Sub-Specialty Training in OTOHNS
I Head
and Neck Surgery/Skull Base Surgery
The Department of OTOHNS at the University of Kansas has an active
program in Head and Neck Surgery and Skull Base Surgery whose patient
accruement area includes all of Kansas and part of western Missouri.
All patients are presented prospectively at the multidisciplinary
Head and Neck Surgery Tumor Board held bi-weekly for a consensus
opinion on treatment. A multidisciplinary Thyroid Tumor Board is
held monthly to discuss new thyroid malignancy patients.
With microvascular reconstruction expertise within the Department
of OTOHNS, head and neck oncologic procedures are performed concurrently
with reconstructive procedures, shortening the patient's anesthetic
time and increasing OR use efficiency. Senior residents perform
both the extirpative and reconstructive portions of the operation
without competition from post-graduate fellows. Training in transfacial
and endoscopic surgical approaches to the skull base, endoscopic
diverticulectomy, and thyroid/parathyroid surgery is also extensive.
This experience at KUMC is supplemented by an extensive head and
neck experience at the VAMC and TMC staffed by the same faculty.
The Skull Base Surgery Team works closely with the Head and Neck
Reconstruction Team as well as with faculty in the Departments
of Neurosurgery and Ophthalmology to provide surgical treatment
to anterior, middle and posterior fossa neoplasms. An active Interventional
Radiology division also provides angiographic and endovascular
procedure support to the Skull Base Surgery Team. This has been
supplemented by extensive intra-operative experience with the Xomed
Evolution stereotactic surgical guidance system.