57th Annual Meeting

Scientific Program


Exploiting Technology
for Medical Education


Day Morning Sessions Afternoon Sessions
Sunday Plenary Session
Monday Plenary Session One
Topics
Two
Topics
Three
Topics
Tuesday One
Topics
Two
Topics
Three
Topics
One
Topics
Two
Topics
Three
Topics
Wednesday One
Topics
Two
Topics
Three
Topics
 










SUNDAY, MAY 25, 2003

Macleod D Room, Telus Convention Centre
2003 POLIQUIN MEDTRONIC XOMED RESIDENTS' COMPETITION
Chair: Dr. M. Bance


8.45 – 9.00
Opening Remarks: Dr. M. Bance, Mr. Steve Lawrence (MEDTRONIC XOMED CANADA)

9.00 – 9.10
Lateral Neck X-ray vs. Direct Video Rhinoscopy in Asssing Adenoid Size
*Mlynarek, Alex
Mark Tewfik
John Manoukian
Melvin Schloss
Ted Tewfik
Jeanne Choi-Rosen, Montreal, Quebec



9.10 – 9.15    Discussion

9.15 – 9.25
Pediatric Laryngeal Paralysis : A New Proposed Surgical Therapy
*Brian Rotenberg
Sam Daniel
Mohamed Abdolel
Vito Forte, Toronto, Ontario



9.25 – 9.30    Discussion

9.30 – 9.40
Early Operative Intervention Versus Conventional Treatment in Epistaxis : A Randomized Prospective Trial
*Ali Moshaver
Jeffrey Harris
Richard Liu
Chris Diamond
Hadi Seikaly, Edmonton, Alberta



9.40 – 9.45    Discussion

9.45 – 10.00
The Role of Allergy, Adenoids and Eustachian Tube in the Pathogenesis of Otitis Media with Effusion in Atopic Children
* Lily Nguyen
John Manoukian
Steve Sobol
Melvin Schloss, Montreal, Quebec



10.00 – 10.15    Discussion

10.15 – 10.30
The Use of intratympanic Dexamethasone in Meniere’s Disease
*Joshua Hornig
Richard Liu, Edmonton, Alberta



10.30 – 10.45    Discussion

10.45 – 11.05    COFFEE BREAK

11.05 – 11.15
Outcome and Quality of Life Assessment After Type 1 Thyroplasty
*AbdulRahman
AL-Riwaished
Paul Odell
Pam Maser, Ottawa, Ontario



11.15 – 11.20    Discussion

11.20 – 11.30
Functional, Quality of Life, and Facial Aesthetics Assessment of Different Approaches to the Parapharyngeal Space
*Aimee Mabini
Patrick Gullane
Jonathon Irish
Ralph Gilbert
Dale Brown, Toronto, Ontario



11.30 – 11.35    Discussion

11.35 – 11.45
High Resolution X-ray CT Scanning of the Human Stapes Footplate
*Abdulrahman Hagr
Robert Funnell
Anthony Zeitouni
Jamie Rappaprt, Montreal, Quebec



11.45 – 11.50    Discussion

11.50 – 12.00
Review of Intratympanic Gentamicin in the Treatment of Meniere’s Disease
*Chris Diamond
Joshua Hornig
Richard Liu, Edmonton, Alberta



12.00 – 12.05    Discussion

12.05 – 12.15
Postoperative Parathyroid Hormone Level as a Predictor of Post-Thyroidectomy Hypocalcemia
*Richard Payne
Michael Hier
Martin Black
Michael Tamilia, Montreal, Quebec



12.15 –12.20    Discussion

12.20 – 13.30    LUNCH

13.30 – 13.40
A Randomized Control Study of Consent Presentation in Otology : Effects on Recall of Adding Written Take Home Sheet to Verbal Presentation
*Tim Brown
Manohar Bance
Emad Massoud, Halifax, Nova Scotia



13.40 – 13.45    Discussion

13.45 – 13.55
A Magnetoecephalogram Study of Native Deaf Signing Children : Relationships Between Visual Communications and Auditory Neural Networks
*Vincent Lin
Sam Daniel
Blake Papsin
Robert Harrison, Toronto, Ontario



13.55 – 14.00    Discussion

14.00 – 14.10
Functional Outcomes after Primary Mandibular Resection and Reconstruction With the Fibular Osteocutaneous Free Flap
* Maharaj Mitra
Jana Reiger
Jeffery Harris
John Wolfaardt
Hadi Seikaly, Edmonton, Alberta



14.10 – 14.15    Discussion

14.15 – 14.25
The Effects of Recombinant BMP-7 in Distraction Osteoneogenesis of the Rabbit Mandible
*Kristina Zakhary
Lucy Lesard
Reggie Hamdy
Dimitri Moutakis, Montreal, Quebec



14.25 – 14.30    Discussion

14.30 – 14.45
Sodium Thiosulphate as a Chemoprotective Agent for Cis-platin Toxicity
*Norbert Viallet
Brian Blakely
Asher Begleiter
Marsha Leith, Winnipeg, Manitoba



14.45 – 14.50    Discussion

14.50 – 15.10    COFFE BREAK

15.10 – 15.20
Prospective Study of Peri-operative Fluid Management in Free Flap Surgery of the Head and Neck.
*Jason Franklin
John Yoo
Thomas Matthews
Douglas Ross
Howard Lampe, London, Ontario



15.20 – 15.30    Discussion

15.30 – 15.40
Use of Reovirus as Irrigation Solution for Squamous Cell Cancer Contaminated Wounds in a SCID Mouse Model
*James Brooks
Hadi Seikaly
Ron Moore
Thomas Lim, Edmonton, Alberta



15.40 – 15.45    Discussion

15.45 – 15.55
Functional Outcomes After Primary Tongue Cancer Resection and Reconstruction With the Radial Forearm Free Flap.
*Trina Uwierar
Hadi Seikaly
Jana Riger, Edmonton, Alberta



15.55 – 16.00    Discussion

16.00 – 16.10
Colorimetric Evaluation of Facial Skin and Free Flap Donor Sites in Various Ethnic Populations
*Kenny Ngo
Ralph Gilbert
Peter Neligan
David Goldstein, Toronto, Ontario



16.10 – 16.15    Discussion

16.15 – 16.25
A Comparison Microvascular End to End versus Side to Side Venous Anastomosis in the Rat Groin Free Flap Model
*Khalid Ansari
Jeff Harris
Hadi Seikaly, Edmonton, Alberta



16.25 – 16.30    Discussion

16.30    CLOSING REMARKS

__________________________________________

MONDAY, MAY 26, 2003

Satellite Breakfast Symposium
hosted by ALCON CANADA
06:30 - 08:00
Macleod C Room, Telus Convention Centre

Meeting delegates are cordially invited to attend a talk by John Rutka, MD, FRCS (C) on the “Treatment of Otitis Externa and Chronic Suppurative Otitis Media”. Dr. Rutka is Associate Professor in the Department of Otolaryngology at the University of Toronto.
BREAKFAST will be served courtesy of ALCON CANADA at 06:30 to 07:00.

__________________________________________

OPENING SESSION

Macleod D Room, Telus Convention Centre
Chair – Dr. H. Stevens, President


Overall Meeting Objectives:

  • to present accurate and relevant information about the treatment of our patients
  • to allow acknowledged experts to present their expertise
  • to provide an environment for our members to interact with our invited guests thereby fostering exchange of ideas and information
  • to allow interaction and discussion between members about problems of both a clinical and scientific nature
  • to present a variety of workshops and panel discussions that will facilitate interaction and debate

    08:30-08:40
    Presidential Address – Stevens, H., VANCOUVER

    08:40-08:45
    Introduction of Guest of Honour and Royal College Speaker, Dr. Irwin Stewart, New Westminster, BC – Stevens, H., VANCOUVER

    08:45-08:55
    Guest of Honour Address – Stewart, I., NEW WESTMINSTER

    08:55-08:57
    Introduction of Dr. William Bolger, Guest Lecturer – Stevens, H., VANCOUVER

    08:57-09:25
    Hidden Complications in Endoscopic Sinus Surgery – Bolger, W., PHILIDELPHIA, PA

    09:25-09:28
    Introduction of Dr. Richard Smith, Guest Lecturer – Dort, J., CALGARY, AB

    09:28-10:00
    The Cutting Edge of Genetic Deafness – Smith, R., UNIVERSITY OF IOWA


    10:00-10:30
    COFFEE & VISIT TO EXHIBITS

    10:30-10:33
    Introduction of Dr. Ritchier Younger, Guest Lecturer – Stevens, H., VANCOUVER, BC

    10:33-11:03
    The Aesthetics of Nasal Reconstruction – Younger, R., VANCOUVER, BC

    11:03-11:05
    Introduction of Special Speaker, Astronaut Julie Payette (to be confirmed) – Gillis, T., CALGARY, AB

    11:05-11:50
    TBA – Payette, J.

    11:50-11:55
    Presentation of Poliquin Medtronic Xomed Resident Awards – Lawrence, MEDTRONIC XOMED, Bance, AWARDS CHAIR

    11:55-13:30
    LUNCH & VISIT TO EXHBITORS

    __________________________________________

    MONDAY AFTERNOON, MAY 26, 2003

    Room 1 – Macleod D Room
    Telus Convention Centre

    WORKSHOP
    CHAIR: Bolger, W., PHILIDELPHIA

    13:30-15:10
    Endoscopic Repair of Usual and Unusual CSF Leaks

    15:10-15:40
    COFFEE & VISIT TO EXHIBITS

    WORKSHOP
    CHAIR: Kost, K., MONTREAL

    15:40-16:30
    IS IT A NORMAL LARYNX? THE RANGE OF NORMAL IN VIDEOSTROBOSCOPY
    Participants:   Kost, K., Eibling, D.E.



    WORKSHOP
    CHAIR: Black, M., TORONTO

    16:40-17:30
    Challenging Voice Disorders: An Interactive Workshop
    Participants:   Black, M., Anderson, J., Kost, K., Morrison, M.


    __________________________________________

    MONDAY AFTERNOON, MAY 26, 2003

    Room 2 – Macleod C Room
    Telus Convention Centre

    WORKSHOP
    CHAIR: Younger, R., VANCOUVER

    13:30-15:10
    Problems in Rhinoplasty

    15:10-15:40
    COFFEE & VISIT TO EXHIBITS

    WORKSHOP
    CHAIR: Brown, D., TORONTO

    15:40-16:30
    Clinician-Patient Communication to Enhance Health Outcomes
    Participants:   Brown, D., Nanchoff-Glatt, M.



    WORKSHOP
    CHAIR: Crysdale, Wm., TORONTO

    16:40-17:30
    Update on Saliva Control: From Medical Therapy to Surgery
    Participants:   Crysdale, Wm., Daniel, S., Manoukian, J.



    __________________________________________

    MONDAY AFTERNOON, MAY 26, 2003

    Room 3 – Macleod B Room
    Telus Convention Centre

    WORKSHOP
    CHAIR: Bance, M., HALIFAX

    13:30-15:10
    Ossiculoplasty, Science and Practice



    15:10-15:40
    COFFEE & VISIT TO EXHIBITS


    __________________________________________

    MONDAY AFTERNOON, MAY 26, 2003

    Room 3 – Macleod B Room,
    Telus Convention Centre

    PAPER SESSION - OTOLOGY
    CHAIR – TBA


    15:40-15:50
    How Does the Mass of a Middle Ear PORP Prosthesis Affect its Acoustic Function? – Bance, M., Morris, D., Van Wijhe, R., Narine, A., HALIFAX



    15:50-16:00
    The Effect of Adhesion to the Promontory on the Acoustic Functioning of Partial Ossicular Replacement Prosthesis in the Cadaveric Human Ear – Morris, D., Bance, M., Van Wijhe, R., HALIFAX



    16:00-16:10
    Systemic Gentamicin Ototoxicity - Dosing Regimes, Risk Factors and Medical-Legal Concerns – Narayanan, P., Kisilevsky, V., Rutka, J., TORONTO



    16:10-16:20    DISCUSSION

    16:20-16:30
    Long-Term Comparison of Two Transtympanic Gentamicine Instillation's Protocols for Intractable Mιniθre's Disease - Fradet N., Nguyen N., Denis P., Jacques D., Renee D., QUEBEC CITY



    16:30-16:40
    Music Perception by Post-lingually Deafened Adult Cochlear Implant Recipients – Stadelmann, L., Ostroff, J., Shipp, D., Ng, A., Chen, J., Nedzelski, J., TORONTO



    16:40-16:50
    Expectant Management of Solitary Acoustic Neuromas – Nedzelski, J., Grebenyuk, J., Rowed, D., TORONTO



    16:50-17:00    DISCUSSION
    __________________________________________


    TUESDAY, MAY 27, 2003

    Satellite Breakfast Symposium
    hosted by BRISTOL MYERS SQUIBB

    Macleod C Room,
    Telus Convention Centre


    Meeting delegates are cordially invited to attend a talk on the “The Impact of the New Canadian Guidelines in the Management of Sinusitis” given by Dr. Donald E. Low, Microbiologist-in-Chief of the Toronto Medical Laboratories, Mount Sinai Hospital in Toronto.

    BREAKFAST will be served courtesy of BRISTOL MYERS SQUIBB


    __________________________________________

    TUESDAY MORNING, MAY 27, 2003


    Room 1 – Macleod D
    Telus Convention Centre

    WORKSHOP
    CHAIR: Adamson, P., TORONTO

    08:30-10:00
    Advanced Nasal Tip Surgery



    10:00-10:30    COFFEE & VISIT TO EXHIBITS

    10:30-12:00    ANNUAL BUSINESS MEETING (Macleod D)

    12:00-13:30    LUNCH & VISIT TO EXHIBITS

    __________________________________________

    TUESDAY AFTERNOON, MAY 27, 2003

    Room 1 – Macleod D
    Telus Convention Centre

    WORKSHOP
    CHAIR: Gilbert, R., TORONTO

    13:30-14:15
    The Management of Non-Melanoma Malignancies of the Head & Neck
    Participants:    Gilbert, R., Irish, J.


    WORKSHOP
    CHAIR: Younger, R., VANCOUVER

    14:15-15:10
    Local Flaps for Reconstruction After Resection of Facial Skin Cancers

    15:10-15:40    COFFEE & VISIT TO EXHIBITS

    __________________________________________

    TUESDAY AFTERNOON, MAY 27, 2003

    Room 1 – Macleod D
    Telus Convention Centre

    PAPER SESSION – OTOLOGY
    CHAIR – TBA


    15:40-15:50
    A clinical test for Dynamic Visual Acuity (DVA): effects of head motion velocity – Dannenbaum, E., Hakim-Zadeh, R., Paquet, N., Feldman, A., LAVAL



    15:50-16:00
    Normal Subjects vs Compensated Vestibularly Deficient Patients: Can the Slow-Phase of Nystagmus Classify These Groups? – Katsarkas, A., Smith, H., Chan, W., Galiana, H., MONTREAL


    16:00-16:10
    Intentional Chemical Ablation Using Commercially Available Gentamicin Ear Drops in Meniere's Disease versus Inadvertent Topical Gentamicin Ototoxicity; What's the Difference? – Kisilevsky, V., Rutka, J., TORONTO



    16:10-16:20    DISCUSSION

    16:20-16:30
    High Resolution Strategy in Adults Utilizing the Clarion CII and HiRes 90K Devices - Al-Rowaished, A., Schramm, D., Seguin, C., NEPEAN



    16:30-16:40
    Closure of Near Total Ear Drum Perforations Using a Modified House Technique – Blokmanis, A., Archibald, J., VANCOUVER



    16:40-16:50    DISCUSSION

    16:50-17:00
    A Comparison of Behavioural and ASSR Thresholds in Normal Hearing and Hearing Impaired Adults – Brown, D.K., CALGARY



    17:00-17:10
    Performance Results with the Otologics Middle Ear Transducer (MET) Implantable Hearing Device – Fredrickson, J., Niparko, J., Slattery, W., Neely, J.G., ST. LOUIS



    17:10-17:20    DISCUSSION


    __________________________________________

    TUESDAY MORNING, MAY 27, 2003

    Room 2 – Macleod C
    Telus Convention Centre

    PAPER SESSION – HEAD & NECK
    CHAIR: TBA

    08:30-08:40
    Sexual Dysfunction and Quality of Life Following Treatment For Laryngeal Cancer – Taylor, M., Yoo, J., Agrawal, S., HALIFAX



    08:40-08:50
    Radiotherapy for T1 and T2 Laryngeal Cancer: The Dalhousie University Experience – Tibbo, J., Taylor, S.M., Trites, J., Corsten, G., HALIFAX



    08:50-09:00
    Coping with Head and Neck Cancer: Results of a Feasibility Study – Archer, J., Allison, P., Edgar, L., Nicolau, B., Black, M., Hier, M., MONTREAL



    09:00-09:10    DISCUSSION

    09:10-09:20
    The Unknown Primary: How Elusive Is It? – Zakhary, K., Amar, Y., Black, M., Hier, M., MONTREAL



    09:20-09:30
    Transfusion Risk in Head and Cancer Resection – Chau, J., Rashiq, S., Seikaly, H., EDMONTON



    09:30-09:40
    Parathyroid Hormone Level as a Predictor of Hypocalcemia Post Total Thyroidectomy – Lam, A., Kerr, P.D., WINNIPEG



    09:40-09:50    DISCUSSION

    10:00-10:30    COFFEE & VISIT TO EXHIBITS

    10:30-12:00    ANNUAL BUSINESS MEETING (Macleod D Room)

    12:00-13:30    LUNCH & VISIT TO EXHIBITORS

    __________________________________________

    TUESDAY AFTERNOON, MAY 27, 2003

    Room 2 – Macleod C
    Telus Convention Centre

    WORKSHOP
    CHAIR: Smith, R., UNIVERSITY OF IOWA

    13:30-15:10
    Sequential Approach to the Management of Airway Stenosis

    15:10-15:40    COFFEE & VISIT TO EXHIBITS

    WORKSHOP
    CHAIR: Desrosiers, M., MONTREAL


    15:40-17:00
    Bacteriology of Chronic Sinusitus – Implications for Therapy
    Participants:    Desrosiers, M., Woodham, J., Bolger, W., Witterick, I., Frenkiel, S., Kirkpatrick, D.




    __________________________________________

    TUESDAY MORNING, MAY 27, 2003

    Room 3 – Macleod B
    Telus Convention Centre

    PAPER SESSION – PEDIATRIC OTOLARYNGOLOGY
    CHAIR: TBA


    08:30-08:40
    Acquired Subglottic Cysts in Preterm Infants – Johnson, L., Rutter, M., Shott, S., Cotton, R., CINCINNATI



    08:40-08:50
    Intrapartum Management of Severe Fetal Airway Obstruction – Preciado, D., Rutter, M., Willging, J., Cotton, R., CINCINNATI



    08:50-09:00
    Connexin Mutation Testing of Children with nNon-syndromic, Autosomal Recessive Hearing Loss – Thomas, M., Tewfik, T., MONTREAL



    09:00-09:10    DISCUSSION

    09:10-09:20
    The Effect of Age on Amplitude of the Auditory Steady State Response in Young Infants – Muir, P.J., Brown, D.K., John, M.S., CALGARY



    09:20-09:30
    Retropharyngeal Abscess in Children – A Ten Year Experience - Al-Sabah, B.H., Bin Salleen, H.M., Hagr, A.A., Tewfik, T.L., MONTREAL



    09:30-09:40
    Long-term Outcomes for Children with Submucous Cleft Palate that have Velopharyngeal Insufficiency – Husein, M., Chang, E., Cable, B., Karnell, M., Canady, J., IOWA CITY



    09:40-09:50    DISCUSSION

    10:00-10:30    COFFEE & VISIT TO EXHIBITS

    10:30-12:00    ANNUAL BUSINESS MEETING (Macleod D Room)

    12:00-13:30    LUNCH & VISIT TO EXHIBITORS

    __________________________________________

    TUESDAY AFTERNOON, MAY 27, 2003

    Room 3 – Macleod B
    Telus Convention Centre

    WORKSHOP
    CHAIR: Blakley, B., WINNIPEG

    13:30-15:10
    Practical Clinical Tools for Managing Dizzy Patients
    Participants:    Blakley, B., Garber, L., Katsarkas, A.




    15:10-15:40    COFFEE & VISIT TO EXHIBITS


    __________________________________________

    TUESDAY AFTERNOON, MAY 27, 2003

    Room 3 – Macleod B
    Telus Convention Centre

    PAPER SESSION – HEAD & NECK
    CHAIR: TBA

    15:40-15:50
    Total Laryngopharyngectomy Reconstruction with a U-shaped Radial Forearm Free Flap – Alsoairy, M., Harris, J., Seikaly, H., EDMONTON



    15:50-16:00
    Reconstruction of the Orbit Following Maxillectomy – Gilbert, R., Neligan, P., Gullane, P., Irish, J., Brown, D., Hall, F., TORONTO



    16:00-16:10
    Epstein-Barr Virus (EBV) DNA Measured in Nasopharyngeal Brushings in Patients with Nasopharyngeal Carcinoma (NPC) – Makitie, A., Reis, P., Irish, J., Zhang, T., Chin, S., Kamel-Reid, S., Siu, L., TORONTO



    16:10-16:20    DISCUSSION

    16:20-16:30
    The Role of Neck Dissection in a Protocol of Hyperfractionated Accelerated Radiotherapy with Integrated Neck Surgery (“HARDWINS”) - Thuot, F., Waldron, J., O'Sullivan, B., Gullane, P., Brown, D., Freeman, J., Witterick, I., Gilbert, R., Irish, J., TORONTO



    16:30-16:40
    Recurrent Pleomorphic Adenoma of the Parotid Gland: A Fifteen Year Experience – Maxwell, L., Hall, F., Freeman, J., TORONTO



    16:40-16:50
    Marginal Mandibulectomy: A Good Oncological Operation? – Thuot, F., Irish, J., Brown, D., Gilbert, R., Gullane, P., TORONTO



    16:50-17:00    DISCUSSION

    17:00-17:10
    Outcomes in Elderly Patients with Head and Neck Cancer – Franklin, J., Lee, J., Yoo, J., LONDON



    17:10-17:20
    CT Volumetric Analysis as a Predictor of Local Control in Laryngeal Cancers Treated with Conventional Radiotherapy – Hamilton, S., Matthews, T., Venkatesan, V., Lewis, C., Assis, L., LONDON



    17:20-17:30    DISCUSSION


    __________________________________________

    WEDNESDAY MORNING, MAY 28, 2003

    Room 1 – Macleod D
    Telus Convention Centre

    PAPER SESSION – RHINOLOGY
    CHAIR: TBA

    08:30-08:40
    Selective Irrigation of the Sinuses in the Management of Chronic Rhinosinusitis Refractory to Medical Therapy – Lavigne, F.G., Tulic, M.K., Gagnon, J., Hamid, Q., MONTREAL



    08:40-08:50
    Sphenoid Fungal Sinusitis: The St. Paul's Sinus Center Experience – Javer, A.R., Morley, R., VANCOUVER



    08:50-09:00
    The Effect of Middle Meatus Stenting After Endoscopic Sinus Surgery – Witterick, I.J., Tatwani, T., Bravo, M., TORONTO



    09:00-09:10    DISCUSSION

    09:10-09:20
    Image-Guided Transnasal Endoscopic Approach to the Pterygopalatine Fossa and Lateral Sphenoid Sinus – Hussain, A.E., Desrosiers, M.Y., MONTREAL



    09:20-09:30
    Microbiology of Persistent Sinus Infections after Endoscopic Sinus Surgery – Bravo, M.C., Witterick, I.J., Mazzulli, T., TORONTO



    09:30-09:40
    Endoscopic Electrosurgical Management Of Posterior Epistaxis: A Shifting Paradigm – Durr, D.G., OUTREMONT



    09:40-09:50    DISCUSSION

    09:50-10:00
    Endoscope Assisted Image Guided Approach to the Pituitary Gland: A Cadaveric Study – Durr, D.G., Mohr, G., OUTREMONT



    10:00-10:10
    Randomized, Controlled, Study of Biocompatible Nasal Packing on Outcomes of Surgical Treatment of Rhinosinusitis with Polyposis – Franklin, J.H., Wright, E.D., LONDON



    10:10-10:20
    Thermal and Infrared Imaging of the Maxillary Sinuses – Gall, R.M., Attas, M., Mansfield, C., Sowa, M., Posthumus, T., WINNIPEG



    10:20-10:30 DISCUSSION

    __________________________________________

    WEDNESDAY MORNING, MAY 28, 2003

    Room 1 – Macleod D
    Telus Convention Centre

    WORKSHOP
    CHAIR: Fenton, R., TORONTO

    10:40-11:30
    Medical Legal Issues in Sinus Surgery




    __________________________________________

    WEDNESDAY MORNING, MAY 28, 2003

    Room 2 – Macleod C
    Telus Convention Centre

    PAPER SESSION – GENERAL OTOLARYNGOLOGY / FACIAL PLASTICS
    CHAIR: TBA

    08:30-08:40
    Combined Treatment of Microdermabrasion & Alpha Hydroxy Acid Micropeels for Facial Rejuvenation – Tan, A., Tsang, W., Cook, R., KINGSTON



    08:40-08:50
    Beyond Dysphonia: Speech-Breathing Disorders in a Regional Voice Program – Andreassen, M., Gilmurray, B., Bosch, J., Hulme, W., Beveridge, S., CALGARY



    08:50-09:00
    Percutaneous Tracheotomy in an Academic Teaching Centre – Chan, Y., Black, M., Korman, M., Anderson, J., TORONTO



    09:00-09:10    DISCUSSION

    09:10-09:20
    Midface Rejuvination: The Midface Suspension Technique – Ellis, D., Brown, D., TORONTO



    09:20-09:30
    Trends in Management of Peritonsillar Abscesses – Tan, A., Micomonaco, D., LONDON



    09:30-09:40
    Endoscopic Management of Zenker's Diverticuli – Janjua, A., Black, M., Fenton, R., TORONTO



    09:40-09:50
    Outcome and Quality of Life Assessment After Collagen Augmentation of the Vocal Fold - Al-Rowaished, A., Marsan, J., NEPEAN



    09:50-10:00    DISCUSSION


    __________________________________________

    WEDNESDAY MORNING, MAY 28, 2003

    Room 3 – Macleod B
    Telus Convention Centre

    WORKSHOP
    CHAIR: Freeman, J., TORONTO

    08:30-10:10
    Management of Head and Neck Oncology Problems for the Practicing Otolaryngologist
    Participants: Freeman, J., Black, M., Gullane, P.



    WORKSHOP
    CHAIR: Gullane, P., TORONTO>

    10:10-11:10
    Lip Reconstruction After Cancer Treatment
    Participants:Gullane, P., Gilbert, R., Audet, N.







    POSTERS AND VIDEOS


    Board Number: 1

    Unusual Presentation of Cerebellar Infarction in a Six Year Old Male - Achtem BL, Kozak FK, Bjornson B, Poskitt K, Melanson A, VANCOUVER



    Board Number: 2

    Umbrella as a Potential Foreign Body in the Oral cavity of Pediatric Population: A Report of Two Cases - Al-Herabi A



    Board Number: 3

    Clinical and Radiological Significance of Calcific Tendinitis of the Longus Coli Muscle - Al-Rowaished AA, Schramm DR, Quarrington AM, OTTAWA



    Board Number: 4

    Aberrant Internal Carotid Artery Discovered At Myringotomy - Ansari K, Liu R, EDMONTON



    Board Number: 5

    Squamous Cell Carcinoma Arising in a Larynx with a Cartilaginous Malformation - Banerjee A, Heathcote G, Lampe HB, LONDON



    Board Number: 6

    Non-neoplastic Masses of the Middle Ear: Lesions Best Identified Prior to Surgery! - Bharatha A, Daniel SJ, Papsin BC, Friedberg J, TORONTO



    Board Number: 7

    Number to Treat Analysis for Planned Neck Dissection After Organ Preservation Therapy with Advanced Neck Disease - Corsten MJ, Hong P, OTTAWA



    Board Number: 8

    Repair of Comminuted Frontal Sinus Fracture With Preservation of Sinus Function - Hart RD, Massoud E, Trites J, HALIFAX



    Board Number: 9

    Hemorrhagic Pseudotumour of the Maxillary Sinus: Case Presentation and Literature Review - Lee PK, Wu JKM, Ludemann JP, VANCOUVER



    Board Number: 10

    Novel Anthrapyrazoles: Studies of In Vitro Activity Against Head and Neck Squamous Cell Carcinoma and Mechanism of Action - Lin D, Larson K, Wu X, Guziec FS, Hasinoff BB, Kerr PD, Begleiter A, WINNIPEG



    Board Number: 11

    Is A Plexiform Neurofibroma Pathognomonic of Neurofibromatosis Type I? - Lin VYW, Torgerson CS, Daniel SJ, Forte V, TORONTO



    Board Number: 12

    Blastomycosis Presenting as an Invasive Intranasal Mass - Ling FTK, Wang D, Gerin-Lajoie J, OTTAWA



    Board Number: 13

    Is There a Role for Conservative Management of Symptomatic Laryngopyocele? Case Report and Review of the Literature - Ling FTK, Lamothe A, OTTAWA



    Board Number: 14

    Sinonasal Teratocarcinosarcoma: Case report and Literature Review - Ling FTK, Gerin-Lajoie J, Wang D, OTTAWA



    Board Number: 15

    Embolization in the Management of a large Lobular Capillary Hemangioma of the Septum - Ling FTK, Al-herabi A, Jimenez C, MacCormick J, OTTAWA



    Board Number: 16

    Pencil Pushed Through a Younger Sibling's Inferior Orbital Fissure into her Medial Pterygoid Muscle: Filopathic Foreign Body Injury - Ludemann JP, Riding KH, VANCOUVER



    Board Number: 17

    Pediatric Ethmoid Chondroma - Doumit GD, MacCormick JA, Clarke WN, Clarke SM, OTTAWA



    Board Number: 18

    Marantic Endocarditis as a Usual Paraneoplastic Syndrome of Head and Neck Squamous Cell Carcinoma: A Case Report - Marglani O, Al-Herabi AZ, Odell PF, OTTAWA



    Board Number: 19

    Giant Cell Carcinoma of the Larynx: Patholgical Diagnosis and Natural History - Matthews TW, Tsang W, Heathcote G, LONDON



    Board Number: 20

    Severe Facial Nerve Cross-stimulation and Loss of Auditory Sensation After 10 years in a Cochlear Implant User, Refractory to Programming and 3 Re-implantations: A Rare and Challenging Case - Morris DP, Maessen H, Creaser C, Van Wijhe RG, Bance ML, HALIFAX



    Board Number: 21

    Tongue Necrosis, Temporal Arteritis, Esophageal Carcinoma: Is There a Connection? - Mouadeb DA, Campisi P, Rochon L, Hier MP, Black MJ, MONTREAL



    Board Number: 22

    Free-Flap Monitoring using Near-Infrared Spectroscopy - A Comparative Pilot Study Using the Epigastric Artery Island Skin Flap in Rats - Pabbies A, Kerr P, Sowa MG, Liu K-Z, Leonardi L, Man A, WINNIPEG



    Board Number: 23

    Miliary Tuberculosis - A Rare Form of Chronic Ear Disease - Plohman JL, Garber LZ, Ronald J, WINNIPEG



    Board Number: 24

    Pai Syndrome: Case Report and Literature Review - Szeto CC, Tewfik TL, MONTREAL



    Board Number: 25

    Metastatic Angiosarcoma to the Maxillary Sinus - Cote DWJ, Harris J, EDMONTON



    Board Number: 26

    Lemierre's Syndrome: Presentation of 3 Cases - Hong P, MacCormick J, Lamothe A, Corsten M, OTTAWA



    Board Number: 27

    Vocal Cord Paralysis Resulting from a Benign Cyst in the Central Neck - Hoyt BJA, Lee B, Taylor SM, HALIFAX



    Board Number: 28

    Giant Cell Tumor of the Larynx: Case Report and a Review of the Literature - Wong KK, Seikaly H, EDMONTON



    Board Number: 29

    Development and Evaluation of Novel Ear Model To Help Medical Students Gain Confidence and Competence in Ear Microdebridement - Lim SM, Carr MM, TORONTO




    VIDEOS



    Video: 1

    Speech-Breathing Disorders: Videotape Case Examples - Andreassen ML, Gilmurray B, Bosch JD, Hulme WT, Beveridge SD, CALGARY



    Video: 2

    The Deep Plane Facelift - A Case Study - Adamson PA, TORONTO



    _________________________________________________________



    ABSTRACTS



    WORKSHOP - ROOM 1
    Monday, May 26, 2003



    15:40-16:30
    IS IT A NORMAL LARYNX?: THE RANGE OF NORMAL IN VIDEOSTROBOSCOPY - Kost KM, Eibling DE

    Objectives: 1. Review the basis of videostroboscopy. 2. Understand the spectrum of normal and the potential for misdiagnosis. 3. Learn the uses and limitations of instruments and scopes.

    Abstract: Improved imaging capabilities of the larynx have parallelled an increased understanding of the mechanics of vocal fold movement. However, the wide variations in laryngeal symmetry, color, and movement may lead to difficulty in distinguishing what is normal from abnormal. The ability to make this distinction is important because of the implications with respect to investigations, potential misdiagnosis and unnecessary treatment. This workshop is aimed at residents and otolaryngologists wishing to increase their understanding of the spectrum of normal and integrate this information into their diagnostic skills. A large number of videoclips will be used to illustrate the transition from textbook normal to normal variants. Subtle abnormalities will also be reviewed. Data supporting the wide range of normal in videostroboscopy will be presented. Audience participation is welcome and will be encouraged.

    BACK

    WORKSHOP - ROOM 1
    Monday, May 26, 2003



    16:40-17:30
    CHALLENGING VOICE DISORDERS: INTERACTIVE WORKSHOP - Black MA, Anderson JA, Kost KM, Morrison M

    This interactive workshop is geared to the otolaryngologist with an interest in voice disorders/laryngology. The panel will consist of specialists from multidisciplinary voice centres across Canada. Cases that pose difficult diagnostic and/or management issues will be presented. The cases will cover a wide spectrum of laryngeal pathology. Examples of behavioural, functional and structural voice pathology will be selected.
    The presentations will include case histories and videostroboscopic evaluation and in some instances acoustic samples. The focus of this workshop will be to foster and encourage discussion between participants and the panelists.

    BACK

    WORKSHOP - ROOM 2
    Monday, May 26, 2003


    15:40-16:30
    CLINICIAN-PATIENT COMMUNICATION TO ENHANCE HEALTH OUTCOMES - Brown DH, Nanchoff-Glatt M
    The average clinician performs 150,000 patient interviews during a medical career. However, many interviews are not conducted in ways that enhance health outcomes. Frequently, techniques are not used that can improve diagnostic accuracy, involved the patient in decision making and increase the likelihood of adherence to the desired regimen.

    The challenge is to introduce techniques to clinicians and develop their skills in using these techniques in a brief period of time. To accomplish this, this workshop from the Bayer Institute employs three approaches. First, the workshop presents critical research findings that demonstrate the linkages between effective communication and enhanced health outcomes. Second, the workshop provides participants with an opportunity to analyze realistic videotaped interactions. The participant's task is to discriminate between those interactions that are effective and ineffective. Third, the workshop provides participants with an opportunity to practice techniques and receive feedback from their peers.

    BACK
    WORKSHOP - ROOM 2
    Monday, May 26, 2003


    16:40-17:30 UPDATE ON SALIVA CONTROL: FROM MEDICAL THERAPY TO SURGERY - Crysdale WS, Daniel SJ, Manoukian JJ

    Drooling is a major handicap and constitutes a significant management problem in individuals with neurological disabilities of all ages. This workshop will present the major management options currently available. The first speaker(SJ Daniel) will initially present all choices of treatment including oral motor therapy, biofeedback training, pharmacotherapy, and surgical options. The operation of first choice in the authors` experience is submandibular duct relocation with simultaneous sublingual gland excision. A careful step-by-step approach and technical pitfalls will be presented by JJ Manoukian. Finally, the senior presenter (WS Crysdale) will detail the outcome and outline the expectations with this procedure.

    BACK
    WORKSHOPS - ROOM 3
    Monday, May 26, 2003


    13:30-15:10
    OSSICULOPLASTY - SCIENCE AND PRACTICE - Bance M

    Background:
    Ossiculoplasty is a commonly performed operation. The results, however, are unpredictable. Many surgeons are passionate advocates of one technique. There has been little examination of the biomechanics of ossicular reconstruction. The presenter is an experienced middle ear surgeon, and also runs a laboratory devoted to the biomechanics of hearing reconstruction. Insights from both perspectives will be presented.

    Objectives:
    To understand the biomechanics of vibration transmission in the normal middle ear
    To understand how these are altered in the surgically reconstructed ear
    To understand the impact of prosthesis tension, mass, shape, cartilage interposition and ancillary surgical techniques on the hearing results.
    To demonstrate surgical techniques of ossicular reconstruction

    Methods:
    Using video and computer slides, options in ossiculoplasty, choice of prosthesis, effects of cartilage interposition, malleus versus tympanic membrane and size of cartilage cover will be discussed. Techniques to make ossiculoplasty easier as used by the presenter will be shown.

    BACK
    WORKSHOPS - ROOM 2
    Tuesday, May 27, 2003


    08:30-10:00 ADVANCED NASAL TIP SURGERY - Adamson PA

    Course Description:
    This course will present an integrated approach to mastering the structural and esthetic demands of modern tip rhinoplasty. Essential surgical anatomy and dynamics will be highlighted and the advantages of applying the tripod concept outlined. The various applications of vertical lobule division and tip grafting will be explored. Further refinement through skin – soft tissue envelope manipulation and alar base narrowing will be described. The concepts presented will be illustrated through the use of long-term case presentations with dynamic diagrams and intra-operative video clips.

    Course Objectives:
    Review essential nasal tip anatomy and dynamics; provide an integrated, conceptual surgical approach to achieving superior tip rhinoplasty results; and illustrate the results of these technical maneuvers such that attendees can comfortably introduce them into their own rhinoplasty surgery practice.

    Points Covered:
    • Nasal tip anatomy and dynamics
    • The tripod concept
    • Nasal tip vertical division, tip grafting and soft tissue techniques

    Length of Course: One hour

    BACK
    WORKSHOP - ROOM 1
    Tuesday, May 27, 2003


    13:30-14:15
    THE MANAGEMENT OF NON-MELANOMA SKIN MALIGNANCIES OF THE HEAD AND NECK - Gilbert RW, Irish J

    Objectives:
    1) Describe the incidence and epidemiology of non-melanoma skin malignancies
    2) Describe the usual clinical presentation and differential diagnosis of skin malignancies
    3) Describe current staging and classification
    4) Discuss the management of skin malignancies including
         i) medical management
         ii) role of mohs micrographic surgery and surgical approach
         iii) management of the neck in skin malignancy
         iv) surgical reconstruction of the face and neck with particular attention to the ear, nose and orbit
         v) role of adjuctive therapies including radiotherapy and chemotherapy
         vi) prevention
    5) Describe the current clinical outcomes for patients with non-melanoma skin malignancies

    BACK
    WORKSHOP - ROOM 2
    Tuesday, May 27, 2003


    15:40-17:00
    BACTERIOLOGY OF CHRONIC SINUSITIS: IMPLICATIONS FOR THERAPY - Desrosiers MY, Woodham J, Bolger B, Witterick I, Frenkiel S, Kirkpatrick D

    Bacteriology of chronic rhinosinusitis (CRS) has long been a matter of considerable debate. This has limited the development of treatment regimens specific to the bacteria encountered in this disease process. In the few reports available of the bacteriology of CRS, agents such as Staphylococcus aureus, gram-negative organisms, and coagulase-negative staphylococci predominate. Adaptation of treatment regimens designed for the treatment of acute maxillary sinusitis may thus have led to formulation and widespread adoption of sub-optimal treatment regimens.

    In this workshop, we will explore the bacteriologic flora of CRS. A review of existing evidence will be presented then the results of a collaborative CSO-HNS Rhinology interest study group on the flora in CRS will be presented. A panel discussion will follow, with experienced participants discussing their experience and management strategies for problem cases.

    It is hoped that this unbiased forum will lay the foundations for a more rational antibiotic management of CRS.

    BACK
    WORKSHOP - ROOM 3
    Tuesday, May 27, 2003


    13:30-15:10
    Practical Clinical Tools for Managing Dizzy Patients - Garber LZ, Katsarkas A, Blakley BW

    This course will present various options for managing dizzy patients. The emphasis will be on practical clinical management of dizzy patients, not research or esoteric theories. The moderator will introduce a topic and the other participants will indicate their philosophy regarding the issue. While it is unlikely that consensus will be seen the attendee will be exposed to a variety of options. The panelists will bring a few cases each for discussion. Audience interaction is strongly encouraged.

    OBJECTIVES:
    After this course the participant will be able to :
    1. Discuss the current controversies in management of dizzy patients and 2. Utilize vestibular testing more effectively.

    Sample questions:
    1. What is the optimal treatment of benign positional vertigo? Meniere’s disease? Post-traumatic dizziness? Non-specific dizziness?
    2. Who is a candidate for vestibular rehab therapy?
    3. What kind of rehab therapy should be used?
    4. How much overlap is there between chronic fatigue syndrome and dizziness?
    5. What is the role for surgery in therapy of dizziness?
    6. Is intratympanic gentamicin the treatment of choice for intractable Meniere’s disease?
    7. Which vestibular tests are useful and for what indications?

    BACK
    WORKSHOP - ROOM 1
    Wednesday, May 28, 2003


    10:40-11:30
    MEDICO-LEGAL ISSUES IN SINUS SURGERY - Fenton RS

    Medico-legal concerns rank high on the minds of most endoscopic sinus surgeons. To see whether this has validity, and how to protect oneself from litigation, we have assembled an panel of sinus surgeons from across the continent to discuss this issue in an hour long panel presentation.

    BACK
    WORKSHOP - ROOM 3
    Wednesday, May 28, 2003


    08:30-10:00
    WORKSHOP IN THE MANAGEMENT OF HEAD AND NECK ONCOLOGY PROBLEMS FOR THE PRACTICING OTOLARYNGOLOGIST - Freeman JL, Gullane P, Black M

    Objectives:
    1. To familiarize the practicing otolaryngologist in recent advances in the management of head and neck cancer
    2. To illustrate problems in diagnosis and treatment of various head and neck tumours
    3. To formulate a working approach to complications of management of head and neck tumours

    Program:
    Moderator, Jeremy L. Freeman, MD, University of Toronto
    Recent advances in the management of laryngeal cancer—10 minutes, Patrick Gullane, MD, University of Toronto
    Recent advances in the management of salivary neoplasms—10 minutes, Martin Black, MD, McGill University
    Recent advances in the management of oral cavity neoplasms—10 minutes, Speaker to be announced
    Recent advances in the management of various benign tumors of head and neck—10 minutes, Speaker to be announced
    Case presentations to panel with audience interaction (computerized touch pad technology to be arranged ?Martin Black)—1 hour 10 minutes

    BACK
    WORKSHOP - ROOM 3
    Wednesday, May 28, 2003


    10:10-11:10
    LIP RECONSTRUCTION - Gullane PJ, Gilbert R, Audet N

    This workshop will address all of the surgical options in the repair of lip defects following resection. The workshop content includes a brief review of the functional anatomy of the lip. Surgical techniques including rotation and transposition flaps will be discussed with particular emphasis on pratical surgical detail. The choice of flap, its limitations, complications and outcome in partial, subtotal and total lip reconstruction will be compared. Detailed schematic and intraoperative illustrations will be emphasized to provide a practical approach to the workshop participant. Long-term follow-up of each technique will be presented.

    BACK
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