Jack Kartush
Jack M. Kartush is a neurotologic surgeon, medical device inventor and academician.[1][2][3] In addition to serving as director of Michigan Ear Institute,[4] he is a pioneer in the field of Intraoperative neurophysiological monitoring,[5] and is the founding president of The American Society of Neurophysiological Monitoring.[6] He is an early proponent of clinical protocols and checklists to enhance patient safety.[7]
Early life and education
Kartush grew up in Detroit, Michigan[8]. Throughout high school and college, he played guitar in different bands, performing and writing his own music[8][9]. He eventually dropped out of his band and decided to go into medicine, attending medical school and an otolaryngology head and neck residency at the University of Michigan.[8]
Career
After completing his residency, Kartush served as Director of the Ear Surgery Division at the Ann Arbor Veterans Administration Hospital, and co-authored what at the time was the largest multicenter trial on cochlear implants.[10] A prolific author, he published hundreds of highly-cited academic papers in his field, on topics such as ossicular chain reconstruction and over-under tympanoplasty.[11][12] He also co-authored the Handbook of Balance Function Testing with Gary P Jacobson and Craig W Newman.[13]. In addition to his research, he invented multiple medical devices, particularly in the field of intraoperative neurophysiological monitoring.
He developed a large clinical practice at Michigan Ear Institute, and pursued numerous academic and administrative endeavors. He was president of the American Neurotology Society in 1996 and recipient of the American Society Of Neurophysiological Monitoring Richard Brown Award in 2009[14]. He was the founding president of The American Society of Neurophysiological Monitoring in 1989[1], and he served as Michigan Ear Institute’s president from 1992-2012. He was appointed Clinical Professor of Otolaryngology at Wayne State University [3] and Clinical Professor of Surgery at Oakland University Beaumont Hospital Medical School.
Intraoperative Nerve Monitoring
Kartush spent years first promoting the acceptance of and the proper, safe use of nerve monitoring. He wrote one of the first books on nerve monitoring,[15] and spearheaded the creation of Best Practices in Facial Nerve Monitoring.[16] Kartush and Dr. Richard Prass co-developed the Nerve Integrity Monitor (NIM) in order to use an electrophysiological response signal to detect biophysical responses in order to avoid damage to the facial nerve during surgery.[17] He developed dedicated surgical monopolar and bipolar nerve stimulators which were insulated to reduce current shunting into adjacent blood or cerebrospinal fluid. A novel electrode that attached to endotracheal tubes which allowed for monitoring of the recurrent laryngeal nerve branch of the vagus nerve during thyroid and skull base surgery was also created by Kartush. This electrode extended prior art by atraumatically improving the electrode contact to the vocal cords which reduced false negative monitoring errors.[18]
Middle Ear Prostheses
Kartush developed prostheses to replace damaged or disease hearing bones of the middle ear.
The Kartush Hydroxyappetite Ossicular Struts were designed in 1987 to replace the incus and stapes bones. The self-locking nature of the strut design provides added stability while the simplicity of the design allows for better visualization.[19]
He created a stapes piston - an ossicular prosthesis with a longitudinal perforated loop which improved the pliability of the titanium loop that is crimped onto the incus bone and the inclusion of a twist in the loop in order to prevent the band from crumpling on itself[20]
Error Reduction and Patient Safety
Known for his efforts on facial nerve monitoring,[21] in 1985, during one of Kartush’s first operations as an attending staff at the University of Michigan Hospital, he turned to see the resident shaving the patient’s hair behind her left ear – but the intended side was the right. Although the error was caught before the patient was inadvertently operated on the wrong side, Kartush initiated a wholly unique protocol of marking the patients correct site in the preoperative area while the awake patient could confirm. This was further reinforced by placing erasable marker boards in each of his operating rooms in which the surgeon, nurse and assisting resident physician would confirm patient name, site of surgery and list of any medication allergies.[16] Kartush was convinced that if such protocol were uniformly accepted, innumerable patients could be saved from wrong side amputations, mastectomies, cerebral aneurysms, etc. He also suggested the use of protocols and checklists but many complained that this would take away the “art of medicine” and provide fodder for plaintiffs lawyers.[22]
In the 1990s, Kartush presided over sessions at the American Neurotology Society and American Otological Society on identifying and reducing medical and surgical errors and published a paper in Ear, Nose, & Throat journal on the topic.[23] It took nearly two decades until a worldwide emphasis on patient safety finally achieved traction, resulting in an explosion of Clinical Practice Guidelines, Protocols and Checklists[24][25]
References
- ↑ 1.0 1.1 "Past Presidents". www.americanneurotologysociety.com. Retrieved 2025-05-26.
- ↑ US8886280B2, Kartush, Jack M., "Nerve monitoring device", issued 2014-11-11
- ↑ 3.0 3.1 "Wayne State University School of Medicine Voluntary Faculty". Otolaryngology. 28 March 2024. Retrieved 2025-05-26.
- ↑ "Jack M. Kartush, M.D Emeritus Physician". Michigan Ear Institute. Retrieved 2025-05-26.
- ↑ Kartush, Jack M.; LaRouere, Michael J.; Graham, Malcolm D.; Bouchard, Kenneth R.; Audet, Blaise V. (1991). "Intraoperative Cranial Nerve Monitoring During Posterior Skull Base Surgery". Skull Base Surg. 1 (2): 85–92. doi:10.1055/s-2008-1056986. ISSN 1531-5010. PMC 1656318. PMID 17170827.
- ↑ "Leadership - ASNM". asnm.org. 2023-04-24. Retrieved 2025-05-26.
- ↑ Kartush, Jack M.; Rice, Kent S.; Minahan, Robert E.; Balzer, Gene K.; Yingling, Charles D.; Seubert, Christoph N. (2021). "Best Practices in Facial Nerve Monitoring". The Laryngoscope. 131 (S4). doi:10.1002/lary.29459. ISSN 0023-852X. PMID 33729584 Check
|pmid=value (help). - ↑ 8.0 8.1 8.2 Bathurst, Bella (2018). Sound: A Memoir of Hearing Lost and Found. Greystone Books. pp. 188–189. ISBN 978-1771643825. Search this book on
- ↑ The Platinum Riders - Platinum Rider, 1981, retrieved 2025-05-26
- ↑ Kartush, Jack M.; Linstrom, Christopher J.; Graham, Malcolm D.; Kulick, Kathleen C.; Bouchard, Kenneth R. (1990). "Promontory stimulation following labyrinthectomy: Implications for cochlear implantation". The Laryngoscope. 100 (1): 5–9. doi:10.1288/00005537-199001000-00002. ISSN 0023-852X. PMID 2293700.
- ↑ Kartush, Jack M. (August 1994). "Ossicular Chain Reconstruction". Otolaryngologic Clinics of North America. 27 (4): 689–715. doi:10.1016/s0030-6665(20)30641-1. ISSN 0030-6665.
- ↑ Kartush, Jack M.; Michaelides, Elias M.; Becvarovski, Zoran; LaRouere, Michael J. (May 2002). "Over-Under Tympanoplasty". The Laryngoscope. 112 (5): 802–807. doi:10.1097/00005537-200205000-00007. ISSN 0023-852X. PMID 12150610.
- ↑ Kartush, Jack M.; Jacobson, Gary P.; Newman, Craig W. (1997). Handbook of balance function testing. Mosby Elsevier Health Science. ISBN 9780801668142. Search this book on
- ↑ "Awards - ASNM". asnm.org. 2023-04-24. Retrieved 2025-05-26.
- ↑ Kartush, Jack M.; Bouchard, Kenneth R., eds. (1992). Neuromonitoring in otology and head and neck surgery. New York, NY: Raven Press. ISBN 978-0-88167-846-8. Search this book on
- ↑ 16.0 16.1 Kartush, Jack M.; Rice, Kent S.; Minahan, Robert E.; Balzer, Gene K.; Yingling, Charles D.; Seubert, Christoph N. (April 2021). "Best Practices in Facial Nerve Monitoring". The Laryngoscope. 131 (S4): S1–S42. doi:10.1002/lary.29459. ISSN 0023-852X. PMID 33729584 Check
|pmid=value (help). - ↑ US6334068B1, Hacker, David C., "Intraoperative neuroelectrophysiological monitor", issued 2001-12-25
- ↑ EP2415398A1, Hovey, Chris & Paul Rutjens, "Nerve monitoring device", issued 2012-02-08
- ↑ "Kartush Strut". Olympus America | Medical. Retrieved 2025-05-26.
- ↑ DE102014104492A1, Kartush, Jack M.; Uwe Steinhardt & Heinz Kurz, "Gehörknöchelchenprothese mit längs-perforierter Schlinge", issued 2015-10-01
- ↑ Verst, Silvia Mazzali (2022). Intraoperative Monitoring: Neurophysiology and Surgical Approaches. Maria Rufina Barros, Marcos Vinicius Calfat Maldaun (1st ed.). Cham: Springer International Publishing AG. ISBN 978-3-030-95730-8. Search this book on
- ↑ Bosk, Charles L; Dixon-Woods, Mary; Goeschel, Christine A; Pronovost, Peter J (August 2009). "Reality check for checklists". The Lancet. 374 (9688): 444–445. doi:10.1016/s0140-6736(09)61440-9. ISSN 0140-6736. PMID 19681190.
- ↑ Kartush, Jack M. (November 1996). "Errors in Otology". Ear, Nose & Throat Journal. 75 (11): 710–714. doi:10.1177/014556139607501107. ISSN 0145-5613.
- ↑ Shah, Rahul K.; Roberson, David W.; Healy, Gerald B. (June 2006). "Errors and adverse events in otolaryngology". Current Opinion in Otolaryngology & Head & Neck Surgery. 14 (3): 164–169. doi:10.1097/01.moo.0000193185.38310.43. ISSN 1068-9508. PMID 16728894.
- ↑ Patient Safety: Achieving a New Standard for Care. Washington, D.C.: National Academies Press. 2004. doi:10.17226/10863. ISBN 978-0-309-09077-3. PMID 25009854. Search this book on
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