Department of Otorhinolaryngology

Otorhinolaryngology
faculty photo

James Nathan Palmer, MD

Associate Professor of Otorhinolaryngology: Head and Neck Surgery at the Hospital of the University of Pennsylvania
Attending Staff. , Hospital of the Univ. of PA, PA Hospital, Presbyterian Hospital, West Philadelphia VA Medical Center
Director, Division of Rhinology, Department of Otorhinolaryngology – Head and Neck Surgery, University of Pennsylvania
Department: Otorhinolaryngology: Head and Neck Surgery

Contact information
HUP - 5th Floor Ravdin
34th and Spruce Streets
4283
Philadelphia, PA 19104
Office: 2156627746
Fax: 2156140071
Education:
B.A. (Chemistry)
University of Chicago, 1990.
M.D.
The Ohio State University, 1995.
Post-Graduate Training
Fellow, The Stanley J. Sarnoff Endowment for Research in Cardiovascular Science, 1992-1993.
Intern in General Surgery , Northwestern Memorial Hospital, 1995-1996.
Resident in Otolaryngology, Northwestern Memorial Hospital, 1996-2000.
Fellow in Rhinology and Sinus Surgery, Georgia Nasal and Sinus Institute, 2000-2001.
Daiichi Clinical Scholar, , AAO-HNS Foundation, 2001-2002.
Certifications
American Board of Otolaryngology, 2001.
Permanent link
 
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Description of Research Expertise

Minimally Invasive Approaches to Sinus and Skull Base Tumors
Surgical Instrument Design
Topical Medications for Sinusitis
Novel Therapeutics for Recalcitrant Chronic Rhinosinusitis
Bacterial Biofilms and Chronic Rhinosinusitis
Cilia Function and Chronic Rhinosinusitis

Description of Clinical Expertise

Revision Endoscopic Sinus Surgery
Frontal Sinus Surgery
Minimally Invasive Sinus Cancer Surgery
Endoscopic Skull Base Surgery
Endoscopic CSF Leak Repair
Surgical Management of Epistaxis
Management of Recalicitrant Chronic Rhinosinusitis

Selected Publications

Bleier Benjamin S, Cohen Neri M, Bloom Jason D, Palmer James N, Cohen Noam A: Laser Tissue Welding in Lung and Tracheobronchial Repair: An Animal Model. Chest Mar 2010.

Bleier Benjamin S, Cohen Noam A, Chiu Alexander G, O'Malley Bert W, Doghramji Laurel, Palmer James N: Endonasal laser tissue welding: first human experience. American journal of rhinology & allergy 24(3): 244-6, May 2010.

Suh Jeffrey D, Ramakrishnan Vijay, Palmer James N: Biofilms. Otolaryngologic clinics of North America 43(3): 521-30, viii, Jun 2010.

Hekiert Adrianna M, Cohen Michael B, Montone Kathleen T, Palmer James N, Govindaraj Satish: Ecthyma gangrenosum mimicking acute invasive fungal sinusitis in an immunocompromised patient. Ear, nose, & throat journal 89(6): 262-7, Jun 2010.

Ramakrishnan Vijay R, Palmer James N: Prevention and management of orbital hematoma. Otolaryngologic clinics of North America 43(4): 789-800, Aug 2010.

Woodworth Bradford A, Zhang Shaoyan, Tamashiro Edwin, Bhargave Geeta, Palmer James N, Cohen Noam A: Zinc increases ciliary beat frequency in a calcium-dependent manner. American journal of rhinology & allergy 24(1): 6-10, Jan-Feb 2010.

Welch Kevin C, Thaler Erica R, Doghramji Laurie L, Palmer James N, Chiu Alexander G: The effects of serum and urinary cortisol levels of topical intranasal irrigations with budesonide added to saline in patients with recurrent polyposis after endoscopic sinus surgery. American journal of rhinology & allergy 24(1): 26-8, Jan-Feb 2010.

Suh Jeffrey D, Cohen Noam A, Palmer James N: Biofilms in chronic rhinosinusitis. Current opinion in otolaryngology & head and neck surgery 18(1): 27-31, Feb 2010.

Purkey MT, Woodworth BA, Hahn S, Palmer JN, Chiu AG: Endoscopic Repair of Supraorbital Ethmoid Cerebrospinal Fluid Leaks. ORL; journal for oto-rhino-laryngology and its related specialties 71(2): 93-98, Jan 2009.

Bleier Benjamin S, Paulson David P, O'Malley Bert W, Li Daqing, Palmer James N, Chiu Alexander G, Cohen Noam A: Chitosan glycerophosphate-based semirigid dexamethasone eluting biodegradable stent. American journal of rhinology & allergy 23(1): 76-9, Jan-Feb 2009.

Tamashiro Edwin, Xiong Guoxiang, Anselmo-Lima Wilma T, Kreindler James L, Palmer James N, Cohen Noam A: Cigarette smoke exposure impairs respiratory epithelial ciliogenesis. American journal of rhinology & allergy 23(2): 117-22, Mar-Apr 2009.

Barañano Christopher F, Curé Joel, Palmer James N, Woodworth Bradford A: Sternberg's canal: fact or fiction? American journal of rhinology & allergy 23(2): 167-71, Mar-Apr 2009.

Cohen Michael, Kofonow Jennifer, Nayak Jayakar V, Palmer James N, Chiu Alexander G, Leid Jeff G, Cohen Noam A: Biofilms in chronic rhinosinusitis: a review. American journal of rhinology & allergy 23(3): 255-60, May-Jun 2009.

Bleier Benjamin S, Kennedy David W, Palmer James N, Chiu Alexander G, Bloom Jason D, O'Malley Bert W: Current management of juvenile nasopharyngeal angiofibroma: a tertiary center experience 1999-2007. American journal of rhinology & allergy 23(3): 328-30, May-Jun 2009.

Hahn Samuel, Palmer James N, Purkey Michael T, Kennedy David W, Chiu Alexander G: Indications for external frontal sinus procedures for inflammatory sinus disease. American journal of rhinology & allergy 23(3): 342-7, May-Jun 2009.

Banks Caroline A, Palmer James N, Chiu Alexander G, O'Malley Bert W, Woodworth Bradford A, Kennedy David W: Endoscopic closure of CSF rhinorrhea: 193 cases over 21 years. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery 140(6): 826-33, Jun 2009.

Tamashiro Edwin, Antunes Marcelo B, Palmer James N, Cohen Noam A, Anselmo-Lima Wilma T: Implications of bacterial biofilms in chronic rhinosinusitis. The Brazilian journal of infectious diseases : an official publication of the Brazilian Society of Infectious Diseases 13(3): 232-5, Jun 2009.

Welch Kevin C, Cohen Michael B, Doghramji Laurie L, Cohen Noam A, Chandra Rakesh K, Palmer James N, Chiu Alexander G: Clinical correlation between irrigation bottle contamination and clinical outcomes in post-functional endoscopic sinus surgery patients. American journal of rhinology & allergy 23(4): 401-4, Jul-Aug 2009.

Hekiert Adrianna M, Kofonow Jennifer M, Doghramji Laurel, Kennedy David W, Chiu Alexander G, Palmer James N, Leid Jeffery G, Cohen Noam A: Biofilms correlate with TH1 inflammation in the sinonasal tissue of patients with chronic rhinosinusitis. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery 141(4): 448-53, Oct 2009.

Bleier Benjamin S, Palmer James N: Cranial-base repair using endoscopic laser welding. Otolaryngologic clinics of North America 42(5): 901-6, xi, Oct 2009.

Tamashiro Edwin, Cohen Noam A, Palmer James N, Lima Wilma Terezinha Anselmo: Effects of cigarette smoking on the respiratory epithelium and its role in the pathogenesis of chronic rhinosinusitis. Brazilian journal of otorhinolaryngology 75(6): 903-7, Dec 2009.

Woodworth Bradford A, Palmer James N: Spontaneous cerebrospinal fluid leaks. Current opinion in otolaryngology & head and neck surgery 17(1): 59-65, Feb 2009.

Fang AF, Palmer JN, Chiu AG, Blumer JL, Crownover PH, Campbell MD, Damle BD: Pharmacokinetics of azithromycin in plasma and sinus mucosal tissue following administration of extended-release or immediate-release formulations in adult patients with chronic rhinosinusitis. International journal of antimicrobial agents Mar 2009.

Bleier Benjamin S, Palmer James N, Gratton Michael A, Cohen Noam A: In vivo laser tissue welding in the rabbit maxillary sinus. American journal of rhinology 22(6): 625-8, Nov-Dec 2008.

Woodworth B A, Chiu A G, Cohen N A, Kennedy D W, O'Malley B W, Palmer J N: Real-time computed tomography image update for endoscopic skull base surgery. The Journal of laryngology and otology 122(4): 361-5, Apr 2008.

Chiu Alexander G, Palmer James N, Woodworth Bradford A, Doghramji Laurel, Cohen Michael B, Prince Anthony, Cohen Noam A: Baby shampoo nasal irrigations for the symptomatic post-functional endoscopic sinus surgery patient. American journal of rhinology 22(1): 34-7, Jan-Feb 2008.

Jackman Alexis H, Palmer James N, Chiu Alexander G, Kennedy David W: Use of intraoperative CT scanning in endoscopic sinus surgery: a preliminary report. American journal of rhinology 22(2): 170-4, Mar-Apr 2008.

Welch Kevin C, Palmer James N: Intraoperative emergencies during endoscopic sinus surgery: CSF leak and orbital hematoma. Otolaryngologic clinics of North America 41(3): 581-96, ix-x, Jun 2008.

Whitmore Robert G, Bonhomme Gabrielle, Balcer Laura J, Palmer James N: Tension pneumocephalus after endoscopic sinus surgery: case report of repair and management in absence of obvious skull base defect. Ear, nose, & throat journal 87(2): 96-9, Feb 2008.

Chennupati Sri Kiran, Woodworth Bradford A, Palmer James N, Cohen Noam A, Kennedy David W, Chiu Alexander G: Intraoperative IGS/CT updates for complex endoscopic frontal sinus surgery. ORL; journal for oto-rhino-laryngology and its related specialties 70(4): 268-70, 2008.

Woodworth Bradford A, Prince Anthony, Chiu Alexander G, Cohen Noam A, Schlosser Rodney J, Bolger William E, Kennedy David W, Palmer James N: Spontaneous CSF leaks: a paradigm for definitive repair and management of intracranial hypertension. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery 138(6): 715-20, Jun 2008.

Prince Anthony A, Steiger Jacob D, Khalid Ayesha N, Dogrhamji Laurel, Reger Christine, Eau Claire Steven, Chiu Alexander G, Kennedy David W, Palmer James N, Cohen Noam A: Prevalence of biofilm-forming bacteria in chronic rhinosinusitis. American journal of rhinology 22(3): 239-45, May-Jun 2008.

Woodworth Bradford A, Harvey Richard J, Neal Jeffrey G, Palmer James N, Schlosser Rodney J: Endoscopic management of frontal sinus mucoeceles with anterior table erosion. Rhinology 46(3): 231-7, Sep 2008.

Khalid Ayesha N, Woodworth Bradford A, Prince Anthony, Quraishi Sadeq A, Antunes Marcelo B, Long Fenella H A, Bolger William E, Chiu Alexander G, Palmer James N, Cohen Noam A: Physiologic alterations in the murine model after nasal fungal antigenic exposure. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery 139(5): 695-701, Nov 2008.

Bleier Benjamin S, Gratton Michael A, Leibowitz Jason M, Palmer James N, Newman Jason G, Cohen Noam A: Laser-welded endoscopic endoluminal repair of iatrogenic esophageal perforation: an animal model. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery 139(5): 713-7, Nov 2008.

Woodworth Bradford A, Bhargave Geeta A, Palmer James N, Chiu Alexander G, Cohen Noam A, Lanza Donald C, Bolger William E, Kennedy David W: Clinical outcomes of endoscopic and endoscopic-assisted resection of inverted papillomas: a 15-year experience. American journal of rhinology 21(5): 591-600, Sep-Oct 2007.

Chiu Alexander G, Antunes Marcelo B, Palmer James N, Cohen Noam A: Evaluation of the in vivo efficacy of topical tobramycin against Pseudomonas sinonasal biofilms. The Journal of antimicrobial chemotherapy 59(6): 1130-4, Jun 2007.

Chen Bei, Antunes Marcelo B, Claire Steven Eau, Palmer James N, Chiu Alexander G, Kennedy David W, Cohen Noam A: Reversal of chronic rhinosinusitis-associated sinonasal ciliary dysfunction. American journal of rhinology 21(3): 346-53, May-Jun 2007.

Tamhankar Madhura A, Volpe Nicholas J, Loevner Laurie A, Palmer James N, Feldman Michael: Primary sinonasal undifferentiated carcinoma presenting with bilateral retrobulbar optic neuropathy. Journal of neuro-ophthalmology : the official journal of the North American Neuro-Ophthalmology Society 27(3): 189-92, Sep 2007.

Bleier Benjamin S, Palmer James N, Sparano Anthony M, Cohen Noam A: Laser-assisted cerebrospinal fluid leak repair: an animal model to test feasibility. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery 137(5): 810-4, Nov 2007.

Woodworth Bradford A, Antunes Marcelo B, Bhargave Geeta, Palmer James N, Cohen Noam A: Murine tracheal and nasal septal epithelium for air-liquid interface cultures: a comparative study. American journal of rhinology 21(5): 533-7, Sep-Oct 2007.

Schipor I, Palmer JN, Cohen AS, Cohen NA : Quantification of ciliary beat frequency in sinonasal epithelial cells using differential interference contrast microscopy and high-speed digital video imaging. Am J Rhinol 20(1): 124-7, Jan-Feb 2006.

Hockstein Neil G, Bales Christina B, Palmer James N: Transseptal suture to secure middle meatal spacers. Ear, nose, & throat journal 85(1): 47-8, Jan 2006.

Cohen Noam A, Widelitz Jeffrey S, Chiu Alexander G, Palmer James N, Kennedy David W: Familial aggregation of sinonasal polyps correlates with severity of disease. Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery 134(4): 601-4, Apr 2006.

Chiu Alexander G, Jackman Alexis H, Antunes Marcelo B, Feldman Michael D, Palmer James N: Radiographic and histologic analysis of the bone underlying inverted papillomas. The Laryngoscope 116(9): 1617-20, Sep 2006.

Steiger Jacob D, Chiu Alexander G, Francis David O, Palmer James N: Endoscopic-assisted reduction of anterior table frontal sinus fractures. The Laryngoscope 116(11): 1978-81, Nov 2006.

James N. Palmer and Neil G. Hockstein: Medical and Surgical Treatment of Recurrent Chronic Sinusitis. James N. Palmer and Neil G. Hockstein. Endoscopic Sinus Surgery. DeSouza, A (eds.). 2006.

Palmer JN : Bacterial biofilms in chronic rhinosinusitis. In: Twenty years of endoscopic sinus surgery: its evolution and future directions Annals of Otology, Rhinology, & Laryngology DW Kennedy (eds.). 115 (196): 35-39, 2006.

Chandra RK, Palmer JN : Epidermoids of the Paranasal Sinuses and Beyond: Endoscopic Management. AM J Rhinol July-Aug 2006.

Lee JT, Kennedy DW, Palmer JN, Feldman M, Chiu AG : The Incidence of Concurrent Osteitis in Patients with CRS: A Clinicopatholigic Study AM J Rhinol 20(3): 278-83, May-June 2006.

Chen B, Shaari J, Claire SE, Palmer JN, Chiu AG, Kennedy DW, Cohen NA : Altered Sinonasal Ciliary Dynamics in Chronic Rhinosinusitis. AM J Rhinol 20(3): 325-330, May-June 2006.

Shaari J, Palmer JN, Judy K, Chen B, Cohen NA : Regional Analysis of Sinonasal Ciliary Beat Frequency. AM J Rhinol 20(2): 150-4, Mar-Apr 2006.

Cohen NA, Widelitz JS, Chiu AG, Palmer JN, Kennedy DW : Familial aggregation of sinonasal polyps correlates with severity of disease Otolaryngol Head Neck Surg 134(4): 601-4, April 2006.

Perloff JR, Palmer JN, : Evidence of bacterial biofilms in a rabbit model of sinusitis. Am J Rhinol 19(1): 1-6, Feb 2005.

Wolf Jeffrey S, Chiu Alexander G, Palmer James N, O'Malley Bert W, Schofield Kimberly, Taylor Rodney J: Informed consent in endoscopic sinus surgery: the patient perspective. The Laryngoscope 115(3): 492-4, Mar 2005.

Chiu Alexander G, Palmer James N, Cohen Noam: Use of image-guided computed tomography-magnetic resonance fusion for complex endoscopic sinus and skull base surgery. The Laryngoscope 115(4): 753-5, Apr 2005.

Taylor Rodney J, Chiu Alexander G, Palmer James N, Schofield Kim, O'Malley Bert W, Wolf Jeffrey S: Informed consent in sinus surgery: link between demographics and patient desires. The Laryngoscope 115(5): 826-31, May 2005.

Hockstein Neil G, Cohen Noam A, Palmer James N: Proteolysis of beta-trace Protein? Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery 133(2): 310; author reply 310-1, Aug 2005.

Woodworth B A, Schlosser R J, Palmer J N: Endoscopic repair of frontal sinus cerebrospinal fluid leaks. The Journal of laryngology and otology 119(9): 709-13, Sep 2005.

Woodworth Bradford A, Tamashiro Edwin, Bhargave Geeta, Cohen Noam A, Palmer James N: An in vitro model of Pseudomonas aeruginosa biofilms on viable airway epithelial cell monolayers. American journal of rhinology 22(3): 235-8, May-Jun 2005.

Cohen NA, Chiu AG, Kennedy DW, Chen B, Palmer JN,: Altered Sinonasal Ciliary Dynamics in Chronic Rhinosinusitis - American Rhinologic Society, Los Angeles, CA Sept 2005.

Hockstein NG, Bales CB, Palmer JN : Transseptal suture to secure middle meatal spacers. Ear Nose Throat J 85(1): 47-8, January 2005.

Woodworth BA, Schlosser RJ, Palmer JN : Endoscopic repair of frontal sinus cerebrospinal fluid leaks. J Larygol Otol 119(9): 709-13, Sept 2005.

Chiu AG, Schipor I, Cohen NA, Kennedy DW, Palmer JN : Surgical decisions in the management of frontal sinus osteomas. Am J Rhinol 19(2): 191-7, Mar-Apr 2005.

Taylor RJ, Chiu AG, Palmer JN, Schofield K, O’Malley BW JR, Wolf JS.,: Informed consent in sinus surgery: link between demographics and patient desires. Laryngoscope 115(5): 826-31, May 2005.

Chiu AG, Palmer JN, Cohen N.,: Use of image-guided computed tomography-magnetic resonance fusion for complex endoscopic sinus and skull base surgery. Laryngoscope 115(4): 753-5, April 2005.

Schlosser RJ, Wilensky EM, Grady MS, Palmer JN, Kennedy DW, Bolger WE : Cerebrospinal fluid pressure monitoring by use of lumbar drain. Otolaryngol Head Neck Surg 130(4): 433-8, April 2004.

Cryer J, Schipor I, Perloff JR, Palmer JN : Evidence of bacterial biofilms in human chronic sinusitis. ORL; J Otorhinolaryngol Relat Spec. 66(3): 155-8, March 2004.

Chandra RK, Palmer JN, Trangsujarittham T, Kennedy DW : Factors associated with failure of frontal sinusotomy in the early follow-up period. Otolaryngol Head Neck Surg 131(4): 514-8, April 2004.

Chandra RK, Kennedy DW, Palmer JN : Endoscopic management of failed frontal sinus obliteration. Am J Rhinol. 18(5): 279-84, May 2004.

Perloff JR, Palmer JN, : Evidence of bacterial biofilms on frontal recess stents in patients with chronic rhinosinusitis. Am J Rhinol. 18(6): 377-80, Nov-Dec 2004.

Meetze Keith, Palmer James N, Schlosser Rodney J: Frontal sinus complications after frontal craniotomy. The Laryngoscope 114(5): 945-8, May 2004.

Palmer James N, Kennedy David W: Medical management in functional endoscopic sinus surgery failures. Current opinion in otolaryngology & head and neck surgery 11(1): 6-12, Feb 2003.

Palmer J N, Conley D B, Dong R G, Ditto A M, Yarnold P R, Kern R C: Efficacy of endoscopic sinus surgery in the management of patients with asthma and chronic sinusitis. American journal of rhinology 15(1): 49-53, Jan-Feb 2001.

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Last updated: 02/21/2012
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