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Miniseminar: Situations and Solutions in Endoscopic Sinus Surgery
Miniseminars—Tuesday
P113
9:30 AM to 10:30 AM WCC 202AB Miniseminar: Situations and Solutions in Endoscopic Sinus Surgery Dharambir Singh Sethi, MBBS, FRCS, Ed (moderator); Aldo Eden Cassol Stamm, MD, PhD; Peter John Wormald, MD, FRACS, FRCS; Scott M Graham, MD This miniseminar will focus on “intraoperative situations,” particularly on the recognition of anatomical variations and critical anatomy. Panelists will present their techniques of uncinectomy, middle meatal antrostomies, frontal recess surgery, and approach
to the sphenoid sinus in the presence and absence of the sphenoethmoid cell. In particular, issues addressed will be how large a middle meatal antrostomy should be, when should the frontal recess be addressed, approaches to the sphenoid sinus, and techniques of mucosal preservation. An interactive audience response system will be used to poll the audience as to how they would manage each situation. The response will be discussed and speakers will present how the situation was managed. An international panel of experienced endoscopic sinus surgeons has been selected to share their experiences.
Miniseminar: Updated Clinical Guidelines for Pediatric SDB Norman R Friedman, MD; DABSM (moderator); Ron B Mitchell, MD The American Academy of Sleep Medicine (AASM) is developing a clinical Guideline on the Evaluation and Management of Childhood Sleep Disordered Breathing (SDB). Habitual nightly snoring is not normal. SDB is a spectrum of disorders ranging from primary snoring through upper airway resistance syndrome to obstructive sleep apnea (OSA). The presence of neurobehavioral and neurocognitive abnormalities in children with SDB is three-fold higher than in normal children. One may assume that children who have SDB and are doing adequately scholastically might do even better if they were having a normal night of sleep. Snoring is more likely to be present in children who have been diagnosed with ADHD. Severe manifestations of SDB include failure to thrive, pulmonary hypertension and right heart failure. A relationship between bedwetting and SDB has also been
suggested as well as an association with night terrors. As Vice Chair of this AASM committee, the most up-to-date information will be presented to the seminar attendee. The format will be interactive with the audience response units determining one’s baseline knowledge. An emphasis will be placed on presenting the most current opinions and literature for SDB on the following topics: diagnosis and evaluation, neurocognitive morbidity, and clinical relevance. In the spring of 2007, the AASM anticipates releasing new scoring guidelines for sleep studies. The release of these new guidelines should help standardize the terminology for sleep apnea. Since sleep terminology varies, sleep study reports may be confusing. A report can range from a one-page summary to a detailed tenpage document. During the seminar, examples of sleep recordings and video clips will illustrate the new definitions. A review of current sleep terminology will allow an otolaryngologist to decipher a sleep study report as well as when to request more information to enable them to make clinical decisions.
TUESDAY
9:30 AM to 10:30 AM WCC Ballroom C
P113
9:30 AM to 10:30 AM WCC 202AB Miniseminar: Situations and Solutions in Endoscopic Sinus Surgery Dharambir Singh Sethi, MBBS, FRCS, Ed (moderator); Aldo Eden Cassol Stamm, MD, PhD; Peter John Wormald, MD, FRACS, FRCS; Scott M Graham, MD This miniseminar will focus on “intraoperative situations,” particularly on the recognition of anatomical variations and critical anatomy. Panelists will present their techniques of uncinectomy, middle meatal antrostomies, frontal recess surgery, and approach
to the sphenoid sinus in the presence and absence of the sphenoethmoid cell. In particular, issues addressed will be how large a middle meatal antrostomy should be, when should the frontal recess be addressed, approaches to the sphenoid sinus, and techniques of mucosal preservation. An interactive audience response system will be used to poll the audience as to how they would manage each situation. The response will be discussed and speakers will present how the situation was managed. An international panel of experienced endoscopic sinus surgeons has been selected to share their experiences.
Miniseminar: Updated Clinical Guidelines for Pediatric SDB Norman R Friedman, MD; DABSM (moderator); Ron B Mitchell, MD The American Academy of Sleep Medicine (AASM) is developing a clinical Guideline on the Evaluation and Management of Childhood Sleep Disordered Breathing (SDB). Habitual nightly snoring is not normal. SDB is a spectrum of disorders ranging from primary snoring through upper airway resistance syndrome to obstructive sleep apnea (OSA). The presence of neurobehavioral and neurocognitive abnormalities in children with SDB is three-fold higher than in normal children. One may assume that children who have SDB and are doing adequately scholastically might do even better if they were having a normal night of sleep. Snoring is more likely to be present in children who have been diagnosed with ADHD. Severe manifestations of SDB include failure to thrive, pulmonary hypertension and right heart failure. A relationship between bedwetting and SDB has also been
suggested as well as an association with night terrors. As Vice Chair of this AASM committee, the most up-to-date information will be presented to the seminar attendee. The format will be interactive with the audience response units determining one’s baseline knowledge. An emphasis will be placed on presenting the most current opinions and literature for SDB on the following topics: diagnosis and evaluation, neurocognitive morbidity, and clinical relevance. In the spring of 2007, the AASM anticipates releasing new scoring guidelines for sleep studies. The release of these new guidelines should help standardize the terminology for sleep apnea. Since sleep terminology varies, sleep study reports may be confusing. A report can range from a one-page summary to a detailed tenpage document. During the seminar, examples of sleep recordings and video clips will illustrate the new definitions. A review of current sleep terminology will allow an otolaryngologist to decipher a sleep study report as well as when to request more information to enable them to make clinical decisions.
TUESDAY
9:30 AM to 10:30 AM WCC Ballroom C