Howard Wayne Francis | Scholars@Duke

Howard Wayne Francis
Richard Hall Chaney, Sr. Distinguished Professor of Otolaryngology

Current Appointments & Affiliations

Richard Hall Chaney, Sr. Distinguished Professor of Otolaryngology, Surgery, Head and Neck Surgery and Communication Sciences, Surgery 2018
Professor of Surgery, Surgery, Head and Neck Surgery and Communication Sciences, Surgery 2017
Chief of Head and Neck Surgery and Communication Sciences, Surgery, Head and Neck Surgery and Communication Sciences, Surgery 2017

Contact Information

40 Duke Medicinecircle,, DUMC 3805, Durham, NC 27710
howard.francis@duke.edu

Background
Education, Training, & Certifications
- M.B.A., Johns Hopkins University 2012
- Neurotology and Skull Base Surgery Fellow, Otolaryngology Head & Neck Surgery, Johns Hopkins University School of Medicine 1996 - 1997
- Otolaryngology-Head & Neck Surgery Resident, Otolaryngology Head & Neck Surgery, Johns Hopkins University School of Medicine 1991 - 1996
- Surgery Intern, Surgery, Johns Hopkins University School of Medicine 1990 - 1991
- M.D., Harvard Medical School 1990
Duke Appointment History
- Instructor in the Department of Surgery, Surgery, Head and Neck Surgery and Communication Sciences, Surgery 2017
Research
Selected Grants
- Advanced Immunobiology Traning Program for Surgeons awarded by National Institutes of Health 2019 - 2024
- Addressing Barriers to Adult Hearing Healthcare awarded by National Institutes of Health 2016 - 2020
External Relationships
- Advanced Bionics Corp.(Boston Scientific)
- Med El Corporation
Publications & Artistic Works
Selected Publications
- Academic Articles
  - Hong, Hyejeong, David W. Dowdy, Kelly E. Dooley, Howard W. Francis, Chakra Budhathoki, Hae-Ra Han, and Jason E. Farley. “Aminoglycoside-induced Hearing Loss Among Patients Being Treated for Drug-resistant Tuberculosis in South Africa: A Prediction Model.” Clin Infect Dis 70, no. 5 (February 14, 2020): 917–24. https://doi.org/10.1093/cid/ciz289.
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  - Hong, H., D. W. Dowdy, K. E. Dooley, H. W. Francis, C. Budhathoki, H. -. R. Han, and J. E. Farley. “Risk of hearing loss among multidrug-resistant tuberculosis patients according to cumulative aminoglycoside dose.” Int J Tuberc Lung Dis 24, no. 1 (January 1, 2020): 65–72. https://doi.org/10.5588/ijtld.19.0062.
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  - Hong, Hyejeong, Kelly E. Dooley, Laura E. Starbird, Howard W. Francis, and Jason E. Farley. “Adverse outcome pathway for aminoglycoside ototoxicity in drug-resistant tuberculosis treatment.” Arch Toxicol 93, no. 5 (May 2019): 1385–99. https://doi.org/10.1007/s00204-019-02407-8.
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  - Brown, C Scott, Ralph Abi Hachem, Avani Pendse, John F. Madden, and Howard W. Francis. “Low-Grade Papillary Schneiderian Carcinoma of the Sinonasal Cavity and Temporal Bone.” Ann Otol Rhinol Laryngol 127, no. 12 (December 2018): 974–77. https://doi.org/10.1177/0003489418803391.
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  - Pross, Seth E., Bryan K. Ward, Jeffrey D. Sharon, Heather M. Weinreich, Nafi Aygun, and Howard W. Francis. “A Prospective Study of Pain From Magnetic Resonance Imaging With Cochlear Implant Magnets In Situ.” Otol Neurotol 39, no. 2 (February 2018): e80–86. https://doi.org/10.1097/MAO.0000000000001661.
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  - Tang, Liyang, Carol B. Thompson, James H. Clark, Kristin M. Ceh, Jennifer D. Yeagle, and Howard W. Francis. “Rehabilitation and Psychosocial Determinants of Cochlear Implant Outcomes in Older Adults.” Ear and Hearing 38, no. 6 (November 2017): 663–71. https://doi.org/10.1097/aud.0000000000000445.
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  - Patel, M. A., A. E. Marciscano, C. Hu, I. Jusué-Torres, R. Garg, A. Rashid, H. W. Francis, et al. “Long-term treatment response and patient outcomes for vestibular schwannoma patients treated with hypofractionated stereotactic radiotherapy.” Frontiers in Oncology 7, no. SEP (September 4, 2017). https://doi.org/10.3389/fonc.2017.00200.
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  - Balkany, Thomas, Kaming Lo, Howard Francis, Simon Angeli, Michael Novak, William Luxford, Rodney Lusk, and Heather Strader. “Development and Validation of the Cochlear Implant Surgical Competency Assessment Instrument.” Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology 38, no. 4 (April 2017): 504–9. https://doi.org/10.1097/mao.0000000000001349.
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  - Li, Lilun, Bryan Ward, Margaret Cocks, Amir Kheradmand, and Howard W. Francis. “IgG4-Related Disease of Bilateral Temporal Bones.” Ann Otol Rhinol Laryngol 126, no. 3 (March 2017): 236–40. https://doi.org/10.1177/0003489416672476.
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  - Nellis, Jason C., Jeff D. Sharon, Seth E. Pross, Lisa E. Ishii, Masaru Ishii, Jacob K. Dey, and Howard W. Francis. “Multifactor Influences of Shared Decision-Making in Acoustic Neuroma Treatment.” Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology 38, no. 3 (March 2017): 392–99. https://doi.org/10.1097/MAO.0000000000001292.
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  - Nellis, Jason C., David W. Eisele, Howard W. Francis, Alexander T. Hillel, and Sandra Y. Lin. “Impact of a mentored student clerkship on underrepresented minority diversity in otolaryngology-head and neck surgery.” The Laryngoscope 126, no. 12 (December 2016): 2684–88. https://doi.org/10.1002/lary.25992.
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  - Abt, Nicholas B., Douglas D. Reh, David W. Eisele, Howard W. Francis, and Christine G. Gourin. “Does resident participation influence otolaryngology-head and neck surgery morbidity and mortality?” The Laryngoscope 126, no. 10 (October 2016): 2263–69. https://doi.org/10.1002/lary.25973.
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  - Sharon, Jeffrey D., Benjamin G. Northcutt, Nafi Aygun, and Howard W. Francis. “Magnetic Resonance Imaging at 1.5 Tesla With a Cochlear Implant Magnet in Place: Image Quality and Usability.” Otol Neurotol 37, no. 9 (October 2016): 1284–90. https://doi.org/10.1097/MAO.0000000000001176.
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  - Emmett, Susan D., Debara L. Tucci, Ricardo F. Bento, Juan M. Garcia, Solaiman Juman, Juan A. Chiossone-Kerdel, Ta J. Liu, et al. “Moving Beyond GDP: Cost Effectiveness of Cochlear Implantation and Deaf Education in Latin America.” Otol Neurotol 37, no. 8 (September 2016): 1040–48. https://doi.org/10.1097/MAO.0000000000001148.
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  - Sharon, Jeffrey D., Courtney L. Kraus, Matthew Ehrenburg, Heather M. Weinreich, and Howard W. Francis. “Risk Assessment and Prevention of Corneal Complications After Lateral Skull Base Surgery.” Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology 37, no. 8 (September 2016): 1148–54. https://doi.org/10.1097/mao.0000000000001123.
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  - Thomas Roland, J., Craig Buchman, Laurie Eisenberg, Lillian Henderson, Shuman He, Jill Firszt, Howard Francis, et al. “Proceedings of the Annual Symposium of the American Cochlear Implant Alliance.” Cochlear Implants Int 17, no. 5 (September 2016): 211–37. https://doi.org/10.1080/14670100.2016.1225348.
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  - Clark, James H., Allen Feng, Aisha Harun, Glendine Brown, and Howard W. Francis. “Secondary Acquired Cholesteatoma: Presentation and Tympanoplasty Outcomes.” Otol Neurotol 37, no. 7 (August 2016): 902–7. https://doi.org/10.1097/MAO.0000000000001100.
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  - Fang, Christina H., Sei Yeon Chung, Danielle M. Blake, Alejandro Vazquez, Chengrui Li, John P. Carey, Howard W. Francis, and Robert W. Jyung. “Prevalence of Cochlear-Facial Dehiscence in a Study of 1,020 Temporal Bone Specimens.” Otol Neurotol 37, no. 7 (August 2016): 967–72. https://doi.org/10.1097/MAO.0000000000001057.
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  - Park, EunMi, Patrick K. Ha, David W. Eisele, Howard W. Francis, and Young J. Kim. “Personal characteristics of residents may predict competency improvement.” The Laryngoscope 126, no. 8 (August 2016): 1746–52. https://doi.org/10.1002/lary.25744.
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  - Miller, M., M. S. Pearl, E. Wyse, A. Olivi, and H. W. Francis. “Decompression of the Jugular Bulb for Enhanced Infralabyrinthine Access to the Petroclival Region: A Quantitative Analysis.” Journal of Neurological Surgery, Part B: Skull Base 77, no. 3 (June 1, 2016): 249–59. https://doi.org/10.1055/s-0035-1566302.
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  - Lin, Sandra Y., Howard W. Francis, Lloyd B. Minor, and David W. Eisele. “Faculty diversity and inclusion program outcomes at an academic otolaryngology department.” The Laryngoscope 126, no. 2 (February 2016): 352–56. https://doi.org/10.1002/lary.25455.
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  - Quittner, Alexandra L., Ivette Cejas, Nae-Yuh Wang, John K. Niparko, and David H. Barker. “Symbolic Play and Novel Noun Learning in Deaf and Hearing Children: Longitudinal Effects of Access to Sound on Early Precursors of Language.” Plos One 11, no. 5 (January 2016): e0155964. https://doi.org/10.1371/journal.pone.0155964.
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  - Francis, Howard W., Ira Papel, Ioan Lina, Wayne Koch, David Tunkel, Paul Fuchs, Sandra Lin, et al. “Otolaryngology-head and neck surgery at Johns Hopkins: The first 100 years (1914-2014).” The Laryngoscope 125 Suppl 9 (November 2015): S1-35. https://doi.org/10.1002/lary.25490.
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  - Emmett, Susan D., Debara L. Tucci, Magteld Smith, Isaac M. Macharia, Serah N. Ndegwa, Doreen Nakku, Kaitesi B. Mukara, et al. “GDP Matters: Cost Effectiveness of Cochlear Implantation and Deaf Education in Sub-Saharan Africa.” Otol Neurotol 36, no. 8 (September 2015): 1357–65. https://doi.org/10.1097/MAO.0000000000000823.
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  - Harun, Aisha, James Clark, Yevgeniy R. Semenov, and Howard W. Francis. “The Role of Obliteration in the Achievement of a Dry Mastoid Bowl.” Otol Neurotol 36, no. 9 (September 2015): 1510–17. https://doi.org/10.1097/MAO.0000000000000854.
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  - Da Cruz, M. J., and H. W. Francis. “Face and content validation of a novel three-dimensional printed temporal bone for surgical skills development.” The Journal of Laryngology and Otology 129 Suppl 3 (July 2015): S23–29. https://doi.org/10.1017/s0022215115001346.
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  - Ahmed, Aadil, Mueen Ahmad, C Matthew Stewart, Howard W. Francis, and Nasir I. Bhatti. “Effect of distractions on operative performance and ability to multitask--a case for deliberate practice.” The Laryngoscope 125, no. 4 (April 2015): 837–41. https://doi.org/10.1002/lary.24856.
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  - Emmett, Susan D., and Howard W. Francis. “The socioeconomic impact of hearing loss in U.S. adults.” Otol Neurotol 36, no. 3 (March 2015): 545–50. https://doi.org/10.1097/MAO.0000000000000562.
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  - Francis, Howard W., Jennifer A. Yeagle, and Carol B. Thompson. “Clinical and psychosocial risk factors of hearing outcome in older adults with cochlear implants.” The Laryngoscope 125, no. 3 (March 2015): 695–702. https://doi.org/10.1002/lary.24921.
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  - Sun, Daniel Q., Xin Zhou, Frank R. Lin, Howard W. Francis, John P. Carey, and Wade W. Chien. “Racial difference in cochlear pigmentation is associated with hearing loss risk.” Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology 35, no. 9 (October 2014): 1509–14. https://doi.org/10.1097/mao.0000000000000564.
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  - Emmett, Susan D., and Howard W. Francis. “Bilateral hearing loss is associated with decreased nonverbal intelligence in US children aged 6 to 16 years.” Laryngoscope 124, no. 9 (September 2014): 2176–81. https://doi.org/10.1002/lary.24746.
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  - Meserole, Rachel L., Christine M. Carson, Anne W. Riley, Nae-Yuh Wang, Alexandra L. Quittner, Laurie S. Eisenberg, Emily A. Tobey, Howard W. Francis, and John K. Niparko. “Assessment of health-related quality of life 6 years after childhood cochlear implantation.” Qual Life Res 23, no. 2 (March 2014): 719–31. https://doi.org/10.1007/s11136-013-0509-3.
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  - Starmer, Heather M., Bryan K. Ward, Simon R. A. Best, Christine G. Gourin, Lee M. Akst, Alexander Hillel, Henry Brem, and Howard W. Francis. “Patient-perceived long-term communication and swallow function following cerebellopontine angle surgery.” The Laryngoscope 124, no. 2 (February 2014): 476–80. https://doi.org/10.1002/lary.24252.
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  - Weinreich, H. M., H. W. Francis, J. K. Niparko, and W. W. Chien. “Techniques in cochlear implantation.” Operative Techniques in Otolaryngology Head and Neck Surgery 25, no. 4 (January 1, 2014): 312–20. https://doi.org/10.1016/j.otot.2014.09.002.
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  - Hennessey, Patrick T., Howard W. Francis, and Christine G. Gourin. “Is there a "July effect" for head and neck cancer surgery?” The Laryngoscope 123, no. 8 (August 2013): 1889–95. https://doi.org/10.1002/lary.23884.
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  - Muniak, Michael A., Alejandro Rivas, Karen L. Montey, Bradford J. May, Howard W. Francis, and David K. Ryugo. “3D model of frequency representation in the cochlear nucleus of the CBA/J mouse.” The Journal of Comparative Neurology 521, no. 7 (May 2013): 1510–32. https://doi.org/10.1002/cne.23238.
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  - Ceh, Kristin M., Deborah M. Bervinchak, and Howard W. Francis. “Early literacy gains in children with cochlear implants.” Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology 34, no. 3 (April 2013): 416–21. https://doi.org/10.1097/mao.0b013e31827b4b81.
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  - Harun, Aisha, Yuri Agrawal, Marietta Tan, John K. Niparko, and Howard W. Francis. “Sex and age associations with vestibular schwannoma size and presenting symptoms.” Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology 33, no. 9 (December 2012): 1604–10. https://doi.org/10.1097/mao.0b013e31826dba9e.
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  - Lauer, Amanda M., Paul A. Fuchs, David K. Ryugo, and Howard W. Francis. “Efferent synapses return to inner hair cells in the aging cochlea.” Neurobiology of Aging 33, no. 12 (December 2012): 2892–2902. https://doi.org/10.1016/j.neurobiolaging.2012.02.007.
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  - Ward, Bryan K., Howard W. Francis, Simon R. Best, Heather M. Starmer, Lee M. Akst, and Christine G. Gourin. “National prevalence and impact of perioperative vagus nerve injury in vestibular schwannoma.” The Laryngoscope 122, no. 12 (December 2012): 2824–31. https://doi.org/10.1002/lary.23605.
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  - Laeeq, Kulsoom, Howard W. Francis, David A Diaz Voss Varela, Mohammad Umair Malik, Charles W. Cummings, and Nasir I. Bhatti. “The timely completion of objective assessment tools for evaluation of technical skills.” The Laryngoscope 122, no. 11 (November 2012): 2418–21. https://doi.org/10.1002/lary.23494.
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  - Malik, Mohammad U., Vinciya Pandian, Hamid Masood, David A. Diaz, Voss Varela, Alfredo José Dávalos-Balderas, Martha Parra-Cardenas, Phillip Seo, and Howard W. Francis. “Spectrum of immune-mediated inner ear disease and cochlear implant results.” Laryngoscope 122, no. 11 (November 2012): 2557–62. https://doi.org/10.1002/lary.23604.
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  - Clark, James H., Jennifer Yeagle, Alicia I. Arbaje, Frank R. Lin, John K. Niparko, and Howard W. Francis. “Cochlear implant rehabilitation in older adults: literature review and proposal of a conceptual framework.” Journal of the American Geriatrics Society 60, no. 10 (October 2012): 1936–45. https://doi.org/10.1111/j.1532-5415.2012.04150.x.
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  - Ward, Bryan K., Yuri Agrawal, Elena Nguyen, Charles C. Della Santina, Charles J. Limb, Howard W. Francis, Lloyd B. Minor, and John P. Carey. “Hearing outcomes after surgical plugging of the superior semicircular canal by a middle cranial fossa approach.” Otol Neurotol 33, no. 8 (October 2012): 1386–91. https://doi.org/10.1097/MAO.0b013e318268d20d.
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  - Lin, Frank R., Wade W. Chien, Lingsheng Li, Danisa M. Clarrett, John K. Niparko, and Howard W. Francis. “Cochlear implantation in older adults.” Medicine (Baltimore) 91, no. 5 (September 2012): 229–41. https://doi.org/10.1097/MD.0b013e31826b145a.
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  - Best, Simon R., Heather M. Starmer, Yuri Agrawal, Bryan K. Ward, Alexander T. Hillel, Wade W. Chien, Howard W. Francis, Rafael J. Tamargo, and Lee M. Akst. “Risk factors for vagal palsy following cerebellopontine angle surgery.” Otolaryngology Head and Neck Surgery : Official Journal of American Academy of Otolaryngology Head and Neck Surgery 147, no. 2 (August 2012): 364–68. https://doi.org/10.1177/0194599812442042.
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  - Clark, James H., Nae-Yuh Wang, Anne W. Riley, Christine M. Carson, Rachel L. Meserole, Frank R. Lin, Laurie S. Eisenberg, et al. “Timing of cochlear implantation and parents' global ratings of children's health and development.” Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology 33, no. 4 (June 2012): 545–52. https://doi.org/10.1097/MAO.0b013e3182522906.
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  - Francis, Howard W., Mohammad U. Malik, David A. Diaz Voss Varela, Maxwell A. Barffour, Wade W. Chien, John P. Carey, John K. Niparko, and Nasir I. Bhatti. “Technical skills improve after practice on virtual-reality temporal bone simulator.” The Laryngoscope 122, no. 6 (June 2012): 1385–91. https://doi.org/10.1002/lary.22378.
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  - Francis, Howard W., and Daniele Rigamonti. “Letter to the editor in response to German et al. Stereotactic radiosurgery for vestibular schwannomas: a survey of current practice patterns of neurotologists.” Otol Neurotol 33, no. 4 (June 2012): 686–87. https://doi.org/10.1097/MAO.0b013e31825367cb.
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  - Ward, Bryan K., Christine G. Gourin, and Howard W. Francis. “Vestibular schwannoma surgical volume and short-term outcomes in Maryland.” Archives of Otolaryngology Head & Neck Surgery 138, no. 6 (June 2012): 577–83. https://doi.org/10.1001/archoto.2012.877.
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  - Arora, Asit, Sam Khemani, Neil Tolley, Arvind Singh, James Budge, David A Diaz Voss Varela, Howard W. Francis, Ara Darzi, and Nasir I. Bhatti. “Face and content validation of a virtual reality temporal bone simulator.” Otolaryngol Head Neck Surg 146, no. 3 (March 2012): 497–503. https://doi.org/10.1177/0194599811427385.
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  - Starmer, Heather M., Simon R. Best, Yuri Agrawal, Wade W. Chien, Alexander T. Hillel, Howard W. Francis, Rafael J. Tamargo, and Lee M. Akst. “Prevalence, characteristics, and management of swallowing disorders following cerebellopontine angle surgery.” Otolaryngol Head Neck Surg 146, no. 3 (March 2012): 419–25. https://doi.org/10.1177/0194599811429259.
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  - Francis, Howard W., Chadi Makary, Christopher Halpin, Benjamin T. Crane, and Saumil N. Merchant. “Temporal bone findings in a case of Susac's syndrome.” Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology 32, no. 8 (October 2011): 1198–1204. https://doi.org/10.1097/MAO.0b013e31822e9665.
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  - Diaz Voss Varela, D. A., M. U. Malik, V. Pandian, H. W. Francis, and N. I. Bhatti. “Virtual reality training for mastoidectomy: What do trainees and faculty think?” Laryngoscope 121, no. SUPPL. 5 (August 29, 2011). https://doi.org/10.1002/lary.22276.
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  - Rivas, Alejandro, Kofi D. Boahene, Héctor Corrada Bravo, Marietta Tan, Rafael J. Tamargo, and Howard W. Francis. “A model for early prediction of facial nerve recovery after vestibular schwannoma surgery.” Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology 32, no. 5 (July 2011): 826–33. https://doi.org/10.1097/mao.0b013e31821b0afd.
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  - Yew, Margaret, Basil Dubbs, Olivia Tong, George T. Nager, John K. Niparko, Arzu Tatlipinar, and Howard W. Francis. “Arachnoid granulations of the temporal bone: a histologic study of dural and osseous penetration.” Otol Neurotol 32, no. 4 (June 2011): 602–9. https://doi.org/10.1097/MAO.0b013e3182129026.
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  - Clark, James H., Frank R. Lin, Safia N. Salaria, C Matthew Stewart, and Howard W. Francis. “Malignant otitis externa caused by Aspergillus fumigatus: a case report.” Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology 32, no. 3 (April 2011): e22–23. https://doi.org/10.1097/mao.0b013e3181e3dec7.
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  - Francis, HW, Marlowe, AL, and Niparko, JK. "Revision cochlear implantation in children." Operative Techniques in Otolaryngology Head and Neck Surgery 21, no. 4 (December 1, 2010): 233-238. Full Text
  - Yeagle, JD, Ceh, KM, and Francis, HW. "Geriatric cochlear implantation." Operative Techniques in Otolaryngology Head and Neck Surgery 21, no. 4 (December 1, 2010): 266-271. Full Text
  - Stewart, C Matthew, Hamid Masood, Vinciya Pandian, Kulsoom Laeeq, Lee Akst, Howard W. Francis, and Nasir I. Bhatti. “Development and pilot testing of an objective structured clinical examination (OSCE) on hoarseness.” The Laryngoscope 120, no. 11 (November 2010): 2177–82. https://doi.org/10.1002/lary.21095.
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  - Agrawal, Yuri, James H. Clark, Charles J. Limb, John K. Niparko, and Howard W. Francis. “Predictors of vestibular schwannoma growth and clinical implications.” Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology 31, no. 5 (July 2010): 807–12. https://doi.org/10.1097/mao.0b013e3181de46ae.
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  - Francis, Howard W., Hamid Masood, Kashif N. Chaudhry, Kulsoom Laeeq, John P. Carey, Charles C. Della Santina, Charles J. Limb, John K. Niparko, and Nasir I. Bhatti. “Objective assessment of mastoidectomy skills in the operating room.” Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology 31, no. 5 (July 2010): 759–65. https://doi.org/10.1097/mao.0b013e3181e3d385.
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  - Francis, Howard W., Hamid Masood, Kulsoom Laeeq, and Nasir I. Bhatti. “Defining milestones toward competency in mastoidectomy using a skills assessment paradigm.” The Laryngoscope 120, no. 7 (July 2010): 1417–21. https://doi.org/10.1002/lary.20953.
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  - Marlowe, Andrea L., Jill E. Chinnici, Alejandro Rivas, John K. Niparko, and Howard W. Francis. “Revision cochlear implant surgery in children: the Johns Hopkins experience.” Otol Neurotol 31, no. 1 (January 2010): 74–82. https://doi.org/10.1097/MAO.0b013e3181c29fad.
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  - Tan, Marietta, Oluwaseun A. Myrie, Frank R. Lin, John K. Niparko, Lloyd B. Minor, Rafael J. Tamargo, and Howard W. Francis. “Trends in the management of vestibular schwannomas at Johns Hopkins 1997-2007.” Laryngoscope 120, no. 1 (January 2010): 144–49. https://doi.org/10.1002/lary.20672.
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  - Laeeq, Kulsoom, Nasir I. Bhatti, John P. Carey, Charles C. Della Santina, Charles J. Limb, John K. Niparko, Lloyd B. Minor, and Howard W. Francis. “Pilot testing of an assessment tool for competency in mastoidectomy.” The Laryngoscope 119, no. 12 (December 2009): 2402–10. https://doi.org/10.1002/lary.20678.
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  - Barker, David H., Alexandra L. Quittner, Nancy E. Fink, Laurie S. Eisenberg, Emily A. Tobey, John K. Niparko, and John K. CDaCI Investigative Team. “Predicting behavior problems in deaf and hearing children: the influences of language, attention, and parent-child communication.” Dev Psychopathol 21, no. 2 (2009): 373–92. https://doi.org/10.1017/S0954579409000212.
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  - Rivas, Alejandro, Andrea L. Marlowe, Jill E. Chinnici, John K. Niparko, and Howard W. Francis. “Revision cochlear implantation surgery in adults: indications and results.” Otol Neurotol 29, no. 5 (August 2008): 639–48. https://doi.org/10.1097/MAO.0b013e31817e5d31.
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  - Francis, Howard W., Craig A. Buchman, Jiovani M. Visaya, Nae-Yuh Wang, Teresa A. Zwolan, Nancy E. Fink, John K. Niparko, and John K. CDaCI Investigative Team. “Surgical factors in pediatric cochlear implantation and their early effects on electrode activation and functional outcomes.” Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology 29, no. 4 (June 2008): 502–8. https://doi.org/10.1097/MAO.0b013e318170b60b.
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  - Nahas, Zayna, Arzu Tatlipinar, Charles J. Limb, and Howard W. Francis. “Spontaneous meningoencephalocele of the temporal bone: clinical spectrum and presentation.” Arch Otolaryngol Head Neck Surg 134, no. 5 (May 2008): 509–18. https://doi.org/10.1001/archotol.134.5.509.
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  - Stamataki, Sofia, Howard W. Francis, Michael Holliday, and Edward McCarthy. “Histological features of osteofibrous hemangioma of the maxillofacial and skull base regions.” Otolaryngology Head and Neck Surgery : Official Journal of American Academy of Otolaryngology Head and Neck Surgery 138, no. 5 (May 2008): 587–93. https://doi.org/10.1016/j.otohns.2008.01.002.
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  - Chang, Steven S., Marc Halushka, Joseph Vander Meer, Martin Goins, and Howard W. Francis. “Nasopharyngeal hairy polyp with recurrence in the middle ear.” International Journal of Pediatric Otorhinolaryngology 72, no. 2 (February 2008): 261–64. https://doi.org/10.1016/j.ijporl.2007.10.003.
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  - Wang, Nae-Yuh, Laurie S. Eisenberg, Karen C. Johnson, Nancy E. Fink, Emily A. Tobey, Alexandra L. Quittner, John K. Niparko, and John K. CDaCI Investigative Team. “Tracking development of speech recognition: longitudinal data from hierarchical assessments in the Childhood Development after Cochlear Implantation Study.” Otol Neurotol 29, no. 2 (February 2008): 240–45. https://doi.org/10.1097/MAO.0b013e3181627a37.
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  - Zwolan, Teresa A., Mary Beth O’Sullivan, Nancy E. Fink, John K. Niparko, and John K. CDACI Investigative Team. “Electric charge requirements of pediatric cochlear implant recipients enrolled in the Childhood Development After Cochlear Implantation study.” Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology 29, no. 2 (February 2008): 143–48. https://doi.org/10.1097/mao.0b013e318161aac7.
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  - Quittner, A. L., D. H. Barker, C. Snell, I. Cruz, L. G. Mcdonald, M. E. Grimley, M. Botteri, et al. “Improvements in visual attention in deaf infants and toddlers after cochlear implantation.” Audiological Medicine 5, no. 4 (November 15, 2007): 242–49. https://doi.org/10.1080/16513860701745401.
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  - Baird, Clinton J., Alia Hdeib, Ian Suk, Howard W. Francis, Michael J. Holliday, Rafael J. Tamargo, Henry Brem, and Donlin M. Long. “Reduction of cerebrospinal fluid rhinorrhea after vestibular schwannoma surgery by reconstruction of the drilled porus acusticus with hydroxyapatite bone cement.” Journal of Neurosurgery 107, no. 2 (August 2007): 347–51. https://doi.org/10.3171/jns-07/08/0347.
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  - Stamataki, Sofia, Howard W. Francis, Mohamed Lehar, Bradford J. May, and David K. Ryugo. “Synaptic alterations at inner hair cells precede spiral ganglion cell loss in aging C57BL/6J mice.” Hearing Research 221, no. 1–2 (November 2006): 104–18. https://doi.org/10.1016/j.heares.2006.07.014.
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  - Agwu, Allison George, Ryan Pasternak, Mary Joyner, Courtney L. Carver, Howard W. Francis, and George K. Siberry. “Nontypeable Haemophilus influenzae meningitis complicated by hearing loss in a 9-year-old HIV-infected boy.” Aids Patient Care and Stds 20, no. 8 (August 2006): 531–35. https://doi.org/10.1089/apc.2006.20.531.
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  - Lustig, Lawrence R., Jennifer Yeagle, Colin L. W. Driscoll, Nikolas Blevins, Howard Francis, and John K. Niparko. “Cochlear implantation in patients with neurofibromatosis type 2 and bilateral vestibular schwannoma.” Otol Neurotol 27, no. 4 (June 2006): 512–18. https://doi.org/10.1097/01.mao.0000217351.86925.51.
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  - Leung, Janice, Nae-Yuh Wang, Jennifer D. Yeagle, Jill Chinnici, Stephen Bowditch, Howard W. Francis, and John K. Niparko. “Predictive models for cochlear implantation in elderly candidates.” Arch Otolaryngol Head Neck Surg 131, no. 12 (December 2005): 1049–54. https://doi.org/10.1001/archotol.131.12.1049.
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  - Limb, C. J., H. F. Francis, L. R. Lustig, J. K. Niparko, and H. Jammal. “Benign positional vertigo after cochlear implantation.” Otolaryngology Head and Neck Surgery : Official Journal of American Academy of Otolaryngology Head and Neck Surgery 132, no. 5 (May 2005): 741–45. https://doi.org/10.1016/j.otohns.2005.01.004.
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  - Rivas, Alejandro, and Howard W. Francis. “Inner ear abnormalities in a Kcnq1 (Kvlqt1) knockout mouse: a model of Jervell and Lange-Nielsen syndrome.” Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology 26, no. 3 (May 2005): 415–24. https://doi.org/10.1097/01.mao.0000169764.00798.84.
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  - Francis, Howard W., Jennifer D. Yeagle, Toni Brightwell, and Holly Venick. “Central effects of residual hearing: implications for choice of ear for cochlear implantation.” The Laryngoscope 114, no. 10 (October 2004): 1747–52. https://doi.org/10.1097/00005537-200410000-00013.
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  - Francis, Howard W., Alejandro Rivas, Mohamed Lehar, and David K. Ryugo. “Two types of afferent terminals innervate cochlear inner hair cells in C57BL/6J mice.” Brain Research 1016, no. 2 (August 2004): 182–94. https://doi.org/10.1016/j.brainres.2004.05.016.
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  - Ohlrogge, Matthias, and Howard W. Francis. “Temporal bone fracture.” Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology 25, no. 2 (March 2004): 195–96. https://doi.org/10.1097/00129492-200403000-00021.
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  - Francis, Howard W., David K. Ryugo, Melissa J. Gorelikow, Cynthia A. Prosen, and Bradford J. May. “The functional age of hearing loss in a mouse model of presbycusis. II. Neuroanatomical correlates.” Hearing Research 183, no. 1–2 (September 2003): 29–36. https://doi.org/10.1016/s0378-5955(03)00212-0.
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  - Francis, Howard W., and John K. Niparko. “Cochlear implantation update.” Pediatric Clinics of North America 50, no. 2 (April 2003): 341–viii. https://doi.org/10.1016/s0031-3955(03)00034-8.
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  - Rothbaum, Daniel L., Jaydeep Roy, Gregory D. Hager, Russell H. Taylor, Louis L. Whitcomb, Howard W. Francis, and John K. Niparko. “Task performance in stapedotomy: comparison between surgeons of different experience levels.” Otolaryngology Head and Neck Surgery : Official Journal of American Academy of Otolaryngology Head and Neck Surgery 128, no. 1 (January 2003): 71–77. https://doi.org/10.1067/mhn.2003.13.
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  - Rothbaum, Daniel L., Jaydeep Roy, Dan Stoianovici, Peter Berkelman, Gregory D. Hager, Russell H. Taylor, Louis L. Whitcomb, Howard W. Francis, and John K. Niparko. “Robot-assisted stapedotomy: micropick fenestration of the stapes footplate.” Otolaryngology Head and Neck Surgery : Official Journal of American Academy of Otolaryngology Head and Neck Surgery 127, no. 5 (November 2002): 417–26. https://doi.org/10.1067/mhn.2002.129729.
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  - Francis, Howard W., John C. Scott, and Paul B. Manis. “Protein kinase C mediates potentiation of synaptic transmission by phorbol ester at parallel fibers in the dorsal cochlear nucleus.” Brain Research 951, no. 1 (September 2002): 9–22. https://doi.org/10.1016/s0006-8993(02)03095-0.
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  - Francis, Howard W., Nelson Chee, Jennifer Yeagle, Andre Cheng, and John K. Niparko. “Impact of cochlear implants on the functional health status of older adults.” The Laryngoscope 112, no. 8 Pt 1 (August 2002): 1482–88. https://doi.org/10.1097/00005537-200208000-00028.
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  - Lustig, L. R., H. A. Arts, D. E. Brackmann, H. F. Francis, T. Molony, C. A. Megerian, G. F. Moore, et al. “Hearing rehabilitation using the BAHA bone-anchored hearing aid: results in 40 patients.” Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology 22, no. 3 (May 2001): 328–34. https://doi.org/10.1097/00129492-200105000-00010.
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  - Lee, M. P., J. D. Ravenel, R. J. Hu, L. R. Lustig, G. Tomaselli, R. D. Berger, S. A. Brandenburg, et al. “Targeted disruption of the Kvlqt1 gene causes deafness and gastric hyperplasia in mice.” J Clin Invest 106, no. 12 (December 2000): 1447–55. https://doi.org/10.1172/JCI10897.
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  - Francis, H. W., and P. B. Manis. “Effects of deafferentation on the electrophysiology of ventral cochlear nucleus neurons.” Hearing Research 149, no. 1–2 (November 2000): 91–105. https://doi.org/10.1016/s0378-5955(00)00165-9.
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  - Hirvonen, T. P., and A. Piilonen. “Imaging quiz case 2. Cavernous hemangioma.” Arch Otolaryngol Head Neck Surg 126, no. 10 (October 2000): 1267–71.
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  - Mabrie, D. C., H. W. Francis, S. J. Zinreich, J. Sciubba, and G. H. Yoo. “Imaging quiz case 4. Dentigerous cyst.” Arch Otolaryngol Head Neck Surg 126, no. 10 (October 2000): 1269–73.
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  - Cheng, A. K., H. R. Rubin, N. R. Powe, N. K. Mellon, H. W. Francis, and J. K. Niparko. “Cost-utility analysis of the cochlear implant in children.” Jama 284, no. 7 (August 16, 2000): 850–56. https://doi.org/10.1001/jama.284.7.850.
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  - Jiang, W., S. Mishra, and H. W. Francis. “Pathology forum: quiz case 4. Diagnosis: synovial chondromatosis of the TMJ.” Arch Otolaryngol Head Neck Surg 126, no. 7 (July 2000): 903–8.
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  - Stone, J. H., and H. W. Francis. “Immune-mediated inner ear disease.” Curr Opin Rheumatol 12, no. 1 (January 2000): 32–40. https://doi.org/10.1097/00002281-200001000-00006.
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  - Francis, H. W., M. E. Koch, J. R. Wyatt, and J. K. Niparko. “Trends in educational placement and cost-benefit considerations in children with cochlear implants.” Archives of Otolaryngology Head & Neck Surgery 125, no. 5 (May 1999): 499–505. https://doi.org/10.1001/archotol.125.5.499.
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  - Gillespie, M. B., B. W. O’Malley, and H. W. Francis. “An approach to fulminant invasive fungal rhinosinusitis in the immunocompromised host.” Archives of Otolaryngology Head & Neck Surgery 124, no. 5 (May 1998): 520–26. https://doi.org/10.1001/archotol.124.5.520.
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  - Francis, H. W., G. T. Nager, M. J. Holliday, and D. M. Long. “Association of heterotopic neuroglial tissue with an arachnoid cyst in the internal auditory canal.” Skull Base Surgery 5, no. 1 (January 1, 1995): 37–49. https://doi.org/10.1055/s-2008-1058949.
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  - McDowell, P. R., P. B. Gaudin, T. C. Wu, and H. Francis. “Pathologic quiz case. Adenovirus infection of the adenoids.” Arch Otolaryngol Head Neck Surg 120, no. 6 (June 1994): 668–71.
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  - Francis, H. W., and J. B. Nadol. “Patterns of innervation of outer hair cells in a chimpanzee: II. Efferent endings.” Hearing Research 64, no. 2 (January 1993): 217–21. https://doi.org/10.1016/0378-5955(93)90009-p.
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  - Francis, H. W., and J. B. Nadol. “Patterns of innervation of outer hair cells in a chimpanzee: I. Afferent and reciprocal synapses.” Hearing Research 64, no. 2 (January 1993): 184–90. https://doi.org/10.1016/0378-5955(93)90004-k.
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  - Yoo, G. H., H. W. Francis, and S. J. Zinreich. “Imaging quiz case. Noninvasive Aspergillus sinusitis.” Arch Otolaryngol Head Neck Surg 119, no. 1 (January 1993): 123–24.
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- Book Sections
  - Emmett, S. D., D. Pinder, D. G. Bervinchak, S. Juman, and H. W. Francis. “Establishing Hearing Implant Programs in Low Resource Settings: Practical and Economic Considerations.” In Implantable Hearing Devices, edited by C. de Souza, P. Roland, and D. Tucci, 261–75, 2017.
  - Lin, F. R., J. K. Niparko, and H. W. Francis. “Outcomes in cochlear implantation: Assessment of quality-of-life impact and economic evaluation of the benefits of the cochlear implant in relation to costs.” In Cochlear Implants: Principles and Practices, 229–44, 2012.
  - Niparko, J. K., S. Love-Schlessman, and H. W. Francis. “Hearing loss and associated problems.” In Principles of Ambulatory Medicine: Seventh Edition, 1833–48, 2012.
  - Chien, WW, Francis, H, and Niparko, JK. "Hearing Prosthetics: Surgical Techniques." In Schmidek and Sweet Operative Neurosurgical Techniques: Indications, Methods, and Results: Sixth Edition, 588-596. March 1, 2012. Full Text
  - Agrawal, Y, and Francis, HW. "Immune-mediated inner ear disease." In A Clinician's Pearls and Myths in Rheumatology, 385-392. December 1, 2009. Full Text
- Conference Papers
  - Erbele, Isaac D., Frank R. Lin, Yuri Agrawal, Howard W. Francis, John P. Carey, and Wade W. Chien. “Racial Differences of Pigmentation in the Human Vestibular Organs.” In Otolaryngology Head and Neck Surgery : Official Journal of American Academy of Otolaryngology Head and Neck Surgery, 155:479–84, 2016. https://doi.org/10.1177/0194599816645764.
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  - Nieman, Carrie L., Heather M. Weinreich, Jeffrey D. Sharon, Wade W. Chien, and Howard W. Francis. “Use of Pericranial Flap Coverage in Cochlear Implantation of the Radical Cavity: Rationale, Technique, and Experience.” In Otolaryngol Head Neck Surg, 155:533–37, 2016. https://doi.org/10.1177/0194599816635642.
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  - Saunders, James E., Howard W. Francis, and Piotr H. Skarzynski. “Measuring Success: Cost-Effectiveness and Expanding Access to Cochlear Implantation.” In Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology, 37:e135–40, 2016. https://doi.org/10.1097/mao.0000000000000942.
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  - Malik, Mohammad U., David A Diaz Voss Varela, EunMi Park, Hamid Masood, Kulsoom Laeeq, Nasir I. Bhatti, and Howard W. Francis. “Determinants of resident competence in mastoidectomy: role of interest and deliberate practice.” In The Laryngoscope, 123:3162–67, 2013. https://doi.org/10.1002/lary.24179.
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  - Malik, M. U., D. A. Diaz Voss Varela, H. Masood, G. Yenokyan, H. W. Francis, V. Pandian, J. K. Niparko, C. W. Cummings, and N. I. Bhatti. “A comparison of mastoidectomy learning curves in otolaryngology-head and neck surgery residents.” In Laryngoscope, 121:S191, 2011. https://doi.org/10.1002/lary.22073.
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  - Malik, M. U., D. A. Diaz Voss Varela, H. W. Francis, V. Pandian, W. W. Chien, Y. Agrawal, J. K. Niparko, and N. I. Bhatti. “Using a virtual reality temporal bone simulator to enhance surgical competency in procedural tasks: A pilot study.” In Laryngoscope, 121:S186, 2011. https://doi.org/10.1002/lary.22068.
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  - Carpenter, Ryan M., Charles J. Limb, Howard W. Francis, Barbara Gottschalk, and John K. Niparko. “Programmatic challenges in obtaining and confirming the pneumococcal vaccination status of cochlear implant recipients.” In Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology, 31:1334–36, 2010. https://doi.org/10.1097/mao.0b013e3181f395c0.
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  - Francis, Howard W., Alejandro Rivas, Mohamed Lehar, Yu Saito, Peter R. Mouton, and David K. Ryugo. “Efficient quantification of afferent cochlear ultrastructure using design-based stereology.” In Journal of Neuroscience Methods, 150:150–58, 2006. https://doi.org/10.1016/j.jneumeth.2005.06.020.
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  - Francis, Howard W., Jennifer D. Yeagle, Stephen Bowditch, and John K. Niparko. “Cochlear implant outcome is not influenced by the choice of ear.” In Ear and Hearing, 26:7S-16S, 2005. https://doi.org/10.1097/00003446-200508001-00003.
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  - Francis, Howard W., Margaret B. Pulsifer, Jill Chinnici, Robert Nutt, Holly S. Venick, Jennifer D. Yeagle, and John K. Niparko. “Effects of central nervous system residua on cochlear implant results in children deafened by meningitis.” In Archives of Otolaryngology Head & Neck Surgery, 130:604–11, 2004. https://doi.org/10.1001/archotol.130.5.604.
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  - Gillespie, M. B., H. W. Francis, N. Chee, and D. W. Eisele. “Squamous cell carcinoma of the temporal bone: a radiographic-pathologic correlation.” In Arch Otolaryngol Head Neck Surg, 127:803–7, 2001.
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  - Koch, M. E., J. R. Wyatt, H. W. Francis, and J. K. Niparko. “A model of educational resource use by children with cochlear implants.” In Otolaryngology Head and Neck Surgery : Official Journal of American Academy of Otolaryngology Head and Neck Surgery, 117:174–79, 1997. https://doi.org/10.1016/s0194-5998(97)70171-2.
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