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Jonathan A. Perkins, DO

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Jonathan A. Perkins, DO

Otolaryngology, Vascular Anomalies, Craniofacial

On staff since September 2000

Children's Title: Clinic Chief

Academic Title: Professor

Research Center: Center for Clinical and Translational Research

"Throughout my medical and surgical training I was struck by the importance of normal fluid and cell transport. Over the past twenty years I have gravitated to the study and treatment of vascular anomalies and I am motivated to discover how to control vessel growth in these anomalies, so that we can offer more effective treatment and care to affected patients. It is exciting to live and practice medicine in a time when we have the biologic and genetic tools to make these treatments a reality."

Making a Difference

  • New Treatment for Hemangiomas

    Dr. Jonathan Perkins’ use of a blood pressure medicine to treat hemangiomas has reduced the need for surgery by 75%. Now he’s studying why the drug works.... cont.

Recommendations

AdrianneRenton,WA05.28.13
Hello, my daughter had a lump on her neck for over a month before someone was able to refer me to Dr Perkins, I am so glad we were able to be referred to him! He was so assuring and relaxed! His presence is with ease and helped my husband and I stay at ease for the surgery! Thank you Dr Perkins for all your help! :)
karakelso washington09.02.12
I really appreciate Dr.Perkins for everything he is doing for my son. he is so resuring that i will take him home soon he talks to me as if this cystic hygroma is just a scratch and will be over with soon and i couldnt thank him enough for what he is doing.
KurrinMoses Lake Washington06.04.12
Dr. Perkins is simply AMAZING. He has taken the time to PERSONALLY call us to discuss things such as plans, medications, and support ect. We are not just a number to him. He is so caring and really wants what is best for his patients. HE will do whatever it takes to help. He is very educated in this particular field and he LOVES what he does. I am soooooo thankful we found him to be our daughter specialist. Right now my daughter doesnt have anymore tumor and has been tumor free for almost 3 years. She has only had slightly enlarged lymohnodes and swollen tissues which is to be expected with her LM. HE did such an amazing job with her surgery you would never even know she has LM. I love him as he is a life savor.
RickiEverson Washington06.01.12
Dr. Perkins and his amazing team saved my daughters life. When our local doctors didn't know what was wrong with her when she was born Dr. Perkins was there and took action. She is a beautiful, sassy little girl now and we continue to visit Dr. Perkins when her Lymphatic Malformation swells. Dr. Perkins is amazing at helping to understand the process and just there to listen to my concerns. Thank you to everyone at Seattle Children's for saving my daughters life and the continued care she receives.
ShelbyBremerton, WA09.18.11
Dr. Perkins was my life saver, I was misdiagnosed with a cavernous hemangioma as a baby. When this did not go away like it was supposed to, he diagnosed me correctly with a vascular malformation, and because it was causing me so much nerve pain his team for vascular anomalies was amazing and worked together to help find a way to help my pain, and treat the malformation while studying it. My malformation is not typical its wrapped around my nerve bunch called the brachial plexis. I have to say that Dr. Perkins and his team was amazing and did everything they could to help me. I would recommend them to anyone!
AndreaWenatchee09.08.11
We met Dr. Perkins at an ultrasound before our son was born with a lymphatic malformation. He has been with us every step of the way as we have adjusted to life with this complex diagnosis. He is extremely knowledgeable in his field, the best, and focused on choosing the best treatment based on what produces the best outcomes. I appreciate that he is continually involved in research and has contributed valuable information to the medical field, earning him deserved respect among his peers. He truly is interested in these rare vascular anomalies and bettering the lives of the patients he treats.
CarlaShoreline, WA05.03.11
Dr. Perkins is a very caring doctor and embraces his work with heart and soul. He is very honest, clearly explains options and risks for you to consider in your child's care decision and leaves the decision in your hands (patient and family). I highly respect him for being upfront, for the care he has provided and the clarity that he has brought to my understanding of what he is thinking, his options and what he is doing to think through the care of my son. Dr. Perkins has improved my son's life and taught our family more about his passion for his work. Thank you Dr. Perkins.
JimmyBellevue, Wa01.27.11
Dr. Perkins performed surgery on our daughter and did an amazing job. He explained the process thoroughly, answered all of our questions to great detail and most importantly took great care of our baby. One year later, the surgery has had a big positive impact in all of our lives. Thank you Dr. Perkins.
StacySeattle, WA12.22.10
Dr. Perkins has made a significant impact in care for Vascular Anomalies patients nationwide. Although he practices in Seattle, his impact reaches far beyond the WAMI limits. He has published numerous articles and book chapters on vascular anomalies to raise awareness of these conditions amongst medical professionals and to update them on his team's research findings. Furthermore, he leads up the national Vascular Anomalies Task Force - a group of physician experts seeking to collaborate for research and for improving care for vascular anomalies patients. In addition to his amazing accomplishments, he is a kind and caring doctor and a man of honorable character. His passion to serve his patients with excellence is evident to everyone around him.
Recommend Dr. Jonathan Perkins

Overview

Board Certification(s)
Otolaryngology
Medical/Professional School
University of Osteopathic Medicine and Health Sciences, Des Moines
Residency
Surgery - General, Madigan Army Medical Center - Credentialing Office, Tacoma
Otolaryngology, Madigan Army Medical Center - Credentialing Office, Tacoma
Clinical Interests

Head and neck surgery, cleft palate treatment, velopharyngeal insufficiency, vascular birthmark treatment (lymphatic malformation, hemangioma, arteriovenous malformation), vascular/lymphatic endothelium research

Research Focus Area

Translational Research

Awards and Honors

Award NameAward DescriptionAwarded ByAward Date
Washington Top Doctors 2012
Trachy Faculty Research Award, UW Otolaryngology-HNS 2009
Elsevier Publishing/Am Acad of Oto/HNS Foundation Travel Award 2009
Best Doctors of America 2007-present
Certificate of Honor, American Academy Oto/HNS Foundation 2004

Publications

Clinical presentation of cervical ribs in the pediatric population.
The Journal of pediatrics , 2013 Mar: 162(3)635-6
Congenital neurocristic tumor of the head and neck.
The Laryngoscope , 2013 Mar: 123(3)805-8
Current practice patterns for sleep-disordered breathing in children.
The Laryngoscope , 2013 Feb 4
Propranolol use for infantile hemangiomas: american society of pediatric otolaryngology vascular anomalies task force practice patterns.
JAMA otolaryngology-- head & neck surgery , 2013 Feb 1: 139(2)153-6
Single-Stage Excision of Localized Head and Neck Venous Malformations Using Preoperative Glue Embolization.
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery , 2013 Jan 28
Standardized letter of recommendation for otolaryngology residency selection.
The Laryngoscope , 2013 Jan: 123(1)123-33
Initiation and use of propranolol for infantile hemangioma: report of a consensus conference.
Pediatrics , 2013 Jan: 131(1)128-40
Clinical Presentation of Cervical Ribs in the Pediatric Population.
The Journal of pediatrics , 2012 Dec 5
Management of head and neck lymphatic malformations.
Facial plastic surgery : FPS , 2012 Dec: 28(6)596-602
Functional and symptom impacts of pediatric head and neck lymphatic malformations: developing a patient-derived instrument.
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery , 2012 Nov: 147(5)925-31
Congenital neurocristic tumor of the head and neck.
The Laryngoscope , 2012 Oct 15
Risk of post-tonsillectomy hemorrhage by clinical diagnosis.
The Laryngoscope , 2012 Oct: 122(10)2311-5
Head and neck lymphatic malformation treatment: a systematic review.
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery , 2012 Oct: 147(4)627-39
Modification and evaluation of a Velopharyngeal Insufficiency Quality-of-Life instrument.
Archives of otolaryngology--head & neck surgery , 2012 Oct: 138(10)929-35
Propranolol reduces infantile hemangioma volume and vessel density.
Otolaryngol Head Neck Surg , Aug. 2012: 2(147)338-44
Minimal access and standard cochlear implantation: a comparative study.
International journal of pediatric otorhinolaryngology , 2012 Aug: 76(8)1102-6
Propranolol reduces infantile hemangioma volume and vessel density.
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery , 2012 Aug: 147(2)338-44
Propranolol Therapy for Infantile Hemangiomas
Treatment Strategies - Pediatrics, Volume 2, Issue 1 , Nov. 2011: 45-46
Tertiary lymphoid organs in lymphatic malformations.
Lymphatic research and biology , Sept. 2011: : 85-92
Transoral approach for direct and complete excision of vallecular cysts in children.
International journal of pediatric otorhinolaryngology , 2011 Sep: 1147-51
Transoral approach for direct and complete excision of vallecular cysts in children.
International journal of pediatric otorhinolaryngology , July 11, 2011: :
Improved Airway Visualization during Direct Laryngoscopy Using Self-retaining Laryngeal Retractors: A Quantitative Study.
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery , 2011 Aug: 270-5
Nasopharyngeal airway for management of airway obstruction in infants with micrognathia.
The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association , 2011 Jul: 478-82
How airway venous malformations differ from airway infantile hemangiomas.
Archives of otolaryngology--head & neck surgery , 2011 Apr: 352-7
Quantitative computed tomographic scan and polysomnographic analysis of patients with syndromic midface hypoplasia before and after Le Fort III distraction advancement.
Plastic and reconstructive surgery , 2011 Apr: 1612-9
EXIT procedure: technique and indications with prenatal imaging parameters for assessment of airway patency.
Radiographics : a review publication of the Radiological Society of North America, Inc , March 2011: : 511-26
Initial experience with a multidisciplinary strategy for initiation of propranolol therapy for infantile hemangiomas.
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery , 2011 Jan: 78-84
Propranolol for the treatment of airway hemangiomas: a case series and treatment algorithm.
International journal of pediatric otorhinolaryngology , 2010 Sep: 1043-8
Management of airway hemangiomas.
Expert review of respiratory medicine , 2010 Aug: 455-62
Endoscopic repair of a rare basioccipital meningocele associated with recurrent meningitis.
Journal of neurosurgery. Pediatrics , 2010 Aug: 188-92
Gorham-stout syndrome of the petrous apex causing chronic cerebrospinal fluid leak.
Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology , 2010 Jul: 789-92
Lymphatic malformations: current cellular and clinical investigations.
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery , 2010 Jun: 789-94
Lymphatic malformations: review of current treatment.
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery , 2010: : 795-803, 803.e1
Overview of macroglossia and its treatment.
Current opinion in otolaryngology & head and neck surgery , 2009 Dec: 460-5
Segmental hemangiomas of the upper airway.
The Laryngoscope , 2009 Nov: 2242-7
Proposal for staging airway hemangiomas.
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery , 2009 Oct: 516-521
Facial nerve mapping and monitoring in lymphatic malformation surgery.
International journal of pediatric otorhinolaryngology , 2009 Oct: 1348-52
Proposal for staging airway hemangiomas.
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery , 2009 Oct: 516-521
Histopathologic and immunophenotypic profile of subglottic hemangioma: multicenter study.
International journal of pediatric otorhinolaryngology , 2009 Sep: 1187-91
Airway procedures and hemangiomas: treatment patterns and outcome in U.S. pediatric hospitals.
International journal of pediatric otorhinolaryngology , 2009 Sep: 1302-7
Emerging concepts in airway infantile hemangioma assessment and management.
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery , 2009 Aug: 207-212
Management of lymphatic malformations and macroglossia: results of a national treatment survey.
International journal of pediatric otorhinolaryngology , 2009 Aug: 1114-8
Endoscopic electrocauterization of pyriform fossa sinus tracts as definitive treatment.
International journal of pediatric otorhinolaryngology , 2009 Aug: 1151-6
Management of lymphatic malformations and macroglossia: results of a national treatment survey.
International journal of pediatric otorhinolaryngology , 2009 Aug: 1114-8
Endoscopic electrocauterization of pyriform fossa sinus tracts as definitive treatment.
International journal of pediatric otorhinolaryngology , 2009 Aug: 1151-6
Emerging concepts in airway infantile hemangioma assessment and management.
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery , 2009 Aug: 207-212
Facial nerve mapping and monitoring in lymphatic malformation surgery.
International journal of pediatric otorhinolaryngology , 2009 Jul 8
Polymerase chain reaction for pathogen identification in persistent pediatric cervical lymphadenitis.
Archives of otolaryngology--head & neck surgery , 2009 Mar: 243-8
PHACES syndrome: otolaryngic considerations in recognition and management.
International journal of pediatric otorhinolaryngology , 2009 Feb: 281-8
Similar histologic features and immunohistochemical staining in microcystic and macrocystic lymphatic malformations.
Lymphatic research and biology , 2009: 75-80
Plasmacytoid dendritic cells and interferon levels are increased in lymphatic malformations.
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery , 2008 Nov: 671-676
Effects of tongue volume reduction on craniofacial growth: A longitudinal study on orofacial skeletons and dental arches.
Archives of oral biology , 2008 Oct: 991-1001
Morphologic and histologic outcomes of tongue reduction surgery in an animal model.
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery , 2008 Aug: 291-297
Multicenter interrater and intrarater reliability in the endoscopic evaluation of velopharyngeal insufficiency.
Archives of otolaryngology--head & neck surgery , 2008 Jul: 757-63
Functional loads of the tongue and consequences of volume reduction.
Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons , 2008 Jul: 1351-61
Internal kinematics of the tongue following volume reduction.
Anatomical record (Hoboken, N.J. : 2007) , 2008 Jul: 886-93
Clinical and radiographic findings in children with spontaneous lymphatic malformation regression.
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery , 2008 Jun: 772-7
Facial nerve anatomy, dissection and preservation in lymphatic malformation management.
International journal of pediatric otorhinolaryngology , 2008 Jun: 759-66
Relational databases for rare disease study: application to vascular anomalies.
Archives of otolaryngology--head & neck surgery , 2008 Jan: 62-6
Clinical outcomes in lymphocytopenic lymphatic malformation patients.
Lymphatic research and biology , 2007: 169-74
Recurrent thyroglossal duct cysts: a 23-year experience and a new method for management.
The Annals of otology, rhinology, and laryngology , 2006 Nov: 850-6
Interrater and intrarater reliability in the evaluation of velopharyngeal insufficiency within a single institution.
Archives of otolaryngology--head & neck surgery , 2006 Sep: 947-51
A comparison of nasendoscopy and multiview videofluoroscopy in assessing velopharyngeal insufficiency.
Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery , 2006 Mar: 394-402
Lymphocytopenia in children with lymphatic malformation.
Archives of otolaryngology--head & neck surgery , 2006 Jan: 93-7
Hemangiomas of infancy: treatment of ulceration in the head and neck.
Archives of facial plastic surgery : official publication for the American Academy of Facial Plastic and Reconstructive Surgery, Inc. and the International Federation of Facial Plastic Surgery Societies , 2005 Sep-Oct: 312-5
Diagnostic and surgical challenges in the pediatric skull base.
Otolaryngologic clinics of North America , 2005 Aug: 773-94
Head and neck endocrine surgery in children: 1997 and 2000.
Archives of otolaryngology--head & neck surgery , 2005 Jul: 564-70
Furlow palatoplasty for management of velopharyngeal insufficiency: a prospective study of 148 consecutive patients.
Plastic and reconstructive surgery , 2005 Jul: 72-80; discussion 81-4
Ultrasound-guided endovenous diode laser in the treatment of congenital venous malformations: preliminary experience.
Journal of vascular and interventional radiology : JVIR , 2005 Jun: 879-84
Plastic laryngeal foreign bodies in children: a diagnostic challenge.
International journal of pediatric otorhinolaryngology , 2005 May: 657-62
Laryngeal anatomic differences in pediatric patients with severe laryngomalacia.
Archives of otolaryngology--head & neck surgery , 2005 Apr: 340-3
Three-dimensional CT angiography imaging of vascular tumors of the head and neck.
International journal of pediatric otorhinolaryngology , 2005 Mar: 319-25
Pediatric admissions and procedures for lymphatic malformations in the United States: 1997 and 2000.
Lymphatic research and biology , 2005 Summer: 58-65
Management of lymphatic malformations.
Current opinion in otolaryngology & head and neck surgery , 2004 Dec: 500-4
Somatostatin treatment of massive lymphorrhea following excision of a lymphatic malformation.
International journal of pediatric otorhinolaryngology , 2004 Jun: 845-50
Gorham Stout syndrome (disappearing bone disease): two additional case reports and a review of the literature.
Archives of otolaryngology--head & neck surgery , 2003 Dec: 1340-3
Endoscopic posterior cricoid split and rib grafting in 10 children.
The Laryngoscope , 2003 Nov: 2004-9
Tracheotomy in pediatric patients: a national perspective.
Archives of otolaryngology--head & neck surgery , 2003 May: 523-9
Medical and surgical management of otitis media in children.
Otolaryngologic clinics of North America , 2002 Aug: 811-25
Management of Head and Neck Lymphatic Malformations
Facial Plast Surg 2012 ,
What's New in the Vascular Lesions of the Pediatric Airway.
Recent Advances in Otolaryngology-Head & Neck Surgery September 2012 ,

Presentations

Presentations TitleEventLocationDate
Mulitcenter evaluation of the efficacy of systemic propranolol in the treatment of airway hemangiomasInternational Society of Vascular AnomaliesMalmo, Sweden 2012
Panel discussion on a consensus for lymphatic anomaliesInternational Society of Vascular AnomaliesMalmo, Sweden 2012

Research Funding

Grant TitleGrantorAmountAward Date
Translational Research Ignition Projects Program (TRIPP)Seattle Children's Research InstituteJan. 2013
Pediatric Pilot AwardSeattle Children's Research Institute Center for Clinical and Translational ResearchSept. 1, 2009 - Feb. 28, 2011
Functional Assessment of Head and Neck Lymphatic MalformationsSeattle Children's Academic Enrichment Fund 2008 - 2011

Primary Office

Seattle Children's
OA.9.220 - Otolaryngology-ENT
4800 Sand Point Way NE
Seattle, WA 98105
206-987-1224

Additional Offices

Seattle Children's Bellevue Clinic and Surgery Center
CB-11
1500 - 116th Ave NE
Bellevue, WA 98004
425-454-4644

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