Howard Wayne Francis | Scholars@Duke

Howard Wayne Francis
Professor of Surgery

Current Appointments & Affiliations

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 Medicine Circle,, 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
Publications & Artistic Works
Selected Publications
- Academic Articles
  - Brown, CS, Abi Hachem, R, Pendse, A, Madden, JF, and Francis, HW. "Low-Grade Papillary Schneiderian Carcinoma of the Sinonasal Cavity and Temporal Bone." The Annals of Otology, Rhinology, and Laryngology 127, no. 12 (December 2018): 974-977. Full Text
  - Pross, SE, Ward, BK, Sharon, JD, Weinreich, HM, Aygun, N, and Francis, HW. "A Prospective Study of Pain From Magnetic Resonance Imaging With Cochlear Implant Magnets In Situ." Otology & Neurotology 39, no. 2 (February 2018): e80-e86. Full Text
  - Patel, MA, Marciscano, AE, Hu, C, Jusué-Torres, I, Garg, R, Rashid, A, Francis, HW, Lim, M, Redmond, KJ, Rigamonti, D, and Kleinberg, LR. "Long-term Treatment Response and Patient Outcomes for Vestibular Schwannoma Patients Treated with Hypofractionated Stereotactic Radiotherapy." Frontiers in Oncology 7 (September 4, 2017). Full Text
  - Balkany, T, Lo, K, Francis, H, Angeli, S, Novak, M, Luxford, W, Lusk, R, and Strader, H. "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): 504-509. Full Text
  - Li, L, Ward, B, Cocks, M, Kheradmand, A, and Francis, HW. "IgG4-Related Disease of Bilateral Temporal Bones." The Annals of otology, rhinology, and laryngology 126, no. 3 (March 2017): 236-240. Full Text
  - Nellis, JC, Sharon, JD, Pross, SE, Ishii, LE, Ishii, M, Dey, JK, and Francis, HW. "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): 392-399. Full Text
  - Tang, L, Thompson, CB, Clark, JH, Ceh, KM, Yeagle, JD, and Francis, HW. "Rehabilitation and Psychosocial Determinants of Cochlear Implant Outcomes in Older Adults." Ear and Hearing 38, no. 6 (2017): 663-671. Full Text
  - Nellis, JC, Eisele, DW, Francis, HW, Hillel, AT, and Lin, SY. "Impact of a mentored student clerkship on underrepresented minority diversity in otolaryngology-head and neck surgery." The Laryngoscope 126, no. 12 (December 2016): 2684-2688. Full Text
  - Abt, NB, Reh, DD, Eisele, DW, Francis, HW, and Gourin, CG. "Does resident participation influence otolaryngology-head and neck surgery morbidity and mortality?." The Laryngoscope 126, no. 10 (October 2016): 2263-2269. Full Text
  - Sharon, JD, Northcutt, BG, Aygun, N, and Francis, HW. "Magnetic Resonance Imaging at 1.5 Tesla With a Cochlear Implant Magnet in Place: Image Quality and Usability." Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology 37, no. 9 (October 2016): 1284-1290. Full Text
  - Thomas Roland, J, Buchman, C, Eisenberg, L, Henderson, L, He, S, Firszt, J, Francis, H, Dunn, C, Sladen, D, Arndt, S, May, B, Zeitler, D, Niparko, JK, Emmett, S, Tucci, D, Chen, J, McConkey Robbins, A, Schwefler, E, Geers, A, Lederberg, A, Hayes, H, Hughes, M, Bierer, J, Schafer, E, Sorkin, D, Kozma-Spytek, L, and Childress, T. "Proceedings of the Annual Symposium of the American Cochlear Implant Alliance." Cochlear Implants International 17, no. 5 (September 16, 2016): 211-237. Full Text
  - Emmett, SD, Tucci, DL, Bento, RF, Garcia, JM, Juman, S, Chiossone-Kerdel, JA, Liu, TJ, de Muñoz, PC, Ullauri, A, Letort, JJ, Mansilla, T, Urquijo, DP, Aparicio, ML, Gong, W, Francis, HW, and Saunders, JE. "Moving Beyond GDP: Cost Effectiveness of Cochlear Implantation and Deaf Education in Latin America." Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology 37, no. 8 (September 2016): 1040-1048. Full Text
  - Sharon, JD, Kraus, CL, Ehrenburg, M, Weinreich, HM, and Francis, HW. "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): 1148-1154. Full Text
  - Clark, JH, Feng, A, Harun, A, Brown, G, and Francis, HW. "Secondary Acquired Cholesteatoma: Presentation and Tympanoplasty Outcomes." Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology 37, no. 7 (August 2016): 902-907. Full Text
  - Fang, CH, Chung, SY, Blake, DM, Vazquez, A, Li, C, Carey, JP, Francis, HW, and Jyung, RW. "Prevalence of Cochlear-Facial Dehiscence in a Study of 1,020 Temporal Bone Specimens." Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology 37, no. 7 (August 2016): 967-972. Full Text
  - Park, E, Ha, PK, Eisele, DW, Francis, HW, and Kim, YJ. "Personal characteristics of residents may predict competency improvement." The Laryngoscope 126, no. 8 (August 2016): 1746-1752. Full Text
  - Miller, M, Pearl, M, Wyse, E, Olivi, A, and Francis, H. "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. 03 (May 10, 2016): 249-259. Full Text
  - Lin, SY, Francis, HW, Minor, LB, and Eisele, DW. "Faculty diversity and inclusion program outcomes at an academic otolaryngology department." The Laryngoscope 126, no. 2 (February 2016): 352-356. Full Text
  - Quittner, AL, Cejas, I, Wang, N-Y, Niparko, JK, and Barker, DH. "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-. Full Text
  - Francis, HW, Papel, I, Lina, I, Koch, W, Tunkel, D, Fuchs, P, Lin, S, Kennedy, D, Ruben, R, Linthicum, F, Marsh, B, Best, S, Carey, J, Lane, A, Byrne, P, Flint, P, and Eisele, DW. "Otolaryngology-head and neck surgery at Johns Hopkins: The first 100 years (1914-2014)." The Laryngoscope 125 Suppl 9 (November 2015): S1-35. Full Text
  - Emmett, SD, Tucci, DL, Smith, M, Macharia, IM, Ndegwa, SN, Nakku, D, Mukara, KB, Ibekwe, TS, Mulwafu, W, Gong, W, Francis, HW, and Saunders, JE. "GDP Matters: Cost Effectiveness of Cochlear Implantation and Deaf Education in Sub-Saharan Africa." Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology 36, no. 8 (September 2015): 1357-1365. Full Text
  - Harun, A, Clark, J, Semenov, YR, and Francis, HW. "The Role of Obliteration in the Achievement of a Dry Mastoid Bowl." Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology 36, no. 9 (September 2015): 1510-1517. Full Text
  - Da Cruz, MJ, and Francis, HW. "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-S29. Full Text
  - Ahmed, A, Ahmad, M, Stewart, CM, Francis, HW, and Bhatti, NI. "Effect of distractions on operative performance and ability to multitask--a case for deliberate practice." The Laryngoscope 125, no. 4 (April 2015): 837-841. Full Text
  - Emmett, SD, and Francis, HW. "The socioeconomic impact of hearing loss in U.S. adults." Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology 36, no. 3 (March 2015): 545-550. Full Text Open Access Copy
  - Francis, HW, Yeagle, JA, and Thompson, CB. "Clinical and psychosocial risk factors of hearing outcome in older adults with cochlear implants." The Laryngoscope 125, no. 3 (March 2015): 695-702. Full Text
  - Weinreich, HM, Francis, HW, Niparko, JK, and Chien, WW. "Techniques in cochlear implantation." Operative Techniques in Otolaryngology-Head and Neck Surgery 25, no. 4 (December 2014): 312-320. Full Text
  - Sun, DQ, Zhou, X, Lin, FR, Francis, HW, Carey, JP, and Chien, WW. "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): 1509-1514. Full Text
  - Emmett, SD, and Francis, HW. "Bilateral hearing loss is associated with decreased nonverbal intelligence in US children aged 6 to 16 years." The Laryngoscope 124, no. 9 (September 2014): 2176-2181. Full Text
  - Meserole, RL, Carson, CM, Riley, AW, Wang, N-Y, Quittner, AL, Eisenberg, LS, Tobey, EA, Francis, HW, and Niparko, JK. "Assessment of health-related quality of life 6 years after childhood cochlear implantation." Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation 23, no. 2 (March 2014): 719-731. Full Text
  - Starmer, HM, Ward, BK, Best, SRA, Gourin, CG, Akst, LM, Hillel, A, Brem, H, and Francis, HW. "Patient-perceived long-term communication and swallow function following cerebellopontine angle surgery." The Laryngoscope 124, no. 2 (February 2014): 476-480. Full Text
  - Hennessey, PT, Francis, HW, and Gourin, CG. "Is there a "July effect" for head and neck cancer surgery?." The Laryngoscope 123, no. 8 (August 2013): 1889-1895. Full Text
  - Muniak, MA, Rivas, A, Montey, KL, May, BJ, Francis, HW, and Ryugo, DK. "3D model of frequency representation in the cochlear nucleus of the CBA/J mouse." The Journal of comparative neurology 521, no. 7 (May 2013): 1510-1532. Full Text
  - Ceh, KM, Bervinchak, DM, and Francis, HW. "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): 416-421. Full Text
  - Harun, A, Agrawal, Y, Tan, M, Niparko, JK, and Francis, HW. "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): 1604-1610. Full Text
  - Lauer, AM, Fuchs, PA, Ryugo, DK, and Francis, HW. "Efferent synapses return to inner hair cells in the aging cochlea." Neurobiology of Aging 33, no. 12 (December 2012): 2892-2902. Full Text
  - Ward, BK, Francis, HW, Best, SR, Starmer, HM, Akst, LM, and Gourin, CG. "National prevalence and impact of perioperative vagus nerve injury in vestibular schwannoma." The Laryngoscope 122, no. 12 (December 2012): 2824-2831. Full Text
  - Laeeq, K, Francis, HW, Varela, DADV, Malik, MU, Cummings, CW, and Bhatti, NI. "The timely completion of objective assessment tools for evaluation of technical skills." The Laryngoscope 122, no. 11 (November 2012): 2418-2421. Full Text
  - Malik, MU, Pandian, V, Masood, H, Diaz, DA, Varela, V, Dávalos-Balderas, AJ, Parra-Cardenas, M, Seo, P, and Francis, HW. "Spectrum of immune-mediated inner ear disease and cochlear implant results." The Laryngoscope 122, no. 11 (November 2012): 2557-2562. Full Text
  - Clark, JH, Yeagle, J, Arbaje, AI, Lin, FR, Niparko, JK, and Francis, HW. "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): 1936-1945. (Review) Full Text
  - Ward, BK, Agrawal, Y, Nguyen, E, Della Santina, CC, Limb, CJ, Francis, HW, Minor, LB, and Carey, JP. "Hearing outcomes after surgical plugging of the superior semicircular canal by a middle cranial fossa approach." Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology 33, no. 8 (October 2012): 1386-1391. Full Text
  - Lin, FR, Chien, WW, Li, L, Clarrett, DM, Niparko, JK, and Francis, HW. "Cochlear implantation in older adults." Medicine 91, no. 5 (September 2012): 229-241. Full Text
  - Best, SR, Starmer, HM, Agrawal, Y, Ward, BK, Hillel, AT, Chien, WW, Francis, HW, Tamargo, RJ, and Akst, LM. "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): 364-368. Full Text
  - Clark, JH, Wang, N-Y, Riley, AW, Carson, CM, Meserole, RL, Lin, FR, Eisenberg, LS, Tobey, EA, Quittner, AL, Francis, HW, CDaCI Investigative Team, , and Niparko, JK. "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): 545-552. Full Text
  - Francis, HW, Malik, MU, Diaz Voss Varela, DA, Barffour, MA, Chien, WW, Carey, JP, Niparko, JK, and Bhatti, NI. "Technical skills improve after practice on virtual-reality temporal bone simulator." The Laryngoscope 122, no. 6 (June 2012): 1385-1391. Full Text
  - Francis, HW, and Rigamonti, D. "Letter to the editor in response to German et al. Stereotactic radiosurgery for vestibular schwannomas: a survey of current practice patterns of neurotologists." Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology 33, no. 4 (June 2012): 686-687. (Letter) Full Text
  - Ward, BK, Gourin, CG, and Francis, HW. "Vestibular schwannoma surgical volume and short-term outcomes in Maryland." Archives of otolaryngology--head & neck surgery 138, no. 6 (June 2012): 577-583. Full Text
  - Arora, A, Khemani, S, Tolley, N, Singh, A, Budge, J, Varela, DADV, Francis, HW, Darzi, A, and Bhatti, NI. "Face and content validation of a virtual reality temporal bone simulator." Otolaryngology Head and Neck Surgery : Official Journal of American Academy of Otolaryngology Head and Neck Surgery 146, no. 3 (March 2012): 497-503. Full Text
  - Starmer, HM, Best, SR, Agrawal, Y, Chien, WW, Hillel, AT, Francis, HW, Tamargo, RJ, and Akst, LM. "Prevalence, characteristics, and management of swallowing disorders following cerebellopontine angle surgery." Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery 146, no. 3 (March 2012): 419-425. Full Text
  - Francis, HW, Makary, C, Halpin, C, Crane, BT, and Merchant, SN. "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. Full Text
  - Rivas, A, Boahene, KD, Bravo, HC, Tan, M, Tamargo, RJ, and Francis, HW. "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): 826-833. Full Text
  - Yew, M, Dubbs, B, Tong, O, Nager, GT, Niparko, JK, Tatlipinar, A, and Francis, HW. "Arachnoid granulations of the temporal bone: a histologic study of dural and osseous penetration." Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology 32, no. 4 (June 2011): 602-609. Full Text
  - Clark, JH, Lin, FR, Salaria, SN, Stewart, CM, and Francis, HW. "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-e23. Full Text
  - Diaz Voss Varela, DA, Malik, MU, Pandian, V, Francis, HW, and Bhatti, NI. "Virtual Reality training for Mastoidectomy: What do Trainees and Faculty think?." The Laryngoscope 121, no. S5 (2011): S320-S320. Full Text
  - Francis, HW, Marlowe, AL, and Niparko, JK. "Revision cochlear implantation in children." Operative Techniques in Otolaryngology-Head and Neck Surgery 21, no. 4 (December 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 2010): 266-271. Full Text
  - Stewart, CM, Masood, H, Pandian, V, Laeeq, K, Akst, L, Francis, HW, and Bhatti, NI. "Development and pilot testing of an objective structured clinical examination (OSCE) on hoarseness." The Laryngoscope 120, no. 11 (November 2010): 2177-2182. Full Text
  - Agrawal, Y, Clark, JH, Limb, CJ, Niparko, JK, and Francis, HW. "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): 807-812. Full Text
  - Francis, HW, Masood, H, Chaudhry, KN, Laeeq, K, Carey, JP, Della Santina, CC, Limb, CJ, Niparko, JK, and Bhatti, NI. "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): 759-765. Full Text
  - Francis, HW, Masood, H, Laeeq, K, and Bhatti, NI. "Defining milestones toward competency in mastoidectomy using a skills assessment paradigm." The Laryngoscope 120, no. 7 (July 2010): 1417-1421. Full Text
  - Marlowe, AL, Chinnici, JE, Rivas, A, Niparko, JK, and Francis, HW. "Revision cochlear implant surgery in children: the Johns Hopkins experience." Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology 31, no. 1 (January 2010): 74-82. Full Text
  - Tan, M, Myrie, OA, Lin, FR, Niparko, JK, Minor, LB, Tamargo, RJ, and Francis, HW. "Trends in the management of vestibular schwannomas at Johns Hopkins 1997-2007." The Laryngoscope 120, no. 1 (January 2010): 144-149. Full Text
  - Laeeq, K, Bhatti, NI, Carey, JP, Della Santina, CC, Limb, CJ, Niparko, JK, Minor, LB, and Francis, HW. "Pilot testing of an assessment tool for competency in mastoidectomy." The Laryngoscope 119, no. 12 (December 2009): 2402-2410. Full Text
  - Barker, DH, Quittner, AL, Fink, NE, Eisenberg, LS, Tobey, EA, Niparko, JK, and CDaCI Investigative Team, . "Predicting behavior problems in deaf and hearing children: the influences of language, attention, and parent-child communication." Development and psychopathology 21, no. 2 (January 2009): 373-392. Full Text
  - Rivas, A, Marlowe, AL, Chinnici, JE, Niparko, JK, and Francis, HW. "Revision cochlear implantation surgery in adults: indications and results." Otology & neurotology : official publication of the American Otological Society, American Neurotology Society [and] European Academy of Otology and Neurotology 29, no. 5 (August 2008): 639-648. Full Text
  - Francis, HW, Buchman, CA, Visaya, JM, Wang, N-Y, Zwolan, TA, Fink, NE, Niparko, JK, and 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): 502-508. Full Text
  - Nahas, Z, Tatlipinar, A, Limb, CJ, and Francis, HW. "Spontaneous meningoencephalocele of the temporal bone: clinical spectrum and presentation." Archives of otolaryngology--head & neck surgery 134, no. 5 (May 2008): 509-518. Full Text
  - Stamataki, S, Francis, HW, Holliday, M, and McCarthy, E. "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): 587-593. Full Text
  - Chang, SS, Halushka, M, Meer, JV, Goins, M, and Francis, HW. "Nasopharyngeal hairy polyp with recurrence in the middle ear." International journal of pediatric otorhinolaryngology 72, no. 2 (February 2008): 261-264. Full Text
  - Wang, N-Y, Eisenberg, LS, Johnson, KC, Fink, NE, Tobey, EA, Quittner, AL, Niparko, JK, and CDaCI Investigative Team, . "Tracking development of speech recognition: longitudinal data from hierarchical assessments 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): 240-245. Full Text
  - Zwolan, TA, O'Sullivan, MB, Fink, NE, Niparko, JK, and 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): 143-148. Full Text
  - Baird, CJ, Hdeib, A, Suk, I, Francis, HW, Holliday, MJ, Tamargo, RJ, Brem, H, and Long, DM. "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): 347-351. Full Text
  - Quittner, AL, Barker, DH, Snell, C, Cruz, I, McDonald, L-G, Grimley, ME, Botteri, M, Marciel, K, and Investigative Team, C. "Improvements in visual attention in deaf infants and toddlers after cochlear implantation." Audiological Medicine 5, no. 4 (January 2007): 242-249. Full Text
  - Stamataki, S, Francis, HW, Lehar, M, May, BJ, and Ryugo, DK. "Synaptic alterations at inner hair cells precede spiral ganglion cell loss in aging C57BL/6J mice." Hearing research 221, no. 1-2 (November 2006): 104-118. Full Text
  - Agwu, AG, Pasternak, R, Joyner, M, Carver, CL, Francis, HW, and Siberry, GK. "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): 531-535. Full Text
  - Lustig, LR, Yeagle, J, Driscoll, CLW, Blevins, N, Francis, H, and Niparko, JK. "Cochlear implantation in patients with neurofibromatosis type 2 and bilateral vestibular schwannoma." Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology 27, no. 4 (June 2006): 512-518. Full Text
  - Leung, J, Wang, N-Y, Yeagle, JD, Chinnici, J, Bowditch, S, Francis, HW, and Niparko, JK. "Predictive models for cochlear implantation in elderly candidates." Archives of Otolaryngology Head & Neck Surgery 131, no. 12 (December 2005): 1049-1054. Full Text
  - Limb, CJ, Francis, HF, Lustig, LR, Niparko, JK, and Jammal, H. "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): 741-745. Full Text
  - Rivas, A, and Francis, HW. "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): 415-424. Full Text
  - Francis, HW, Yeagle, JD, Brightwell, T, and Venick, H. "Central effects of residual hearing: implications for choice of ear for cochlear implantation." The Laryngoscope 114, no. 10 (October 2004): 1747-1752. Full Text
  - Francis, HW, Rivas, A, Lehar, M, and Ryugo, DK. "Two types of afferent terminals innervate cochlear inner hair cells in C57BL/6J mice." Brain research 1016, no. 2 (August 2004): 182-194. Full Text
  - Ohlrogge, M, and Francis, HW. "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): 195-196. Full Text
  - Francis, HW, Ryugo, DK, Gorelikow, MJ, Prosen, CA, and May, BJ. "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. Full Text
  - Francis, HW, and Niparko, JK. "Cochlear implantation update." Pediatric clinics of North America 50, no. 2 (April 2003): 341-viii. (Review) Full Text
  - Rothbaum, DL, Roy, J, Hager, GD, Taylor, RH, Whitcomb, LL, Francis, HW, and Niparko, JK. "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. Full Text
  - Rothbaum, DL, Roy, J, Stoianovici, D, Berkelman, P, Hager, GD, Taylor, RH, Whitcomb, LL, Francis, HW, and Niparko, JK. "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): 417-426. Full Text
  - Francis, HW, Scott, JC, and Manis, PB. "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. Full Text
  - Francis, HW, Chee, N, Yeagle, J, Cheng, A, and Niparko, JK. "Impact of cochlear implants on the functional health status of older adults." The Laryngoscope 112, no. 8 Pt 1 (August 2002): 1482-1488. Full Text
  - Lustig, LR, Arts, HA, Brackmann, DE, Francis, HF, Molony, T, Megerian, CA, Moore, GF, Moore, KM, Morrow, T, Potsic, W, Rubenstein, JT, Srireddy, S, Syms, CA, Takahashi, G, Vernick, D, Wackym, PA, and Niparko, JK. "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): 328-334. Full Text
  - Lee, MP, Ravenel, JD, Hu, RJ, Lustig, LR, Tomaselli, G, Berger, RD, Brandenburg, SA, Litzi, TJ, Bunton, TE, Limb, C, Francis, H, Gorelikow, M, Gu, H, Washington, K, Argani, P, Goldenring, JR, Coffey, RJ, and Feinberg, AP. "Targeted disruption of the Kvlqt1 gene causes deafness and gastric hyperplasia in mice." The Journal of Clinical Investigation 106, no. 12 (December 2000): 1447-1455. Full Text
  - Francis, HW, and Manis, PB. "Effects of deafferentation on the electrophysiology of ventral cochlear nucleus neurons." Hearing research 149, no. 1-2 (November 2000): 91-105. Full Text
  - Hirvonen, TP, and Piilonen, A. "Imaging quiz case 2. Cavernous hemangioma." Archives of otolaryngology--head & neck surgery 126, no. 10 (October 2000): 1267-1271.
  - Mabrie, DC, Francis, HW, Zinreich, SJ, Sciubba, J, and Yoo, GH. "Imaging quiz case 4. Dentigerous cyst." Archives of otolaryngology--head & neck surgery 126, no. 10 (October 2000): 1269-1273.
  - Cheng, AK, Rubin, HR, Powe, NR, Mellon, NK, Francis, HW, and Niparko, JK. "Cost-utility analysis of the cochlear implant in children." JAMA 284, no. 7 (August 2000): 850-856. Full Text
  - Jiang, W, Mishra, S, and Francis, HW. "Pathology forum: quiz case 4. Diagnosis: synovial chondromatosis of the TMJ." Archives of otolaryngology--head & neck surgery 126, no. 7 (July 2000): 903-908.
  - Stone, JH, and Francis, HW. "Immune-mediated inner ear disease." Current opinion in rheumatology 12, no. 1 (January 2000): 32-40. (Review) Full Text
  - Francis, HW, Koch, ME, Wyatt, JR, and Niparko, JK. "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. Full Text
  - Gillespie, MB, O'Malley, BW, and Francis, HW. "An approach to fulminant invasive fungal rhinosinusitis in the immunocompromised host." Archives of otolaryngology--head & neck surgery 124, no. 5 (May 1998): 520-526. Full Text
  - Francis, HW, Nager, GT, Holliday, MJ, and Long, DM. "Association of Heterotopic Neuroglial Tissue with an Arachnoid Cyst in the Internal Auditory Canal." Skull Base 5, no. 01 (January 1995): 37-49. Full Text
  - McDowell, PR, Gaudin, PB, Wu, TC, and Francis, H. "Pathologic quiz case. Adenovirus infection of the adenoids." Archives of otolaryngology--head & neck surgery 120, no. 6 (June 1994): 668-671. Full Text
  - Francis, HW, and Nadol, JB. "Patterns of innervation of outer hair cells in a chimpanzee: II. Efferent endings." Hearing research 64, no. 2 (January 1993): 217-221. Full Text
  - Francis, HW, and Nadol, JB. "Patterns of innervation of outer hair cells in a chimpanzee: I. Afferent and reciprocal synapses." Hearing Research 64, no. 2 (January 1993): 184-190. Full Text
  - Yoo, GH, Francis, HW, and Zinreich, SJ. "Imaging quiz case. Noninvasive Aspergillus sinusitis." Archives of otolaryngology--head & neck surgery 119, no. 1 (January 1993): 123-124.
- Book Sections
  - Emmett, SD, Pinder, D, Bervinchak, DG, Juman, S, and Francis, HW. "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, 261-275. May 31, 2017.
  - Lin, FR, Niparko, JK, and Francis, HW. "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, 229-244. March 27, 2012.
  - Niparko, JK, Love-Schlessman, S, and Francis, HW. "Hearing loss and associated problems." In Principles of Ambulatory Medicine: Seventh Edition, 1833-1848. March 27, 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, ID, Lin, FR, Agrawal, Y, Francis, HW, Carey, JP, and Chien, WW. "Racial Differences of Pigmentation in the Human Vestibular Organs." September 2016. Full Text
  - Nieman, CL, Weinreich, HM, Sharon, JD, Chien, WW, and Francis, HW. "Use of Pericranial Flap Coverage in Cochlear Implantation of the Radical Cavity: Rationale, Technique, and Experience." September 2016. Full Text
  - Saunders, JE, Francis, HW, and Skarzynski, PH. "Measuring Success: Cost-Effectiveness and Expanding Access to Cochlear Implantation." February 2016. Full Text
  - Malik, MU, Varela, DADV, Park, E, Masood, H, Laeeq, K, Bhatti, NI, and Francis, HW. "Determinants of resident competence in mastoidectomy: role of interest and deliberate practice." December 2013. Full Text
  - Malik, MU, Diaz Voss Varela, DA, Francis, HW, Pandian, V, Chien, WW, Agrawal, Y, Niparko, JK, and Bhatti, NI. "Using a Virtual Reality Temporal bone Simulator to Enhance Surgical Competency in Procedural Tasks: A Pilot Study." 2011. Full Text
  - Malik, MU, Diaz Voss Varela, DA, Masood, H, Yenokyan, G, Francis, HW, Pandian, V, Niparko, JK, Cummings, CW, and Bhatti, NI. "A Comparison of Mastoidectomy Learning Curves in Otolaryngology-Head and Neck Surgery Residents." 2011. Full Text
  - Carpenter, RM, Limb, CJ, Francis, HW, Gottschalk, B, and Niparko, JK. "Programmatic challenges in obtaining and confirming the pneumococcal vaccination status of cochlear implant recipients." October 2010. Full Text
  - Francis, HW, Rivas, A, Lehar, M, Saito, Y, Mouton, PR, and Ryugo, DK. "Efficient quantification of afferent cochlear ultrastructure using design-based stereology." January 2006. Full Text
  - Francis, HW, Yeagle, JD, Bowditch, S, and Niparko, JK. "Cochlear implant outcome is not influenced by the choice of ear." August 2005. Full Text
  - Francis, HW, Pulsifer, MB, Chinnici, J, Nutt, R, Venick, HS, Yeagle, JD, and Niparko, JK. "Effects of central nervous system residua on cochlear implant results in children deafened by meningitis." May 2004. Full Text
  - Gillespie, MB, Francis, HW, Chee, N, and Eisele, DW. "Squamous cell carcinoma of the temporal bone: a radiographic-pathologic correlation." July 2001.
  - Koch, ME, Wyatt, JR, Francis, HW, and Niparko, JK. "A model of educational resource use by children with cochlear implants." September 1997. Full Text

Some information on this profile has been compiled automatically from Duke databases and external sources. (Our About page explains how this works.) If you see a problem with the information, please write to Scholars@Duke and let us know. We will reply promptly.

Education, Training, & Certifications

Duke Appointment History

Selected Publications

Academic Articles

Book Sections

Conference Papers