This video demonstrates a transcanal endoscopic infracochlear approach to the petrous apex in a patient with a large cholesterol granuloma. The patient presented with a history of profound left sensorineural hearing loss, hemifacial spasm, and House Brackmann Grade 2 facial function. Preoperative imaging demonstrated a T1 and T2 hyperintense heterogenous lesion in both petrous apices with the left being larger than the right on magentic resonance imaging. A computed tomography scan (CT) of the temporal bones demonstrates extension of the left petrous apex lesion into the internal auditory canal and cochlea. Dr. Isaacson has had 2 patients who have had significant recovery of their bone line after using an infracochlear approach. In the unlikely event that the patient experiences hearing loss in the other ear, their cochlea is preserved for a possible CI. However, the patients hearing loss is likely secondary to the 8th nerve involvement of cholesterol granuloma erosion into IAC. The patient in this surgical video has been monitored for a year. One year postop CT shows aeration of the apex. This patient's facial spasm has resolved. Dr. Isaacson has used stents in the past, but in this case felt the opening was large enough that he could forego it. Patient did not recover their hearing. DOI: http://dx.doi.org/10.17797/1wq11j68wa
This is a 60 yo woman with diverticulitis not responsive to medical management. Open, laparoscopic, and robotic operative options were discussed. We agreed on robotic sigmoid resection in the Enhanced Recovery Pathway. This video demonstrates an intracorporeal colorectal anastomosis between the descending colon and upper rectum. Sigmoid colectomies are typically characterized by by specimen extraction through an open incision after minimally invasive mobilization of the colon and mesentery, placement of an anvil into the descending colon through this open incision, and then laparoscopic or robotic colorectal anastomosis with a circular stapler after re-establishing pneumoperitoneum. This intracorporeal anastomosis does not require stretching colon and mesentery to an open extraction site with the possible need for extending the open incision. There is less visceral manipulation and potentially less ileus and quicker return to gastrointestinal activity. The extraction site can be anywhere the surgeon chooses and the extraction incision size is limited only by the sixe of the pathology. DOI # http://dx.doi.org/10.17797/p11gskfc90 Recruited By: Vincent Obias
This video demonstrates an excision of a thyroglossal duct cyst with special focus on 1) using the thyrohyoid membrane as a landmark and 2) dissection of the posterior hyoid space, which is the space between the thyrohyoid membrane and the posterior surface of the hyoid bone. Contributors: John Maddalozzo MD, FAAP, FACS; Monica Herron, MPAS, PA-C; Sarah Maurrasse, MD; Jesse Arseneau (editor) Ann & Robert H. Lurie Children's Hospital of Chicago
Transoral Robotic Surgery (TORS) Excision of a Base of Tongue Venolymphatic Malformation in a Pediatric Patientvideo
This video demonstrates successful Transoral Robotic Surgery (TORS) excision of a large, midline, base of tongue venolymphatic malformation after pre-operative embolization in a 6-year-old boy.
This video demonstrates the excision of a preauricular pit/cyst in a pediatric patient. John Maddalozzo, MD Sarah Maurrasse, MD Johanna Wickemeyer, MD Sneha Giri, MD Division of Pediatric Otolaryngology-Head & Neck Surgery Ann & Robert H. Lurie Children's Hospital of Chicago
Here we present a 6-year-old girl with sleep-variant laryngomalacia treated successfully with endoscopic epiglottopexy and supraglottoplasty. Johanna L. Wickemeyer, MD1 Sarah E. Maurrasse, MD2,3 Douglas R. Johnston, MD, FACS2,3 Dana M. Thompson, MD, MS, FACS2,3 1Department of Otolaryngology—Head & Neck Surgery, University of Illinois—Chicago, 1855 West Taylor Street, Chicago, IL 60612 2Division of Pediatric Otolaryngology—Head and Neck Surgery, Ann and Robert H. Lurie Children’s Hospital of Chicago, 225 E. Chicago Ave, Chicago, IL 60611 3Department of Otolaryngology-Head and Neck Surgery, Northwestern University Feinberg School of Medicine, 420 E Superior St, Chicago, IL 60611
This video demonstrates a superficial parotidectomy approach for the excision of a first branchial cleft cyst in a pediatric patient. This particular patient was a 4-year-old girl who presented with intermittent swelling in the region of the left parotid. On MRI, she was found to have a lobular mass consistent with a first branchial cleft cyst. Here we outline the steps of the recommended surgical procedure. Authors: Sarah Maurrasse, MD1,2; Monica Herron, MPAS, PA-C1; John Maddalozzo MD, FAAP, FACS1,2 Editors: Sarah Maurrasse1,2; Jesse Arseneau1 Voiceover: Vidal Maurrasse 1Ann & Robert H. Lurie Children's Hospital of Chicago 2Northwestern University Feinberg School of Medicine
This video is an introduction to operative direct laryngoscopy and bronchoscopy (DLB) and will demonstrate 1) How to set up the equipment for a safe and comprehensive DLB and 2) How to assemble a rigid bronchoscope. Authors: Alexander Moushey1; Taher Valika, MD2; Erik H. Waldman, MD3; Sarah E. Maurrasse, MD3 Voiceover: Vidal Maurrasse 1Yale School of Medicine, New Haven, CT 2Department of Surgery, Division of Pediatric Otolaryngology, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine 3Department of Surgery, Section of Pediatric Otolaryngology, Yale School of Medicine, Yale New Haven Children’s Hospital
This video is an introduction to operative direct laryngoscopy and bronchoscopy (DLB) and demonstrates how to perform a safe and comprehensive exam in the operating room. Authors: Alexander Moushey1; Taher Valika, MD2; Erik H. Waldman, MD3; Sarah E. Maurrasse, MD3 Voiceover: Vidal Maurrasse 1Yale School of Medicine, New Haven, CT 2Department of Surgery, Division of Pediatric Otolaryngology, Ann & Robert H. Lurie Children's Hospital of Chicago, Northwestern University Feinberg School of Medicine 3Department of Surgery, Section of Pediatric Otolaryngology, Yale School of Medicine, Yale New Haven Children’s Hospital
Join us in the journey of the legend as he gives us insights into his life and his achievements. Join us to be inspired by one of the best surgeons in the world.
Dr. Brackmann will be joined by Dr. Ravi N. Samy, Chief of Otology/Neurotology at the University of Cincinnati , along with Dr. James G. Naples, Otologist/Neurotologist of Harvard Medical School, Beth Israel Deaconess.
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