Mastoidectomy
Duke University Medical Center
David M. Kaylie, MD, MS
C. Scott Brown, MD
Department of Surgery
Division of Head and Neck Surgery & Communication Sciences
Dr. David Kaylie performs a standard mastoidectomy, outlining the critical steps that are necessary for this workhorse procedure in otology.
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.
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.
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.
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.
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.
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.
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.
Cochlear Implant
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. Cunningham demonstrates the round window approach for placement of an Advanced Bionics Cochlear Implant into the right ear of a patient with severe to profound sensorineural hearing loss. Emphasis on surgical anatomy and technique is emphasized as he performs this delicate neurotological procedure.
DCR and Nasolacrimal System (Cadaver)
Duke University Medical Center
Matthew D Ellison MD
Department of Surgery
Division of Head and Neck Surgery & Communication Sciences
Dr. Ellison leads the residents at Duke University in performing a dacryocystorhinostomy while identifying the relevant nasolacrimal anatomy. Use of picture-in-picture offers our viewers insight into how the lower canaliculus probe is managed with endoscopic assistance.