Miniseminar: Treatment of T2 and T3 laryngeal cancer in 2004: Has the state of the art changed?

Otolaryngology– Head and Neck Surgery Volume 131 Number 2

Scientific Session—Wednesday P223

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Miniseminar: Treatment of T2 and T3 Laryngeal Cancer in 2004: Has the State of the Art Changed?

Gregory A Grillone, MD (moderator); R Kim Davis, MD; Gregory S Weinstein, MD; Bruce H Haughey, MBChB MS F; Marshall Posner, MD Boston MA; Salt Lake City UT; Philadelphia PA; St Louis MO; Boston MA In the past, treatment options for T2 and T3 laryngeal cancer included open excision (partial, near total, or total laryngectomy) and/or radiation therapy. Over the past decade

8:00 AM to 9:20 AM Room JJCC 1A06 •

Miniseminar: Update in Endoscopic Management of the Pediatric Airway

Charles M Bower, MD (moderator); Michael J Rutter, MD FRCS; Daniel J Kirse, MD; Lisa M Buckmiller, MD Little Rock AR; Cincinnati OH; Winston Salem NC; Little Rock AR Endoscopic techniques are important in the diagnosis and treatment of pediatric airway pathology. Recent medical literature has placed an increasing emphasis on the open surgical management of pediatric airway problems including laryngotracheal reconstruction. This miniseminar is designed to provide an update regarding endoscopic managment of a variety of pediatric airway problems, and discuss the role of endoscopic versus open managment. Specific techniques for management will be discussed by each of the panelists. This will include a review of endo-

8:00 AM to 9:20 AM Room JJCC 1A14 •

Miniseminar: Voice Disorders in the Elderly C Blake Simpson, MD (moderator); Albert L Merati, MD; Allen D Hillel, MD; R Lucian Sulica, San Antonio TX; Milwaukee WI; Seattle WA; New York NY

MD

The US Bureau of Census reported 30 million people in the US over the age of 65 in the year 2000, and predicts that

or so, new options for management of these lesions have been introduced with the goal of improving functional outcome while maintaining acceptable survival rates. Such techniques include extended endoscopic excision, supracricoid laryngectomy, and organ preservation modalities using radiotherapy and chemotherapy. While the state of the art continues to evolve, the optimal management of these intermediate-size lesions remains controversial. The purpose of this miniseminar is to discuss and compare the relative merits of these various treatment options. Outcomes will be discussed in detail with respect to survival, function (including airway maintenance, voice, and swallowing), and quality of life.

scopic diagnosis of airway problems. The panelsits will discuss endoscopic management of subglottic stenosis, including the role of laser ablation, powered instrumentation, balloon dilation, and stent placement, as well as the role of adjuvant medical therapy. Decision making regarding endoscopic versus open reconstruction will be presented. The endoscopic treatment of laryngeal vascular malformations, including subglottic and supraglotic lesions will be discussed. This will include the use of laser ablation as well as medical treatment. The role of powered instrumentation for papillomas, subglottic stenosis and removal of granulation tissue will be addressed. Powered instrumentation will be compared to laser and non-powered dissection. The endoscopic approach to bilateral vocal cord paralysis in children will also be reviewed. The panelists will then discuss a variety of cases of pediatric airway problems. The format will be a brief presentation by each of the panelists followed by an interactive discussion. Time for questions and comments will be allowed.

the number will climb to over 50 million by the year 2020. Estimates indicate that as many as 12% of our nation’s elderly may have vocal dysfunction, and voice complaints in the elderly make up an increasing number of referrals to general otolaryngologic practice. As many individuals remain in the workforce and maintain active social lives well past the age of 70, this has lead to increased vocal demands in our nation’s elderly population as well. The purpose of this miniseminar is to examine the effects of aging on the voice and to discuss the diagnosis and treatment of the common causes of hoarseness in the elderly population. Many of the vocal complaints reported

WEDNESDAY

8:00 AM to 9:20 AM Room JJCC 1E14,1E15,1E16