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Pearls and Diamonds in FESS

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to sandra.grosskost@ircad.fr or by fax +33 3 88 11 90 28
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Pearls and Diamonds in FESS


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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)

Monday, September 9th

08:00am Registration

08:30am Welcome and course information

For Option A and Option B

THEORETICAL SESSION
  • Messerklinger's philosophy & School of Graz & Heinz Stammberger
  • Posterior ethmoid, sphenoid sinus and sella anatomy: from Onodi to Sternberg, detailed endoscopic and CT-anatomy
  • Surgical approaches to sphenoid sinuses : Direct - Paraseptal - Transethmoidal - Transethmoidal - Superior Turbinate Bypass - Transseptal
  • Identification and variants of ethmoidal abd sphenopalatine arteries
10:05am Coffee break

10:30am
THEORETICAL SESSION
  • Intraoperative navigation: Understanding the basics, learning new options
  • Pterygopalatine fossa and Vidian nerve
  • Transpterygoid approach: Extended sphenoid sinusotomy Typ III
  • The transsphenoidal way to sella, pituitary and beyond: cases, pearls, tipps & tricks
12:15pm Questions & Answers

12:30pm Lunch at the Institute

01:30pm

For Option A and Option B

PRACTICAL SESSION ON ANATOMICAL SPECIMENS
Demonstration dissections and hands-on :
  • Endoscopic approaches to anterior and posterior ethmoid
  • Transethmoidal and ST-bypass approaches to sphenoid sinus
  • SPA-Ligation, exposure of pituitary and beyond
05:50pm Open discussion: Sphenoid

06:00pm End of day 1

07:30pm Dinner in honor of the participants

Tuesday, September 10th

08:15am Evaluation of the previous day

08:30am

For Option A and Option B

THEORETICAL SESSION
  • Endoscopic approaches to frontal recess and sinus ("Uncapping" technique types I and II, intact bulla approach, fronto-ethmoidal mucoceles)
  • When and how to perform a Type III procedure ( Draf III, „modified Lothrop“, „drillout procedure“, „median drainage“)
  • Anatomical and surgical hints for the median drainage procedure
10:30am Coffee break

10:50am
THEORETICAL SESSION
  • Maxillary sinus approaches - From canine fossa endoscopy via ostium enlargement to medial maxillectomy
  • Dancing around the lacrimal system (Pyriform turbinoplasty, Prelacrimal window approach, DCR)
  • The pros and cons of balloon - "Sinuplasty"
12:20pm Questions & Answers

12:30pm Lunch at the Institute

01:30pm

For Option A and Option B

PRACTICAL SESSION ON ANATOMICAL SPECIMEN
Demonstration dissections and hands-on:
  • Frontal sinus approaches I - II
  • Draft III and modifications
  • Frontal approaches (all)
04:00pm Coffee Break

04:30pm
Demonstration dissections and hands-on:
  • Middle meatal antrostomy & how to raise a nasoseptal (Hadad-) flap
  • Middle meatal antrostomy & nasoseptal (Hadad-) flap
05:50pm Questions and Answers

06:00pm End of day 2

Wednesday, September 11th

08:15am
Evaluation of the previous day

08:30am

For Option A and Option B

THEORETICAL SESSION
  • OR-setup, anaesthesia and bleeding prevention
  • Closure of CSF-leaks and skull base defects
  • Malignant tumours and limitations
  • Round table: Bleeding management from A.E.A. to ICA
10:15am Coffee break

10:45am
THEORETICAL SESSION
  • Anatomical landmarks in FESS & SBS
  • Osteoma and fibro-osseous lesions
  • Juvenile nasopharyngeal angiofibroma
  • Orbital and optic nerve decompression
12:30pm Lunch at the Institute

01:30pm
THEORETICAL SESSION
  • Round table: The difficulty to treat patient
  • Post-op care
02:30pm 
For Option B (Option A: End of course)

Individual dissections on new fresh specimens for participants.
For those interested, the techniques of DCR, orbital and ON-compression and others will be demonstrated and can be practised.

05:00pm Adjourn and farewell
Program may be subject to modifications