Dr. Otto attended medical school at Wright State University and was President of the Ohio Epsilon Chapter of AOA Medical Honor Society. He completed his residency training at The Ohio State University and was awarded the Medical Director's Citizenship Award as a chief resident. Dr. Otto then completed a two year rhinology and sinus surgery fellowship at the University of Pittsburgh Medical Center where he gained clinical experience in rhinology as well as endoscopic skull base surgery. His fellowship also included translational research aimed at determining the factors that contribute to nasal polyps. In 2008, Dr. Otto was awarded the New Investigator Award by the American Rhinologic Society for his research on nasal polyps.