Tony - In his 20’s, Tony was playing guitar in a rock band and assumed that his hearing loss was due to exposure to loud music. By his mid-30s, Tony’s hearing had deteriorated and became a concern. He was a surfer, living in Hawaii, and assumed that increased hearing loss was a result of chronic “surfer’s ear” - a condition of the ear canal where lumps develop on the bony lining under the skin, eventually causing blockage of the ear canal. <NEUROTOLOGY CLINICAL FELLOWSHIP PROGRAM
Conference and Lecture Schedule
Duration and Scope of Education
Program, Personnel and Resources
Body of Knowledge for the Subspeciality of Neurotology
Conference and Lecture Schedule
Fellowship Alumni
Fellowship Application
The program provides the fellows opportunity to participate in numerous research conferences and didactic educational programs. A list of conferences can be found in Appendix II. The main didactic instruction is given through Journal Club participation and Friday morning conferences.
All fellows are required to attend the following conferences and didactic lectures:
Monday 6:00 PM Doctors' Discussion
Monday 7:45 AM Journal Club – Board Room, HEI Fth Floor
Friday 7:30 AM Grand Rounds – St. Vincent's MedCtr Cafeteria Conference Room A
The fellows' responsibility at the Friday morning conferences are as follows:
First Friday of the month – Fellow lecture
Second Friday of the month – Otoradiology (OtoRad) conference
Clinical fellows are responsible for returning the House Ear Clinic patient charts that were used at the OtoRad conference to the office. The fellow assigned to Dr. House and Dr. De la Cruz will also be responsible for returning the House Ear Clinic charts. If this fellow is not available, it is his or her responsibility to assign coverage to another fellow. The charts and x-rays are to be returned to the Medical Records Department at House Clinic immediately following the conference on Friday morning.
Third Friday of the month – selected neurotology lecture by fellow, faculty or guest faculty. It is the fellows' responsibility to assign staff from the lecture outline in the back.
Fourth Friday of the month – Otoradiology Conference
Fifth Friday of the month – Pathology conference. It is the fellows' responsibility to coordinate with the neuropathologist the appropriate cases for presentation. This will be coordinated with the neurotology faculty. The Dr. Brackmann fellow is responsible for organization of the pathology conference.
Click panel
below to see a selected meeting and lecture list
| Conference | Institution | Date | Time | Leader | Topic (Gen, Oto, H&N, Etc.) |
| ABI Conference | HEI | 2nd/4th Mondays |
0730-0830 | D. Brackmann | Auditory Brainstem Implant |
| Cell & Molecular Biology Lab Meeting | HEI | Weekly- Mondays |
0900-1000 | D. Lim | Basic Science |
| Electrophysiology Lab Meeting | HEI | 1st/3rd Mondays |
1100-1200 | M. Don | Auditory Electrophysiology |
| Doctors’ Discussion | HEI | Mondays Once/month |
1800-1900 | Staff | Otology/Neurotogy Case Discussion |
| Journal Club | HEI | Weekly- Mondays |
0745-0900 | Fellows | Review of major otology patients |
| CMB Journals | HEI | Weekly- Tuesdays |
1200-1300 | D. Lim | Cell & Molecular Biology |
| Children’s Auditory Research & Evaluation | HEI | Weekly- Tuesdays |
1230-0130 | L. Eisenberg | Children’s Hearing Loss & Cochlear Implants |
| Cochlear Implant Study Group | HEI | 2nd/4th Wednesday |
0800-0900 | B. Shannon | Cochlear Implantation |
| NF-2 Focus Group | HEI | 3rd Wednesday |
1800-1900 | D. Lim | NF-2 & Molecular Biology |
| Research Conference | HEI | 1st Tuesday | 1700-1800 | F. Linthicum | Research Presentations |
| Grand Rounds | USC | Fridays | 0800-0900 | D. Rice | General including Otology & Neurotology (12-b) |
| Tumor Board | St. Vincent | 4th Friday | 1200-0100 | D. Sherhart | Neoplastic disease |
| Temporal Bone Surgical Dissection Course | HEI | Quarterly | 4 days | J. Fayad | Temporal Bone Anatomy |
This lists the proposed lectures to be scheduled during the course of the two-year fellowship. Lectures are planned from 7:15 to 8:30 a.m. The neurotology fellow will be responsible for giving the lecture the first Friday of the month. The third Friday of the month will be reserved for second year neurotology fellows, House Clinic staff, and special lectures. The second and fourth Friday of the month will be Otoradiology Conference.
The following are proposed lectures:
- Anatomy of the Ear-Skull Base with Significance. This includes the boney anatomy, cranial nerves II-XII, vascular structures and brain stem structures as outlined in the core knowledge areas.
- Neurophysiology Peripheral and Central Auditory Pathways and Central Vestibular Pathways (Suggested reading: 1] Hughes GB & Pensak ML. Clinical Otology, 2nd Ed. New York: Thieme 1997; chapters 2, 3, & 7; 2] Kandel ER, Schwartz JH, Jessell TM. Principles of Neural Science, chapters 30, 31, 40 and 42).
- Vestibular Function Testing
- CSF Leaks, Evaluation and Treatment
- Temporal Bone Trauma, Evaluation and Treatment
- Congenital Disorders of the Inner Ear and Skull Base (Suggested reading: Lalwani AK, Grundfast KM, Pediatric Otology and Neurotology. Philadelphia: Lippincott-Raven, 1998)
- Acquired Disorders of the Ear and Skull Base: Infectious, Inflammatory, Idiopathic (e.g., spontaneous CSF leak), Vascular. (Suggested reading: 1] Schuknecht HF. Pathology of the Ear, 2nd Ed., Philadelphia: Lea & Febiger, 1993. 2] Nager GT. Pathology of the Ear and Temporal Bone. Baltimore: Williams & Williams, 1993. 3] Hughes GB & Pensak ML. Clinical Otology, 2nd Ed. New York: Thieme, 1997, chapter 26).
- Neoplastic Disorders of the Ear and Skull Base (Suggested reading: 1] Schuknecht HF. Pathology of the Ear, 2nd Ed. Philadelphia: Lea & Febiger, 1993. 2] Nager GT. Pathology of the Ear and Temporal Bone. Baltimore: Williams & Williams, 1993).
- Facial Nerve Disorder, Testing, Rehab (Suggested reading: 1] May M, Schaitkin BM. The Facial Nerve, 2nd Ed. 2] Brackmann DE, Shelton C, Arriaga MA. Otologic Surgery, 2nd Ed., 2001, chapter 62).
- Neurotoxicity of Pharmacological Agents (Suggested reading: 1] Cummings CW, Fredrickson JM, Harker LA, Krause CJ, Schuller DE, Richardson MA (Eds). Otolaryngology – Head & Neck Surgery, 3rd Ed, chapters 6 & 164).
- Unusual tumors of the internal auditory canal/CP angle.
- Facial nerve tumors
- Facial nerve schwannomas, hemangiomas, other.
- Jugular foramen lesions, evaluation and treatment.
- Condrosarcoma and cordoma
- Carcinoma of the skull base
- Temporal tumors in children
- Management of petrous apex lesions
- Middle cranial fossa approach, indications and specifics of procedure
- Translabyrinthine approach, indications and specifics of procedure
- Transcochlear approach, indications and specifics of procedure
- Retrosigmoid occipital approach, indications and specifics of technique
- Infratemporal fossa approach, indications and specifics of technique
- Lateral skull base approach (ELISA), indications and specifics of technique
- Total and lateral temporal bone resections – Subtotal petrousectomy
- Posterior lateral craniotomy, indications and specifics of technique
- Molecular genetics of hearing loss (Rick Friedman).
- Paragaglioma treatment (Derald Brackmann).
- NF2 (William Slattery).
- Stereotactic radiosurgery for skull base neoplasms (Marc Schwartz).
- Update on cochlear implant (William Luxford).
- Treatment of facial palsy (William Slattery).
- Vascular compression syndrome (Marc Schwartz).
- Congenital avral atresia (Antonio De La Cruz).
- Auto-immune inner ear disease (Jennifer Derebery).
- Allergy and Meniere's disease (Jennifer Derebery).
- Neurosurgical complications (Marc S. Schwartz).
- Implantable hearing aids (William Slattery).
- Tinnitus Treatment (John House)
- Swallowing and vocal rehabilitation after skull base lesion treatment (Bob Andrews, M.D. or Uttam Sinha, M.D.).
- Metabolic concerns in skull base patients including SIADH, DI, meningitis, ICU care (Mike Stefan, M.D.).
- Vestibular rehabilitation (Teresa England, MPT).
- Anesthesia care of the neurotology patient (St. Vincent's anesthesia staff).
- EYE-CARE for facial paralysis (Bob Levine, M.D.).
- Auditory brain stem implant/cochlear implant (Bob Shannon or Steve Otto).
- Intraoperative monitoring (Ann Tucker).
- Temporal bone pathology for lectures (Fred Linthicum, M.D.).
- Hair cell regeneration (Neil Segil, Ph.D.).
- Development of the ear (Andy Groves, Ph.D.).
- Hair cell biology (Frederico Kalinec, Ph.D.).
- Advances in otitis media (David Lim, M.D.).
- Neuroradiology (Bill Lo, M.D.).
- CSF Dynamics (Marc Schwartz, M.D.).
- Pediatric cochlear implants (Margaret Winter).
- Infant hearing screening (Carolyn Abdala).
- Pediatric audiology evaluation (Care Center).
- Facial rehabilitation (Babak Azzizadeh, M.D.).
