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Complications of otologic surgery: Management and prevention
P150
Otolaryngology Head and Neck Surgery May 1995
Instruction Courses-- Tuesday
COURSE 3810-1 One-period course ($20)
Room NOCC-56 4:15-5:15
Complications of Otologic Surgery: Management and Prevention JOHN T. McELVEEN,JR., MD, DAVID M. BARRS,MD, and BRADLEYS. THEDINGER,MD Raleigh, N.C., Colorado Springs, Colo., and Kansas City, Mo.
Educational objectives: To be aware of medical management of chronic otitis media and to be able to perform the surgical options in treating the chronically draining ear.
Despite the best intentions of all otolaryngologists, complications may arise during an otologic surgical procedure. It is essential that the surgeon be able to deal with the particular complication in a manner that will minimize any further risk to the patient. It is also essential that the surgeon develop techniques that will prevent such complications from occurring in the future. The intent of this 1-hour course is to accomplish that. The areas to be covered will be facial nerve injuries, labyrinthine trauma, vascular insults, and dural injuries. Although particular emphasis is directed toward the proper management of these problems, techniques designed to prevent those complications are also reviewed.
COURSE 3811 -I One-period course ($20)
Room NOCC-57 4:15-5:15
Management of Sudden Sensorineural Hearing Loss FREDERICKBYL,MD Oakland, Calif.
Educational objectives: To better understand the etiology and natural history of sudden sensorineural hearing loss and to develop a practical, cost-effective management plan consistent with sound medical judgment.
Sudden sensorineural hearing loss (SSHL) is an anxietyprovoking medical event with severe psychologic overtones: What caused it? Is it part of a more serious, lifethreatening process? Will it happen to the other ear? This often leads to unnecessary, expensive tests and at times to inappropriate and dangerous treatment. This course offers a systematic guide to the evaluation of patients with SSHL, starting with a definition, historic milestones, natural history, discussion of probable etiology, diagnostic options, therapeutic alternatives, and a practical cost-effective management protocol based on evaluation and treatment of over 400 patients in our Sudden Hearing Loss Clinic established in 1975. Course attendees can expect to be fully informed about the emotional as well as medical aspects of SSHL. Guidelines for frequency of follow-up visits, the need for consultation, and treatment will be offered. Pitfalls to be avoided will be emphasized, and a method for predicting prognosis will be presented. Case studies will illustrate the course, and a syllabus that will include printout of all slides and extensive bibliography will be provided.
COURSE 3812- ! One-period course ($20)
Room NOCC-61 4:15-5:15
Pediatric Otology ANTONIO DELACRUZ, MD, and WILLIAM M. LUXFORD, MD Los Angeles, Calif.
Pediatric otologic problems represent a significant part of every otolaryngologist's practice. In this course, subjects to be emphasized are diagnosis and treatment of middle ear effusions, timing of tympanoplasty, surgical correction of congenital atresias, evaluation and management of progressive sensorineural heating loss, and pitfalls in auditory evaluation in children. Included will be a discussion of the recent advances in patient selection, results, and complications of cochlear implants in children.
COURSE 3813-1 One-period course ($20)
Room NOCC-62 4:15-5:15
Aging of the Nose: Tricks for Diagnosis and Treatment DAVID R. EDELSTEIN,MD, and ROBERTF. WARD, MD New York, N.Y.
Educational objectives: To explain the differences in the nose and sinuses on the basis of age and development, to outline methods of evaluation and diagnosis in the very young and the geriatric population, and to formulate a new decision tree for therapy of the young child to the elderly with nasal and sinus disease.
Many special diagnostic and therapeutic challenges face the rhinologist who treats young children and elderly patients today. Infants are often difficult to examine and sensitive to manipulation and need different instruments for adequate examination. Young children present a plethora of respiratory symptoms, often resist complete examination, and need sedation for radiographs. Elderly patients often have rhinorrhea from nonrhinologic causes and may respond to medications and surgery in different ways than young adults. This course presents the many developmental and aging issues facing the rhinologist today. Methods for evaluating and diagnosing the nasal complaint and the sinuses in newhorns and toddlers are explained. The aging changes in the nose in young and older adults are carefully reviewed. The unique problems facing the rhinologist to the elderly population is outlined. The various diagnostic, medical, therapeutic, and surgical options available based on age are analyzed. Specific recommendations and multiple cases are shown. This course is designed for the practical rhinologist. Key differences among children, adolescents, adults, and the elderly with rhinitis and sinusitis are highlighted.
Otolaryngology Head and Neck Surgery May 1995
Instruction Courses-- Tuesday
COURSE 3810-1 One-period course ($20)
Room NOCC-56 4:15-5:15
Complications of Otologic Surgery: Management and Prevention JOHN T. McELVEEN,JR., MD, DAVID M. BARRS,MD, and BRADLEYS. THEDINGER,MD Raleigh, N.C., Colorado Springs, Colo., and Kansas City, Mo.
Educational objectives: To be aware of medical management of chronic otitis media and to be able to perform the surgical options in treating the chronically draining ear.
Despite the best intentions of all otolaryngologists, complications may arise during an otologic surgical procedure. It is essential that the surgeon be able to deal with the particular complication in a manner that will minimize any further risk to the patient. It is also essential that the surgeon develop techniques that will prevent such complications from occurring in the future. The intent of this 1-hour course is to accomplish that. The areas to be covered will be facial nerve injuries, labyrinthine trauma, vascular insults, and dural injuries. Although particular emphasis is directed toward the proper management of these problems, techniques designed to prevent those complications are also reviewed.
COURSE 3811 -I One-period course ($20)
Room NOCC-57 4:15-5:15
Management of Sudden Sensorineural Hearing Loss FREDERICKBYL,MD Oakland, Calif.
Educational objectives: To better understand the etiology and natural history of sudden sensorineural hearing loss and to develop a practical, cost-effective management plan consistent with sound medical judgment.
Sudden sensorineural hearing loss (SSHL) is an anxietyprovoking medical event with severe psychologic overtones: What caused it? Is it part of a more serious, lifethreatening process? Will it happen to the other ear? This often leads to unnecessary, expensive tests and at times to inappropriate and dangerous treatment. This course offers a systematic guide to the evaluation of patients with SSHL, starting with a definition, historic milestones, natural history, discussion of probable etiology, diagnostic options, therapeutic alternatives, and a practical cost-effective management protocol based on evaluation and treatment of over 400 patients in our Sudden Hearing Loss Clinic established in 1975. Course attendees can expect to be fully informed about the emotional as well as medical aspects of SSHL. Guidelines for frequency of follow-up visits, the need for consultation, and treatment will be offered. Pitfalls to be avoided will be emphasized, and a method for predicting prognosis will be presented. Case studies will illustrate the course, and a syllabus that will include printout of all slides and extensive bibliography will be provided.
COURSE 3812- ! One-period course ($20)
Room NOCC-61 4:15-5:15
Pediatric Otology ANTONIO DELACRUZ, MD, and WILLIAM M. LUXFORD, MD Los Angeles, Calif.
Pediatric otologic problems represent a significant part of every otolaryngologist's practice. In this course, subjects to be emphasized are diagnosis and treatment of middle ear effusions, timing of tympanoplasty, surgical correction of congenital atresias, evaluation and management of progressive sensorineural heating loss, and pitfalls in auditory evaluation in children. Included will be a discussion of the recent advances in patient selection, results, and complications of cochlear implants in children.
COURSE 3813-1 One-period course ($20)
Room NOCC-62 4:15-5:15
Aging of the Nose: Tricks for Diagnosis and Treatment DAVID R. EDELSTEIN,MD, and ROBERTF. WARD, MD New York, N.Y.
Educational objectives: To explain the differences in the nose and sinuses on the basis of age and development, to outline methods of evaluation and diagnosis in the very young and the geriatric population, and to formulate a new decision tree for therapy of the young child to the elderly with nasal and sinus disease.
Many special diagnostic and therapeutic challenges face the rhinologist who treats young children and elderly patients today. Infants are often difficult to examine and sensitive to manipulation and need different instruments for adequate examination. Young children present a plethora of respiratory symptoms, often resist complete examination, and need sedation for radiographs. Elderly patients often have rhinorrhea from nonrhinologic causes and may respond to medications and surgery in different ways than young adults. This course presents the many developmental and aging issues facing the rhinologist today. Methods for evaluating and diagnosing the nasal complaint and the sinuses in newhorns and toddlers are explained. The aging changes in the nose in young and older adults are carefully reviewed. The unique problems facing the rhinologist to the elderly population is outlined. The various diagnostic, medical, therapeutic, and surgical options available based on age are analyzed. Specific recommendations and multiple cases are shown. This course is designed for the practical rhinologist. Key differences among children, adolescents, adults, and the elderly with rhinitis and sinusitis are highlighted.