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Agenda

UW CME & Resident Laryngeal Dissection Course
Saturday, April 8, 2017
7:30 am – 4:00 pm
University Hospital Simulation Lab

7:30   Breakfast & Registration

8:00   Welcome & Course Introduction

8:30   Hands On Session

  • Open ~ Simulation Lab 1

11:30   Lunch (provided)

12:30   Master Class (choose 1 of 3)

  • Master Class Option 1: Injection Procedures ~ Simulation Lab 3
  • Master Class Option 2: Laser Procedures ~ Simulation Lab 2
  • Master Class Option 3: Type I Thyroplasty ~ Skills & Procedures Lab

2:00   Master Class (choose 1 of 3)

  • Master Class Option 1: Injection Procedures ~ Simulation Lab 3
  • Master Class Option 2: Laser Procedures ~ Simulation Lab 2
  • Master Class Option 3: Type I Thyroplasty ~ Skills & Procedures Lab

3:30   Debriefing

4:00   Course Ends


Source for Dissection Course:

Dailey SH, Verma SP. Laryngeal Dissection and Surgery Guide. New York: Thieme Medical Publishers, Inc. 2013.

Open Procedures
Part 1
Laryngeal Dissection – Dissection of the larynx

Vocal Fold Injections

  • Transcricothyroid membrane vocal fold injections- inject the vocal fold through this membrane.
  • Transthyroid lamina vocal fold injection – inject the vocal fold through the thyroid cartilage.
  • Transthyrohyoid membrane injection – inject the vocal fold through this space.
  • Point-touch vocal fold injection – inject the vocal fold using anatomic landmarks.

Part 2
Laryngoplasty

  • Type I Thyroplasty
  • Arytenoid adduction/abduction – identify anatomy, perform adduction for unilateral vocal fold paralysis, and perform abduction for airway augmentation
  • Adduction arytenopexy and cricothyroid subluxation – identify anatomy and perform arytenopexy and subluxation for voice restoration

Part 3
Laryngeal Cancer and Glottic Reconstruction

  • Vertical hemilaryngectomy – identify key anatomy and excise hemilarynx.
  • Supracricoid laryngectomy – identify key anatomy and remove glottis and supraglottis.
  • Minithyrotomy – identify key anatomy and steps for lamina propria access.
  • Mgt. of anterior glottic web w/ keel – perform placement of keel for anterior glottic web.
  • Composite Thyroid Ala Perichondrium (CTAP) Flap – raise CTAP flap and place through a modified minithyrotomy approach.

Master Class Option 1: Injection Procedures
Instructors: J. Paul Willging, Michiel Bove
Endoscopic OR-based Injection Laryngoplasty- injection of vocal folds with manufactured injectables.
(Instructors will demonstrate and narrate the procedure while describing the perils and pitfalls. Following this, participants will be able to perform the procedure and ask questions. Different injectables will be available for use.)

Master Class Option 2: Laser Procedures
Instructors: Gresham Richter, Aaron Friedman, Christopher Bingcang
Cordotomy – use the line-of sight CO2 laser to perform cordotomy for airway augmentation.
Epithelial ablation – use the KTP laser to ablate the vocal fold epithelium.
False Cordectomy – use the fiber-based CO2 laser to perform excision of the false vocal fold.
(Instructors will demonstrate and narrate the beginning of the procedures. Then the instructor will narrate an individual participant through the remaining part of the procedure. During registration, participants will sign up for the procedure they would like to perform. Each procedure will be limited to 2 participants.)

Master Class Option 3: Type I Thyroplasty
Instructors: Henry Hoffman, Randal Paniello
Carve a silicone block and place it for thyroplasty.
Use sizers and implants for thyroplasty.
Use PTFE (polytetrafluoroethylene) sheet to perform thyroplasty.
(Instructors will demonstrate and narrate the procedure. Following this, participants will be broken into groups and will be able to perform the procedure and ask questions.)


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