Ritz Carlton Hotel San Francisco, California

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1 UCSF OTOLARYNGOLOGY UPDATE: 2013 University of California San Francisco THURSDAY - SATURDAY NOVEMBER 7-9, 2013 COURSE DIRECTORS Andrew N. Goldberg, MD, MSCE Professor Director, Division of Rhinology and Sinus Surgery Department of Otolaryngology- Head and Neck Surgery, University of California, San Francisco Andrew H. Murr, MD, FACS Professor and Interim Chair, Roger Boles, MD Endowed Chair in Otolaryngology Education Department of Otolaryngology Head and Neck Surgery, University of California, San Francisco School of Medicine; Chief of Service, San Francisco General Hospital NOVEMBER 2013 S M T W T F S

2 U C S F O T O L A R Y N G O L O G Y U P D AT E : An outstanding group of faculty will discuss technical advances in the fields of rhinology and sinus surgery, head and neck oncologic surgery, laryngology, otology/neurotology, pediatric otolaryngology, sleep apnea, and facial plastic surgery. This is a symposium dedicated to the state-of-the-art with an emphasis on new diagnostic and treatment methods, new technology, and new surgical strategies for the contemporary practice of Otolaryngology/Head and Neck Surgery. Policy, politics, government, and professional societies will also be a topic of discussion. The target audience for the course is practicing otolaryngologists. EDUCATIONAL OBJECTIVES Upon completion of this program participants should be able to: Assess in practice the influence of human microbiome alterations on the production of inflammatory conditions such as chronic rhinosinusitis; Appraise clinical methods used in the diagnosis and treatment of streptococcal pharyngitis, and integrate an evidence-based approach into practice based upon current guidelines for treating this disease; Implement current best practice for the management of patients with persistent arytenoid granulomas; Adopt into routine clinical practice a simple nasal examination scoring system which has the potential to increase consistency of reporting examination findings both among different patients and within the same patient s examination findings over time; Examine superior canal dehiscence syndrome through case-based diagnostic methods and treatment alternatives; Know the role of HPV in the pathophysiology of oropharyngeal squamous cell carcinoma; Practice strategies for counseling patients about the role of HPV in the disease and about available treatment alternatives; Examine implications of the Affordable Care Act; discuss key issues facing medicine and increase the ability to plan for business changes facing practice over the next five years; Review advances in gene therapy to address deafness; Compare differences in neuromodulators and fillers available for cosmetic applications in the aging face; Assess skull base techniques and review landmarks that allow confident surgical approaches to the sphenoid sinus, even without image guidance. ACCREDITATION The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. UCSF designates this educational activity for a maximum of AMA PRA Category 1 Credits. Physician should only claim credit commensurate with the extent of their participation in the activity. This CME activity meets the requirements under California Assembly Bill 1195, continuing education and cultural and linguistic competency. Nurses: For the purpose of recertification, the American Nurses Credentialing Center accepts AMA PRA Category 1 Credit issued by organizations accredited by the ACCME. Physicians Assistants: AAPA accepts category 1 credit from AOACCME, Prescribed credit from AAFP, and AMA PRA Category 1 Credit from organizations accredited by the ACCME

3 COURSE CHAIRS Andrew N. Goldberg, MD, MSCE Professor Director, Division of Rhinology and Sinus Surgery Department of Otolaryngology Head and Neck Surgery, University of California, San Francisco Andrew H. Murr, MD, FACS Professor and Interim Chair, Roger Boles, MD Endowed Chair in Otolaryngology Education Department of Otolaryngology Head and Neck Surgery, University of California, San Francisco, School of Medicine; Chief of Service, San Francisco General Hospital GUEST FACULTY Benjamin B. Cable, MD, LTC Chief, Pediatric Otolaryngology Head & Neck Surgery, Tripler Army Medical Center, Honolulu HI Roy R. Casiano, MD Director, Center for Sinus and Voice Disorders Professor and Vice Chairman of Clinical Affairs Department of Otolaryngology University of Miami Health System, Miami, FL Ted Mau, MD, PhD Director, Clinical Center for Voice Care; Assistant Professor of Otolaryngology Head and Neck Surgery, University of Texas Southwestern Medical Center Dallas, TX Lloyd B. Minor, MD Carl and Elizabeth Naumann Dean of the Stanford University School of Medicine; Professor of Otolaryngology Head and Neck Surgery; Professor (By courtesy) of Neurobiology; Professor (By courtesy) of Bioengineering, Stanford University School of Medicine Stanford, CA GUEST FACULTY (CONT D) Sam P. Most, MD, FACS Professor of Otolaryngology Head & Neck Surgery Stanford University School of Medicine Stanford, CA Theodoros Teknos, MD David E. and Carole H. Schuller Chair in Head and Neck Oncologic Surgery; Professor and Vice Chair, Department of Otolaryngology Head and Neck Surgery, The James Cancer Hospital and Solove Research Institute, The Ohio State University Wexner Medical Center UCSF FACULTY (Department of Otolaryngology Head and Neck Surgery, unless otherwise noted) Manish K. Aghi, MD, PhD Associate Professor of Neurosurgery; Co-Director, Center for Minimally Invasive Skull Base Surgery Dylan K. Chan, MD, PhD Division of Pediatric Otolaryngology Jolie L. Chang, MD Assistant Professor Steven W. Cheung, MD, FACS Professor, Division of Otology, Neurotology, and Skull Base Surgery Mark S. Courey, MD Professor and Director, Division of Laryngology J. Andrew Dundas, PhD Assistant Professor and Director of Audiology Ivan H. El-Sayed, MD, FACS Associate Professor; Co-Director, Center for Minimally Invasive Skull Base Surgery Margaret C. Fang, MD, MPH Associate Professor, Department of Medicine, Division of Hospital Medicine Christine M. Glastonbury, MBBS Professor, Departments of Radiology, Otolaryngology Head & Neck Surgery, and Radiation Oncology Richard A. Jacobs, MD, PhD Professor, Department of Medicine, Division of Infectious Diseases Robert C. Kersten, MD Professor of Clinical Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery UCSF FACULTY (CONT D) Eric J. Kezirian, MD, MPH Associate Professor and Director, Division of Sleep Surgery P. Daniel Knott, MD Associate Professor and Director, Division of Facial Plastic and Reconstructive Surgery Mark R. Laret Chief Executive Officer UCSF Medical Center UCSF Benioff Children s Hospital Lawrence R. Lustig, MD Professor and Director, Division of Otology, Neurotology, and Skull Base Surgery Mia E. Miller, MD Division of Otology, Neurotology, and Skull Base Surgery Maxine A. Papadakis, MD Professor of Medicine; Associate Dean for Students Steven D. Pletcher, MD Associate Professor, Division of Rhinology and Sinus Surgery Kristina W. Rosbe, MD, FAAP, FACS Professor and Director, Division of Pediatric Otolaryngology Departments of Otolaryngology Head and Neck Surgery and Pediatrics Marika Russell, MD San Francisco General Hospital Matthew Russell, MD Otolaryngology Hospitalist William R. Ryan, MD Division of Head and Neck and Endocrine Surgery Rahul Seth, MD Division of Facial Plastic and Reconstructive Surgery Rebecca Smith-Bindman, MD Professor of Radiology and Biomedical Imaging, Epidemiology and Biostatistics, & Obstetrics, Gynecology and Reproductive Sciences; Director, Radiology Outcomes Research Lab Steven J. Wang, MD, FACS Associate Professor, Division of Head and Neck and Endocrine Surgery Katherine C. Yung, MD Division of Laryngology

4 U C S F O T O L A R Y N G O L O G Y U P D A THURSDAY, NOVEMBER 7, :00 am Registration and Continental Breakfast SESSION 1 ANDREW N. GOLDBERG, MD, MSCE 7:55 am Welcome Andrew H. Murr & Andrew N. Goldberg 8:00 Endoscopic Treatment of Inverted Papilloma Andrew N. Goldberg 8:20 Pediatric OSA: New Guidelines and Interpretation Benjamin B. Cable 8:40 When to Order a Review of Your Imaging Christine Glastonbury 9:00 What Do You Do to Treat a CSF Leak? Roy R. Casiano 9:20 Questions 9:30 Changes in Medicine: The Shape of Things to Come Mark R. Laret 10:10 Break SESSION 2 STEVEN D. PLETCHER, MD 10:30 Functional Rhinoplasty 2013 Sam P. Most 10:50 Medial Orbital Wall and Orbital Floor Fractures Robert C. Kersten 11:10 The Immobile Vocal Fold- Paralysis versus Fixation Ted Mau 11:30 Radiation from Medical Imaging: Rebecca Smith-Bindman A Hidden Epidemic 11:50 Questions 12:00 pm Lunch (On Your Own) SESSION 3 MATTHEW RUSSELL, MD 1:30 Breathe Easy: Tracheotomy 2013 Matthew Russell 1:50 Evidence Based Guidelines for Chronic Sinusitis- Steven D. Pletcher Changing Management? 2:10 The Affordable Care Act Benjamin B. Cable 2:40 Questions 2:45 Break SESSION 4 KRISTINA W. ROSBE, MD, FAAP, FACS 3:15 Treatment Options for Vascular Malformations 2013 Kristina W. Rosbe 3:35 Streptococcal Pharyngitis: Richard A. Jacobs Update and Current Guidelines 4:00 Bacteria in the Sinuses - Friend or Foe? Andrew N. Goldberg & Steven D. Pletcher 4:45 PANEL DISCUSSION: Pediatric OSA Kristina W. Rosbe Benjamin B. Cable Dylan K. Chan 5:30 pm Adjourn

5 T E : F R I D AY, N O V E M B E R 8, :00 am Registration and Continental Breakfast SESSION 5 LAWRENCE R. LUSTIG, MD 7:55 am Opening Remarks 8:00 Cochlear Gene Therapy Is it Time? Lawrence R. Lustig 8:20 Sialendoscopy for Obstructive Salivary Jolie L. Chang Gland Disorders 8:40 Transoral Robotic Surgery How it is Done William R. Ryan 9:00 My Perspective on Academic Medicine Lloyd B. Minor 9:40 Break SESSION 6 MARK S. COUREY, MD 10:10 An In-depth Look at Office Procedures in Laryngology Mark S. Courey 10:30 Therapeutic Decision Making in Advanced Stage Theodoros Teknos Laryngeal Cancer 10:50 The Intractable Arytenoid Granuloma Ted Mau 11:10 Patient Perception Versus Reality with Hearing Loss: J. Andrew Dundas Confident but Often Wrong 11:30 Contemporary Management of Facial Paralysis P. Daniel Knott 11:50 Questions 12:00 pm Lunch (On Your Own) SESSION 7 ANDREW H. MURR, MD, FACS 1:30 The DIP Score- Describing Your Nasal Exam Andrew H. Murr 1:50 Endoscopic Management of the Frontal Sinus: Roy R. Casiano From Balloons to Drillouts 2:10 Evaluating Professionalism Maxine A. Papadakis 2:50 Superior Canal Dehiscence Syndrome Lloyd B. Minor 3:10 Questions 3:20 Break SESSION 8 STEVEN J. WANG, MD, FACS 3:40 HPV and Head and Neck Cancer: Steven J. Wang What It Means for You and Your Patients 4:00 Survival and QOL Outcomes in Robotically Theodoros Teknos Treated Oropharyngeal Cancer 4:20 Canal Wall Up versus Canal Wall Down Mia E. Miller My Perspective 4:40 Adjourn to Breakout Session 4:45 BREAKOUT SESSIONS Rhinology Roy R. Casiano, Andrew N. Goldberg, Steven D. Pletcher Head and Neck Ivan El-Sayed, William R. Ryan, Theodoros Teknos, Stephen J. Wang Laryngology Mark S. Courey, Ted Mau, Katherine C. Yung 5:30 pm All Sessions Adjourn

6 S AT U R D AY, N O V E M B E R 9, :00 am Registration and Continental Breakfast SESSION 9 IVAN EL-SAYED, MD, FACS 7:55 am Opening Remarks 8:00 Endoscopic Skull Base Surgery: State of the Art Ivan El-Sayed 8:20 Navigating Without a Navigator Anatomical Roy R. Casiano Landmarks for a Safe Sphenoethmoidectomy 8:40 Current Perioperative Anticoagulation Guidelines Margaret C. Fang 9:00 Ultrasound Guided FNA: When and How Marika Russell 9:20 Surgical Approach to Pituitary Tumors Manish K. Aghi 9:40 Current Practice in Endoscopic Management Katherine C. Yung of Airway Stenosis 10:00 Break SESSION 10 P. DANIEL KNOTT, MD 10:30 New Office Fillers and Neuromodulators Rahul Seth 10:50 Decision Making in the Management of Steven W. Cheung Vestibular Schwanomas 11:10 Sleep Apnea Physical Exam and Sleep Endoscopy Eric J. Kezirian 11:30 Congenital Deafness - What Tests and Why it Matters Dylan K. Chan 11:50 The Expanding Role of Microvascular Reconstruction P. Daniel Knott 12:10 pm Adjourn, Evaluations, Attendance Verification GENERAL INFORMATION Advanced registration closes one (1) business day prior to start of course. On site registration fees, if applicable, will be applied after this date. REGISTER VIA: Online: Mail: Complete course registration form and send with payment to: UCSF Office of CME P.O. Box San Francisco, CA Fax: Fax completed registration form to: (415) (be sure to include your credit card number) Phone: To register by phone or to inquire about registration status, please call UCSF s CME Registration Office at (415) Please check our website for up-to-date information on the course: REFUND POLICY Cancellations received in writing before the first day of the course will be refunded, less a $75 administrative fee. No refunds will be made on cancellations received after that date. CONFERENCE LOCATION Enjoy San Francisco s renowned attractions such as the historic cable cars, shopping in Union Square, or visit San Francisco s culinary hub at the Ferry Building. The Ritz Carlton San Francisco is just steps from Nob Hill and Union Square. A block of guest rooms has been reserved at the special UCSF conference rate of $289 per night. You are urged to make your reservations early. The cut off date is October 7, 2013, or until the group room block is filled. After this date, rooms will be provided on a space-available basis only. To make hotel reservations please call the Ritz-Carlton at and identify yourself as a member of this UCSF Otolaryngology conference to receive the special rate. Alternatively, you can visit the course webpage at to book your room online (refer to the "Travel and Lodging" section). By staying at the host hotel, you help UCSF meet its contractual obligations and keep registration fees reasonable. For more information, please visit our website at

7 0569 University of California, San Francisco Office of Continuing Medical Education UCSF Box 0742 San Francisco, CA E Printed on Recycled Paper For more information or to register online visit our website at You may also reach us by calling the Office of CME at (415) or info@ocme.ucsf.edu. U P C O M I N G C O U R S E S Audiology Amplification Update X November 1-2, th Annual Advances in Diagnosis and Treatment of Sleep Apnea and Snoring February 14-15, 2014 Grand Hyatt Pacific Rim Otolaryngology Head and Neck Surgery Update Conference February 15-18, 2014 Honolulu, Hawaii

8 Course Registration Form UCSF OTOLARYNGOLOGY UPDATE 2013 November 7-9, 2013 Mail to : UCSF Office of CME P.O. Box San Francisco, CA Fax: (415) æ Dr. æ Mr. æ Mrs. æ Ms. Last Name First M.I. Degree Specialty Address City State Zip Daytime Phone Fax Address Label Code Letter (see address label: example, A, B, C, D, etc.) Would you like to be on our priority list? Yes No Date of birth to be used as OCME registrant number: / / X X Month Day Please indicate if you have any special needs: Registration Fees $695 Physicians $595 Allied Health Professionals/Fellows/Residents MOT14001 Make checks payable to UC Regents Please charge my credit card: Visa MasterCard AmEx for $ / Card # Expiration date Name on Card (Please Print) Authorized Signature Refund Policy: Cancellations received in writing before the first day of the course will be refunded, less a $75 administrative fee. No refunds will be made on cancellations received after that date. Please check our website for up to date information on the course: Stockton Street at California Street San Francisco, CA (415) UCSF Conference Rate: $289 per night Reservation Cut-Off Date: October 7, 2013 B L GRACE CATHEDRAL MASONIC AUDITORIUM RANCISCO Jones St Online registration: Registration Information: (415) Course Information: (415) Course Administrator: Gaelen Lombard LombardG@ocme.ucsf.edu Landmarks Neighborhoods Points of Interest Parks Cable Car Lines Taylor St Mason St Powell St St Stockton St CHINATOWN Ritz Carlton Hotel UNION SQUARE O Farrell St Ellis St umbus Av PORTSMOUTH SQUARE BANK OF AMERICA BLDG. Grant Av Pine St Bush St Kearny St Post St Market St Geary St TRANSAMERICA PYRAMID BLDG. FINANCIAL DISTRICT Montgomery St CROCKER GALLERIA Jackson St Washington St Clay St Sansome St CENTER FOR New Montgomery St Sacramento St California St Battery St WALTON PARK 2nd St 1st St Drumm St EMBARCADERO SHOPPING CENTER GOLDEN GATE UNIV. MONTGOMERY ST. STATION SF MUSEUM OF MODERN ART TRANSBAY TERMINAL Market St Fremont St JUSTIN HERMAN PLAZA EMBARCADERO STATION Mission St Beale St RINCON CENTER Main St WORLD TRADE CTR. The Embarcadero Spear St Howard St FERRY BUILDING Steuart St Folsom St Harrison St