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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


Venous sinus stenting for patients with encephaloceles: illustrative cases.

Journal Article J Neurosurg Case Lessons · May 5, 2025 BACKGROUND: Idiopathic intracranial hypertension (IIH) and venous sinus stenosis have recently been implicated in the pathogenesis of encephaloceles. OBSERVATIONS: Here, the authors present 2 cases in which venous sinus stenting was crucial for symptom man ... Full text Link to item Cite

Patient preferences for treatment of chronic rhinosinusitis with nasal polyps.

Journal Article Rhinology · April 1, 2025 Choosing between revision endoscopic sinus surgery (ESS) versus biologic therapy for recurrent chronic rhinosinusitis with nasal polyposis (CRSwNP) is a complex, multifaceted decision that involves not only clinical and financial factors but also patient p ... Full text Link to item Cite

Utility of Existing Patient-Reported Outcome Measures for Identifying Non-Rhinogenic Facial Pain.

Journal Article Laryngoscope · March 22, 2025 OBJECTIVE: Facial pain/pressure is often non-rhinogenic and migraine-related in etiology. However, this is frequently misdiagnosed as sinusitis, leading to inappropriate antibiotic utilization and unnecessary procedures. We assessed the utility of the 3-It ... 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.