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Diagnostic laryngology in children
Otolaryngology Head and Neck Surgery
Volume 112 Number 5
Instruction Courses-- Wednesday
It is expected that after this course the participants will have a better understanding of the etiology of tracheostomal stenosis after laryngectomy. They will be able to manage the tracheostoma intraoperatively and deal with the postoperative complication of tracheostomal stenosis.
COURSE 4609-1
One-period course ($20)
P 173
Room NOCC-55 2:30-3:30
The Treatment of Intractable Vertigo GLENN W. KNOX, MD, and DOUGLAS BIGELOW,MD
Philadelphia, Pa. COURSE 4607-1
One-period course ($20)
Room NOCC-53 2:30-3:30
Diagnostic Laryngology in Children ANDREW F. INGLIS, JR., MD, and NEWTON O. DUNCAN, MD
Seattle, Wash., and Houston, Texas
Educational objectives: To be familiar with specialized endoscopic equipment and techniques dedicated to childhood airway evaluation and to understand anesthetic techniques that provide for an unhurried thorough evaluation particularly during spontaneous ventilation.
Otolaryngologists are often consulted to evaluate a variety of upper airway related symptoms in infancy and childhood such as stridor, voice or cry abnormalities, apnea, cyanosis, dysphagia, and cough. Visualization of the airway is mandatory in many cases but requires special techniques for children, dedicated pediatric endoscopic equipment, and a close partnership with anesthesiologists. Over the past 20 years in Sydney, Australia, Mr. Bruce Benjamin has developed an outstanding approach for the evaluation of pediatric airway problems. These techniques have been modified for use in North America and have proved extremely successful over the last 7 years. This course describes in detail a step-wise practical approach for pediatric airway assessment with particular emphasis on endoscopic techniques in an operative suite setting. The specialized laryngoscopes, telescopes, illumination sources, and microsurgical instruments th~/t facilitate these techniques are discussed. Anesthetic considerations so important for the safe but critical airway evaluation in children are emphasized. These same techniques are also useful for complete evaluation of the tracheobronchial tree. The importance of spontaneous ventilation by the child during airway assessment is stressed. This comprehensive endoscopic approach provides the basis for an unhurried, careful, and thorough evaluation of the pediatric airway.
Educational objectives: To understand and use methods of differential diagnosis of intractable vertigo and to understand the diagnostic and treatment modalities for the intractably vertiginous patient.
Many diagnostic and therapeutic modalities are available to diagnose and manage intractable vertigo. The use of these techniques requires an understanding of the pathophysiology of vertigo, as well as the technical shortcomings of each diagnostic and therapeutic procedure. The following entities will be emphasized in this course: 1. Meniere's syndrome 2. BPPV 3. Head trauma syndrome 4. Labyrinthitis 5. Motion sickness 6. Stroke 7. Vertebrobasilar insufficiency 8. Vestibular neuronitis These diagnostic modalities will be emphasized in this course: 1. Positional testing 2. Electronystagmography 3. Rotational chair testing 4. Posturography 5. Neuroradiography The scientific literature on clinical syndromes will be reviewed. Each diagnostic modality will be reviewed in detail and its relevance to the diagnosis and treatment of each clinical syndrome reviewed. The course will emphasize a universal, algorithmic approach to the difficult case.
COURSE 46 ! 0-1
One-period course ($20)
Room NOCC-56 2:30-3:30
Surgery of the Posterior and Lateral Cranial Base ROBERTK. JACKLER,MD
San Francisco, Calif.
Educational objectives: To appreciate the capabilites and limitations o f contemporary skull base surgery and to understand the essential elements needed to organize and equip a multidisciplinary skull base team.
A remarkable variety of innovative procedures that traverse the posterior and lateral cranial base have been developed in recent years. Although some of these are undertaken to approach intrinsic skull base disease, the majority are performed to expose relatively inaccessible intracranial lesions involving the posterior or middle cranial fossae. In many cases, a transbasal craniotomy is selected
Volume 112 Number 5
Instruction Courses-- Wednesday
It is expected that after this course the participants will have a better understanding of the etiology of tracheostomal stenosis after laryngectomy. They will be able to manage the tracheostoma intraoperatively and deal with the postoperative complication of tracheostomal stenosis.
COURSE 4609-1
One-period course ($20)
P 173
Room NOCC-55 2:30-3:30
The Treatment of Intractable Vertigo GLENN W. KNOX, MD, and DOUGLAS BIGELOW,MD
Philadelphia, Pa. COURSE 4607-1
One-period course ($20)
Room NOCC-53 2:30-3:30
Diagnostic Laryngology in Children ANDREW F. INGLIS, JR., MD, and NEWTON O. DUNCAN, MD
Seattle, Wash., and Houston, Texas
Educational objectives: To be familiar with specialized endoscopic equipment and techniques dedicated to childhood airway evaluation and to understand anesthetic techniques that provide for an unhurried thorough evaluation particularly during spontaneous ventilation.
Otolaryngologists are often consulted to evaluate a variety of upper airway related symptoms in infancy and childhood such as stridor, voice or cry abnormalities, apnea, cyanosis, dysphagia, and cough. Visualization of the airway is mandatory in many cases but requires special techniques for children, dedicated pediatric endoscopic equipment, and a close partnership with anesthesiologists. Over the past 20 years in Sydney, Australia, Mr. Bruce Benjamin has developed an outstanding approach for the evaluation of pediatric airway problems. These techniques have been modified for use in North America and have proved extremely successful over the last 7 years. This course describes in detail a step-wise practical approach for pediatric airway assessment with particular emphasis on endoscopic techniques in an operative suite setting. The specialized laryngoscopes, telescopes, illumination sources, and microsurgical instruments th~/t facilitate these techniques are discussed. Anesthetic considerations so important for the safe but critical airway evaluation in children are emphasized. These same techniques are also useful for complete evaluation of the tracheobronchial tree. The importance of spontaneous ventilation by the child during airway assessment is stressed. This comprehensive endoscopic approach provides the basis for an unhurried, careful, and thorough evaluation of the pediatric airway.
Educational objectives: To understand and use methods of differential diagnosis of intractable vertigo and to understand the diagnostic and treatment modalities for the intractably vertiginous patient.
Many diagnostic and therapeutic modalities are available to diagnose and manage intractable vertigo. The use of these techniques requires an understanding of the pathophysiology of vertigo, as well as the technical shortcomings of each diagnostic and therapeutic procedure. The following entities will be emphasized in this course: 1. Meniere's syndrome 2. BPPV 3. Head trauma syndrome 4. Labyrinthitis 5. Motion sickness 6. Stroke 7. Vertebrobasilar insufficiency 8. Vestibular neuronitis These diagnostic modalities will be emphasized in this course: 1. Positional testing 2. Electronystagmography 3. Rotational chair testing 4. Posturography 5. Neuroradiography The scientific literature on clinical syndromes will be reviewed. Each diagnostic modality will be reviewed in detail and its relevance to the diagnosis and treatment of each clinical syndrome reviewed. The course will emphasize a universal, algorithmic approach to the difficult case.
COURSE 46 ! 0-1
One-period course ($20)
Room NOCC-56 2:30-3:30
Surgery of the Posterior and Lateral Cranial Base ROBERTK. JACKLER,MD
San Francisco, Calif.
Educational objectives: To appreciate the capabilites and limitations o f contemporary skull base surgery and to understand the essential elements needed to organize and equip a multidisciplinary skull base team.
A remarkable variety of innovative procedures that traverse the posterior and lateral cranial base have been developed in recent years. Although some of these are undertaken to approach intrinsic skull base disease, the majority are performed to expose relatively inaccessible intracranial lesions involving the posterior or middle cranial fossae. In many cases, a transbasal craniotomy is selected