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Sinus surgery: State-of-the-art update
plications will be followed by a panel discussion. The panel will discuss cases that highlight the benefits of this technique within the otolaryngologist-head and neck surgeon’s armamentarium for the treatment of salivary gland swelling. EDUCATIONAL OBJECTIVES: 1) To understand the indications for salivary endoscopy. 2) To understand the risks and benefits of the procedure. 3) To be able to appreciate the best uses of imaging modalities for these patients including ultrasound, MRI, and CT.
Sinus surgery: State-of-the-art update Brent Senior, MD (moderator); Peter H Hwang, MD; Stilianos Kountakis, MD, PhD; Rodney J. Schlosser, MD; Adam Mikial Zanation, MD PROGRAM DESCRIPTION: Endoscopic surgery of the sinuses has undergone significant changes in the last few years with regard to both technology and technique. In this interactive presentation sponsored by the American Rhinologic Society, speakers will focus on several of the most significant advances including endoscopic frontal surgery, endoscopic maxillary and ethmoid surgery, endoscopic management of CSF leaks and encephaloceles and endoscopic surgery of benign and malignant sinonasal and skull base tumors. Presenters will focus on the latest concepts and controversial areas with broad discussion of pros and cons. Audience participation with questions and debate will be encouraged. EDUCATIONAL OBJECTIVES: 1) To discuss recent advances endoscopic surgery of the frontal, maxillary, and ethmoid sinuses. 2) To review recent advances in endoscopic surgery in the management of CSF leaks and encephaloceles. 3) To discuss recent advances in endoscopic surgery for benign and malignant tumors of the nose, sinuses, and skull base.
Standing on shoulders of dummies: Simulation education 2009 Ellen S. Deutsch, MD (moderator); Seth Dailey, MD; Ara Darzi, FMedSci; Nikolas Blevins, MD; Marvin Peter Fried, MD; Kelly M Malloy, MD PROGRAM DESCRIPTION: We have the momentous opportunity to use simulation and other innovative educational processes to maximize learning while minimizing patient risk. Medical education is changing rapidly, and we can take advantage of a confluence of several important influences and opportunities to enhance our support for learning, improve our safety processes, minimize the direct risk to patients, and decrease our own malpractice risk. Simulation can be used to master new skills and new technologies, and refresh old skills, while minimizing risk to real patients. Simulation can be used to rehearse the management of uncommon but potentially catastrophic events. Moreover, simulation allows us to practice at our convenience using interactive, engaging learning processes. Learn about the variety of strategies and technologies being developed and used to accomplish these
P27 objectives, including simple and sophisticated task trainers with physical realism, virtual models with tactile or electronic feedback, animal or cadaveric models, real people acting as patients, and elegant, life-sized, interactive manikins, as well as immersive learning environments which combine these elements. Simulation has applications in otologic, laryngologic, and sinus procedural skills; as well as for safety, communication, and group interaction (crew resource) processes. Simulation has relevance for students, residents and practicing physicians. EDUCATIONAL OBJECTIVES: 1) Understand the applications of varied simulation strategies in activated, adult education. 2) Understand current simulation capabilities to facilitate learning sinus, otologic and airway procedures; enhance patient safety and crew-resource management; and influence the maintenance of certification. 3) Debate controversies surrounding simulation applications for procedural credentialing.
State-of-the-art dysphagia evaluation and treatment Katherine Kendall, MD (moderator); Rebecca J Leonard, MS, PhD; Dinesh K. Chhetri, MD; Gregory Postma, MD PROGRAM DESCRIPTION: Dysphagia is a significant health issue in the United States, with swallowing problems estimated to occur in 7% of the general population annually. Furthermore, dysphagia is more common in older individuals, and as the baby boomer generation ages, the incidence of dysphagia is likely to increase. Dysphagia may lead to aspiration and, in fact, the number of deaths due to aspiration pneumonia annually in the United States is greater than the number of deaths due the all types of head and neck cancer combined. Aspiration is the number one cause of death in nursing homes and 10% of all communityacquired pneumonias are thought to be due to aspiration. Beyond the risk of aspiration, chronic swallowing problems compromise nutritional status, the ability to take medications and undermine quality of life as a result of emotional repercussions such as loss of self-esteem and social isolation. Otolaryngologists are likely to see more patients in their practice with swallowing complaints. They are often called upon to coordinate an evaluation involving multiple specialties. As a result, they must be well versed in the evaluation and treatment of patients with dysphagia. This symposium will present an overview of the state of the art in the evaluation of patients with dysphagia, using current technology for ancillary testing. Normal swallowing physiology and the key elements required for successful swallowing will be presented. This short review will form the foundation for a discussion of effective history taking in patients with dysphagia and highlight components of the physical examination that give important clues to the etiology of swallowing difficulties. The indications, limitations and advantages of currently available ancillary testing will be covered including videofluoroscopic-swallowing studies, functional endoscopic evaluation of swallowing with or without sensory testing, manometry, and trans-nasal esophagoscopy. Empha-
MINISEM.
Miniseminars
Sinus surgery: State-of-the-art update Brent Senior, MD (moderator); Peter H Hwang, MD; Stilianos Kountakis, MD, PhD; Rodney J. Schlosser, MD; Adam Mikial Zanation, MD PROGRAM DESCRIPTION: Endoscopic surgery of the sinuses has undergone significant changes in the last few years with regard to both technology and technique. In this interactive presentation sponsored by the American Rhinologic Society, speakers will focus on several of the most significant advances including endoscopic frontal surgery, endoscopic maxillary and ethmoid surgery, endoscopic management of CSF leaks and encephaloceles and endoscopic surgery of benign and malignant sinonasal and skull base tumors. Presenters will focus on the latest concepts and controversial areas with broad discussion of pros and cons. Audience participation with questions and debate will be encouraged. EDUCATIONAL OBJECTIVES: 1) To discuss recent advances endoscopic surgery of the frontal, maxillary, and ethmoid sinuses. 2) To review recent advances in endoscopic surgery in the management of CSF leaks and encephaloceles. 3) To discuss recent advances in endoscopic surgery for benign and malignant tumors of the nose, sinuses, and skull base.
Standing on shoulders of dummies: Simulation education 2009 Ellen S. Deutsch, MD (moderator); Seth Dailey, MD; Ara Darzi, FMedSci; Nikolas Blevins, MD; Marvin Peter Fried, MD; Kelly M Malloy, MD PROGRAM DESCRIPTION: We have the momentous opportunity to use simulation and other innovative educational processes to maximize learning while minimizing patient risk. Medical education is changing rapidly, and we can take advantage of a confluence of several important influences and opportunities to enhance our support for learning, improve our safety processes, minimize the direct risk to patients, and decrease our own malpractice risk. Simulation can be used to master new skills and new technologies, and refresh old skills, while minimizing risk to real patients. Simulation can be used to rehearse the management of uncommon but potentially catastrophic events. Moreover, simulation allows us to practice at our convenience using interactive, engaging learning processes. Learn about the variety of strategies and technologies being developed and used to accomplish these
P27 objectives, including simple and sophisticated task trainers with physical realism, virtual models with tactile or electronic feedback, animal or cadaveric models, real people acting as patients, and elegant, life-sized, interactive manikins, as well as immersive learning environments which combine these elements. Simulation has applications in otologic, laryngologic, and sinus procedural skills; as well as for safety, communication, and group interaction (crew resource) processes. Simulation has relevance for students, residents and practicing physicians. EDUCATIONAL OBJECTIVES: 1) Understand the applications of varied simulation strategies in activated, adult education. 2) Understand current simulation capabilities to facilitate learning sinus, otologic and airway procedures; enhance patient safety and crew-resource management; and influence the maintenance of certification. 3) Debate controversies surrounding simulation applications for procedural credentialing.
State-of-the-art dysphagia evaluation and treatment Katherine Kendall, MD (moderator); Rebecca J Leonard, MS, PhD; Dinesh K. Chhetri, MD; Gregory Postma, MD PROGRAM DESCRIPTION: Dysphagia is a significant health issue in the United States, with swallowing problems estimated to occur in 7% of the general population annually. Furthermore, dysphagia is more common in older individuals, and as the baby boomer generation ages, the incidence of dysphagia is likely to increase. Dysphagia may lead to aspiration and, in fact, the number of deaths due to aspiration pneumonia annually in the United States is greater than the number of deaths due the all types of head and neck cancer combined. Aspiration is the number one cause of death in nursing homes and 10% of all communityacquired pneumonias are thought to be due to aspiration. Beyond the risk of aspiration, chronic swallowing problems compromise nutritional status, the ability to take medications and undermine quality of life as a result of emotional repercussions such as loss of self-esteem and social isolation. Otolaryngologists are likely to see more patients in their practice with swallowing complaints. They are often called upon to coordinate an evaluation involving multiple specialties. As a result, they must be well versed in the evaluation and treatment of patients with dysphagia. This symposium will present an overview of the state of the art in the evaluation of patients with dysphagia, using current technology for ancillary testing. Normal swallowing physiology and the key elements required for successful swallowing will be presented. This short review will form the foundation for a discussion of effective history taking in patients with dysphagia and highlight components of the physical examination that give important clues to the etiology of swallowing difficulties. The indications, limitations and advantages of currently available ancillary testing will be covered including videofluoroscopic-swallowing studies, functional endoscopic evaluation of swallowing with or without sensory testing, manometry, and trans-nasal esophagoscopy. Empha-
MINISEM.
Miniseminars