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Concepts in laryngotracheal reconstruction
Otolaryngology Head and Neck Surgery Volume 112 Number 5
InstructionCourses--Sunday
on the application of the combination of various methods available to recreate what nature has not.
COURSE 1531-2 Two-period course ($40)
Room NOCC-94 12:30-2:45
The Glycolic Acid Peel for Facial Skin Enhancement F. CANDY LANGAN, RN, and S|GMUND L. SATTENSPIEL,MD Freehold, N.J.
Educational objectives: To use practical and technical aspects of glycolic acid peeling and maintenance and to use the glycolic acid program to build and enhance the facial plastic and otolaryngologic practice.
submitted. A thorough review of present concepts and techniques that stress the superiority of locally available vascularized composite flaps combined with definitive approaches to the management of the tracheostoma and application of newly designed physiologic stents is presented. Exact preoperative and intraoperative definition of the extent and severity of the stenosing pathologic condition determines the choice of the optimal surgical approach. LTR remains one of the most complex and demanding challenges confronting the otolaryngologist. Knowledge of, and experience in, the multiple optional techniques serves in achieving the best therapeutic results.
COURSE 1533-1
The glycolic acid peel has demonstrable histologic and clinical benefits to facial skin consistency. Glycolic acid preparations are not cosmetics. They are preparations that are chemically formulated to provide effective therapeutic value to the skin. This presentation discusses the needs of the patient and the most appropriate uses of glycolic acid, focusing on the glycolic acid peel procedure and the glycolic acid maintenance program. A how-to-do-it live demonstration and video presentation guide the physician through the stepby-step process of the peeling procedure. Patient management, including preparation and aftercare, are discussed. Glycolic skin care maintenance is elaborated. The glycolic program offers an indispensable addition to the armamentarium of the facial plastic surgeon. The practice-enhancing advantages of this program to the surgical practice are stressed.
COURSE 1532-2
Two-period course ($40)
Room NOCC-95 12:30-2:45
Concepts in Laryngotracheal Reconstruction ISAAC ELIACHAR, MD, and HARVEY M. TUCKER,MD Cleveland a n d Beachwood, Ohio
Educational objectives: To review surgical techniques applied for laryngotracheal reconstruction, focusing on application of myocutaneous flaps and incorporating management of the tracheostomy in LTR, and judicious use and application of newly designed laryngeal and tracheostomal stents.
Surgical techniques for laryngotracheal reconstruction (LTR) must be chosen for each patient in light of his or her unique injury. No single approach can be applied successfully in every case. Recent research and technical advances suggest that some of the concepts long held in LTR must be reexamined. This course reviews the literature in an attempt to provide an overall assessment of the updated approaches to LTR. An attempt to classify laryngotracheal stenosis is
P33
One-period course ($20)
Room NOCC-96 12:30-I :30
Structural Grafting of the Crooked Nose Deformity DEAN M. TORIUMI, M D Chicago, III,
Educational objectives: To analyze crooked nose deformities and determine effective technique for correction and to gain access to the nasal septum by the open rhinoplasty approach and use spreader grafts, sandwich grafts, and septal reconstruction to correct the crooked nose deformity.
Deviation of the lower two thirds of the nose frequently involves deformity of the cartilaginous nasal septum. Damage to this segment of nasal septum can result in loss of tip support, collapse of the middle third of the nose, and compromise of nasal function. Structural cartilage grafting of the nasal septum and camouflage grafting are effective means of correcting the crooked nose deformity. In cases with a midline nasal tip and C-shaped deformity of the middle third of the nose, unilateral spreader grafts can be used to efface the deformity. If necessary, additional onlay grafts can be used to completely efface the deformity. Deviations of the dorsal component of the nasal septum can be corrected by supporting sandwich grafts that splint the septum in the midline. In cases where the caudal septum or anterior septal angle are severely deviated, straight cartilage grafts harvested from the posteroinferior septum can be used to reconstruct the deformed septal components. Deformed segments of the nasal septum are excised and reconstructed with structurally sound cartilage grafting techniques. All of these surgical maneuvers are executed by way of the open or external rhinoplasty approach. The objective of this instructional course is to review (1) preoperative analysis and surgical planning, (2) exposure of the septum with the open rhinoplasty approach, (3) use of unilateral spreader grafts, (4) use of onlay camouflage grafts, (5) septal sandwich grafts, and (6) subtotal septal replacement surgery. The nuances of these surgical techniques will be covered and representative cases presented.
InstructionCourses--Sunday
on the application of the combination of various methods available to recreate what nature has not.
COURSE 1531-2 Two-period course ($40)
Room NOCC-94 12:30-2:45
The Glycolic Acid Peel for Facial Skin Enhancement F. CANDY LANGAN, RN, and S|GMUND L. SATTENSPIEL,MD Freehold, N.J.
Educational objectives: To use practical and technical aspects of glycolic acid peeling and maintenance and to use the glycolic acid program to build and enhance the facial plastic and otolaryngologic practice.
submitted. A thorough review of present concepts and techniques that stress the superiority of locally available vascularized composite flaps combined with definitive approaches to the management of the tracheostoma and application of newly designed physiologic stents is presented. Exact preoperative and intraoperative definition of the extent and severity of the stenosing pathologic condition determines the choice of the optimal surgical approach. LTR remains one of the most complex and demanding challenges confronting the otolaryngologist. Knowledge of, and experience in, the multiple optional techniques serves in achieving the best therapeutic results.
COURSE 1533-1
The glycolic acid peel has demonstrable histologic and clinical benefits to facial skin consistency. Glycolic acid preparations are not cosmetics. They are preparations that are chemically formulated to provide effective therapeutic value to the skin. This presentation discusses the needs of the patient and the most appropriate uses of glycolic acid, focusing on the glycolic acid peel procedure and the glycolic acid maintenance program. A how-to-do-it live demonstration and video presentation guide the physician through the stepby-step process of the peeling procedure. Patient management, including preparation and aftercare, are discussed. Glycolic skin care maintenance is elaborated. The glycolic program offers an indispensable addition to the armamentarium of the facial plastic surgeon. The practice-enhancing advantages of this program to the surgical practice are stressed.
COURSE 1532-2
Two-period course ($40)
Room NOCC-95 12:30-2:45
Concepts in Laryngotracheal Reconstruction ISAAC ELIACHAR, MD, and HARVEY M. TUCKER,MD Cleveland a n d Beachwood, Ohio
Educational objectives: To review surgical techniques applied for laryngotracheal reconstruction, focusing on application of myocutaneous flaps and incorporating management of the tracheostomy in LTR, and judicious use and application of newly designed laryngeal and tracheostomal stents.
Surgical techniques for laryngotracheal reconstruction (LTR) must be chosen for each patient in light of his or her unique injury. No single approach can be applied successfully in every case. Recent research and technical advances suggest that some of the concepts long held in LTR must be reexamined. This course reviews the literature in an attempt to provide an overall assessment of the updated approaches to LTR. An attempt to classify laryngotracheal stenosis is
P33
One-period course ($20)
Room NOCC-96 12:30-I :30
Structural Grafting of the Crooked Nose Deformity DEAN M. TORIUMI, M D Chicago, III,
Educational objectives: To analyze crooked nose deformities and determine effective technique for correction and to gain access to the nasal septum by the open rhinoplasty approach and use spreader grafts, sandwich grafts, and septal reconstruction to correct the crooked nose deformity.
Deviation of the lower two thirds of the nose frequently involves deformity of the cartilaginous nasal septum. Damage to this segment of nasal septum can result in loss of tip support, collapse of the middle third of the nose, and compromise of nasal function. Structural cartilage grafting of the nasal septum and camouflage grafting are effective means of correcting the crooked nose deformity. In cases with a midline nasal tip and C-shaped deformity of the middle third of the nose, unilateral spreader grafts can be used to efface the deformity. If necessary, additional onlay grafts can be used to completely efface the deformity. Deviations of the dorsal component of the nasal septum can be corrected by supporting sandwich grafts that splint the septum in the midline. In cases where the caudal septum or anterior septal angle are severely deviated, straight cartilage grafts harvested from the posteroinferior septum can be used to reconstruct the deformed septal components. Deformed segments of the nasal septum are excised and reconstructed with structurally sound cartilage grafting techniques. All of these surgical maneuvers are executed by way of the open or external rhinoplasty approach. The objective of this instructional course is to review (1) preoperative analysis and surgical planning, (2) exposure of the septum with the open rhinoplasty approach, (3) use of unilateral spreader grafts, (4) use of onlay camouflage grafts, (5) septal sandwich grafts, and (6) subtotal septal replacement surgery. The nuances of these surgical techniques will be covered and representative cases presented.