Wien, Hands-on, Advanced Course English 28-30 April 2015



Attingo dissection course

Transnasal Corridors to Skull Base and Orbit 5°International Hands on Course

Wien Image In the past years endoscopic endonasal techniques have undergone significant advances. Indeed, it is now possible to say that the nose and paranasal sinuses have changed from just a potential site of various diseases to a natural surgical corridor toward hidden and deeper anatomical structures. Furthermore, the ability to resect and reconstruct skull base defects has dramatically improved, thus making endoscopic techniques a valuable tool for skull base surgeons. Given the ever expanding surgical possibilities, a continuous improvement of anatomical knowledge is mandatory. However, to think that the apex has already been reached would be erroneous. For this reason, we have designed a course specifically dedicated to advanced anatomy around the nose, including intraorbital and infratemporal endoscopic anatomy. The “traditional” endoscopic approach to the ventral skull base (transcribriform, transsphenoidal and transclival windows) will be integrated with recent advancements in intraorbital and infra temporal fossa anatomy. Our goal is to produce a holistic vision of the different surgical windows made possible using the nasal corridor. Anatomical and radiological lectures, intensive anatomical dissection under strict supervision and clinical cases discussion represent the key points of this advanced yet practical course. A movie-guided dissection perfectly represents our didactic philosophy based on a “step-by-step” approach. The face-to-face relationship between the faculty and participants makes this course an important starting point for all specialists who want to explore the fascinating field of endoscopic skull base surgery. The new anatomic training centre offers an ideal site for this experience. While the task may be challenging, it is extremely exciting. We hope that participants will help us to reach our goal.

P. Castelnuovo , P. Nicolai, M. Tschabitscher

Registration

The course is limited to 20 participants. registrations must be set to Organizing Secretariat following the steps:

New Attingo website user: 
- Click on the subscribe top-right link and create your personal account
- An activation e-mail will confirm your registration
- Log in and choose the course

Registered Attingo website user: 
- Log in and click on the subscribe top-right link

 

Payment Modalities


Course Fee: € 2.420 (VAT included)

Bank Transfer to:

Attingo Associazione Scientifica
Banca Prossima
Filial Milano - 05000
Bank Code: 100000012357 
IBAN: IT60Y0335901600100000012357 
BIC: BCITITMX 
Reference: Family Name & First Name of the participant - Wien Transnasal 2015


Registration fee includes:

  • tuition
  • gala dinner
  • certificate of attendance
  • coffee-breaks
  • lunches

Organizing Secretariat

ATTINGO
Varese – Italy
www.attingo-edu.it
This email address is being protected from spambots. You need JavaScript enabled to view it.
Phone: + 39 377.321.715.0
Fax: + 39 0332-16.41.148

Faculty

Paolo Battaglia, Varese

Manuel Bernal-Sprekelsen, Barcelona

Maurizio Bignami, Varese

Andrea Bolzoni Villaret, Brescia

Frank Rikki Canevari, Alessandria

Paolo Castelnuovo, Varese

Luigi Maria Cavallo, Napoli

Iacopo Dallan, Pisa

Matteo De Notaris, Benevento

Francesco Doglietto, Brescia

Enzo Emanuelli, Padova

Diego Mazzatenta, Bologna

Philippe Hermann, Paris

Davide Locatelli, Legnano

Davide Lombardi, Brescia

Roberto Maroldi, Brescia

Anna Mercuri, Varese

Michael Mokry, Graz

Piero Nicolai, Brescia

Ernesto Pasquini, Bologna

Andrea Pistochini, Varese

Heinz Stammberger, Graz

Mario Turri Zanoni, Varese

Cesare Zoia, Pavia

Course program

Tuesday, April 28

09:00 - 09:15

Target philosophy

09:15 - 10:30

Nasal fossae and paranasal sinuses

(20') - Systematic anatomy and endoscopic perspectives
(20') - Radiological considerations
(20') - How to get oriented?
(15') - Clinical cases and surgical considerations (video presentation)

10:30 - 11:00

Coffee Break

11:00 - 13:00

Dissection

  • Identification of SPA
  • Hadad flap and variants
  • Complete sphenoetmoidectomy plus Draf 1
  • Identification of AEA and PEA
  • Medial maxillectomy type 3

14:00 - 15:15

Transcribriform window

(20') - Systematic anatomy and endoscopic perspectives
(20') - Radiological considerations
(20') - How to get oriented?
(15') - Clinical cases and surgical considerations (video presentation)

15:15 - 18:15

Dissection

  • Draf 3
  • Subperiosteal dissection of the ethmoid
  • Removal of ACF floor with special consideration to crista galli management
  • Dissection of epidural space
  • Resection of olfactory bulb
  • Identification of basal arteries
Wednesday, April 29

08:00 - 09:15

Transsphenoidal window

(20') - Systematic anatomy and endoscopic perspectives
(20') - Radiological consideration
(20') - How to get oriented?
(15') - Clinical cases and surgical considerations (video presentation)

09:15 - 13:00

Dissection

  • Complete anterior sphenoidotomy with identification of landmarks
  • Identification of the vidian nerve in the lateral basisphenoid
  • Planum sphenoidal removal
  • Infrachiasmatic exposure to posterior cranial fossa
  • Identification of superior hypophyseal artery and chiasmal branches
  • Supra chiasmatic exposure
  • Vascular orientation and management
  • Pituitary transposition
  • Posterior clinoidectomy and visualization of posterior cranial fossa

14:00 - 15:15

Transmaxillary window

(20') - Systematic anatomy and endoscopic perspectives
(20') - Radiological consideration
(20') - How to get oriented?
(15') - Clinical cases and surgical considerations (video presentation)

15:15 - 18:15

Dissection

  • Exposure of anterior maxillary wall–extended denker-posterior maxillary window
  • Identification of infraorbital nerve and V2
  • Identification of muscular plane-lateral and medial pterygoidmuscles
  • Identification of lingual and inferior alveolar nerve on medial pterygoid muscle
  • Resection of lateral pterygoid muscle and identification of V3 and Eustachian tube
  • Identification of medial corridor to ICA and of the "palatini" muscles
  • Identification of internal jugular vein and styloid process
  • Identification of hypoglossal nerve
  • Complete tubal resection and exposure of petrousand cervical ICA
  • Front door to Meckel's Cave
Thursday, April 30

8:00 - 9:15

Transclival window

(20') - Systematic anatomy and endoscopic perspectives
(20') - Radiological consideration
(20') - How to get oriented?
(15') - Clinical cases and surgical considerations (video presentation)

09:15 - 12:30

Dissection

  • Rhinopharyngeal flap
  • complete basisphenoid resection
  • identification of prevertebral muscles
  • complete clivectomy
  • exposure of C1 and C2
  • odontoid resection
  • intracranial posterior cranial fossa orientation
  • identification of cranial nerves (V to XII) and arterial vessels

13:30 - 14.30:

Transorbital window

(20') - Systematic anatomy and endoscopic perspectives
(20') - Radiological consideration
(20) - Clinical cases and surgical considerations (video presentation)

14:30 - 16:00

Dissection

  • Removal of l. papiracea and periorbit
  • identification of medial muscular wall-medial and inferior rectus muscle & superior oblique muscle-and the ethmoidal arteries
  • medial intraconal dissection to the optic nerve
  • identification of ciliary arteries and nerves
  • identification of nasocialiary nerve and ophthalmic artery
  • exposure of Zinn'sanulus

Hotel Accommodation

A short list of hotel close to the University is given below:

Hotel Regina
Hotel Harmonie
Hotel Atlanta

A more complete list of hotels placed near the course venue can be easily found on the Internet.

Change in the Program may take place

2015-04-28 07:00:00
2015-04-30 19:00:00