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Current concepts in pediatric tympanoplasty
Otolaryngology Head and Neck Surgery
Volume 112 Number 5
COURSE 2618-1
One-period course ($20)
Instruction Courses-- Monday
Room NOCC-80 1:45-2:45
Current Concepts in Pediatric Tympanoplasty JOHN D. DONALDSON, MD, and C. BRUCEMACDONALD,MD
Fort Myers, Fla., and 8oston, Mass,
Educational objectives: To understand the indications, contraindications, risks, benefits, optimal timing, and informed consent issues for tympanoplasty in the pediatric population, particularly as these issues differ from those for adults; and to understand surgical options for dealing with perforation, atelectasis, ossicular problems, eustachian tube dysfunction, and mastoid disease in the pediatric patient. Pediatric tympanoplasty requires a sound understanding of the principles of middle ear surgery; however there are unique factors that differ from those for the adult. For example, there are important anatomic concerns in young children, and the behavior of middle ear disease is considerably different in children than in adults. The more aggressive nature of suppurative disease (with or without cholesteatoma) and the progressive nature of atelectasis in children suggest that early surgery is important. However, in some perforations the expected improvement of eustachian tube function with maturation may indicate that better results will be achieved if surgery is delayed. Rapid restoration of heating for optimal language development and school performance a n d minimizing school absenteeism are other considerations in choosing optimal timing of surgery. Surgical options for atelectasis, including "minimyringoplasty" technique, and results will be discussed. "Open door" and other tympanoplasty techniques will be discussed in detail. Controversies, including staged surgical procedures, ossicular reconstruction, intact canal wall versus wall down m a s t o i d e c t o m y , and the role of myringotomy tubes, will be discussed. Postoperative care involves microscopic exanaination and manipulation that may be problematic in many children. Preoperative planning and parental consent should include potential postoperative problems and appropriate solutions, including possible anesthesia.
COURSE 2620-1
One-period course ($20)
Room NOCC-82 1:45-2:45
Mentoplasty--Mandibular Contouring ALVIN I. GLASGOLD, MD, and MARK L. GLASGOLD, MD
Highland Park, N.J.
Educational objectives: To perform sophisticated mentoplasty and to be familiar with the new generation of chin and mandibular implants. The intent of this course is to improve the surgeon's sophistication in performing mentoplasty and mandibu-
P87
lar contouring while keeping it a simple, straightforward procedure. A number of benefits can be achieved from mentoplasty in addition to chin projection. These include mandibular contouring and facial rejuvenation to eliminate jowls and reduce protrusion of the lower lip. We will describe the advantages of facial implants in conjunction with facelift and the benefits that can be achieved in combination with liposuction, which in some cases will eliminate the need for facelift. Familiarity with these benefits and the newer generation of implants will enhance skill as a facial plastic surgeon. This course will describe the variety of implants available and will assist in the attender's selection of the appropriate implant. It should expand the scope of the individual's approach to mentoplasty. We will describe our technique of implant insertion, which we believe is straightforward and easy to learn. This technique provides for accurate implant positioning and secure implant fixation. This should eliminate the common complications of mentoplasty, such as implant asymmetry, shifting, and rotation. In addition, the use and advantages of the extension wafer for intraoperative custom contouring of the mandible will be discussed.
COURSE 2621 - I
One-period course ($20)
Room NOCC-83 1:45-2:45
Understanding Basic Personal Finance Terminology ROBERTRIETZ, MD, MBA, MICHAEL MAVES, MD, MBA, FREDERICK PEVOW, MD, MBA, L.B.TUBERGEN,MD, MBA, and CEDRIC QUICK, MD, MBA
Brookings, S,D., A~exandria and McLean, Va,, Houston, Texas, and Indianapolis, Ind.
Educational objectives: To understand the different types of financial investments and the risks associated with each type of investment. The purpose of this course is to provide an unbiased primer for personal investing. AAO-HNS members who also hold the MBA degree are offering the course. Investors have goals that depend on their time horizon (age) and the degree of risk they are willing to bear. In this course, only investments with a ready market will be considered. Ownership in a company is achieved by purchasing shares of stock. The attributes of stocks have a special vocabulary: Beta, stock valuation methods, transaction costs, common stock, preferred stock, etc. Debt Instruments (bonds) have another vocabulary. There are several kinds of bonds with different risks and advantages. Like stocks, bonds may also fluctuate in price so that a bond that must be sold before its maturity date may cause the investor to sustain a capital loss. The concepts of technical analysis and fundamental analysis will be presented. No specific investment advice will be given, but generic examples of investing strategies for different ages will be illustrated.
Volume 112 Number 5
COURSE 2618-1
One-period course ($20)
Instruction Courses-- Monday
Room NOCC-80 1:45-2:45
Current Concepts in Pediatric Tympanoplasty JOHN D. DONALDSON, MD, and C. BRUCEMACDONALD,MD
Fort Myers, Fla., and 8oston, Mass,
Educational objectives: To understand the indications, contraindications, risks, benefits, optimal timing, and informed consent issues for tympanoplasty in the pediatric population, particularly as these issues differ from those for adults; and to understand surgical options for dealing with perforation, atelectasis, ossicular problems, eustachian tube dysfunction, and mastoid disease in the pediatric patient. Pediatric tympanoplasty requires a sound understanding of the principles of middle ear surgery; however there are unique factors that differ from those for the adult. For example, there are important anatomic concerns in young children, and the behavior of middle ear disease is considerably different in children than in adults. The more aggressive nature of suppurative disease (with or without cholesteatoma) and the progressive nature of atelectasis in children suggest that early surgery is important. However, in some perforations the expected improvement of eustachian tube function with maturation may indicate that better results will be achieved if surgery is delayed. Rapid restoration of heating for optimal language development and school performance a n d minimizing school absenteeism are other considerations in choosing optimal timing of surgery. Surgical options for atelectasis, including "minimyringoplasty" technique, and results will be discussed. "Open door" and other tympanoplasty techniques will be discussed in detail. Controversies, including staged surgical procedures, ossicular reconstruction, intact canal wall versus wall down m a s t o i d e c t o m y , and the role of myringotomy tubes, will be discussed. Postoperative care involves microscopic exanaination and manipulation that may be problematic in many children. Preoperative planning and parental consent should include potential postoperative problems and appropriate solutions, including possible anesthesia.
COURSE 2620-1
One-period course ($20)
Room NOCC-82 1:45-2:45
Mentoplasty--Mandibular Contouring ALVIN I. GLASGOLD, MD, and MARK L. GLASGOLD, MD
Highland Park, N.J.
Educational objectives: To perform sophisticated mentoplasty and to be familiar with the new generation of chin and mandibular implants. The intent of this course is to improve the surgeon's sophistication in performing mentoplasty and mandibu-
P87
lar contouring while keeping it a simple, straightforward procedure. A number of benefits can be achieved from mentoplasty in addition to chin projection. These include mandibular contouring and facial rejuvenation to eliminate jowls and reduce protrusion of the lower lip. We will describe the advantages of facial implants in conjunction with facelift and the benefits that can be achieved in combination with liposuction, which in some cases will eliminate the need for facelift. Familiarity with these benefits and the newer generation of implants will enhance skill as a facial plastic surgeon. This course will describe the variety of implants available and will assist in the attender's selection of the appropriate implant. It should expand the scope of the individual's approach to mentoplasty. We will describe our technique of implant insertion, which we believe is straightforward and easy to learn. This technique provides for accurate implant positioning and secure implant fixation. This should eliminate the common complications of mentoplasty, such as implant asymmetry, shifting, and rotation. In addition, the use and advantages of the extension wafer for intraoperative custom contouring of the mandible will be discussed.
COURSE 2621 - I
One-period course ($20)
Room NOCC-83 1:45-2:45
Understanding Basic Personal Finance Terminology ROBERTRIETZ, MD, MBA, MICHAEL MAVES, MD, MBA, FREDERICK PEVOW, MD, MBA, L.B.TUBERGEN,MD, MBA, and CEDRIC QUICK, MD, MBA
Brookings, S,D., A~exandria and McLean, Va,, Houston, Texas, and Indianapolis, Ind.
Educational objectives: To understand the different types of financial investments and the risks associated with each type of investment. The purpose of this course is to provide an unbiased primer for personal investing. AAO-HNS members who also hold the MBA degree are offering the course. Investors have goals that depend on their time horizon (age) and the degree of risk they are willing to bear. In this course, only investments with a ready market will be considered. Ownership in a company is achieved by purchasing shares of stock. The attributes of stocks have a special vocabulary: Beta, stock valuation methods, transaction costs, common stock, preferred stock, etc. Debt Instruments (bonds) have another vocabulary. There are several kinds of bonds with different risks and advantages. Like stocks, bonds may also fluctuate in price so that a bond that must be sold before its maturity date may cause the investor to sustain a capital loss. The concepts of technical analysis and fundamental analysis will be presented. No specific investment advice will be given, but generic examples of investing strategies for different ages will be illustrated.