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Current Management of Difficult Cranial Neuropathies
gists received ABMS approved sub-certification in sleep medicine granted by the American Board of Otolaryngology. A second group of otolaryngologists sat for this examination in November 2009. This examination is given under the auspices of the conjoint Board of Sleep Medicine which includes the American Boards of Internal Medicine, Pediatrics, Neurology and Psychiatry, Otolaryngology and Family Practice. 2011 is the last year a practice pathway will be available that allows otolaryngologists with significant sleep medicine practice experience to certify in sleep medicine. Although many otolaryngologists have experience in the treatment of sleep disordered breathing, this certification encompasses all aspects of sleep medicine. Most otolaryngologists will need additional training to successfully attain this certification. After 2011, an ACGME approved fellowship will be required to qualify for the examination. It is imperative that many otolaryngologists obtain this certification in order to maintain and expand our voice in the national discussion of sleep issues. Our patients deserve to have access to the options that otolaryngology offers in the treatment of sleep disorders. Certification in sleep medicine is necessary to serve as a Program Director of a Sleep Medicine Fellowship, the medical director of an AASM accredited sleep center and to be the medical director of an IDTF sleep center. CMS mandates this certification to interpret sleep studies and many other third party payers have implemented this requirement. Dr Miller, executive director of the American Board of Otolaryngology will discuss the requirements to qualify for the certification examination. Drs Wardrop and OConnor will discuss resources available for additional Sleep Medicine training, including fellowship opportunities, in both academic and private practice settings. Audience questions will be taken throughout the seminar. EDUCATIONAL OBJECTIVES: 1) Present educational resources available to expand otolaryngologists’ knowledge in sleep medicine. 2) Encourage otolaryngologists to pursue this certification in sleep medicine. 3) Understand the scope of knowledge covered by this certification.
Current Management of Difficult Cranial Neuropathies Sam Marzo, MD (moderator); John Roland, MD; John Leonetti, MD; J Thomas Roland, MD; Paul Gidley, MD PROGRAM DESCRIPTION: This miniseminar will address the current treatment and management of various cranial neuropathies commonly seen by otolaryngologists. Specifically, the seminar will address the current diagnosis and management of first bite syndrome, glossopharyngeal neuralgia, pulsatile tinnitus, and hemifacial spasm. The seminar will have a moderator and several speakers perform a brief summary of the disorder followed by cost effective management and the current best treatment based on a careful review of the literature.
P23 A question and answer session will be at the end of the seminar. EDUCATIONAL OBJECTIVES: 1) Learn the current diagnosis and management of first bite syndrome. 2) Learn the current diagnosis and management of glossopharyngeal neuralgia. 3) Learn the current diagnosis and management of hemifacial spasm.
Efficient Hoarseness Evaluation: Live Patient Demonstration Clark Rosen, MD (moderator); Jackie GartnerSchmidt, PhD; Thomas Carroll, MD; Blake Simpson, MD; Milan Amin, MD PROGRAM DESCRIPTION: This miniseminar will focus on the how, why and what of a multi-disciplinary voice evaluation in the context of a live, dysphonic patient evaluation. The essential principles of performing a pertinent and efficient evaluation of a patient with hoarseness will be outlined and followed by a live dysphonia patient evaluation including history, medical voice evaluation performed by a speech-language pathologist, laryngeal endoscopy, synthesis of results, and treatment plan formulation. The faculty will highlight the utility and impact of a variety of evaluation techniques for a thorough and efficient evaluation of patients with dysphonia. This miniseminar addresses the practice gap of hoarseness and has a goal of providing a framework which will enable participants to execute a pertinent, efficient evaluation of hoarseness. In addition, complementary essential information will be provided regarding the utility of a speech-language pathologist, as well as specialized laryngeal endoscopy methods such as dynamic voice evaluation with flexible laryngoscopy and stroboscopy. An overview of the approach to evaluating patients with hoarseness will be presented. A voice team consisting of an otolaryngologist and speech-language pathologist will perform a live voice evaluation on a patient with dysphonia. This evaluation will be moderated by the other panelists to highlight key questioning techniques, subject matter and evaluation techniques that will provide the otolaryngologist with a prompt, efficient and accurate methodology for the evaluation of a dysphonic individual. A medical voice evaluation done by a speech-language pathologist will not only demonstrate various measurements of voice function and quality, including acoustic and aerodynamic analyses, but will also demonstrate vocal stimulability or vocal plasticity as part of the live evaluation of a patient. The laryngeal endoscopy portion of the evaluation will include administration of a dynamic voice assessment using flexible laryngoscopy, as well as stroboscopy performance and assessment. EDUCATIONAL OBJECTIVES: 1) Understand the utility of targeted patient interview and questioning for evaluation of hoarseness. 2) Understand the role of a speech-language pathologist to assist in the evaluation of hoarseness. 3) Learn the
MINISEM.
Miniseminars
Current Management of Difficult Cranial Neuropathies Sam Marzo, MD (moderator); John Roland, MD; John Leonetti, MD; J Thomas Roland, MD; Paul Gidley, MD PROGRAM DESCRIPTION: This miniseminar will address the current treatment and management of various cranial neuropathies commonly seen by otolaryngologists. Specifically, the seminar will address the current diagnosis and management of first bite syndrome, glossopharyngeal neuralgia, pulsatile tinnitus, and hemifacial spasm. The seminar will have a moderator and several speakers perform a brief summary of the disorder followed by cost effective management and the current best treatment based on a careful review of the literature.
P23 A question and answer session will be at the end of the seminar. EDUCATIONAL OBJECTIVES: 1) Learn the current diagnosis and management of first bite syndrome. 2) Learn the current diagnosis and management of glossopharyngeal neuralgia. 3) Learn the current diagnosis and management of hemifacial spasm.
Efficient Hoarseness Evaluation: Live Patient Demonstration Clark Rosen, MD (moderator); Jackie GartnerSchmidt, PhD; Thomas Carroll, MD; Blake Simpson, MD; Milan Amin, MD PROGRAM DESCRIPTION: This miniseminar will focus on the how, why and what of a multi-disciplinary voice evaluation in the context of a live, dysphonic patient evaluation. The essential principles of performing a pertinent and efficient evaluation of a patient with hoarseness will be outlined and followed by a live dysphonia patient evaluation including history, medical voice evaluation performed by a speech-language pathologist, laryngeal endoscopy, synthesis of results, and treatment plan formulation. The faculty will highlight the utility and impact of a variety of evaluation techniques for a thorough and efficient evaluation of patients with dysphonia. This miniseminar addresses the practice gap of hoarseness and has a goal of providing a framework which will enable participants to execute a pertinent, efficient evaluation of hoarseness. In addition, complementary essential information will be provided regarding the utility of a speech-language pathologist, as well as specialized laryngeal endoscopy methods such as dynamic voice evaluation with flexible laryngoscopy and stroboscopy. An overview of the approach to evaluating patients with hoarseness will be presented. A voice team consisting of an otolaryngologist and speech-language pathologist will perform a live voice evaluation on a patient with dysphonia. This evaluation will be moderated by the other panelists to highlight key questioning techniques, subject matter and evaluation techniques that will provide the otolaryngologist with a prompt, efficient and accurate methodology for the evaluation of a dysphonic individual. A medical voice evaluation done by a speech-language pathologist will not only demonstrate various measurements of voice function and quality, including acoustic and aerodynamic analyses, but will also demonstrate vocal stimulability or vocal plasticity as part of the live evaluation of a patient. The laryngeal endoscopy portion of the evaluation will include administration of a dynamic voice assessment using flexible laryngoscopy, as well as stroboscopy performance and assessment. EDUCATIONAL OBJECTIVES: 1) Understand the utility of targeted patient interview and questioning for evaluation of hoarseness. 2) Understand the role of a speech-language pathologist to assist in the evaluation of hoarseness. 3) Learn the
MINISEM.
Miniseminars