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Being a thyroid surgeon rather than a surgeon doing thyroids
P12
Otolaryngology-Head and Neck Surgery, Vol 141, No 3S1, September 2009
mixed hearing losses. This miniseminar will explore new innovations in operative technique, methods for avoiding fixture and soft tissue related post-operative complications, issues particular to the pediatric patient, and the use of bilateral implantation in bilateral conductive or mixed hearing loss. Four separate 15 minute presentations will be given by experienced implant surgeons with ample time between presentations for audience questions. A particular emphasis will be placed on the management of post-operative soft tissue complications. EDUCATIONAL OBJECTIVES: 1) Learn the various techniques for implanting the bone-anchored hearing device and be better able to manage post-operative soft tissue complications. 2) Understand the nuances of device placement in children. 3) Understand the value of bilateral implantation for bilateral conductive or mixed hearing loss.
Balloon catheters in rhinology: Reviewing the evidence Pete Batra, MD (moderator); Raj Sindwani, MD, FRCS; Matthew W Ryan, MD; Bradley Marple, MD PROGRAM DESCRIPTION: Balloon catheter technology was introduced to otolaryngology in 2005 as an adjunct to management of paranasal sinus disease. Since its introduction, it has engendered considerable controversy with proponents for and against adoption of catheter technology. Over time, additional balloon tools have been advocated for office based sinus ostia dilatation. Balloon technology has been promoted to be less invasive, resulting in reduced pain and quicker recovery, with results comparable to traditional endoscopic sinus surgery. This has generated significant press and interest by the lay public looking for new solutions for sinonasal problems. This miniseminar will objectively evaluate the currently available operative suite- and office-based balloon catheter technologies. Rhinologists with considerable experience without commercial conflicts on balloons will assess the frank advantages and limitations of the current balloon tools. Evidence-based review will be incorporated to assess the strengths and weaknesses of the existing peer-review literature. The panelists will discuss the role of the technology in their surgical practices. They will also attempt to elucidate the potential role the technology may play in the general otolaryngology practice. Coding and financial issues surrounding use of balloon technology will also be addressed. EDUCATIONAL OBJECTIVES: 1) To critically appraise the currently available balloon catheter technologies with review of the available peer-review literature. 2) To explore potential incorporation of balloon technology into the existing FESS schema. 3) To assess financial implications and CPT coding issues related to balloons.
Being a thyroid surgeon rather than a surgeon doing thyroids Michael Friedman, MD (moderator); David Terris, MD; Gregory Randolph, MD PROGRAM DESCRIPTION: Upon completion of this miniseminar, the panelists 1) should have a clear understanding of how the participants created a thyroid practice within their otolaryngology practice and 2) should have an understanding of surgical techniques that thyroid surgeons can use to perfect their performance in simple as well as complex thyroidectomies. Course Description: The miniseminar will describe comprehensive thyroid management from diagnosis through post-operative management. It will focus on the following areas. 1) Diagnosis including ultrasound and ultrasound guided FNA, 2) Minimally invasive and video assisted surgery, 3) Classical surgery with cosmetic considerations, 4) Substernal tumors, 5) Level VI node dissection, 6) Nerve integrity monitoring systems, 7) Parathyroid monitoring and autotransplantation, 8) Post operative care (A. Radioactive iodine, B. Thyroid hormone supplementation, C. Screening). EDUCATIONAL OBJECTIVES: 1) Have a clear understanding of how the presenters created a thyroid practice within their otolaryngology practice. 2) Have an understanding of surgical techniques that thyroid surgeons can use to perfect their performance in simple as well as complex thyroidectomies.
Building a thyroid and parathyroid surgery practice Ralph Tufano, MD (moderator); David Terris, MD; Gregory Randolph, MD; David L Steward, MD; David Cooper, MD; Lisa Orloff, MD PROGRAM DESCRIPTION: Surgical management of thyroid and parathyroid disease continues to evolve with the advent of novel imaging, diagnostic and operative techniques. Otolaryngology-head and neck surgery is uniquely poised to be at the forefront of these developments. Earlier detection of thyroid and parathyroid disease has led to the application of minimally invasive surgery techniques and outpatient surgery paradigms which are of great interest to patients and endocrinologists alike. Our intimate understanding of head and neck anatomy positions us well to take care of loco-regionally advanced and recurrent/persistent thyroid cancer. Although important, these clinical skills don’t ensure the development of a successful thyroid and parathyroid surgery practice for the otolaryngologist-head and neck surgeon. This course will elucidate how to build a successful academic and community thyroid and parathyroid surgery practice. A community and academic endocrinologist will discuss what considerations they give to developing a successful multidisciplinary care program and what they expect out of a surgeon. A community and academic surgeon with successful, thriving thyroid and
Otolaryngology-Head and Neck Surgery, Vol 141, No 3S1, September 2009
mixed hearing losses. This miniseminar will explore new innovations in operative technique, methods for avoiding fixture and soft tissue related post-operative complications, issues particular to the pediatric patient, and the use of bilateral implantation in bilateral conductive or mixed hearing loss. Four separate 15 minute presentations will be given by experienced implant surgeons with ample time between presentations for audience questions. A particular emphasis will be placed on the management of post-operative soft tissue complications. EDUCATIONAL OBJECTIVES: 1) Learn the various techniques for implanting the bone-anchored hearing device and be better able to manage post-operative soft tissue complications. 2) Understand the nuances of device placement in children. 3) Understand the value of bilateral implantation for bilateral conductive or mixed hearing loss.
Balloon catheters in rhinology: Reviewing the evidence Pete Batra, MD (moderator); Raj Sindwani, MD, FRCS; Matthew W Ryan, MD; Bradley Marple, MD PROGRAM DESCRIPTION: Balloon catheter technology was introduced to otolaryngology in 2005 as an adjunct to management of paranasal sinus disease. Since its introduction, it has engendered considerable controversy with proponents for and against adoption of catheter technology. Over time, additional balloon tools have been advocated for office based sinus ostia dilatation. Balloon technology has been promoted to be less invasive, resulting in reduced pain and quicker recovery, with results comparable to traditional endoscopic sinus surgery. This has generated significant press and interest by the lay public looking for new solutions for sinonasal problems. This miniseminar will objectively evaluate the currently available operative suite- and office-based balloon catheter technologies. Rhinologists with considerable experience without commercial conflicts on balloons will assess the frank advantages and limitations of the current balloon tools. Evidence-based review will be incorporated to assess the strengths and weaknesses of the existing peer-review literature. The panelists will discuss the role of the technology in their surgical practices. They will also attempt to elucidate the potential role the technology may play in the general otolaryngology practice. Coding and financial issues surrounding use of balloon technology will also be addressed. EDUCATIONAL OBJECTIVES: 1) To critically appraise the currently available balloon catheter technologies with review of the available peer-review literature. 2) To explore potential incorporation of balloon technology into the existing FESS schema. 3) To assess financial implications and CPT coding issues related to balloons.
Being a thyroid surgeon rather than a surgeon doing thyroids Michael Friedman, MD (moderator); David Terris, MD; Gregory Randolph, MD PROGRAM DESCRIPTION: Upon completion of this miniseminar, the panelists 1) should have a clear understanding of how the participants created a thyroid practice within their otolaryngology practice and 2) should have an understanding of surgical techniques that thyroid surgeons can use to perfect their performance in simple as well as complex thyroidectomies. Course Description: The miniseminar will describe comprehensive thyroid management from diagnosis through post-operative management. It will focus on the following areas. 1) Diagnosis including ultrasound and ultrasound guided FNA, 2) Minimally invasive and video assisted surgery, 3) Classical surgery with cosmetic considerations, 4) Substernal tumors, 5) Level VI node dissection, 6) Nerve integrity monitoring systems, 7) Parathyroid monitoring and autotransplantation, 8) Post operative care (A. Radioactive iodine, B. Thyroid hormone supplementation, C. Screening). EDUCATIONAL OBJECTIVES: 1) Have a clear understanding of how the presenters created a thyroid practice within their otolaryngology practice. 2) Have an understanding of surgical techniques that thyroid surgeons can use to perfect their performance in simple as well as complex thyroidectomies.
Building a thyroid and parathyroid surgery practice Ralph Tufano, MD (moderator); David Terris, MD; Gregory Randolph, MD; David L Steward, MD; David Cooper, MD; Lisa Orloff, MD PROGRAM DESCRIPTION: Surgical management of thyroid and parathyroid disease continues to evolve with the advent of novel imaging, diagnostic and operative techniques. Otolaryngology-head and neck surgery is uniquely poised to be at the forefront of these developments. Earlier detection of thyroid and parathyroid disease has led to the application of minimally invasive surgery techniques and outpatient surgery paradigms which are of great interest to patients and endocrinologists alike. Our intimate understanding of head and neck anatomy positions us well to take care of loco-regionally advanced and recurrent/persistent thyroid cancer. Although important, these clinical skills don’t ensure the development of a successful thyroid and parathyroid surgery practice for the otolaryngologist-head and neck surgeon. This course will elucidate how to build a successful academic and community thyroid and parathyroid surgery practice. A community and academic endocrinologist will discuss what considerations they give to developing a successful multidisciplinary care program and what they expect out of a surgeon. A community and academic surgeon with successful, thriving thyroid and