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Microvascular free flaps
Otolaryngology Head and Neck Surgery Volume 112 Number5
COURSE 1705-1 One-period course ($20)
Instruction Courses--Sunday P47
Room NOCC-51 3:00-4:00
Microvascular Free Flaps BRUCE H. HAUGHEY, MBCHB, MS, FRACS,J. LESLIEWALKER,MD, and JAMESC. BEGGS, MD St. Louis and Brentwood, Mo.
Educational objectives: To understand the indications for and against microvascular reconstruction and to grasp the technical and clinical indications o f a successful outcome and the methodology of obtaining reimbursement.
In the current milieu of multiple options for head and neck reconstruction, the practitioner must face the question, "What is the place for microvascular free flap reconstruction? The answer, affirmative or negative, must be applied to otolaryngology-head and neck surgery in general and to any particular case of a head and neck defect. A frank evaluation of factors that weigh on this decision, including clinical considerations, outcome measures and costs of this mode of reconstruction, will be presented and discussed. Specific case examples, such as mandibular and tongue reconstruction, pharyngoesophageal reconstruction, skull base and mid-face reconstruction will be used to illustrate the principles, concepts and decisionmaking process. The practitioner of head and neck surgery must also ask himself, "Can fair and reasonable reimbursement be expected for the time, effort and expertise invested in this mode of reconstruction?" Issues involved in this question will be presented by a colleague who is the medical director of an organization that adjudicates such matters for insurance carriers. This course will therefore enable participants to grasp the following: 9 Indications for and against microvascular reconstruction 9 Determinants of successful outcome 9 Costs and reimbursement considerations
COURSE 1706-1 One-period course ($20)
Room NOCC-52 3:00-4:00
Diagnosis and Management of Upper Respiratory Allergy HELEN FOX KRAUSE,MD Pittsburgh, Pa.
Educational objectives: To recognize the presence of allergies in patients with rhinitis and to formulate a treatment plan using elimination techniques and pharmacotherapy.
Nasal allergy interferes with many functions of the nose. It produces a diverse complex of symptoms that may interfere with daily living, work productivity, and school. A number of diagnostic hallmarks, such as allergic shiners, the allergic salute, linea nasalis, mucosal changes, and others will be illustrated.
A number of factors can influence the expression of allergy in each individual. Some can be eliminated, others cannot. Diagnostic skills are very important. To understand allergy, the physician should evolve a management plan, even if full allergy is not practiced in an otolaryngology office. Therapy may be directed at symptom management or at preventing the immune reaction. The principles of management include identification of the antigens, elimination or avoidance of as many as possible, pharmacotherapy, immunotherapy, and even at times surgery. During this lecture emphasis will be placed on diagnosis, elimination, and especially pharmacotherapy. The drug industry is rapidly expanding, providing us with a plethora of new medications for the treatment of allergic disorders.
COURSE 1707-2 Two-period course ($40)
Room NOCC-53 3:00-5:15
Hearing Aids: New (and Improved) Answers For Your Patients ROBERTW. SWEETOW,PhD, and RICHARD L. GOODE, MD San Francisco and Palo Alto, Calif.
Educational objectives: To answer patient questions about amplification with updated, accurate information and to understand new concepts in selection and fitting of technologically advanced hearing aids.
"What do you think I should do, Doctor?" "Will a hearing aid help me? My Aunt Tillie got one and put it in the drawer." An anxious parent asks, "If my child wears a hearing aid, will her heating get worse?" "Do I need two hearing aids? Shouldn't I just start out with one?" "Are the new programmable hearing aids really better?" The information that the otolaryngologist gives his patient is pivotal in setting the stage for a positive and successful experience with amplification. With increased governmentai agency intervention and media publicity about heating aids, the consumer is increasingly turning to the physician for guidance about amplification. Data show that a patient is eight times more receptive to remediating a hearing loss through amplification after a recommendation from a physician. Heating aid questions are also directed to family practice physicians. These professionals often rely on the otolaryngologist's experience for guidance about amplification. This popular, lively, and entertaining session will update information about hearing aid technology and fitting, separating the truth from myth. Both of us, actively involved with heating aid development and fitting, will discuss strategies for answering difficult and frequently asked patient questions. Ample time will be available for questions and interaction with the audience.
COURSE 1705-1 One-period course ($20)
Instruction Courses--Sunday P47
Room NOCC-51 3:00-4:00
Microvascular Free Flaps BRUCE H. HAUGHEY, MBCHB, MS, FRACS,J. LESLIEWALKER,MD, and JAMESC. BEGGS, MD St. Louis and Brentwood, Mo.
Educational objectives: To understand the indications for and against microvascular reconstruction and to grasp the technical and clinical indications o f a successful outcome and the methodology of obtaining reimbursement.
In the current milieu of multiple options for head and neck reconstruction, the practitioner must face the question, "What is the place for microvascular free flap reconstruction? The answer, affirmative or negative, must be applied to otolaryngology-head and neck surgery in general and to any particular case of a head and neck defect. A frank evaluation of factors that weigh on this decision, including clinical considerations, outcome measures and costs of this mode of reconstruction, will be presented and discussed. Specific case examples, such as mandibular and tongue reconstruction, pharyngoesophageal reconstruction, skull base and mid-face reconstruction will be used to illustrate the principles, concepts and decisionmaking process. The practitioner of head and neck surgery must also ask himself, "Can fair and reasonable reimbursement be expected for the time, effort and expertise invested in this mode of reconstruction?" Issues involved in this question will be presented by a colleague who is the medical director of an organization that adjudicates such matters for insurance carriers. This course will therefore enable participants to grasp the following: 9 Indications for and against microvascular reconstruction 9 Determinants of successful outcome 9 Costs and reimbursement considerations
COURSE 1706-1 One-period course ($20)
Room NOCC-52 3:00-4:00
Diagnosis and Management of Upper Respiratory Allergy HELEN FOX KRAUSE,MD Pittsburgh, Pa.
Educational objectives: To recognize the presence of allergies in patients with rhinitis and to formulate a treatment plan using elimination techniques and pharmacotherapy.
Nasal allergy interferes with many functions of the nose. It produces a diverse complex of symptoms that may interfere with daily living, work productivity, and school. A number of diagnostic hallmarks, such as allergic shiners, the allergic salute, linea nasalis, mucosal changes, and others will be illustrated.
A number of factors can influence the expression of allergy in each individual. Some can be eliminated, others cannot. Diagnostic skills are very important. To understand allergy, the physician should evolve a management plan, even if full allergy is not practiced in an otolaryngology office. Therapy may be directed at symptom management or at preventing the immune reaction. The principles of management include identification of the antigens, elimination or avoidance of as many as possible, pharmacotherapy, immunotherapy, and even at times surgery. During this lecture emphasis will be placed on diagnosis, elimination, and especially pharmacotherapy. The drug industry is rapidly expanding, providing us with a plethora of new medications for the treatment of allergic disorders.
COURSE 1707-2 Two-period course ($40)
Room NOCC-53 3:00-5:15
Hearing Aids: New (and Improved) Answers For Your Patients ROBERTW. SWEETOW,PhD, and RICHARD L. GOODE, MD San Francisco and Palo Alto, Calif.
Educational objectives: To answer patient questions about amplification with updated, accurate information and to understand new concepts in selection and fitting of technologically advanced hearing aids.
"What do you think I should do, Doctor?" "Will a hearing aid help me? My Aunt Tillie got one and put it in the drawer." An anxious parent asks, "If my child wears a hearing aid, will her heating get worse?" "Do I need two hearing aids? Shouldn't I just start out with one?" "Are the new programmable hearing aids really better?" The information that the otolaryngologist gives his patient is pivotal in setting the stage for a positive and successful experience with amplification. With increased governmentai agency intervention and media publicity about heating aids, the consumer is increasingly turning to the physician for guidance about amplification. Data show that a patient is eight times more receptive to remediating a hearing loss through amplification after a recommendation from a physician. Heating aid questions are also directed to family practice physicians. These professionals often rely on the otolaryngologist's experience for guidance about amplification. This popular, lively, and entertaining session will update information about hearing aid technology and fitting, separating the truth from myth. Both of us, actively involved with heating aid development and fitting, will discuss strategies for answering difficult and frequently asked patient questions. Ample time will be available for questions and interaction with the audience.