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 an ENT surgeon specializing in rhinology and sinus surgery at Harborview Medical Center and Puget Sound VA Health Care System.  She is an Acting Assistant Professor at the University of Washington.  Her clinical interests and expertise focus on the surgical and medical management of infectious, inflammatory and neoplastic diseases of the nasal cavity and paranasal sinuses.   Dr. Litvack completed her residency training in Otolaryngology-Head & Neck Surgery and extramural NIH T32 research fellowship at Oregon Health & Science University in Portland, OR under the mentorship of Tim Smith, MD, MPH.  She has published extensively on quality of life outcomes of endoscopic sinus surgery.   She completed her 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 a fellow of the American Rhinologic Society.  She has served as committee chair for her national specialty and subspecialty societies.  She is an active member of the American Medical Association, American Academy of Otolaryngology-Head & Neck Surgery, American Rhinologic Society and Northwest Academy of Otolaryngology. 

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