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Masters of Surgery Videos Monday

A new feature of the AAO-HNSF Annual Meeting & OTO EXPO℠  is the Masters of Surgery Video Presentations session that will take place from 11:00 am-12:00 pm and 1:00 pm-2:00 pm Monday in Room C141. Featured are videos of surgical procedures described below.

11:00 am: The Submental Flap: Design, Harvest, and Anatomic Limitations

The object of the video was to understand the relevant anatomy involved in harvest of the submental flap and learn the technique of safe and reliable flap elevation.

Presenter: Urjeet A. Patel, MD

11:08 am: CSF Leak Repair of Lateral Sphenoid Defect

A 49-year-old obese African-American female underwent a craniotomy for CSF leak repair in 2008, where a right medial temporal dural defect of right middle cranial fossae was repaired with Duragen and temporalis muscle graft. She then presented in January 2014 to a tertiary medical center with left-sided nasal drainage that was intermittent and clear.

Presenter: Christopher R. Kieliszak, DO

11:16 am: The ABCs of Rhinophyma Management

Rhinophyma is a benign, disfiguring condition that primarily affects the skin of the nose, resulting in both cosmetic and functional consequences. There are many different surgical approaches. This video reviews the step-by-step technique of treating rhinophyma with the argon beam coagulator (ABC). The presenter has found a combination of cold excision and ABC to be a simple and efficient technique that yields superior cosmetic results, while minimizing complications, morbidity, and costs.

Presenter: Timothy S. Lian, MD

11:24 am: Harvesting the Temporoparietal Fascial Flap

The temporoparietal fascial flap is a versatile flap that can be harvested either as a pedicled flap or free flap to address a variety of soft tissue defects of the head and neck. A straightforward technique is presented in the video that demonstrates key steps to be utilized for successful harvest. Avoidance of pitfalls such as injury to the facial nerve and alopecia will also be demonstrated in the video. 

Presenter: Timothy S. Lian, MD

11:32 am: Reconstructive Trans-Oral Laser Microsurgery Solutions for Vocal Fold Paralysis with Airway Limitation

Voice restoration post-paralysis has been treated with temporary injection techniques using absorbable materials to bulk and medialize the paralyzed cord. The open implant-based techniques are permanent, accepting a higher complication risks. Vocal fold paralysis is sometimes complicated by airway limitations from synkinesis, post-paralysis fibrosis, or flaccidity obstructing airflow. Such patients are offered a choice of a tracheostomy for their airway if they desire an improved voice versus botulinum injections ad infinitum for the larynx with true synkinesis, thereby weakening the voice.

Presenter: Paul F. Castellanos, MD

11:40 am: Resection of Tumors of the Parapharyngeal Space

Presenter: James L. Netterville, MD

11:48 am: Treatment of Vocal Cord Paralysis

Presenter: James L. Netterville, MD

1:00 pm: Transcanal Endoscopic Approach for Attic Cholesteatoma

The main objective of this video is to illustrate the surgical technique for transcanal endoscopic removal of a cholesteatoma of the attic with involvement lateral to the ossicular chain.

Presenter: Manuela Fina, MD

1:08 pm: Optic Nerve Decompression for Graves Orbitopathy

Objective: Endoscopic orbital decompression is effective in the treatment of proptosis secondary to Graves orbitopathy. However, the treatment of associated optic neuropathy associated with Graves is controversial. Our objective is to use this surgical video to highlight the technique of optic nerve decompression in the setting of endoscopic orbital surgery.

Presenter: Eugene H. Chang, MD

1:16 pm: Sublingual Gland Sialolithiasis: A Case Series and Literature Review

The session will present a unique series of submandibular gland sialoendoscopy in which the submandibular sialolith was embedded within the takeoff point of the sublingual gland duct from Wharton’s duct.

Presenter: Lindsay Goodstein, MD

1:24 pm: Obstructive Sleep Apnea (OSA): 2015 Updates

OSA is by far the most common sleep disorder. It is one of the most challenging diseases encountered in otolaryngology because its diagnosis and management necessitates cooperation of many specialties. Therefore the development and progress in this field is great.

Presenter: Hesham B. Elmashad, MD

1:40 pm: Shifting Paradigms in the Management of Pharyngoesophageal Tumours

The video will show a new surgical approach for managing isolated pharyngoesophageal (PE) tumors by means of manubrial resection (MR), pharyngo-laryngo-cervico-
esophagectomy (PLCO) and free jejunal flap (FJ) reconstruction.

Presenter: Velda Chow, MD, MS

1:48 pm: Totally Endoscopic Reversal Steps Stapedotomy

Outcome objectives: To analyze advantages and disadvantages of totally endoscopic reversal steps stapedotomy (TERSS).

Presenter: Andrea Gallo, MD, PhD