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!
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.