- Email: [email protected]
Pediatric Sleep Disordered Breathing: You Ask the Questions
P22
Otolaryngology-Head and Neck Surgery, Vol 139, No 2S1, August 2008
The approach to parathyroid disorders has undergone considerable change in the past decade, evolving from a standard 4-gland exploration to a highly selective, targeted removal of diseased glands for most patients. In this miniseminar, the important principles involved in patient selection and extent of surgery will be explored with an emphasis on areas of consensus, and a discussion of competing views where controversy remains. Specifically, appropriate patient selection will be emphasized in regard to: the NIH consensus criteria for exploration in patients with primary hyperparathyroidism, osteoporotic patients with normocalcemic hyperparathyroidism, and the potential influence of variable baseline PTH levels, among others. Appropriate candidates for a focused approach will be identified, and circumstances favoring a four-gland exploration will be described. The emerging standards for preoperative localization will be examined at length, with support for various options offered. The advantages and disadvantages of multiple surgical access options will be presented, focusing in particular on both a central and lateral approach. The logical and cautious use of the intraoperative parathyroid hormone assay will be discussed. Panelists will present various strategies for timing of sample acquisition designed to minimize false positive and negative results and reduce frustration related to less than “rapid” turnover. Finally, the panelists will provide both clinical pearls and challenging case presentations (covering diagnostic dilemmas) to highlight the focus topics covered in the miniseminar. Speculation will be provided regarding future directions and areas of research opportunities.
Pearls in Sleep Medicine for the Otolaryngologist B Tucker Woodson, MD (moderator); Pell Ann Wardrop, MD; Kathleen Yaremchuk, MD; Aaron E Sher, MD Multiple sleep disorders that often coexist in the sleep disordered breathing patient. Diagnosis, assessment, and treatment of sleep disorders is challanging. The “sleep surgeon” has both the opportunity to assist in providing improved patient care, but also a responsibility of confirming correct diagnosis and therapy before proceeding with more aggressive therapy. This miniseminar’s goal is to augment and improve education in sleep medicine for the general otolaryngologist. Sleep boarded/ eligible otolaryngologists will present on diagnosis and management of disorders that often coexist with the complicated sleep apnea patient including insomnia, restless legs, hypersomnolence, and central apnea.
Pediatric Airway 2008 for the General Otolaryngologist Christopher J Hartnick, MD (moderator); Marcella R Bothwell, MD; Max M April, MD; Andrew F Inglis, Jr, MD; Michael J Rutter, MD, FRACS
There will be a multi-speaker symposium of four senior pediatric otolaryngologists addressing the clinical and endoscopic diagnosis of pediatric airway abnormalities for the general otolaryngologist and the endoscopic and open techniques available to recommend patients’ families. An overview of “pediatric stridor” will show how the “noise” can be almost diagnostic for the adept otolaryngologist. Diagnostic flexible “in office” laryngo-naso-pharyngoscopy will be discussed. Topical anesthesia for the office endoscopy will be presented for the pediatric patient. Common laryngeal abnormalities will be shown using the distal tip endoscope. Because of the improvement in endoscopic and open repair of laryngeal lesions, voice is no longer a luxury and its evaluation is mandatory. All surgery is ‘pushing’ the endoscopic ‘envelope,’ including pediatric airway. The latest techniques and the decision between open and endoscopic management will be discussed. The indications for open airway reconstruction and techniques available will be discussed. Fifteen minutes will be available to discuss topics of interest.
Pediatric Sleep Disordered Breathing: You Ask the Questions Norman R Friedman, MD, DABSM (moderator); Charles M Bower, MD; Kasey K Li, MD, DDS; Ron B Mitchell, MD; Sally Shott, MD The miniseminar will be an open forum and interactive discussion on the management of pediatric SDB. The panel of experts includes individuals who treat children with all aspects of SDB including those with craniofacial anomalies and special needs. The panelists are prepared to discuss both medical and surgical treatment options. They will assist the attendee in understanding the pathophysiology and morbidity of SDB. A case presentation format will be used. The audience will determine the discussion topics and their priority. Attendees will have the opportunity to either submit a question or case presentation to [email protected] prior to the meeting. The e mail communication will be compiled and a program determined. Each topic will have a set of questions developed regarding differential diagnosis, evaluation, and treatment for the audience to select their choice prior to discussion by the panel. The audience response will be a springboard for more in-depth discussions. Discussion from the floor is encouraged.
Presidential Problems: Otolaryngologic Disorders of the United States Presidents Lawrence R Lustig, MD (moderator); Andrew Spector, MD; Lanny G. Close, MD; C Robert Pettit, MD; Robert J Ruben, MD; John W. House, MD Otolaryngologic disease knows no political boundaries, having the ability to affect a United States President and potentially altering national and world events. This miniseminar will highlight otolaryngologic disorders of the U.S. presidents, and will
Otolaryngology-Head and Neck Surgery, Vol 139, No 2S1, August 2008
The approach to parathyroid disorders has undergone considerable change in the past decade, evolving from a standard 4-gland exploration to a highly selective, targeted removal of diseased glands for most patients. In this miniseminar, the important principles involved in patient selection and extent of surgery will be explored with an emphasis on areas of consensus, and a discussion of competing views where controversy remains. Specifically, appropriate patient selection will be emphasized in regard to: the NIH consensus criteria for exploration in patients with primary hyperparathyroidism, osteoporotic patients with normocalcemic hyperparathyroidism, and the potential influence of variable baseline PTH levels, among others. Appropriate candidates for a focused approach will be identified, and circumstances favoring a four-gland exploration will be described. The emerging standards for preoperative localization will be examined at length, with support for various options offered. The advantages and disadvantages of multiple surgical access options will be presented, focusing in particular on both a central and lateral approach. The logical and cautious use of the intraoperative parathyroid hormone assay will be discussed. Panelists will present various strategies for timing of sample acquisition designed to minimize false positive and negative results and reduce frustration related to less than “rapid” turnover. Finally, the panelists will provide both clinical pearls and challenging case presentations (covering diagnostic dilemmas) to highlight the focus topics covered in the miniseminar. Speculation will be provided regarding future directions and areas of research opportunities.
Pearls in Sleep Medicine for the Otolaryngologist B Tucker Woodson, MD (moderator); Pell Ann Wardrop, MD; Kathleen Yaremchuk, MD; Aaron E Sher, MD Multiple sleep disorders that often coexist in the sleep disordered breathing patient. Diagnosis, assessment, and treatment of sleep disorders is challanging. The “sleep surgeon” has both the opportunity to assist in providing improved patient care, but also a responsibility of confirming correct diagnosis and therapy before proceeding with more aggressive therapy. This miniseminar’s goal is to augment and improve education in sleep medicine for the general otolaryngologist. Sleep boarded/ eligible otolaryngologists will present on diagnosis and management of disorders that often coexist with the complicated sleep apnea patient including insomnia, restless legs, hypersomnolence, and central apnea.
Pediatric Airway 2008 for the General Otolaryngologist Christopher J Hartnick, MD (moderator); Marcella R Bothwell, MD; Max M April, MD; Andrew F Inglis, Jr, MD; Michael J Rutter, MD, FRACS
There will be a multi-speaker symposium of four senior pediatric otolaryngologists addressing the clinical and endoscopic diagnosis of pediatric airway abnormalities for the general otolaryngologist and the endoscopic and open techniques available to recommend patients’ families. An overview of “pediatric stridor” will show how the “noise” can be almost diagnostic for the adept otolaryngologist. Diagnostic flexible “in office” laryngo-naso-pharyngoscopy will be discussed. Topical anesthesia for the office endoscopy will be presented for the pediatric patient. Common laryngeal abnormalities will be shown using the distal tip endoscope. Because of the improvement in endoscopic and open repair of laryngeal lesions, voice is no longer a luxury and its evaluation is mandatory. All surgery is ‘pushing’ the endoscopic ‘envelope,’ including pediatric airway. The latest techniques and the decision between open and endoscopic management will be discussed. The indications for open airway reconstruction and techniques available will be discussed. Fifteen minutes will be available to discuss topics of interest.
Pediatric Sleep Disordered Breathing: You Ask the Questions Norman R Friedman, MD, DABSM (moderator); Charles M Bower, MD; Kasey K Li, MD, DDS; Ron B Mitchell, MD; Sally Shott, MD The miniseminar will be an open forum and interactive discussion on the management of pediatric SDB. The panel of experts includes individuals who treat children with all aspects of SDB including those with craniofacial anomalies and special needs. The panelists are prepared to discuss both medical and surgical treatment options. They will assist the attendee in understanding the pathophysiology and morbidity of SDB. A case presentation format will be used. The audience will determine the discussion topics and their priority. Attendees will have the opportunity to either submit a question or case presentation to [email protected] prior to the meeting. The e mail communication will be compiled and a program determined. Each topic will have a set of questions developed regarding differential diagnosis, evaluation, and treatment for the audience to select their choice prior to discussion by the panel. The audience response will be a springboard for more in-depth discussions. Discussion from the floor is encouraged.
Presidential Problems: Otolaryngologic Disorders of the United States Presidents Lawrence R Lustig, MD (moderator); Andrew Spector, MD; Lanny G. Close, MD; C Robert Pettit, MD; Robert J Ruben, MD; John W. House, MD Otolaryngologic disease knows no political boundaries, having the ability to affect a United States President and potentially altering national and world events. This miniseminar will highlight otolaryngologic disorders of the U.S. presidents, and will