Nerve Repair for the Comprehensive Otolaryngologist

PROGRAM DESCRIPTION: Nerve injuries of the head and neck can be functionally and socially debilitating for patients. We propose a panel to discuss the management of iatrogenic nerve injuries in the head and neck. The rate of iatrogenic facial paralysis has been reported to be between 11%-40%. The rate of iatrogenic trigeminal neuropathy is also reported to be up to 40%. The rate of iatrogenic recurrent laryngeal nerve paralysis is harder to estimate. We bring together a group of diverse panelists with expertise in facial reanimation, laryngeal reinnervation, and lingual nerve repair. We will discuss both transected and non-transected nerve injuries such as traction and thermal injury. There will be a focus on the use of new products, procedures, and patient outcomes.

OUTCOME OBJECTIVE 1: Participants will be able to:
• understand the basic pathophysiology of nerve injury and regeneration

OUTCOME OBJECTIVE 2: Participants will be able to:
• identify best practices and timing for nerve repair

OUTCOME OBJECTIVE 3: Participants will be able to:
• discuss future research directions in rehabilitating nerve injuries in the head and neck

BACKGROUND STATEMENT: There has been much progress in understanding and treating nerve injuries in the head and neck. We propose a panel to review and provide an update on recent advancements and how comprehensive otolaryngologists can educate, manage, and refer their patients.