Cape Endoscopic Ear Surgery (EES) Courses

Dr David Pothier

University Health Network, Canada

   

Dr João Flávio Nogueira

Hospital San Carlos - Av Bridges Vieira

   
Professor James Loock

Professor and Head of Department of Tygerberg ENT

Special Guest Speakers

Dr Ola Basson

Objectives

  • To gain an appreciation of middle ear, inner ear and temporal bone anatomy as viewed endoscopically
  • To acquire the technical skills for EES
  • To demonstrate the advantages of endoscopic surgery over conventional surgery with the operating microscope
  • To demonstrate new technological advances in ear surgery.

Lectures and demonstrations

  • The principles and advantages of EES                         
  • Endoscopic  Anatomy                              
  • Starting your endoscopic dissection
  • The transcanal endoscopic approach and middle ear dissection
  • Lateral graft myringoplasty
  • Cartilage use in ear surgery
  • Endoscopic laser-assisted stapedioplasty
  • EES of the inner ear and skull base
  • Beyond the tympanic cavity:  Inner ear, labyrinth & IAC
  • Eustachian Tube dilation                                 
  • Paediatric considerations in EES
  • Advanced EES and future concepts; Taking EES into the future
  • How to get started with EES         

Temporal bone dissections:  “Hands-on”

  • Endoscopic raising of the tympanomeatal flap
  • Endoscopic tympanotomy
  • Transcanal atticotomy and Mastoidectomy
  • Myringoplasty:  Transcanal lateral graft technique
  • Removal of ossicles & endoscopic ossiculoplasty
  • Cartilage harvesting, preparation and use in tympanoplasty
  • Transcanal endoscopic access to petrous apex / inner ear
  • Eustachian Tube dilation             

Special techniques and equipment demonstrated/available

  • The use of the laser in ear surgery
  • The use of a skeeter drill in stapes surgery
  • Ossiculoplasty prostheses
  • Equipment for cartilage preparation
  • Eustachian tube balloon dilation

DAY 1: 

08:00 – 08:30 – Registration, Coffee, and Introduction to the Course

08:30 – 10:00 – Lectures:  Introduction to Endoscopic Ear Surgery (EES)

                The principles and advantages of EES                                                     
                Endoscopic  Anatomy                                                                                    
                Starting your endoscopic dissection     

                                             
10:00 – 10:30 – Tea Break

10:30 – 11:30 – Dissection demonstration: Part 1: 

                The transcanal endoscopic approach and middle ear dissection 

11:30 – 13:30 – Hands-on dissection Part 1: (specimen 1)

                Raising the tympanomeatal flap & entering the middle ear
                Removal of ossicles
                Identification of middle ear structures
                Transcanal atticotomy and Mastoidectomy      

13:30 – 14:30 – Lunch

14:30 – 16.30 – Hands-on dissection Part 1 continued

16.30 – 17.00 – Lecture

                Cartilage use in ear surgery                                                                      

DAY 2:

08:00 – 08:30 – Lectures:  Scope and applications of Endoscopic Ear Surgery (EES)

                Advanced EES and future concepts                                                         
                Endoscopic laser-assisted stapedioplasty                                             
                EES of the inner ear and skull base

08:30 – 09:00 – Dissection demonstration: Part 2: 

                Lateral graft myringoplasty                                                                         
                Beyond the tympanic cavity:  Inner ear, labyrinth & IAC                
                Eustachian Tube dilation     

09:00 – 10:30 –  Hands-on dissection Part 2: (specimen 2)

                Transcanal lateral graft technique
                Raising the tympanomeatal flap & entering the middle ear
                Removal of ossicles & endoscopic ossiculoplasty
                Cartilage harvesting, preparation and use in tympanoplasty
                Transcanal endoscopic access to petrous apex / inner ear
                Eustachian Tube dilation                                                                              

10:30 – 11:00 – Tea Break

11:00 – 13:30 – Hands-on dissection Part 2: continued

13:30 – 14:30 – Lunch

14:30 – 15.00 – Conclusion of Hands-on dissection Part 2

                Q&A
                Focused demonstrations on specimens

15:00 – 16:30 – Lectures:

                Paediatric considerations in EES                                                
                Taking EES into the future                                                                           
                How to get started with EES   

16:30 – 17:00 –  Q & A, feedback, CME, and close

Enquiries about place on the next Course

If you want to attend the next Course, please send an email to:

Storz Clinical Skills Laboratory
6th Floor, Institute of Child Health (ICH) Building
Red Cross Children’s Hospital

Klipfontein Road
Rondebosch
7700
Cape Town

The courses are run with the invaluable support of the sponsors, without which it would be difficult to supply the high quality of equipment and facilities that are of such importance in a course like this.