P25

Miniseminars

From Start to Finish: Management of

Chronic Rhinosinusitis
Eric H. Holbrook, MD (moderator); Pete S. Batra, MD;
Rakesh K. Chandra, MD; Alexander G. Chiu, MD;
Joseph Han, MD; Raj Sindwani, MD
Program Description: Although our understanding of chronic
rhinosinusitis (CRS) has improved, patients prove to be a diagnostic and therapeutic challenge. The variability in presentation
contributes to the difficulty in providing effective medical and/
or surgical therapy for each patient, and straightforward, allencompassing guidelines are lacking. As more innovative treatments arise, choices available to otolaryngologists become
overwhelming. The purpose of this miniseminar is to provide a
stepwise approach to the overall management of CRS patients.
The panelists will cover aspects of patient care including evaluation and diagnosis, tailored medical management, surgical
choice and optimization, and postoperative management.
Educational Objectives: (1) Evaluate patients presenting with
CRS and provide medical/surgical management recommendations for specific categories of CRS. (2) Discuss methods for
improving surgical outcomes and recommend appropriate use
of surgical devices/products for CRS. (3) Provide recommendations for effective postoperative management, use of subsequent in-office procedures, and continued medical treatments
for CRS.
Major Complications in FESS:Tips from
Expert Surgeons
Marc A. Tewfik, MD (moderator); Peter J. Wormald, MD;
Peter H. Hwang, MD; Ricardo L. Carrau, MD;
Richard Douglas, MD; Rowan Valentine, MBBS
Program Description: The risk of serious complications during
endoscopic sinus surgery (ESS) is ever present. It is the responsibility of the operating surgeon to minimize the risks through
meticulous preoperative preparation, careful operative technique,
and diligent postoperative care. This miniseminar brings together

some of the top sinus surgeons from around the world to share
some of their technical pearls and experience regarding the treatment and avoidance of complications in ESS, as well as the latest
research in the field. Through the use of clinical case-based
vignettes, topics that will be covered include CSF leak, orbital
injury, and catastrophic hemorrhage.
Educational Objectives: (1) Identify high-risk situations preoperatively in patients undergoing functional ESS (FESS). (2)
Apply intraoperative measures and technical pearls to avoid
serious complications during FESS. (3) Elaborate a clear plan
for the management of intraoperative emergencies, including
orbital hematoma and internal carotid artery injury.
Nonallergic Rhinitis: Diagnosis and
Management
John H. Krouse, MD, PhD (moderator); Stephanie Joe, MD;
Amber U. Luong, MD; William R. Reisacher, MD; Elina M.
Toskala, MD, PhD
Program Description: Patients with nonallergic rhinitis
(NAR) are commonly seen in an otolaryngologists practice.
These patients may have no allergic triggers, may be negative
to routine allergy testing, and are therefore diagnosed with
NAR. Recent workgroups both in the United States and internationally have attempted to better classify the pathophysiology and phenotype of patients with NAR, with the goal of
facilitating more accurate diagnosis and improved treatment.
This panel will review, through brief didactic discussions and
case presentations, recent knowledge and current understanding of NAR and will highlight methods to improve the management of these frequently challenging patients.
Educational Objectives: (1) Discuss the various pathophysiologies and presentations that are grouped under the diagnostic category of nonallergic rhinitis. (2) Review important
elements of the diagnostic workup in evaluating the patient
with nonallergic rhinitis. (3) Implement treatment strategies
for patients diagnosed with nonallergic rhinitis.
Office-Based Surgical Procedures in
Rhinology
Jivianne T. Lee, MD (moderator); Joseph Han, MD;
Peter H. Hwang, MD; Scott P. Stringer, MD
Program Description: With continual advances in endoscopic
instrumentation and technology, a burgeoning number of rhinologic procedures can now be effectively performed in the
office environment. Such interventions have provided therapeutic alternatives in the management of primary and recalcitrant sinonasal disease. The purpose of this miniseminar is to
describe the principles and techniques involved in successful
implementation of rhinologic surgery in the clinic setting.
Both fundamental (turbinate surgery, polypectomy) and
advanced sinus procedures (frontal sinusotomy, revision surgery) will be discussed. Appropriate setup, anesthesia, and
patient selection will be described. This miniseminar will be
conducted by academic leading rhinologists using a multimedia, interactive, case-based format.

MINISEMINARS

Program Description: This miniseminar includes 3 didactic

lectures, an audience-interactive section, and Q&A. The lectures will focus on why food allergies develop by taking a critical look at the latest scientific evidence available in the literature,
the role of oral tolerance in human evolution, and the relationship of failure to achieve oral tolerance on the health of the individual, relevant immunology, nonimmunologic food reactions
versus immunologic reactions, both IgE-mediated and non
IgE-mediated, current methods of diagnosing food allergies,
cutting-edge strategies such as component-resolved testing,
skin and in vitro methods versus double-blind, placebocontrolled food challenge. Treatment options for food allergy
will also be discussed.
Educational Objectives: (1) Evaluate the scientific basis of
IgE- and nonIgE-mediated food allergy. (2) Describe the
manifestations of food allergy in the head and neck region. (3)
Use the currently available treatments for food allergy as well
as future directions.