Category Archives: Otolaryngology

PREPRINT RELEASE: Hypoglossal Nerve Stimulator

Hypoglossal Nerve Stimulator
Duke University Medical Center

Russel Kahmke, MD
Assistant Professor of Surgery1
Adam Honeybrook, MBBS
Resident Physician1
C. Scott Brown, MD
Resident Physician1

1Division of Head and Neck Surgery & Communication Sciences

Dr. Russel Kahmke implants a hypoglossal nerve stimulator in a patient with obstructive sleep apnea. He is one of only several surgeons currently performing this procedure in North Carolina. 

Pilot Study Finds Watching JOMI Videos Improves Understanding of Surgical Concepts

“Utility of Annotated Surgical Case Videos for Resident Education: A Pilot Study” – presented by C. Scott Brown, MD at the Combined Otolaryngology Spring Meetings on April 19th & 20th.

Dr. C. Scott Brown at Duke used JOMI “to assess the educational value of annotated surgical videos on the comprehension of surgical anatomy and operative procedures.” The results: residents went from scoring 59.4% on a test before watching JOMI content to 93.6% afterwards (p = 0.001). The video used was Dr. Cunningham III and Dr. Brown’s “Laser Excision of Glomus Tympanicum (Transcanal Approach).”

While this was a small study, we are very excited to see the impact of video education (and especially JOMI articles) being rigorously quantified!

PREPRINT RELEASE: Mastoid Obliteration

Mastoid Obliteration
Duke University Medical Center
Calhoun D. Cunningham III, MD
C. Scott Brown, MD
Department of Surgery
Division of Head and Neck Surgery & Communication Sciences

After a canal-wall-down mastoidectomy for cholesteatoma, a patient presented with recurrence and persistent infection. Dr. Calhoun Cunningham III performs a mastoid obliteration with ossicular chain reconstruction to both eradicate the disease and restore the patient's hearing.

PREPRINT RELEASE: Partial Glossectomy

Partial Glossectomy
Duke University Medical Center
Liana Puscas, MD, MHS
Associate Director, Otolaryngology Residency Program
Associate Professor of Surgery
C. Scott Brown, MD
Department of Surgery
Division of Head and Neck Surgery & Communication Sciences

A patient presented with a well-circumscribed lesion of her tongue that had been interfering with eating as it grew. After an in-office biopsy that diagnosed it as metastatic breast cancer, Dr. Liana Puscas and her resident perform a partial glossectomy to alleviate the patient’s symptoms.

PREPRINT RELEASE: Endolymphatic Sac Decompression

Endolymphatic Sac Decompression
Duke University Medical Center
Calhoun D. Cunningham III, MD
C. Scott Brown, MD
Department of Surgery
Division of Head and Neck Surgery & Communication Sciences

A patient with intractable Meniere’s disease presents for decompression of the endolymphatic sac. Dr. Calhoun Cunningham demonstrates the anatomical boundaries of the sac and explains his approach of stenting the sac open in order to alleviate the patient’s symptoms.

PREPRINT RELEASE: Laser Stapedotomy for Otosclerosis

Laser Stapedotomy for Otosclerosis
Duke University Medical Center
Calhoun D. Cunningham III, MD
C. Scott Brown, MD
Department of Surgery
Division of Head and Neck Surgery & Communication Sciences

In a staple surgery for conductive hearing loss, Dr. Calhoun Cunningham III performs a laser stapedotomy and prosthesis placement via transcanal approach. A thickened footplate does not preclude its success in alleviating the patient's longstanding hearing loss.

PREPRINT RELEASE: Middle Fossa Approach to Repair Cerebrospinal Fluid Leak

Middle Fossa Approach to Repair Cerebrospinal Fluid Leak
Duke University Medical Center
Calhoun D. Cunningham III, MD
C. Scott Brown, MD
Department of Surgery
Division of Head and Neck Surgery & Communication Sciences

Dr. Calhoun Cunningham III performs a repair of a cerebrospinal fluid leak into the mastoid cavity by way of a middle fossa craniotomy. His novel use of bone and fascia grafts allows for autologous closure. 

PREPRINT RELEASE: Laser Excision of Glomus Tympanicum (Transcanal Approach)

Laser Excision of Glomus Tympanicum (Transcanal Approach)
Duke University Medical Center
Calhoun D. Cunningham III MD
C. Scott Brown MD
Department of Surgery
Division of Head and Neck Surgery & Communication Sciences

A patient with pulsatile tinnitus is found to have a glomus tympanicum tumor of the right ear. Calhoun Cunningham III, MD performs a transcanal resection of the mass using the KTP laser.

PREPRINT RELEASE: Botox Injection

Botox Injection
Duke University Medical Center
Charles R. Woodard MD
C. Scott Brown MD
Helen A. Moses MD

Department of Surgery
Division of Head and Neck Surgery & Communication Sciences

Facial plastics surgeon Charles Woodard, MD instructs his residents on the principles of facial analysis. He then demonstrates the proper technique for administration of Botox during an injection workshop. While typically associated with facial wrinkles, Botox may also be used to help treat blepharospasm as well as migraine headaches.