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.
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.
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.
Parotid Dissection (Cadaver) Duke University Medical Center Ramon M Esclamado MD, MS
Professor, Department of Surgery
Chief, Division of Head and Neck Surgery & Communication Sciences
Dr. Esclamado instructs a cadaver lab at Duke University Hospital to assist resident training on a standard parotid dissection. The approach should be adjusted depending on tumor malignancy, as Dr. Esclamado explains.
Frontal Sinus Dissection (Cadaver) Duke University Medical Center
Ralph Abi-Hachem MD, MS Assistant Professor of Surgery
Division of Head and Neck Surgery & Communication Sciences
Dr. Abi Hachem engages the ENT residents at Duke University Hospital, instructing them on how to dissect the nasal cavity to expose the frontal sinus, and identifying relevant anatomy along the way.