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Simulation Assists with Endoscopic Demonstrations

Ian N. Jacobs, MD

Endoscopic Management of the Pediatric Airway with Simulation Models
3:45 pm, Today
Room 392

Stop by today’s session on endoscopic management of the pediatric airway, and you just might get your hands on a 3D-printed laryngeal model. The presenters will be using the simulation models to demonstrate the surgical repair of laryngotracheal clefts and stenosis and laryngomalacia in the pediatric population.

You’ll also get to perform repairs on the 35-50 3D models, by yourself or in small groups, which allow presentation of the surgery without use of an animal or human model.

“We will discuss the surgical approach to both common airway conditions, such as laryngomalacia as well as rare lesions, such as congenital laryngotracheal,” said lead presenter Ian N. Jacobs, MD, of the Children’s Hospital of Philadelphia Pediatric Otolaryngology.

For laryngomalacia, the presenters will outline both diagnostic and surgical approaches, including awake flexible fiberoptic laryngoscopy and surgical treatments, including both laser and cold steel approaches, he said.

“The steps of this endoscopic surgery will be addressed first by the PowerPoint discussion, and then we’ll demonstrate the surgery on the 3D-printed models,”
Dr. Jacobs said.

The presenters will explore the surgical management of both acquired cysts such as subglottic cysts and congenital cysts, including vallecular cysts, thyroglossal duct cysts, and saccular cysts.

“We will demonstrate the endoscopic approach to subglottic stenosis, including balloon dilation and endoscopic posterior cartilage expansion,” Dr. Jacobs said.

Diagnostic workup and surgical management of laryngotracheal clefts and the associated swallowing problems as well as the role of the speech and swallowing therapist will be covered as well.

“Attendees will hear about the endoscopic approach to anterior and posterior cricoid split and balloon dilation for bilateral vocal cord paralysis as well,” Dr. Jacobs said.

As far as supporting research goes, Dr. Jacobs said the presenters will cover the paucity of outcomes data.

When participants leave the session, he said the course will lead to improvement in performance of endoscopic pediatric airway procedures at participants’ own hospitals and institutions.

They should be able to recognize both congenital and acquired malformations of the pediatric airway that are amenable to endoscopic surgery. And participants should be able to summarize the aero-digestive team management of certain pediatric airway disorders that are amenable to endoscopic surgery.

“Come prepared to learn, ask questions, and practice surgical techniques,” Dr. Jacobs said. “There will be opportunity to get advice from the instructors on surgical pearls and try the surgery on the suspension set-up.”