A 60-year-old female’s biochemical workup concluded she had primary hyperparathyroidism, and preoperative images suggested a left lower parathyroid lesion. Consequently, Dr. Tobias Carling performed a minimally invasive parathyroidectomy under local cervical anesthesia while preserving the esophagus and recurrent laryngeal nerve. Intraoperative PTH proved complete resection.
“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!
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.
Dr. Michael Reinhorn performs a pilonidal cleft lift procedure, thoroughly describing the pre-op, post-op, and intraoperative steps, on a young man who previously had surgery but experienced recurrence.
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.
Ulnar Nerve Transposition Rothman Institute, Thomas Jefferson University Asif Ilyas, MD, FACS Professor of Orthopedic Surgery
Program Director of Hand Surgery
In this cadaveric case, Dr. Asif Ilyas demonstrates the ulnar nerve transposition method for treating cubital tunnel syndrome, showing both the subcutaneous and submuscular techniques.
Cubital Tunnel Release Rothman Institute, Thomas Jefferson University Asif Ilyas, MD, FACS Professor of Orthopedic Surgery
Program Director of Hand Surgery
Cubital tunnel syndrome, the second most common compressive neuropathy, causes tingling and numbness in the ring and small fingers and can be treated with either a cubital tunnel release or an ulnar transposition. In this case, Dr. Asif Ilyas demonstrates the former on a cadaveric hand.
De Quervain’s Release Rothman Institute, Thomas Jefferson University Asif Ilyas, MD, FACS Professor of Orthopedic Surgery
Program Director of Hand Surgery
Instead of conducting a De Quervain's release on a patient with stenosing extensor tenosynovitis, Dr. Asif Ilyas walks through the procedure on a cadaver, demonstrating the approach to the first dorsal extensor retinaculum and providing tips to release it without injuring the radial sensory nerve.
Trigger Finger Release Rothman Institute, Thomas Jefferson University Asif Ilyas, MD, FACS Professor of Orthopedic Surgery
Program Director of Hand Surgery
When the flexor tendons of the hand thicken or become inflamed, stenosing flexor tenosynovitis of the hand (also known as trigger finger) develops. Dr. Asif Ilyas demonstrates on a cadaver how to perform the most standard trigger finger release, releasing the A1 pulley and then decompressing or releasing the flexor tendon.
Carpal Tunnel Release Rothman Institute, Thomas Jefferson University Asif Ilyas, MD, FACS Professor of Orthopedic Surgery
Program Director of Hand Surgery
Dr. Asif Ilyas performs a carpal tunnel release, the most common hand surgery, on a cadaveric hand. This surgery is typically done for paresthesia in the hand due to median nerve compression when non-operative treatment, such as splinting and injections, fails or becomes recalcitrant.
Minimally Invasive Parathyroidectomy under Local Cervical Block
