top of page
Otology /Neurotology /Cranial Base Surgery / Craniofacial Reconstruction


Trigeminal Neuralgia and Microvascular Decompression
Author : Prof. Dr. Andrew J. Fishman, M.D. Board-Certified Surgeon in Otology, Neurotology, Skull Base, Head and Neck, Facial Reconstructive, and Sinonasal & Maxillary Surgery Trigeminal neuralgia is sometimes called “the suicide disease” — a label that captures the severity of the pain and the desperation it produces in patients who have not yet found effective treatment. The good news is that this label belongs to a previous era. Modern treatment of trigeminal neuralgia is
6 min read


Facial Pain and Headache: Treatment for the Pain Syndromes Most Often Misdiagnosed
Author : Prof. Dr. Andrew J. Fishman, M.D. Board-Certified Surgeon in Otology, Neurotology, Skull Base, Head and Neck, Facial Reconstructive, and Sinonasal & Maxillary Surgery If You Are Reading This After Years of Pain Facial Pain and Headache: Treatment for the Pain Syndromes Most Often Misdiagnosed by Prof Dr. Andrew Fishman You may have already seen a number of physicians. You may have been told your pain is “just” migraine, or TMJ, or sinus, or stress. You may have been
6 min read


Second Opinion Before Ear Surgery: When Does It Make Sense?
Being told that you may need ear surgery can feel overwhelming. Many patients leave an appointment with questions they did not have time to ask, or with uncertainty about whether surgery is truly necessary. You may wonder: “Do I really need surgery?”“Is this the right procedure for my condition?”“What happens if I wait?”“Should I get another opinion before making a decision?” These are reasonable questions. In many cases, getting a second opinion before ear surgery can help y
5 min read


When Should You See a Specialist for Ear, Hearing, or Balance Problems?
Ear, hearing, and balance symptoms can be difficult to judge. Some patients notice mild changes, such as ringing in the ear or occasional dizziness, and wonder if they should wait. Others experience sudden hearing loss, repeated infections, or facial weakness and are unsure whether they need urgent care or a specialist opinion. If you are asking yourself, “Are my symptoms serious enough to see a specialist?”, the safest answer is this: symptoms that are new, persistent, one-s
4 min read


Advancing Precision in Pediatric Cochlear Implant Surgery: What Transimpedance Matrix Measurements Can Tell Us
Cochlear implantation has transformed the lives of children with severe to profound hearing loss. For many families, it represents the beginning of access to sound, speech development, communication, and deeper participation in daily life. As surgeons and hearing specialists, our responsibility does not end with placing the device. We must continue improving how precisely, safely, and reliably we place cochlear implant electrodes inside the inner ear. That is why I am pleased
3 min read


Comprehensive Guide to the Best Treatments for Otosclerosis
Otosclerosis is a complex condition affecting the bones of the middle ear, leading to progressive hearing loss. As someone deeply involved in the field of otology and skull base surgery, I have witnessed firsthand the challenges patients face when navigating treatment options. This guide aims to provide a thorough understanding of the best treatments for otosclerosis, combining clinical insights with practical recommendations to assist those affected by this condition. Unders
4 min read
bottom of page