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Complications of aesthetic facial surgery
Otolaryngology Head and Neck Surgery Volume 112 Number 5
COURSE 2719-1 One-period course ($20)
Instruction Courses-- Monday
Room NOCC-81 3:00-4:00
Surgical Management of Choanal Atresia MARK A. RICHARDSON,MD Seattle, Wash.
Educational objectives: To diagnose, evaluate, and provide appropriate surgical correction for patients with choanal atresia.
Surgical management of choanal atresia remains controversial because of the multiple types of repairs available for correction of this congenital abnormality. A review of the etiology, diagnosis, and current methods of surgical management is undertaken in this course, which provides a detailed surgical description of transnasal, endoscopic, transseptal, transpalatal, and transantral approaches. Use of the laser for correction of membranous atresias is also discussed. My experience with 46 cases of bilateral bony membranous atresia, including revision cases, is used to emphasize appropriate surgical technique leading to successful results. Application of the appropriate surgical procedure for the type of stenosis or atresia as it relates to the age of the patient will be highlighted.
COURSE 2720- I One-period course ($20)
Room NOCC-82 3:00-4:00
Complications of Aesthetic Facial Surgery ROBERTF. AARSTAD,MD, and DENIS K. HOASJOE, MD, FRCSC Shreveport, La.
Educational objectives: To recognize and understand the causes of many common aesthetic facial surgery complications and, through this understanding, to be better able to prevent and treat these complications.
The vast majority of complications in aesthetic facial surgery are related to the attainment of less than optimal results. Discussion will be limited to rhinoplasty, blepharoplasty, and facelift. Being the most common procedures, they are subject to the highest frequency of complications. The thrust of this course will be the prevention and treatment of the subtle defects that can easily arise in the area of surgery. A foundation will be built for understanding how these complications arise through an intimate knowledge of the anatomy and physiology of these occurrences. The broad range of complications can be placed in a limited number of categories to facilitate prevention and treatment. This simplifies and makes more understandable the etiology of these problems and allows them to be more readily corrected or prevented. Although the theoretical basis for these complications will be stressed, practical examples from more than 40 years of clinical experience will be shown. Knowledge attained from this course will allow the beginning and moderately
P97
experienced practitioner to avoid the pitfalls that can lead to these complications, thus gaining from the experienced without the trauma of the experience.
COURSE2721 - 1 One-period course ($20)
Room NOCC-83 3:00-4:00
Surgical Rejuvenation of the Aging Forehead and Brow TOM D. WANG, MD Portland, Ore.
Educational objectives: To evaluate patient for surgery of the upper aging face and to select the appropriate surgical approach to perform surgery of the upper aging face.
The aging face syndrome involves the forehead and eyebrow in a specific pattern including the development of forehead rhytids, brow ptosis and redundancy of upper eyelid skin. This constellation can lead to functional impairment including restriction of the visual fields. A variety of procedures have been described in the literature to address brow elevation. This course will discuss each of these specific procedures and place it in the context relative to the appropriate indications for the individual patient. The functional surgical anatomy as well as the relative advantages and disadvantages of each procedure will be addressed. The surgical techniques will be thoroughly reviewed and preoperative and postoperative patient photographs of each technique discussed will be candidly evaluated. The course will allow participants to appropriately evaluate and diagnose patients with problems related to the aging upper face. In addition based on this evaluation the participants will be able to select an appropriate approach for correction of the conditions encountered.
COURSE 2722- I One-period course ($20)
Room NOCC-84 3:00-4:00
Surgery for Hyperparathyroidism JASON P. COHEN, MD, and HYUN T. CHO, MD Poughkeepsie and New York, N.Y.
Educational objectives: To diagnose hyperparathyroidism and to understand how to perform a successful parathyroid exploration.
Success in parathyroid surgery is based upon a thorough understanding of normal parathyroid function and anatomy. Accordingly, the course will begin with a review of the relevant physiology, embryology, and anatomy. The pathophysiology of hyperparathyroidism will be discussed, with the major emphasis placed on primary hyperparathyroidism. Clinical diagnosis and preoperative evaluation will be covered in detail, followed by an in-depth discussion of how to perform an orderly, systematic parathyroid exploration. The reasons for surgical failure will be reviewed, along with discussion of how to manage the patient who has failed an
COURSE 2719-1 One-period course ($20)
Instruction Courses-- Monday
Room NOCC-81 3:00-4:00
Surgical Management of Choanal Atresia MARK A. RICHARDSON,MD Seattle, Wash.
Educational objectives: To diagnose, evaluate, and provide appropriate surgical correction for patients with choanal atresia.
Surgical management of choanal atresia remains controversial because of the multiple types of repairs available for correction of this congenital abnormality. A review of the etiology, diagnosis, and current methods of surgical management is undertaken in this course, which provides a detailed surgical description of transnasal, endoscopic, transseptal, transpalatal, and transantral approaches. Use of the laser for correction of membranous atresias is also discussed. My experience with 46 cases of bilateral bony membranous atresia, including revision cases, is used to emphasize appropriate surgical technique leading to successful results. Application of the appropriate surgical procedure for the type of stenosis or atresia as it relates to the age of the patient will be highlighted.
COURSE 2720- I One-period course ($20)
Room NOCC-82 3:00-4:00
Complications of Aesthetic Facial Surgery ROBERTF. AARSTAD,MD, and DENIS K. HOASJOE, MD, FRCSC Shreveport, La.
Educational objectives: To recognize and understand the causes of many common aesthetic facial surgery complications and, through this understanding, to be better able to prevent and treat these complications.
The vast majority of complications in aesthetic facial surgery are related to the attainment of less than optimal results. Discussion will be limited to rhinoplasty, blepharoplasty, and facelift. Being the most common procedures, they are subject to the highest frequency of complications. The thrust of this course will be the prevention and treatment of the subtle defects that can easily arise in the area of surgery. A foundation will be built for understanding how these complications arise through an intimate knowledge of the anatomy and physiology of these occurrences. The broad range of complications can be placed in a limited number of categories to facilitate prevention and treatment. This simplifies and makes more understandable the etiology of these problems and allows them to be more readily corrected or prevented. Although the theoretical basis for these complications will be stressed, practical examples from more than 40 years of clinical experience will be shown. Knowledge attained from this course will allow the beginning and moderately
P97
experienced practitioner to avoid the pitfalls that can lead to these complications, thus gaining from the experienced without the trauma of the experience.
COURSE2721 - 1 One-period course ($20)
Room NOCC-83 3:00-4:00
Surgical Rejuvenation of the Aging Forehead and Brow TOM D. WANG, MD Portland, Ore.
Educational objectives: To evaluate patient for surgery of the upper aging face and to select the appropriate surgical approach to perform surgery of the upper aging face.
The aging face syndrome involves the forehead and eyebrow in a specific pattern including the development of forehead rhytids, brow ptosis and redundancy of upper eyelid skin. This constellation can lead to functional impairment including restriction of the visual fields. A variety of procedures have been described in the literature to address brow elevation. This course will discuss each of these specific procedures and place it in the context relative to the appropriate indications for the individual patient. The functional surgical anatomy as well as the relative advantages and disadvantages of each procedure will be addressed. The surgical techniques will be thoroughly reviewed and preoperative and postoperative patient photographs of each technique discussed will be candidly evaluated. The course will allow participants to appropriately evaluate and diagnose patients with problems related to the aging upper face. In addition based on this evaluation the participants will be able to select an appropriate approach for correction of the conditions encountered.
COURSE 2722- I One-period course ($20)
Room NOCC-84 3:00-4:00
Surgery for Hyperparathyroidism JASON P. COHEN, MD, and HYUN T. CHO, MD Poughkeepsie and New York, N.Y.
Educational objectives: To diagnose hyperparathyroidism and to understand how to perform a successful parathyroid exploration.
Success in parathyroid surgery is based upon a thorough understanding of normal parathyroid function and anatomy. Accordingly, the course will begin with a review of the relevant physiology, embryology, and anatomy. The pathophysiology of hyperparathyroidism will be discussed, with the major emphasis placed on primary hyperparathyroidism. Clinical diagnosis and preoperative evaluation will be covered in detail, followed by an in-depth discussion of how to perform an orderly, systematic parathyroid exploration. The reasons for surgical failure will be reviewed, along with discussion of how to manage the patient who has failed an