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Larry Hartzell

CredentialsOtolaryngology
Certified Pediatric Otolaryngology
TitleProfessor
InstitutionUniversity of Arkansas for Medical Sciences
DepartmentOtolaryngology, College of Medicine
DivisionOtolaryngology Faculty
AddressG2115 ACH Administration
1900 Maryland Street
Mail Slot # ACH#836 STUR
Little Rock AR 72202
Phone501-364-1047
ORCID ORCID Icon0000-0003-0625-221X Additional info
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    Other Roles
    Pediatric Otolaryngology Fellowship Program Director Arkansas Cleft Team Director
    Arkansas Cleft Team Director

    Collapse Overview 
    Collapse overview
    Dr. Larry Hartzell attended Brigham Young University where he received his undergraduate degree in Zoology with a human biology emphasis. He spent 2 years as a missionary for his Church in Colombia where he became fluent in Spanish. Dr. Hartzell earned his medical degree at The University of Arizona College of Medicine. He completed a residency in Otolaryngology (ENT) at the University of Arkansas for Medical Sciences. He then completed fellowship training in Pediatric Otolaryngology at Arkansas Children's Hospital (ACH). He has been the director of the cleft team at ACH since 2012. Dr. Hartzell is an active participant in multiple local as well as national committees and is academically active with many peer reviewed articles in addition to book chapters and other publications. He is board certified by the American Board of Otolaryngology – Head and Neck Surgery and is a Certified Complex Pediatric Otolaryngologist. He is a member of numerous medical organizations, including the American Academy of Pediatrics, American Cleft Palate-Craniofacial Association, American Academy of Facial Plastic and Reconstructive Surgery and the American Academy of Otolaryngology, Head and Neck Surgery. His major research interests include cleft lip and palate medical and surgical management as well as velopharyngeal insufficiency. Dr. Hartzell has a strong interest in medical humanitarian mission efforts and has participated in humanitarian efforts in China, Guatemala, Egypt and Ecuador. He is a Professor of Otolaryngology and also the Program Director of the Pediatric Otolaryngology Fellowship at Arkansas Children's Hospital. He also provides surgical care at Arkansas Children's Northwest.


    Collapse Affiliation 
    Collapse member of
    American Academy of Otolaryngology Head and Neck Surgery
    American Cleft Palate Craniofacial Association
    Arkansas Academy of Otolaryngology Head and Neck Surgery
    American Society of Pediatric Otolaryngology
    Society for Ear Nose and Throat Advancement in Children
    Society of University Otolaryngologists
    American Academy of Pediatrics
    Collapse clinical activities
    Director of Arkansas Cleft Lip and Palate Team
    Pediatric Otolaryngologist

    Collapse Biography 
    Collapse Leadership and Administrative Roles
    Arkansas Cleft Lip and Palate Team Director
    ACH Pediatric Otolaryngology Fellowship Director
    Member of Medical Executive Committee at Arkansas Children's Hospital
    Member of Cleft Committee for AAO-HNS

    ACH Pediatric Otolaryngology Fellowship Director

    Member of Medical Executive Committee at Arkansas Children's Hospital

    Member of Cleft Committee for AAO-HNS

    Collapse education and training
    Brigham Young University, Provo, UTBS04/2001Zoology with Human Biology Emphasis
    University of Arizona College Of Medicine, Tucson, AZMD05/2005Medicine
    University of Arkansas for Medical Sciences, Little Rock, ARENT06/2010Otolaryngology Head and Neck Surgery
    Arkansas Children's Hospital, Little Rock, AR06/2012Pediatric Otolarygology
    Collapse awards and honors
    2004Alpha Omega Alpha, University of Arizona College of Medicine
    1991Eagle Scout, Boy Scouts of America
    2019Steward of Benjamin and Milton Waner Chair in Pediatric Facial Plastic Surgery and Reconstruction, Arkansas Children's Hospital
    2024Castle Connolly Top Doctor
    2022Little Rock's Top Doctors, Soiree Magazine
    2017Champions for Children's Award, Arkansas Children's Hospital
    2016Dr Robert H. Fiser, Jr Service Award, Arkansas Children's Hospital

    Collapse Teaching 
    Collapse teaching overview
    Teaching has been a large part of Dr. Hartzell’s life since childhood. As a young man he was given responsibility to teach his peers through school and church. After entering college, he decided to take a two-year college hiatus to spend teaching the people of Colombia on an ecclesiastical mission. With this background, Dr. Hartzell believes that teaching and learning are critical aspects of becoming a successful modern-day doctor. He aims to be an educator and mentor at every opportunity in his busy clinical practice.
    Dr. Hartzell participates in teaching and mentoring on multiple levels consistently. He has lectured to medical students on Pediatric Otolaryngology and cleft care. Larry also mentors in both a formal fashion as well as a more informal manner to premedical and medical students regularly. He also is engaged in these educational activities with other learners from disciplines like audiology and speech pathology among others. Dr. Hartzell also participates in Journal Club, Grand Rounds and didactic lectures to the residents each year. Similarly, he participates in Journal Club and didactic lectures to the pediatric otolaryngology fellows. He also has participated in Pediatric Grand Rounds and PedsPLACE through Arkansas Children’s Hospital (ACH) to educate the general pediatric community. Dr Hartzell leads an instruction course at the annual meeting for the American Association of Otolaryngology Head and Neck Surgery (AAOHNS) on cleft care. In the last 5 years, Dr Hartzell has also become a regularly invited lecturer for international conferences and was the Co-Director of a regular webinar related to surgical care of cleft lip and palate. Overall, Dr. Hartzell is very active in clinical and surgical instruction of students, residents, fellows and colleagues (local, national and international) whether he is in clinic, the operating room, or a conference room.

    Collapse teaching activities
    Invited Speaker. 6th International Comprehensive Cleft Care Workshop. October 11, 2023. Palatoplasty: Eustachian Tube Dysfunction with Palatopharyngeal Surgeries. Barcelona, Spain.

    Invited Speaker. 6th International Comprehensive Cleft Care Workshop. October 11, 2023. Otologic Impacts of VPI Surgery. Barcelona, Spain.

    Workshop: Instructor. 6th International Comprehensive Cleft Care Workshop. October 11, 2023. Cleft Palate Repair. Barcelona, Spain.

    Workshop: Instructor. 6th International Comprehensive Cleft Care Workshop. October 10, 2023. Nerve Blocks in Cleft Lip and Palate Repair. Barcelona, Spain.

    Instruction Course: Instructor. AAO-HNSF Annual Meeting: Nashville, TN. October 1, 2023. Cleft Lip and Palate: What every ENT should know. (Co-presenter: Adam Johnson, MD PhD).

    Fellow Didactic: Clinical Practice Guidelines. Little Rock, AR. ACH. February 14, 2024.

    Invited Speaker: Cleft 104 Conference for residents and fellows. Little Rock, AR. February 10, 2024. PRS Embryology and Information.

    Invited Speaker: Cleft 104 Conference for residents and fellows. Little Rock, AR. February 10, 2024. PRS Conservative Management.

    Invited Speaker: Cleft 104 Conference for residents and fellows. Little Rock, AR. February 10, 2024. PRS MDO in Older Patients.

    Invited Speaker: Cleft 104 Conference for residents and fellows. Little Rock, AR. February 10, 2024. Primary Bilateral Cleft Lip Repair.

    Invited Speaker: Cleft 104 Conference for residents and fellows. Little Rock, AR. February 10, 2024. Presurgical Orthotics for cleft lip repair.

    Invited Speaker: Cleft 104 Conference for residents and fellows. Little Rock, AR. February 10, 2024. Cleft Repair Timeline and Feeding

    Fellow Didactic: Pediatric OSA part 2. Little Rock, AR. ACH. Sept 27, 2023.

    Fellow Didactic: Pediatric OSA part 1. Little Rock, AR. ACH. Sept 20, 2023.

    Resident and Fellow Lecture: Comprehensive Cleft Care. Little Rock, AR. ACH. July 19, 2023.

    Lecture to Birth Defects Group at ACH. Cleft lip and palate. ACH, Little Rock. Oct 25, 2023.

    Collapse advisees

    Collapse Research 
    Collapse research overview
    Dr. Hartzell’s first exposure to research was during his undergraduate study years at Brigham Young University. He was able to participate in multiple projects in a chemistry laboratory during that time, mostly related to ancient Egyptian Mummies, which exposed him to much of the bench-top research techniques and protocols. His research experience continued in medical school at the University Of Arizona College Of Medicine where he took the opportunity to apply for an NIH student grant that allowed him to once again work in a chemistry lab. This time he studied the brown recluse spider and its relatives isolating the active enzyme in their venom.
     
    Upon entering residency in Otolaryngology Head and Neck Surgery and UAMS, Dr. Hartzell sought out opportunities to further engage in research and was able to become involved with multiple clinical research projects that led to publication and podium presentations as well as posters. This played a part in motivating Dr. Hartzell to pursue his academic interests in fellowship and future employment in the academic institution of UAMS. Dr. Hartzell was productive as a fellow participating in some international meetings and this expanded as he became faculty at UAMS.
     
    As a busy clinician, much of Dr. Hartzell’s time has been dedicated to direct patient care as well as his administrative duties as cleft team director and fellowship director among other things. As a result, the amount of time that he has been able to dedicate solely to research has been unfortunately limited. However, through working with students and trainees of multiple levels, Dr. Hartzell has been able to continue to be academically active in the research arena. He continues to present at national and international meetings on the clinical work he is engaged in and the students, residents and fellows he has mentored in this process.
     
    His biggest research accomplishments have been the development and maintenance of a new cleft and craniofacial database to allow for quality improvement projects as well as data for a myriad of possible scientific protocols and projects. This is actively being populated and studies generated from this database.


    Collapse Outreach 
    Collapse outreach overview
    Dr Hartzell has been passionate about outreach and service to the underserved since he was in High School.
    At a young age, Larry organized a service project for Battered Women and Abandoned Children for his Eagle Scout project.
    He dedicated 2 years during his college years to instead serve a church mission in Colombia.
    Prior to medical school, Larry spent a month in Guatemala volunteering in medical clinics and hospitals.
    Since then, Larry served in volunteer clinics in Tucson and down at the Mexican border in Nogales.
    As a resident and fellow, Larry used his vacation time to join medical/surgical mission trips to China and Guatemala.
    As faculty, Dr Hartzell continued to participate in humanitarian missions to Guatemala, Egypt and Ecuador and continues with annual trips.
    Dr Hartzell not only wanted to serve people in other countries but even more so close to home. As a result, he has been traveling at least monthly to Northwest Arkansas to save them the drive to Little Rock and bring the care closer to their home. IN the last few years, Larry added to this time by expanding the primary care clinic in southwest Little Rock to include ENT specialty care.


    Collapse Bibliographic 
    Collapse selected publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Faculty can login to make corrections and additions. Don't see publications published under other names? Login to add alternative names.
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    1. Alsup NA, Davis KP, Richter GT, Hartzell LD. Myringoplasty Using Human Birth Tissue Allografts to Repair Large Tympanic Membrane Perforations. Otolaryngol Head Neck Surg. 2024 Dec; 171(6):1866-1871. PMID: 39015069.
      View in: PubMed
    2. Ye A, Davis KP, Anderson Z, Hartzell L. Repair of facial dog bite wound utilizing cryopreserved umbilical cord allograft. Wound Manag Prev. 2024 Jun; 70(2). PMID: 38959348.
      View in: PubMed
    3. Shay A, Gaffey M, Roe R, Robbins A, Zaniletti I, Johnson A, Hartzell L. Is There Utility in Preoperative Testing of Hemoglobin Before Primary Cheiloplasty? Cleft Palate Craniofac J. 2024 Mar 15; 10556656241239510. PMID: 38490220.
      View in: PubMed
    4. Shewmake C, Speed O, Gammill S, Hartzell LD, Thrush C, Phelan KD, Golinko M, Bhavaraju A. Improved Confidence and Clinical Application: The Effects of a Longitudinal Suture Curriculum for Medical Students. South Med J. 2023 10; 116(10):806-811. PMID: 37788814.
      View in: PubMed
    5. Fuller C, Reed Gardner J, Speed O, Thomason A, Zaniletti I, Buckmiller L, Johnson A, Hartzell L. Outcomes After Pharyngeal Flap Surgery in Children: A Comparison of Lined Versus Unlined Flaps. Cleft Palate Craniofac J. 2024 Sep; 61(9):1461-1469. PMID: 37143290.
      View in: PubMed
    6. Kantar RS, Esenlik E, Al Abyad OS, Melhem A, Younan RA, Haddad M, Keith K, Kassam S, Annan B, Vijayakumar C, Picard A, Padwa BL, Sommerlad B, Raposo-Amaral CE, Forrest CR, Gillett DA, Steinbacher DM, Runyan CM, Tanikawa DYS, Chong DK, Fisher DM, Mark H, Canter HI, Losee JE, Patel KG, Hartzell LD, Johnson AB, Collares MVM, Alonso N, Chen PK, Tse R, Mann RJ, Prada-Madrid JR, Kobayashi S, Hussain SA, Kummer A, Sell DA, Pereira VJ, Mabry K, Gonsoulin CK, Persson M, Davies G, Sethna NF, Munoz-Pareja JC, Kuijpers-Jagtman AM, Grayson BH, Grollemund B, Garib DG, Meazzini MC, Kharbanda OP, Santiago PE, Nalabothu P, Batra P, Stieber E, Prasad D, Brewster H, Ayala R, Erbay E, Akcam MO, Don Griot JPW, Vyas RM, Flores RL, Breugem CC, Hamdan US. The First Hybrid International Educational Comprehensive Cleft Care Workshop. Cleft Palate Craniofac J. 2023 10; 60(10):1189-1198. PMID: 35532040.
      View in: PubMed
    7. Hunter CJ, Wright HD, Hartzell LD, Johnson AB. Retrospective Examination of the GILLS Algorithm Applied to Mandibular Distraction. Facial Plast Surg Aesthet Med. 2022 Jul-Aug; 24(4):262-265. PMID: 33877901.
      View in: PubMed
    8. Fuller C, Brown K, Speed O, Gardner J, Thomason A, Dornhoffer J, Johnson AB, Hartzell L. Impact of Surgery for Velopharyngeal Insufficiency on Eustachian Tube Function in Children: Pharyngeal Flap Versus Sphincter Pharyngoplasty. Cleft Palate Craniofac J. 2021 12; 58(12):1473-1481. PMID: 33678034.
      View in: PubMed
    9. Phillips JD, Merrill T, Gardner JR, Thomas Collins R, Sanchez J, Johnson AB, Eble BK, Hartzell LD, Kincannon JM, Richter GT. Clinical Significance of Screening Electrocardiograms for the Administration of Propranolol for Problematic Infantile Hemangiomas. Int J Pediatr. 2021; 2021:6657796. PMID: 33679994.
      View in: PubMed
    10. Vickers DM, Reddy A, Akmyradov C, Brown KM, Boyanton BL, Wright HD, Taylor JA, Childress SH, Hartzell LD, Johnson AB, Key JM, Nolder AR, Richter GT, Wineland AM, Strub GM. Detection of Respiratory Pathogens Does Not Predict Risks After Outpatient Adenotonsillectomy. Laryngoscope. 2021 06; 131(6):E2074-E2079. PMID: 33150974.
      View in: PubMed
    11. Miller C, Bly R, Cofer S, Dahl JP, de Serres L, Goudy S, Hartzell L, Jabbour N, Kacmarysnki D, Macarthur C, Messner A, Milczuk H, Rastatter J, Swibel Rosenthal LH, Scott A, Tollefson T, Woolley A, Zdanski C, Zopf DA, Sie K. Multicenter Interrater Reliability in the Endoscopic Assessment of Velopharyngeal Function Using a Video Instruction Tool. Otolaryngol Head Neck Surg. 2019 04; 160(4):720-728. PMID: 30642231.
      View in: PubMed
    12. Scott J, Adams C, Simmons K, Feather A, Jones J, Hartzell L, Wesley L, Johnson A, Fish J, Bosanko K, Beetstra S, Zarate YA. Dental radiographic findings in 18 individuals with SATB2-associated syndrome. Clin Oral Investig. 2018 Nov; 22(8):2947-2951. PMID: 30315422.
      View in: PubMed
    13. Golinko MS, Pemberton JD, Phillips J, Johnson A, Hartzell LD. The Arkansas Tessier Number 3 Cleft Experience: Soft Tissue and Skeletal Findings With Primary Surgical Management: Four-Step Approach. J Craniofac Surg. 2018 Oct; 29(7):1834-1841. PMID: 29877978.
      View in: PubMed
    14. Hartzell LD, Chinnadurai S. Microtia and Related Facial Anomalies. Clin Perinatol. 2018 12; 45(4):679-697. PMID: 30396412.
      View in: PubMed
    15. Heath J, Hartzell L, Putt C, Kennedy JL. Chronic Rhinosinusitis in Children: Pathophysiology, Evaluation, and Medical Management. Curr Allergy Asthma Rep. 2018 05 29; 18(7):37. PMID: 29845321.
      View in: PubMed
    16. Robbins A, Zarate YA, Hartzell LD. Combined Tongue-Palate Fusion With Alveolar Bands in a Patient With Pierre Robin Sequence and Van der Woude Syndrome. Cleft Palate Craniofac J. 2019 01; 56(1):123-126. PMID: 29708799.
      View in: PubMed
    17. Hartzell LD, Kilpatrick LA. Diagnosis and management of patients with clefts: a comprehensive and interdisciplinary approach. Otolaryngol Clin North Am. 2014 Oct; 47(5):821-52. PMID: 25213284.
      View in: PubMed
    18. Metrailer AM, Cox MD, Sunde J, Hartzell LD, Moore PC, Dornhoffer JL. Cartilage tympanoplasty in children with cleft palate repair. Otol Neurotol. 2014 Sep; 35(8):1471-3. PMID: 24950141.
      View in: PubMed
    19. Hartzell LD, Havens TN, Odom BH, Stillman TG, Boswell JL, Bower CM, Richter GT. Enhanced tracheostomy wound healing using maltodextrin and silver alginate compounds in pediatrics: a pilot study. Respir Care. 2014 Dec; 59(12):1857-62. PMID: 25096405.
      View in: PubMed
    20. Kilpatrick LA, Boyette JR, Hartzell LD, Norton JA, Boswell JB, Bower CM, Richter GT. Prospective quality of life assessment in congenital laryngomalacia. Int J Pediatr Otorhinolaryngol. 2014 Apr; 78(4):583-7. PMID: 24548806.
      View in: PubMed
    21. Hartzell LD, Guillory RM, Munson PD, Dunham AK, Bower CM, Richter GT. Tongue base suspension in children with cerebral palsy and obstructive sleep apnea. Int J Pediatr Otorhinolaryngol. 2013 Apr; 77(4):534-7. PMID: 23357781.
      View in: PubMed
    22. Hartzell LD, Buckmiller LM. Pediatric Guideline for Cleft lip/palate. ANGELS/Peds PLACE. UAMS/ACH. 2013.
    23. Hartzell LD, Buckmiller LM. Current management of infantile hemangiomas and their common associated conditions. Otolaryngol Clin North Am. 2012 Jun; 45(3):545-56, vii. PMID: 22588036.
      View in: PubMed
    24. Hartzell LD, Buckmiller LM. Pediatric Guideline for Cleft lip/palate. ANGELS/Peds PLACE. UAMS/ACH. 2012.
    25. Dornhoffer, JD. Hearing Health Magazine - "Meningitis: A Deafening Disease. 2011; Pp 28-30.
    26. Hartzell LD, Dornhoffer JL. Timing of tympanoplasty in children with chronic otitis media with effusion. Curr Opin Otolaryngol Head Neck Surg. 2010 Dec; 18(6):550-3. PMID: 21045692.
      View in: PubMed
    27. Hartzell LD, Richter GT, Glade RS, Bower CM. Accuracy and safety of tracheoscopy for infants in a tertiary care clinic. Arch Otolaryngol Head Neck Surg. 2010 Jan; 136(1):66-9. PMID: 20083781.
      View in: PubMed
    28. Hartzell LD, Stack BC, Yuen J, Vural E, Suen JY. Free tissue reconstruction following excision of head and neck arteriovenous malformations. Arch Facial Plast Surg. 2009 May-Jun; 11(3):171-7. PMID: 19451451.
      View in: PubMed
    29. Hartzell LD, McKelvey KD, Van Hemert RL, Dornhoffer J. Cerebellopontine angle tumor in a patient with a maternally inherited SDHD gene mutation. Int Tinnitus J. 2008; 14(2):97-100. PMID: 19205158.
      View in: PubMed
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