Laryngotracheal stenosis: Open and closed methods

Laryngotracheal stenosis: Open and closed methods

Otolaryngology Head and Neck Surgery Volume 112 Number 5 COURSE 1815-1 One-period course ($20) InstructionCourses-- Sunday P61 Room NOCC-64 4:15-...

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Otolaryngology Head and Neck Surgery

Volume 112 Number 5

COURSE 1815-1

One-period course ($20)

InstructionCourses-- Sunday P61

Room NOCC-64 4:15-5:15

COURSE 1817-1

One-period course ($20)

Room NOCC-66 4:15-5:15

Laryngotracheal Stenosis: Open and Closed Methods

A d v a n c e d Open Structure Rhinoplasty

JAMES A. DUNCAVAGE, MD, ROBERTH. OSSOFF,DMD, MD, and JAY A. WERKHAVE,MD

DEAN M. TORIUMI, MD, VITO C. QUATELA,MD, and CALVIN M. JOHNSON, JR., MD

Nashville, Tenn.

Chicago, Ill., Rochester, N.Y., and New Orleans, La.

Educational objectives: To assist participants in evaluating

Educational objectives: To use open rhinoplasty approach

upper airway obstruction endoscopically and deciding whether to treat laryngotracheal stenosis with open or closed techniques.

to gain exposure to correct deformities seen in secondary rhinoplasty, posttraumatic deformities, and reconstructive cases, and to use structural grafts to correct aesthetic and functional deformities of the nose.

This course will review our experience in treating laryngeal and tracheal stenosis in both pediatric and adult patients. We will cover the workup we use in the diagnosis of the obstructed airway. The many different surgical treatment options that are available to the surgeon will be discussed. The advantages and disadvantages of endoscopic and open surgical techniques will be reviewed. We will outline in a stepwise manner our management, with both endoscopic and open surgical techniques, for pediatric and adult airway strictures. The indications for use of stents, antibiotics, tracheotomies, and steroids, and selection of the best surgical procedure will be outlined. We will present cases for panel discussion, and course participants are invited to bring a difficult case for the panel.

COURSE 1816-1

One-period course ($20)

Room NOCC-65 4:15-5:15

Tympanoplasty--Part 2: Ossicular Chain Reconstruction JACK V.D. HOUGH, MD, and MIKE McGEE, MD

Oklahoma City, Okla.

Educational objectives: To have a more complete understanding of the advantages ofhomografi ossiculoplasty and to solve the technical problems that may be encountered during ossiculoplasty more readily.

During the past three decades, improvements in the technical aspects of middle ear reconstruction have continued to occur. Basic but important developments in the selection of graft materials, technique, and instrumentation have been the foundation of this progress. This second hour of a series of two separate 1-hour tympanoplasty courses will review the basic principles of homograft ossiculoplasty for ossicular chain reconstruction. The technique that we use for "micro-lathing" homograft femur will be reviewed and results will be discussed. Helpful tips will be offered for solving the technical problems that may be encountered in the course of ossiculoplasty. Tympanic membrane grafting will be reviewed in a separate 1-hour course.

The basic philosophy of open-structure rhinoplasty is to change nasal contour through reorientation of existing nasal support structures and use of structural grafts. Naturalappearing nasal contours are preserved by avoiding excessive excision of the nasal bones and upper and lower lateral cartilages. Nasal function is preserved and in many cases improved. The primary grafts used in the open-structure rhinoplasty technique include the sutured-in-place columellar strut and tip graft. The purpose of this instructional course is to discuss the use of the open structure rhinoplasty techniques for complex nasal deformities. M a n a g e m e n t of secondary rhinoplasty, posttraumatic deformities (crooked nose and saddle nose deformities), non-Caucasian rhinoplasty, and reconstructive nasal surgery will be covered. Use of grafting techniques to correct cosmetic and functional defects in secondary rhinoplasty will be emphasized. Detailed technical points on the use of sutured-in-place columellar struts, tip grafts, spreader grafts, lateral crural grafts, and dorsal grafts will be covered. The specific objectives of this instructional course are to: (1) discuss diagnostic information that will aid in determining when a particular graft should be used, (2) provide useful technical information about the use of structural grafting techniques, and (3) discuss possible problems and pitfalls and how to avoid complications. These objectives will be completed through the use of intraoperative photography, representative case studies, and videotape presentations.

COURSE 1819-I

One-period course ($20)

Room NOCC-81 4:15-5:15

Hair Replacement: More Than Just Plugs DANIEL E. ROUSSO,MD

Birmingham, Ala.

Educational objectives: To identify appropriate candidates f o r surgical hair replacement and to understand techniques for hair replacement and their appropriate use in various different patterns of hair loss.

Since the introduction of hair transplantation more than 90 years ago, there has been a virtual explosion in the number of different procedures used in hair-replacement sur-