Schedule at a Glance

Total Page:16

File Type:pdf, Size:1020Kb

Schedule at a Glance Message from the President, Derald E. Brackmann, MD Welcome to Boston! Thank you for attending our 118th Annual Meeting at COSM. It has been a pleasure to serve the membership as President this year and I am very proud of the outstanding program that has been assembled by our Program Chair, Marilene Wang, MD and our Program Committee. Some of the highlights include a presentation on “Creativity in Head and Neck Surgery” which will be given by my Guest of Honor, Gerald S. Berke, MD FACS and Dr. Uttam Sinha’s Ogura Lecture “Rethinking Head and Neck Cancer in the Era of Quantum Biology”. Our Friday panels include “Contemporary Neuroradiological Imaging in Evaluation and Management of Otologic Disease”; “Rehabilitation of Children with Unilateral Hearing Loss”; “Endoscopic Management of Pediatric and Adult Airway Issues”; “Revision Rhinoplasty: Trends, Technology, Avoiding Litigation”. Our Saturday panels include “Tumor Board: Multidisciplinary Care of Head and Neck Cancer Patients”; “Optimizing Use of EMR”; “Multidisciplinary Approach to OSA”; and two video sessions “Masters of Rhinology Video Panel-Point/Counterpoint”; and “How I Do It: Experts Demonstrate Their Techniques”. We are confi dent that you will fi nd this meeting to be of great value in assisting you with the care of your patients, your research endeavors, and your teaching. I look forward to renewing old friendships and meeting new colleagues. SCHEDULE AT A GLANCE Friday - Hynes Convention Center - Ballroom A 7:00 Triological Business Meeting and New Fellows Ceremonies/Reception (members only) 8:00 Welcome and Presidential Citations 8:10 Introduction of Guest of Honor and Guest of Honor Address Creativity in Head and Neck Surgery 8:25 Presidential Address Vestibular Schwannoma Management Then and Now 8:45 Mosher and Fowler Thesis Award Papers Friday - Concurrent Session 1 - Hynes Convention Center - Ballroom A 9:05 - 12:00 Pediatrics and Otology Session 9:05 - 9:45 Guest Panel Presentation: Contemporary Neuroradiological Imaging in Evaluation and Management of Otologic Disease 9:45 - 10:10 Break/View Posters 10:10 - 11:20 Papers 11:20 - 12:00 Panel: Rehabilitation of Children with Unilateral Hearing Loss Noon Adjourn www.triological.org Page 1 Friday - Concurrent Session 2 - Hynes Convention Center - Room 302 9:05 - 12:00 Laryngology and Facial Plastic/Reconstructive Surgery Session 9:05 - 9:45 Panel: Endoscopic Management of Pediatric and Adult Airway Issues 9:45 - 10:10 Break/View Posters 10:10 - 11:20 Papers 11:20 - 12:00 Panel: Revision Rhinoplasty: Trends, Technology, Avoiding Litigation Noon Adjourn Friday - Hynes Convention Center Exhibit Hall D 5:30 - 7:00 Meet the Authors Poster Reception - Triological Society, ANS, AOS, ARS and ASPO Saturday - Hynes Convention Center - Ballroom A 7:00 Triological Business Meeting (Fellows Only) 8:05 - 8:25 Ogura Lecture Rethinking Head and Neck Cancer in the Era of Quantum Biology 8:25 - 10:30 Head and Neck Session 8:25 - 9:10 Panel: Tumor Board: Multidisciplinary Care of Head and Neck Cancer Patients 9:10 - 10:05 Papers 10:05 - 10:30 Break/View Posters 10:30 - 12:00 General Session 10:30 - 11:15 Panel: Optimizing Use of EMR 11:15 - 12:00 Papers 12:00 - 1:00 Lunch Break/Visit Posters 1:00 - 2:25 Sleep Medicine Session 1:00 - 1:40 Panel: Multidisciplinary Approach to OSA 1:45 - 2:25 Papers 2:25 - 4:15 Rhinology Session 2:25 - 3:10 Video Session: Masters of Rhinology Video Panel-Point/Counterpoint 3:10 - 3:35 Break/View Posters 3:35 - 4:15 Papers 4:15 - 5:00 Video Session: How I Do It: Experts Demonstrate Their Techniques 5:00 Adjourn Page 2 Triological Society 2015 Annual Meeting at COSM 118TH ANNUAL MEETING HYNES CONVENTION CENTER AND SHERATON BOSTON BOSTON, MASSACHUSETTS APRIL 24-25, 2015 About the Triological Society The American Laryngological, Rhinological and Otological Society, Inc., aka The Triological Society, was founded in 1895 in New York, NY. In the years since its founding, the Triological Society has attracted the best and brightest in academic and clinical otolaryngology. Membership in the Triological Society brings the distinction of being elected to the most prestigious society in otolaryngology. Active Fellowship is achieved by presenting a thesis in the fi eld of otolaryngology considered acceptable to a panel of peers. For those entering the fi eld of otolaryngology, the Society provides role mod- els. For those who are committed to research and related scholarly activity, the Society offers fellowship with like-minded peers who share common values, interests, and concerns. The Society disseminates scientifi c information by presenting the latest basic science and clinical information at scientifi c meetings and through publication of its scientifi c journal, The Laryngoscope. The Society promotes research into the causes of and treatments for otolaryngic diseases by attracting promising physicians to scholarly otolaryngology research and supporting their development, providing fi nancial support for the research efforts of young scientists, and promoting the highest standards in the fi eld of otolaryngology-head and neck surgery. Mission Statement The mission of the Triological Society is to assist physicians and other health care professionals in maintaining and enhancing their knowledge of and skills in otolaryngology-head and neck surgery in pursuit of improved patient care. Goals • To disseminate the latest basic and evidence based clinical research fi ndings pertaining to the diagnosis, treat- ment and prevention of the full spectrum of disorders of the head and neck and related structures in pursuit of improved patient care. • To provide a forum for the international exchange of ideas and knowledge in otolaryngology-head and neck sur- gery and related fi elds of medicine and science. • To provide for physician professional development through support of teaching and peer reviewed research. • To encourage the highest ethical and professional standards in the delivery of patient care by otolaryngolo- gists-head and neck surgeons. • To promote academic excellence by requiring peer recommendations and an acceptable mentored thesis for admission to membership. • To ensure that all educational activities comply with ACCME requirements. • To ensure the continuation of the noble legacy of the Triological Society by mentoring young otolaryngologists to become scholars and leaders. To facilitate the above goals, the Society sponsors educational meetings. The Society’s journal, The Laryngoscope, serves as a means of disseminating the latest basic and clinical research results. The Society encourages clinical and basic research by providing research grants and awards on a competitive basis. Educational Objectives for Program After attending this meeting, participants will be able to: • Utilize radiographic imaging to perform surgery more effectively and safely in otologic diseases • Evaluate and manage a child with unilateral hearing loss • Manage selected pediatric and adult airway issues using endoscopic techniques • Learn more effective techniques for revision rhinoplasty • Optimize management of head and neck cancer patients utilizing a multidisciplinary approach • Utilize electronic medical records in an effective manner, to maximize effi ciency and minimize frustration • Manage patients with obstructive sleep apnea with multidisciplinary methods • Learn about the latest techniques in endoscopic sinus and skull base surgery, from video demonstrations by expert surgeons • Learn techniques in sialendoscopy, transoral robotic surgery, and fl ap reconstruction from presentations by expert surgeons www.triological.org Page 3 Accreditation Statement This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education through the joint providership of the American College of Surgeons and the Triological Society. The American College of Surgeons is accredited by the ACCME to provide continuing medical educa- tion for physicians. AMA PRA Category 1 Credits™ The American College of Surgeons designates this live activity for a maximum of 10.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. American College of Surgeons Division of Education Program Evaluation and CME Certifi cates Participant comments on program evaluation forms assist Program Advisory Committees in determining the direction of future educational activities. We appreciate your input and request that you complete a program evaluation in exchange for a certifi cate of attendance. Records are maintained in the Administrative Offi ce of the Society and maintained by the American College of Surgeons for Fellows of the College. Requests may be made by sending a self-addressed envelope to: Triological Society • 13930 Gold Circle, Suite 103 • Omaha, NE 68144 • 402-346-5500 Page 4 Triological Society 2015 Annual Meeting at COSM Program Planning and Advisory Committee President - Derald E. Brackmann, MD Brian Nussenbaum, MD FACS Los Angeles, CA St. Louis, MO Program Chair - Marilene B. Wang, MD FACS Richard R. Orlandi, MD FACS Los Angeles, CA Salt Lake City, UT Neil Bhattacharyya, MD FACS Wm. Russell Ries, MD FACS Boston, MA Nashville, TN Joel H. Blumin, MD FACS Michael D. Seidman, MD FACS Milwaukee, WI West Bloomfi eld, MI Emily Frances Boss, MD Maie A. St. John, MD Baltimore, MD Los Angeles, CA Dinesh K. Chhetri, MD Erica Robb Thaler, MD FACS Los Angeles, CA Philadelphia, PA Alexander
Recommended publications
  • Report Scientifico 2017
    IRCCS – Istituto Giannina Gaslini Report Scientifico 2017 Sommario LA RICERCA AL GASLINI ...................................................................................................................... - 1 - PRESENTAZIONE DEL DIRETTORE SCIENTIFICO .......................................................................................... - 2 - TOP ITALIAN SCIENTISTS (TIS) DELLA VIA ACADEMY .................................................................................. - 4 - PUBBLICAZIONI - ANNO DI RIFERIMENTO 2017 ............................................................................................ - 6 - CONTRIBUTO DELLE VARIE UNITÀ OPERATIVE ALLA PRODUZIONE SCIENTIFICA 2017 ..................................... - 9 - LINEE DI RICERCA E PUBBLICAZIONI 2017 .......................................................................................... - 13 - LINEA DI RICERCA 1: STRATEGIE DIAGNOSTICHE INNOVATIVE ................................................................... - 14 - LINEA DI RICERCA 2: PEDIATRIA CLINICA , MEDICINA PERINATALE E CHIRURGIE PEDIATRICHE ..................... - 27 - LINEA DI RICERCA 3: IMMUNOLOGIA CLINICA E SPERIMENTALE E REUMATOLOGIA ....................................... - 59 - LINEA DI RICERCA 4: ONCO -EMATOLOGIA E TERAPIE CELLULARI ................................................................ - 74 - LINEA DI RICERCA 5: PATOLOGIE MUSCOLARI E NEUROLOGICHE ................................................................ - 86 - SEMINARI 2017 .............................................................................................................................
    [Show full text]
  • The Novel Use of Nuss Bars for Reconstruction of a Massive Flail Chest
    BRIEF TECHNIQUE REPORTS The novel use of Nuss bars for reconstruction of a massive flail chest Paul E. Pacheco, MD,a Alex R. Orem, BA,a Ravindra K. Vegunta, MD, FACS,a,b Richard C. Anderson, MD, FACS,a,b and Richard H. Pearl, MD, FACS,a,b Peoria, Ill We present the case of a patient who sustained a massive flail chest from a snowmobile accident. All ribs of the right side of the chest were fractured. Nonoperative management was unsuccessful. Previously reported methods of rib stabiliza- tion were precluded given the lack of stable chest wall ele- ments to fixate or anchor the flail segments. We present a novel surgical treatment in which Nuss bars can be used for stabilization of the most severe flail chest injuries, when reconstruction of the chest is necessary and fixation of fractured segments is infeasible owing to adjacent chest wall instability. CLINICAL SUMMARY The patient was a 40-year-old male snowmobile driver who was hit by a train. Evaluation revealed severe multiple right-sided rib fractures, right scapular and clavicular frac- tures, and a left femur fracture. A thoracostomy tube was placed and intubation with mechanical ventilation instituted. With stability, he was taken for intramedullary nailing of the femur. Despite conventional efforts, he was unable to be weaned from the ventilator inasmuch as he consistently FIGURE 1. Posterior view of 3-dimensional computed tomographic scan had hypercapnic respiratory failure with weaning trials. Ad- showing reconstruction of massive flail chest used during preoperative ditionally, a worsening pneumonia developed on the side of planning.
    [Show full text]
  • The Minimally Invasive Nuss Technique for Recurrent Or Failed Pectus Excavatum Repair in 50 Patients
    Journal of Pediatric Surgery (2005) 40, 181–187 www.elsevier.com/locate/jpedsurg The minimally invasive Nuss technique for recurrent or failed pectus excavatum repair in 50 patients Daniel P. Croitorua,*, Robert E. Kelly Jrb,c, Michael J. Goretskyb,c, Tina Gustinb, Rebecca Keeverb, Donald Nussb,c aDivision of Pediatric Surgery, Children’s Hospital at Dartmouth, Dartmouth Hitchcock Medical Center, Dartmouth Medical School, Lebanon, NH 03766 bDivision of Pediatric Surgery, Children’s Hospital of the King’s Daughter, Norfolk, VA 23507 cDepartment of Surgery, Eastern Virginia Medical School, Norfolk, VA Index words: Abstract Pectus excavatum; Purpose: The aim of this study was to demonstrate the efficacy of the minimally invasive technique for Minimally invasive; recurrent pectus excavatum. Recurrence; Methods: Fifty patients with recurrent pectus excavatum underwent a secondary repair using the Reoperative surgery minimally invasive technique. Data were reviewed for preoperative symptomatology, surgical data, and postoperative results. Results: Prior repairs included 27 open Ravitch procedures, 23 minimally invasive (Nuss) procedures, and 2 Leonard procedures. The prior Leonard patients were also prior Ravitches and are therefore counted only once in the analyses. The median age was 16.0 years (range, 3-25 years). The median computed tomography index was 5.3 (range, 2.9-20). Presenting symptoms included shortness of breath (80%), chest pain (70%), asthma or asthma symptoms (26%), and frequent upper respiratory tract infections (14%). Both computed tomography scan and physical exam confirmed cardiac compression and cardiac displacement. Cardiology evaluations confirmed cardiac compression (62%), cardiac displacement (72%), mitral valve prolapse (22%), murmurs (24%), and other cardiac abnormalities (30%). Preoperative pulmonary function tests demonstrated values below 80% normal in more than 50% of patients.
    [Show full text]
  • Diminished Pulmonary Function in Pectus Excavatum: from Denying the Problem to Finding the Mechanism
    Featured Article Diminished pulmonary function in pectus excavatum: from denying the problem to finding the mechanism Robert E. Kelly Jr, Robert J. Obermeyer, Donald Nuss Departments of Surgery and Pediatrics, Children’s Hospital of The King’s Daughters, Eastern Virginia Medical School, Norfolk, Virginia, USA Correspondence to: Robert E. Kelly, Jr., MD, Surgeon-in-Chief. Children’s Hospital of The King’s Daughters, 601 Children’s Lane, Ste. 5B, Norfolk, Virginia, USA. Email: [email protected]; [email protected]. Background: Recently, technical improvement in the ability to measure lung function and the severity of chest deformity have enabled progress in understanding the mechanism of limitations of lung function in pectus excavatum. Methods: After establishing that most patients with pectus excavatum do have symptoms of exercise intolerance, easy fatigability, and shortness of breath with exertion, lung function has been evaluated by a variety of methods in different centers. Spirometry, plethysmography, exercise testing, oculo electronic plethysmography, and imaging methods have been used to assess lung function in pectus excavatum and its response to surgery. Results: Not all patients with pectus excavatum have subnormal static pulmonary function testing; some have above-average values. However, in more than 1500 adult and pediatric surgical patients with anatomically severe pectus excavatum at a single center, the bell curve of FVC, FEV1, and FEF 25- 75 is shifted to significantly lower values in pectus excavatum. The curve is shifted to higher values after operation by approximately one standard deviation. Previous work has demonstrated that patients with more anatomically severe pectus excavatum are more likely to have diminished PFT’s.
    [Show full text]
  • Pectus Correction Surgery Information for Patients Introduction This Booklet Is Designed to Provide Information About Your Forthcoming Pectus Correction Surgery
    Oxford University Hospitals NHS Trust Oxford Heart & Lung Centre Pectus Correction surgery Information for patients Introduction This booklet is designed to provide information about your forthcoming pectus correction surgery. We appreciate that coming into hospital for pectus correction surgery may be a major event for you. The Information in this booklet will hopefully allay some of the fears and apprehensions you may have and increase your understanding of what to expect during your stay in the Oxford Heart Centre, at the John Radcliffe Hospital. Our aim is to provide a high quality service to our patients. We would therefore welcome any suggestions you may have. A patient satisfaction survey can be found in the information folder by every bed on the Cardiothoracic Unit, alternatively please speak to a member of the senior nursing team. page 2 Modified Ravitch procedure In the modified Ravitch procedure, the rib cartilages are cut away on each side and the sternum is flattened so that it will lie flat. One or more bars (or struts) may then be inserted under the sternum to ensure it keeps its shape. This is the procedure we use for complex pectus anomalies, predominantly rib deformities and for pectus carinatum. The operation involves making a horizontal cut from one side of the chest to the other. Drains are inserted on each side of the chest to remove any fluid from the surgical site and the wound is closed using dissolvable stitches. If a strut is inserted it is intended to remain in place permanently but may be removed if it causes pain or other problems.
    [Show full text]
  • Pectus Excavatum (Nuss) V2.0
    Pectus Excavatum (Nuss) v2.0 Summary of Version Changes Explanation of Evidence Ratings Inclusion Criteria · Patient age 13 years to adult with Pectus Approval and Citation Excavatum requiring repair Exclusion Criteria · None Intraoperative Management Anesthesia and pain management Safety Precautions Standard anesthesia procedures · · Sternal saw available and open on the field to assure proper · Ketorolac IV at end of case function · Standard PACU orders Intraoperative Pain Management Infection prevention · Cryoablation to 2 nerves above and below bar entry level on · Double glove each side · Ioban drape ® · Bupivacaine 0.5% (2mL per nerve) 2 nerves above and below · Irrigate wounds with Betadine solution bar entry level on each side · Perioperative antibiotics Other · Cefazolin · Dictation must clearly state number of bars and which side · Clindamycin if allergic stabilizer is placed · Vancomycin if MRSA · Write General Surgery Pectus Repair Plan admit orders Thrombosis prevention prior to patient transfer out of the O.R. · Sequential compression device (SCD) if age 16 years or older, prior to induction Postoperative Management Admit to surgical floor from PACU Medications · Chest X-ray in PACU to assess for pneumothorax · Continue perioperative antibiotics x 2 doses Activity Pain · Showering ok on POD1 · POD1 or 2: start oral pain medicines. · POD1 out of bed to chair and ambulate goal is 3-4 times per day in · Oxycodone short acting (no long-acting), as needed halls, minimum of 2 times per day (bathroom does not count) · Acetaminophen/ibuprofen
    [Show full text]
  • Cosmetic and Reconstructive Procedures Corporate Medical Policy
    Cosmetic and Reconstructive Procedures Corporate Medical Policy File Name: Cosmetic and Reconstructive Procedures File Code: UM.SURG.02 Origination: 06/2016 Last Review: 01/2020 Next Review: 01/2021 Effective Date: 04/01/2020 Description/Summary The term, “cosmetic and reconstructive procedures” includes procedures ranging from purely cosmetic to purely reconstructive. Benefit application has the potential to be confusing to members because there is an area of overlap where cosmetic procedures may have a reconstructive component and reconstructive procedures may have a cosmetic component. These procedures are categorized and benefits are authorized based upon the fundamental purpose of the procedure. The American Medical Association and the American Society of Plastic Surgeons have agreed upon the following definitions: • Cosmetic procedures are those that are performed to reshape normal structures of the body in order to improve the patient’s appearance and self- esteem. • Reconstructive procedures are those procedures performed on abnormal structures of the body, caused by congenital defects, developmental abnormalities, trauma, infection, tumors or disease. It is generally performed to improve function but may also be done to approximate a normal appearance. In order to be considered medically necessary, the goal of reconstructive surgery must be to correct an abnormality in order to restore physiological function to the extent possible. As such, for reconstructive surgery to be considered medically necessary there must be a reasonable
    [Show full text]
  • Anesthesic and Pain Management Considerations for the Nuss Procedure
    Anesthesic and Pain Management Considerations for the Nuss Procedure Lynne G. Maxwell, MD, FAAP Pectus Excavatum Pectus excavatum (PE) is a relatively common deformity of the chest wall, occurring in approximately 1 in 300 births. Although it is often referred to as a congential abnormality, many children do not have obvious manifestations until age 1 or older. It occurs more often in males in a ratio of 4:1. In some cases there is a genetic component with some evidence of autosomal dominance with male to male transmission. Although the development of PE may be related to upper airway obstruction and/or sleep apnea (OSAS) and disorders of connective tissue such as Marfan syndrome, most patients with PE have no associated medical conditions. Pectus excavatum has been recognized for centuries. Bauhinus described a patient in 1594 with pulmonary insufficiency (dyspnea and paroxysmal cough) associated with a severe pectus excavatum. Multiple case reports were decribed in the 19th century, including one by Ebstein in 1882 describing 4 patients. Treatment consisted of “fresh air, breathing exercises, aerobic activities, and lateral pressure.” Thoracic surgical approaches were developed in the early part of the 20th century, but it wasn’t until mid- century that Ravitch reported the technique which became the standard prior to the advent of the Nuss procedure. The Ravitch operation involved a mobilization of the sternum by resection of the costal cartilages bilaterally and sternal osteotmy. A modification involving the placement of a bar through the distal end of the sternum was reported in 1956 by Wallgren and Sulamaa which prevented the recurrence of the deformity.
    [Show full text]
  • Nuss Procedure for Surgical Stabilization of Flail Chest with Horizontal Sternal Body Fracture and Multiple Bilateral Rib Fractures
    Case Report Nuss procedure for surgical stabilization of flail chest with horizontal sternal body fracture and multiple bilateral rib fractures Sung Kwang Lee, Do Kyun Kang Department of Thoracic and Cardiovascular Surgery, Haeundae Paik Hospital, College of Medicine, Inje University, Busan, South Korea Correspondence to: Do Kyun Kang, MD. Department of Thoracic and Cardiovascular Surgery, Haeundae Paik Hospital, College of Medicine, Inje University, 875 (Jwadong) Haeundae-ro, Haeundaegu, Busan 612-030, South Korea. Email: [email protected]. Abstract: Flail chest is a life-threatening situation that paradoxical movement of the thoracic cage was caused by multiply fractured ribs in two different planes, or a sternal fracture, or a combination of the two. The methods to achieve stability of the chest wall are controversy between surgical fixation and mechanical ventilation. We report a case of a 33-year-old man who fell from a high place with fail chest due to multiple rib fractures bilaterally and horizontal sternal fracture. The conventional surgical stabilization using metal plates by access to the front of the sternum could not provide stability of the flail segment because the fracture surface was obliquely upward and there were multiple bilateral rib fractures adjacent the sternum. The Nuss procedure was performed for supporting the flail segment from the back. Flail chest was resolved immediately after the surgery. The patient was weaned from the mechanical ventilation on third postoperative day successfully and was ultimately discharged without any complications. Keywords: Nuss procedure; sternum fracture; rib fractures; flail chest Submitted Feb 13, 2016. Accepted for publication Mar 10, 2016. doi: 10.21037/jtd.2016.04.05 View this article at: http://dx.doi.org/10.21037/jtd.2016.04.05 Introduction the sternal body and bilaterally fractured ribs adjacent to the sternum (Figure 1).
    [Show full text]
  • Short Nuss Bar Procedure
    Art of Operative Techniques Short Nuss bar procedure Hans Kristian Pilegaard1,2 1Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Skejby, Aarhus, Denmark; 2Department of Clinical Medicine, Aarhus University, Aarhus, Denmark Correspondence to: Hans Kristian Pilegaard. Department of Cardiothoracic and Vascular Surgery, Aarhus University Hospital, Skejby, Palle Juul- Jensens Boulevard 99, DK-8200 Aarhus N, Denmark. Email: [email protected]. The Nuss procedure is now the preferred operation for surgical correction of pectus excavatum (PE). It is a minimally invasive technique, whereby one to three curved metal bars are inserted behind the sternum in order to push it into a normal position. The bars are left in situ for three years and then removed. This procedure significantly improves quality of life and, in most cases, also improves cardiac performance. Previously, the modified Ravitch procedure was used with resection of cartilage and the use of posterior support. This article details the new modified Nuss procedure, which requires the use of shorter bars than specified by the original technique. This technique facilitates the operation as the bar may be guided manually through the chest wall and no additional stabilizing sutures are necessary. Keywords: Pectus excavatum repair (PE repair); Nuss; short bar; minimally invasive surgery Submitted Mar 14, 2016. Accepted for publication Jul 12, 2016. doi: 10.21037/acs.2016.09.06 View this article at: http://dx.doi.org/10.21037/acs.2016.09.06 Introduction The optimal age for the operation is still under discussion. According to the findings of Nuss, there is an increased Pectus excavatum (PE) is the most common anomaly of risk of recurrence if the operation occurs before puberty.
    [Show full text]
  • Enhanced Recovery After Surgery: Pectus Excavatum
    Enhanced Recovery After Surgery: Pectus Excavatum LEGAL DISCLAIMER: The information provided by Dell Children’s Medical Center of Texas (DCMCT), including but not limited to Clinical Pathways and Guidelines, protocols and outcome data, (collectively the "Information") is presented for the purpose of educating patients and providers on various medical treatment and management. The Information should not be relied upon as complete or accurate; nor should it be relied on to suggest a course of treatment for a particular patient. The Clinical Pathways and Guidelines are intended to assist physicians and other health care providers in clinical decision-making by describing a range of generally acceptable approaches for the diagnosis, management, or prevention of specific diseases or conditions. These guidelines should not be considered inclusive of all proper methods of care or exclusive of other methods of care reasonably directed at obtaining the same results. The ultimate judgment regarding care of a particular patient must be made by the physician in light of the individual circumstances presented by the patient. DCMCT shall not be liable for direct, indirect, special, incidental or consequential damages related to the user's decision to use this information contained herein. Definition Enhanced Recovery After Surgery (ERAS) Multimodal enhanced recovery after surgery (ERAS) protocols introduce an integrated, multidisciplinary approach that requires participation and commitment from the patient, surgeons, anesthesiologists, pain specialists, nursing staff, physical and occupational therapists, social services, and hospital administration [8,9,10,11]. Initially, ERAS protocols converted many operations performed as inpatient to outpatient "day surgery" procedures. As experience developed with these protocols, principles of enhanced recovery were applied to increasingly complex procedures to reduce hospital length of stay and expedite return to baseline health and functional status [10,11].
    [Show full text]
  • In Pectus Excavatum Patients Following Nuss Procedure
    3042 Original Article Clinical application of enhanced recovery after surgery (ERAS) in pectus excavatum patients following Nuss procedure Pingwen Yu, Gebang Wang, Chenlei Zhang, Hongxi Liu, Yawei Wang, Zhanwu Yu, Hongxu Liu Department of Thoracic Surgery, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & Institute, Shenyang 110042, China Contributions: (I) Conception and design: P Yu, H Liu; (II) Administrative support: P Yu, Z Yu, H Liu; (III) Provision of study materials or patients: P Yu, G Wang, C Zhang, H Liu; (IV) Collection and assembly of data: P Yu, Y Wang; (V) Data analysis and interpretation: P Yu; (VI) Manuscript writing: All authors; (VII) Final approval of manuscript: All authors. Correspondence to: Hongxu Liu, MD, PhD. Department of Thoracic Surgery, Cancer Hospital of China Medical University, Liaoning Cancer Hospital & Institute, Shenyang 110042, China. Email: [email protected]. Background: Evaluate the effect of enhanced recovery after surgery (ERAS) protocol on postoperative recovery quality of pectus excavatum patients with Nuss procedure. Methods: A retrospective study was performed on patients undergoing Nuss procedure from the Department of Thoracic Surgery of The Cancer Hospital of China Medical University between September 2016 and September 2019. Patients were divided into 2 groups by perioperative management: the traditional procedure group (T group) and the ERAS strategy group (E group). The outcome measures were postoperative drainage time, postoperative hospital time, and postoperative complications measured by the Clavien-Dindo method. Results: Of the 168 patients from this time period, 148 met the inclusion criteria (75 in Group T and 73 in Group E). All operations involved in this study were completed successfully.
    [Show full text]