I specialize in the medical and surgical care of diseases of the nasal cavity and paranasal sinuses, including infectious, inflammatory, autoimmune disease, as well as orbital manifestations of sinus disease and tumors of the nasal cavity and paranasal sinuses. But more than that, my focus is on helping people in need and improving their quality of life. And while making a challenging diagnosis might feel good, it feels better to help a patient through a difficult time and assure them that I’ll be there when they need me.

Biography 

Dr. Litvack is a rhinologist at Harborview Medical Center and Puget Sound VA Health Care System and a UW acting assistant professor of otolaryngology-head and neck surgery. She is an expert in infectious, inflammatory and neoplastic diseases of the nasal cavity and paranasal sinuses. She manages the medical and surgical treatment of sinus disease.

Dr. Litvack earned her bachelor’s and master’s degrees from Dartmouth College in Hanover, NH and her medical degree from Jefferson Medical College in Philadelphia, PA. She trained at Oregon Health & Science University (OHSU) in Portland, OR, first as a general surgery intern and then as an otolaryngology resident. She completed an extramural NIH T32 research fellowship in quality of life outcomes of endoscopic sinus surgery at OHSU under the mentorship of Timothy Smith, MD, MPH. She completed a clinical fellowship in Rhinology & Skull Base Surgery at Massachusetts Eye & Ear Infirmary and Harvard Medical School in Boston, MA under the mentorship of Ralph Metson, MD.

Prior to relocating to the pacific northwest, Dr. Litvack was an Assistant Professor of Clinical Otolaryngology-Head & Neck Surgery at Georgetown University where she enjoyed teaching medical students and residents and provided rhinology care for veterans at the Washington DC VA Medical Center. She is a board-certified otolaryngologist and active member of the American Medical Association, American Academy of Otolaryngology-Head & Neck Surgery, and Northwest Academy of Otolaryngology. She is a fellow of the American Rhinologic Society. She has chaired national committees for her specialty and subspecialty societies and previously served as the Treasurer/Secretary of the Washington DC Metropolitan Otolaryngology Society.

She enjoys hiking, camping, barre, playing at the park with her kids and oversized Bernese Mountain dog.

Overview 

Undergraduate Education: Dartmouth College 

Master's Degree: Graduate School of Medicine at Darthmouth, 1998

Medical Education: Thomas Jefferson University, Philadelphia, PA, 2003

Internship: Oregon Health Sciences University, General Surgery

Residency: Oregon Health Sciences University, Otolaryngology 

Other Training: OHSU, T32 Research Fellowship in quality of life outcomes of endoscopic sinus surgery

Clinical Fellowship: Massachusetts Eye and Ear Infirmary and Harvard Medical School in Rhinology and Skull Base Surgery

Certification: American Board of Otolaryngology, 2011

Memberships: American Medical Association; American Academy of Otolaryngology - Head and Neck Surgery; Northwest Academy of Otolaryngology; American Rhinologic Society. 

Awards and honors 

Former Treasurer/Secretary of the Washington DC Metropolitan Otolaryngology Society
Former chair of national committees for her specialty and subspecialty societies

Academic interests 

CLINICAL INTERESTS

Dr. Litvack's clinical interests include clinical research in sinusitis, quality of life and outcomes of sinus surgery.

RESEARCH FOCUS

The roles of aspirin-exacerbated respiratory disease, olfaction, and depression in chronic rhinosinusitis; predictors of outcomes of endoscopic sinus surgery; quality of life of patients with chronic rhinosinusitis and outcomes of sinus surgery.

Recent Publications

Remenschneider AK, D'Amico L, Litvack JR, Gray ST, Holbrook EH, Gliklich R, Metson R. Long-Term Outcomes in Sinus Surgery: A New Tool for Measuring Health-Related Quality of Life., Otolaryngol Head Neck Surg 2014 Jul; 151(1):164-70

Quintanilla-Dieck L, Litvack JR, Mace JC, Smith TL. Comparison of disease-specific quality-of-life instruments in the assessment of chronic rhinosinusitis., Int Forum Allergy Rhinol 2012 Nov; 2(6):437-43

Soler ZM, Mace JC, Litvack JR, Smith TL. Chronic rhinosinusitis, race, and ethnicity., Am J Rhinol Allergy ; 26(2):110-6

Litvack JR, Mace J, Smith TL. Role of depression in outcomes of endoscopic sinus surgery., Otolaryngol Head Neck Surg 2011 Mar; 144(3):446-51

Mace JC, Michael YL, Carlson NE, Litvack JR, Smith TL. Correlations between endoscopy score and quality of life changes after sinus surgery., Arch. Otolaryngol. Head Neck Surg. 2010 Apr; 136(4):340-6