Meet Our Providers
TAMARAH FRATIANNI, D.O., F.O.C.O.O., M.D.(H)
Board Certified in Otolaryngology – Head and Neck Surgery
Dr. Fratianni has been providing quality ear, nose and throat care for the past 20 years in Northern Arizona. A California native, Dr. Fratianni attended medical school at Western University of Health Sciences in Pomona, CA and conducted her residency at Oakland General Hospital and Botsford General Hospital, affiliates of Michigan State University. Dr. Fratianni has board certification in general ear, nose and throat care as well as Otolaryngic Allergy and facial plastic surgery.
Iris Maczura, FNP-C, MSN
Board Certified Family Nurse Practioner
Iris Maczura is a board certified family nurse practioner with Crystal Canyon ENT. Iris has extensive experience in coordinating the care of ENT surgical patients at Flagstaff Medical Center and has worked with Dr. Fratianni at FMC for over a decade. Prior to joining CCENT, Iris served her community as a surgical nurse in the operating room at Flagstaff Medical Center. Iris’s desire is to take her knowledge of hospital-based ENT care and apply it to the clinic-based ENT setting at Crystal Canyon. Patients appreciate how Iris customizes her communication style to best compliment the knowledge and experiences of her patients.
Education and Certification
Iris earned a master’s of science from the University of South Alabama, where she graduated Magna Cum Laude. She received her undergraduate degree, a bachelor’s of science in nursing, from Northern Arizona University. Iris is nationally board certified as a family nurse practitioner through the American Association of Nurse Practitioners and is a member of the American Academy of Nurse Practitioners.
Iris believes that understanding patients’ needs and values is integral to establishing the foundation for individualized care.
Insight Into Ear, Nose, and Throat Specialists
Otolaryngology (pronounced oh/toe/lair/in/goll/oh/jee) is the oldest medical specialty in the United States. Otolaryngologists are physicians trained in the medical and surgical management and treatment of patients with diseases and disorders of the ear, nose, throat (ENT), and related structures of the head and neck. They are commonly referred to as ENT physicians.
Their special skills include diagnosing and managing diseases of the sinuses, larynx (voice box), oral cavity, and upper pharynx (mouth and throat), as well as structures of the neck and face. Otolaryngologists diagnose, treat, and manage specialty-specific disorders as well as many primary care problems in both children and adults.
Training And Patient Care
Otolaryngologists are ready to start practicing after completing up to 15 years of college and post- graduate training. To qualify for certification by the American Board of Otolaryngology, an applicant must first complete college, medical school (usually four years), and at least five years of specialty training. Next, the physician must pass the American Board of Otolaryngology examination. In addition, some otolaryngologists pursue a one- or two- year fellowship for more extensive training in one of seven subspecialty areas.
These subspeciality areas are pediatric otolaryngology (children), otology/neurotology (ears, balance, and tinnitus), allergy, facial plastic and reconstructive surgery, head and neck, laryngology (throat), and rhinology (nose). Some otolaryngologists limit their practices to one of these seven areas.
Our specialist at Crystal Canyon ENT & FPS has added certification in facial plastic surgery and allergy.
What makes otolaryngologists the most appropriate physicians to treat disorders of the ears, nose, throat, and related structures of the head and neck?
These specialists differ from many physicians in that they are trained in both medicine and surgery. Otolaryngologists do not need to refer patients to other physicians when ear, nose, throat, or head/ neck surgery is needed and, therefore, can offer the most appropriate care for each individual patient.
Diagnosis And Treatment In Seven Areas Of Expertise
Otology/Neurotology: diseases of the ear, including trauma (injury), cancer, and nerve pathway disorders, which affect hearing and balance. Examples: ear infection; swimmer’s ear; hearing loss; ear, face, or neck pain; dizziness, ringing in the ears (tinnitus).
Pediatric Otolaryngology: diseases in children with special ENT problems including birth defects in the head and neck and developmental delays. Examples: ear infection (otitis media), tonsil and adenoid infection, airway problems, Down’s syndrome, asthma and allergy/sinus disease.
Head and Neck: cancerous and noncancerous tumors in the head and neck, including the thyroid and parathyroid. Examples: lump in the neck or thyroid, cancer of the voice box.
Facial Plastic and Reconstructive Surgery: cosmetic, functional, and reconstructive surgical treatment of abnormalities of the face and neck. Examples: deviated septum, rhinoplasty (nose), face lift, cleft palate, drooping eyelids, hair loss.
Rhinology: disorders of the nose and sinuses. Examples: sinus disorder, nose bleed, stuffy nose, loss of smell.
Laryngology: disorders of the throat, including voice and swallowing problems. Examples: sore throat, hoarseness, swallowing disorder, gastroesophageal reflux disease (GERD).
Allergy: treatment by medication, immunotherapy (allergy shots) and/or avoidance of pollen, dust, mold, food, and other sensitivities that affect the ear, nose, and throat. Examples: hay fever, seasonal and perennial rhinitis, chronic sinusitis, laryngitis, sore throat, otitis media, dizziness.
© 2012 American Academy of Otolaryngology — Head and Neck Surgery
This website serves as an introduction and brief overview of services offered at our facility. For more detailed answers to your questions, please schedule an appointment.