8/19/2019 Nonallergic Rhinitis Diagnosis

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 Miniseminars  P25

   M   I   N   I   S   E   M   I   N   A

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Program Description: This miniseminar includes 3 didactic

lectures, an audience-interactive section, and Q&A. The lec-

tures will focus on why food allergies develop by taking a criti-

cal look at the latest scientific evidence available in the literature,

the role of oral tolerance in human evolution, and the relation-

ship of failure to achieve oral tolerance on the health of the indi-

vidual, relevant immunology, nonimmunologic food reactions

versus immunologic reactions, both IgE-mediated and non– 

IgE-mediated, current methods of diagnosing food allergies,

cutting-edge strategies such as component-resolved testing,

skin and in vitro methods versus double-blind, placebo-

controlled food challenge. Treatment options for food allergy

will also be discussed.

Educational Objectives: (1) Evaluate the scientific basis of

IgE- and non–IgE-mediated food allergy. (2) Describe the

manifestations of food allergy in the head and neck region. (3)

Use the currently available treatments for food allergy as well

as future directions.

From Start to Finish: Management of

Chronic Rhinosinusitis

Eric H. Holbrook, MD (moderator); Pete S. Batra, MD;

Rakesh K. Chandra, MD; Alexander G. Chiu, MD;

 Joseph Han, MD; Raj Sindwani, MD

Program Description: Although our understanding of chronic

rhinosinusitis (CRS) has improved, patients prove to be a diag-

nostic and therapeutic challenge. The variability in presentation

contributes to the difficulty in providing effective medical and/

or surgical therapy for each patient, and straightforward, all-

encompassing guidelines are lacking. As more innovative treat-

ments arise, choices available to otolaryngologists becomeoverwhelming. The purpose of this miniseminar is to provide a

stepwise approach to the overall management of CRS patients.

The panelists will cover aspects of patient care including evalu-

ation and diagnosis, tailored medical management, surgical

choice and optimization, and postoperative management.

Educational Objectives: (1) Evaluate patients presenting with

CRS and provide medical/surgical management recommenda-

tions for specific categories of CRS. (2) Discuss methods for

improving surgical outcomes and recommend appropriate use

of surgical devices/products for CRS. (3) Provide recommen-

dations for effective postoperative management, use of subse-

quent in-office procedures, and continued medical treatmentsfor CRS.

Major Complications in FESS: Tips from

Expert Surgeons

Marc A. Tewfik, MD (moderator); Peter J. Wormald, MD;

Peter H. Hwang, MD; Ricardo L. Carrau, MD;

Richard Douglas, MD; Rowan Valentine, MBBS

Program Description: The risk of serious complications during

endoscopic sinus surgery (ESS) is ever present. It is the responsi-

 bility of the operating surgeon to minimize the risks through

meticulous preoperative preparation, careful operative technique,

and diligent postoperative care. This miniseminar brings together

some of the top sinus surgeons from around the world to share

some of their technical pearls and experience regarding the treat-

ment and avoidance of complications in ESS, as well as the latest

research in the field. Through the use of clinical case-based

vignettes, topics that will be covered include CSF leak, orbital

injury, and catastrophic hemorrhage.

Educational Objectives: (1) Identify high-risk situations pre-

operatively in patients undergoing functional ESS (FESS). (2)

Apply intraoperative measures and technical pearls to avoid

serious complications during FESS. (3) Elaborate a clear plan

for the management of intraoperative emergencies, including

orbital hematoma and internal carotid artery injury.

Nonallergic Rhinitis: Diagnosis and

Management

 John H. Krouse, MD, PhD (moderator); Stephanie Joe, MD;

Amber U. Luong, MD; William R. Reisacher, MD; Elina M.

Toskala, MD, PhD

Program Description:  Patients with nonallergic rhinitis(NAR) are commonly seen in an otolaryngologist’s practice.

These patients may have no allergic triggers, may be negative

to routine allergy testing, and are therefore diagnosed with

 NAR. Recent workgroups both in the United States and inter-

nationally have attempted to better classify the pathophysiol-

ogy and phenotype of patients with NAR, with the goal of

facilitating more accurate diagnosis and improved treatment.

This panel will review, through brief didactic discussions and

case presentations, recent knowledge and current understand-

ing of NAR and will highlight methods to improve the man-

agement of these frequently challenging patients.

Educational Objectives: (1) Discuss the various pathophysi-ologies and presentations that are grouped under the diagnos-

tic category of nonallergic rhinitis. (2) Review important

elements of the diagnostic workup in evaluating the patient

with nonallergic rhinitis. (3) Implement treatment strategies

for patients diagnosed with nonallergic rhinitis.

Office-Based Surgical Procedures in

Rhinology

 Jivianne T. Lee, MD (moderator); Joseph Han, MD;

Peter H. Hwang, MD; Scott P. Stringer, MD

Program Description: With continual advances in endoscopic

instrumentation and technology, a burgeoning number of rhi-nologic procedures can now be effectively performed in the

office environment. Such interventions have provided thera-

 peutic alternatives in the management of primary and recalci-

trant sinonasal disease. The purpose of this miniseminar is to

describe the principles and techniques involved in successful

implementation of rhinologic surgery in the clinic setting.

Both fundamental (turbinate surgery, polypectomy) and

advanced sinus procedures (frontal sinusotomy, revision sur-

gery) will be discussed. Appropriate setup, anesthesia, and

 patient selection will be described. This miniseminar will be

conducted by academic leading rhinologists using a multime-

dia, interactive, case-based format.