University of Pennsylvania
Department of Otorhinolaryngology – Head and Neck Surgery
Division of Rhinology
5 Ravdin, 3400 Spruce Street
Philadelphia, PA 19104




Nithin D Adappa, M.D.
Associate Professor
Division of Rhinology and Skull Base Surgery


Noam A. Cohen, MD., Ph.D.
Professor, Director of Rhinology Research Laboratory

David W. Kennedy, M.D.
Professor, Division of Rhinology and Skull Base Surgery

Bert W. O’Malley, Jr, M.D.
Chairman, Dept of Otorhinolaryngology-Head and Neck Surgery

James N. Palmer, M.D.
Professor, Chief of the Division of Rhinology and Skull Base Surgery


The Department of Otorhinolaryngology: Head and Neck Surgery is committed to outstanding clinical care, the education of future leaders in our specialty and to advancing knowledge through basic and clinical research. Leading edge clinical care will be provided in a compassionate, patient friendly environment in which the patient always has priority. The Department is resolved to provide a broad based clinical experience to enable residents to become leading clinicians, research opportunities for the development of future clinician/scientists, and medical student courses which both provide basic knowledge in the specialty and kindle the quest for future knowledge of the field. The Department recognizes that the future of otolaryngology is based upon the continued development of innovative research. The Faculty has a special obligation to be a major national and international force in the development and implementation of advances in our specialty and to both avail itself of, and augment, the research resources available at the medical center. Recruitment and retention of outstanding faculty through maintenance of a collegial, stimulating and progressive academic milieu is critical to our mission.


The Rhinology and Skull Base Surgery Fellowship at the University of Pennsylvania has had a long storied tradition of producing leaders in our specialty. Originally started at Penn in 1992 under the leadership of David Kennedy, the Division of Rhinology, now lead by Dr. James Palmer has grown to encompass six clinical rhinologists, two nurse practitioners, a clinical research nurse, an allergy center and a dedicated Rhinology research laboratory of over ten investigators.

Our goal is to provide the highest level of dedicated rhinologic subspecialty training available to qualified applicants. The training is aimed towards providing an extensive clinical subspecialty experience, as well as opportunities to participate in leading translational research, with the ultimate goal to produce future academic leaders within the specialty. The extensive national and international referral patterns for the Rhinology service at Penn ensure a wide spectrum and high volume of tertiary rhinologic and skull base cases. Fellowship surgical experience benefits from the busy practices of five rhinologic and skull base surgeons, and is geared primarily towards the more challenging skull base, orbital, intracranial and revision surgical management issues. The Division of Rhinology performs greater than 600 endoscopic surgeries/year and 200 skull base cases/year, and case mix comprises mainly of complex frontal sinus surgery, revision FESS, benign and malignant sinonasal tumors, anterior skull base lesions, pituitary resections, CSF leaks and encephaloceles.


Clinical Rotations:

Clinical rotations are provided on the clinical services of Drs. Nithin Adappa, David Kennedy, Bert O’Malley, and James Palmer. The weekly schedule alternates every 3 months between the 2 fellows, as displayed below.

Weekly Schedule:

Each fellow is on a separate rotation at The University of Pennsylvania. One fellow will spend at least 3 days in the OR, 1 day of clinic and 1 day of research or in the OR. The second fellow will have at least 2 days of OR, 2 days of clinic and 1 day of research or in the OR. The research time can be divided into either clinical or basic science research and, in addition, can be used for academic study such as board preparation. Every 3 months the fellows will alternate schedules so both fellows get an equal amount of time with all faculty members. Throughout the year, both fellows will have academic time on Fridays with both adult and pediatric skull base cases mixed in.

Fellow #1
Monday Tuesday Wednesday Thursday Friday
Palmer Inf OR Palmer Clinic O'Malley SB OR Palmer Inf/SB OR Academic or SB OR

Fellow #2
Monday Tuesday Wednesday Thursday Friday
Inf OR
Adappa Inf/SB OR Acad or Peds 

*Inf—Inflammatory, SB- Skull Base,. Peds SB- Pediatric Skull Base Cases at CHOP, Acad-Academic time

Research Responsibilities:

The Rhinology Research Laboratory is headed by Noam Cohen, M.D., Ph.D. Protected time is provided for research and extensive opportunities are available in this well-funded and supported laboratory. Additionally, Dr. Michael Kohanski, M.D.,Ph.D. will actively be involved both from a surgical perspective as well as fellow research initiatives. Current research projects involve the investigation of biofilm rhinosinusitis, ciliary physiology of the paranasal sinuses, and novel topical treatments for recalcitrant chronic rhinosinusitis. Past fellows have also been involved with multiple clinical projects that have resulted in publications and national presentations, and have had many opportunities to collaborate in book chapters and review articles. The fellowship encourages and provides the opportunity to present research work at national meetings. Funding is provided for oral presentations.

Diversity of Cases:

The extensive national and international referral patterns for the rhinologic service at Penn ensure a wide spectrum and high volume of tertiary rhinologic cases. Fellowship surgical experience is geared primarily towards the more challenging skull base, orbital, intracranial and revision surgical management issues. Combining the caseloads of the three surgeons, there are greater than 600 endoscopic surgeries/year and 200 skull base cases/year, which includes benign and malignant sinonasal tumors, anterior skull base lesions, pituitary resections, CSF leaks and encephaloceles.

2021-2022 Case Log - Fellow #1

2021-2022 Case Log - Fellow #2

Call Schedule:

Fellows participate on an equal basis in attending call schedule (2-3 nights/month) and participate in resident supervision and teaching.

Additional Information:

The Otolaryngic Allergy Center, led by Dr. John Bosso offers inhalational allergen testing, immunologic work up, immunotherapy, and aspirin exacerbated respiratory disease (AERD) management. Fellows may elect to spend time on the basics of otolaryngic allergy and how to manage an allergy clinic if they have an interest.

Fellows are paid at University PGY-6 level in addition to full University health benefits. Fellows participate in the instruction of visiting fellows, mini-fellowship participants and as a faculty member in the internationally acclaimed Penn International Rhinology/Skull Base Course.

Fellows present Grand Rounds at the University of Pennsylvania Department Of Otorhinolaryngology: Head and Neck Surgery approximately once per year.

Fellows participate in Rhinology teaching conference on a weekly basis


Pete Papagiannopoulos - Assistant Professor, Rush University
Charles Tong - Kaiser Permanente, California
Ed Kuan - Assistant Professor, University of California-Irvine
Michael Kohanski - Assistant Professor, University of Pennsylvania
Arjun Parasher - Assistant Professor, University of South Florida
Jordan Glicksman - Private Practice, Boston, Ma area
Bobby Tajudeen – Assistant Professor, Rush University
Joseph Schwartz – Assistant Professor, McGill University
John Craig – Assistant Professor. Henry Ford
Sammy Khalili – Private Practice, Aurora Health System
Raewyn Campbell - University of South Wales, Australia
Dana Crosby - Assistant Professor - Southern Illinois University
Gregg Goldstein - Christiana Care Hospital, Wilmington, DE
Ameet Kamat - Clinical Instructor and Assistant Professor, New York Medical College/Westchester Medical Center, Ardsley
Robert Adelson - Private practice, Albany ENT and Allergy
Calvin Wei - Private practice, St. Luke's -- Roosevelt Hospital, NY
Nithin Adappa - Assistant Professor, University of Pennsylvania
Jeremy Reed - Carl R. Darnall Medical Center, Ft. Hood
Jeffery Suh - Associate Professor, UCLA School of Medicine
Vijay Ramakrishnan – Associate Professor, University of Colorado, Denver
John Lee – Associate Professor, University of Toronto
Jayakar Nayak – Assistant Professor, Stanford University
Kevin Welch - Associate Professor, Northwestern University Feinberg School of Medicine, Chicago, IL
Brad Woodworth – Associate Professor, University of Alabama-Birmingham
Satish Govindaraj – Associate Professor, Mt. Sinai University
Alexis Jackman – Private Practice - New York City area
Jivianne Lee – Associate Professor, UCLA
Noam Cohen – Associate Professor, University of Pennsylvania
Rakesh Chandra – Associate Professor, Northwestern University
Rodney Schlosser – Professor, Medical University of South Carolina
Andrew Lane – Professor, Johns Hopkins University
Stephanie Joe – Associate Professsor, University of Illinois-Chicago
Erin Wright – Professor, St. Joseph’s Health Care London, Canada
Peter Hwang – Professor, Stanford University
Richard Orlandi – Professor, University of Utah
Brent Senior – Professor, UNC-Chapel Hill
Eugenia Vining – Assistant Clinical Professor, Yale University
Jordan Josephson – Private Practice, New York City
Donald Lanza – Private Practice, Sinus & Nasal Institute of Florida


Board eligible/Board certified Otolaryngologist with valid Pennsylvania state license. Applications are taken in the winter and spring for a position beginning July 1 of the subsequent year. Interest in subspecialty Rhinology and Rhinologic research.


There are 2 fellowship positions offered. The Fellowship is currently a 1 year clinical/research experience. The University of Pennsylvania is participating in the Rhinology match. Applications should be filed through Applications will be reviewed on an individual basis and interviews will be offered in March and April.


Nithin Adappa, M.D.
Department of ORL-HNS
Division of Rhinology
Hospital of the University of Pennsylvania
3400 Spruce Street, 5 Ravdin
Philadelphia, PA 19104
[email protected]
Phone: (215) 662-2360
Fax: (215) 614-0071


Judith Glass (Administrative Assistant)
Email: [email protected]
Phone: 215-662-2360