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Ralph Abi Hachem

Associate Professor of Head and Neck Surgery & Communication Sciences
Rhinology and Skull Base Surgery
Duke South Yellow Zone 4000, DUMC Box 3805, Durham, NC 27710
40 Duke Medicine Circle, DUMC Box 3805, Durham, NC 27710

Current Appointments & Affiliations


Associate Professor of Head and Neck Surgery & Communication Sciences · 2023 - Present Rhinology and Skull Base Surgery, Head and Neck Surgery & Communication Sciences
Associate Professor of Neurosurgery · 2022 - Present Neurosurgery, Neurosurgery

Recent Publications


Anteriorly Based Middle Turbinate Flap for Skull Base Reconstruction: A Cadaveric Study and Case Series.

Journal Article Ann Otol Rhinol Laryngol · January 2026 OBJECTIVE: To describe a novel flap, the anteriorly based middle turbinate flap (ABMTF), via a cadaveric dissection, as well as present our experience using the ABMTF in 13 patients. METHODS: Cadaver dissection study demonstrating methodology of harvesting ... Full text Link to item Cite

Adverse Effects of Dupilumab for Chronic Rhinosinusitis With Nasal Polyposis: Real-World Single Institution Experience.

Journal Article Laryngoscope · December 2025 OBJECTIVE: Phase III trials have shown that dupilumab is an effective and well-tolerated adjunct treatment for patients with uncontrolled chronic rhinosinusitis with nasal polyps (CRSwNP). However, real-world data pertaining to tolerability and adverse eff ... Full text Link to item Cite

Current state of intraoperative neuromonitoring of the facial nerve during skull base surgery: A systematic review.

Journal Article J Clin Neurosci · October 2025 Intraoperative neuromonitoring of the facial nerve (cranial nerve VII) is critical during skull base surgery due to the nerve's proximity to surgical pathologies and the significant morbidity associated with a facial nerve injury. Objective: This systemati ... Full text Link to item Cite
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Recent Grants


Migraine Study - Godley Gift

ResearchCo Investigator · Awarded by Frederick Godley, III · 2021 - 2025

Development of an Esthesioneuroblastoma culture model

ResearchPrincipal Investigator · Awarded by North American Skull Base Society · 2023 - 2024

SinoNasal HPV Study

Clinical TrialPrincipal Investigator · Awarded by Johns Hopkins University · 2022 - 2024

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Education, Training & Certifications


St. Joseph University of Beirut (Lebanon) · 2008 M.D.
St. Joseph University of Beirut (Lebanon) · 2008 M.S.