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We found 20 results for Baylor College of Medicine in video, webinar, leadership & management

video (14)

Laser Supraglottoplasty
video

Laryngomalacia is the most common laryngeal anomaly affecting newborns. Patient's with severe disease should be considered for supraglottoplasty. It classically presents in a newborn with high-pitched inspiratory stridor that worsens with exertion, supine-positioning, and feeding. It is characterized by anatomic and physiologic abnormalities including shortened aryepiglottic (AE) folds, small, tightly curled epiglottis, redundant soft tissue overlying the cuneiform or accessory cartilages and reduced laryngeal tone. Any combination of these may present with laryngomalacia. Most cases are mild and resolve with observation or medical therapy. Steps: 1. Laser precautions are taken to protect patient and personnel. 2. Spontaneous ventilation 3. Suspension laryngoscopy is performed with adequate visualization of the larynx. 4. The operating telescope or microscope is used for visualization. The CO2 laser is tested. 5. First, division of the AE folds is performed. 6. Next, redundant mucosa and tissue overlying the accessory cartilages is ablated.

Double Stage Laryngotracheal Reconstruction with Anterior and Posterior Rib Graft
video

Double Stage Laryngotracheal Reconstruction with Anterior and Posterior Rib Cartilage Graft.

Awake Trancervical Injection Laryngoplasty - Thyrohyoid Membrane Approach
video

The procedure shown in this video is an awake transcervical injection laryngoplasty via a thyrohyoid membrane approach. Editor Recruited By: Michael M. Johns III, MD DOI: http://dx.doi.org/10.17797/elckgrc4zg

Pediatric Ansa to Recurrent Laryngeal Nerve Reinnervation
video

The procedure shown in this video is a pediatric ansa to recurrent laryngeal nerve reinnervation. It is performed with a concurrent laryngeal electromyography and injection laryngoplasty. Editor Recruited By: Sanjay Parikh, MD, FACS DOI: http://dx.doi.org/10.17797/7jjbn56ca3

Choanal Atresia Repair
video

Contributor: Tyler McElwee Choanal atresia describes the congenital narrowing of the back of the nasal cavity that causes difficulty breathing in neonate. Choanal atresia is often associated with CHARGE, Treacher Collins and Tessier Syndrome. It is a rare condition that occurs in 1:7000 live births, seen in females twice as often as males, and affects bilaterally in roughly 50% of cases. Bilateral choanal atresia is usually repaired in the newborn period. Unilateral CA repair is often deferred until age 2-3 years. Stent placement has become optional as stentless repair is gaining popularity because this technique decreases foreign body reaction in the nasopharynx which in term decreases granulation formation. Transnasal endoscopic choanal atresia repair is performed by opening the atresia bilaterally, drilling out pterygoid bone as needed, and removal of the posterior septum and vomer. Normal mucosa is preserved as much as possible by elevating a lateral based mucosal flap to prevent scarring and restenosis. Postoperatively, these patients are treated with antibiotic, reflux medications and steroid nasal drops; a second look procedure is planned 4-6 weeks postop for debridement and possible removal of granulation tissue & scar. DOI: http://dx.doi.org/10.17797/9s5ty2f7yv Editor Recruited By: Sanjay Parikh, MD, FACS

Bilateral Dacryocystoceles Resection
video

Contributor: Tyler McElwee Congenital dacryocystocele describe the distended lacrimal sac in neonates with or without associated intranasal cyst. The prevalence is about 0.1% of infants with congenital nasolacrimal duct obstruction and a slight prevalence in female infants. It refers to cystic distention of the lacrimal sac as a consequence of the nasolacrimal drainage system obstruction. It typically presents as a bluish swelling inferomedial to the medial canthus in the neonates. Unilateral congenital dacryocystocele is more common but 12-25% of patients affected have bilateral lesions. Ultrasound, CT scan or MRI can be used for diagnosis. About half of the patient with acute dacryocystitis can be management with conservative management such as digital massage of lacrimal sac or in-office lacrimal duct probing. The other half of patients will require surgery under general anesthesia for removal of the dacryocystocele. Endoscopic excision of the intranasal cysts has been used successfully as a treatment option with Crawford stent placement. Post-operatively patients are treated empirically with antibiotics and nasal saline. No second look is usually planned unless patients develop significant nasal obstrctuion. Editor Recruited By: Sanjay Parikh, MD, FACS DOI: http://dx.doi.org/10.17797/16rnuq8n0y

Rib Cartilage Harvest for Laryngotracheal Reconstruction
video

Contributors: Deepak Mehta This video depicts how to harvest a rib cartilage graft for use in pediatric laryngotracheal reconstruction for airway stenosis. DOI# http://dx.doi.org/10.17797/oo77838cxt Authors Recruited By: Deepak Metha

Robotic Retroperitoneoscopic Partial Nephrectomy: 4-Arm Technique
video

In this video, we demonstrate the set-up, port configuration, and key steps involved in performing a robotic-assisted retroperitoneoscopic partial nephrectomy. DOI#: https://doi.org/10.17797/di559dgayo

Management of subglottic stenosis with endoscopic stent placement
video

History of airway stenosis, s/p laryngotracheal reconstruction. Developed restenosis, and balloon dilated three times.

In this video we describe our technique for airway stent insertion and its securing to the neck skin.

Balloon dilation of the airway expanded the airway to its appropriate size. After sizing, an 8mm modified Mehta laryngeal stent with rings (Hood Laboratories, Pembroke, Mass., USA)is inserted in the airway with laryngeal forceps. The scope is inserted into the stent to verify its position. Then a 2.0 prolene stitch is taken through the neck, trachea, stent, and taken out through the contralateral skin. This is performed under visualization with a 2.3mm endoscope through the stent. The needle is then re-inserted through the exit puncture and again taken out next to the entry puncture after passing through a subcutaneous tunnel, without re-entering the stent. A small skin incision is performed between the two prolene threads. Multiple knots are taken over an angiocath, which is then buried under the skin.

The stent is taken out 2-6 weeks after the procedure. A neck incision is performed, the angiocath is identified, the knot is cut and the stent is removed under the vision of the endoscope.

Treatment of Chronic Atelectatic Middle Ear with Endoscopic Placement of Cartilage Shield T-tube
video

Chronic tympanic membrane (TM) atelectasis is a difficult condition with many management challenges and currently has no acceptable gold standard treatment. TM atelectasis is the loss of the normal elasticity of the TM as a result of chronic negative pressure in the middle ear and can be associated with retraction pockets. The under-ventilation of the middle ear and TM retraction can cause ossicular erosion, hearing loss, or cholesteatoma formation. Atelectasis can be halted or reversed with placement of pressure equalization tube (PET). Cartilage tympanoplasty with or without PET has been reported as the preferred material likely due to its higher mechanical stability under negative pressure changes within the middle ear, in addition to its resistance to resorption. This video demonstrates the feasibility of a minimally invasive endoscopic approach of cartilage shield T-tube tympanoplasty as a treatment of chronic TM atelectasis.

Closure of H-type tracheoesophageal fistula
video

We present the case of a 20 months old boy with developmental delay and chromosomal abnormality, who presented with a history of chronic aspiration. He was found to have a laryngeal cleft, which was injected with Prolaryn, then formally repaired, twice. Despite an initial a negative swallow study, the patient had persistent aspiration. A repeat direct laryngoscopy and bronchoscopy finally revealed the presence of an H-type tracheoesophageal fistula (TEF). We describe here the steps of the surgical repair of an H-type tracheoesophageal fistula.

Base of Tongue Reduction: Endoscopic Approach vs. Transoral Robotic Surgical Approach
video

The video demonstrates successful endoscopic coblation of lingual tonsils and residual palatine tonsils as well as successful TORS reduction of obstructive base of tongue tissue.

Successful Placement of Transcutaneous Bone Anchored Hearing Aid in a Pediatric Patient
video

The Osia System is a transcutaneous bone anchored hearing aid which can be used for the correction of both conductive and sensorineural hearing loss. This video depicts the implantation of the Osia in a pediatric patient with a history of right-sided microtia.

Endoscopic Assisted Aural Atresia Repair
video

Congenital aural atresia (CAA) is a birth defect that describes both aplasia and hypoplasia or stenosis of the external auditory canal (EAC). CAA can be associated with microtia (malformation of the pinna), middle ear and occasionally inner ear malformations. Surgical correction of CAA is a very challenging operation and requires a thorough knowledge of the surgical anatomy of the facial nerve, middle and inner ears. Traditional post-auricular approach or transcanal approach with the help of a microscope usually provides adequate images needed for the procedure. Endosocpic ear surgery provides the advantage of visualization beyond the view provided by the microscope, further refinement of the surgical approach, precise assessment of the ossicular chain mobility and placement of ossicular chain prosthesis if necessary.

webinar (3)

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Current Techniques, Pearls and Strategies for Cochlear Implantation
webinar

In the second installation of CSurgeries’ series in otology, join this interactive webinar with Dr. Sharon Cushing, paediatric otolaryngologist at The Hospital for Sick Children in Toronto, Canada, and an Associate Professor and Clinician Investigator in the Department of Otolaryngology Head and Neck Surgery at the University of Toronto, Dr. Samantha Anne, faculty member and otolaryngologist at the Cleveland Clinic, and Dr. Rodrigo C. Silva, Director, Ear and Hearing Center, Texas Children’s Hospital and Associate Professor, Baylor College of Medicine. This panel of experts will discuss how Cochlear implantation (CI) has evolved into the standard of care for the rehabilitation of children with significant hearing loss. These faculty members will discuss videos showcasing the most current techniques for CI in children, as well as pearls and strategies to avoid complications.

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The Good, The Bad, and The Ugly: Awake Vocal Fold Injections
webinar

In the first installation of CSurgeries’ series on laryngology, join this interactive webinar with Dr. Julina Ongkasuwan, associate professor of adult and pediatric laryngology at Baylor College of Medicine, and Dr. Vyvy Young, associate professor and the associate residency program director of otolaryngology-head and neck Surgery at the University of California – San Francisco, as they walk us through a videos on an awake vocal fold injection procedure. Drs Ongkasuwan and Young will share this video and will provide detailed commentary on their approach.

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Battle of the Medialization Techniques: Michael “Type 1 Thyroplasty” Johns vs. Julina “Reinnervation” Ongkasuwan
webinar

In the next installation of CSurgeries’ series on laryngology, join this interactive webinar with Dr. Julina Ongkasuwan, associate professor of adult and pediatric laryngology at Baylor College of Medicine, and Dr. Michael Johns, Director, USC Voice Center and Professor, Caruso Department of Otolaryngology – Head and Neck Surgery – University of Southern California, for a discussion of permanent medialization techniques. Type 1 thyroplasty vs Reinnervation.

Which one will you choose and when?

leadership (2)

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Ehab Hanna, MD, FACS
leadership

The University of Texas MD Anderson Cancer Center
  • Professor and Vice Chair
  • Department of Head and Neck Surgery

Ehab Hanna, M.D., FACS, is an internationally recognized head and neck surgeon and expert in the treatment of patients with skull base tumors and head and neck cancer. He is Professor and Vice Chair of the Department of Head and Neck Surgery at The University of Texas MD Anderson Cancer Center in Houston, Texas. After earning his medical degree, he completed a surgery internship at Vanderbilt University, and residency in Otolaryngology-Head and Neck Surgery at The Cleveland Clinic in Cleveland, Ohio. He received advanced fellowship training in skull base surgery and head and neck surgical oncology at the University of Pittsburgh Medical Center. He joined the MD Anderson faculty in 2004 with a joint appointment at Baylor College of Medicine. He is the medical director of the Multidisciplinary Head and Neck Center and co- director of the Skull Base Tumor program at MD Anderson. Dr. Hanna recently served as President of the North American Skull Base Society (NASBS) which was founded in 1989, and is a professional medical society that facilitates communication worldwide between individuals pursuing clinical and research excellence in skull base surgery. Dr. Hanna is leading the development of minimally invasive and robotic applications in skull base surgery. He has consistently been named one of America’s Top Doctors by the Castle Connolly Guide. In addition to patient care, Dr. Hanna is actively engaged in clinical and translational research with emphasis on skull base tumors. He is the Editor-in-Chief of the journal of Head & Neck, which is the official journal of the International Federation of Head and Neck Societies. He also co-edited a text book on “Comprehensive Management of Skull Base Tumors”.

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Sudhen B. Desai, MD, FSIR
leadership

Baylor College of Medicine
  • Department of Interventional Radiology

Dr. Desai earned his Doctorate of Medicine with Distinction in Research and Alpha Omega Alpha honors from Albany Medical College, after completing the six-year BS/MD program in conjunction with Rensselaer Polytechnic Institute. During his latter years of medical school, he was selected as a scholar of the Clinical Research Training Program at the National Cancer Institute of the National Institutes of Health, a clinical fellowship geared towards the development of translational researchers. He then went on to residency at Stanford University (General Surgery) and UCSF (Diagnostic Radiology), followed by fellowship in Vascular and Interventional Radiology at Northwestern University. He was a private practice adult Interventional and Diagnostic Radiologist for ten years.  In July 2016, he returned to fellowship for an advanced training year with a focus on Pediatric Interventional Radiology, at Children’s Hospital of Boston. Subsequently, he joined Baylor College of Medicine (Houston, TX), on the staff at Texas Children’s Hospital.  He currently provides interventional care to adult and pediatric patients.

In his time outside of the clinic, he serves as a consultant to multiple established and start-up medical companies (TVA Medical, Exit BD/Bard 2018), Scientific Advisor to Santé Ventures (Austin, TX) and Chief Editor for Interventional Radiology CSurgeries.com.  Previously he was an invited advisor to the Rice University Jones School of Business (Technology Entrepreneurship). He was a member of the Advisory Council for the Masters in Clinical Translation Management at the St. Thomas (Houston, TX) University Cameron School of Business as well.  He has been appointed to multiple committees for the Society of Interventional Radiology and has lectured at multiple SIR annual meetings. He is the Chief Editor for IR Quarterly, a distribution of the SIR.

As Past-President/Founder of the Houston chapter of the Society of Physician Entrepreneurs, and a Member of the SoPE International Board of Directors, Dr. Desai works to engage physicians interested in innovation and idea development, as well as to provide mechanisms and insights to assist early-stage companies in tackling the many challenges to successful exits.

management (1)

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Deepak Mehta
management

  • Director, Pediatric Aerodigestive Center – Texas Children’s Hospital
  • Professor of Otorhinolaryngology – Baylor College of Medicine

Dr. Mehta’s clinical interests are complex airway surgery, pediatric swallowing disorders and head and neck masses,along with general otolaryngology. His research interest includes outcomes of airway surgery, laryngeal cleft management and outcomes of sleep disorders.

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