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Otolaryngology -

Head and Neck Surgery


P130 instruction Courses-- Tuesday May 1995

COURSE 3623-1 Room NOCC-85 therapeutic regimens involved in the management of pa-
One-period course ($20) 1:45-2:45 tients with all types of apneas will be reviewed. The course
To FESS or Not to FESS: Decisions in Pediatric Sinusitis will discuss both pediatric and adult apnea, with similari-
ties and differences in these groups. Complications of un-
MARGARETA. KENNA,MD, RICHARD M. ROSENFELD,MD, MPH, treated as well as treated apnea will be reviewed, as will
and JAMES S. REILLY,MD
surgical techniques. Finally, the potential pitfalls of both
Pittsburgh, Pa., Brooklyn, N.Y., and Wilmington, Del.
medical and surgical therapy will be presented. Specific
Educational objectives: To accurately diagnose pediatric pathologic conditions will be presented to illustrate ex-
sinus and associated medical conditions that may influ- amples of obstructive apnea. These cases will include na-
ence treatment outcome and to provide a decision tree in sal, oropharyngeal, hypopharyngeal, laryngeal, and tracheal
the choice of appropriate surgical candidates. abnormalities, as well as vascular lesions.
The course will detail an orderly approach to diagnosis
and both surgical and medical management; in this way,
the children who will benefit the most from surgical inter- COURSE 3625-1 Room NOCC-87
vention will be properly identified. Special emphasis will One-period course ($20) 1:45-2:45
be placed on the bacteriology of both acute and chronic Positron Emission fomography in Head and Neck
sinus disease. The diagnostic evaluation will include physi- Oncology
cal examination, imaging studies, and workup for allergy, w. FREDERICKMcGUIRT, MD
immotile cilia, immunologic abnormalities, and other sys- Winston-Salem and Forsyth, N.C.
temic abnormalities that may be associated with sinusitis.
Decision-making in the treatment of pediatric sinusitis Educational objectives: To understand the principles and
will be outlined. The indications for surgery and which pro- technique of positron emission tomography (PET) scan-
cedure to use will be discussed in depth. Much attention ning and to know when PET scans will be beneficial in the
has been focused on the use of functional endoscopic sinus evaluation of patietns with head and neck cancer.
surgery (FESS) in children. However, the indications for
Positron emission tomography is a relatively new imag-
FESS in this age group are not well defined. New evidence
ing modality that uses a glucose-labeled radioisotope that
suggests that additional medical therapy, including intra-
is preferentially taken up by tissues of high metabolic rate,
venous antimicrobials or adenoidectomy, may be able to
such as neoplastic tissue. This modality has been used by
achieve outcomes similar to those of FESS. In addition,
the authors in an investigative fashion in more than 100
historically, many other surgical procedures have been ad-
patients with head and neck neoplastic disease. This course
vocated, including maxillary sinus aspiration or irrigation,
will provide a summary update of the physics and physiol-
all of which may be useful in certain situations. The impor-
ogy of positron emission tomography, discuss the general
tance of matching the right patient to the most effective
areas of applicability of the test in head and neck oncology,
treatment and procedure will be emphasized.
and present illustrative case studies with radiologic com-
parison to simultaneous CT or MRI scans of the same pa-
tients.
COURSE 3624-1 Room NOCC-86
One-period course ($20) 1:45-2:45
Sleep Apnea--Current Concepts COURSE 3626-2 Room NOCC-88
Two-period course ($40) 1:45-4:00
CHARLES F. KOOPMANN, JR., MD
Ann Arbor, Mich. Clinical Applications of Electronystagmography
ALFREDC. COATS, MD
Educational objective: To improve the knowledge of evalu-
Houston, Texas
ation o f apneic patients and nonsurgical and surgical
therapeutic options for patients with sleep apnea. Educational objectives: To understand the principles under-
lying the techniques and procedures of the ENG exami-
In recent years there has been an increased interest in the
nation and the clinical interpretation of the ENG exami-
evaluation of sleep apnea. This interest is based on an ap-
nation.
preciation of the significance of the disorder and its pos-
sible sequelae. Also, the number and complexity of pa- The electronystagmography (ENG) examination is a bat-
tients with symptoms of central, obstructive, and mixed tery of vestibular and oculomotor tests, drawn from the
sleep apnea have expanded. neurologic and neurootologic examinations, in which eye
This course will present an overview of these types of movements are recorded electrooculographically. The main
apnea in order that the participants will be able to recog- clinical application of ENG is its use in separating vestibu-
nize and appreciate the possible confusion between types. lar and oculomotor deficits of the central nervous system
The signs, symptoms, diagnostic modalities, and various from deficits of the peripheral vestibular system. In addi-

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