Conservation surgery of the larynx

Conservation surgery of the larynx

Otolaryngology Head and Neck Surgery Volume 112 Number 5 Instruction Courses--Sunday 4. The surgical treatment modalities, focusing on the treatmen...

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Otolaryngology Head and Neck Surgery

Volume 112 Number 5

Instruction Courses--Sunday

4. The surgical treatment modalities, focusing on the treatment of unilateral paralysis A rational, systematic, pragmatic approach for evaluation of vocal fold paralysis and treatment selection will be discussed. The relative advantages of various surgical procedures for treatment of unilateral paralysis will be discussed, including vocal cord injection, thyroplasty, arytenoid adduction, and reinnervation techniques. Patient selection and indications for the various techniques will be reviewed.

The instruction course offers my systematic approach to nasal tip surgery and the reasons for an evolution of methods over a 24-year period. The range of nasal tip problems includes the underprojecting tip, the overprojecting tip, the hanging columella, and use of tip grafts in secondary and primary rhinoplasty.

COURSE 1521-I

One-period course ($20) COURSE 1519-1

One-period course ($20)

R o o m NOCC-81 12:30-I :30

Conservation Surgery of the Larynx Norfolk, Va., and Galveston, Texas

Educational objectives: To understand the concepts behind conservation surgery, the methods of preoperative evaluation, and the methods of sophisticated reconstruction of the larynx after conservation surgical procedures.

The basic concepts of conservation surgery of the larynx have been established, but there have been ongoing refinements in thinking related to tumor resection and reconstruction. In this course, the broad range of conservation surgical procedures of the larynx will be presented, including cord stripping for superficial cancers, laser cordectomy, standard and extended hemilaryngectomy, supraglottic laryngectomy, and partial laryngopharyngectomy. The diagnostic needs for specific anatomic sites, such as vocal cord, supraglottis, and pyriform fossa, are outlined, and treatment principles for each site are covered individually. The full range of available reconstructive procedures, including cartilage, bone and muscle laryngoplasty and epiglottic reconstruction, will be presented. Particular emphasis in this course will be on advanced reconstruction and management techniques.

One-period course ($20)

Room NOCC-83 12:30-I :30

Patent It:An Introduction to Intellectual Property ALAIN H. SNIKANI, MD, MICHAEL R. ABIDIN, MD, and LEONARD BLOOM, ESQ.

Tampa, Fla., and Lutherville and Towson, Md.

GARY L. SCHECHTER,MD, and BYRONJ. BAILEY,MD

COURSE 1520- I

P29

Room NOCC-82 12:30-1:30

Technical Decisions in Rhinoplasty NORMAN PASTOREK,MD

New York, N.Y.

Educational objectives: To decide the best approach to nasal tip based on physical examination and to use sutures for permanent dome correction with minimal cartilage excision.

The successful rhinoplasty surgeon knows that technical decisions concerning the nasal tip remain the key to consistently good results. The use of various approaches and techniques is totally dependent initially on examination, including observation and palpation. At surgery, a good result depends on totally reliable surgical techniques.

Educational objectives: To understand the basic process whereby one discloses and protects a patentable idea and to appropriately participate in the patenting and licensure of intellectual property.

Otolaryngology encompasses many different surgical procedures, and this has led to the development of a variety of medical devices and products. Recently there has been a nationwide focus on the role of the university and regional medical centers and how they relate to industry. Individuals and institutions have begun to work more closely with industry and to play a greater role in the patenting and licensing process. The purpose of this course is to introduce the participant to the patenting and licensing process and to help structure an approach to obtaining a useful patent and beneficial licensing agreement. The first step is to protect one's idea. There are many levels of protection; the best is a well-written, issued patent. The discussion will focus on how one proceeds with protecting an idea and obtaining a patent, What not to do is often of utmost importance. Strategy for filing for international patents and requesting a review will be addressed. The role of a patent attorney as well as a licensing and technology office will be discussed. Concurrent with protecting one's idea, initiation of a licensing agreement begins. Basic approaches to simple market research and individual company research are involved. This includes the securing of a confidentiality agreement (see handout). Important to include in this document is a minimum of 3 years' confidentiality to allow for obtaining a patent. All material presented should be marked as confidential. Usually one presents patent drawings and very general data; only during subsequent negotiations should one disclose the contents of the claims. This is followed by a licensing agreement where negotiation covers an up front licensing fee, a royalty payment based on the gross sales, and who shall pay the international patent costs that can be quite expensive, ff further research needs to be done before approval is secured from the Federal Drug Administration and the idea is brought to market, negotiation should cover the costs of the research