Canadian Society of Otolaryngology-Head and Neck Surgery ...



Canadian Society of Otolaryngology-Head and Neck Surgery74th ANNUAL MEETING September 26 – November 14, 2020 “Quality and Excellence in Otolaryngology-Head and Neck Surgery” LARYNGOLOGY WORKSHOPSTUESDAY, OCTOBER 13 09:00 p.m. – 09:50 p.m. Evidence-Based Management of Refractory Chronic Cough – S. Brisebois, Sherbrooke, QC, J. Young, Montreal, QC, J. Anderson, Toronto, ON, A. Darnbrough, Winnipeg, MB LEARNING OBJECTIVES (1) After this session, the participants will be able to discuss the differential diagnosis for chronic cough. (2) After this session, the participants will be able to evaluate the appropriate workup for patients with chronic cough. (3) After this session, the participants will be able to consider the prescription of neuromodulators for refractory chronic cough.ABSTRACT Chronic cough is a common presentation in Otolaryngology clinics characterized by ongoing cough over a period of 8 weeks. The reported prevalence in the population is about 9?€“33%. The most common etiologies will include asthma, sinonasal diseases and allergies (or post-nasal drip) and reflux disease. Refractory or idiopathic chronic cough will be diagnosed when other diagnoses have been excluded by proper investigations and/or empiric medical therapy. These cases can be challenging to the general otolaryngologist as patients will often complain of a significant impact on their quality of life. A multidisciplinary approach can be key in the management of patients presenting with refractory chronic cough and as such, evaluation by otolaryngologist, pulmonologist, gastroenterologist and/or speech language pathologist will often be necessary. This workshop will explore up to date literature on the pathophysiology of refractory chronic cough and present the latest and evidence-based data on the investigation and treatment of this pathology through panel presentations and case discussions. Novel therapy like behavioral and cough retraining therapy, superior laryngeal nerve block, neuromodulators, and injection medialization will also be discussed.SATURDAY, OCTOBER 24 11:00 a.m. - 11:50 a.m.The Precarious Airway - K. Kost, Montreal, QC, J. Anderson, Toronto, ON, D. Bosch, Calgary, AB, A. Darnbrough, Winnipeg, MB, T. Brown, Halifax, NS LEARNING OBJECTIVES Objectives In this workshop, participants will: 1. Understand how to evaluate the airway 2. Appreciate the factors which make an airway difficult 3. Be aware of treatment options 4. Recognize the importance of communication within the airway teamABSTRACT Every otolaryngologist periodically encounters a patient with a precarious airway. This may consist of i) a patient undergoing an elective procedure with an anticipated difficult airway, ii) a patient with a compromised-but-stable airway, or iii) a patient with impending or complete airway obstruction. Deciding on an appropriate course of action in these situations can be extremely stressful, given that a poor outcome can easily result in significant morbidity or even death. In this workshop, the elements involved in decision-making will be explored, including evaluation of the airway, factors which make an airway difficult, as well as surgical and non-surgical treatment options. Management strategies will be discussed within the context of the airway team, the importance of good communication within the team, and perceived abilities of the team members. Important points will be highlighted through representative case presentations. The workshop is meant to be interactive. Audience participation will be strongly encouraged and actively solicited. 11:50 a.m. - 12:40 p.m.Anticipate the Unexpected – How to Prevent and Manage Complications Encountered in Common Laryngologic Procedures - R.J. Lin, Toronto, ON, A. Hu, Vancouver, BC, T. Brown, Halifax, NS, S. Brisebois, Sherbrooke, QC LEARNING OBJECTIVES1. Identify common pitfalls and complications relating to frequently performed laryngological procedures in the office and in the operating room; 2. Review management of these complications; 3. Develop strategies to assess risks and implement prevention tactics to avoid these complications.ABSTRACTWorkshop objective: The proposed workshop aims to use a case-based approach to discuss complications arising from common laryngological procedures performed in the office and in the operating room. These include in office laryngeal biopsies and vocal fold injections under local anesthesia as well as microlaryngoscopy with or without a laser. Causes of these complications, prevention strategies, and management will be reviewed. Workshop description: Otolaryngologists frequently perform procedures such as in office laryngeal biopsies/vocal fold injections under local anesthesia as well as microlaryngoscopy with or without a laser. Complications, although rare, can occur with devastating consequences. During in office procedures, local anesthetic toxicity and methemoglobinemia can occur and result in significant neurologic and cardiovascular sequelae if not promptly recognized and treated. During suspension microlaryngoscopy, dental injuries, skin burn, airway fire, laryngospasm, pneumothorax from jet ventilation, and asystole are potential serious adverse events. Surgeons who perform these procedures need to be aware of these complications and their management should they occur. Prevention strategies will also be discussed. ................
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