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Autoimmune inner ear disease
Otolaryngology Head and Neck Surgery Volume 112 Number 5
COURSE 1717-1 One-period course ($20)
Instruction Courses-- Sunday P5 !
Room NOCC-66 3:00-4:00
Case Studies in the Management of the Dizzy Patient CHARLESW. STOCKWELL,PHD, DENNIS I. BOJRAB,MD, and PATTI KOHNE, MS, PT Southfield, Mich.
Educational objectives: To case manage common vestibular disorders and to cover medical, surgical, and rehabilitation strategies of management.
This 1-hour course is offered as a sequel to the previous course on Evaluation of the Dizzy Patent. This course will cover management options for patients and include medical, surgical, and rehabilitative strategies. Case illustrations will be used to teach case management using the techniques of relevant clinical history taking, physical examination, laboratory test results interpreted, and treatment protocols discussed. Pharmacologic management will be discussed as it used in the acute, subacute, and chronic phases of the disease in relationship to its effects on long-term recovery. Streptomycin titration therapy and intratympanic gentamicin therapy will be discussed. The indications for surgical treatments, such as endolymphatic sac and duct procedures, labyrinthectomy, vestibular neurectomy, labyrinthine streptomycin perfusion, and perilymphatic fistula repair, will be discussed and demonstrated. Vestibular rehabilitative theory and strategies will be emphasized and taught from a registered physical therapist who is active in a clinical and academic rehabilitative program. Demonstration of the techniques used will be included.
COURSE 1718-2 Two-period course ($40)
Room NOCC-80 3:00-5:15
Professional Singers: The Science and Art of Clinical Care ROBERTTHAYERSATALOFF,MD, DMA Philadelphia, Pa.
Educational objectives: To understand special aspects of history taking, physical examination, and medical and surgical therapy of common diagnoses in professional singers.
I will combine my experience as a professional singer, university choral conductor, and laryngologist in a didactic presentation of clinically relevant vocal pedagogy and laryngology. The objective of the course is to provide comprehensive understanding of voice and a systematic approach to the problems of professional voice users. Discussion will center primarily on singers, but the principles presented are relevant to professional speakers, as well.
Special emphasis will be placed on unique aspects of the history, on environmental and physical factors that have a direct effect on vocal function, and on medical conditions outside the head and neck that may be responsible for voice dysfunction. Specific guidelines for the management of acute and chronic vocal dysfunction will be presented. Recent technological advances have improved our ability to examine the voice physically and to quantify voice function. The course includes a brief introduction to strobovideolaryngoscopy and voice laboratory measures, stressing their integration into clinical practice. New concepts in laryngeal microsurgery are included.
COURSE 1719- I One-period course ($20)
Room NOCC-81 3:00-4:00
Autoimmune Inner Ear Disease JEFFREYP. HARRIS,MD, PhD, and RALPHNELSON,MD La Jolla and Los Angeles, Calif.
Educational objectives: To have a better understanding o f the pathophysiology of inner ear immune-mediated disease and the most efficacious diagnostic tests available and to gain knowledge about sensible and effective treatment plans, potential complications of therapy, and problem case management.
The new onset of rapidly progressive, bilateral, sensorineural hearing loss is both frustrating to the treating physician and frightening to the patient, particularly when there are no obvious signs that suggest a cause. Faced with such a patient, the treating physician must embark on a rapid, systematic diagnostic approach, because delay in treatment may result in irreparable damage to the inner ear. The objectives of this course therefore are to: 1. Provide the data supporting the concept that immunemediated disease of the inner ear really exists. 2. Examine the pathophysiology of these diseases. 3. By use of clinical case studies, demonstrate the common presentations of this illness in various age groups. 4. Discuss the most efficacious diagnostic tests currently available, including their limitations. 5. Provide a sensible and effective treatment regimen. 6. Discuss the potential complications of therapy. 7. Discuss problem case management. The faculty members have gained wide experience in both investigating and treating patients with this disorder. This course, which is designed to incorporate audience participation and discussion, should provide participants with a better understanding of this problem and how best to recognize and treat it.
COURSE 1717-1 One-period course ($20)
Instruction Courses-- Sunday P5 !
Room NOCC-66 3:00-4:00
Case Studies in the Management of the Dizzy Patient CHARLESW. STOCKWELL,PHD, DENNIS I. BOJRAB,MD, and PATTI KOHNE, MS, PT Southfield, Mich.
Educational objectives: To case manage common vestibular disorders and to cover medical, surgical, and rehabilitation strategies of management.
This 1-hour course is offered as a sequel to the previous course on Evaluation of the Dizzy Patent. This course will cover management options for patients and include medical, surgical, and rehabilitative strategies. Case illustrations will be used to teach case management using the techniques of relevant clinical history taking, physical examination, laboratory test results interpreted, and treatment protocols discussed. Pharmacologic management will be discussed as it used in the acute, subacute, and chronic phases of the disease in relationship to its effects on long-term recovery. Streptomycin titration therapy and intratympanic gentamicin therapy will be discussed. The indications for surgical treatments, such as endolymphatic sac and duct procedures, labyrinthectomy, vestibular neurectomy, labyrinthine streptomycin perfusion, and perilymphatic fistula repair, will be discussed and demonstrated. Vestibular rehabilitative theory and strategies will be emphasized and taught from a registered physical therapist who is active in a clinical and academic rehabilitative program. Demonstration of the techniques used will be included.
COURSE 1718-2 Two-period course ($40)
Room NOCC-80 3:00-5:15
Professional Singers: The Science and Art of Clinical Care ROBERTTHAYERSATALOFF,MD, DMA Philadelphia, Pa.
Educational objectives: To understand special aspects of history taking, physical examination, and medical and surgical therapy of common diagnoses in professional singers.
I will combine my experience as a professional singer, university choral conductor, and laryngologist in a didactic presentation of clinically relevant vocal pedagogy and laryngology. The objective of the course is to provide comprehensive understanding of voice and a systematic approach to the problems of professional voice users. Discussion will center primarily on singers, but the principles presented are relevant to professional speakers, as well.
Special emphasis will be placed on unique aspects of the history, on environmental and physical factors that have a direct effect on vocal function, and on medical conditions outside the head and neck that may be responsible for voice dysfunction. Specific guidelines for the management of acute and chronic vocal dysfunction will be presented. Recent technological advances have improved our ability to examine the voice physically and to quantify voice function. The course includes a brief introduction to strobovideolaryngoscopy and voice laboratory measures, stressing their integration into clinical practice. New concepts in laryngeal microsurgery are included.
COURSE 1719- I One-period course ($20)
Room NOCC-81 3:00-4:00
Autoimmune Inner Ear Disease JEFFREYP. HARRIS,MD, PhD, and RALPHNELSON,MD La Jolla and Los Angeles, Calif.
Educational objectives: To have a better understanding o f the pathophysiology of inner ear immune-mediated disease and the most efficacious diagnostic tests available and to gain knowledge about sensible and effective treatment plans, potential complications of therapy, and problem case management.
The new onset of rapidly progressive, bilateral, sensorineural hearing loss is both frustrating to the treating physician and frightening to the patient, particularly when there are no obvious signs that suggest a cause. Faced with such a patient, the treating physician must embark on a rapid, systematic diagnostic approach, because delay in treatment may result in irreparable damage to the inner ear. The objectives of this course therefore are to: 1. Provide the data supporting the concept that immunemediated disease of the inner ear really exists. 2. Examine the pathophysiology of these diseases. 3. By use of clinical case studies, demonstrate the common presentations of this illness in various age groups. 4. Discuss the most efficacious diagnostic tests currently available, including their limitations. 5. Provide a sensible and effective treatment regimen. 6. Discuss the potential complications of therapy. 7. Discuss problem case management. The faculty members have gained wide experience in both investigating and treating patients with this disorder. This course, which is designed to incorporate audience participation and discussion, should provide participants with a better understanding of this problem and how best to recognize and treat it.