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Nasal masses in infancy and childhood
P128
Otolaryngology Head and Neck Surgery
Instruction Courses-- Tuesday
May 1995
its used. A large number of normal variants, subtle abnormalities, and more obvious abnormalities will be illustrated and discussed. Audience participation will be welcomed.
COURSE 3614- !
One-period course ($20)
Room NOCC-63 1:45-2:45
Pediatric ENT Emergencies DOUGLAS K. HOLMES, MD
Raleigh, N.C.
Educational objectives: To recognize and diagnose pediatric ENT emergencies and to properly manage and treat pediatric ENT emergencies.
Pediatric ENT emergencies encompass a broad array of life-threatening problems. In a concise yet comprehensive manner, this course will cover the basics of pediatric ENT emergencies, including presenting signs and symptoms, diagnostic studies, and proper treatment and management. Areas of emphasis will be infection and trauma of the airway, sinus infections involving the eye and cranium, congenital emergencies (bilateral choanal atresia, tracheoesophageal fistula), and otologic emergencies. Familiarity with these entities will lead to much better management and outcome. Residents, new practitioners, and those who deal with pediatric emergencies on an infrequent basis will find this course most helpful. Although children can become ill quite rapidly, proper diagnosis and management of their disorders generally results in quick return to normal health.
COURSE 3615-1
One-period course ($20)
Room NOCC-64 1:45-2:45
Nasal Masses in Infancy a n d Childhood NEWTON O. DUNCAN, MD, and MARCELLESULEK,MD
Houston, Texas
Educational objectives: To provide an accurate differential diagnosis by means o f examination and newer imaging techniques and to plan management, which includes newer surgical and endoscopic approaches for functional and aesthetic results.
External or internal nasal masses arising in infancy or childhood frequently lead to diagnostic and therapeutic dilemmas. Presenting symptoms vary from an asymptomatic nasal mass to life-threatening nasal obstruction or meningitis. Basic familiarity with nasal and anterior skull base embryology provides not only the understanding of how these masses arise but how these masses must be managed. This course discusses in detail the more common nasal
masses such as dermoids, gliomas (heterotopic glial tissue), and encephaloceles. Hemangiomas, nasal lacrimal duct cysts, teratomas, and tumors may also present as nasal masses and will additionally be discussed. Physical examination still often provides valuable diagnostic clues. Nasal endoscopy has also proved to be extremely helpful. Recent advances in MRI along with CT imaging have greatly assisted in accurate diagnosis and management planning. A close partnership with a neurosurgeon is important for many of these masses, which involve or traverse the skull base. Formerly surgical approaches included lateral rhinotomy or median vertical incisions. These can now be largely avoided by open rhinoplasty techniques. Furthermore, endoscopic management has been valuable in providing enhanced functional and aesthetic results. We present the collective experience in managing these masses from many centers as well as our own experience at Texas Children's Hospital. Potential diagnostic and management pitfalls will also be presented.
COURSE 3616- I One-period course ($20)
Room NOCC-65 1:45-2:45
Glomus Tumors and Skull Base Surgery DERALDE. BRACKMANN, MD, and ANTONIO DELACRUZ, MD
Los Angeles, Calif.
Educational objectives: To order the proper evaluation for patients presenting with vascular masses in the middle ear and to know the proper management for glomus tumors of the temporal bone.
Great strides have been made in the evaluation and surgical management of glomus tumors. High-resolution computerized cranial tomography makes possible exact preoperative delineation of the extent of these tumors. Magnetic resonance imaging allows evaluation of the involvement of the internal carotid artery. With new surgical techniques en bloc resection of even large tumors is possible. We present all aspects of the diagnosis and management of glomus tumors. The importance of preoperative studies, including computerized cranial tomography, magnetic resonance imaging, and arteriography, will be discussed. The role of preoperative embolization is also discussed. We outline therapy based on the classification of tumors as glomus tympanicum or glomus jugulare. Surgical techniques are described and illustrated by movies and slides. The indications for radiation therapy and the response one may expect will be given. The infratemporal fossa approach has revolutionized management of large glomus tumors and other tumors involving the skull base. We describe and discuss the advantages of this new approach.
Otolaryngology Head and Neck Surgery
Instruction Courses-- Tuesday
May 1995
its used. A large number of normal variants, subtle abnormalities, and more obvious abnormalities will be illustrated and discussed. Audience participation will be welcomed.
COURSE 3614- !
One-period course ($20)
Room NOCC-63 1:45-2:45
Pediatric ENT Emergencies DOUGLAS K. HOLMES, MD
Raleigh, N.C.
Educational objectives: To recognize and diagnose pediatric ENT emergencies and to properly manage and treat pediatric ENT emergencies.
Pediatric ENT emergencies encompass a broad array of life-threatening problems. In a concise yet comprehensive manner, this course will cover the basics of pediatric ENT emergencies, including presenting signs and symptoms, diagnostic studies, and proper treatment and management. Areas of emphasis will be infection and trauma of the airway, sinus infections involving the eye and cranium, congenital emergencies (bilateral choanal atresia, tracheoesophageal fistula), and otologic emergencies. Familiarity with these entities will lead to much better management and outcome. Residents, new practitioners, and those who deal with pediatric emergencies on an infrequent basis will find this course most helpful. Although children can become ill quite rapidly, proper diagnosis and management of their disorders generally results in quick return to normal health.
COURSE 3615-1
One-period course ($20)
Room NOCC-64 1:45-2:45
Nasal Masses in Infancy a n d Childhood NEWTON O. DUNCAN, MD, and MARCELLESULEK,MD
Houston, Texas
Educational objectives: To provide an accurate differential diagnosis by means o f examination and newer imaging techniques and to plan management, which includes newer surgical and endoscopic approaches for functional and aesthetic results.
External or internal nasal masses arising in infancy or childhood frequently lead to diagnostic and therapeutic dilemmas. Presenting symptoms vary from an asymptomatic nasal mass to life-threatening nasal obstruction or meningitis. Basic familiarity with nasal and anterior skull base embryology provides not only the understanding of how these masses arise but how these masses must be managed. This course discusses in detail the more common nasal
masses such as dermoids, gliomas (heterotopic glial tissue), and encephaloceles. Hemangiomas, nasal lacrimal duct cysts, teratomas, and tumors may also present as nasal masses and will additionally be discussed. Physical examination still often provides valuable diagnostic clues. Nasal endoscopy has also proved to be extremely helpful. Recent advances in MRI along with CT imaging have greatly assisted in accurate diagnosis and management planning. A close partnership with a neurosurgeon is important for many of these masses, which involve or traverse the skull base. Formerly surgical approaches included lateral rhinotomy or median vertical incisions. These can now be largely avoided by open rhinoplasty techniques. Furthermore, endoscopic management has been valuable in providing enhanced functional and aesthetic results. We present the collective experience in managing these masses from many centers as well as our own experience at Texas Children's Hospital. Potential diagnostic and management pitfalls will also be presented.
COURSE 3616- I One-period course ($20)
Room NOCC-65 1:45-2:45
Glomus Tumors and Skull Base Surgery DERALDE. BRACKMANN, MD, and ANTONIO DELACRUZ, MD
Los Angeles, Calif.
Educational objectives: To order the proper evaluation for patients presenting with vascular masses in the middle ear and to know the proper management for glomus tumors of the temporal bone.
Great strides have been made in the evaluation and surgical management of glomus tumors. High-resolution computerized cranial tomography makes possible exact preoperative delineation of the extent of these tumors. Magnetic resonance imaging allows evaluation of the involvement of the internal carotid artery. With new surgical techniques en bloc resection of even large tumors is possible. We present all aspects of the diagnosis and management of glomus tumors. The importance of preoperative studies, including computerized cranial tomography, magnetic resonance imaging, and arteriography, will be discussed. The role of preoperative embolization is also discussed. We outline therapy based on the classification of tumors as glomus tympanicum or glomus jugulare. Surgical techniques are described and illustrated by movies and slides. The indications for radiation therapy and the response one may expect will be given. The infratemporal fossa approach has revolutionized management of large glomus tumors and other tumors involving the skull base. We describe and discuss the advantages of this new approach.