Medical School

  • Harvard Medical School , Boston , MA


  • University of Massachusetts Medical Center , Worcester , MA


  • Massachusetts Eye and Ear Infirmary , Boston , MA


  • Boston Children's Hospital , Boston , MA

Philosophy of Care

I've been a part of the Otolaryngology department at Boston Children's Hospital for over 20 years. I work in several multi-disciplinary teams, caring for children with complex disorders involving the larynx and airway. We feel that a coordinated team approach is most helpful for patients and families, and helps achieve the best possible outcomes.


Dr. Roger Nuss is an Associate in Otolaryngology and the Director of the Pediatric Voice and Velopharyngeal Dysfunction Program at Boston Children’s Hospital. He is also an Assistant Professor of Otology and Laryngology at Harvard Medical School. He has served as an expert in an ASHA web forum on Pediatric Voice Disorders, and has published numerous papers related to vocal fold nodules and voice disorders.


  • American Board of Otolaryngology
  • American Broncho-Esophagological Association
  • American Society of Pediatric Otolaryngology
  • Society for Ear, Nose, and Throat Advances in Children (SENTAC)


Publications powered by Harvard Catalyst Profiles

  1. Ali SO, Yeung T, McKeon M, Maddock M, Graham RJ, Nuss R, Rahbar R, Watters K. Patient and caregiver experiences at a Multidisciplinary Tracheostomy Clinic. Int J Pediatr Otorhinolaryngol. 2020 Oct; 137:110250. View abstract
  2. Weitzman RE, Kawai K, Nuss R, Hughes A. A 10-year Retrospective Review of Botulinum Toxin Injections and Surgical Management of Sialorrhea. Cureus. 2020 May 01; 12(5):e7916. View abstract
  3. Lawlor CM, Dombrowski ND, Nuss RC, Rahbar R, Choi SS. Laryngeal Web in the Pediatric Population: Evaluation and Management. Otolaryngol Head Neck Surg. 2020 Feb; 162(2):234-240. View abstract
  4. Sandler ML, Ayele N, Ncogoza I, Blanchette S, Munhall DS, Marques B, Nuss RC. Improving Tracheostomy Care in Resource-Limited Settings. Ann Otol Rhinol Laryngol. 2020 Feb; 129(2):181-190. View abstract
  5. Lawlor C, Balakrishnan K, Bottero S, Boudewyns A, Campisi P, Carter J, Cheng A, Cocciaglia A, DeAlarcon A, Derkay C, Fayoux P, Hart C, Hartnick C, LeBoulanger N, Moreddu E, Muntz H, Nicollas R, Peer S, Pransky S, Rahbar R, Russell J, Rutter M, Seedat R, Sidell D, Smith R, Soma M, Strychowsky J, Thompson D, Triglia JM, Trozzi M, Wyatt M, Zalzal G, Zur KB, Nuss R. International Pediatric Otolaryngology Group (IPOG): Juvenile-onset recurrent respiratory papillomatosis consensus recommendations. Int J Pediatr Otorhinolaryngol. 2020 Jan; 128:109697. View abstract
  6. McKeon M, Kohn J, Munhall D, Wells S, Blanchette S, Santiago R, Graham R, Nuss R, Rahbar R, Volk M, Watters K. Association of a Multidisciplinary Care Approach With the Quality of Care After Pediatric Tracheostomy. JAMA Otolaryngol Head Neck Surg. 2019 Sep 19. View abstract
  7. Santiago R, Howard M, Dombrowski ND, Watters K, Volk MS, Nuss R, Costello JM, Rahbar R. Preoperative augmentative and alternative communication enhancement in pediatric tracheostomy. Laryngoscope. 2020 07; 130(7):1817-1822. View abstract
  8. Murray ESH, Hseu AF, Nuss RC, Woodnorth GH, Stepp CE. Vocal Pitch Discrimination in Children with and without Vocal Fold Nodules. Appl Sci (Basel). 2019 Aug; 9(15). View abstract
  9. Hseu A, Ayele N, Dombrowski N, Irace A, Kawai K, Woodnorth G, Watters K, Nuss R, Rahbar R. Prevalence of voice disturbances in pediatric airway patients: Are we missing anything? Int J Pediatr Otorhinolaryngol. 2019 Mar; 118:59-61. View abstract
  10. Wolter NE, Ayele N, Kawai K, Hseu A, Nuss R. Medialization Laryngoplasty in Pediatric Patients With Unilateral Vocal Fold Immobility: A Case Series. Ann Otol Rhinol Laryngol. 2019 Feb; 128(2):145-151. View abstract
  11. Irace AL, Dombrowski ND, Kawai K, Dodrill P, Perez J, Hernandez K, Davidson K, Hseu A, Nuss R, Rahbar R. Aspiration in children with unilateral vocal fold paralysis. Laryngoscope. 2019 03; 129(3):569-573. View abstract
  12. Hseu A, Ayele N, Kawai K, Frazier AL, Mack J, Watters K, Nuss R, Rahbar R. Pediatric vincristine-related vocal fold paralysis. Int J Pediatr Otorhinolaryngol. 2018 11; 114:166-169. View abstract
  13. Hseu A, Ayele N, Kawai K, Woodnorth G, Nuss R. Voice Abnormalities and Laryngeal Pathology in Preterm Children. Ann Otol Rhinol Laryngol. 2018 Aug; 127(8):508-513. View abstract
  14. McKeon M, Munhall D, Walsh BK, Nuss R, Rahbar R, Volk M, Watters K. A standardized, closed-loop system for monitoring pediatric tracheostomy-related adverse events. Laryngoscope. 2018 10; 128(10):2419-2424. View abstract
  15. Chang DT, Irace AL, Kawai K, Rogers-Vizena CR, Nuss R, Adil EA. Nasal septal perforation in children: Presentation, etiology, and management. Int J Pediatr Otorhinolaryngol. 2017 Jan; 92:176-180. View abstract
  16. Hseu A, Sandler M, Ericson D, Ayele N, Kawai K, Nuss R. Paradoxical vocal fold motion in children presenting with exercise induced dyspnea. Int J Pediatr Otorhinolaryngol. 2016 Nov; 90:165-169. View abstract
  17. Strychowsky JE, Albert D, Chan K, Cheng A, Daniel SJ, De Alarcon A, Garabedian N, Hart C, Hartnick C, Inglis A, Jacobs I, Kleinman ME, Mehta NM, Nicollas R, Nuss R, Pransky S, Russell J, Rutter M, Schilder A, Thompson D, Triglia JM, Volk M, Ward B, Watters K, Wyatt M, Zalzal G, Zur K, Rahbar R. International Pediatric Otolaryngology Group (IPOG) consensus recommendations: Routine peri-operative pediatric tracheotomy care. Int J Pediatr Otorhinolaryngol. 2016 Jul; 86:250-5. View abstract
  18. Hseu A, Recko T, Jennings R, Nuss R. Upper Airway Anomalies in Congenital Tracheoesophageal Fistula and Esophageal Atresia Patients. Ann Otol Rhinol Laryngol. 2015 Oct; 124(10):808-13. View abstract
  19. Nardone HC, Recko T, Huang L, Nuss RC. A retrospective review of the progression of pediatric vocal fold nodules. JAMA Otolaryngol Head Neck Surg. 2014 Mar; 140(3):233-6. View abstract
  20. Nuss RC, Ward J, Recko T, Huang L, Woodnorth GH. Validation of a pediatric vocal fold nodule rating scale based on digital video images. Ann Otol Rhinol Laryngol. 2012 Jan; 121(1):1-6. View abstract
  21. McComb RW, Marrinan EM, Nuss RC, Labrie RA, Mulliken JB, Padwa BL. Predictors of velopharyngeal insufficiency after Le Fort I maxillary advancement in patients with cleft palate. J Oral Maxillofac Surg. 2011 Aug; 69(8):2226-32. View abstract
  22. Quesnel AM, Lee GS, Nuss RC, Volk MS, Jones DT, Rahbar R. Minimally invasive endoscopic management of subglottic stenosis in children: success and failure. Int J Pediatr Otorhinolaryngol. 2011 May; 75(5):652-6. View abstract
  23. Nuss RC, Ward J, Huang L, Volk M, Woodnorth GH. Correlation of vocal fold nodule size in children and perceptual assessment of voice quality. Ann Otol Rhinol Laryngol. 2010 Oct; 119(10):651-5. View abstract
  24. Shah RK, Feldman HA, Nuss RC. A grading scale for pediatric vocal fold nodules. Otolaryngol Head Neck Surg. 2007 Feb; 136(2):193-7. View abstract
  25. Rahbar R, Rouillon I, Roger G, Lin A, Nuss RC, Denoyelle F, McGill TJ, Healy GB, Garabedian EN. The presentation and management of laryngeal cleft: a 10-year experience. Arch Otolaryngol Head Neck Surg. 2006 Dec; 132(12):1335-41. View abstract
  26. Shah RK, Harvey-Woodnorth G, Glynn A, Nuss RC. Perceptual voice characteristics in pediatric unilateral vocal fold paralysis. Otolaryngol Head Neck Surg. 2006 Apr; 134(4):618-21. View abstract
  27. Doria AS, Lundin B, Kilcoyne RF, Babyn PS, Miller S, Nuss R, Rivard G, Stephens D, Pettersson H. Reliability of progressive and additive MRI scoring systems for evaluation of haemophilic arthropathy in children: expert MRI Working Group of the International Prophylaxis Study Group. Haemophilia. 2005 May; 11(3):245-53. View abstract
  28. Shah RK, Woodnorth GH, Glynn A, Nuss RC. Pediatric vocal nodules: correlation with perceptual voice analysis. Int J Pediatr Otorhinolaryngol. 2005 Jul; 69(7):903-9. View abstract
  29. Rahbar R, Litrovnik BG, Vargas SO, Robson CD, Nuss RC, Irons MB, McGill TJ, Healy GB. The biology and management of laryngeal neurofibroma. Arch Otolaryngol Head Neck Surg. 2004 Dec; 130(12):1400-6. View abstract
  30. Manco-Johnson MJ, Pettersson H, Petrini P, Babyn PS, Bergstrom BM, Bradley CS, Doria AS, Feldman BM, Funk S, Hilliard P, Kilcoyne R, Lundin B, Nuss R, Rivard G, Schoenmakers MA, Van den Berg M, Wiedel J, Zourikian N, Blanchette VS. Physical therapy and imaging outcome measures in a haemophilia population treated with factor prophylaxis: current status and future directions. Haemophilia. 2004 Oct; 10 Suppl 4:88-93. View abstract
  31. Rahbar R, Jones DT, Nuss RC, Roberson DW, Kenna MA, McGill TJ, Healy GB. The role of mitomycin in the prevention and treatment of scar formation in the pediatric aerodigestive tract: friend or foe? Arch Otolaryngol Head Neck Surg. 2002 Apr; 128(4):401-6. View abstract
  32. Nuss R, Soucie JM, Evatt B. Changes in the occurrence of and risk factors for hemophilia-associated intracranial hemorrhage. Am J Hematol. 2001 Sep; 68(1):37-42. View abstract
  33. Josephson C, Nuss R, Jacobson L, Hacker MR, Murphy J, Weinberg A, Manco-Johnson MJ. The varicella-autoantibody syndrome. Pediatr Res. 2001 Sep; 50(3):345-52. View abstract
  34. Nuss R, Kilcoyne RF, Rivard GE, Murphy J. Late clinical, plain X-ray and magnetic resonance imaging findings in haemophilic joints treated with radiosynoviorthesis. Haemophilia. 2000 Nov; 6(6):658-63. View abstract
  35. Soucie JM, Nuss R, Evatt B, Abdelhak A, Cowan L, Hill H, Kolakoski M, Wilber N. Mortality among males with hemophilia: relations with source of medical care. The Hemophilia Surveillance System Project Investigators. Blood. 2000 Jul 15; 96(2):437-42. View abstract
  36. Nuss R, Kilcoyne RF, Geraghty S, Shroyer AL, Rosky JW, Mawhinney S, Wiedel J, Manco-Johnson M. MRI findings in haemophilic joints treated with radiosynoviorthesis with development of an MRI scale of joint damage. Haemophilia. 2000 May; 6(3):162-9. View abstract
  37. Manco-Johnson MJ, Nuss R, Hays T, Krupski W, Drose J, Manco-Johnson ML. Combined thrombolytic and anticoagulant therapy for venous thrombosis in children. J Pediatr. 2000 Apr; 136(4):446-53. View abstract
  38. Cheyne HA, Nuss RC, Hillman RE. Electroglottography in the pediatric population. Arch Otolaryngol Head Neck Surg. 1999 Oct; 125(10):1105-8. View abstract
  39. Cotter CS, Jones DT, Nuss RC, Jonas R. Management of distal tracheal stenosis. Arch Otolaryngol Head Neck Surg. 1999 Mar; 125(3):325-8. View abstract
  40. Nuss R, Hedegaard H, Riske B, Hoffman R, Michael S, Manco-Johnson M. Medical care for haemophilia. Haemophilia. 1998 Nov; 4(6):806-11. View abstract
  41. Sifontes MT, Nuss R, Hunger SP, Waters J, Jacobson LJ, Manco-Johnson M. Activated protein C resistance and the factor V Leiden mutation in children with thrombosis. Am J Hematol. 1998 Jan; 57(1):29-32. View abstract
  42. Nuss R, Stultz J, Remafedi G, Lloyd Schulz S, Cohen A. Health care provider and self-assessment of health status and sexual behaviour in HIV-seropositive young men with haemophilia. Haemophilia. 1997 Oct; 3(4):270-6. View abstract
  43. Sifontes MT, Nuss R, Hunger SP, Wilimas J, Jacobson LJ, Manco-Johnson MJ. The factor V Leiden mutation in children with cancer and thrombosis. Br J Haematol. 1997 Mar; 96(3):484-9. View abstract
  44. Megerian CA, McKenna MJ, Nuss RC, Maniglia AJ, Ojemann RG, Pilch BZ, Nadol JB. Endolymphatic sac tumors: histopathologic confirmation, clinical characterization, and implication in von Hippel-Lindau disease. Laryngoscope. 1995 Aug; 105(8 Pt 1):801-8. View abstract
  45. Nuss R, Hays T, Manco-Johnson M. Childhood thrombosis. Pediatrics. 1995 Aug; 96(2 Pt 1):291-4. View abstract
  46. Nuss R, Hays T, Manco-Johnson M. Efficacy and safety of heparin anticoagulation for neonatal renal vein thrombosis. Am J Pediatr Hematol Oncol. 1994 May; 16(2):127-31. View abstract
  47. Nuss R, Loehr JP, Daberkow E, Graham L, Lane PA. Cardiopulmonary function in men with sickle cell trait who reside at moderately high altitude. J Lab Clin Med. 1993 Oct; 122(4):382-7. View abstract
  48. Sarkar R, Fabian RL, Nuss RC, Puliafito CA. Plasma-mediated excimer laser ablation of bone: a potential microsurgical tool. Am J Otolaryngol. 1989 Mar-Apr; 10(2):76-84. View abstract
  49. Benrubi GI, Shannon J, Glazer J, Nuss RC. Cervical human papilloma virus infection: is treatment possible? J Fla Med Assoc. 1988 Dec; 75(12):799-800. View abstract
  50. Nuss RC, Fabian RL, Sarkar R, Puliafito CA. Infrared laser bone ablation. Lasers Surg Med. 1988; 8(4):381-91. View abstract
  51. Nuss RC, Puliafito CA, Dehm E. Unscheduled DNA synthesis following excimer laser ablation of the cornea in vivo. Invest Ophthalmol Vis Sci. 1987 Feb; 28(2):287-94. View abstract