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Surgical Perspective · Free for learners

Learn ENT surgery, step by step

Structured learning paths for medical students, ENT residents and young surgeons: ordered video courses, referenced case reports and a quick self-test. Every surgical video has step captions and orientation diagrams.

1 · Watch in orderEach course builds on the part before it.
2 · Pause and nameStop on a frame and name the landmarks before the caption appears.
3 · Read the caseEach case video has a written report with references.
4 · Test yourselfAnswer the questions at the end of this page.

Learning path 1 · Ear and temporal bone

Temporal Bone Dissection Course · Parts 1–7

A cadaveric dissection from the facial recess to rerouting the facial nerve. Revise the landmarks before each part. With GeNext MedEd Foundation.

1
Posterior tympanotomyFacial recess boundaries: facial nerve, chorda tympani, posterior canal wall
▶ 6:032
Canal wall down mastoidectomyLowering the facial ridge; the open cavity
▶ 10:363
Facial nerve decompressionExposing the tympanic and mastoid segments
▶ 8:204
Facial nerve transpositionFreeing the nerve from the fallopian canal
▶ 12:345
Digastric ridge and stylomastoid foramenFollowing the nerve out of the temporal bone
▶ 10:096
Cochleariform process and GSPNThe geniculate region and its landmarks
▶ 9:427
Rerouting the facial nerveAnterior rerouting, as used in lateral skull base surgery
▶ 10:53
Open the course playlist on YouTube

Learning path 2 · Hearing implants

Cochlear Implant Surgery Course · Parts 1–4

A complete cochlear implant operation in four short steps, in the order a resident learns it.

1
Cortical mastoidectomyThe first step of cochlear implantation
▶ 2:302
Posterior tympanotomyAccess to the round window through the facial recess
▶ 1:383
Opening the cochleaRound window and cochleostomy
▶ 1:354
Electrode insertionInsertion of the array and securing the lead
▶ 3:06
Open the course playlist on YouTube

Learning path 3 · Real cases

Surgical case reports with operative video

Each case: the operation step by step, orientation diagrams, learning points and references. Patient consent taken; patient identity is not shown.

1
Upfront radical resection for fulminant sinonasal mucormycosisSkull Base · Sinonasal
Case report →2
Composite parotid resection with single-stage PMMC reconstructionHead & Neck · Salivary
Case report →3
Pilomatricoma presenting as a non-healing neck massHead & Neck · Reconstruction
Case report →4
Medialisation thyroplasty for unilateral vocal fold palsyHead & Neck · Larynx
Case report →5
Tracheal resection and primary anastomosis after failed decannulationAirway · Trachea
Case report →6
Three giant goitres, three surgical approachesHead & Neck · Thyroid
Case report →7
Two glomus jugulotympanicum cases: facial nerve transposition and facial nerve graftingSkull Base · Ear & Lateral Skull Base
Case report →
All case reports

Learning path 4 · Full series

Surgical Perspective series

Pinna to PetrousEar, temporal bone and lateral skull base: cochlear implantation, mastoid, facial nerve, glomus. Septum to Skull BaseEndoscopic nose, sinus and skull base: septoplasty, FESS, angiofibroma, pituitary, mucormycosis. Dura to PleuraHead and neck cancer, larynx, thyroid, airway and neck: dissection, laryngectomy, flaps.

New series · every Thursday

Anatomy in 60 seconds

One structure, one minute: a moving diagram you can pause, name and revise before the dissection or the viva. Schematics for surgical education.

Episode 1The facial nerve in the temporal boneMeatal, labyrinthine, geniculate, tympanic and mastoid segments, its branches and the stylomastoid foramen, ending with a quick check. Watch on YouTube →
Episode 2 · coming nextThe cochlea and the round windowComing next: the landmarks for cochlear implant electrode insertion.
Watch the series on YouTube

Self-test

Five questions from the case reports

Answer each one before you open it. New questions are posted on the YouTube channel's Community tab every week.

1. In jugular foramen surgery for a glomus jugulotympanicum, what is controlled before the tumour is approached?

  1. The sigmoid sinus only
  2. The great vessels and lower cranial nerves in the neck
  3. The middle ear ossicles
  4. The superior petrosal sinus
Show answer

B. The great vessels and lower cranial nerves in the neck The internal jugular vein, carotid arteries and lower cranial nerves are identified in the neck first, so the dissection moves from known anatomy into the tumour. Read the case →

2. The facial nerve is invaded by a jugular paraganglioma. What is the usual management?

  1. Leave tumour on the nerve
  2. Resect the involved segment and place an interposition graft in the same sitting
  3. Delay repair for one year
  4. Hypoglossal-facial anastomosis only
Show answer

B. Resect the involved segment and place an interposition graft in the same sitting Resection with interposition grafting in the same sitting gives the best chance of useful facial function; House-Brackmann grade III is a common best outcome. Read the case →

3. How are most retrosternal goitres removed?

  1. Median sternotomy
  2. Thoracoscopy
  3. Through a cervical (collar) incision
  4. Lateral thoracotomy
Show answer

C. Through a cervical (collar) incision Most retrosternal goitres can be delivered into the neck along the capsular plane; a sternal split is needed only in a small minority. Read the case →

4. Why is upfront radical surgery needed in fulminant sinonasal mucormycosis?

  1. The fungus is resistant to all antifungals
  2. Antifungals cannot reach devitalised, non-perfused tissue
  3. To obtain tissue for culture only
  4. Surgery replaces antifungal treatment
Show answer

B. Antifungals cannot reach devitalised, non-perfused tissue Angioinvasion causes tissue necrosis; drugs do not reach dead tissue, so the fungal load must be removed to bleeding, viable margins, alongside antifungal therapy. Read the case →

5. What does a type I thyroplasty do?

  1. Lengthens the vocal folds
  2. Medialises a paralysed vocal fold with an implant placed through a window in the thyroid lamina
  3. Removes a vocal fold lesion
  4. Reinnervates the larynx
Show answer

B. Medialises a paralysed vocal fold with an implant placed through a window in the thyroid lamina A window is cut in the thyroid lamina at the level of the vocal fold and an implant (here silicone) pushes the paralysed fold towards the midline. Read the case →

Keep learning

YouTube: @DrBhushanKathuria · Daily ENT tips on WhatsApp · Surgical Perspective books · Case reports

Dr Bhushan Kathuria & Team · Santosh Advance ENT Healthcare, Hisar. Dr Bhushan Kathuria, Reg. No. HN-017323, Haryana Medical Council. Educational material for students and clinicians; not medical advice for patients. Patient consent was taken for all surgical videos and patient identity is not shown. Cadaveric dissections with GeNext MedEd Foundation.