Cranial Base Surgery Course“A 360o Perspective”

A H A N D S - O N C O U R S E

EMORY UNIVERSITY SCHOOL OF MEDICINEDEPARTMENT OF NEUROSURGERY

and DEPARTMENT OF OTOLARYNGOLOGYpresent

EMORY UNIVERSITY SCHOOL OF MEDICINEJames B. Williams Medical Education Building

Woodruff Circle NEAtlanta, Georgia

April 6-8, 2017

FACULTYCOURSE DIRECTORS

Arturo Solares, MDActing Professor, Otolaryngology – Head and Neck SurgeryDepartment of Otolaryngology

Nelson Oyesiku, MD, PhD, FACSAl Lerner Chair and Professor, Departments of Neurosurgery and Medicine (Endocrinology)Co-Director, Emory Pituitary Center

Gustavo Pradilla, MDAssistant Professor, Department of NeurosurgeryChief of Neurosurgery Service, Grady Memorial HospitalDirector, Cerebrovascular Research LaboratoryCo-Director, Grady Skull Base Surgery CenterChief of Neurosurgery, Grady Hospital

Oswaldo A. Henriquez, MDAssistant Professor, Otolaryngology – Head and Neck SurgeryDirector, Medical Student Education, Otolaryngology – Head and Neck SurgeryCo-Director, Grady Skull Base Surgery Center, Grady Memorial Hospital

EMORY SCHOOL OF MEDICINE FACULTY

Daniel Barrow, MDPamela Rollins Professor and ChairmanDepartment of NeurosurgeryChief of Neurosurgery Service, Emory University HospitalDirector, MBNA Stroke Center

John Delgaudio, MDProfessor and Vice-Chair, Department of Otolaryngology, Head and Neck SurgeryDirector of the Emory Sinus, Nasal, and Allergy Center

Jonathan Grossberg, MDAssistant Professor, Department of Neurosurgery

Ioannis Karakis, MDAssistant Professor, Department of Neurology

Douglas Mattox, MDProfessor and Chairman, Department of Otolaryngology, Head and Neck SurgeryDirector of Neurology and Skull Base Surgery

Jeffrey Olson, MDProfessor, Department of NeurosurgeryDirector, Clinically-Related Neuro-oncology Laboratory

Mihir Patel, MDAssistant Professor, Department of Otolaryngology, Head and Surgery

INVITED GUEST FACULTY

Kenneth Byrd, MDAssistant Professor, Department of OtolaryngologyAugusta University Medical Center – Augusta, GA

Enrique Iturriaga, MDCentro Medico de Caracas – Caracas, Venezuela

Rich Mannion, MBBS, PhD, FRCSCambridge Neuro Spine, Spire Cambridge Lea Hospital – Cambridge, England, UK

Benedict Panizza, MBBS, MBA, FRACSProfessor, University of QueenslandDirector, Department of Otolaryngology, Head and Neck SurgeryCo-Director, Queensland Skull Base Unit – Brisbane, Australia

Daniel Prevedello, MDAssociate Professor, Department of NeurosurgeryOhio State University – Columbus, OH

COURSE DESCRIPTIONOngoing advances in conventional microscopy, skull base endoscopy and recent developments in exoscopic techniques as well as robotic-assisted visualization have increased the enthusiasm for complex skull base techniques. Coupled with advanced pre-operative and intraoperative imaging capabilities our ability to tackle complex skull base pathologies continues to expand. Practicing neurosurgeons, ENT surgeons, and residents in training have incorporated some of these techniques in their surgical practice and have expressed an interest in these technical advances and their impact on operative technique and complication avoidance and management.

This three day course will be conducted by skull base ENT and neurosurgeons who will address the theoretical basis of traditional skull base microsurgical techniques, discuss advanced expanded endoscopic techniques, introduce the concept of robotic assisted exoscopic visualization and advanced neuro-imaging planning and navigation, and review case and technique selection as well as complication avoidance and management. Bioskills workshop sessions will be used to simulate procedures in a hands-on laboratory setting using preserved and injected cadaveric specimens.

Course attendees will have the benefit of expert colleagues providing lectures and videos illustrating the theoretical basis of the techniques presented, proctored dissections by the faculty and individual mentored dissections using state of the art technology. Additional instruction will be available for those attendees who would like to increase their understanding of white matter anatomy, MR-tractography, and DTI based neuronavigation and their use in port-based subcortical surgery. To allow the greatest educational experience, maximum enrollment in this course will be limited to 30 participants.

INTENDED AUDIENCEThis CME activity is for neurosurgeons, ENT surgeons, residents and fellows.

OBJECTIVESUpon completion of this continuing medical education activity, participants should be able to:

nDiscuss the anatomical basis of open and endoscopic skull base techniques, and describe basic principles of microscopic, endoscopic, and exoscopic technique selection.

n Increase technical proficiency in a cadaveric setting and describe complication avoidance principles in skull base surgery.

nDescribe advanced skull base reconstructive techniques and management strategies for neuro-vascular injuries in skull base approaches.

nUnderstand the role of pre-operative DTI planning and robotic assisted visualization in skull base approaches.

CME CREDITThe Emory University School of Medicine designates this live activity for a maximum of 25 AMA PRA Category 1 credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

The Emory University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

TUITIONTuition for the course is $1,300. Tuition for residents, fellows, physician assistants, and nurses is $750. A maximum enrollment of 30 participants has been set so early registration is encouraged. Fees include use of dissection labs, course syllabus, refreshment breaks, dinner on Thursday evening and complimentary transportation to and from the hotel. Written cancellations received by March 6, 2017 will be refunded less an administrative fee of $100. NO REFUNDS WILL BE MADE AFTER MARCH 20, 2017.

Course content will be provided via online download and on USB flash drives at the conference. An email will be sent to registered attendees with instructions on downloading content prior to the conference.

COURSE LOCATION AND LODGINGAll lecture and workshop sessions will be held in the James B. Williams Medical Education Building on Emory’s main campus, 100 Woodruff Circle, NE, Atlanta, GA, 30322. Lectures will be in Room P178 on the 1st floor. Hands-on workshop will be held on the basement level.

Nearby lodging is available at the Emory Conference Center Hotel, 1615 Clifton Road, Atlanta, GA, 30322

Phone: 404-712-6000, or visit their website: www.emoryconferencecenter.com.

The University Inn at Emory is also close by; 1767 North Decatur Road NE, Atlanta, GA 30307

Phone: 404-634-8591, website: www.univinn.com.

Regular rates will apply.

Transportation will be provided between the medical school, Emory Conference Center and Emory Inn.

SOCIAL ACTIVITIESOn Thursday evening, following the day’s educational activities, please join us for a social event (location TBD) and the opportunity for informational discussion with the program faculty. Transportation will be provided between the venue, Emory Conference Center Hotel, and the University Inn at Emory.

general information

DAY 1 - THURSDAY, APRIL 6, 20177:00 AM REGISTRATION AND CONTINENTAL BREAKFAST

7:45 – 8:15 WELCOME AND COURSE OVERVIEW –Daniel Barrow, MD & Douglas Mattox, MD

8:15 – 8:45 ENDOSCOPIC SKULL BASE ANATOMY: ANTERIOR SKULL BASE Enrique Iturriaga, MD

8:45 – 9:15 ENDOSCOPIC PITUITARY SURGERY – Nelson Oyesiku, MD

9:15 – 9:45 SAGITTAL PLANE – Danny Prevedello, MD

9:45 – 10:00 BREAK

10:00 – 12 PM LAB SESSION

12:00 – 1:15 WORKING LUNCH: ENDOSCOPIC RESECTION OF SINONASAL MALIGNANCIES – Oswaldo Henriquez, MD

1:15 – 1:45 RECONSTRUCTION OF DURAL DEFECTS – John DelGaudio, MD

1:45 – 2:15 TRANSCLIVAL/TRANSODONTOID APPROACHES – Rich Mannion, MD

2:15 – 2:30 BREAK

2:30 – 5:00 LAB SESSION

ANATOMICAL DISSECTION: Intranasal Landmarks; Middle Turbinates; Septal Mucosal Flap; Sphenoidotomy; Sella; Suprasellar/Transplanum Approach; Ethmoidectomy; Medial Orbital Decompression; Optic Nerve Decompression; Ethmoid Artery Ligation; Frontal Sinusotomy (Draf 3 Procedure); Craniofacial; Transclival Approach (Extradural/Intradural); Transodontoid Approach; Medial Transpetrous Approach; Middle Cranial Fossa Approaches – Meckel’s Cave; Parapharyngeal Space; Infratemporal Skull Base

6:30 – 8:00 SOCIAL EVENT - Location TBD

DAY 2 - FRIDAY, APRIL 7, 20177:45 – 8:15 AM CONTINENTAL BREAKFAST

8:15 – 8:45 ENDOSCOPIC SKULL BASE ANATOMY: CORONAL PLANE Enrique Iturriaga, MD

8:45 – 9:15 TRANSPTERYGOID APPROACH – Ken Byrd, MD

9:15 – 9:45 CORONAL PLANE: ICA TOUR – C. Arturo Solares, MD

9:45 – 10:00 BREAK

10:00 –12 PM LAB SESSION

12:00 – 1:15 WORKING LUNCH: TRANSFACIAL APPROACHES TO THE SKULL BASE – Mihir Patel, MD

1:15 – 1:45 COZ APPROACH – Gustavo Pradilla, MD

1:45 – 2:15 MIDDLE FOSSA APPROACH, ANTERIOR PETROSECTOMY Danny Prevedello, MD

2:15 – 2:30 BREAK

2:30 – 5:00 LAB SESSION

ANATOMICAL DISSECTION (Complete as needed): Intranasal Landmarks; Middle Turbinates; Septal Mucosal Flap; Sphenoidotomy; Sella; Suprasellar/Transplanum Approach; Ethmoidectomy; Medial Orbital Decompression; Optic Nerve Decompression; Ethmoid Artery Ligation; Frontal Sinusotomy (Draf 3 Procedure); Craniofacial; Transclival Approach (Extradural/Intradural); Transodontoid Approach; Medial Transpetrous Approach; Middle Cranial Fossa Approaches – Meckel’s Cave; Parapharyngeal Space; Infratemporal Skull Base

ANATOMICAL DISSECTION: COZ, middle fossa, anterior petrosectomy. Exoscopic set up, robotic Vs pneumatic holders, DTI based navigation and planning.

DAY 3 - SATURDAY, APRIL 8, 20177:45 – 8:15 AM CONTINENTAL BREAKFAST

8:15 – 8:45 INFRATEMPORAL FOSSA APPROACHES ACCORDING TO FISCH Ben Panizza, MD

8:45 – 9:15 EXOSCOPIC VISUALIZATION TOOLS, TRAJECTORY PLANNING, AND PORT-BASED APPROACHES – Gustavo Pradilla, MD

9:15 – 9:45 TRANSTEMPORAL APPROACHES TO THE POSTERIOR FOSSA Ben Panizza, MD

9:45 – 10:00 BREAK

10:00 – 12 PM LAB SESSION

12:00 – 1:15 WORKING LUNCH: MANAGING THE CRANIOCERVICAL JUNCTION Rich Mannion, MD

1:15 – 1:45 THE ROLE OF THE NEUROENDOVASCULAR SURGEON – Jonathan Grossberg, MD

1:45 – 2:15 NEUROMONITORING FOR SKULL BASE SURGERY – Ioannis Karakis, MD

2:15 – 2:30 BREAK

2:30 – 5:00 LAB SESSION

ANATOMICAL DISSECTION: Transtemporal approaches, Fisch approaches, far lateral, middle fossa. Port-based approaches, cannulation to subcortical lesions.

Cranial Base Surgery Course “A 360o Perspective”AGENDA

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CONFERENCE TUITION: q Physician: $1300 q Resident/PA/Nurse: $750

Please Register ONLINE at www.med.emory.edu/cme or Mail in your registration with check or money order payable to:Emory University School of Medicine

Detach and mail:CONTINUING MEDICAL EDUCATIONJames B. Williams Medical Education Building 100 Woodruff Circle, Suite 331 Phone (404) 727-5695Atlanta, GA 30322 Toll Free Phone (888) 727-5695

For additional information, please call Keir Gray, Continuing Medical Education at 404-727-0063, or email: kgray02@emory.edu.

Cranial Base Surgery Course“A 360o Perspective”

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