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Lenin Fonseca Hospital Lenin Fonseca Hospital in Managua serves as the tertiary referral center for surgical patients from all over Nicaragua. The residency programs in otolaryngology, neurosurgery, general surgery, orthopedics and urology are housed at Lenin Fonseca. The otolaryngology training program is a four-year program and accepts two residents per year. There are five faculty members who support the program and all patients are seen in a single small clinic room. Although the physicians in this program have ample exposure to head and neck surgeries, limitations in surgical equipment, OR time, and lack of anesthesia supplies have lead to virtually no training in the otology and endoscopic sinus surgery. In the past five years MMO has developed a strong working relationship with the physicians at Lenin Fonseca. With the generous donations of U.S. companies we've provided the otolaryngology program with fiber-optic nasopharyngoscopes, microscopes in the clinic and operating room, mastoid drills, a facial nerve monitor, surgical instruments, and a fully equipped audiology booth. MMO has coordinated two lecture series with the Nicaraguan Association of Otorhinolaryngology and has provided one temporal bone dissection workshop at Lenin Fonseca. Another temporal bone workshop was held in June of 2005. In addition, MMO has sponsored two Nicaraguan physicians to visit and train in the U.S. and has provided consultation and surgery for otology and pediatric patients at the Lenin Fonseca clinics. MMO physicians in Managua at the Lenin Fonseca now perform complex skull base surgeries that used to require the patient to travel to the U.S. |
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