Scott Brown, MD, FACS
University of Miami Miller School of Medicine
Michael E. Hoffer, MD
University of Miami Miller School of Medicine
Benjamin Park
Vanderbilt University School of Medicine
In this video, Dr. Scott Brown performs an endoscopic stapedectomy for the treatment of conductive hearing loss. He explains his technique and the advantages afforded by adoption of the endoscope in ear surgery.
Scott Brown, MD
Duke University Medical Center
David M Kaylie, MD, MS
Duke University Medical Center
Cecilia G Freeman
Duke University Medical Center
Bone conduction implants can improve hearing in patients with conductive or mixed hearing loss as well as in cases of single-sided deafness (SSD). The patient in this case previously underwent resection of a vestibular schwannoma via a middle fossa craniotomy that ultimately resulted in SSD. Here, Dr. Kaylie at Duke University Medical Center demonstrates the step-by-step surgical technique for the Bonebridge implant to allow sound transmission from the patient’s deaf ear to the contralateral cochlea via bone conduction.
Tobias Carling, MD, PhD, FACS
Yale School of Medicine
With improvement in both preoperative parathyroid tumor identification and the use of intraoperative parathyroid hormone assay, minimally invasive parathyroidectomy (MIP) is now performed more frequently in patients with primary hyperparathyroidism (pHPT). Still, many institutions are not familiar with performing MIP under regional or local anesthesia. Here, Dr. Tobias Carling presents an MIP performed under local cervical block anesthesia on a patient with pHPT and parathryoid adenoma.
Zenker’s Diverticulum: Endoscopic Staple-Assisted Diverticulotomy
Seth M. Cohen, MD, MPH1; David Straka, MD1; Blaine D. Smith, MD1; Douglas O’Connell, MSc2; C. Scott Brown, MD1
1Duke University Medical Center
2College of Osteopathic Medicine, Touro University California
In this case, a patient with a symptomatic Zenker’s diverticulum is treated with an endoscopic staple-assisted diverticulotomy. The clinical presentation, diagnostic criteria, surgical procedure, and postoperative care are highlighted.
Trans-Oral Endoscopic Thyroidectomy Vestibular Approach (TOETVA)
Yale School of Medicine
Courtney Gibson, MD, MS, FACS
Assistant Professor of Endocrine Surgery
Yale School of Medicine
Tobias Carling, MD, PhD, FACS
Chief of Endocrine Surgery
Yale School of Medicine
In this case, Dr. Tobias Carling and Dr. Courtney Gibson at Smilow Cancer Hospital at Yale New Haven perform a TOETVA on a 45-year-old patient who presented with a growing thyroid nodule that was shown to be a Hurthle cell neoplasm on fine-needle aspiration.
Numerous minimally-invasive approaches to thyroidectomy have been developed over the years to minimize the neck surgical scar, many of which are performed using endoscopic or robotic assistance. However, a more diminutive anterior cervical scar still remains a problem for some patients, as well as more extensive dissections for remote access operations. Therefore, natural orifice surgery was adopted at select institutions in an effort to perform a truly scarless thyroidectomy. Trans-oral endoscopic thyroidectomy has been the latest approach developed, known as the natural orifice transluminal endoscopic thyroidectomy, which is categorized as a natural orifice transluminal endoscopic surgery (NOTES) procedure. There are several ways to perform the natural orifice transluminal endoscopic thyroidectomy. Here, the authors present the TOETVA under general anesthesia.
Endoscopic Stapedectomy
Bascom Palmer Eye Institute
C. Scott Brown, MD
Neurotology & Lateral Skull Base Surgery Fellow
University of Miami Miller School of Medicine
Michael E. Hoffer, MD
Professor of Otolaryngology and Neurological Surgery
University of Miami Miller School of Medicine
Endoscopic ear surgery can improve visualization of critical structures. In this video, Dr. Scott Brown performs an endoscopic stapedectomy for the treatment of conductive hearing loss. He explains his technique and the advantages afforded by adoption of the endoscope in ear surgery.
Temporal Bone Dissection (Cadaver)
Cranial Access, Neuroanatomy, and ENT Surgery (CANES) Lab
C. Scott Brown, MD
Neurotology & Lateral Skull Base Surgery Fellow
University of Miami Miller School of Medicine
Cadaveric dissections of the temporal bone are a critical part of learning otologic surgery in residency. Dr. Scott Brown, neurotology fellow at the University of Miami, performs a step-by-step dissection of the temporal bone. He outlines key anatomical structures and describes safe and efficient techniques for these procedures.
Microscope Drape for Aerosol-Generating Procedures During COVID-19 Pandemic
Bascom Palmer Eye Institute
C. Scott Brown, MD
Neurotology and Lateral Skull Base Surgery Fellow
University of Miami Miller School of Medicine
Fred F. Telischi, MEE, MD, FACS
James R. Chandler Chair in Otolaryngology
Chairman of Otolaryngology and Professor, Neurological Surgery and Biomedical Engineering
University of Miami Miller School of Medicine
During the COVID-19 pandemic, viral transmission via aerosolized particles poses the risk of infecting operating room staff. In this video, Dr. Telischi at the University of Miami demonstrates one of several techniques for draping the microscope during cochlear implant surgery.
Surgical videos are a valuable resource in medical education – they help residents and students prepare for the operating room.
Dr. Scott Brown, the medical editor responsible for the creation of the Otolaryngology Section at JOMI, has published in OTO-Open an article “Development of a Surgical Video Atlas for Resident Education: 3-Year Experience“. In this article, Dr. Brown discusses his journey, selection of cases, filming processes and challenges, and adoption of the content by residents and students. Dr. Brown also discusses how surgical video atlases impact surgical training and the role they will play for ENT and other surgical residencies in the coming years.
Direct Microlaryngoscopy and Excision of Vocal Cord Lesion
Duke University Medical Center
Seth M. Cohen, MD, MPH
Associate Professor of Surgery
Division of Head and Neck Surgery & Communication Sciences
C. Scott Brown, MD
Resident Physician
Department of Surgery
Division of Head and Neck Surgery & Communication Sciences
In this case, Dr. Brown and Dr. Cohen perform a direct microlaryngoscopy and excise a vocal cord lesion.