A practical approach to tumors of the parapharyngeal space

A practical approach to tumors of the parapharyngeal space

P84 Otolaryngology Head and Neck Surgery May 1995 Instruction Courses-- Monday COURSE 2606-I One-period course ($20) Room NOCC-52 1:45-2:45 The C...

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P84

Otolaryngology Head and Neck Surgery May 1995

Instruction Courses-- Monday

COURSE 2606-I One-period course ($20)

Room NOCC-52 1:45-2:45

The Carotid Artery BRUCEW. PEARSON,MD, and ROBERTH, WHAREN, MD Jacksonville, Fla.

Educational objectives: To better understand the preoperative and intraoperative risk to the internal carotid artery in neck and skull base surgery and to work more closely and knowledgeably with their neurovascular surgical colleagues in combined cases.

Otolaryngologists commonly encountered the internal carotid artery in neck dissections for head and neck tumors, in skull base surgery, and in performing collaborative procedures with neurosurgeons. Patients and colleagues expect us to understand the surgical anatomy, the clinical evaluation of danger, and the options for management if temporary or permanent internal carotid arterial occlusion is a risk. This course reviews the following topics considered of particular importance to head and neck surgeons: The infra and intratemporal course and relations of the internal carotid artery; high cervical/skull base exposure of the internal carotid artery; carotid involvement by metastatic head and neck cancer; cartoid body, glornus vagale, and glomus jugularum tumors; impending arterial blowout in the radiated neck; preoperative assessment of tolerance to anticipated internal carotid occlusion; intraoperative monitoring of cerebral function by continuous EEG monitoring; and intraoperative cerebral blood flow assessment during carofid interruption. Case examples are used to illustrate the important implications of recent advances in carotid diagnosis and treatment. New vascular technologies that particularly impact the treatment of head and neck neoplasms are reviewed from an otolaryngologist's perspective.

COURSE 2607- I One-period course ($20)

Room NOCC-53 1:45-2:45

A Practical Approach to Tumors of the Parapharyngeal Space JACK L. GLUCKMAN, MD Cincinnati, O h i o

Educational objectives: To develop a practical approach to the diagnosis of these tumors and to be knowledgeable regarding the therapeutic options.

The parapharyngeal space is an area characterized by complex anatomy in which a wide variety of benign and malignant tumors may arise. A plethora of surgical ap-

proaches to this area have been described, which to the uninitiated may seem confusing, rendering the decision making process unduly difficult. A practical approach to the diagnosis and management will be presented, drawing on personal experience with over 100 of these tumors.

COURSE 2608- I One-period course ($20)

Room NOCC-54 1:45-2:45

Endoscopic Management of Airway Obstruction in Children RANDE H. LAZAR,MD, and RAMZI T. YOUNIS, MD Memphis, Tenn.

Airway obstruction is a serious condition in children that requires immediate attention. The etiology of airway obstruction may vary from laryngeal anomalies and papillomas to foreign body aspiration and epiglottis. Airway endoscopy may be an essential diagnostic and therapeutic procedure in the majority of these cases. The technique, indications, results and complications of endoscopic management of the different airway obstruction etiologies will be discussed.

COURSE 2609-2 Two-period course ($40)

Room NOCC-55 1:45-4:00

Introductory Skull Base Surgery SAM E. KINNEY, MD, PIERRELAVERTU,MD, RICHARD WIET,MD, and JOHN WANAMAKER,MD Cleveland, Ohio, and Hinsdale, III.

Educational objectives: To recognize patients with skullbase tumors, to recognize what surgery is necessary to remove skull-base lesions, and to order and interpret imaging studies.

Representatives of the Skull Base Surgery Committee will present an introductory course on skull-base surgery. The course is designed for otolaryngologists in practice and residents who desire to learn more about the advances in diagnosis and treatment options of benign and malignant lesions that involve the skull base. The course will emphasize the physical diagnosis of patients with skull-base lesions. Considerable emphasis will be placed on imaging studies and normal and abnormal findings. Surgical approaches to remove the skull-base tumors will be demonstrated with an emphasis on the multiple-specialty team approach. New vistas in skull-base surgery will also be discussed.