Atlantic Otolaryngology: Head and Neck Surgery Update

C O N T I N U I N G M E D I C A L E D U C A T I O N

Department of Otolaryngology-Head and Neck Surgery

Johns Hopkins University School of MedicinePresents

Saturday - MondayFebruary 15 - 17, 2014

President’s Day WeekendCaribe Hilton

San Juan, Puerto Rico

Jointly provided byDepartment of OtolaryngologyThe University of Puerto Rico

This activity has been approved for AMA PRA Category 1 Credits™.

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Description

Changes in otolaryngology-head and neck surgery are occurring at a rapid pace including advances in transoral robotic surgery, endoscopic skull base

surgery, diagnosis and treatment of patients with head and neck cancer, and the assessment and treatment of hearing loss. The goal of this course is to provide health care practitioners with a comprehensive update on current practices in all fields of otolaryngology-head and neck surgery.

Who Should AttendThis course is designed for practicing otolaryngologists – head and neck surgeons, nurses, speech-language pathologists and audiologists. Some course lectures will also be intended for facial plastic surgeons, endocrine surgeons, neurosurgeons, and pediatricians.

ObjectivesAfter attending this activity, the participant will demonstrate the ability to:• Discuss and apply new treatment options for facial

reanimation.• Discuss and apply functional nasal surgery after failed

septoplasty.• Outline advances in implantable hearing devices:

implantable hearing aid, osseintegrated implant, and cochlear implant.

• Discuss and apply current diagnosis and management of vestibular schwannomas.

• Discuss cough, globus, and pharyngitis and its relationship to gastroesophageal reflux as well as management options for when PPI’s fail.

• Evaluate dysphonia: common mistakes and how to avoid them.

• Describe how robotics are changing surgical management in head and neck oncology.

• Recognize how current understanding of HPV is changing the management of head and neck oncologic patients.

• Describe management of the neck in contemporary head and neck oncology.

• Outline surgical management of chronic rhinosinusitis in children: A summary of evidence-based practice.

• Discuss peri-operative decision-making in treatment of pediatric sleep-disordered breathing: considerations for PSG, pain, and post-op care.

• Recognize how to avoid common errors in functional endoscopic sinus surgery.

• Explain endoscopic skull base surgery: patient selection and tips for success.

ACCREDITATION STATEMENT This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the Johns Hopkins University School of Medicine and The University of Puerto Rico. The Johns Hopkins University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

CREDIT DESIGNATION STATEMENT The Johns Hopkins University School of Medicine designates this live activity for a maximum of 16.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

POLICY ON SPEAKER AND PROVIDER DISCLOSUREIt is the policy of the Johns Hopkins University School of Medicine that the speaker and provider disclose real or apparent conflicts of interest relating to the topics of this educational activity, and also disclose discussions of unlabeled/unapproved uses of drugs or devices during their presentation(s). The Johns Hopkins University School of Medicine OCME has established policies in place that will identify and resolve all conflicts of interest prior to this educational activity. Detailed disclosure will be made in the activity handout materials.

General InformationREGISTRATIONSaturday, February 15, 2014, 6:30 – 7:15 a.m.

LOCATIONCaribe Hilton Reservations: 1 San Geronimo Street Hotel: (787) 721-0303San Juan, Puerto Rico 00901 Fax: (787) 725-8849Hotel Reservation Cut-off Date: January 12, 2014Check-In Time: 4:00 p.m. – Check-Out Time: 12:00 noonA limited block of sleeping rooms has been reserved for your convenience and will be available on a first-come, first-served basis. Book early – the hotel may sell out before the cut-off date of January 12, 2014. For reservations, call 1-800-468-8585. You may also choose to go on the web and follow the on-line steps: 1. Go to https://resweb.passkey.com/Resweb.do?mode=welcome_ei_

new&eventID=106632012. Choose guest type: Attendee3. Enter Check-In / Check-Out dates and number of guests. A Resort

fee of 16% and government tax of 9% will apply.

FEESREGISTRATION CUT-OFF DATE: February 7, 2014Methods of Payment: Payment by check or credit card must accompany the registration form prior to the activity. On-site payments by credit card only. Foreign payments must be by credit card or with a U.S. Dollar World Money Order. The registration fee includes instructional materials, continental breakfasts and refreshment breaks.Physicians .........................................................................................................$ 495Residents*/Fellows*/Allied Health Professionals ...................................$ 395*with verification of status

You will receive a confirmation by e-mail if you have provided your e-mail address. Otherwise confirmation will be sent by mail. If you have not received it by February 7, 2014, call (410) 502-9636 to confirm that you are registered. A certificate of attendance will be sent by April 4, 2014 to the e-mail address you provide on the registration form.The Johns Hopkins University reserves the right to cancel or postpone any activity due to unforeseen circumstances. In this event, the University will refund the registration fee but is not responsible for travel expenses. Additionally, we reserve the right to change the venue to a comparable venue. Under such circumstances registrants will be notified as soon as possible.

LATE FEE AND REFUND POLICYA $50 late fee applies to registrations received after 5:00 p.m. EST on February 7, 2014. A handling fee of $50 will be deducted for cancellation. An additional fee may apply for cancellation of other events, including workshops and social activities. Refund requests must be received by fax or mail by February 7, 2014. No refunds will be made thereafter. Transfer of registration to another Johns Hopkins conference in lieu of cancellation is not possible.

SYLLABUSAll registrants will receive a flash drive with presentation slides, a folder containing general information and paper for note-taking. This is included in the cost of your registration. A link to the syllabus will be provided via email shortly before the activity begins if you prefer to study or print the syllabus.

HOTEL AND TRAVEL INFORMATION We strongly encourage you to book your accommodations at the Caribe Hilton, San Juan, Puerto Rico, which is the conference headquarters hotel. The Johns Hopkins Office of CME makes every effort to secure the best rate for overnight accommodations. The rate is part of a negotiated conference package that incorporates many services. By staying at the host hotel and booking within the room block, you help us maintain current conference benefits and keep future registration fees reasonable. Please consider this when making your overnight accommodations decision.

EVALUATIONA form will be available to attendees to evaluate each session and each speaker’s presentation, as well as to identify future educational needs.

OUTCOMES SURVEYA survey will be sent to all physician attendees within three months post activity to assist us in determining what impact this activity had on the attendee’s practice.

EMERGENCY CALLSOn February 15-17, 2014, direct emergency calls to (787) 721-0303 and ask that a message be sent to the Johns Hopkins registration desk. Messages will be posted for participants.

AMERICANS WITH DISABILITIES ACTThe Johns Hopkins University School of Medicine fully complies with the legal requirements of the ADA and the rules and regulations thereof. Please notify us if you have any special needs.

CONTINUING MEDICAL EDUCATION

Department of Otolaryngology-Head and Neck Surgery

Johns Hopkins University School of MedicinePresents

Saturday - MondayFebruary 15 - 17, 2014

President’s Day WeekendCaribe Hilton

San Juan, Puerto Rico

Jointly provided byDepartment of OtolaryngologyThe University of Puerto Rico

This activity has been approved for AMA PRA Category 1 Credits™.

Head and Neck Surgery Update

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Atlantic Otolaryngology–Head and Neck Surgery Update

February 15 - 17, 2014 • San Juan, P

uerto Rico

Description

Changes in otolaryngology-head and neck surgery are occurring at a rapid pace including advances in transoral robotic surgery, endoscopic skull base

surgery, diagnosis and treatment of patients with head and neck cancer, and the assessment and treatment of hearing loss. The goal of this course is to provide health care practitioners with a comprehensive update on current practices in all fields of otolaryngology-head and neck surgery.

Who Should AttendThis course is designed for practicing otolaryngologists – head and neck surgeons, nurses, speech-language pathologists and audiologists. Some course lectures will also be intended for facial plastic surgeons, endocrine surgeons, neurosurgeons, and pediatricians.

ObjectivesAfter attending this activity, the participant will demonstrate the ability to:• Discuss and apply new treatment options for facial

reanimation.• Discuss and apply functional nasal surgery after failed

septoplasty.• Outline advances in implantable hearing devices:

implantable hearing aid, osseintegrated implant, and cochlear implant.

• Discuss and apply current diagnosis and management of vestibular schwannomas.

• Discuss cough, globus, and pharyngitis and its relationship to gastroesophageal reflux as well as management options for when PPI’s fail.

• Evaluate dysphonia: common mistakes and how to avoid them.

• Describe how robotics are changing surgical management in head and neck oncology.

• Recognize how current understanding of HPV is changing the management of head and neck oncologic patients.

• Describe management of the neck in contemporary head and neck oncology.

• Outline surgical management of chronic rhinosinusitis in children: A summary of evidence-based practice.

• Discuss peri-operative decision-making in treatment of pediatric sleep-disordered breathing: considerations for PSG, pain, and post-op care.

• Recognize how to avoid common errors in functional endoscopic sinus surgery.

• Explain endoscopic skull base surgery: patient selection and tips for success.

ACCREDITATION STATEMENT This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the Johns Hopkins University School of Medicine and The University of Puerto Rico. The Johns Hopkins University School of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

CREDIT DESIGNATION STATEMENT The Johns Hopkins University School of Medicine designates this live activity for a maximum of 16.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

POLICY ON SPEAKER AND PROVIDER DISCLOSUREIt is the policy of the Johns Hopkins University School of Medicine that the speaker and provider disclose real or apparent conflicts of interest relating to the topics of this educational activity, and also disclose discussions of unlabeled/unapproved uses of drugs or devices during their presentation(s). The Johns Hopkins University School of Medicine OCME has established policies in place that will identify and resolve all conflicts of interest prior to this educational activity. Detailed disclosure will be made in the activity handout materials.

General InformationREGISTRATIONSaturday, February 15, 2014, 6:30 – 7:15 a.m.

LOCATIONCaribe Hilton Reservations: 1 San Geronimo Street Hotel: (787) 721-0303San Juan, Puerto Rico 00901 Fax: (787) 725-8849Hotel Reservation Cut-off Date: January 12, 2014Check-In Time: 4:00 p.m. – Check-Out Time: 12:00 noonA limited block of sleeping rooms has been reserved for your convenience and will be available on a first-come, first-served basis. Book early – the hotel may sell out before the cut-off date of January 12, 2014. For reservations, call 1-800-468-8585. You may also choose to go on the web and follow the on-line steps: 1. Go to https://resweb.passkey.com/Resweb.do?mode=welcome_ei_

new&eventID=106632012. Choose guest type: Attendee3. Enter Check-In / Check-Out dates and number of guests. A Resort

fee of 16% and government tax of 9% will apply.

FEESREGISTRATION CUT-OFF DATE: February 7, 2014Methods of Payment: Payment by check or credit card must accompany the registration form prior to the activity. On-site payments by credit card only. Foreign payments must be by credit card or with a U.S. Dollar World Money Order. The registration fee includes instructional materials, continental breakfasts and refreshment breaks.Physicians .........................................................................................................$ 495Residents*/Fellows*/Allied Health Professionals ...................................$ 395*with verification of status

You will receive a confirmation by e-mail if you have provided your e-mail address. Otherwise confirmation will be sent by mail. If you have not received it by February 7, 2014, call (410) 502-9636 to confirm that you are registered. A certificate of attendance will be sent by April 4, 2014 to the e-mail address you provide on the registration form.The Johns Hopkins University reserves the right to cancel or postpone any activity due to unforeseen circumstances. In this event, the University will refund the registration fee but is not responsible for travel expenses. Additionally, we reserve the right to change the venue to a comparable venue. Under such circumstances registrants will be notified as soon as possible.

LATE FEE AND REFUND POLICYA $50 late fee applies to registrations received after 5:00 p.m. EST on February 7, 2014. A handling fee of $50 will be deducted for cancellation. An additional fee may apply for cancellation of other events, including workshops and social activities. Refund requests must be received by fax or mail by February 7, 2014. No refunds will be made thereafter. Transfer of registration to another Johns Hopkins conference in lieu of cancellation is not possible.

SYLLABUSAll registrants will receive a flash drive with presentation slides, a folder containing general information and paper for note-taking. This is included in the cost of your registration. A link to the syllabus will be provided via email shortly before the activity begins if you prefer to study or print the syllabus.

HOTEL AND TRAVEL INFORMATION We strongly encourage you to book your accommodations at the Caribe Hilton, San Juan, Puerto Rico, which is the conference headquarters hotel. The Johns Hopkins Office of CME makes every effort to secure the best rate for overnight accommodations. The rate is part of a negotiated conference package that incorporates many services. By staying at the host hotel and booking within the room block, you help us maintain current conference benefits and keep future registration fees reasonable. Please consider this when making your overnight accommodations decision.

EVALUATIONA form will be available to attendees to evaluate each session and each speaker’s presentation, as well as to identify future educational needs.

OUTCOMES SURVEYA survey will be sent to all physician attendees within three months post activity to assist us in determining what impact this activity had on the attendee’s practice.

EMERGENCY CALLSOn February 15-17, 2014, direct emergency calls to (787) 721-0303 and ask that a message be sent to the Johns Hopkins registration desk. Messages will be posted for participants.

AMERICANS WITH DISABILITIES ACTThe Johns Hopkins University School of Medicine fully complies with the legal requirements of the ADA and the rules and regulations thereof. Please notify us if you have any special needs.

Saturday, February 15, 2014Morning

6:30 - 7:15 Registration and Continental Breakfast

7:15 - 7:30 Welcome and Conference Goals Douglas Reh, MD and David Eisele, MD, FACS

7:30 - 8:00 IIb or Not IIb? Management of the Neck in Contemporary Head and Neck Oncology Vincente Resto, MD, PhD, FACS

8:00 - 8:30 Sleep Surgery for CPAP Failure M. Boyd Gillespie, MD, MSc, FACS

8:30 - 9:00 Facial Paralysis: New Options for Facial Reanimation Kofi Boahene MD

9:00 - 9:30 A New Boss in Town: Making Sense of Recent Guidelines for Treatment of Otitis Media in Children Emily Boss, MD

9:30 - 10:00 Break

10:00 - 10:30 Allergic Fungal Sinusitis: A Treatment Algorithm Jose Busquets, MD

10:30 - 11:00 Successful Office Injection Laryngoplasty: Indications, Techniques, and Choices of Injectables Lee Akst, MD

11:00 - 11:30 Hearing Loss: Update on Advances in Diagnosis and Management Wade Chien, MD

11:30 - 12:00 The Challenging Nasal Polyp Patient: Surgical Tips and Medical Therapies to Achieve Patient Satisfaction Douglas Reh, MD

12:00 - 12:30 Finding the Needle In the Haystack: The Workup of the Unknown Primary Carcinoma Jeremy Richmon, MD, FACS

12:30 Adjourn

Evening

4:30 - 5:30 Panel Discussion with Refreshments: Head and Neck Cancer Cases David Eisele, MD, FACS; Vincente Resto, MD, PhD, FACS; Jeremy Richmon, MD, FACS and Lee Akst, MD

Sunday, February 16, 2014Morning

6:30 - 7:00 Continental Breakfast

7:00 - 7:30 Pearls for Pediatric Tracheotomy Carlos Gonzalez-Aquino, MD, FACS

7:30 - 8:00 Peri-operative Decision-Making in Treatment of Pediatric Sleep-Disordered Breathing: Considerations for Polysomnograms, Management of Post-Op Pain, and Post-Op Care Emily Boss, MD

8:00 - 8:30 Pains in the Neck: Cough, Globus Pharyngeus and What to do When PPIs Don’t Work Lee Akst, MD

8:30 - 9:00 Advances in Implantable Hearing Devices: Implantable Hearing Aid, Osseintegrated Implant, and Cochlear Implant Wade Chien, MD

9:00 - 9:30 Drug Induced Sleep Endoscopy M. Boyd Gillespie, MD, MSc, FACS

9:30 - 10:00 Break

10:00 - 10:30 Open Total Maxillectomy: Principles and Technique Antonio Riera-March, MD

10:30 - 11:00 Achieving Excellent Outcomes in Phonosurgery: Principles of Microlaryngoscopy Lee Akst, MD

11:00 - 11:30 Functional Nasal Surgery After Failed Septoplasty Kofi Boahene, MD

11:30 - 12:00 Endoscopic Septolasty: Advantages and Technical Tips For a New Twist on a Traditional Procedure Douglas Reh, MD

12:00 - 12:30 Head and Neck Cancer in 2013: How HPV is Changing Who We Treat, How We Treat and Why We Treat Jeremy Richmon, MD, FACS

12:30 Adjourn

Evening

4:30 - 5:30 Panel Discussion with Refreshments: Cough, Post-Nasal Drip and Dysphagia – Challenging Otolaryngology Patient Cases Douglas Reh, MD; Jeremy Richmon, MD, FACS; Lee Akst, MD and Jose Busquets, MD

Monday, February 17, 2014Morning

6:30 - 7:00 Continental Breakfast

7:00 - 7:30 Management of Sinonasal Malignancies Vincente Resto, MD, PhD, FACS

7:30 - 8:00 Principle of Laryngotracheal Reconstruction Carlos Gonzalez-Aquino, MD, FACS

8:00 - 8:30 Salivary Gland Stones – New Approaches David Eisele, MD

8:30 - 9:00 Hal, Rosie, R2D2 and Da Vinci – How Robots Are Changing the Practice of Head and Neck Surgery Jeremy Richmon, MD, FACS

9:00 - 9:30 Surgical Management of Chronic Rhinosinusitis in Children: A Summary of Evidence-Based Practice Emily Boss, MD

9:30 - 10:00 Break

10:00 - 10:30 The Dizzy Patient: Update on New Diagnostic Techniques and Treatments Wade Chien, MD

10:30 - 11:00 Evaluation of Dysphonia: Common Mistakes and How to Avoid Them Lee Akst, MD

11:00 - 11:30 Transfer of the Temporalis Muscle Tendon Unit for Facial Paralysis Kofi Boahene, MD

11:30 - 12:00 Not In the Script: Lessons Learned About the Physician’s Role in Patient/Family Centered Communication Emily Boss, MD

12:00 Adjourn

Please complete and return the Evaluation and Credit Report Forms. The Registration Desk will remain open during conference hours.

The Johns Hopkins University School of Medicine takes responsibility for the content, quality and scientific integrity of this CME activity.

This schedule is subject to change.

TO REGISTER or FOR FURTHER INFORMATIONRegister Online (credit card and eCheck) www.HopkinsCME.edu Register by Phone (credit card only) (410) 502-9636Register by Fax (866) 510-7088Confirmation/Certificates (410) 502-9636General Information (410) 955-2959E-mail the Office of CME [email protected] us on Twitter: http://twitter.com/HopkinsCMEFacebook: http://www.facebook.com/HopkinsCMESponsoring Department Website: http://www.hopkinsmedicine.org/otolaryngology/For general information, the direct link for this CME activity web page is: http://www.hopkinscme.edu/CourseDetail.aspx/80031508.

Program: Atlantic Otolaryngology – Head and Neck Surgery Update

SpeakersACTIVITY DIRECTORSDouglas Reh, MDAssistant Professor of Otolaryngology Head and Neck SurgeryMedical Director, Otolaryngology-Head and Neck Surgery at Green Spring StationJohns Hopkins University School of Medicine

David Eisele, MD, FACSProfessor and DirectorDepartment of Otolaryngology-Head and Neck SurgeryJohns Hopkins University School of Medicine

Carlos Gonzalez-Aquino, MD, FACSProfessor and ChairmanDepartment of Otolaryngology-Head and Neck SurgeryUniversity of Puerto Rico

JOHNS HOPKINS SPEAKERSLee Akst, MDAssistant Professor of Otolaryngology-Head and Neck Surgery

Kofi Boahene, MDAssociate Professor of Otolaryngology-Head and Neck Surgery

Emily Boss, MDAssistant Professor of Otolaryngology-Head and Neck Surgery

Wade Chien, MDAssistant Professor of Otolaryngology-Head and Neck Surgery

Jeremy Richmon, MD, FACSAssistant Professor of Otolaryngology-Head and Neck Surgery

UNIVERSITY OF PUERTO RICO SPEAKERSJose Busquets, MDAssistant Professor of Otolaryngology-Head and Neck Surgery

Antonio Riera-March, MDProfessor of Otolaryngology-Head and Neck Surgery

GUEST SPEAKERSVincente Resto, MD, PhD, FACSChair, Department of OtolaryngologyCo-Director, Center for Cancers of the Head and NeckAssociate Professor Otolaryngology-Head and Neck SurgeryThe University of Texas Medical BranchGalveston, Texas

M. Boyd Gillespie, MD, MSc, FACSProfessor of Otolaryngology Vice-Chairman of Clinical OutreachMedical University of South CarolinaCharleston, South Carolina

Registration Form Course Number 80031508

Atlantic Otolaryngology-Head and Neck Surgery UpdateFebruary 15-17, 2014

To Register: Online (credit card and eCheck): www.HopkinsCME.edu By fax: (866) 510-7088By phone (credit card only): (410) 502-9636

Or mail this form to the Johns Hopkins University, Office of Continuing Medical Education, P.O. Box 64128, Baltimore, Maryland 21264-4128. Include check payable to HOPKINS/80031508, or include credit card information below.

PAYMENT MUST ACCOMPANY FORM TO CONFIRM YOUR REGISTRATION.

M I am a Johns Hopkins speaker for this activity.

Please type or print clearly:last name first name m.i.

highest degree primary specialty Hopkins Faculty/Staff Only – JHED ID:

mailing address

city state ZIP + 4 code country

daytime telephone fax number

e-mail / / / / / / / / / / / / / / / / / / / / / / / / / / /

You will receive a confirmation notice and your attendance certificate by e-mail if you provide your e-mail address.

M Check here if you wish to receive e-mail notices about upcoming CME activities.

What do you hope to learn by attending this activity? __________________________________________

Please notify us if you have any special needs. _________________________________________________

Registration Fees:M Physicians ................................................................................................................................................................... $495M Residents*/Fellows*/Nurses/Allied Health Professionals ............................................................................ $395*with verification of status

For registrations received after 5:00 p.m. EST on February 7, 2014, include a $50 late fee. On-site registrations are payable only by credit card. Total amount enclosed $ __________________

Payment Type:

JHU Faculty/Staff Only: If you are using your Tuition Remission Benefit or an ION budget, please complete this registration form and return with appropriate payment processing form to OCME, Turner 20.Forms can be found on-line at http://www.hopkinscme.edu/Resources/resources.aspx.

M Check (See instructions on top of form.)M Credit Card: M VISA M MASTERCARD M DISCOVER M AMEX

Card # - - - Exp. Date ________________

Name on Card Signature and Date

Atlantic Otolaryngology: Head and Neck Surgery Update

Health & Medicine

Transcript of Atlantic Otolaryngology: Head and Neck Surgery Update