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Agenda

UW CME & Resident Laryngeal Dissection Course
Saturday, April 19, 2018
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 Procedures ~ Simulation Lab 1 (CME Participants)
  • Endoscopic Procedures ~ Simulation Lab 3 (Resident Group B & E)
  • Laser Procedures ~ Simulation Lab 2 (Resident Group A & D)
  • Simulation Procedures ~ Skills & Procedures Lab (Resident Group C & F)

9:30   Hands-On Session

  • Open Procedures ~ Simulation Lab 1 (CME Participants)
  • Endoscopic Procedures ~ Simulation Lab 3 (Resident Group C & F)
  • Laser Procedures ~ Simulation Lab 2 (Resident Group B & E)
  • Simulation Procedures ~ Skills & Procedures Lab (Resident Group A & D)

10:30   Hands-On Session

  • Open Procedures ~ Simulation Lab 1 (CME Participants)
  • Endoscopic Procedures ~ Simulation Lab 3 (Resident Group A & D)
  • Laser Procedures ~ Simulation Lab 2 (Resident Group C & F)
  • Simulation Procedures ~ Skills & Procedures Lab (Resident Group B & E)

11:30   Lunch (provided)

12:30   Master Class (CME participants choose 1 of 3)

  • Master Class Option 1: Cricopharyngeal Myotomy ~ Simulation Lab 3
  • Master Class Option 2: Office Injections ~ Skills and Procedures Lab
  • Master Class Option 3: Pediatric Cricoid Expansion ~ Simulation Lab 2

Open Procedures (Resident participants)

2:00   Master Class (choose 1 of 3)

  • Master Class Option 4: Laser Cricopharyngeal Myotomy ~ Simulation Lab 3
  • Master Class Option 2: Office Injections ~ Simulation Lab 2
  • Master Class Option 5: Pediatric Cricoid Reduction ~ Skills & Procedures Lab

Open Procedures (Resident participants)

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

Morning Faculty:
Joel Blumin, MD, Medical College of Wisconsin
Stacey Halum, MD, Voice Clinic of Indiana
Timothy McCulloch, MD, University of Wisconsin School of Medicine and Public Health
Randal Paniello, MD, Washington University School of Medicine in St. Louis
Blake Simpson, MD, University of Texas Health Science Center

Afternoon Faculty:
TBD

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.
  • Composite Thyroid Ala Perichondrium (CTAP) Flap – raise CTAP flap and place through a modified minithyrotomy approach.

Endoscopic Procedures
Faculty:
Alessandro de Alarcon, MD, Cincinnati Children’s Center for Pediatric Voice Disorders
Jon Bock, MD, Medical College of Wisconsin
Dale Ekbom, MD, Mayo Clinic School of Medicine
Mark Gerber, MD, NorthShore University Health System

  • Microflap and mini-microflap
  • Endoscopic OR-based Injection Laryngoplasty
  • Cold instrument cordectomy
  • Endolaryngeal microdebrider

Laser Procedures
Faculty:
Christopher Bingcang, MD, University of Nebraska Medical Center
Paul Bryson, MD, Cleveland Clinic
Aaron Friedman, MD, NorthShore University Health System
Ian Jacobs, MD, Children’s Hospital of Philadelphia Center for Pediatric Airway Disorders

  • Cordectomy
  • Cordotomy
  • Endo arytenoidectomy

Simulation Procedures
Faculty:
Semirra Bayan, MD, University of Chicago Medicine
Michiel Bove, MD, Northwestern Feinberg School of Medicine
Rima de Fatta, MD, DeFatta ENT and Facial Plastic Surgery
N. Scott Howard, MD, Madigan Army Medical Center
H. Steven Sims, MD, University of Illinois College of Medicine

  • Transoral vocal fold injection
  • Balloon dilation of subglottic stenosis
  • Flexible Bronchoscopy
  • Zenker’s Diverticulum

Master Class Option 1: Open Cricopharyngeal Myotomy
Instructors: Timothy McCulloch, MD, University of Wisconsin School of Medicine and Public Health

The Master Class instructors will provide a brief didactic session on the anatomy, indications, contraindications and procedural steps of the procedure as it is performed on patients. They will then demonstrate the steps of the procedure on a cadaveric specimen while narrating the steps and answering questions from the participants. The participants, time permitting, will then be able to perform the procedure on a cadaveric specimen.

Master Class Option 2: Office Injections
Instructors: Michiel Bove, Northwestern Memorial Hospital, Blake Simpson, University of Texas Health Science Center

The Master Class instructors will provide a brief didactic session on the anatomy, indications, contraindications and procedural steps of the procedures as they are performed on patients. They will then demonstrate the steps of the procedures on cadaveric specimens while narrating the steps and answering questions from the participants. The participants, time permitting, will then be able to perform the procedures on cadaveric specimens.

Master Class Option 3: Pediatric Cricoid Expansion
Instructors: Mark Gerber, NorthShore University Health System block, Alessandro de Alarcon, MD, MPH, Cincinnati Children’s
The Master Class instructors will provide a brief didactic session on the anatomy, indications, contraindications and procedural steps of the procedures as they are performed on patients. They will then demonstrate the steps of the procedures on cadaveric specimens while narrating the steps and answering questions from the participants. The participants, time permitting, will then be able to perform the procedures on cadaveric specimens.

Master Class Option 4: Laser Cricopharyngeal Myotomy
Instructors: Timothy McCulloch, MD, University of Wisconsin School of Medicine and Public Health

The Master Class instructors will provide a brief didactic session on the anatomy, indications, contraindications and procedural steps of the procedure as it is performed on patients. They will then demonstrate the steps of the procedure on a cadaveric specimen while narrating the steps and answering questions from the participants. The participants, time permitting, will then be able to perform the procedure on a cadaveric specimen.

Master Class Option 5: Pediatric Cricoid Reduction
Instructors: Alessandro de Alarcon, MD, MPH, Cincinnati Children’s, Mark Gerber, NorthShore University Health System

The Master Class instructors will provide a brief didactic session on the anatomy, indications, contraindications and procedural steps of the procedures as they are performed on patients. They will then demonstrate the steps of the procedures on cadaveric specimens while narrating the steps and answering questions from the participants. The participants, time permitting, will then be able to perform the procedures on cadaveric specimens.


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