Roles
Director of Rhinology and Endoscopic Skull Base Program
Vice Chairman of Clinical Affairs
Professor of Otolaryngology
Division of Rhinology
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Biography
Dr Casiano is an internationally recognized expert in the field of rhinology and endoscopic skull base surgery. His area of expertise is in the area of advanced endoscopic surgical techniques of the paranasal sinuses and skull base, and the management of complex sinonasal neoplasms. After completing his Bachelor of Arts degree at Wabash College (Crawfordsville, Indiana) in 1978, Dr Casiano received his medical degree from the Indiana University School of Medicine (Indianapolis, Indiana) in 1982. In 1988 he completed his otolaryngology residency at the University of Miami Miller School Of Medicine, after which he joined the faculty at the University of Miami Department of Otolaryngology. He currently holds the rank of tenured Professor and Vice Chairman of Clinical Affairs, and directs the Department’s Advanced Rhinology and Endoscopic Skull Base Fellowship Program. His clinical and research interests have resulted in over 200 peer reviewed research publications, book chapters, or textbooks in the area of rhinology and endoscopic skull base surgery. He is a frequently an invited guest speaker to numerous national and international meetings. He has served as President of the very prestigious American Rhinologic Society, as well as Secretary General, Treasurer, and President of the Panamerican Association of Otolaryngology H&N Surgery.
Dr Casiano continues to be an active member of the American Rhinological Society, American Academy of Otolaryngology Head and Neck Surgery, American College of Surgeons, and Pan American Association of Otolaryngology Head and Neck Surgery. Inducted as a fellow of the American Academy of Otolaryngology in 1988, Dr Casiano participates in numerous national committees of the American Academy of Otolaryngology. As past-president of the American Rhinologic Society, he continues to serve in the role of consultant. Additionally, he has participated for many years as a faculty member in the annual American Board of Otolaryngology National Board Exam, as an oral examiner. He has served as Associate Editor for the Otolaryngology Head and Neck Journal, and is active on the editorial review boards for a number of peer review journals in Otolaryngology (Laryngoscope, Allergy and Rhinology Journal, International Forum of Allergy and Rhinology, Archives of Otolaryngology, and Otolaryngology Head and Neck Journal). Dr Casiano has had the honor of receiving the American Academy of Otolaryngology Distinguished Service Award twice, for his contributions to his field. -
Education & Training
Education
Post Graduate Training
Licensures and Certifications
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Honors & Awards
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Teaching Interests
In the early 1990's Dr Casiano developed a unique surgical training methodology, for training residents to perform a safe and effective endoscopic sinus surgery (one of the highest reasons for iatrogenic intracranial and orbital complications, and subsequent litigation), as it became apparent that there were geographic differences in the severity of sinonasal inflammatory disease, with more severe inflammatory disease (polyps and allergic fungal rhinosinusitis) in the southeastern United States, and particularly in Florida. The severity of bone remodeling and destructive disease seen warranted a different approach then initially taught in the mid-1980’s in Europe, where more severe inflammatory disease processes was not as frequently seen. His publications describing the systematic step-wise surgical approach to the paranasal sinuses have been used by many practicing otolaryngologists world-wide. For almost 3 decades, Dr Casiano developed and has been teaching these unique teaching skills to our residents and fellows at our "Annual Residents' and Fellows' Endoscopic Anatomy and Surgical Technique Cadaveric Course". For about the last decade, he expanded the course to include the residents of the other two otolaryngology training programs in the State of Florida (USF and UF) and their mentors. Now it's referred to as the "All Florida ESS Anatomy and Surgical Techniques Course".
Dr Casiano is the director of the Rhinology and Endoscopic Skull
Base Fellowship Program, which trains 2 fellows per year (one domestic ACGME residency- trained fellow, and one international fellow). The program has become one of the most elite fellowship programs in North America.
1992, Dr Casiano developed the first International Panamerican Rhinology “Minifellowship” Program in the country at the Miller School of Medicine which, in partnership with the Medical Examiner's Office. This is a unique, 1 month, hands-on, endoscopic sinus surgery training program utilizing supervised cadaveric dissections in our surgical training lab at the Medical Examiner's Office on the Medical Center Campus. This program has trained hundreds of young international otolaryngologists to perform endoscopic sinonasal and skull base surgery. Most of the participants have come from virtually every country in Latin America, Spain, and more recently, from the Middle East. Many have become leaders in the field, in their own countries, teaching the next generation of young endoscopic sinus surgeons. Currently, this Rhinology Minifellowship Program in Miami remains widely popular and is booked about 2 years in advance.
Additionally, for almost two decades, Dr Casiano developed and has directed our Annual International Endoscopic Anatomy and Surgical Techniques CME Course with former fellows. This has become a very popular hands-on cadaveric course for both national and international otolaryngologist wishing to develop or refresh their endoscopic surgical skills. -
Research Interests
Dr Casiano's clinical research involves the study of new treatment modalities for sinonasal and skull base neoplasms, as well as developing and novel minimally invasive transnasal endoscopic techniques to remove malignant skull base neoplasms. In 2001, he developed, and described, the first published series of patients who underwent an endoscopic anterior skull base resection without the need for a craniotomy. Since then, this endoscopic technique has been widely adopted around the world to resect neoplasms that were previously only accessible through external approaches, which have historically been associated with significant morbidity and increased hospitalization. In select malignant neoplasms, what historically used to be an external surgical procedure associated with less then 50% disease control, over 20% complications, and hospitalizations as long as 2 weeks, has been reduced to greater than a 90% disease control, less than 5% complications, and hospital stays of no more than 4 days.
In 2006, Dr Casiano recruited one of his former fellows, Dr Corinna Levine to further develop our rhinology and endoscopic skull base research programs in the area of chronic inflammatory disease. This has allowed the Rhinology Division to expand its research endeavours into clinical outcomes on patients suffering from chronic rhinosinusitis with polyps, with a focus on disease disparities in the Latin American and black populations of South Florida, Currently, Dr Casiano has been mentoring and collaborating with Dr Levine on these research endeavours, as she develops her young career as a physician scientist. -
Publications
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