- Email: [email protected]
Avoidance and management of surgical facial nerve injuries
Otolaryngology Head and Neck Surgery V o l u m e 115
Scientific Sessions - - Tuesday
Number 2
tient sinus surgery were obtained for the same cohort. Economic modeling was used to determine break-even time for surgery based on medical cost savings. Results: The cost of sinus medications, including overthe-counter remedies, nasal steroid sprays and antibiotics, averaged $1313 per patient per year before surgery and $775 per patient per year after surgery (p < 0.05), a 54% reduc-
P I 11
tion. Surgical costs, depending on cost analysis techniques, averaged $4120 to $6085 per patient. Conclusions: We conclude that significant savings are achieved in outpatient medication costs following surgical intervention for chronic sinusitis. Macroeconomic predictions vary widely depending on assumptions, but suggest an overall positive impact of surgery.
10:20 AM to 12:00 NOON Room #40 COMMITTEE ON FACIAL NERVE DISORDERS CLOUGH SHELTON, MD, FACS (moderator), PETERS. ROLAND, MD, FRED G. FEDOK, MD, DERALD E. BRACKMANN, MD, BARRY M. SCHAITKIN, MD, PERRY M. SANTOS, MD, and H. JACQUELINE DIELS, OT, Salt Lake City, Utah, Dallas, Tex., Hershey, Pa., Los Angeles, Calif., Pittsburgh, Pa., Springfield, Ill., and Madison, Wis. Avoidance and Management of Surgical Facial Nerve Injuries
Identification and preservation of the facial nerve is a prime consideration during many operations performed by otolaryngologists. These cases include otologic surgery, cosmetic surgery, and head and neck surgery. This miniseminar discusses practical techniques using standard anatomic landmarks to identify the facial nerve, even in cases with severely distorted anatomy. The current role of intraoperative facial nerve monitoring is also covered. Management guidelines are discussed for postoperative
iatrogenic facial nerve paralysis. This includes both immediate and delayed postoperative paralysis from surgery in intratemporal or extratemporal locations. Techniques for repair of the facial nerve, grafting, or decompression are discussed, as well as issues regarding timing of such surgery. Important rehabilitative techniques are also discussed, including immediate and long-term care of the paralyzed eye and the role of neuromuscular retraining for postoperative synkinesis and asymmetry.
Middle Ear and Mastoid Surgery: Techniques for Avoidance of Facial Nerve Injury Surgical Strategies for Facial Nerve Preservation During Cosmetic and Head and Neck Surgery Acute Management of Iatrogenic Intratemporal Facial Nerve Injuries Postoperative Paralysis of the Extratemporal Facial Nerve: Management Guidelines Rehabilitation of the Paralyzed Eye: Current Techniques Postoperative Rehabilitation of Synkinesis and Asymmetry With Neuromuscular Retraining Panel Discussion (Questions and Answers)
Peter S. Roland, MD Fred G. Fedok, MD Derald E. Brackmann, MD Barry M. Schaitkin, MD Perry M. Santos, MD H. Jacqueline Diets, OT
Scientific Sessions - - Tuesday
Number 2
tient sinus surgery were obtained for the same cohort. Economic modeling was used to determine break-even time for surgery based on medical cost savings. Results: The cost of sinus medications, including overthe-counter remedies, nasal steroid sprays and antibiotics, averaged $1313 per patient per year before surgery and $775 per patient per year after surgery (p < 0.05), a 54% reduc-
P I 11
tion. Surgical costs, depending on cost analysis techniques, averaged $4120 to $6085 per patient. Conclusions: We conclude that significant savings are achieved in outpatient medication costs following surgical intervention for chronic sinusitis. Macroeconomic predictions vary widely depending on assumptions, but suggest an overall positive impact of surgery.
10:20 AM to 12:00 NOON Room #40 COMMITTEE ON FACIAL NERVE DISORDERS CLOUGH SHELTON, MD, FACS (moderator), PETERS. ROLAND, MD, FRED G. FEDOK, MD, DERALD E. BRACKMANN, MD, BARRY M. SCHAITKIN, MD, PERRY M. SANTOS, MD, and H. JACQUELINE DIELS, OT, Salt Lake City, Utah, Dallas, Tex., Hershey, Pa., Los Angeles, Calif., Pittsburgh, Pa., Springfield, Ill., and Madison, Wis. Avoidance and Management of Surgical Facial Nerve Injuries
Identification and preservation of the facial nerve is a prime consideration during many operations performed by otolaryngologists. These cases include otologic surgery, cosmetic surgery, and head and neck surgery. This miniseminar discusses practical techniques using standard anatomic landmarks to identify the facial nerve, even in cases with severely distorted anatomy. The current role of intraoperative facial nerve monitoring is also covered. Management guidelines are discussed for postoperative
iatrogenic facial nerve paralysis. This includes both immediate and delayed postoperative paralysis from surgery in intratemporal or extratemporal locations. Techniques for repair of the facial nerve, grafting, or decompression are discussed, as well as issues regarding timing of such surgery. Important rehabilitative techniques are also discussed, including immediate and long-term care of the paralyzed eye and the role of neuromuscular retraining for postoperative synkinesis and asymmetry.
Middle Ear and Mastoid Surgery: Techniques for Avoidance of Facial Nerve Injury Surgical Strategies for Facial Nerve Preservation During Cosmetic and Head and Neck Surgery Acute Management of Iatrogenic Intratemporal Facial Nerve Injuries Postoperative Paralysis of the Extratemporal Facial Nerve: Management Guidelines Rehabilitation of the Paralyzed Eye: Current Techniques Postoperative Rehabilitation of Synkinesis and Asymmetry With Neuromuscular Retraining Panel Discussion (Questions and Answers)
Peter S. Roland, MD Fred G. Fedok, MD Derald E. Brackmann, MD Barry M. Schaitkin, MD Perry M. Santos, MD H. Jacqueline Diets, OT