Endoscopic management of frontal sinus disease

Endoscopic management of frontal sinus disease

P 154 Otolaryngology Head and Neck Surgery InstructionCourses Tuesday - May ] 995 - The course is detail-intensive with handouts, punctuated with...

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P 154

Otolaryngology Head and Neck Surgery

InstructionCourses Tuesday -

May ] 995

-

The course is detail-intensive with handouts, punctuated with real-life examples of do's and don'ts, and presented by a joumal editor, a manager of publication services within a large department, and a vice-president of a publishing company; additionally, every effort will be made to have the associate editors of the A c a d e m y ' s journal, OTOLARYNGOLOGY--HEADAND NECK SURGERY,in attendance to answer questions.

COURSE 3827-1

One-period course ($20)

Room NOCC-89 4:15-5:15

Endoscopic M a n a g e m e n t of Frontal Sinus Disease GADY HAR-EL,MD

Brooklyn, N,Y,

Educational objectives: To understand the different anatomic variations of the frontal outflow tract and to know the indications f o r and the surgical technique o f endoscopic frontal sinusotomy. This is an advanced course in endoscopic sinus surgery for surgeons who have mastered the basic endoscopic surgical technique. In the first part of the course, we will discuss the endoscopic surgical anatomy of the frontal sinus and its outflow tract. We will emphasize the endoscopic identification of the two most common anatomic variations of the frontal outflow tract. In the second part, we will discuss the indications and timing for surgical intervention in acute and chronic frontal sinus disease. The third part will concentrate on the surgical technique of endoscopic, endonasal frontal sinusotomy, discussing not only the advantages but also the limitations. In the fourth part of the course, we will present the technique of endoscopic frontal osteoplasty rather than external osteoplasty for the management of frontal sinus mucoceles. We will conclude with a presentation of problem cases. After attending this course, the participants will be able to understand the different anatomic variations of the frontal outflow tract and identify them endoscopically. The participants will also know the indications and surgical technique of endoscopic frontal sinusotomy.

COURSE 3831 - 1

One-period course ($20)

Room NOCC-94 4:15-5:15

Functional Tongue Reconstruction--A Systematic Approach MARK L URKEN,MD and JONATHAN E. AVIV, MD

New York, N.Y.

Educational objectives: To identify the functional problems that result from impairment of motor and sensory tongue activity and to understand the various options available to reconstruct the tongue on the basis of extent of defect and its functional consequences. The choices available to the head and neck surgeon in reconstructing defects of the tongue range from healing by secondary intention to the use of local, regional, or free flaps. The consequences of ablative cancer surgery of the tongue involve not only loss of motor function but loss of sensory function as well. Both of these factors greatly effect a patient's ability to recover useful deglutition and articulation. Because it is currently impossible to restore a functioning motor unit to resected tongue tissue, the thrust of reconstructive efforts is to maximize function of the tongue remnant. This can be accomplished with tissue design modifications and/or the use of sensate cutaneous free flaps in which a microneural repair is performed between a sensory nerve supplying the flap and a recipient nerve in the head and neck. The purpose of this course is to develop a systematic approach that will allow one to consider and implement an array of reconstructive techniques based on extent of defect and its functional consequences. This course will address the following: (1) the functional problems resulting from both impaired motor function and lack of sensation in the tongue and its specific impact on deglutition, and (2) local, regional, and free flap design modifications, tailored to the size and location of a variety of tongue defects.