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The parotid gland: diagnosis, medical and surgical approaches
Otolaryngology Head and Neck Surgery
Volume 112 Number 5
COURSE 2524-2
Two-period course ($40)
Instruction Courses-- Monday
Room NOCC-86 12:30-2:45
Life-Threatening Infections of the Head and Neck GEORGE L. ADAMS, MD, and ROBERTH. MAISEL,MD
Minneapolis, Minn.
Educational objectives: To evaluate and treat complex head and neck infections, to recognize the need for immediate surgical intervention in head and neck infections, and to treat infections in immunocompromised patients.
The use of antibiotics has modified the classic presentation of serious head and neck infections. Also, immunocompromised patients, diabetic patients, and patients receiving chemotherapy m a y develop rapidly fulminating infections, particularly fungal infection. Necrotizing fasciitis is classically described in patients who are diabetic or elderly. Recent experience with seven relatively healthy patients who had mixed aerobe and facultative infections will be discussed. Their predisposing factors, the role of hyperbaric oxygen in treating these patients, and the importance of immediately involving a thoracic surgeon will also be discussed. Postoperative wound infections after major head and neck cancer surgery require immediate care, with drainage of abscesses, rerouting of fistulous tracts, and protection of the carotid artery. Other infections, such as Clostridium difficile infections or fungal infections, may be a direct result of perioperative antibiotics. The changing nature of the responsible organisms and increasing prominence of resistant organisms will be discussed.
COURSE 2525-1
One-period course ($20)
Room NOCC-87 12:30-1:30
The Parotid Gland: Diagnosis, Medical and Surgical Approaches DAVID W. EISELE,MD, DALE H. RICE, MD, and STANLEYW. COULTHARD, MD
Baltimore, Md., Los Angeles, Calif., and Tucson, Ariz.
P77
The purpose of this course is to provide the otolaryngologist-head and neck surgeon with a body of knowledge that will allow him or her to systematically evaluate parotid gland diseases, to discuss with his or her pathologist the histopathologic appearance of the disease process, and to properly manage parotid gland disorders both medically and surgically.
COURSE 2526- |
One-period course ($20)
Room NOCC-88 12:30-1:30
Posttraumatic Imbalance a n d Vertigo LEEA. HARKER,MD
Omaha, Neb.
Educational objectives: To obtain a history that suggests which single or combination of discrete traumatic sequelae to the peripheral and central vestibular system are responsible for the patient's symptoms and to order and interpret the tests most likely to establish a correct diagnosis or diagnoses and initiate rational medical or surgical treatment.
Vertigo after head trauma is a common cause of disability. Often it is difficult to assess the role of vestibular system dysfunction in this disability for several reasons. Compounding the vestibular symptoms may be a myriad of associated symptoms, injuries to other body systems, Workman's Compensation claims, or pending litigation. All the following conditions can contribute to vestibular symptoms after trauma: direct brain trauma, transection of the vestibular nerves, fixed tissue damage to the end organ itself (labyrinthine concussion), perilymphatic fistular, benign paroxysmal positional vertigo, cervical vertigo, posttraumatic migraine, exaggeration of symptoms, and malingering. In isolation, each has a variable, but identifiable clinical picture. Posturography and computerized ENG are very helpful and can rule out some causes and diagnose or strongly support others. Often, more than one etiology is present. This course reviews the characteristic clinical presentations for posttraumatic vertigo, discusses complex case histories, and presents guidelines for management.
Educational objectives: To explain and evaluate parotid gland disorders and to properly manage parotid gland disorders.
The parotid gland serves as a target for infections as well as inflammatory, immunologic, congenital, traumatic, and neoplastic disorders. The differential diagnosis of disorders affecting this gland is extensive. A thorough understanding of the classification and pathology of the neoplastic and nonneoplastic processes affecting the parotid gland is essential for a rational approach to therapy. The complexity of the treatment of these various disorders is enhanced by the intricate relationship of the gland to cranial nerves, arteries and veins, and the cervical facial musculature. This course will cover the classification, pathology, factors influencing treatment, medical and surgical approaches, pitfalls, and complications of treatment of parotid diseases, both neoplastic and nonneoplastic.
COURSE 2527- I One-period course ($20)
Room NOCC-89 12:30-1:30
Controversies in Management of Thyroid Nodule ASHOK R. SHAHA, MD
New York, N.Y.
Educational objectives: To become familiar with the diagnostic workup of a patient presenting with solitary thyroid nodule and to discuss the current controversies related to the treatment, including total versus less than total thyroidectomy and role of postoperative radioactive iodine.
Thyroid disease and thyroid surgery present a common surgical problem. Even though thyroid surgery is goner-
Volume 112 Number 5
COURSE 2524-2
Two-period course ($40)
Instruction Courses-- Monday
Room NOCC-86 12:30-2:45
Life-Threatening Infections of the Head and Neck GEORGE L. ADAMS, MD, and ROBERTH. MAISEL,MD
Minneapolis, Minn.
Educational objectives: To evaluate and treat complex head and neck infections, to recognize the need for immediate surgical intervention in head and neck infections, and to treat infections in immunocompromised patients.
The use of antibiotics has modified the classic presentation of serious head and neck infections. Also, immunocompromised patients, diabetic patients, and patients receiving chemotherapy m a y develop rapidly fulminating infections, particularly fungal infection. Necrotizing fasciitis is classically described in patients who are diabetic or elderly. Recent experience with seven relatively healthy patients who had mixed aerobe and facultative infections will be discussed. Their predisposing factors, the role of hyperbaric oxygen in treating these patients, and the importance of immediately involving a thoracic surgeon will also be discussed. Postoperative wound infections after major head and neck cancer surgery require immediate care, with drainage of abscesses, rerouting of fistulous tracts, and protection of the carotid artery. Other infections, such as Clostridium difficile infections or fungal infections, may be a direct result of perioperative antibiotics. The changing nature of the responsible organisms and increasing prominence of resistant organisms will be discussed.
COURSE 2525-1
One-period course ($20)
Room NOCC-87 12:30-1:30
The Parotid Gland: Diagnosis, Medical and Surgical Approaches DAVID W. EISELE,MD, DALE H. RICE, MD, and STANLEYW. COULTHARD, MD
Baltimore, Md., Los Angeles, Calif., and Tucson, Ariz.
P77
The purpose of this course is to provide the otolaryngologist-head and neck surgeon with a body of knowledge that will allow him or her to systematically evaluate parotid gland diseases, to discuss with his or her pathologist the histopathologic appearance of the disease process, and to properly manage parotid gland disorders both medically and surgically.
COURSE 2526- |
One-period course ($20)
Room NOCC-88 12:30-1:30
Posttraumatic Imbalance a n d Vertigo LEEA. HARKER,MD
Omaha, Neb.
Educational objectives: To obtain a history that suggests which single or combination of discrete traumatic sequelae to the peripheral and central vestibular system are responsible for the patient's symptoms and to order and interpret the tests most likely to establish a correct diagnosis or diagnoses and initiate rational medical or surgical treatment.
Vertigo after head trauma is a common cause of disability. Often it is difficult to assess the role of vestibular system dysfunction in this disability for several reasons. Compounding the vestibular symptoms may be a myriad of associated symptoms, injuries to other body systems, Workman's Compensation claims, or pending litigation. All the following conditions can contribute to vestibular symptoms after trauma: direct brain trauma, transection of the vestibular nerves, fixed tissue damage to the end organ itself (labyrinthine concussion), perilymphatic fistular, benign paroxysmal positional vertigo, cervical vertigo, posttraumatic migraine, exaggeration of symptoms, and malingering. In isolation, each has a variable, but identifiable clinical picture. Posturography and computerized ENG are very helpful and can rule out some causes and diagnose or strongly support others. Often, more than one etiology is present. This course reviews the characteristic clinical presentations for posttraumatic vertigo, discusses complex case histories, and presents guidelines for management.
Educational objectives: To explain and evaluate parotid gland disorders and to properly manage parotid gland disorders.
The parotid gland serves as a target for infections as well as inflammatory, immunologic, congenital, traumatic, and neoplastic disorders. The differential diagnosis of disorders affecting this gland is extensive. A thorough understanding of the classification and pathology of the neoplastic and nonneoplastic processes affecting the parotid gland is essential for a rational approach to therapy. The complexity of the treatment of these various disorders is enhanced by the intricate relationship of the gland to cranial nerves, arteries and veins, and the cervical facial musculature. This course will cover the classification, pathology, factors influencing treatment, medical and surgical approaches, pitfalls, and complications of treatment of parotid diseases, both neoplastic and nonneoplastic.
COURSE 2527- I One-period course ($20)
Room NOCC-89 12:30-1:30
Controversies in Management of Thyroid Nodule ASHOK R. SHAHA, MD
New York, N.Y.
Educational objectives: To become familiar with the diagnostic workup of a patient presenting with solitary thyroid nodule and to discuss the current controversies related to the treatment, including total versus less than total thyroidectomy and role of postoperative radioactive iodine.
Thyroid disease and thyroid surgery present a common surgical problem. Even though thyroid surgery is goner-