Tag Archives: otolaryngology

PUBLISHED: Bonebridge Implant

 

Bonebridge Implant

Scott Brown, MD
Duke University Medical Center

David M Kaylie, MD, MS
Duke University Medical Center

Cecilia G Freeman
Duke University Medical Center

Bone conduction implants can improve hearing in patients with conductive or mixed hearing loss as well as in cases of single-sided deafness (SSD). The patient in this case previously underwent resection of a vestibular schwannoma via a middle fossa craniotomy that ultimately resulted in SSD. Here, Dr. Kaylie at Duke University Medical Center demonstrates the step-by-step surgical technique for the Bonebridge implant to allow sound transmission from the patient’s deaf ear to the contralateral cochlea via bone conduction.

 

PUBLISHED: Zenker’s Diverticulum: Endoscopic Staple-Assisted Diverticulotomy

Zenker’s Diverticulum: Endoscopic Staple-Assisted Diverticulotomy

Seth M. Cohen, MD, MPH1David Straka, MD1Blaine D. Smith, MD1Douglas O’Connell, MSc2C. Scott Brown, MD1

1Duke University Medical Center
2College of Osteopathic Medicine, Touro University California

In this case, a patient with a symptomatic Zenker’s diverticulum is treated with an endoscopic staple-assisted diverticulotomy. The clinical presentation, diagnostic criteria, surgical procedure, and postoperative care are highlighted.

PREPRINT RELEASE: Endoscopic Stapedectomy

Endoscopic Stapedectomy
Bascom Palmer Eye Institute

C. Scott Brown, MD
Neurotology & Lateral Skull Base Surgery Fellow
University of Miami Miller School of Medicine

Michael E. Hoffer, MD
Professor of Otolaryngology and Neurological Surgery
University of Miami Miller School of Medicine

Endoscopic ear surgery can improve visualization of critical structures. In this video, Dr. Scott Brown performs an endoscopic stapedectomy for the treatment of conductive hearing loss. He explains his technique and the advantages afforded by adoption of the endoscope in ear surgery.

PREPRINT RELEASE: Temporal Bone Dissection (Cadaver)

Temporal Bone Dissection (Cadaver)
Cranial Access, Neuroanatomy, and ENT Surgery (CANES) Lab

C. Scott Brown, MD
Neurotology & Lateral Skull Base Surgery Fellow
University of Miami Miller School of Medicine

Cadaveric dissections of the temporal bone are a critical part of learning otologic surgery in residency. Dr. Scott Brown, neurotology fellow at the University of Miami, performs a step-by-step dissection of the temporal bone. He outlines key anatomical structures and describes safe and efficient techniques for these procedures.

PREPRINT RELEASE: Microscope Drape for Aerosol-Generating Procedures During COVID-19 Pandemic

Microscope Drape for Aerosol-Generating Procedures During COVID-19 Pandemic
Bascom Palmer Eye Institute

C. Scott Brown, MD
Neurotology and Lateral Skull Base Surgery Fellow
University of Miami Miller School of Medicine

Fred F. Telischi, MEE, MD, FACS
James R. Chandler Chair in Otolaryngology
Chairman of Otolaryngology and Professor, Neurological Surgery and Biomedical Engineering
University of Miami Miller School of Medicine

During the COVID-19 pandemic, viral transmission via aerosolized particles poses the risk of infecting operating room staff. In this video, Dr. Telischi at the University of Miami demonstrates one of several techniques for draping the microscope during cochlear implant surgery.

PREPRINT RELEASE: Bonebridge Implant


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.

PREPRINT RELEASE: Stapedotomy (Endaural)


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.

Pilot Study Finds Watching JOMI Videos Improves Understanding of Surgical Concepts

“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!

PREPRINT RELEASE: Laser Stapedotomy for Otosclerosis

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.

PREPRINT RELEASE: Laser Excision of Glomus Tympanicum (Transcanal Approach)

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.