Innovations and Perspectives in Anterior Skull Base and Orbital Surgery

Transcription

1 Stand: Innovations and Perspectives in Anterior Skull Base and Orbital Surgery Computer-aided procedures Intraoperative imaging Preformed implants Preliminary Program June 25 th 27 th, 2009/

2 Mission statement of AO education Our mission is to continuously set standards in postgraduate medical education and to foster the sharing of medically guided expertise in a worldwide network of healthcare professionals to improve patient care in trauma or disorders of the musculoskeletal system. 2

3 Dear AO course participant Treatment of orbital and skull base lesions underwent a massive development within the last 50 years and has accelerated by the improvement of imaging and computer-aided procedures within the last 10 years. The AO has always significantly contributed in that development to meet the challenges of orbital and skull base trauma care and reconstruction. Due to their affiliation with the AO surgeons all over the world have dedicated their experience to the development of innovative surgical techniques as well as the development of new instruments, implants and tools. The AO Organization with their Education and Teaching Committees, the Expert Groups and the Development and Research Institutes have always supporteddoctors in their efforts to treat these injuries and pathologies in this surgically chanllenging area. The workshop in 2009 in Freiburg will cover the latest technologies and surgical techniques in anterior skull base and orbital trauma and reconstruction. The Course will focus on presentations from surgeons of different specialities working together in that area. The workshop will demonstrate practically how intraoperative imaging techniques, computer-aided planning and the use of prefabriated preformed mesh and implants especially in bilateral and complex injuries will change the profiles of all specialities working close together in head and neck reconstruction. 3

4 Letter from the Course Chairmen We are very excited to invite you to a workshop on innovations and perspectives in anterior skull base and orbital surgery. The course is dedicated to the interdisciplinary cooperation of colleagues who work together under and at the skull base and colleagues. As innovative techniques have always been a focus at our University of Excellence, we very much look forward to demonstrating these new technologies in that hands-on oriented workshop. We are also sure that ther will be enough timt to experience the wonderful environment of Freiburg and Black Forest. The Course is dedicated to modern technology and innovations in skull base and orbital surgery, such as intraoperative imaging, minimal invasive and procedures, computer-aided procedures and preformed implants as innovative techniques have always been a focus here at this University of Excellence. Rainer Schmelzeisen, Nils-Claudius Gellrich, Hannover, Germany Adrian Sugar, Swansea, Wales, United Kingdom 4

5 Contents / Objectives To broaden the knowledge and comprehension of traumatic injuries and specific diseases at the anterior skull base and orbit To assist in decision making of treatment concepts and in selection of surgical approaches To understand that interdisciplinary treatment is a mandatory prerequisite to treatment of trauma and tumours of the orbit and the skull base To use intraoperative imaging practically and to experience it as a mandatory tool in quality assurance To introduce computer-aided planning step by step in education and clinical routine To learn interpretation of different imaging techniques to perform image fusions and virtual planning procedures and to transform these abilities into practical surgical consequences/ practical surgery To decide about appropriate treatment with regard to the findings in different imaging modalities To treat acute orbital and skull base trauma as well as posttraumatic deformities including enophthalmos To decide when to use preformed mesh vs. conventional reconstruction methods Virtual reconstruction in bilateral and complex orbital injuries: Preformed implants 5

6 Thursday, June 25 th, 2009 Chairmen: Laszig/ Manson??? 14:00 h Introduction Schmelzeisen 14:15 h Honorary lecture: Prein We only know what we see. Art and development of a surgical region of interest 14:45 h Contributions of the Expert Group Systems Albers in development of orbital implants, tools and procedures 15:15 h Current principles of preoperative Schumacher imaging for skull base and orbital lesions 15:45 h Individualization of approaches to the Schramm orbit and skull base How far can we get from the conjunctival approach? 16:15 h Individualization of approaches to the Gutwald orbit and skull base. When do we need a coronal approach? 16:45 h Individualization of approaches to the Strong orbit and skull base. Are there indications for endoscopic surgery in orbital reconstruction? 17:15 h Presentation of light local wines Snack 17:45 h Orbital reconstruction after tumor resection Hammer 18:15 h Practical exercises Metzger/ Hoffmann/ Virtual planning of: Weber Enophthalmos Severe midface/ zygoma fracture Autosegmentation and mirroring of data Case distribution of 2 orbital reconstructive cases in 4 separate working groups Elaboraton of treatment concepts in the working groups 20:15 h Presentation and discussion of treatment concepts with Faculty 21:00 h Wine tasting ceremony 6

7 Friday, June 26 th, 2009 Chairmen: Reinhard/ Strong 09:00 h Special lecture: Manson Orbital fractures evolution of current treatment 09:40 h Individualization of orbital reconstruction Sugar 10:00 h Differential selection of bone grafts Schmelzeisen and/or alloplastic materials including meshes 10:30 h Coffee Break 11:00 h Basics and advanced level of computer- Schramm aided surgery 11:30 h Virtual planning and intraoperative imaging Metzger procedures in anterior skull base and orbital surgery 12:00 h Practical exercises in the Operation Room Reconstruction of enophthalmos Midface/ zygoma fracture using preformed implants (mesh and prebent osteosynthesis products) Navigation control of stepwise reconstruction Data acquisition by C-arm (cone beam CT) 14:00 h Lunch Break 15:00 h Practical exercises Image fusion of intraoperative results and preoperative virtual planning 16:00 h Guided Quad Tour Black Forest 20:00 h Afterwork Party 7

8 Saturday, June 27 th, 2009 Chairmen: Zentner/ Laszig Secondary reconstruction of posttraumatical orbital defects 09:00 h Untreated orbital wall fractures: Sugar Do we decide on the correct criteria? 09:20 h Primary/secondary corrections in orbital Lagrèze soft tissue including muscular corrections 09:40 h The orbit plus N. N. SchmelzeisOrbital injuries and difficulties because of concomitant injuries of frontal sinus, NOE and midface 10:00 h Coffee Break 10:20 h When will new materials be available? Lim 10:40 h Virtual reconstruction in bilateral and Metzger complex orbital injuries: Preformed implants 11:00 h Panel Discussion 8

9 Faculty The faculty for this course is composed of international and regional surgeons distinguished in the field of skull base and orbtital surgery, intraoperative imaging and computer-aided surgery. Workshop Chairpersons: Rainer Schmelzeisen Universitätsklinikum Nils-Claudius Gellrich Medizinische Hochschule Hannover, Germany Adrian Sugar Morriston Hospital, Swansea, Wales, United Kingdom Honorary Chairmen: Paul N. Manson Baltimore, USA Joachim Prein AO Institute, Davos, Switzerland Invited Faculty: a.o. (among others) List of Confirmed Speakers: Claas Albers Berlin, Germany Beat Hammer Aarau, Switzerland Jürgen Hoffmann Tübingen, Germany Ralf Gutwald Wolf Lagrèze Roland Laszig Thiam Chye Lim Singapore Marc Metzger Thomas Reinhard Ralf Schön Alexander Schramm Ulm, Germany Edward B. Strong Sacramento, USA Hans-Florian Zeilhofer and coworkers Basel, Switzerland Josef Zentner

10 Course information Security: Wearing of the badge is compulsory during the course for lectures and workshops. Portable telephones: Please note that it is not allowed to use portable telephones in lecture halls and in workshop rooms. Course office: Will be open daily during the course hours. Insurance: There is no insurance effected by the course organizers to cover participants against accidents or other risks. Personal belongings left in the hotel are the responsibility of the individual participant. Dress code: Casual, except for course banquet: smart casual Course language: English Accreditation: The AO Advanced Symposium on orbital reconstruction will get accreditation from the European Accreditation Council for Continuing Medical Education (EACCME) to provide CME activity for medical specialists. The EACCME is an institution of the European Union of Medical Specialists (UEMS), Each medical specialist should claim only the number of hours that he/she actually spent on the educational activity. The exact number of EACCME points will be communicated on site. 10

11 General information Course fee: 400, Please transfer the course fee to: Remittee: KPMG, Account-No (BLZ ) Deutsche Bank Berlin BIC (Swift-Code): DEUTDEBB, IBAN: DE Keyword: AO Course CMF, Freiburg 20 % of course fee will be charged if cancellation is less than 7 days before start of the course. Course fee includes: Conference bag with documentation, coffee breaks, lunches, course banquet, wine tasting ceremony and course certificate. Accommodation is not included in the course fee. Accompanying persons: For accompanying persons, a fee of 100,- will be charded. This includes lunches and the course banquet (without access to the lecture room). Confirmation: Your participation will be subject to availability of course seats and will be confirmed after receipt of payment. Intellectual property: Course materials, presentations, and case studies are the intellectual property of the course faculty. Recording, photographing, or copying of lectures, practical exercises, or any course materials is absolutely forbidden. Copyright 2007 by AO Education and AO Publishing, all rights reserved. Check hazards and legal restrictions on 11

12 General information Course venue & accommodation: Surgical Center and Seminar rooms Oral & Maxillofacial Surgery University Clinic Freiburg 6 th Floor Hugstetter Straße Phone: Fax: Accommodation for participants: Please organise your room reservation Contingent: by April 15 th, 2009 at the latest. Hotel Stadt Freiburg Breisacher Straße Phone: Fax: info@hotel-stadt-freiburg.de Internet: Keyword: AO Course CMF 2009 Course organization: AO Education Clavadelerstraße Davos, Switzerland aoe@aofoundation.org Internet: Local organization: AO Course office Gabriela Atzorn/ Sabrina Leber Im Kirchenhürstle Umkirch, Germany Phone: /-220 Fax: atzorn.gabriela@ao-courses.com leber.sabrina@ao-courses.com 12