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Rhinology/Allergy

23AMW2409882 - How to Master Office-Based Sinus and Rhinitis Surgery

Wednesday, October 4, 2023
9:15 AM - 10:15 AM East Coast USA Time
Location: MCC, 207CD

    Moderator(s)

  • Satish Govindaraj, MD

    Associate Professor of the Department of Otolaryngology and Neurosurgery
    Mount Sinai School of Medicine
    New York, NY, United States

    • Panelist(s)

  • MS

    Michael Setzen, MD

    Clinical Professor of Otolaryngology
    Weill Cornell Medical College
    Great Neck, NY, United States

  • JC

    Joseph A. Capo, MD

    Medical Director
    Capo Nose and Sinus Center, Adjunct Assistant Professor, Department of Surgery at NYU Long Island School of Medicine
    Sea Cliff, NY, United States

  • Anthony G. Del Signore, MD

    Assistant Professor in the Department of Otolaryngology and Director of Rhinology and Endoscopic Skull Base Surgery
    Mount Sinai School of Medicine
    NYC, NY, United States

Disclosure(s):
Satish Govindaraj, MD: No relevant relationships to disclose.
Michael Setzen, MD: No relevant relationships to disclose.
Joseph A. Capo, MD: No relevant relationships to disclose.
Anthony G. Del Signore, MD: No relevant relationships to disclose.
PROGRAM DESCRIPTION: The field of rhinology has expanded to offer patients therapeutic interventions in the office setting. The treatment of rhinitis and sinusitis is an area of rapid growth with multiple treatment options and techniques. Treatment of rhinitis, nasal obstruction and balloon sinuplasty in the office setting has been well established. The expansion of this therapeutic offering to include sinus surgery is the natural evolution. As the outpatient office functions as an operating room quality control, case selection, staff training and office scheduling become critical aspects to deliver proper care in a safe manner. In addition, optimization of ergonomics is critical to ensure longevity of the office based surgeon. The goals of the presentation will be to deliver a practical description of techniques and case selection that will allow the attendee to return to their practices and offer their patients office based treatment for rhinitis and sinusitis. Case selection will demonstrate patients with anatomy that would more suited for the office setting. Organization of the office operating room including the proper training of staff, instrument set up, and cost containment will be discussed. Additional goals will focus on pain control and anesthesia protocols for local anesthesia and optimization of the patient experience in office procedures.

OUTCOME OBJECTIVE 1: Analyze cases with chronic rhinitis and sinusitis that are amenable and not amenable to office based sinus surgery. Participants will understand where office based rhinologic surgery would be an appropriate therapeutic option and how to perform the procedure safely.

OUTCOME OBJECTIVE 2: Understand the necessary equipment, instrumentation, local anesthetics, and office set up to perform safe and effective office based sinus surgery, Participants will be given tables and images of instrumentation and set up that will facilitate participants implementing what they will learn

OUTCOME OBJECTIVE 3: Understand the utilization of instrumentation and disposables that allow cost effective delivery of office sinus and rhinitis surgery. Participants will understand the appropriate selection of instrumentation and disposables to deliver a cost effective sinus surgery in an office setting.

BACKGROUND STATEMENT: With an increase in office based rhinologic procedures this panel will focus on a new but evolving field of office based surgical therapy beyond the balloon in the treatment of chronic rhinosinusitis. Proper case selection and knowledge of safe technique will be discussed in detail.

Learning Objectives:

  • Analyze cases with chronic rhinitis and sinusitis that are amenable and not amenable to office based sinus surgery. Participants will understand where office based rhinologic surgery would be an appropriate therapeutic option and how to perform the procedure safely.
  • Understand the necessary equipment, instrumentation, local anesthetics, and office set up to perform safe and effective office based sinus surgery, Participants will be given tables and images of instrumentation and set up that will facilitate participants implementing what they will learn
  • Understand the utilization of instrumentation and disposables that allow cost effective delivery of office sinus and rhinitis surgery. Participants will understand the appropriate selection of instrumentation and disposables to deliver a cost effective sinus surgery in an office setting.