capped, cochlear nerve deficiency, and others. Educational Objectives: 1) Recognize the most current surgical technologies available to patients with hearing ...
P25
Miniseminars
Program Description: The purpose of this course is to educate our otolaryngology community about how best to provide the widest array of surgical technologies to the largest populations of patients with hearing loss. Traditionally, technologic advancement has driven the field forward, though recent attention has also focused on expanding eligibility criteria for existing technology. The format will be a panel of experts with proposed topics organized by patient population (rather than by technology), including patients with moderate to severe hearing loss and significant residual hearing, single sideddeafness, tinnitus, children, age extremes, the multi-handicapped, cochlear nerve deficiency, and others. Educational Objectives: 1) Recognize the most current surgical technologies available to patients with hearing loss. 2) Articulate the rationale for expanding inclusion criteria for existing technologies to patients previously considered ineligible. 3) Evaluate how promising preliminary outcomes data support the continued expansion of both technology and criteria for patients with hearing loss.
The Martha Entenmann Tinnitus Research Center, Inc.: Abraham Shulman, MD; and Barbara Goldstein, PhD; International Tinnitus Miniseminar: New Concepts in Electrophysiology and Tinnitus Michael Hoffer, MD (moderator); Carlos Olivera, MD; Leslie Prichep, MD; Tobias Kleinjung, MD; Abraham Shulman, MD Program Description: A neurobiology for all clinical types of tinnitus is emerging, reflecting advances in the neuroscience of brain function and the cochleovestibular system. The electrophysiologic identification of brain functions activated in the presence of the tinnitus signal can provide a basis for translation to optimize tinnitus diagnosis and treatment. This miniseminar will focus on electrophysiology and tinnitus. Electrophysiologic markers of ear and brain function have been identified in subjective idiopathic tinnitus patients of all clinical types. This clinical experience has been reflective predominantly of site of lesion testing of cochleovestibular function. Tinnitus is an aberrant auditory percept. Advances in the neuroscience of brain imaging, sensory physiology, auditory physiology, brain function, and tinnitus have provided the otolaryngologist and all tinnitus professionals methods for objectification of the subjective tinnitus complaint. This miniseminar will initially review the past and present experience with
electrophysiologic markers for tinnitus of cochleovestibular function. Second, the focus will be on presentation of two methods of objectification for the identification of electrophysiologic markers of tinnitus in brain as follows: 1) Quantitative electroencephalography (QEEG) and 2) low resolution electromagnetic tomography (Loreta). In this miniseminar, the fourth in a series examining tinnitus, each speaker will examine an electrophysiologic technique and then provide case discussions to examine the use of this technique in treatment selection. Educational Objectives: 1) Understand the neurobiology of tinnitus. 2) Understand the availability of the use of electrophysiologic outcomes to provide objectivity for the subjective tinnitus complaint. 3) Recognize how established methodologies of recording electrophysiology of the ear and brain can be applied to the tinnitus patient.
Neurotologic Emergencies: What the General Otolaryngologist Needs to Know Sujana S. Chandrasekhar, MD (moderator); George T. Hashisaki, MD; Lawrence R. Lustig, MD; Hilary Brodie, MD, PhD; Moises A. Arriaga, MD Program Description: This miniseminar, presented on behalf of the American Neurotology Society, is designed to provide the practicing general otolaryngologist with immediately useful clinical pearls in the evaluation and management of patients presenting with neurotologic emergencies. Five expert neurotologists will present the current state of the art in the following areas: temporal bone fracture, acute mastoiditis, meningitis, idiopathic facial nerve palsy, and sudden hearing loss. These patients often present the clinician with challenges, including how to assess, when and what to test, and what treatment options to offer, as well as what the expected outcomes are. ARQ and Q&A will be emphasized. Educational Objectives: 1) Describe what to do with a patient with temporal bone fracture, including anticipation and management of hearing loss, cerebrospinal fluid (CSF) leak, and other complications. 2) Manage the patient with sudden cranial nerve palsy, including facial nerve paralysis or sensorineural hearing loss, including medical and surgical management. 3) Apply the current best practices for the management of meningitis and acute mastoiditis, including acute medical management and workup for otogenic causes.
Otogenic Pain and Aural Fullness: Mystery Diagnosis Alan G. Micco, MD (moderator); Cliff Megerian, MD; Elizabeth H. Toh, MD; Simon I. Angeli, MD Program Description: Otogenic pain and aural fullness can be some of the more frustrating chief complaints to work up and
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MINISEMINARS
Hearing Loss 2013: Expanded Technology, Expanded Criteria Daniel H. Coelho, MD (moderator); Seilesh Babu, MD; Blake C. Papsin, MD, MSc; Craig A. Buchman, MD; J. Thomas Roland, MD
