Karen B. Zur, MD

Karen B. Zur, MD

Karen B. Zur, MD, is Director of the Pediatric Voice Program and Associate Director of the Center for Pediatric Airway Disorders at Children's Hospital of Philadelphia.

Areas of Expertise: General pediatric otolaryngology, Pediatric voice disorders, Pediatric airway disorders
Locations: Main Campus; Specialty Care, Princeton at Plainsboro; Specialty Care & Surgery Center, Voorhees
Appointments and Referrals: 1-800-TRY-CHOP (1-800-879-2467)

Education and Training

Medical School

MD - Albert Einstein College of Medicine, New York, NY

Internship

General Surgery - Mt. Sinai Hospital, General Surgery, New York, NY

Residency

Otolaryngology - Mt. Sinai Hospital, New York, NY

Fellowship

Pediatric Otolaryngology - Cincinnati Children's Hospital Medical Center, Cincinnati, OH

Board Certification

Otolaryngology

Undergraduate Degree

BS in Biology - Yale University, New Haven, CT

Titles and Academic Titles

Attending Surgeon

Director, Pediatric Voice Program

Associate Director, The Center for Pediatric Airway Disorders

Associate Professor of Otorhinolaryngology: Head and Neck Surgery, Perelman School of Medicine at the University of Pennsylvania

Conditions Treated

Departments and Services

Research Interests

Pediatric laryngotracheal pathology
Surgical reconstruction and voicing issues

Publications

Papers

2018

Zur KB: Vocal fold motion impairment. Current Problems in Pediatric and Adolescent Health Care Page: 124-128, April 2018 Notes: 2018 Apr 10. pii: S1538-5442(18)30031-2. doi: 10.1016/j.cppeds.2018.03.004. [Epub ahead of print]

Zur KB: The Voice Clinic at CHOP: A case of unilateral vocal fold mobility (mini case report). Children's Doctor Spring 2018.  Notes: A CHOP seasonal publication.  

Zur KB, Carroll LM: Recurrent laryngeal nerve reinnervation for management of aspiration in a subset of children. International Journal of Pediatric Otorhinolaryngology 104: 104-107, January 2018 Notes: Epub 2017 Nov 6.

2017

Sacca R, Zur KB, Crowley TB, Zackai EH, Valverde KD, McDonald-McGinn DM. Association of airway abnormalities with 22q11.2 deletion syndrome. Int J Pediatr Otorhinolaryngol. 2017 May;96:11-14. doi: 10.1016/j.ijporl.2017.02.012. Epub 2017 Feb 21. PMID: 28390597

Best SR, Mohr M, Zur KB: Systemic Bevacizumab for Recurrent Respiratory Papillomatosis: A National Survey. Laryngoscope 127(10): 2225-2229, October 2017 Notes: 2017 Jun 28. doi: 10.1002/lary.26662. [Epub ahead of print]

Zur KB, Fox E: Bevacizumab chemotherapy for management of pulmonary and laryngotracheal papillomatosis in a child.  Laryngoscope 127(7): 1538-1542, July 2017.

Yeung JC, Balakrishnan K, Cheng ATL, Daniel SJ, Garabedian EN, Hart CK, Inglis AF Jr, Leboulanger N, Liming BJ, Moreddu E, Nicollas R, Russell JD, Rutter MJ, Sidell DR, Spratley J, Soma M, Thierry B, Thompson DM, Triglia JM, Watters K, Wyatt M, Zalzal GH, Zur KB, Rahbar R: International Pediatric Otolaryngology Group: Consensus guidelines on the diagnosis and management of type I laryngeal clefts. International Journal of Pediatric Otorhinolaryngology 101: 51-56, October 2017 Notes: Epub 2017 Jul 18.

2016

Zur KB, Fox E. Bevacizumab chemotherapy for management of pulmonary and laryngotracheal papillomatosis in a child. Laryngoscope. 2016 Dec 20. doi: 10.1002/lary.26450. [Epub ahead of print]

Zur KB, Carroll LM: Recurrent laryngeal nerve reinnervation in children: Acoustic and endoscopic characteristics pre and post intervention. A comparison of treatment options. Laryngoscope. 2015 Dec;125 Suppl 11:S1-S15.

Carter J, Rahbar R, Brigger M, Chan K, Cheng A, Daniel SJ, De Alarcon A, Garabedian N, Hart C, Hartnick C, Jacobs I, Liming B, Nicollas R, Pransky S, Richter G, Russell J, Rutter MJ, Schilder A, Smith RJ, Strychowsky J, Ward R, Watters K, Wyatt M, Zalzal G, Zur K, Thompson D: International Pediatric ORL Group (IPOG) laryngomalacia consensus recommendations. International Journal of Pediatric Otorhinolaryngology 86: 256-61, July 2016 Notes: doi: 10.1016/j.ijporl.2016.04.007. Epub 2016 Apr 7.

Strychowsky JE, Albert D, Chan, K, Cheng A, Daniel S, DeAlarcon A, Garabedian N, Hart C, Hartnick C, Inglis A, Jacobs I, Kleinman M, Mehta N, Nicollas R, Nuss, R, Pransky S, Russell J, Rutter M, Schilder A, Thompson D, Triglia JM, Volk M, Ward B, Watters K, Wyatt M, Zalzal G, Zur K, Rahbar R.: International Pediatric Otolaryngology Group (IPOG) consensus recommendations: Routine peri-operative pediatric tracheotomy care. Routine peri-operative pediatric tracheostomy care: Consensus recommendations. International Journal of Pediatric Otorhinolaryngology. (eds.) 86: 250-5, July 2016.

2013

Carroll LM, Mudd P, Zur KB: Severity of voice handicap in children diagnosed with elevated lesions. Otolaryngology Head Neck Surgery 149(4): 628-632, October 2013 Notes: Otolaryngol Head Neck Surg. 2013 Aug 19. [Epub ahead of print]OTO-131189R2 accepted for publication July 17, 2013.

2012

Jacobs IN, Reinders M, Rickert S, Zur KB: The efficacy of balloon dilation of the pediatric airway. Annals of Otology, Rhinology & Laryngology 2012 Notes: Submitted July 25, 2012.

Berg E, Zur KB and Jacobs IN: Lambdoid stenosis of the pediatric airway: Incidence, predisposing factors, and management. Submission pending. 2012.

Ishman SL, Benke JR, Johnson KE, Zur KB, Jacobs IN, Thorne MC, Brown DJ, Lin SY, Bhatti N, Deutsch ES: Blinded evaluation of interrater reliability of an operative competency assessment tool for direct laryngoscopy and rigid bronchoscopy Archives of Otolaryngology-Head Neck Surgery 138(10): 916-922, October 2012 Notes: Published online September 17, 2012. doi:10.1001/2013.jamaoto.115 

Javia LR, Zur KB: Laryngotracheal reconstruction with resorbable microplate buttressing. Laryngoscope 122(4): 920-924, April 2012 Notes: doi: 10.1002/lary.23224. Epub 2012 Feb 29. PMCID: 22378653

Rameau A, Zur KB. Multidisciplinary approach to vocal cord dysfunction diagnosis and treatment in one session: a single institutional outcome study. International Journal of Pediatric Otorhinolaryngology. 2012 Jan; 76(1): 31-35. Read the abstract

Books

2018

Koufman J, Wei JL, Zur KB: Acid Reflux in Children: How Healthy Eating Can Fix Your Child's Asthma, Allergies, Obesity, Nasal Congestion, Cough & Croup. Katalitix Media LLC, New York, NY, May 15 2018.

2016

Surgical Pediatric Otolaryngology, 2nd ed. Potsic WP, Cotton RT, Handler SD, Zur KB (eds). Thieme Medical Publishers; New York, NY,  2016.

2015

Pediatric Airway. Current Otorhinolaryngology Reports. Zur KB (section ed.). Springer, Philadelphia PA, 2015.

2014

Congenital Malformations of the Head and Neck. Elden LM, Zur KB (eds.). Springer, New York, NY, 2014 Notes: Editorial responsibilities included reviewing each chapter and supplementing submitted photographs and figures with CHOP database photographs.

Chapters

2016

Zur KB: Injection Laryngoscopy. Surgical Pediatric Otolaryngology, 2nd ed. Potsic WP, Cotton RT, Handler SD, Zur KB (eds.). Thieme Medical Publishers; New York, NY Page: 404-410, 2016.

Zur KB: Current Laryngeal Nerve Reinnervation. Surgical Pediatric Otolaryngology, 2nd ed. Potsic WP, Cotton RT, Handler SD, Zur KB (eds.). Thieme Medical Publishers; New York, NY Page: 404-410, 2016.

Brant JA, Zur KB: Voice Disorders in Children. Ballenger's Otorhinolaryngology Head and Neck Surgery 2018, Volume 2. Wackym PA, Snow Jr, JB (eds.). People's Medical Publishing House - USA, Shelton, CT, Page: 1067-1073, 2016.

2015

Zur KB: Esophageal Foreign Body. The Pediatric Airway - Anesthesia & Surgical Perspective. Matthes K, Nargozian C, Rahbar R (eds.). Oxford University Press, 2015/16.

2014

Zur KB: Congenital Malformations of the Trachea. Congenital Malformations of the Head and Neck. Elden LM and Zur KB (eds.). Springer, New York, NY, Page: 141-158, 2014.

Zur KB, Tom LWC, Potsic WP, Handler SD: Methods of Examination of the Mouth, Pharynx and Esophagus Pediatric Otolaryngology, 5th ed. Bluestone CD, Healy GB (eds.). People's Medical Publishing House, Page: 1151-1160, Mar 31 2014.

Clemmens C, Zur KB: Acquired Vocal Fold Lesions. Pediatric Otolaryngology - Head & Neck Surgery, Clinical Reference Guide. Parikh SR (eds.). Plural Publishing, San Diego, CA, Page: 369-376, Jan 30 2014.

2013

Zur KB (chapter provider/writer): Basics of Pediatric Anesthesia. iBook: AAO-HNSF Expert Witness Guidelines: An AcademyU Online Course (CME Program) Litman R (eds.). May 4 2013 Notes: This book is available for download on iPad with iBooks or on computer with iTunes.

2011

Zur KB, Myer CC. Salivary gland disease in children. In: Johnson JT, Rosen C, editors. Head and neck surgery - otolaryngology. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2012.

Zur KB. Tracheal malformations. In: Elden LM, Zur KB, editors. Congenital malformations of the head and neck. New York: Springer; 2011.

Zur KB. The critical airway. In: Mattei P, editor. Fundamentals of pediatric surgery. Springer Science+Business Media, Inc.; 2011 Jul;177-184.

2010

Zur KB. Pediatric airway reconstruction and the voice. In: Hartnick C, Boseley M, editors. Clinical management of children's voice disorders. Plural Publishing; 2010 Mar;189-211.

2009

Zur KB, Litman RS: Pediatric airway foreign body retrieval: surgical and anesthetic perspectives Pediatric Anesthesia 19(s1): 109-117, 2009.

2008

Zur KB. Pediatric airway reconstruction and the voice. In: Hartnick C, editor. Pediatric voice disorders. Plural Publishing; 2008; 217-240.

2007

Zur KB, Jacobs IN. Management of chronic upper airway obstruction. In: Wetmore RF, editor. Pediatric otolaryngology: the requisites in pediatrics. Mosby, Elsevier; 2007;173-189.

2006

Zur KB, Schillero G. Pulmonary physiology. In: Van De Water TR, Staecker H, editors. Basic science for otolaryngology residents. New York: Thieme Medical Publisher; 2006.

Zur KB, Myer CC. Salivary gland disease in children. In: Bailey BJ, Johnson JT, Newlands SD, editors. Head and neck surgery - otolaryngology. 4th ed. Philadelphia: Lippincott Williams & Wilkins; 2006; 1241-1252.

2004

Zur KB, Holland SK, Yuan W, Choo DI: Functional magnetic resonance imaging: Contemporary and future use. Current Opinion in Otolaryngology & Head and Neck Surgery 12(5): 374-377, October 2004 Notes: Comparative study. PMCID: 15377946

Posters and Presentations

2018

Elden LME, McDonald-McGinn DM, Crowley TB, Zur KB, Zackai EH, Sacca R: Indications and Outcomes of Otolaryngology Surgeries in Children with 22q11.2 Deletion Syndrome. Poster presentation at the 14th Congress of the European Society of Pediatric Otorhinolaryngology – ESPO 2018, Stockholm, Sweden. June 2-5 2018.

Cantor CS, Guo J, Zur KB, Biggs LM, Pitman MJ: "Pediatrician's Proficiency in the Care of the Dysphonic Child" Poster presentation at Annual Meeting of the American Broncho-Esophagological Association, National Harbor, MD. (4/19/18).

2017

Zur KB. Co-Panelist: "Contemporary Management of Pediatric and Adult LTS" Mini-Seminar presented 9/11/17 at the Annual Meeting of the AAO-HNS, Chicago, IL (Accepted via abstract.)

Zur KB. Schmitt M, Zur KB, Giordano T: Can Telemedicine Provide Quality Patient Care for Complex Airway Patients? Poster presentation at the Annual Meeting of the American Society of Pediatric Otolaryngology (ASPO), Austin, TX May 2017.

Zur KB. ALA Panelist. The HPV Epidemic: What Our Patients Want to Know about the Virus. Presented at: ALA/COSM 2017; 2017 Apr 27; San Diego, CA.

Zur KB, Carroll LM. Impact of Prematurity on Unilateral Vocal Fold Immobility. Oral presentation at: Annual Meeting of the ABEA/COSM 2017; 2017 Apr 27; San Diego, CA.

Zur KB, Carroll LM. Recurrent Laryngeal Nerve Reinnervation for Management of Aspiration in a Subset of Children. Oral presentation at: Annual Meeting of the ALA/COSM 2017; 2017 Apr 26; San Diego, CA.

Zur KB. Complex Airway Reconstruction: Multidisciplinary Care. Oral presentation to: Department of Speech and Language Pathology, Children's Hospital of  Philadelphia; 2017 Apr 18; Philadelphia, PA. 

Zur KB. Vocal Cord Dysfunction. Guest speaker, 7th Annual BREATHE Conference, sponsored by the Allergy & Asthma Specialists Education Foundation; 2017 Mar 31; Malvern, PA. 

Zur KB. Co-Course Director and Instructor: Annual Foreign Body Pediatric Airway Endoscopy Course at Children's Hospital of Philadelphia in conjunction with CHOP's Center for Pediatric Airway Disorders; 2015 Mar 25; Philadelphia, PA.

Wohl D, Zur K. Ergonomics in Pediatric ENT. Oral presentation. Annual SPOEG Meeting; 2017 Jan 15; Palm Beach, FL.

2016

Sacca R, Zur KB, Valverde KD, McDonald-McGinn DM. Association of Airway Abnormalities with 22q11.2 Deletion Syndrome. Oral presentation by Sacca R at the 10th Biennial Int'l 22q11.2 Conference, Sirmione, Italy.  (7/20-22/16)

Zur KB, McMurray S. Pediatric Voice Disorders: Case-Based Assessment and Management. Presentation at 2016 AAO-HNSF Annual Meeting & OTO EXPO; 2016 Sep 18-21; San Diego, CA.

Lectures by Invitation

2018

Zur KB. Invited Panelist and Lecturer: "Bilateral Vocal Fold Paralysis: The Role for Laryngeal Augmentation" and "Bilateral Vocal Fold Paralysis: The Role of Bilateral Selective Laryngeal Nerve Reinnervation" Presented at the 14th Congress of the European Society of Pediatric Otorhinolaryngology – ESPO 2018,Stockholm, Sweden (6/2-5/18)

Zur KB. Laryngology State-of-the-Art Panelist: “Pediatric Voice" Annual Meeting of the Triological Society, National Harbor, MD (4/20/18).

Zur KB. "Vocal Cord Dysfunction Management: Pearls for Practice" Presented at CHOP's 21st Annual Practical Review for the Clinician: Pediatric Allergy, Immunology and Infectious Diseases (11/10/17)
Renewed Editorial Board, The Laryngoscope , 2017-2018

Zur KB. "2018 Update on Avastin and RRP" Oral presentation to the Southern Pediatric Otolaryngology Study Group, Palm Beach, FL (1/14/18)

Zur KB. "Vocal Health" Voice Team Seminar presented at Walnut Street Theatre Educational Program Open House. (Community outreach, 1/20/18) 

2017

Zur KB. "Reinnervation" Oral presentation at Cincinnati Children’s Otolaryngology Reunion, Austin TX (5/18/17)

Zur KB. Panelist: “Reverse Translation: What Can Be Applied from the Adult Voice World to Pediatric Voice Problems?”  Presented at the Annual Meeting of the American Society of Pediatric Otolaryngology (ASPO), Austin, TX (5/20/17)

Zur KB. Round Table Faculty: "Management of Pediatric Vocal Fold Palsy: Toward Consensus?" 2017 International EndoDays, Paris, France (6/22/17)

Zur KB. Workshop Faculty: "Pediatric Laryngeal Nerve Reinnervation: Impact on Voice and Swallowing” 20th International Workshop 2017: Laser Voice Surgery and Voice Care. Paris, France (6/23/17)

Zur KB. Symposium Panelist: “Pediatric Vocal Fold Paralysis? Unilateral/Bilateral” International Federation of Otorhinolaryngological Societies (IFOS) ENT World Congress, Paris, France (6/27/17)

Zur KB. International Faculty/Lecturer: “Why I Believe in Reinnervation of Paralyzed Vocal Folds” Presented at the 4th South Pacific ORL Forum/32nd Annual Society Meeting of the Australian New Zealand Society of Paediatric Otorhinoloaryngology (ANZSPO), Honolulu, HI (7/10/17)

Zur KB. Faculty/Debate Panelist: “Laryngomalacia: We Should Operate on Them All” 4th South Pacific ORL Forum/32nd Annual Society Meeting of the Australian New Zealand Society of Paediatric Otorhinoloaryngology (ANZSPO), Honolulu, HI (7/12/17)

Zur KB. Faculty:  "Airway Stents" Presented at the 4th Pacific ORL Forum/32nd Annual Society Meeting of the Australian New Zealand Society of Paediatric Otorhinoloaryngology (ANZSPO), Honolulu, HI (7/12/17)

"Pediatric Voice Disorders: Diagnosis and Management" De Alarcon A, McMurray JS, Zur K, Rickert S.  Instruction course presented 9/10/17 at the Annual Meeting of the AAO-HNS, Chicago, IL (Zur is co-presenter; Accepted via abstract.)

Awards and Honors

2018, Philadelphia Magazine "Top Doctors"

2016, Best Children's Doctors, South Jersey Magazine

2015, Finalist, Main Line Parent LOVE Award

2015, 2014 & 2011, Top Physicians of South Jersey, South Jersey Magazine

2014, 2007-2008, Best Doctors in America

2014, Top Children's Physicians of South Jersey. South Jersey Magazine

2013, Philadelphia Super Doctors

2013, Best Doctors, South Jersey Magazine

2012, American Academy of Otolaryngology-Head and Neck Surgery Foundation Certificate of Honor

2011, CHOP Certificate of Excellence

2011, Who's Who in Medicine and Healthcare

2011, "Future Leader in Pediatric Otolaryngology"

2011 & 2010, Best Children's Physicians, South Jersey Magazine

2009, Top Docs for Kids,  South Jersey Magazine

2009, Honorary Lifetime Member, Israeli Society of Otolaryngology/Head and Neck Surgery

2009-2012, Best Doctors in America

2009, Member, "Guide to America's Top Physicians"

2004-2005, Distinguished off-campus scholar of the graduate faculty. Miami University, Oxford, OH

2004, Resident Travel Award, AAO-HNS

2003, Resident Travel Award, The Triological Society (Eastern Section)

1998, Distinction in Otolaryngology Research, Albert Einstein College of Medicine, Pathology Department

1997, Biomedical Science Pathway Fellowship, Albert Einstein College of Medicine

1997, Neuropathy Training Grant. Albert Einstein College of Medicine, Pathology Department

1994, The James Stuart Davie Award, Yale University

1990, Prix de Lausanne International Ballet Competition: Semifinalist. Lausanne, Switzerland

Editorial and Academic Positions

Editorial positions

2014-present, Editorial Board, Current Otorhinolaryngology Reports
2012-2015, Member, Journal of Voice Editorial Board

Reviewer

2010-present, Faculty of 1000 Medicine
2009-present, Folia Phoniatrica et Logopaedica
2008-present, Journal of Biological Regulators & Homeostatic Agents
2007-present, Archives of Otolaryngology-Head and Neck Surgery
2007-present, Otolaryngology-Head and Neck Surgery
2006-present, International Journal of Pediatric Otorhinolaryngology
2005-present, Annals of Otology, Rhinology & Laryngology
2005-present, Pediatrics

Academic positions

2011-present, Executive Sponsor: "In OR to Next Patient in the OR Turnover" Rapid Improvement Event (RIE), Kaizen Events
2011-present, Executive Sponsor: "Day of Surgery to OR" Rapid Improvement Event (RIE), Kaizen Events
2011-present, Executive Sponsor: "Pre-Operative Preparation" Rapid Improvement Event (RIE), Kaizen Events
2010-present, Member, Surgical Patient Flow Steering Team

Leadership and Memberships

Memberships in professional organizations

National

2015-present, The American Laryngological, Rhinological and Otological Society, Inc., aka The Triological Society

 - 2018-2019, Program Committee Member



2008-present, American Society of Pediatric Otolaryngology

- 2017-2018, Nominating Committee



2006-present, Society for Ear, Nose and Throat Advances in Children



2006-present, Voice Foundation



1999-present, American Academy of Otolaryngology - Head & Neck Surgery



2006-present, American Broncho-Esophagological Association

- 2016-2020, ABEA Vice President



1999-present, American Academy of Pediatrics



1999-present, American College of Surgeons