Otolaryngology Head and Neck Surgery Volume 112 Number 5
COURSE 1524- I One-period course ($20)
Instruction Courses-- Sunday
Room NOCC-86 12:30-I :30
COURSE 1526-1 One-period course ($20)
P 31
Room NOCC-88 12:30-1:30
M a n a g e m e n t of the Eye Following Facial Palsy
Tumors and Surgery of the Parapharyngeal Space
PETERJ. CATALANO, MD, and MICHAEL BERGSTEIN,MD New York a n d Old Brookville, N.Y.
KERRYD. OLSEN,MD, and THOMAS V. McCAFFREY, MD Rochester, Minn.
Educational objectives: To select appropriate candidates for eyelid rehabilitation surgery, to determine when to intervene surgically and which procedure(s) to perform, to understand the anatomy of the upper and lower eyelid, to utilize various techniques to restore function and cosmesis to the paretic eyelid, and to avoid surgical pitfalls.
Educational objectives: To understand the presentation and evaluation and various pathologic conditions involving the parapharyngeal space and to review the cervical-parotid approach and cervical-parotid approach with mandibulatomy as a means to remove tumors of the parapharyngeal space.
The aesthetic and functional morbidity associated with facial palsy is significant. Fortunately, corneal exposure and ulceration can be minimized by eyelid procedures such as gold weight implantation and horizontal eyelid shortening. Although primarily designed for restoration of eyelid function, these procedures also improve ocular cosmesis. However, uncertainty remains regarding the indications for eyelid surgery. The objective of this course would be to provide guidelines for the management of paralyzed eyelids following facial palsy, including surgical indications, timing, and type of procedure(s). In addition, a review of the anatomy of the upper and lower eyelid, discussion of surgical pitfalls, and highlights of the surgical technique will be presented.
The parapharyngeal space provides a treatment challenge due to the varied tumor extent and pathology encountered in this region. This course will review the pertinent anatomy of the parapharyngeal space and the clinical characteristics of its neoplasms. Special emphasis will be given to developing a rational clinical and radiographic evaluation of lesions in this area. This information will determine the appropriate surgical treatment used in our practice; either a parotid-cervical approach, or the parotid-cervical approach with a midline mandibulotomy. These two surgical procedures will be described in detail. Numerous illustrative case studies will also be presented.
COURSE 1527-I One-period course ($20) COURSE ! 525-1 One-period course ($20)
Room NOCC-87 12:30-1:30
Dispensing Hearing Aids RICHARD E. LINDE, MD, and KENNETHHENRY, PhD Falls Church, Va.
Educational objectives: To evaluate whether a hearing aid business is feasible in the context of their practice setting and to implement the institution of a hearing aid business within the confines of an ear, nose, and throat practice or be able to set up a free-standing hearing aid business.
The purpose of this course is to present to otolaryngologists important practical information about starting a hearing aid dispensing business in their offices, adjacent to their offices or in their local communities as a private business. This course will discuss the following: 1. Reasons for physicians dispensing and the effect it will have on an ENT practice 2. Setting up a hearing center and/or balance center in conjunction with dispensing hearing aids 3. Cost analysis and income projections 4. Floor plans of office space usage 5. Marketing techniques 6. State and national laws and legal considerations.
Room NOCC-89 12:30-1:30
CT and MRI of the Temporal Bone GALDINO E.VALVASSORI, MD Winnetka, III.
CT and MRI are at present the two imaging techniques applied to the study of the temporal bone. A proper imaging assessment is necessary before corrective surgery to identify the presence of the pathologic process and, if possible, its nature; to determine the site and extent of the lesion; and to decide the best surgical approach for the removal of the disease. In reviewing the different types of lesions of the temporal bone, I will emphasize: (1) the best imaging modality and technique; (2) the MR characteristic signals of each pathologic process; and (3) the differential diagnosis and the other lesions that occur in the sameanatomic area. Pathologic conditions involving the middle ear, membranous labyrinth, petrous apex, facial nerve, internal auditory canal, and cerebellopontine cistern will be reviewed. The role of MR angiography (MRA) in the diagnosis of vascular lesions and tumors will be discussed and illustrated by case presentations. All pathologic processes will be reviewed by dual-slide presentation.