Revision Sinus Surgery: When, Why, How

Sunday, September 29, 2024

4:00 PM – 5:00 PM EDT

Location: MBCC, Art Deco 229AB

CME/MOC Credit: 1

Disclosure(s):

Li-Xing Man, MSc, MD, MPA:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Nathalia Velasquez, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Victoria S. Lee, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

George A. Scangas, MD:

faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

PROGRAM DESCRIPTION: Decision-making for choosing when to perform revision endoscopic sinus surgery is increasingly complicated given the availability of new medical treatments such as innovative methods for steroid delivery and biologics targeting inflammation. Through case-based discussion, this session shows how the use of available data affects decision-making for revision endoscopic sinus surgery. We will address anatomic factors—including paranasal sinus mucoceles, residual uncinate process, maxillary sinus recirculation, middle turbinate lateralization, frontal and sphenoid ostial stenosis, and frontal recess neo-osteogenesis—seen on sinonasal imaging and endoscopy that suggest revision endoscopic sinus surgery success. The comprehensive otolaryngologist, advanced practice provider, and otolaryngologist-in-training will learn to utilize patient characteristics and anatomic findings to inform the decision for revision endoscopic sinus surgery versus more intensive medical management. The role of biologics in the management of the refractory sinus patient will be specifically discussed. Cases will illustrate the evidence for treating nasal polyposis with topical medications versus biologics versus revision endoscopic sinus surgery. We will also discuss tools of revision surgery, such as image guidance, augmented reality, balloon sinus dilation, and powered instrumentation. Surgical techniques and maneuvers for addressing common anatomic problems seen in the refractory chronic rhinosinusitis patient are described.

Learning Objectives:

Recognize and interpret sinonasal imaging and endoscopy findings that favor greater success of revision endoscopic sinus surgery versus alternative treatment options.
Understand factors that help the clinician recommend topical corticosteroids, biologics, or revision surgery in the refractory nasal polyposis patient.
Describe and implement surgical maneuvers to address common anatomic problems encountered in revision endoscopic sinus surgery.

Moderator(s)

Li-Xing Man, MSc, MD, MPA

Associate DIO, Assistant Dean for GME, and Associate Professor of Otolaryngology Head and Neck Surgery
Department of Otolaryngology Head and Neck Surgery, University of Rochester Medical Center
Pittsford, NY, United States

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.

Panelist(s)

Nathalia Velasquez, MD

Associate physician
The Permanente Medical Group
Fremont, CA, United States

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.
Victoria S. Lee, MD

Associate Professor of Otolaryngology, Director of Rhinology Research
University of Illinois Chicago
Chicago, IL, United States

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.
GS

George A. Scangas, MD

Assistant Professor of Otolaryngology
Harvard Medical School
Lynnfield, MA, United States

Disclosure(s):
faculty for this accredited education activity has no relationship(s) with ineligible companies to disclose.