Reconstructive surgery of the middle ear bones can be performed in a variety of ways dependent upon the anatomy and clinical circumstances.  In some instances it can be performed at the primary operation and other times it is best to delay the reconstruction as a second stage, particularly in cases of intact canal wall cholesteatoma when a 'second look” procedure is planned to ensure the lack of recurrence.  The two videos below demonstrate both situations and also utilize di

April 25, 2025 marked the first Congress of the Neurotology Society of Serbia, organized by Dr. Dušan Pavlović and held at the Putnik Inn Hotel in New Belgrade. This lecture, Decision Making in the Treatment of Acoustic Neuroma, explores strategies for patient selection, hearing preservation, and surgical planning. International guests from Dubai, Italy, the United States, and across the Balkans joined the event. #AcousticNeuroma   #Neurotology   #SkullBaseSurgery   #Belgrade

This instructional course was broadcast at the Pediatric Otolaryngology Conference in Łódź, Poland, in May 2025. It demonstrates my full technique for performing a complete mastoidectomy with posterior tympanotomy, emphasizing safety, anatomical orientation, and surgical precision.

This lecture was presented in May 2025 at the Pediatric Otolaryngology Kongres in Łódź, Poland. I share my techniques for reconstruction of facial-nerve paralysis in both children and adults, emphasizing surgical planning, timing, and functional outcomes. #FacialNerve   #Reanimation   #NerveGrafting   #PediatricOtolaryngology   #HeadandNeckSurgery   #Lodz   #AFMedico

This talk shares my personal experience in developing cochlear implant electrodes — a journey that began in the mid-1990s and continues today. I discuss early design flaws, the controversies that divided the field, and how corporate ideologies often shaped technical directions. Over time, the designs have begun to converge toward safer and more physiologic concepts. Future developments and the lessons learned from decades of experimentation are also explored. #CochlearImplant

On July 7 2025, Medicus Clinic in Wrocław, Poland, hosted a webinar on surgical reconstruction of facial-nerve function. This presentation explores current methods and patient outcomes while encouraging professional dialogue on advancing facial-nerve surgery. #FacialNerve   #Reanimation   #NerveGrafting   #HeadandNeckSurgery   #MedicusClinic   #Wroclaw   #AFMedico   #Neurotology

This video presents the use of the NCC Smart IONM 8-channel intraoperative monitoring system during removal of an acoustic neuroma at the Military Medical Academy in Belgrade, Serbia. The NCC Smart IONM, developed by NCC Electrophysiology Shanghai, demonstrates both triggered and passive EMG functionality for cranial nerve monitoring. It is a compact, portable version of the advanced Cynapse platform, expected to receive EC certification by late 2025. #IONM   #AcousticNeuroma

This video demonstrates intraoperative monitoring of the lower cranial nerves using the Rivarp NervENT 8-channel EMG system during tumor removal at the Amrita Institute of Medical Sciences, Department of Head & Neck Surgery. Despite midline vocal-cord immobility, partial residual innervation was confirmed, guiding an ansa cervicalis reinnervation grafting procedure. #Neurotology   #CranialNerve   #IONM   #HeadandNeckSurgery   #Rivarp   #EMG   #AmritaHospital   #AFMedico

This lecture, presented on Thursday, 13 November 2025 at the CEM Laboratory in Warsaw, provides a focused and practical overview of laser use in stapes surgery. The session compares CO₂, diode, KTP, and 445 nm blue lasers, explaining how wavelength, absorption profiles, and delivery systems influence surgical precision and patient safety. Key topics covered: • Laser physics relevant to stapedotomy • Heat diffusion, microvascular effects, and inner-ear safety • CO₂ vs diode vs

This lecture, delivered at the Amrita Institute of Medical Science, explores the legal and ethical framework of implementing artificial intelligence in clinical care. Topics include accountability, liability, and compliance challenges for healthcare institutions adopting AI-driven technologies. Presented by Prof. Dr. Andrew J. Fishman. #AI   #Healthcare   #MedicalEthics   #LegalLiability   #AIinMedicine   #AmritaHospital   #AFMedico

This lecture was delivered at the Romanian Rhinology Society Meeting, Timișoara, Romania (September 2025). Prof. Dr. Andrew J. Fishman presents his preferred surgical technique for endoscopic pituitary tumor resection, including the anatomical and technical nuances of safe access to the sella turcica. Viewers are encouraged to watch the updated and extended version of this lecture for additional surgical footage and detailed commentary. Watch the updated full version here:...

This lecture presents Prof. Dr. Andrew J. Fishman’s personal technique for endoscopic transnasal pituitary tumor removal, demonstrated during the Instructional Course on Anterior Endoscopic Skull Base Surgery, Poland 2025. The video details key anatomical landmarks, safe dissection strategy, and stepwise access to the sella turcica for hearing-preserving and vision-preserving pituitary surgery. Ideal for neurosurgeons, ENT specialists, and skull base fellows . #PituitarySurge

This lecture by Prof. Dr. Andrew J. Fishman (@AFMedico) was presented at the Neurotology Summer Camp 2025 in the mountain region of Zlatibor, Serbia, curated by Dr. Dušan Pavlović. The session reviews advanced surgical management strategies for neurotologic disorders, including modern techniques in hearing, balance, and skull base surgery. Filmed in a collaborative academic setting, this presentation captures both the spirit of learning and the precision of modern otologic su

In this instructional video, Prof. Dr. Andrew J. Fishman (@AFMedico) presents a modern overview of ossicular reconstruction, also known as ossiculoplasty, with a focus on endoscopic ear surgery techniques. The video explains how the use of endoscopes enhances visualization of the middle ear, allowing precise reconstruction of the ossicular chain and improved hearing outcomes. It covers the principles of prosthesis placement, surgical strategy, and postoperative care. This pre

This lecture, presented by Prof. Dr. Andrew J. Fishman at the Romanian Rhinology Society Meeting (September 2025), explores the transition from advanced rhinologic procedures to anterior skull base and pituitary surgery. Dr. Fishman details the surgical strategy, anatomy, and technique for accessing the sella turcica in pituitary tumor removal—highlighting workflow integration, precision dissection, and safe navigation around critical structures. Intended for both surgeons ex

This video documents the endoscopic skull base surgery of a single patient with both a pituitary lesion and an intranasal vascular tumor, performed at Northwestern Medicine, USA, with my colleague and friend, Dr. Taras Masnyk. The case demonstrates advanced endoscopic technique, multidisciplinary teamwork, and modern approaches to managing complex anterior skull base pathology. #PituitarySurgery   #NasalTumor   #EndoscopicSkullBase   #Neurosurgery   #NorthwesternMedicine   #A

Explore how intraoperative facial-nerve monitoring improves surgical outcomes in both skull-base and head-and-neck cases. This lecture covers stimulation thresholds, triggered and spontaneous electromyography, and real-world examples: a translabyrinthine resection of an acoustic neuroma and a parotidectomy with nerve-branch mapping. Learn how varying stimulation levels guide dissection and safeguard the facial nerve from injury, ultimately preserving function. #FacialNerve  

The video below presents my experience implanting cochlear implants and guiding patients from hearing loss to restored sound. It features a patient who participated in an early clinical trial for hybrid electroacoustic stimulation, followed by a detailed explanation of surgical techniques for Cochlear® Nucleus® devices. The electrode series 1012, 1022, and 1032 represent the current configurations associated with the NEXA™ system, illustrating the refinement of electrode desi

Dr. Fishman along with his colleague Dr. Arnaldo Rivera at the University of Missouri Medical Center have organized an annual cranial base surgical anatomy course with the use of high resolution 3D video demonstrations and cadaver dissections.  This course is designed to train new surgeons in the advanced techniques of cranial base surgery and skull base anatomy. It has been in operation since 2015.