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Miniseminars P11
Salvage Laryngectomy, Decision Making
to Optimize the Result: Neck Dissection?
Salivary Bypass? Flap-Assisted Closure?
Douglas B. Chepeha, MD, MPH (moderator);
Ralph W. Gilbert, MD; Urjeet Patel, MD
Program Description: How does a surgeon decide to opti-
mize the outcome after performing a salvage laryngectomy?
The goal of this miniseminar is to help the surgeon under-
stand the decision-making process for the reconstruction of
the hypopharynx after salvage laryngectomy using evidence
from 2 large national retrospective reviews. In addition, the
role of withholding neck dissection to reduce morbidity
will be discussed. Substantial time will be left at the end
of the presentation to discuss specific case examples and
have the faculty discuss perioperative and postoperative
management.
Educational Objectives: (1) Cite the current evidence for flap-
assisted closure for patients undergoing salvage laryngectomy.
(2) Evaluate the risks and benefits of performing neck dissec-
tion for salvage patients. (3) Use case examples to demon-
strate management relating to choice for neck dissection, use
of the salivary bypass tube, and choice of flap-assisted
reconstruction.
Surgical Management of the Patient with
Facial Paralysis
Mark K. Wax, MD (moderator); Eben L. Rosenthal, MD;
Fred G. Fedok, MD; Tom D. Wang, MD
Program Description: Patients with facial nerve paralysis suf-
fer significant cosmetic and functional morbidity. Most of
these patients eventually require the attention of the facial
plastic reconstructive surgeon. Management of the eye
involves both loading the upper eyelid and tightening the
lower eyelid. Mid-face reconstruction can be addressed by
either dynamic sling using a temporalis muscle or adynamic
with acellular suspension. The advantages and risks associ-
ated with the procedures and the operative results of these
techniques will be discussed by the panel. Each panelist will
present their preferred method of rehabilitation with case sce-
narios to explore subtleties of each surgical approach.
Educational Objectives: (1) Upon completion of this session,
the attendee will be able to determine the management of the
upper and lower eyelid complex. (2) Attendees will be able to
discuss the differences in dynamic and adynamic reconstruc-
tion of the lower face. (3) Attendees will be able to manage the
nasal airway in patients with facial nerve paralysis.
Technical Pearls in Rhinoplasty
Edmund A. Pribitkin, MD (moderator); Steven R. Mobley, MD;
Clinton D. Humphrey, MD; Grant S. Hamilton, MD
Program Description: Four experienced rhinoplasty surgeons
divulge their 3 techniques that prove useful in almost every case.
Every component of rhinoplasty will be covered systematically
with tips being offered on the straight dorsum, functional middle
vault, and the refined tip. Videos or step-by-step photographs will
enable attendees to quickly grasp how and when to use these
maneuvers to consistently improve their patient outcomes. Top-
ics to be covered include grafts in rhinoplasty made easy, man-
agement of the lateral crus, ultrasonic sculpting of the dorsum,
suture fixation techniques revisited, and critical closing steps.
Educational Objectives: (1) Employ suture techniques such
as medial crural fixation stitch and upper lateral cartilage sus-
pension sutures to maintain tip projection and middle vault
competency, respectively. (2) Select cartilage grafts that cam-
ouflage defects, reinforce projection, and maintain the nasal
airway. (3) Choose appropriate tip refinement techniques to
consistently improve patient outcomes.
General Otolaryngology
Academic Bowl
Mark K. Wax, MD (moderator); Sonya Malekzadeh, MD
MINISEMINARS
Program Description: The academic bowl has been an annual
interactive resident competition at the American Academy of
Otolaryngology—Head and Neck Surgery Foundation annual
meeting for the past 8 years. Four teams from across the coun-
try are selected based on strict academic criteria. These pro-
grams send 3 residents to represent them in an interactive
question-and-answer format. The educational committees of
the foundation develop questions. They are presented to the
teams and the audience. Each team responds, and the audience
is given a chance to pit their knowledge against the residents’.
The resident team with the best score at the end of the compe-
tition wins a prize.
Educational Objectives: (1) Attendees will be able to see what
the current level of knowledge is in various subspecialties of
otolaryngology. (2) Attendees will be able to compare their
knowledge base to residents across a wide range of topics. (3)
Attendees will be able to determine areas of weakness in their
knowledge base as compared with residents.
American Academy of Otolaryngology—
Head and Neck Surgery Core Miniseminar:
Building Research into Your Practice
Benjamin S. Bleier, MD (moderator); Samuel Gubbles, MD;
Maie St. John, MD; Alan G. Cheng, MD; Bruce K. Tan, MD;
Andrew G. Sikora, MD, PhD
Program Description: This course is sponsored by the Ameri-
can Academy of Otolaryngology—Head and Neck Surgery
CORE Grants program and is designed to provide a practical,
“nuts and bolts” guide to incorporating research into your oto-
laryngology practice. A diverse group of experienced surgeon-
scientists will cover all of the relevant topics from how to
choose a project, get funding, publish your work, patent your
ideas, and more. Whether you are looking to begin a small
clinical study or embark on a career in research, this minise-
minar will provide you with the tools to avoid common pit-
falls and make your research a successful and rewarding
experience.