Category Archives: Otolaryngology

PREPRINT RELEASE: Stapedotomy (Endaural)


Stapedotomy (Endaural)
Duke University Medical Center

David M. Kaylie, MD, MS
Department of Surgery
Division of Head and Neck Surgery & Communication Sciences

C. Scott Brown, MD
Resident Physician
Division of Head and Neck Surgery & Communication Sciences

Dr. David Kaylie demonstrates the endaural approach to the middle ear in order to perform a stapedotomy for conductive hearing loss secondary to otosclerosis. This technique can be utilized for other middle ear conditions, including attic cholesteatomas.

PREPRINT RELEASE: Myringoplasty & Tympanostomy Tube


Myringoplasty & Tympanostomy Tube
Duke University Medical Center

David M. Kaylie, MD, MS
Department of Surgery
Division of Head and Neck Surgery & Communication Sciences

C. Scott Brown, MD
Resident Physician
Division of Head and Neck Surgery & Communication Sciences

A patient with eustachian tube dysfunction and a history of multiple pressure equalization tubes presents to an otolaryngology clinic with complaints of hearing loss. Her eardrum was found to be hyperinflated on exam. Dr. David Kaylie demonstrates a myringoplasty technique using a CO2 laser, along with placement of a tympanostomy tube.

PREPRINT RELEASE: Zenker’s Diverticulectomy (Endoscopic)


Zenker’s Diverticulectomy (Endoscopic)
Duke University Medical Center

Seth M. Cohen, MD, MPH
Associate Professor of Surgery
Division of Head and Neck Surgery & Communication Sciences

David Straka, MD
Resident Physician
Division of Head and Neck Surgery & Communication Sciences

C. Scott Brown, MD
Resident Physician
Division of Head and Neck Surgery & Communication Sciences

A patient presented to an Otolaryngology clinic with symptoms of dysphagia and frequent regurgitation of undigested food. Workup revealed a large Zenker’s diverticulum. In this video, Dr. Seth Cohen instructs one of the residents in the techniques of an endoscopic staple diverticulectomy for treatment of this condition.

PREPRINT RELEASE: Partial Laryngectomy Techniques (Cadaver)


Partial Laryngectomy Techniques (Cadaver)

Ramon M. Esclamado, MD, MS
Professor Emeritus of Surgery
Duke University Medical Center

C. Scott Brown, MD
Resident Physician
Duke University Medical Center

Dr. Ramon Esclamado discusses and demonstrates the techniques for partial laryngectomy during a cadaver dissection course at Duke University. The indications and contraindications are also reviewed.

PREPRINT RELEASE: Tympanoplasty (Revision)

Tympanoplasty (Revision)

Calhoun D. Cunningham III, MD
Head and Neck Surgery & Communication Sciences
Duke University

C. Scott Brown, MD
Resident Physician
Head and Neck Surgery & Communication Sciences
Duke University

A patient with multiple prior surgeries continued to have persistent drainage and a perforated ear drum. In this video, Dr. Cunningham demonstrates a methodical approach to revision tympanoplasties for these challenging patients.

PREPRINT RELEASE: Trans-Oral Endoscopic Thyroidectomy Vestibular Approach (TOETVA)

Trans-Oral Endoscopic Thyroidectomy Vestibular Approach (TOETVA)
Smilow Cancer Hospital at Yale New Haven

Tobias Carling, MD, PhD, FACS
Associate Professor of Surgery
Yale School of Medicine

A 45-year-old patient with a growing thyroid nodule undergoes a left thyroid lobectomy after fine needle biopsy showed Hurthle cell neoplasm. Here, Dr. Carling performs a TOETVA, which has the added benefit of avoiding any conspicuous neck scars. #thyroidectomy #TOETVA #yale #endocrinology #generalsurgery #ENT

PREPRINT RELEASE: Transmastoid Repair of Superior Semicircular Canal Dehiscence

Transmastoid Repair of Superior Semicircular Canal Dehiscence
Duke University Medical Center

David M. Kaylie, MD, MS
Associate Professor of Surgery1
C. Scott Brown, MD
Resident Physician1

1Division of Head and Neck Surgery & Communication Sciences

Dr. David Kaylie repairs a superior semicircular canal dehiscence via a transmastoid approach in a patient who experienced autophany and aural fullness by plugging the anterior and posterior limbs of the canal. #neurotology #ENT #Duke

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!