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Acoustic rhinometry, rhinomanometry and nasal surgery
Otolaryngology Head and Neck Surgery
Volume 112 Number 5
InstructionCourses-- Monday
This course will introduce the practicing head and neck surgeon to the vocabulary and underlying theories of the molecular basis of carcinogenesis. Technology such as gel electrophoresis and transfer, DNA sequencing, and polymerase chain reaction (PCR) will be explained. The paradigm of oncogenes and tumor-suppressor genes in the natural history of cancer will be detailed. Allelotyping and implications of new molecular data will be discussed in a wideranging format, covering fields that extend from other surgical disciplines to cytogenetics, chemical carcinogenesis, cell physiology, and other related fields. The aim of the course is to provide the participant with an improved understanding of the power limitations of molecular oucology, the ability to converse intelligently with a basic science colleague when discussing relevant otolaryngic problems, and a heightened perception of future directions open to inquiry at the molecular level.
COURSE 2627-1
One-period course ($20)
Room NOCC-89
1:45-2:45
Acoustic Rhinometry, Rhlnomanometry and Nasal Surgery WOLF J. MANN, MD, HERBERTRIECHELMANN, MD, and RONALD G. AMEDEE, MD
Mainz, Germany, and New Orleans, La.
Educational objectives: To understand the techniques used in performing and interpreting rhinomanometry and acoustic rhinometry and to utilize the findings of the these studies to better treat patients with nasal obstructive symptoms.
COURSE 2630-2
Two-period course ($40)
Room NOCC-93 1:45-4:00
Management of External Ear Canal Diseases FRANK E. LUCENTE,MD, SIMON C. PARISIER,MD, DONALD B. KAMERER,MD, DENNIS I. BOJRAB,MD, and MARK LEVENSON, MD
Brooklyn and New York, N,Y., Pittsburgh, Pa., and Royal Oak, Mich.
Educational objectives: To understand rationale for management of infections and inflammations of the external auditory canal and to prescribe appropriate primary and secondary therapy for infections of the external auditory canal. This course focuses on infections and inflammations of the external auditory canal and auricle. A brief introduction regarding the anatomy and physiology of the external ear will stress the natural gross and microscopic protective mechanisms in this region. Among the clinical topics that will be presented are refractory diffuse external otitis, otomycosis, mycobacterial infections, malignant (progressive necrotizing) external otitis, infectious eczematoid dermatitis, and psychocutaneous diseases. We shall also discuss the various dermatoses that present in this region. Surgical treatment of external canal stenosis and other conditions will be illustrated in videotapes and slides. The problem-case discussion approach will be used. There will be ample time for other case discussions, and audience members are encouraged to bring cases for presentation.
COURSE 2633-1
One-period course ($20)
Today' s nasal diagnosis includes anterior rhinoscopy, nasal endoscopy, rhinomanometry, and acoustic rhinometry. In case of suspected rhino-sinusitis, coronal CT scans may also be beneficial. Rhinomanometry is a well established method while acoustic rhinometry is a relatively new technology available to the rhinologic surgeon. The latter test provides objective information about nasal anatomy and localization of stenosis at a specific distance posterior to the nasal aperture. Data obtained with acoustic rhinometry are site-specific. Evaluating the nasal valve region is difficult using this technique. However, examination by an experienced surgeon is still important. Acoustic rhinometry is an important development in the attempt to objectively assess intranasal anatomy. It is easy to perform, reproducible and relatively inexpensive. It allows the clinician to localize the site of obstruction and to concentrate on the stenosis which is functionally relevant. The combination of these two diagnostic modalities utilized before and after decongestion revolutionizes the indication and type of septal surgery necessary to improve the nasal airway in patients with impaired nasal breathing.
P89
Room NOCC-96 1:45-2:45
Reanimation of the Paretic Eyelid Using Gold Weights C. PHILLIPDASPIT,MD, and STEVENM. GILBARD,MD
Phoenix, Ariz.
Educational objectives: To understand the surgical indications and technique for performing the reanimation procedure. Postoperative facial nerve paralysis continues to be a significant problem in the treatment of cerebellopontine angle lesions. Even though the incidence has decreased, those patients exhibiting facial paralysis will in most cases have significant problems with the globe as a result of corneal exposure. Multiple procedures have been developed over the years to provide corneal coverage, but most have had significant limitations. Our experience with 300 lid-loading procedures has shown that this is the most efficient way to protect the eye, with the least morbidity, until reinnervation occurs. Simple gold weight implant combined with lower lid retractor recession, placement of fascia lata, and lateral tarsal strip tightening is effective for promoting voluntary closure and correction of lower lid paralytic ectropion. Placement of a heavier weight in combination with mullerectomy is a reli-
Volume 112 Number 5
InstructionCourses-- Monday
This course will introduce the practicing head and neck surgeon to the vocabulary and underlying theories of the molecular basis of carcinogenesis. Technology such as gel electrophoresis and transfer, DNA sequencing, and polymerase chain reaction (PCR) will be explained. The paradigm of oncogenes and tumor-suppressor genes in the natural history of cancer will be detailed. Allelotyping and implications of new molecular data will be discussed in a wideranging format, covering fields that extend from other surgical disciplines to cytogenetics, chemical carcinogenesis, cell physiology, and other related fields. The aim of the course is to provide the participant with an improved understanding of the power limitations of molecular oucology, the ability to converse intelligently with a basic science colleague when discussing relevant otolaryngic problems, and a heightened perception of future directions open to inquiry at the molecular level.
COURSE 2627-1
One-period course ($20)
Room NOCC-89
1:45-2:45
Acoustic Rhinometry, Rhlnomanometry and Nasal Surgery WOLF J. MANN, MD, HERBERTRIECHELMANN, MD, and RONALD G. AMEDEE, MD
Mainz, Germany, and New Orleans, La.
Educational objectives: To understand the techniques used in performing and interpreting rhinomanometry and acoustic rhinometry and to utilize the findings of the these studies to better treat patients with nasal obstructive symptoms.
COURSE 2630-2
Two-period course ($40)
Room NOCC-93 1:45-4:00
Management of External Ear Canal Diseases FRANK E. LUCENTE,MD, SIMON C. PARISIER,MD, DONALD B. KAMERER,MD, DENNIS I. BOJRAB,MD, and MARK LEVENSON, MD
Brooklyn and New York, N,Y., Pittsburgh, Pa., and Royal Oak, Mich.
Educational objectives: To understand rationale for management of infections and inflammations of the external auditory canal and to prescribe appropriate primary and secondary therapy for infections of the external auditory canal. This course focuses on infections and inflammations of the external auditory canal and auricle. A brief introduction regarding the anatomy and physiology of the external ear will stress the natural gross and microscopic protective mechanisms in this region. Among the clinical topics that will be presented are refractory diffuse external otitis, otomycosis, mycobacterial infections, malignant (progressive necrotizing) external otitis, infectious eczematoid dermatitis, and psychocutaneous diseases. We shall also discuss the various dermatoses that present in this region. Surgical treatment of external canal stenosis and other conditions will be illustrated in videotapes and slides. The problem-case discussion approach will be used. There will be ample time for other case discussions, and audience members are encouraged to bring cases for presentation.
COURSE 2633-1
One-period course ($20)
Today' s nasal diagnosis includes anterior rhinoscopy, nasal endoscopy, rhinomanometry, and acoustic rhinometry. In case of suspected rhino-sinusitis, coronal CT scans may also be beneficial. Rhinomanometry is a well established method while acoustic rhinometry is a relatively new technology available to the rhinologic surgeon. The latter test provides objective information about nasal anatomy and localization of stenosis at a specific distance posterior to the nasal aperture. Data obtained with acoustic rhinometry are site-specific. Evaluating the nasal valve region is difficult using this technique. However, examination by an experienced surgeon is still important. Acoustic rhinometry is an important development in the attempt to objectively assess intranasal anatomy. It is easy to perform, reproducible and relatively inexpensive. It allows the clinician to localize the site of obstruction and to concentrate on the stenosis which is functionally relevant. The combination of these two diagnostic modalities utilized before and after decongestion revolutionizes the indication and type of septal surgery necessary to improve the nasal airway in patients with impaired nasal breathing.
P89
Room NOCC-96 1:45-2:45
Reanimation of the Paretic Eyelid Using Gold Weights C. PHILLIPDASPIT,MD, and STEVENM. GILBARD,MD
Phoenix, Ariz.
Educational objectives: To understand the surgical indications and technique for performing the reanimation procedure. Postoperative facial nerve paralysis continues to be a significant problem in the treatment of cerebellopontine angle lesions. Even though the incidence has decreased, those patients exhibiting facial paralysis will in most cases have significant problems with the globe as a result of corneal exposure. Multiple procedures have been developed over the years to provide corneal coverage, but most have had significant limitations. Our experience with 300 lid-loading procedures has shown that this is the most efficient way to protect the eye, with the least morbidity, until reinnervation occurs. Simple gold weight implant combined with lower lid retractor recession, placement of fascia lata, and lateral tarsal strip tightening is effective for promoting voluntary closure and correction of lower lid paralytic ectropion. Placement of a heavier weight in combination with mullerectomy is a reli-