- Over the past decade the surgical treatment has evolved to more minimally invasive techniques. For diseases of the larynx and pharynx, this involves the use of fine microsurgical instruments and lasers to remove tumors under the operating microscope. These techniques are all technically challenging with a steep learning curve. New techniques and applications of minimally invasive surgery are constantly being reported. Safe and efficacious application of minimally invasive surgical techniques to carefully selected patients requires appropriate training, not just for residents and fellows but also for practicing surgeons who are new to this approach. Unlike general surgical procedures, trainees cannot be mentored effectively during minimally invasive operations on actual patients because most of these procedures are single operator dependent.
- There is therefore a great need for surgeons to acquire these skills outside of the operating room before participating in supervised surgical procedures on patients. Additionally, as restrictions on training hours for surgical trainees take effect, opportunities for acquiring certain basic skills for open operations have also become limited and vary depending on several factors such as institutional practice and the initiative of the trainee.
- The use of head and neck cadaveric specimens in a facility equipped with state of the art endoscopic, video and microsurgical instruments provides the ideal opportunity to acquire these skills. This course comprises 2 days of transoral endoscopic laser microsurgery for benign and malignant diseases of the larynx and pharynx. The aim of the course is to give exposure to all the endoscopic skills which the modern surgeon are required to know in their daily practice. Didactic theoretical knowledge, essential for proper patient selection, understanding physical properties and technical issues with equipment and other information that does not require “hands-on” instruction will be available to the trainee prior to the course and the trainee will be expected to have understood these fundamentals.
Participants will learn Transoral Laser Microsurgery (TLM) using the Lumenis UltraPulse DUO CO2 Laser with Digital AcuBlade Scanning Micromanipulator and FiberLase Flexible CO2 Laser Waveguide on human cadaveric specimens. By completion of this course, physicians will have the knowledge to safely perform surgery with the CO2 laser fiber and scanning micromanipulator in a variety of surgical approaches.
This is a FREE 2-day, non-CME course devoted to the principles and practice of transoral endoscopic laser microsurgery. The course is mainly dissection orientated supplemented with lecture material. Dissection will be carried out on fresh head and neck specimens. Participants will be taught TLM for benign lesions as well as cancers of the glottic larynx, supraglottic larynx and hypopharynx using a variety of laryngoscopes and high powered microscopes. Transoral laser resection of tonsil and base of tongue cancers will be taught using the Lumenis flexible CO2 laser fiber and a variety of retractors. The 2-day course will consist of half day lectures and half day hands-on cadaveric dissection on each day of the course. A live TLM surgery will be telecast during the course
Audience: Open to Laryngologists and Head & Neck physicians looking for a skill sharpener and certification in surgical CO2 laser competency.
Goal: To have physicians leave with confidence to safely perform surgery with the CO2 laser fiber and micromanipulator in a variety of surgical approaches.
Upon conclusion of this program, participants should be able to:
•Identify which patients are eligible for laser surgery.
•Understand patient positioning, gaining and maintaining exposure; laser setup for TLM
•Relate potential advantages and limitations that may be realized with laser surgery; identify key technical mistakes to avoid.
•Understand procedural steps for TLM (eg. tonsillectomy, glossectomy, supraglottic laryngectomy)
•Understand postoperative care for TLM patients
Faculty will be a mix of Virtual and In-person.
Sunil Verma, MD
University of California, Irvine
Scott Magnuson, MD
Bruce Haughey, MBChB, MS, FACS, MD
Chris Holsinger, MD
Ian Ganly, MD, PhD
Memorial Sloan Kettering Cancer Center
Snehal Patel, MD. FRCS
Memorial Sloan Kettering Cancer Center
Mark Courey, MD
Mt. Sinai, New York
Andrew McWhorter, MD
Our Lady of the Lake, Louisiana
Josh Schindler, MD
Oregon Health & Science University
Seth Dailey, MD
University of Wisconsin
Michael Hinni, MD
Mayo Clinic, Arizona
Dan Fink, MD
University of Colorado, Denver
Paul Castellanos, MD, FCCP
Mercy Health, Ohio
Gaelyn Garrett, MD
University of California, Los Angeles