*Schedules Subject to Change
*All Courses are Included in the Annual Meeting Registration
Friday, February 18
7:30am-6:05pm MT
The Reconstruction Educational Day is designed to be an exciting journey in such important chapter of skull base surgery. It starts with the anatomical basis of the main flaps and the harvesting techniques. Then each specific anatomical area is covered including anterior and lateral skull base. The idea is to follow a ladder approach from minimum to maximum to facilitate the selection of the best reconstructive option. To conclude the day, a special session highlighting complex cases and complications.
The Reconstruction Educational Day should be attended by residents, fellows and experienced surgeons with interest in cranial base reconstruction. Surgeons of different specialties and subspecialties (Rhinology, Neurotology, Head and Neck Surgery, Oculoplastic Surgery, Plastic Surgery and Neurosurgery) will benefit from this Educational Day.
At the conclusion of this session, attendees will be able to:
- Understand the anatomy and vascularization of flaps commonly used in skull base reconstruction.
- Differentiate size of defects, low-flow and high-flow intraoperative CSF leak and their impact on the reconstructive technique.
- Use effectively a ladder of reconstruction from minimum (grafts) to maximum (free flaps) and identify the impact of comorbidities on this ladder.
- Recognize reconstructive nuances of lateral approaches: endoscopic transcanal, transmastoid and middle fossa.
- Formulate an effective plan for the cranial base reconstruction and be prepared for other options in case of unpredicted change.
Schedule
Anatomy of the Flaps: Step-by-Step of Harvesting
7:30 AM A History of Cranial Base Reconstruction
7:38 AM Nasoseptal Flap
7:46 AM Lateral Nasal Wall Flaps
7:54 AM Pericranial Flap
8:02 AM Temporoparietal Fascia Flap
8:10 AM Microvascular Free Flaps
8:18 AM Discussion
Sellar and Planum Defects
8:30 AM Anatomy of Sellar and Planum Defects
8:38 AM Sellar Defects: No Mucosal and Free Mucosal Graft Reconstruction
8:46 AM Nasoseptal Flap
8:54 AM Tunneled Temporopareital Fascia Flap
9:02 AM Gasket Seal
9:10 AM Composite Cartilagomucosal Nasoseptal Flap
9:18 AM Discussion
9:35 AM BREAK WITH EXHIBITORS
10:05 AM GENERAL SESSION
12:20 PM LUNCH
Anterior Cranial Base/Orbital Defects
1:20 PM Anatomy of the Anterior Cranial Base and Orbital Defects
1:28 PM Multilayer Grafts for Anterior Cranial Base Defects
1:36 PM Nasoseptal Flap with Extended Dissection of the IMAX
1:44 PM Pericranial Flap
1:52 PM Temporalis Muscle Flap Roberto Soriano
2:00 PM Microvascular Free Flaps
2:08 PM Discussion
Reconstruction of Posterior Fossa Defects
2:20 PM Anatomy of Posterior Fossa and the Relationship with Skull Base DefectsDefects
2:28 PM Lumbar Drain in Posterior Fossa Defects
2:36 PM Extended Nasoseptal Flap
2:44 PM Inferior Turbinate/Lateral Wall Flap
2:52 PM Temporoparietal Fascia Flap
3:00 PM Microvascular Free Flaps
3:08 PM Discussion
3:30 PM BREAK WITH EXHIBITORS
Lateral Cranial Base/Cutaneous Defects
4:00 PM Reconstruction After Endoscopic Transcanal Approach to the Internal
Auditory Canal
4:10 PM Repair of Tegman Tympani Defects
4:20 PM Reconstruction After Transmastoid Approaches
4:30 PM Reconstruction After Total Temporal Bone Resection
4:40 PM Regional vs Free Flaps
4:50 PM Discussion
High Complexity Cases and Complications
Moderators: Krupal Patel & Oswaldo Henriquez
5:00 PM Risk Factors for Complications
5:08 PM Laceration of the Flap
5:16 PM Flap Necrosis
5:24 PM Recurrent Multiple Postop CSF Leak
5:32 PM Osteoradionecrosis of the Skull Base (and Everything)
5:40 PM Complications with Lateral Cranial Base Defects
5:48 PM Discussion
Friday, February 18
1:20pm-6:05pm MT
This year’s Primer Course will be a comprehensive overview of open and endoscopic skull base surgery and will emphasize the multidisciplinary, collaborative nature of these cases and of the NASBS in general. This session will be organized in a way that the management of skull base pathology will be described in concert with the complications that the treatments may cause. We hope that all participants will learn what to do, what not to do, and how to address post-treatment complications. We invite all skull base trainees, newly practicing skull base surgeons, and anyone interesting in developing a team-oriented skull base program to attend this session.
At the conclusion of this session, attendees will be able to:
- Choose when to operate and when not to operate on skull base lesions.
- Organize a team-based thoughtful approach to treating skull base pathology.
- Recognize and manage common complications associated with skull base surgery.
Schedule
1:20 PM Welcome
1:25 PM Anatomy of the Skull Base
1:40 PM Skull Base Radiology – Routine and Unusual
1:55 PM Open Approaches to the Anterior Skull Base — Nuances and Pearls
2:07 PM Endoscopic Approaches to the Anterior Skull Base – Nuances and Pearls
2:19 PM Expanded Endoscopic Approaches to the Anterior Skull Base
2:31 PM Complications of Transcranial Anterior Skull Base Surgery
2:43 PM Complications of Endoscopic Approaches to the Anterior Skull Base
2:55 PM Radiation Therapy for Skull Base Lesions
3:10 PM Q&A
3:30 PM BREAK WITH EXHIBITORS
4:00 PM Open Approaches to the Middle Fossa – Nuances and Pearls
4:12 PM Neuro-otologic Approaches to the Middle/Posterior Fossa – Nuances and Pearls
4:24 PM Complications of Middle Fossa Surgery
4:36 PM Open Approaches to the Posterior Fossa
4:48 PM Endoscopic Approaches to the Posterior Fossa
5:00 PM Complications of Posterior Fossa Surgery
5:12 PM Surgical Approaches to Head and Neck Tumors
5:24 PM Far Lateral Approach for Skull Base Pathology
5:36 PM Coding of Skull Base Surgery
5:48 PM Q&A
Saturday, February 19
7:30am-6:05pm MT
The Global Education Day will provide a comprehensive and worldwide view of different skull base surgical approaches as well as skull base pathologies through the vantage point of our distinguished roster of invited international speakers. The program is geared for neurosurgeons, otolaryngologists and related disciplines involved in the care of these patients around the world. The session will be divided into two components: Surgical Approaches to the Skull Base and Case-based review Skull Base Pathology.
At the conclusion of this session, attendees will be able to:
- Recognize the indications and contraindications of open vs. endoscopic approaches to the skull base.
- Demonstrate the application of key anatomical landmarks for skull base approaches.
- Develop a step-wise approach for the diagnosis and management of different skull base conditions.
Schedule
7:30 AM Surgical Approaches to the Anterior Fossa – Open Approach
7:45 AM Surgical Approaches to the Anterior Fossa- Transcribi from Endoscopic
8:00 AM Surgical Approaches to the Sellar and Parasellar Skull Base – Endoscopic
8:15 AM Trans-orbital Approaches to the Skull Base
8:30 AM Surgical Approaches to Sellar & Cavernous Sinus – Pretemporal Approach
8:45 AM Surgical Approaches – Far Medial Approach
9:00 AM Surgical Approaches – Far Lateral Approach
9:15 AM Surgical Approaches to the Jugular Foramen
9:35 AM BREAK WITH EXHIBITORS
10:05 AM GENERAL SESSION
12:20 PM LUNCH
1:20 PM JEOPARDY
2:25 PM Surgical Approaches to the Posterior Fossa- Transclival Endoscopic
2:40 PM Surgical Approaches to the Posterior Fossa – Anterior Petrosal
2:55 PM Surgical Approaches to the Posterior Fossa- Posterior Petrosal Approaches
3:10 PM Surgical Approaches to the Posterior Fossa- Retrosigmoid
3:30 PM BREAK WITH EXHIBITORS
4:00 PM Case-based Review – Meningioma
4:15 PM Case-based Review – Pituitary Adenoma
4:30 PM Case-based Review – Craniopharyngioma
4:45 PM Case-based Review – Chordoma
5:00 PM Case-based Review – Chondosarcoma
5:15 PM Case-based Review – Sinonasal Malignancy
5:30 PM Case-based Review – Schawnnomnas – Surgery vs Radiosurgery
5:45 PM Case-based Review- Glomus Jugulare