Endoscopic & Exoscopic Surgery of the Ear in the COVID-19 Era:
International Hands-On Dissection Course and Live Surgery Observation

Massachusetts Eye and Ear Infirmary
Thursday, September 10 - Friday, September 11, 2020

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Notice regarding the COVID-19 pandemic:

As of May, 2020, we have made the decision to keep our upcoming International Endoscopic & Exoscopic Surgery of the Ear Course a live, in-person meeting.

We will ensure appropriate social distancing measures and limited participation of lectures and live surgery demonstration. In the surgical dissection laboratories, we will have one participant per station and limit foot traffic. We will have adequate personal protective equipment (PPE) and all cadaveric specimens will be sourced from before the pandemic. 

We will update you if there are plans to cancel this course or make this a virtual educational event. 

We extend our sympathies and messages of support to those who have been impacted by the crisis, and wish all the best to you, family, and colleagues.

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Event Details


Title

Endoscopic and Exoscopic Surgery of the Ear in the COVID-19 Era: International Hands-On Dissection Course and Live Surgery Observation
 

Purpose

1.To review the rationale, patient selection and techniques essential for performing “heads up” endoscopic and exoscopic ear surgery.

2. To review the role of “heads up” ear surgery in the era of the COVID-19 pandemic.

3. To discuss ways to mitigate infection risk in the surgical management of otologic and neurotologic disease in the era of the COVID-19 pandemic.
 

Participants

Comprehensive otolaryngologists, pediatric otolaryngologists, otologists, neurotologists
 

Description

Endoscopic ear surgery (EES) continues to emerge as an important modality for management of pediatric and adult ear disease. The increase in EES training opportunities coupled with refinements in instrumentation and ergonomics have enabled surgeons to manage routine and complex ear disease less invasively with outcomes similar to traditional postauricular microscopic approaches.

The application of extracorporeal digital microscopes or “exoscopes” to Otolaryngology is new but is poised to replace the microscope where two-handed dissection and a longer focal length are required. The exoscope is complementary to the endoscope and allows for heads up surgical exposure and an immersive visual experience for transcanal cases where two-handed dissection is essential and for routine open cases (e.g. mastoidectomy and craniotomy) where the microscope would normally be used. Unlike the microscope, the exoscope, similar to the endoscope, offers superior ergonomics for small or large corridor dissection.

This will be the first course in the world to offer hands-on exoscope training for Otolaryngologists. Participants will understand how the exoscope complements the benefits of the rigid endoscope for ear surgery.

Our course will feature experienced faculty who are experts in the fields of endoscopic and exoscopic ear surgery. We will offer a broad overview of the state of endoscopic and exoscopic ear surgery. Didactic sessions will cover endoscopic ear anatomy, instrumentation and ergonomics, extensive discussion of surgical techniques with multimedia content including live surgery, and strategies for incorporating endoscopes and exoscopes into practice using a case-based panel discussion format.

In addition, the role of heads-up ear surgery has important relevance during the COVID-19 pandemicMany otologic procedures are aerosol-generating and increase the risk of pathogen spread to surgeon and staff. The endoscope can be used to reduce the need for powered instrumentation and bony dissection, especially in chronic ear disease that does not involve the mastoid. The exoscope allows for a superior view of the field compared to the microscope, especially when using a full face shield or powered air-purifying respirator (PAPR) hood.

Our course will feature experienced faculty who are experts in the fields of endoscopic and exoscopic ear surgery. We will offer a broad overview of the state of endoscopic and exoscopic ear surgery as well as a round table discussion on how to mitigate risk to otologic provider and staff during the era of the COVID-19 pandemic.

Didactic sessions with appropriate social distancing will cover endoscopic ear anatomy, instrumentation and ergonomics, extensive discussion of surgical techniques with multimedia content including live surgery, and strategies for incorporating endoscopes and exoscopes into practice using a case-based panel discussion format.

Hands-on sessions with appropriate social distancing and personal protective equipment (PPE) in two state of the art surgical training laboratories (one for EES and one for exoscopes) using fresh cadaveric specimens will allow participants to experience and practice endoscopic and exoscopic techniques led by renowned international faculty.

 

Location

Massachusetts Eye & Ear Infirmary
is a specialty hospital located in Boston, Massachusetts, United States

Directions

CLICK HERE for information
on how to get there.

Hands-on Workshops

Proctored by an International Faculty of Experts
in Endoscopic Ear Surgery

Course Directors


Michael Cohen MD

Assistant Professor, Department of Otolaryngology, Harvard Medical School
Director of the Multidisciplinary Pediatric Hearing Loss Clinic at the Massachusetts Eye and Ear Infirmary

        

Daniel Lee MD

Director of Pediatric Otology and Neurotology, Massachusetts Eye and Ear
Associate Professor, Department of Otolaryngology, Harvard Medical School
Clinical Associate in Neurosurgery and Otolaryngology, Massachusetts General Hospital.

    

Alicia Quesnel MD

Assistant Professor, Department of Otolaryngology, Harvard Medical School
Otology and Neurotology Division, Department of Otolaryngology, Massachusetts Eye and Ear
Clinical Associate, Massachusetts General Hospital