Bonebridge Implant
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 developed single-sided deafness after a middle fossa craniotomy for resection of a vestibular schwannoma. Dr. Kaylie demonstrates the steps for a mastoid placement of a Bonebridge implant.
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.
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.
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.
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.
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.
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
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
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.
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!