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Computer documentation: Presentation and image data base systems
P170
utolaryngology Head and Neck Surgery May 1995
Instruction Courses-- Wednesday
COURSE 4535- I One-period course ($20)
Room NOCC-98 1:15-2:15
COURSE 4536-1 One-period course ($20)
Room NOCC-99 1:15-2:15
TMJ Arthroscapic Surgery: Rationale, Treatment, and Management
Computer Documentation: Presentation and Image Data Base Systems
EDWARDT. SALL,MD, DDS, and JEFFREYJ. MOSES, DDS Syracuse, N.Y., and Encinitas, Calif.
ARNOLD KOMISAR, MD, DDS, ANDREWBLITZER,MD, DDS, YOSEF KRESPI,MD, and ROBERTKANE, MD New York, N.Y., and Canton, Mass.
Educational objectives: To provide a differential diagnosis of internal derangements of the temporomandibular joint, as well as recognize indications for magnetic resonance imaging studies and evaluate scan results and to understand goals, indications, contraindications, complications, techniques, and results of TMJ arthroscopic surgery.
The purpose of this course is to provide a comprehensive overview of imaging techniques and surgical intervention for internal derangements of the temporomandibular joint. Internal derangement is defined as an abnormal positional and functional relationship between the disk and the mandibular condyle and the articulating surface of the temporal bone, which is often associated with pain, clicking, and limitation of jaw opening. Intrinsic alterations of the disk such as thickening, mucoid degeneration, thinning, and morphologic deformity also develop. Recent research has shown that inflammatory reactions with joint effusion, synovitis, and fibrosis frequently accompany painful internal derangements. Magnetic resonance imaging (MRI) has become the diagnostic test of choice for evaluating disk position in the painful, clicking joint or the patient with restricted opening. MRI has assisted in the diagnosis, treatment planning, and follow-up of patients undergoing different forms of surgical and nonsurgical treatment. Although MR/allows multiplaner imaging in both saggital and coronal planes, it is not accurate in identifying diskal and retrodiscal perforations, nor does it accurately assess the synovial tissues or the intracapsular fibrosis that is felt to be important in the pain and dysfunction of TMJ disorders. Arthroscopy of the human TMJ is a conservative and safe technique that needs minimal access to visualize the internal structure of the joint for diagnosis and treatment of arthropathy. TMJ arthroscopic surgery was introduced in the United States in the mid 1980s, and its efficacy has been established at multiple centers. Studies show an 85% to 90% success rate at 5 years after surgery. The authors will review their experience, results, and complications with more than 600 surgical arthroscopies in the past 9 years. Emphasis will be on the authors' experience with the endaural view and the concept of lateral impingement.
Educational objective: To understand the use of image data base and computer-generated presentations.
This course is meant to familiarize the participant with the new systems for generating slides and clinical images for presentation at local and national meetings. Slideless images and text output from a notebook computer will be reviewed. The participant will also learn the value of electronic digital capture in the operating room and office from a video image. This image can then be converted to slides or instant prints. Old patient 35 mm slides can be scanned into a digital format into desktop computers. Organization, archiving, and annotating of theses images will be discussed. This technology will allow the participant to easily present, publish, or archive clinical material.
COURSE 4537-1 One-period course ($20)
Room NOCC-100 1:15-2:15
Audiologic Pitfalls in Otologic Diagnosis PAUL R. KILENY,PhD, and STEVENA. TELIAN,MD Ann Arbor, Mich.
Educational objectives: To identify inconsistencies in audiologic test results and methodology that may lead to diagnostic errors and to interpret and integrate results of behavioral and electrophysiological tests of auditory function in controversial cases.
The correct management of many otologic problems depends on an accurate audiologic diagnosis. Therefore it is important for otolaryngologists to have the ability to identify inconsistencies in audiologic test results and methodology alerting them to the possibility of errors. Such errors may dramatically influence the ultimate diagnosis or treatment. This instruction course will present the most common audiologic errors leading to mis-diagnosis illustrated by pertinent case studies. A common source of error in audiologic misdiagnosis is inappropriate masking. Techniques to assist in the identification and avoidance of masking errors and masking dilemmas will be presented. P s e u d o h y p o a c o u s i s is another c o m m o n source o f audiologic mis-diagnosis. Common signs indicating possible pseudohypoacousis and the principle of the Stenger test and its interpretation will be reviewed. Audiologic errors are relatively common and have a large impact in pediatric hearing assessment. Examples of false-positive and false-negative results in pediatric behavioral and electrophysiologic hearing assessments will be discussed.
utolaryngology Head and Neck Surgery May 1995
Instruction Courses-- Wednesday
COURSE 4535- I One-period course ($20)
Room NOCC-98 1:15-2:15
COURSE 4536-1 One-period course ($20)
Room NOCC-99 1:15-2:15
TMJ Arthroscapic Surgery: Rationale, Treatment, and Management
Computer Documentation: Presentation and Image Data Base Systems
EDWARDT. SALL,MD, DDS, and JEFFREYJ. MOSES, DDS Syracuse, N.Y., and Encinitas, Calif.
ARNOLD KOMISAR, MD, DDS, ANDREWBLITZER,MD, DDS, YOSEF KRESPI,MD, and ROBERTKANE, MD New York, N.Y., and Canton, Mass.
Educational objectives: To provide a differential diagnosis of internal derangements of the temporomandibular joint, as well as recognize indications for magnetic resonance imaging studies and evaluate scan results and to understand goals, indications, contraindications, complications, techniques, and results of TMJ arthroscopic surgery.
The purpose of this course is to provide a comprehensive overview of imaging techniques and surgical intervention for internal derangements of the temporomandibular joint. Internal derangement is defined as an abnormal positional and functional relationship between the disk and the mandibular condyle and the articulating surface of the temporal bone, which is often associated with pain, clicking, and limitation of jaw opening. Intrinsic alterations of the disk such as thickening, mucoid degeneration, thinning, and morphologic deformity also develop. Recent research has shown that inflammatory reactions with joint effusion, synovitis, and fibrosis frequently accompany painful internal derangements. Magnetic resonance imaging (MRI) has become the diagnostic test of choice for evaluating disk position in the painful, clicking joint or the patient with restricted opening. MRI has assisted in the diagnosis, treatment planning, and follow-up of patients undergoing different forms of surgical and nonsurgical treatment. Although MR/allows multiplaner imaging in both saggital and coronal planes, it is not accurate in identifying diskal and retrodiscal perforations, nor does it accurately assess the synovial tissues or the intracapsular fibrosis that is felt to be important in the pain and dysfunction of TMJ disorders. Arthroscopy of the human TMJ is a conservative and safe technique that needs minimal access to visualize the internal structure of the joint for diagnosis and treatment of arthropathy. TMJ arthroscopic surgery was introduced in the United States in the mid 1980s, and its efficacy has been established at multiple centers. Studies show an 85% to 90% success rate at 5 years after surgery. The authors will review their experience, results, and complications with more than 600 surgical arthroscopies in the past 9 years. Emphasis will be on the authors' experience with the endaural view and the concept of lateral impingement.
Educational objective: To understand the use of image data base and computer-generated presentations.
This course is meant to familiarize the participant with the new systems for generating slides and clinical images for presentation at local and national meetings. Slideless images and text output from a notebook computer will be reviewed. The participant will also learn the value of electronic digital capture in the operating room and office from a video image. This image can then be converted to slides or instant prints. Old patient 35 mm slides can be scanned into a digital format into desktop computers. Organization, archiving, and annotating of theses images will be discussed. This technology will allow the participant to easily present, publish, or archive clinical material.
COURSE 4537-1 One-period course ($20)
Room NOCC-100 1:15-2:15
Audiologic Pitfalls in Otologic Diagnosis PAUL R. KILENY,PhD, and STEVENA. TELIAN,MD Ann Arbor, Mich.
Educational objectives: To identify inconsistencies in audiologic test results and methodology that may lead to diagnostic errors and to interpret and integrate results of behavioral and electrophysiological tests of auditory function in controversial cases.
The correct management of many otologic problems depends on an accurate audiologic diagnosis. Therefore it is important for otolaryngologists to have the ability to identify inconsistencies in audiologic test results and methodology alerting them to the possibility of errors. Such errors may dramatically influence the ultimate diagnosis or treatment. This instruction course will present the most common audiologic errors leading to mis-diagnosis illustrated by pertinent case studies. A common source of error in audiologic misdiagnosis is inappropriate masking. Techniques to assist in the identification and avoidance of masking errors and masking dilemmas will be presented. P s e u d o h y p o a c o u s i s is another c o m m o n source o f audiologic mis-diagnosis. Common signs indicating possible pseudohypoacousis and the principle of the Stenger test and its interpretation will be reviewed. Audiologic errors are relatively common and have a large impact in pediatric hearing assessment. Examples of false-positive and false-negative results in pediatric behavioral and electrophysiologic hearing assessments will be discussed.