June 5-7, 2013
North American Masterclass in Endoscopic Sinus Surgery
RECALCITRANT CHRONIC RHINOSINUSITIS (CRS) and aggressive clinical variants of the disease such as nasal polyposis, Samter’s triad and eosinophilic mucus CRS are particularly challenging to manage, even in the hands of experienced otolaryngologists. Surgery is generally tailored to the severity of disease; however, advances in endoscopic sinus surgery technique and ancillary procedures, and our understanding of the disease process have lead to improved success rates for surgery in the management of severe disease. The aim of this course is to teach advanced techniques in endoscopic sinus surgery, including frontal recess dissection and drillout, medial maxillectomy, as well as common endoscopic skull base approaches to the pituitary region, clivus, anterior cranial and infratemporal fossae.
The session will consist of a half-day of lectures followed by one or two days of hands-on dissections. Twenty cadaveric heads with CT imaging as well as endoscopic surgical workstations will be provided, and the enrollment would be open to a total of 40 Otolaryngologists, including practicing surgeons, advanced trainees and fellows from the Canada, the US and Europe.
After attending this workshop, otolaryngologists will:
1 Become familiar with advanced ESS techniques,including the surgical steps of each technique;
2 Be able to discuss the indications and contraindications of advanced ESS techniques;
3 Become familiar with the instrumentation required; 4 Be able to discuss the postoperative management after ESS.
This course is being considered for 20 hours of category 1 credits by the Royal College of Physicians and Surgeons of Canada as well as the American Board of Otoloaryngology.
THE MOST DREADED HAEMORRHAGIC COMPLICATION IN ESS
is inadvertent injury to the internal carotid artery (ICA). Whilst it is uncommon, ICA injury does have disastrous complications when it does occur. The literature clearly shows that the more often a surgeon operates at the skull base endonasally, then the more likely they are to experience a catastrophic vascular injury. Given the increasing number of applications of ESS, sound knowledge of the management of severe ICA bleeding in the context of endoscopic sinus surgery procedures is critical.
Professor Wormald and Rowan Valentine have developed a sheep model of a carotid catastrophy during endoscopic skull base surgery. This model is unique in that it is the first such model of this challenging surgical scenario and recreates the anatomical confines and constraints of endonasal skull base surgery.
This course provides the unique opportunity for ENT and Neurosurgeons to improve their endoscopic skills in surgically managing this challenging complication, and to become familiar with the haemostatic options available. Ideally the neurosurgeon and ENT surgeon would register as a team, allowing the team to develop the skills together in a cooperative fashion. Emphasis on this course is hands-on dissection providing the opportunity to learn how to position and manage the instruments during such a challenging surgical field, and enabling vascular control.
LEARNING OBJECTIVES
After attending this workshop, otolaryngologists will:
1 Acquire an awareness of the challenges an endoscopic surgeon faces when trying to manage a large vessel injury endoscopically;
2 Receive training in the surgical techniques that are vital for the effective management and control of the surgical field;
3 Experience a simulation of this challenging scenario allowing them to employ these surgical techniques in the animal model of a large vessel catastrophy during endoscopic skull base surgery.
This course is being considered for 6 hours of category 3 credits by the Royal College of Physicians and Surgeons of Canada as well as the American Board of Otoloaryngology.
For more information and for registration click here
April 30, 2013