Endonasal & Keyhole Surgery Course
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1 Academic Event Management Pat Fitzwater WI TH H A NDS - ON C ADAV E R DISSE C T ION DE GRE E M I NI M A L LY I NVASI V E SK ULL B ASE AC C E SS Endonasal & Keyhole Surgery Course 360-DEGREE MINIMALLY INVASIVE SKULL BASE ACCESS W I T H H A N D S - O N C A D AV E R D I S S E C T I O N 360- DEGREE M I NI M ALLY I NVAS I VE S KU LL B AS E ACCES S W I TH HANDS - ON CADAVER DI S S ECTI ON COURSE TOPICS Expanded Endonasal Approaches for Sellar & Parasellar Lesions (planum, suprasellar, cavernous sinus, clival, paranasal sinus) Supraorbital Eyebrow Craniotomy for Frontal Fossa and Parasellar Tumors Retromastoid Craniotomy for Petro-Clival and CP Angle Tumors Decision Making in Minimally Invasive Keyhole Skull Base Surgery Complication Avoidance and CSF Leak Repair Techniques in Keyhole Surgery February 4th - 6th, 2010 at COURSE DESCRIPTION This 3-day CME course will consist of didactic sessions and hands-on micro-dissection of fresh-frozen cadavers focusing on minimally invasive keyhole surgical approaches including the endonasal, supraorbital and retromastoid routes. Topics will include sinonasal anatomy and imaging, endonasal surgery to the parasellar area by both the fully endoscopic approach and endoscope-assisted approaches. Related topics will include expanded endonasal approaches to the supra-sellar and frontal fossa regions, cavernous sinus and clivus. The indications and execution of the supraorbital eyebrow craniotomy for frontal fossa and parasellar lesions and the retromastoid approach for cerebello-pontine and petro-clival pathology will also be presented. Additional topics in keyhole surgery will include instrumentation requirements, CSF leak repair techniques, complication avoidance and peri-operative hormonal management. COURSE OBJECTIVES At the conclusion of this activity, participant should be able to: 1. Learn sinonasal and skull base surgical anatomy. COURSE DIRECTORS Daniel F. Kelly & Amin Kassam Brain Tumor Center & Neuroscience Institute at & PRSRT STD U.S. POSTAGE PA I D SANTA ANA, CA PERMIT #61 SPONSORED BY 2. Gain experience with minimally invasive endoscopic endonasal and endoscope-assisted approaches to the skull base and brain (sella, suprasellar, planum, cavernous sinus, clivus, paranasal sinuses). 3. Gain experience with other keyhole surgical approaches: supraorbital eyebrow keyhole approach to the frontal fossa and parasellar regions, and retromastoid approach for cerebello-pontine angle and petro-clival lesions. 4. Learn methods of CSF leak repair in standard and extended transsphenoidal approaches and in keyhole craniotomies. 5. Learn methods of complication avoidance in endonasal surgery and keyhole craniotomies. FACULTY Course Directors Daniel F. Kelly, MD Director, Brain Tumor Center Amin Kassam, MD Director, Neuroscience Institute Faculty Paolo Cappabianca, MD Professor and Chairman of Neurosurgery Department of Neurological Sciences Ricardo Carrau, MD Professor Department of Otolaryngology-Head & Neck Surgery Department of Oral & Maxillofacial Surgery Pejman Cohan, MD Assistant Clinical Professor of Medicine Division of Endocrinology President and Director Specialized Endocrine Care Center Beverly Hills, California Felice Esposito, MD, PhD Division of Neurosurgery Division of Maxillo-Facial Surgery Juan Fernandez-Miranda, MD Clinical Instructor University of Pittsburgh School of Medicine Melanie Fukui, MD Professor of Radiological Sciences Drexel University College of Medicine Vice Chair, Diagnostic Radiology Allegheny General Hospital Chester F. Griffiths, MD, FACS Assistant Clinical Professor, Dept. of Surgery, Division of Head and Neck Surgery & Dept. of Family Practice Chief of Otolaryngology Head and Neck Surgery Santa Monica-UCLA Orthopaedic Hospital Medical Director, West Wilshire Medical Surgical Center Howard R. Krauss, MD Clinical Professor of Ophthalmology and Neurosurgery Edward R. Laws, MD, FACS Professor of Neurosurgery Harvard University Director, Pituitary/Neuroendocrine Program Department of Neurosurgery Brigham & Women s Hospital Boston, Massachusetts Dennis Malkasian, MD, PhD Associate Clinical Professor of Neurosurgery Daniel M. Prevedello, MD Assistant Professor, Neurological Surgery Training Program Director, Center for Cranial Base Surgery Charlie Teo, MD, MBBS, FRACS Director Centre For Minimally Invasive Neurosurgery Sydney, Australia
2 PRSRT STD U.S. POSTAGE PA I D SANTA ANA, CA PERMIT #61 Endonasal & Keyhole Surgery Course 360-DEGREE MINIMALLY INVASIVE SKULL BASE ACCESS W I T H H A N D S - O N C A D AV E R D I S S E C T I O N 360- DEGREE M I NI M ALLY I NVAS I VE S KU LL B AS E ACCES S W I TH HANDS - ON CADAVER DI S S ECTI ON COURSE TOPICS Expanded Endonasal Approaches for Sellar & Parasellar Lesions (planum, suprasellar, cavernous sinus, clival, paranasal sinus) at Faculty Retromastoid Craniotomy for Petro-Clival and CP Angle Tumors Paolo Cappabianca, MD Professor and Chairman of Neurosurgery Department of Neurological Sciences Decision Making in Minimally Invasive Keyhole Skull Base Surgery COURSE DESCRIPTION This 3-day CME course will consist of didactic sessions and hands-on micro-dissection of fresh-frozen cadavers focusing on minimally invasive keyhole surgical approaches including the endonasal, supraorbital and retromastoid routes. Topics will include sinonasal anatomy and imaging, endonasal surgery to the parasellar area by both the fully endoscopic approach and endoscope-assisted approaches. Related topics will include expanded endonasal approaches to the suprasellar and frontal fossa regions, cavernous sinus and clivus. The indications and execution of the supraorbital eyebrow craniotomy for frontal fossa and parasellar lesions and the retromastoid approach for cerebello-pontine and petro-clival pathology will also be presented. Additional topics in keyhole surgery will include instrumentation requirements, CSF leak repair techniques, complication avoidance and peri-operative hormonal management. WIT H HAND S-ON CA DAVER DIS SECTION 360-DEGREE M INIMALLY INVASIV E SKUL L B AS E ACCESS Academic Event Management Pat Fitzwater COURSE OBJECTIVES At the conclusion of this activity, participant should be able to: 1. Learn sinonasal and skull base surgical anatomy. COURSE DIRECTORS Daniel F. Kelly & Amin Kassam Brain Tumor Center & Neuroscience Institute at & SPONSORED BY Daniel F. Kelly, MD Director, Brain Tumor Center Supraorbital Eyebrow Craniotomy for Frontal Fossa and Parasellar Tumors Complication Avoidance and CSF Leak Repair Techniques in Keyhole Surgery February 4th - 6th, 2010 FACULTY Course Directors 2. Gain experience with minimally invasive endoscopic endonasal and endoscope-assisted approaches to the skull base and brain (sella, suprasellar, planum, cavernous sinus, clivus, paranasal sinuses). 3. Gain experience with other keyhole surgical approaches: supraorbital eyebrow keyhole approach to the frontal fossa and parasellar regions, and retromastoid approach for cerebello-pontine angle and petro-clival lesions. 4. Learn methods of CSF leak repair in standard and extended transsphenoidal approaches and in keyhole craniotomies. 5. Learn methods of complication avoidance in endonasal surgery and keyhole craniotomies. TARGET AUDIENCE: Neurosurgeons and Otolaryngologists Ricardo Carrau, MD Professor Department of Otolaryngology-Head & Neck Surgery Department of Oral & Maxillofacial Surgery Pejman Cohan, MD Assistant Clinical Professor of Medicine Division of Endocrinology President and Director Specialized Endocrine Care Center Beverly Hills, California Felice Esposito, MD, PhD Division of Neurosurgery Division of Maxillo-Facial Surgery Juan Fernandez-Miranda, MD Clinical Instructor University of Pittsburgh School of Medicine Melanie Fukui, MD Professor of Radiological Sciences Drexel University College of Medicine Vice Chair, Diagnostic Radiology Allegheny General Hospital Amin Kassam, MD Director, Neuroscience Institute Chester F. Griffiths, MD, FACS Assistant Clinical Professor, Dept. of Surgery, Division of Head and Neck Surgery & Dept. of Family Practice Chief of Otolaryngology Head and Neck Surgery Santa Monica-UCLA Orthopaedic Hospital Medical Director, West Wilshire Medical Surgical Center Howard R. Krauss, MD Clinical Professor of Ophthalmology and Neurosurgery Edward R. Laws, MD, FACS Professor of Neurosurgery Harvard University Director, Pituitary/Neuroendocrine Program Department of Neurosurgery Brigham & Women s Hospital Boston, Massachusetts Dennis Malkasian, MD, PhD Associate Clinical Professor of Neurosurgery Daniel M. Prevedello, MD Assistant Professor, Neurological Surgery Training Program Director, Center for Cranial Base Surgery Charlie Teo, MD, MBBS, FRACS Director Centre For Minimally Invasive Neurosurgery Sydney, Australia
3 Academic Event Management Pat Fitzwater WI TH H A NDS - ON C ADAV E R DISSE C T ION DE GRE E M I NI M A L LY I NVASI V E SK ULL B ASE AC C E SS Endonasal & Keyhole Surgery Course 360-DEGREE MINIMALLY INVASIVE SKULL BASE ACCESS W I T H H A N D S - O N C A D AV E R D I S S E C T I O N 360- DEGREE M I NI M ALLY I NVAS I VE S KU LL B AS E ACCES S W I TH HANDS - ON CADAVER DI S S ECTI ON COURSE TOPICS Expanded Endonasal Approaches for Sellar & Parasellar Lesions (planum, suprasellar, cavernous sinus, clival, paranasal sinus) Supraorbital Eyebrow Craniotomy for Frontal Fossa and Parasellar Tumors Retromastoid Craniotomy for Petro-Clival and CP Angle Tumors Decision Making in Minimally Invasive Keyhole Skull Base Surgery Complication Avoidance and CSF Leak Repair Techniques in Keyhole Surgery February 4th - 6th, 2010 at COURSE DESCRIPTION This 3-day CME course will consist of didactic sessions and hands-on micro-dissection of fresh-frozen cadavers focusing on minimally invasive keyhole surgical approaches including the endonasal, supraorbital and retromastoid routes. Topics will include sinonasal anatomy and imaging, endonasal surgery to the parasellar area by both the fully endoscopic approach and endoscope-assisted approaches. Related topics will include expanded endonasal approaches to the supra-sellar and frontal fossa regions, cavernous sinus and clivus. The indications and execution of the supraorbital eyebrow craniotomy for frontal fossa and parasellar lesions and the retromastoid approach for cerebello-pontine and petro-clival pathology will also be presented. Additional topics in keyhole surgery will include instrumentation requirements, CSF leak repair techniques, complication avoidance and peri-operative hormonal management. COURSE OBJECTIVES At the conclusion of this activity, participant should be able to: 1. Learn sinonasal and skull base surgical anatomy. COURSE DIRECTORS Daniel F. Kelly & Amin Kassam Brain Tumor Center & Neuroscience Institute at & PRSRT STD U.S. POSTAGE PA I D SANTA ANA, CA PERMIT #61 SPONSORED BY 2. Gain experience with minimally invasive endoscopic endonasal and endoscope-assisted approaches to the skull base and brain (sella, suprasellar, planum, cavernous sinus, clivus, paranasal sinuses). 3. Gain experience with other keyhole surgical approaches: supraorbital eyebrow keyhole approach to the frontal fossa and parasellar regions, and retromastoid approach for cerebello-pontine angle and petro-clival lesions. 4. Learn methods of CSF leak repair in standard and extended transsphenoidal approaches and in keyhole craniotomies. 5. Learn methods of complication avoidance in endonasal surgery and keyhole craniotomies. FACULTY Course Directors Daniel F. Kelly, MD Director, Brain Tumor Center Amin Kassam, MD Director, Neuroscience Institute Faculty Paolo Cappabianca, MD Professor and Chairman of Neurosurgery Department of Neurological Sciences Ricardo Carrau, MD Professor Department of Otolaryngology-Head & Neck Surgery Department of Oral & Maxillofacial Surgery Pejman Cohan, MD Assistant Clinical Professor of Medicine Division of Endocrinology President and Director Specialized Endocrine Care Center Beverly Hills, California Felice Esposito, MD, PhD Division of Neurosurgery Division of Maxillo-Facial Surgery Juan Fernandez-Miranda, MD Clinical Instructor University of Pittsburgh School of Medicine Melanie Fukui, MD Professor of Radiological Sciences Drexel University College of Medicine Vice Chair, Diagnostic Radiology Allegheny General Hospital Chester F. Griffiths, MD, FACS Assistant Clinical Professor, Dept. of Surgery, Division of Head and Neck Surgery & Dept. of Family Practice Chief of Otolaryngology Head and Neck Surgery Santa Monica-UCLA Orthopaedic Hospital Medical Director, West Wilshire Medical Surgical Center Howard R. Krauss, MD Clinical Professor of Ophthalmology and Neurosurgery Edward R. Laws, MD, FACS Professor of Neurosurgery Harvard University Director, Pituitary/Neuroendocrine Program Department of Neurosurgery Brigham & Women s Hospital Boston, Massachusetts Dennis Malkasian, MD, PhD Associate Clinical Professor of Neurosurgery Daniel M. Prevedello, MD Assistant Professor, Neurological Surgery Training Program Director, Center for Cranial Base Surgery Charlie Teo, MD, MBBS, FRACS Director Centre For Minimally Invasive Neurosurgery Sydney, Australia
4 AGENDA THURSDAY, FEBRUARY 4TH, :15 a.m. Registration and continental breakfast 8:00 Welcome and course overview: Daniel Kelly & Amin Kassam Anatomy & Imaging 8:05 Endoscopic anatomy of the parasellar space Felice Esposito 8:25 Sinonasal and parasellar surgical anatomy Dennis Malkasian 8:45 Sinonasal and parasellar imaging Melanie Fukui Endonasal Approach to Pituitary, Parasellar, Planum & Clival Regions 9:05 Endonasal approach for pituitary and parasellar lesions Daniel Kelly 9:25 Principles of EndoNeurosurgery Amin Kassam 9:45 Break 10:00 Endonasal endoscopic surgery for pituitary tumors making the conversion Edward Laws 10:30 Extended endonasal approach to suprasellar & planum tumors Paolo Cappabianca 11:00 Expanded endonasal approach to frontal fossa: crista to sella (sagital plane 1) Amin Kassam 11:30 Expanded endonasal approach: sella to odontoid (sagital plane 2) Daniel Prevedello 12:00 p.m. Lunch 1:00 Skull base reconstruction with vascularized naso-septal flap Ricardo Carrau 1:30 Hands-on dissection #1 Endonasal microscopic and endoscopic approach to the sella Extended endonasal suprasellar and frontal fossa approach Reconstruction 5:00 Adjourn 7:00 Course dinner FRIDAY, FEBRUARY 5TH, :15 a.m. Continental breakfast 360-degree Minimally Invasive Access & Alternative Keyhole Approaches 8: degree minimally invasive brain surgery Amin Kassam 8:25 Supraorbital eyebrow craniotomy for suprasellar and planum pathology Charlie Teo 8:50 Endonasal vs supraorbital route for suprasellar pathology Daniel Kelly 9:15 Petro-clival and cerebello-pontine angle surgical anatomy Dennis Malkasian 9:40 Retromastoid vs endonasal approach to petro-clival and CP angle tumors Charlie Teo 10:05 Break
5 FRIDAY, FEBRUARY 5TH, 2010, continued Pituitary Gland Preservation Surgical and Peri-operative Considerations 10:20 Maximizing pituitary gland function in pituitary & parasellar surgery Daniel Kelly 10:40 Endonasal surgery for craniopharyngiomas Edward Laws 11:00 Pituitary transposition for retro-sellar pathology Amin Kassam 11:20 Peri-operative endocrine management for pituitary surgery Pejman Cohan 11:40 Lunch 12:30 p.m. Hands-on dissection #2 Supraorbital craniotomy Pituitary transposition Extended endonasal: sella to odontoid and retroclival space 5:00 Adjourn SATURDAY, FEBRUARY 6TH, :15 a.m. Continental breakfast Off-Midline Approaches: Pterygoid Fossa, Petrous Apex and Orbital Apex 8:00 3-D endoscopic anatomy Juan Fernandez-Miranda 8:30 Transpterygoid paramedian anatomy Ricardo Carrau 9:00 Coronal plane clinical applications Daniel Prevedello 9:30 Orbital apex anatomy and pathology Howard Krauss 9:50 Endonasal endoscopic orbital apex surgery Chester Griffiths 10:10 Break CSF Leak & Skull Base Repair 10:30 Graded CSF leak repair technique in endonasal surgery Daniel Kelly 10:50 CSF leak repair in endonasal endoscopic surgery Paolo Cappabianca Complication Avoidance 11:10 Complication avoidance in endonasal & keyhole surgery Cappabianca, Carrau, Kassam, Kelly, Laws, Teo Case Presentations & Decision Making in Keyhole & Endonasal Surgery 11:45 Working lunch Case presentations by attendees & faculty 12:30 p.m. Hands-on dissection #3 Extended approach to cavernous sinus, pterygoid fossa, orbital apex Dealer s choice: supraorbital, retromastoid, endonasal 4:00 Adjourn
6 HOTEL ACCOMMODATIONS A block of rooms has been reserved at: Marriott Palm Beach Gardens 4000 RCA Blvd. For reservations call Ask for the Endonasal Surgery Course at Anspach special rate of $ plus taxes. Cut off date to get the special rate is January 11, The Resort at Singer Island 3800 North Ocean Drive Singer Island, Florida For reservations call or Ask for the Endonasal Surgery Course at Anspach special rate of $ plus taxes. Cut off date to get the special rate is January 5, REFUNDS Cancellations must be received in writing by January 4, 2010 and will be subject to a $100 processing fee. No refunds will be given after that date. If for any reason the course must be canceled, discontinued, or rescheduled by Academic Event Management, a full refund will be provided. TRAVEL Cooks Travel Cindy Miller cindy@trtravel.net , extension 106 ACCREDITATION (SJHC) is accredited by the Institute for Medical Quality/California Medical Association to provide continuing medical education for physicians. SJHC takes responsibility for the content, quality and scientific integrity of this CME activity. SJHC designates this educational activity for a maximum of twenty three and one half (23.5) AMA PRA Category 1 Credits. Physicians should only claim credit commensurate with the extent of their participation in the activity. This credit may also be applied to the CMA Certification in Continuing Medical Education. ACKNOWLEDGEMENT This course is supported in part by educational grants from the following companies at press time: Anspach Companies, Stryker, Karl Storz Endoscopy, Mizuho America Inc.,Leica Microsystems, Integra Neurosciences, KLS Martin, Biomet Microfixation, NICO Corporation, Visionsense. DISCLOSURE STATEMENT The FDA has issued a concept paper which classifies commercial support of scientific and educational programs as promotional unless it can be affirmed that the program is truly independent and free of commercial influence. In addition to independence, the FDA requires that non-promotional, commercially supported education be objective, balanced, and scientifically rigorous. The policy further states that all potential conflicts of interest of the CME staff and faculty be fully disclosed to the program s participants. In addition, Accreditation Council for Continuing Medical Education policy now mandates that the sponsor adequately manages all identified potential conflicts of interest prior to the program. We, at, fully endorse the letter and spirit of these concepts.
7 REGISTRATION COURSE LOCATION: ANSPACH 4600 Riverside Dr., TUITION: $2,200 Single registrant $4,000 Team of two registrants Space is limited! Please print clearly. SPECIALTY DEGREE NAME (FIRST, MIDDLE, LAST) ADDRESS CITY STATE ZIP (AREA CODE) BUSINESS PHONE (AREA CODE) BUSINESS FAX PAYMENT Check enclosed payable to: Academic Event Management Visa MasterCard Discover American Express Card Number Expiration Signature Send completed enrollment form to: Academic Event Management ONLINE FAX PHONE MAIL
8 WITH HANDS-ON CADAV ER DISSECTION 360-DEGREE M INIM ALLY INVASIV E SKULL B ASE ACCESS Academic Event Management Pat Fitzwater Endonasal & Keyhole Surgery Course 360-DEGREE MINIMALLY INVASIVE SKULL BASE ACCESS W I T H H A N D S - O N C A D AV E R D I S S E C T I O N 360- DEGREE M I NI M ALLY I NVAS I VE S KU LL B A S E A CCE S S W I TH HANDS - ON CADAVE R DI S S E CTI O N COURSE TOPICS Expanded Endonasal Approaches for Sellar & Parasellar Lesions (planum, suprasellar, cavernous sinus, clival, paranasal sinus) Supraorbital Eyebrow Craniotomy for Frontal Fossa and Parasellar Tumors Retromastoid Craniotomy for Petro-Clival and CP Angle Tumors Decision Making in Minimally Invasive Keyhole Skull Base Surgery Complication Avoidance and CSF Leak Repair Techniques in Keyhole Surgery February 4th - 6th, 2010 at COURSE DESCRIPTION This 3-day CME course will consist of didactic sessions and hands-on micro-dissection of fresh-frozen cadavers focusing on minimally invasive keyhole surgical approaches including the endonasal, supraorbital and retromastoid routes. Topics will include sinonasal anatomy and imaging, endonasal surgery to the parasellar area by both the fully endoscopic approach and endoscope-assisted approaches. Related topics will include expanded endonasal approaches to the supra-sellar and frontal fossa regions, cavernous sinus and clivus. The indications and execution of the supraorbital eyebrow craniotomy for frontal fossa and parasellar lesions and the retromastoid approach for cerebello-pontine and petro-clival pathology will also be presented. Additional topics in keyhole surgery will include instrumentation requirements, CSF leak repair techniques, complication avoidance and peri-operative hormonal management. COURSE OBJECTIVES At the conclusion of this activity, participant should be able to: 1. Learn sinonasal and skull base surgical anatomy. COURSE DIRECTORS Daniel F. Kelly & Amin Kassam Brain Tumor Center & Neuroscience Institute at & PRSRT STD U.S. POSTAGE PA I D SANTA ANA, CA PERMIT #61 SPONSORED BY 2. Gain experience with minimally invasive endoscopic endonasal and endoscope-assisted approaches to the skull base and brain (sella, suprasellar, planum, cavernous sinus, clivus, paranasal sinuses). 3. Gain experience with other keyhole surgical approaches: supraorbital eyebrow keyhole approach to the frontal fossa and parasellar regions, and retromastoid approach for cerebello-pontine angle and petro-clival lesions. 4. Learn methods of CSF leak repair in standard and extended transsphenoidal approaches and in keyhole craniotomies. 5. Learn methods of complication avoidance in endonasal surgery and keyhole craniotomies. FACULTY Course Directors Daniel F. Kelly, MD Director, Brain Tumor Center Amin Kassam, MD Director, Neuroscience Institute Faculty Paolo Cappabianca, MD Professor and Chairman of Neurosurgery Department of Neurological Sciences Ricardo Carrau, MD Professor Department of Otolaryngology-Head & Neck Surgery Department of Oral & Maxillofacial Surgery Pejman Cohan, MD Assistant Clinical Professor of Medicine Division of Endocrinology President and Director Specialized Endocrine Care Center Beverly Hills, California Felice Esposito, MD, PhD Division of Neurosurgery Division of Maxillo-Facial Surgery Juan Fernandez-Miranda, MD Clinical Instructor University of Pittsburgh School of Medicine Melanie Fukui, MD Professor of Radiological Sciences Drexel University College of Medicine Vice Chair, Diagnostic Radiology Allegheny General Hospital Chester F. Griffiths, MD, FACS Assistant Clinical Professor, Dept. of Surgery, Division of Head and Neck Surgery & Dept. of Family Practice Chief of Otolaryngology Head and Neck Surgery Santa Monica-UCLA Orthopaedic Hospital Medical Director, West Wilshire Medical Surgical Center Howard R. Krauss, MD Clinical Professor of Ophthalmology and Neurosurgery Edward R. Laws, MD, FACS Professor of Neurosurgery Harvard University Director, Pituitary/Neuroendocrine Program Department of Neurosurgery Brigham & Women s Hospital Boston, Massachusetts Dennis Malkasian, MD, PhD Associate Clinical Professor of Neurosurgery Daniel M. Prevedello, MD Assistant Professor, Neurological Surgery Training Program Director, Center for Cranial Base Surgery Charlie Teo, MD, MBBS, FRACS Director Centre For Minimally Invasive Neurosurgery Sydney, Australia
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