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Combined endoscopic medial and external lateral orbital decompression
Wednesday, September 22, 2004
6:30 AM to 7:45 AM Room JJCC Special Events Hall 1DMR •
Miniseminar: Current Controversies in Otitis Media Joseph E Kerschner, MD; James Christopher Post, MD PhD (moderator); Richard M Rosenfeld, MD MPH
Milwaukee WI; Pittsburgh PA; Brooklyn NY Otolaryngologists are viewed as the experts in diagnosing and treating otitis media (OM) both medically and surgically. As experts, otolaryngologists are also often asked to comment on controversial clinical topics related to OM. The miniseminar’s format will be that of an interactive panel of experts
8:00 AM to 9:30 AM Room JJCC 1A21 •
Scientific Sessions: General Moderators: Serge A. Martinez, Hotlel, MD
MD,
Michael R.
8:00 AM Combined Endoscopic Medial and External Lateral Orbital Decompression Robert D Silver, MD (presenter); George S Goding, Jr, Andrew R Harrison, MD Edina MN; Minneapolis MN; Minneapolis MN
MD;
Objectives: To compare the efficacy of endoscopic medial and external lateral orbital wall surgery to 3-wall decompression in patients with progressive thyroid eye disease. Methods: Patients underwent either endoscopic medial and external lateral orbital wall decompression or 3-wall decompression (including the orbital floor). This was performed in 32 orbits of 17 patients and 15 orbits of 8 patients, respectively. Patients diagnosed with thyroid eye disease demonstrating severe proptosis, exposure keratitis, or compressive optic neuropathy were included. Results: Mean reduction in proptosis as evaluated by Hertel exophthalmometry was 4.37 mm OU (range, 0.58 mm) in the 2-wall approach and 4.59 (range, 1– 8 mm) in the
P212 Otolaryngology–Head and Neck Surgery
who have contributed to the medical literature concerning current controversial topics as they relate to the selective use of antibiotics for acute otitis media, and the impact of OM on speech, language, and childhood development. A pointcounter point debate will center on the topic of withholding antibiotics to allow for spontaneous resolution of acute OM and will focus on the aspects of complications, speed of recovery, accuracy of diagnosis, costs, antimicrobial resistance, and medical/legal issues. A second point-counter point debate will center on the topic of the impact that chronic OM with effusion has on childhood development, specifically related to speech and language outcomes. The moderator will provide additional points of interest regarding each of these topics and audience participation will be encouraged through an interactive format. We plan a pre- and postpresentation audience survey to assess the program’s educational impact.
3-wall group. Seventy-five percent of patients in the 2-wall group demonstrated improved visual acquity, while 50% improved after surgical decompression in the 3-wall group. Palpebral fissures decreased by an average of 2.50 mm (range, 07 mm) in the 2-wall group and by 2.03 mm (range, 0 –3mm) in the 3-wall group. New onset diplopia was seen in 2 of 17 patients (11.8 %) in the 2-wall group and 1 of 8 (12.5%) patients following 3-wall orbital decompression. The mean time from diagnosis to intervention was 5.9 years in the 2-wall group and 19 years in the 3-wall group. Conclusions: This study supports the use of combined endoscopic medial with external lateral orbital wall decompression for patients with thyroid eye disease. Results compared favorably to those of 3-wall decompression. Additionally, the time interval from diagnosis to surgical intervention does not appear to predict the degree of improvement in patients with thyroid eye disease. 8:08 AM The Relationship between Oral Malodor and Volatile Sulfur Compounds Producing Bacteria Yosef P Krespi, MD (presenter); Mel Rosenberg, PhD New York NY; Tel Aviv Israel
Objectives: Halitosis can be a crippling social problem where the standard dental treatments and mouthwashes often
August 2004
WEDNESDAY
Foundation Annual Meeting Symposium (FAMS)
6:30 AM to 7:45 AM Room JJCC Special Events Hall 1DMR •
Miniseminar: Current Controversies in Otitis Media Joseph E Kerschner, MD; James Christopher Post, MD PhD (moderator); Richard M Rosenfeld, MD MPH
Milwaukee WI; Pittsburgh PA; Brooklyn NY Otolaryngologists are viewed as the experts in diagnosing and treating otitis media (OM) both medically and surgically. As experts, otolaryngologists are also often asked to comment on controversial clinical topics related to OM. The miniseminar’s format will be that of an interactive panel of experts
8:00 AM to 9:30 AM Room JJCC 1A21 •
Scientific Sessions: General Moderators: Serge A. Martinez, Hotlel, MD
MD,
Michael R.
8:00 AM Combined Endoscopic Medial and External Lateral Orbital Decompression Robert D Silver, MD (presenter); George S Goding, Jr, Andrew R Harrison, MD Edina MN; Minneapolis MN; Minneapolis MN
MD;
Objectives: To compare the efficacy of endoscopic medial and external lateral orbital wall surgery to 3-wall decompression in patients with progressive thyroid eye disease. Methods: Patients underwent either endoscopic medial and external lateral orbital wall decompression or 3-wall decompression (including the orbital floor). This was performed in 32 orbits of 17 patients and 15 orbits of 8 patients, respectively. Patients diagnosed with thyroid eye disease demonstrating severe proptosis, exposure keratitis, or compressive optic neuropathy were included. Results: Mean reduction in proptosis as evaluated by Hertel exophthalmometry was 4.37 mm OU (range, 0.58 mm) in the 2-wall approach and 4.59 (range, 1– 8 mm) in the
P212 Otolaryngology–Head and Neck Surgery
who have contributed to the medical literature concerning current controversial topics as they relate to the selective use of antibiotics for acute otitis media, and the impact of OM on speech, language, and childhood development. A pointcounter point debate will center on the topic of withholding antibiotics to allow for spontaneous resolution of acute OM and will focus on the aspects of complications, speed of recovery, accuracy of diagnosis, costs, antimicrobial resistance, and medical/legal issues. A second point-counter point debate will center on the topic of the impact that chronic OM with effusion has on childhood development, specifically related to speech and language outcomes. The moderator will provide additional points of interest regarding each of these topics and audience participation will be encouraged through an interactive format. We plan a pre- and postpresentation audience survey to assess the program’s educational impact.
3-wall group. Seventy-five percent of patients in the 2-wall group demonstrated improved visual acquity, while 50% improved after surgical decompression in the 3-wall group. Palpebral fissures decreased by an average of 2.50 mm (range, 07 mm) in the 2-wall group and by 2.03 mm (range, 0 –3mm) in the 3-wall group. New onset diplopia was seen in 2 of 17 patients (11.8 %) in the 2-wall group and 1 of 8 (12.5%) patients following 3-wall orbital decompression. The mean time from diagnosis to intervention was 5.9 years in the 2-wall group and 19 years in the 3-wall group. Conclusions: This study supports the use of combined endoscopic medial with external lateral orbital wall decompression for patients with thyroid eye disease. Results compared favorably to those of 3-wall decompression. Additionally, the time interval from diagnosis to surgical intervention does not appear to predict the degree of improvement in patients with thyroid eye disease. 8:08 AM The Relationship between Oral Malodor and Volatile Sulfur Compounds Producing Bacteria Yosef P Krespi, MD (presenter); Mel Rosenberg, PhD New York NY; Tel Aviv Israel
Objectives: Halitosis can be a crippling social problem where the standard dental treatments and mouthwashes often
August 2004
WEDNESDAY
Foundation Annual Meeting Symposium (FAMS)