2024 Temporal Bone Lab and Current Management Techniques in Otology & Otolaryngology

The Virginia Mason Update in Otology and Otolaryngology provides a unique opportunity for otolaryngologists, advanced practitioners, and otolaryngology trainees to increase their knowledge and competence in the work-up and surgical care of otologic diseases, as well as to explore a variety of other topics within the field. The full two-day course will achieve its educational goals through a three-pronged approach: live surgical demonstration with real-time question and answer with course faculty, didactic sessions including short lectures and panel-style format, and an in-person temporal bone lab.

Day 1 begins with livestreamed otologic surgery performed by one of Virginia Mason’s otologists. Two procedures will be completed during which attendees will hear from the surgeon in real-time and have an opportunity to interact with an additional MD facilitator who will address audience questions and provide commentary on the surgical techniques. Attendees who are present in person will observe in a remote location on campus. 

The Day 1 afternoon didactic session will feature both local and national experts in their fields. The format of the afternoon teaching will be a combination of short lectures, case-based presentations, panel discussions, and audience participation. Topics to be covered will include office-based endoscopic treatment of rhinitis and eustachian tube dysfunction, a review of cosmetic injectables and caring for their complications, a review of the updated cochlear implant candidacy testing recommendations as published by the American Cochlear Implant Alliance, a discussion on the indications and outcomes for hypoglossal nerve stimulation in the treatment of obstructive sleep apnea, and the multidisciplinary care of lateral temporal bone cancer.

Day 2 is the full day Temporal Bone Lab. This lab day provides a unique opportunity for otolaryngologists to increase their knowledge and competence in chronic ear surgery. Through laboratory dissections and drilling simulations of the temporal bone, participants will gain a better understanding of the anatomy of the facial nerve. Dissections will mirror surgical procedures of the ear with hands-on practice of tympanoplasty, ossiculoplasty, stapedotomy, cochlear implant, mastoidectomy and canalplasty. Lab space is limited.

Teaching Methods: This course will be presented live and online. Teaching methods include surgical observation, lectures, question and answer with faculty, and a hands-on temporal bone dissection lab.

Credit Designation:

Temporal Bone Lab (Full Program, 2 Days):  AMA PRA Category 1 Credits™ (16.00 hours), ABOHNS MOC Part II (16.00 hours)

Day 1 Only: AMA PRA Category 1 Credits™ (8.00 hours),  Non-Physician Attendance (8.00 hours), ABOHNS MOC Part II (8.00 hours)

Day 1 Lecture Program Only (Half Day): AMA PRA Category 1 Credits™ (4.00 hours),  Non-Physician Attendance (4.00 hours), ABOHNS MOC Part II (4.00 hours)

1. Identify patients who are candidates for hypoglossal nerve simulation
2. Determine when to utilize endoscopic versus open approaches to pediatric airway surgery
3. Review options, indications, and pre procedure evaluation for treatment of Eustachian tube dysfunction and rhinitis in the office
4. Discuss the outcomes of cochlear implantation in patients undergoing it for asymmetric and unilateral hearing loss
5. Explain the aesthetic and functional uses of injectable neurotoxins and fillers
6. Describe the operative techniques in canal wall down surgery to avoid a chronic draining mastoid cavity
7. Summarize management strategies for pulsatile tinnitus
8. Determine the facial nerve in the mastoid, middle ear and internal auditory canal.
9. Recommend options to reduce chronic mastoid cavity drainage.
10. Assess the indications and techniques for trans-mastoid labyrinthectomy.
11. Visualize and identify normal mastoid and middle ear anatomy as demonstrated in the cochlear implant operation.
12. Perform a cochlear implant surgery.
13. Perform a lateral and a medial graft tympanoplasty.
14. Summarize the indications for intact canal wall and canal wall down mastoidectomy.
15. Perform a stapedotomy or stapedectomy.
16. Specify the anatomy of the stylomastoid foramen.
17. Apply latest available biomaterials in the middle ear mastoid.
18. Perform BAHA surgery.
19. Evaluate, discuss and manage issues raised by delegates.

Online registration is closed. Space is still available in the Day 1 program on site or livestream. Email [email protected] for information.

Tuition:

Complete Two Day Course: Hands-on Temporal Bone Lab and Otologic Surgery and Lecture Program - $400.00

Day 1 Only: Otologic Surgery and Lecture Program - $200.00 (in person and live stream options)

Day 1 Lecture Program Only:  Half day - $100.00 (in person and live stream options)

The Virginia Mason Medical Center is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Virginia Mason Medical Center designates this live activity for a maximum of 16.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

ABOHNS Recognition Statement: Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn their required annual part II self-assessment credit in the American Board of Otolaryngology – Head and Neck Surgery’s Continuing Certification program (formerly known as MOC). It is the CME activity provider's responsibility to submit
participant completion information to ACCME for the purpose of recognizing participation.

Mitigation of Relevant Financial Relationships

Member Information

Role in activity

Nature of Relationship(s) / Name of Ineligible Company(s)

Seth R. Schwartz, MD, MPH
Otology, Neurotology & Skull Base Surgery; Medical Director, The Listen for Life Center at Virginia Mason; Department of Otolaryngology/Head and Neck Surgery
Virginia Mason Medical Center
Seattle, WA

Course Co-Director, Faculty

Nothing to disclose

Daniel M. Zeitler, MD
Consultant, Division of Neurotology & Skull Base Surgery Co-Director, Listen for Life Center Medical Director Research and Academics, Department of Otolaryngology/HNS Clinical Assistant Professor - University of Washington Department of Otolaryngology/HNS
Virginia Mason Franciscan Health - VMMC
Seattle, WA

Course Director

Consulting Fee-Cochlear Americas|Membership on Advisory Committees or Review Panels, Board Membership, etc.-Advanced Bionics Corporation

Alana Aylward, MD
Otolaryngology
Virginia Mason Franciscan Health
Seatte, WA

Faculty

Other: I have had 2 dinners paid for by inspire as well as attending one educational conference sponsored by inspire-Inspire-MD

Samuel Gubbels, MD
Otolaryngology - Head & Neck Surgery; Co-Director, University of Colorado Skull Base Program, Director, University of Colorado Hearing and Balance Clinics
University of Colorado Health
Aurora, CO

Faculty

Nothing to disclose

Craig Miller, MD
Otolaryngologist
Virginia Mason Franciscan Health - VMMC
Seattle, WA

Faculty

Paid consultant-Medtronic, Inc.

Anisha Noble, MD, MS
Assistant Professor, Pediatric Otolaryngology
Cincinnati Children’s Hospital
Cincinnati, OH

Faculty

Nothing to disclose

Michael J. Nuara, MD, FAAFPRS
Otolaryngologist - Facial Plastic & Reconstructive Surgery
Virginia Mason Franciscan Health - VMMC
Seattle, WA

Faculty

Nothing to disclose