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Management of congenital cysts and sinuses in the head and neck
P148
Otolaryngology Head and Neck Surgery
Instruction Courses-- Tuesday
COURSE 3803-1 One-period course ($20)
May 1995
Room NOCC-D-3 4:15-5:15
Laser-Assisted Uvula-Palatoplasty for Snoring YOSEF P. KRESPI,MD, and STEVENJ. PEARLMAN,MD New York, N.Y.
Educational objectives: To explain the pathophysiology of snoring and sleep apnea and to select candidates for LA UP, understand the indications f o r preoperative polysomnography, learn the technique of LAUP, and explain office laser safety guidelines.
Laser-assisted uvula-palatoplasty (LAUP) is an effective surgical procedure for the treatment of habitual snoring. LAUP is safely performed with the patient under local anesthesia in an office setting. LAUP provides progressive enlargement of the oropharyngeal air space by shortening and replacing the uvula, the soft palate, and the posterior pillars by use of the CO 2 laser. Although this procedure is indicated for snoring only, LAUP can eliminate or reduce oropharyngeai (retropalatal) collapse that may occur during sleep in carefully selected patients with mild obstructive sleep apnea (OSA). Our experience includes more than 800 patients treated in the last 3 years. By successive laser ablation of the vibrating structures such as the uvula, soft palate, and posterior tonsillar pillar, 80% of patients had elimination of snoring and 18% of patients reported significant decrease in the loudness of their snoring. The major advantages of this surgical technique are that it is simple, reliable, and bloodless and can be performed under local anesthesia in an office setting. The disadvantages are the multiple stages (2-3) that may be necessary to completely eliminate snoring and the cost of the laser. Although LAUP carries minimal morbidity, occasional complications, such as bleeding with nasopharyngeal stenosis etc., can occur. Their prevention and management will be discussed. The various surgical techniques using specialized LAUP accessories will be presented.
COURSE 3804-1 One-period course ($20)
Room NOCC-50 4:15-5:15
M a n a g e m e n t of Congenital Cysts and Sinuses in the Head and Neck EUGENE N. MYERS, MD Pittsburgh, Po.
Educational objectives: To understand the flaws in developmental anatomy of the head and neck that lead to these congenital cysts and sinuses and to understand the management unique to congenital cysts and sinuses in various parts of the head and neck.
The objective of this course is to have the course participants understand the diagnosis and management of congenital cysts and sinuses in the head and neck. Most of these cysts and sinuses are not seen commonly and present
diagnostic and therapeutic dilemmas to the otolaryngologist--head and neck surgeon. Material for this course is drawn from personal and institutional experience in these problems. Many of these patients are seen after they have been previously operated on one or more times, which makes the management more complex. Emphasis will be placed on the practical aspects of diagnosis, including physical examination and imaging as well as thorough detail of surgical technique. Special emphasis will be given to the diagnosis and management of patients with congenital anomalies of the first branchial arch, particularly with respect to management of the facial nerve.
COURSE 3805-1 One-period course ($20)
Room NOCC-51 4:15-5:15
Lip Reconstruction P. J. GULLANE,MB, FRCSC Toronto, Ontario, Canada
Educational objectives: To understand techniques in lip reconstruction and to recognize the limitations of lip flap repair.
This course addresses all the surgical options in the repair of lip defects after resection for neoplasms. The course content includes a brief review of the functional anatomy of the lip. Surgical techniques including rotation on transposition flaps used after ablative oncologic resection of the malignant neoplasma of the lip will be discussed. The choice of flap, its limitations, complications and outcome in partial, sub-total lip resection will be addressed. The advantages of free flap repair in total lower lip loss will be compared with some of the other surgical options. Detailed schematic and intraoperative illustrations, limitations of flap type, and long-term follow-up of each technique used in the repair will be presented.
COURSE 3806-1 One-period course ($20)
Room NOCC-52 4:15-5:15
Developing Winning Grant Applications for NIH MAUREEN HANNLEY, PhD Alexandria, Va.
Educational objectives: To construct a suitable title, abstract, specific aims, and grant body that will maximize the positive influence on a reviewer and to understand how to decipher a review summary statement and how to respond.
Specific planning, organizing, and writing skills are necessary to develop a winning grant application in this age of limited funds. The best idea can fail short of funding if it is not presented effectively and with attention to some straightforward rules: This course, designed to follow a course on the NIH grant application and review process, will demon-
Otolaryngology Head and Neck Surgery
Instruction Courses-- Tuesday
COURSE 3803-1 One-period course ($20)
May 1995
Room NOCC-D-3 4:15-5:15
Laser-Assisted Uvula-Palatoplasty for Snoring YOSEF P. KRESPI,MD, and STEVENJ. PEARLMAN,MD New York, N.Y.
Educational objectives: To explain the pathophysiology of snoring and sleep apnea and to select candidates for LA UP, understand the indications f o r preoperative polysomnography, learn the technique of LAUP, and explain office laser safety guidelines.
Laser-assisted uvula-palatoplasty (LAUP) is an effective surgical procedure for the treatment of habitual snoring. LAUP is safely performed with the patient under local anesthesia in an office setting. LAUP provides progressive enlargement of the oropharyngeal air space by shortening and replacing the uvula, the soft palate, and the posterior pillars by use of the CO 2 laser. Although this procedure is indicated for snoring only, LAUP can eliminate or reduce oropharyngeai (retropalatal) collapse that may occur during sleep in carefully selected patients with mild obstructive sleep apnea (OSA). Our experience includes more than 800 patients treated in the last 3 years. By successive laser ablation of the vibrating structures such as the uvula, soft palate, and posterior tonsillar pillar, 80% of patients had elimination of snoring and 18% of patients reported significant decrease in the loudness of their snoring. The major advantages of this surgical technique are that it is simple, reliable, and bloodless and can be performed under local anesthesia in an office setting. The disadvantages are the multiple stages (2-3) that may be necessary to completely eliminate snoring and the cost of the laser. Although LAUP carries minimal morbidity, occasional complications, such as bleeding with nasopharyngeal stenosis etc., can occur. Their prevention and management will be discussed. The various surgical techniques using specialized LAUP accessories will be presented.
COURSE 3804-1 One-period course ($20)
Room NOCC-50 4:15-5:15
M a n a g e m e n t of Congenital Cysts and Sinuses in the Head and Neck EUGENE N. MYERS, MD Pittsburgh, Po.
Educational objectives: To understand the flaws in developmental anatomy of the head and neck that lead to these congenital cysts and sinuses and to understand the management unique to congenital cysts and sinuses in various parts of the head and neck.
The objective of this course is to have the course participants understand the diagnosis and management of congenital cysts and sinuses in the head and neck. Most of these cysts and sinuses are not seen commonly and present
diagnostic and therapeutic dilemmas to the otolaryngologist--head and neck surgeon. Material for this course is drawn from personal and institutional experience in these problems. Many of these patients are seen after they have been previously operated on one or more times, which makes the management more complex. Emphasis will be placed on the practical aspects of diagnosis, including physical examination and imaging as well as thorough detail of surgical technique. Special emphasis will be given to the diagnosis and management of patients with congenital anomalies of the first branchial arch, particularly with respect to management of the facial nerve.
COURSE 3805-1 One-period course ($20)
Room NOCC-51 4:15-5:15
Lip Reconstruction P. J. GULLANE,MB, FRCSC Toronto, Ontario, Canada
Educational objectives: To understand techniques in lip reconstruction and to recognize the limitations of lip flap repair.
This course addresses all the surgical options in the repair of lip defects after resection for neoplasms. The course content includes a brief review of the functional anatomy of the lip. Surgical techniques including rotation on transposition flaps used after ablative oncologic resection of the malignant neoplasma of the lip will be discussed. The choice of flap, its limitations, complications and outcome in partial, sub-total lip resection will be addressed. The advantages of free flap repair in total lower lip loss will be compared with some of the other surgical options. Detailed schematic and intraoperative illustrations, limitations of flap type, and long-term follow-up of each technique used in the repair will be presented.
COURSE 3806-1 One-period course ($20)
Room NOCC-52 4:15-5:15
Developing Winning Grant Applications for NIH MAUREEN HANNLEY, PhD Alexandria, Va.
Educational objectives: To construct a suitable title, abstract, specific aims, and grant body that will maximize the positive influence on a reviewer and to understand how to decipher a review summary statement and how to respond.
Specific planning, organizing, and writing skills are necessary to develop a winning grant application in this age of limited funds. The best idea can fail short of funding if it is not presented effectively and with attention to some straightforward rules: This course, designed to follow a course on the NIH grant application and review process, will demon-