TAMARAH FRATIANNI, D.O., F.O.C.O.O., M.D.

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.

JULIE MALONEY, PA-C, MPAS

Board Certified Physician Assistant

We are happy to welcome Julie Maloney, Board Certified Physician Assistant, to our practice at Crystal Canyon E.N.T! Julie has extensive experience coordinating the clinical and surgical care of ENT, Plastic Surgery, and Orthopedic patients of all ages. Born and raised in the Chicago area, she moved to Arizona in 2008. She has spent the majority of her career working on the Navajo Nation in Tuba City, where she met her husband, Jesse, a professor at Dine College. Julie’s desire is to apply her experience and passion for ENT and Plastic Surgery here at Crystal Canyon. Patients appreciate how Julie customizes her communication style to best compliment the knowledge and experiences of her patients.

Education and Certification

Julie earned a Master of Physician Assistant Studies from the University of Nebraska-Omaha after completing a Bachelor of Science in Physician Assistant Studies from University of Wisconsin-Madison. Julie is nationally board certified as a Physician Assistant through the American Association of Physician Assistants, and she is a member of the American Academy of Physician Assistants and the American Academy of Otolaryngology-Head and Neck Surgery.

Philosophy

Julie believes that understanding patients’ needs and values is integral to establishing the foundation for effective, 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