at the forefront of craniofacial surgery, introducing craniofacial bone distraction to the Cincinnati area in 1994. He is well known and respected by his colleagues and has organized an annual regional meeting for the exchange of ideas and knowledge.
He has served as the President of the Ohio Valley Society of Plastic and Reconstructive Surgery and a as guest examiner for the qualifying exam of the American Board of Plastic Surgery.
Dr. Billmire's current clinical research centers on facial bone growth after severe burns and chemical signaling defects in craniosynostosis
MD: Ohio State University, Columbus, Ohio, 1975.
Residency: General Surgery, University of Cincinnati Medical Center, Cincinnati, Ohio; Plastic Surgery, University of Cincinnati Medical Center, Cincinnati, Ohio.
Fellowship: Aesthetic Surgery, Miami, Florida; Craniomaxillofacial Surgery, Baylor University Medical Center, Dallas, Texas.
Certification: Surgery, 1983; Plastic Surgery, 1985.
Richard E. Campbell, DMD, MS Director, Orthodontics
Assistant Professor, UC Department of Pediatrics
DMD: University of Louisville, Louisville, KY, 1985.
Residency: General Practice, Veterans Administration Center, Louisville, KY; Orthodontics, University of Louisville, Louisville, KY.
Barbara Chini, MD Director, Pulmonary Fellowship Program
Director, Pulmonary Fellowship Program
Assistant Cystic Fibrosis Center Director, Division of Pulmonary Medicine
Associate Professor, UC Department of Pediatrics
Fricke BL, Donnelly LF, Shott SR, Kalra M, Poe SA, Chini BA, Amin RS. Comparison of lingual tonsil size as depicted on MR imaging between children with obstructive sleep apnea despite previous tonsillectomy and adenoidectomy and normal controls. Pediatr Radiol. 2006 Jun;36(6):518-23. Epub 2006 Apr 5.
Shott SR, Amin R, Chini B, Heubi C, Hotze S, Akers R. Obstructive sleep apnea – Should all children with Down syndrome be tested? Arch Otolaryngol Head Neck Surg. 2006 Apr;132(4):432-436.
Mannaa M, Chini B. A case in point. A boy with shortness of breath, cough, and myalgias. J Respiratory Diseases. 2006;27(8):356-8.
Beebe DW, Wells CT, Jeffries J, Chini B, Kalra M, Amin RS. Neuropsychological Effects of Pediatric Obstructive Sleep Apnea. JINS. 2004 Nov;10(7):962-975.
Abbott MB, Donnelly LF, Dardzinski BJ, Poe SA, Chini BA, Amin RS. Obstructive Sleep Apnea: MR Imaging Volume Segmentation Analysis. Radiology. 2004 Sep;232(3):889-895.
Amin RS, Carroll J, Bean J, Jeffries J, Chini B, Bokulic R, Daniels S. Twenty Four Hour Ambulatory Blood Pressure in Children with Obstructive Sleep Apnea. Am J Respir Crit Care Med. 2004 Apr;169(8):950-56.
Donnelly LF, Shott SR, Connor RL, Chini BA, Amin RS. Causes of Persistent Obstructive Sleep Apnea Despite Previous Tonsillectomy and Adenoidectomy in Children with Down Syndrome as Depicted on Static and Dynamic Cine MRI. AJR. 2004 Jul;183(1):175-181.
Kerry R. Crone, MD
Professor, UC Department of Surgery
Minimal access surgery; including endoscopic surgery; chiari malformations; brain tumors; design and implementation of patient safety initiatives and clinical outcomes studies
Chiari malformations; brain tumors; telemedicine
MD: University of Cincinnati, Cincinnati, OH, 1978
Residency: Neurosurgery, Bowman-Gray School of Medicine, Winston-Salem, NC
Fellowship: Pediatric Neurosurgery, The Hospital for Sick Children, Toronto, Ontario, Canada, 1986
Phillips CL, Miles L, Jones BV, Sutton M, Crone K, Fouladi M. Medulloblastoma with melanotic differentiation: case report and review of the literature. J Neurooncol. 2010 Oct 16. Stevenson CB, Leach JL, Gupta A, Crone KR. Cystic degeneration of the cerebellar tonsils in pediatric patients with Chiari Type I malformation. J Neurosurg Pediatr. 2009 Dec;4(6):557-63. Air E, Ghomri YM, Tyagi R, Grande AW, Crone K, and Mangano FT. Management of Vagal Nerve Stimulator Infections. Do they need to be removed? J Neurosurg Pediatr. 2009; 3(1): 73-78.Yuan W, Holland S, Jones BV, Crone K, and Mangano FT. Characterization of Abnormal Diffusion Properties of Supratentorial Brain Tumors: A Preliminary DTI Study. J Neurosurg Pediatr. 2009; 1(4): 263-269.Agabegi SS, Antekeier DP, Crawford AH, Crone KR. Postlaminectomy kyphosis in an achondroplastic adolescent treated for spinal stenosis. Orthopedics. 2008 Feb;31(2):168. Neely JC 2nd, Jones BV, Crone KR. Spontaneous extracranial decompression of epidural hematoma. Pediatr Radiol. 2008; 38(3):316-8.
Levine NB, Miller MN, Crone KR. Endoscopic resection of colloid cysts: Indications, technique, and results during a 13-year period. Minim Invas Neurosurg. 2007; 50:313-317.
Christopher B. Gordon, MD
UC Department of Surgery
Maercks RA, Taylor JA, Gordon CB. Endoscopic monobloc advancement with ultrasonic osteotomy: a feasibility study. J Craniofac Surg. 2010 Mar;21(2):479-82.Taylor JA, Maercks RA, Runyan CM, Jones DC, Gordon CB. Endoscopically assisted Le Fort III osteotomy using an ultrasonic scalpel: a feasibility study in cadavers. J Craniofac Surg. 2009 Nov;20(6):2211-4.Taylor JA, Maercks RA, Jones DC, Gordon CB. Endoscopically assisted Le Fort I osteotomy using an ultrasonic scalpel: a feasibility study in cadavers. J Oral Maxillofac Surg. 2009 Jul;67(7):1420-4.
William A. Greenhill, DMD Adjunct Assistant Director of Residency Training
Adjunct Assistant Director of Residency Training
Craniofacial patients; infant oral health; prevention; trauma
Oral Trauma after Local Anesthetic in the Operating Room; Young Maternal Age and Prevalence of Dental Caries in Children; Enamel Hypoplasia in Patients with Acute Otitis Media
Written chapter on Nutrition and Oral Health for American Academy of Pediatrics Nutrition handbook.
Written section in Rudolph's Pediatrics on Dental Care for Rehabilitation Patients.
Ann W. Kummer, PhD, CCC-SLP, ASHA-F Senior Director, Division of Speech-Language Pathology
Senior Director, Division of Speech-Language Pathology
University of Cincinnati Medical Center Professor of Clinical Pediatrics; Professor of Otolaryngology, Head and Neck Surgery; Adjunct Professor of Communication Sciences and Disorders
Ann W. Kummer, Ph.D. CCC-SLP is senior director of the Division of Speech Pathology at Cincinnati Children’s Hospital Medical Center and Professor of Clinical Pediatrics, and also Professor of Otolaryngology-Head and Neck Surgery at the University of Cincinnati Medical Center. Under her direction, the speech pathology program at Cincinnati Children’s has grown to be one of the largest and most respected in the country.
Dr. Kummer does many lectures and seminars on a national and international level. She is the author of many professional articles, 16 book chapters in speech pathology and medical texts, and a textbook on craniofacial anomalies. She has a patent on a clinical device and developed a test for the Nasometer (KayPENTAX).
Dr. Kummer has received honors of the Ohio Speech-Language- Hearing Association; distinguished alumnus award from the Department of Communication Sciences and Disorders of the University of Cincinnati; and Fellow of the American Speech-Language-Hearing Association (ASHA). She was named one of the 25 most influential therapists in the US by Therapy Times in 2006 and was named one of the 10 most inspiring women in Cincinnati by Inspire Magazine in 2007.
Kummer, A.W. (2008). Cleft Palate and Craniofacial Anomalies: Effects on Speech and Resonance, 2nd Edition. Clifton Park, NY: Delmar Cengage Learning.
Kummer AW, Briggs MA, Lee L. The relationship between the characteristics of speech and velopharyngeal gap size. Cleft Palate Craniofac J. 2003:40(6):590-596.
Kummer AW, Lee L, Stutz L, Maroney A, Brandt JW. The prevalence of apraxic characteristics in patients with velocardiofacial syndrome as compared to other populations. Cleft Palate Craniofac J. 2007:44(2):175-181.
Bedwinek A, Kummer AW, Rice G, Grames LM. Current training and continuing education needs of preschool and school-based speech-language pathologists regarding children with cleft lip/palate. Lang Speech Hear Serv Sch. 2010 Oct:41(4):405-415.
Kummer AW, Clark S, Redle E, Thomsen L, Billmire DA. Current practice in assessing and reporting speech outcomes of cleft palate and velopharyngeal surgery: a surgery of cleft palate/craniofacial professionals. Cleft Palate Craniofac J. 2011 Apr 18
Kummer AW. Communication disorders related to cleft palate, craniofacial anomalies and velopharyngeal dysfunction. Seminars in Speech and Language. 2011:32(2):81-198.
Kummer AW. Disorders of resonance and airflow secondary to cleft palate and/or velopharyngeal dysfunction. Seminars in Speech and Language. 2011:32(2):141-149.
Kummer AW. Types and causes of velopharyngeal dysfunction. Seminars in Speech and Language. 2011:32(2):150-158.
Kummer AW. Perceptual assessment of resonance and velopharyngeal dysfunction. Seminars in Speech and Language. 2011:32(2):159-167.
Kummer AW. Speech therapy for errors secondary to cleft palate and velopharyngeal dysfunction. Seminars in Speech and Language. 2011:32(2):191-199.
Janet H. Middendorf, MA, CCC-SLP Clinical Manager, Division of Speech-Language Pathology
Brian S. Pan, MD
Assistant Professor, UC Department of Surgery
BS: Biology, Creighton University, Omaha, NE, 2000.
MD: Creighton University School of Medicine, Omaha, NE, 2004.
Residency: Integrated Plastic Surgery Residency, University of Cincinnati. Cincinnati, OH, 2009; Chief Plastic Surgery Resident University of Cincinnati. Cincinnati, OH, 2010.
Fellowships: Aesthetic Surgery Visiting Fellowship, Miami, FL 2009; Craniofacial and Pediatric Plastic Surgery Visiting Fellowship The Hospital for Sick Children. Toronto, Ontario, 2011; Craniofacial and Pediatric Plastic Surgery Fellowship Cincinnati Children’s Hospital Medical Center. Cincinnati, OH, 2011.
Bookman LA, Melton KR, Pan BS, Bender PL, Chini BA, Greenberg JM, Lim FY, Saal HM, Taylor JA, Elluru RG. Neonates with tongue-based airway obstruction: A systematic review. Otolaryngol Head Neck Surg. 2011.Pan BS, Kesselring AA, Kitzmiller WJ. Lower lid subciliary blepharoplasty treatment and management. eMedicine Medscape Reference. 2011 Mar. Read online.
Pan BS, Billmire DA. Pigmented Lesions and Melanoma. In Operative Pediatric Surgery Moritz Ziegler, Thomas Weber and Richard Azizkhan (Eds.). McGraw-Hill, 2011.
Pan BS. Burn Care. In The Mont Reid Surgical Handbook Wolfgang Stehr (Ed.). 6th ed. Philadelphia, PA: Saunders, 2008.
Pan BS. Thromboembolic Prophylaxis and Management of Deep Vein Thrombosis. In The Mont Reid Surgical Handbook Wolfgang Stehr (Ed.). 6th ed. Philadelphia, PA: Saunders, 2008.
Cynthia A. Prows, MSN, CNS Genetics Clinical Nurse Specialist, Division of Human Genetics
Gayle Riemer, MA, CCC-A, F-AAA Audiologist III, Division of Audiology
Iris H. Sageser, RDH, MS Administrator, Craniofacial Center
Administrator, Craniofacial Center
Field Service Associate Professor of Pediatrics
Management of multidisciplinary craniofacial services
Iris Sageser, RDH, MS, has been instrumental with the growth of the Craniofacial Center. She has overseen the addition of new team members and new specialties. The most recent specialty to join the Craniofacial Center is Pulmonary Medicine. Ms. Sageser has been an active member of the American Cleft Palate-Craniofacial Association (ACPA) where she has served on a number of committees. Currently she is the chair of the International Outreach Committee. Ms. Sageser has given numerous presentations at the annual ACPA meetings about coordinated team care and team communication challenges. She has collaborated with other team members on research projects. She is currently participating in a Institutional Review Board (IRB) approved Craniofacial Center Registry.
BS: University of Michigan, Ann Arbor, Mich., 1975.
Ann R. Schwentker, MD
Brachial plexus reconstruction; facial nerve reconstruction; microtia (ear) reconstruction; cleft lip and palate; congenital hand surgery
Burstein FD, Williams JK, Schwentker AR, Nahai F. Intralesional laser therapy treatment for hemangiomas: technical evolution. J Craniofac Surg. 2006 Jul;17(4):756-60.
Rubin JP, Nguyen V, Schwentker A. Perioperative management of the post-gastric-bypass patient presenting for body contour surgery. Clin Plast Surg. 2004 Oct;31(4):601-10, vi. Review. Schwentker A, Billiar TR. Nitric oxide and wound repair. Surg Clin North Am. 2003 Jun;83(3):521-30. Review. Weller R, Schwentker A, Billiar TR, Vodovotz Y. Autologous nitric oxide protects mouse and human keratinocytes from ultraviolet B radiation-induced apoptosis. Am J Physiol Cell Physiol. 2003 May;284(5):C1140-8. Carty SE, Colson YL, Garvey LS, Schuchert VD, Schwentker A, Tzeng E, Corcoran NA, Simmons RL, Webster MW, Billiar TR. Maternity policy and practice during surgery residency: how we do it. Surgery. 2002 Oct;132(4):682-7; discussion 687-8.
Schwentker A, Vodovotz Y, Weller R, Billiar TR. Nitric oxide and wound repair: role of cytokines? Nitric Oxide. 2002 Aug;7(1):1-10. Review. Schwentker A, Billiar TR. Inducible nitric oxide synthase: from cloning to therapeutic applications. World J Surg. 2002 Jul;26(7):772-8. Epub 2002 Apr 18. Review.
J. Paul Willging, MD Director, Interdisciplinary Feeding Team, FEES Clinic and the Velopharyngeal Insufficiency Clinic
Director, Interdisciplinary Feeding Team, FEES Clinic and the Velopharyngeal Insufficiency Clinic
Otolaryngology – Head and Neck Surgery
Congenital atresia of the ear; pediatric trauma
Hearing loss issues; cleft lip and palate patients, ear, nose and throat; ENT anomalies
Jay P. Willging, MD, is certified to practice in Ohio and Kentucky. He is a member of the American Board of Otolaryngology.
Dr. Willging enjoys all areas of Otolaryngology and has a special interest in congenital atresia of the ear and pediatric trauma.
A member of several multi-disciplinary teams, the Cincinnati Children's Hospital Medical Center Craniofacial Team, the Velopharyngeal Function and Velopharyngeal Dysfunction (Insufficiency) Clinic and the Functional Endoscopic Evaluation of Swallow Clinic, he is highly respected for his expertise.
The Craniofacial Team brings together Pediatric Otolaryngology -- Head and Neck Surgery, Plastic Surgery, Oral Surgery, Pediatric Dentistry and Orthodontics, Child Psychology, Human Genetics, Speech Pathology and Nutrition to extensively evaluate and manage children with cleft lip and cleft palate issues, as well as other children with craniofacial anomalies.
The Velopharyngeal Function and Velopharyngeal Dysfunction (Insufficiency) Clinic brings together Otolaryngology, Speech Pathology and Human Genetics to evaluate children with complex speech difficulties.
The Fiberoptic Endoscopic Evaluation of Swallow Clinic (FEES) brings together Otolaryngology and Speech Pathology to evaluate children with swallowing disorders.
In addition to ongoing research, Dr. Willging performs surgery and sees children at numerous locations, making treatment more convenient and accessible for his patients.
Janet R. Schultz, PhD
Adjunct Professor of Psychology and Pediatrics
PhD: Clinical Psychology, Miami University, 1980.
Post-doctoral training: Psychology, Cincinnati Children's Hospital Medical Center, 1981.
Certification: Clinical Psychology, 1988; Child Clinical Psychology, 2004.
Frederick L. Steinbeck, DDS, MD Oral Surgeon
DDS: Indiana University, 1983.
MD: University of Cincinnati, 1990.
Residency: Oral & Maxillofacial Surgery, University of Cincinnati, 1988.
Dawn Rothchild, RN, MSN Clinical Nurse Specialist, Division of Plastic Surgery
Stacey L. Ruth, APRN Nurse Practitioner, Plastic Surgery / Craniofacial Center
Nurse Practitioner, Plastic Surgery / Craniofacial Center
University of Cincinnati College of Medicine
MSN: Northern Kentucky University, KY, 2008.
BSN: Northern Kentucky University, KY, 2006.
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