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Finesse in FESS & Skull Base Surgery

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to sandra.grosskost@ircad.fr or by fax +33 3 88 11 90 28
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Finesse in FESS & Skull Base Surgery


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COURSE OBJECTIVES

  • Teach current techniques of extended sinus surgery.
  • Improve the knowledge in endoscopic approaches to all sinuses and anterior skull base.
  • Provide hands-on sessions on cadaveric specimen and improve skills.
  • Become familiar with endocopic endonasal approaches.
  • Picking up some "pearls" and refinement and some new, less destructive techniques.

EDUCATIONAL METHODS


  • An in-depth, three-day, full immersion course focusing on endoscopic approaches to all sinuses and anterior skull base.
  • Includes live demonstration dissection sessions and instructed hands-on dissections on fresh specimens.
  • Telescopes, full HD-cameras, the latest navigational technology (be impressed by "Ariadne's Thread" to frontal sinus, for instance) and adequate instruments are provided for all.
  • Fantastic equipment in the experimental lab!

TARGET AUDIENCE

Rhinologists / ENT-Skull Base Surgeons, ideally with considerable experience in endoscopic sinus surgery, interested in picking up technical "pearls" and refinement - and possibly some new, less destructive techniques benefitting outcomes in their patients.

COURSE DIRECTOR

Andreas Leunig (D)

CO-DIRECTORS

Christian Debry (F)
Bernhard Schick (D)
Daniel Simmen (CH)
Valentin Tomazic (A)

Friday, November 20th

08:00am Registration

08:30am Welcome and course information

THEORETICAL SESSION
  • Messerklinger’s & Stammberger’s philosophy; School of Graz
  • Surgical anatomy and endoscopic approaches to anterior ethmoid and maxillary sinus (limited to extended and medial maxillectomy)
  • Dancing around the lacrimal system (Pyriform turbinoplasty, Prelacrimal window approach, DCR)
  • Surgical anatomy of posteroid ethmoid and sphenoid sinus: from Onodi and Sternberg to sphenopalatine artery and internal carotid artery
10:05am Coffee break

10:30am
THEORETICAL SESSION
  • Intraoperative navigation: Understanding basics, learning new options
  • Surgical anatomy and approaches to sphenoid sinuses: paraseptal, transethmoidal and superior turbinate bypass (sinusotomy Typ 3)
  • Surgical anatomy and approach to pterygopalatine fossa and Vidian nerve
  • Surgical anatomy and approach to orbit, optic nerv, sella, pituitary and beyond
  • Round table: Bleeding management from SPA, AEA to ICA
12:20pm Questions & Answers

12:30pm Lunch at the Institute

01:30pm

INDIVIDUALIZED AND ADVANCED HANDS-ON TRAINING ON FRESH FROZEN ANATOMICAL SPECIMENS IN EXPERIMENTAL LABORATORY:
Demonstration dissections and hands-on:
  • Endoscopic approaches to anterior ethmoid; the lamella principle
  • Posterior ethmoid and superior turbinate-bypass approaches to sphenoid sinus; the lamella principle
  • SPA-Ligation, exposure of pituitary 
05:50pm Open discussion

06:00pm End of day 1

07:30pm Dinner in honor of the participants

Saturday, November 21st

08:00am Evaluation of the previous day

08:10am

THEORETICAL SESSION
  • Surgical anatomy and endoscopic approach to frontal recess and sinus: “Uncapping” technique, Draf 1/EFSS G1 and Draf 2a/G2-3, intact bulla approach
  • Surgical landmarks and approach for drill out procedures Anterior ethmoidal and anterior nasal artery; Draf 2b/G4-5 and Typ 3/G6
  • Surgical indication for drill-out procedures (Draf 2b/G4-5 and Draf 3/G6)
  • Indications for frontal sinus with Balloon sinuplasty; EFSS G0
10:10am Coffee break

10:30am
THEORETICAL SESSION
  • OR-setup, anaesthesia and bleeding prevention
  • Closure of CSF-leaks and skull base defects
  • Transnasal endoscopic tumor surgery: concept and limitations
  • Post-OP care in FESS and Skull base surgery
12:20pm Questions & Answers

12:30pm Lunch at the Institute

01:30pm

INDIVIDUALIZED AND ADVANCED HANDS-ON TRAINING ON FRESH FROZEN ANATOMICAL SPECIMENS IN EXPERIMENTAL LABORATORY
Demonstration dissections and hands-on:
  • Frontal sinus approach Draf 1-2a/EFSS G1-3
    Bulla Intact Approach, “Uncapping Technique”, Anterior Ethmoidal “Genu”
  • Frontal sinus approach Draf 2b/G4-5 and Draf 3/G6 and modifications
    Anterior ethmoidal and anterior nasal artery
  • Frontal approaches (all)
04:00pm Coffee Break

04:30pm
Demonstration dissections and hands-on:
  • Extended maxillary antrostomy, prelacrimal fossa approach
  • Modified medial maxillectomy and nasoseptal (Haddad-) flap
  • Middle meatal antrostomy, prelacrimal fossa approach
    Modified medial maxillectomy and nasoseptal (Haddad-) flap
05:50pm Questions and Answers

06:00pm Evaluation and end of the course, adjourn and farewell
Program may be subject to modifications