British Skull Base Society (BSBS) Programme

Thursday 5 July 2018, 10.00-11.00

Symposium: Surgical Neurotology

Chair: Mr Peter Monksfield, Consultant Otolaryngologist, University Hospitals, Birmingham, UK

Speakers:

Superior semicircular canal dehisence – the definitive guide
Mr Sebastian Thomas

Cholesteatoma beyond the middle ear
Professor Shakeel Saeed, Professor of Otology/Neuro-otology University College London, Ear Institute, Consultant ENT and Skullbase Surgeon, Royal National Throat, Nose and Ear Hospital, and National Hospital for Neurology and Neurosurgery, London, UK

FC37.1 Comparison of quality of life in patients with vestibular schwannoma treated with observation, radiotherapy or microsurgery
Jessica Ball, Department of ENT, Taunton and Somerset NHS Foundation Trust, Taunton, UK

FC37.2 Six-canal vestibular function with video Head Impulse Testing (vHIT) after chemical ablation of the labyrinth with gentamicin
Hiteshkumar Tailor, NHS Greater Glasgow and Clyde, Glasgow, UK

How to manage CSF and brain in the middle ear
Miss Nazia Munir, Consultant ENT Surgeon with special interest in Otology, Neurotology and Skull Base Surgery, Aintree University Hospital, Liverpool, UK

Role of surgery in the management of vestibular disease
Mr Simon Freeman, Consultant Otolaryngologist and Skull Base Surgeon, Salford Royal and Manchester University NHS Foundation Trusts

Discussion
Professor Manohar Bance, Professor of Otology and Skull Base Surgery at the University of Cambridge


Thursday 5 July 2018, 14.15-15.15

Symposium: Approaches to the Anterior Skull Base

Just when you thought that further innovation in endoscopic skull base surgery was impossible, we present a 60-minute session exploring developments in anterior skull base surgery.  The new frontiers of transorbital and transpterygoid approaches will be explored and, in addition, we will have a debate on the role of the ENT vs the neurosurgeon in the team – are four hands always better than two?

Key learning points:

  • Appreciate how transorbital approaches provide a new corridor to the skull base – risks and rewards.
  • Understand indications for an endoscopic transpterygoid approach and overcoming the barriers to disease resection.
  • Awareness of the advantages of joint working with neurosurgical team, the barriers to teamwork and when it is needed.

Chair: Mr Raj Bhalla, Rhinologist and Endoscopic Skull Base Surgeon, Central Manchester NHS Foundation Trust; Clinical Director, Manchester Surgical Skills and Simulation Centre, University of Manchester, UK

Speakers:

Transorbital approaches to the SB
Professor Paolo BattagliaAssistant Professor, Dept. of Otorhinolaryngology, University of Insubria, Ospedale di Circolo e Fondazione Macchi, Varese, Italy

Transpterygoid approaches to the SB
Mr Shahz Ahmed, Consultant Rhinologist and Skull Base Surgeon, University Hospitals Birmingham, UK

FC57.1 Clinical and mutation profiling of olfactory neuroblastoma, establishment of novel olfactory neuroblastoma cell line models and results from drug screening
Matt Lechner, UCL Cancer Institute, University College London, London, United Kingdom; Royal National Throat, Nose and Ear Hospital and Head and Neck Centre, University College London Hospitals NHS Trust, London, United Kingdom

Extended ASB – do you really need an ENT Surgeon?
Mr Sean Carrie, Consultant Ear Nose and Throat Surgeon, Newcastle upon Tyne Hospitals NHS Foundation Trust; President, European Rhinological Society; Past President, British Rhinological Society

Extended ASB – do you really need a neurosurgeon?
Mr Alex Paluzzi

Challenging cases
Mr Peter Andrews, Consultant Rhinologist, Facial Plastic Reconstructive and Anterior Skull Base Surgeon at the Royal National Throat Nose and Ear Hospital and the National Hospital for Neurology and Neurosurgery, UK


Thursday 5 July 2018, 15.15-16.15

Update: Skull Base Update – The Full 360 Degrees

Chair:  Professor Shakeel Saeed, Professor of Otology/Neuro-otology University College London, Ear Institute, Consultant ENT and Skullbase Surgeon, Royal National Throat, Nose and Ear Hospital, and National Hospital for Neurology and Neurosurgery, London

Speakers:

Managing major bleeding
Mr Showkat Mirza, Consultant Otolaryngologist-Head & Neck Surgeon, Royal Hallamshire Hospital, Sheffield Teaching Hospital NHS Trust and Sheffield Children’s Hospital NHS Trust, UK

Endonasal CSF leak repair – ‘minor to massive’
Mr Raj Bhalla, Rhinologist and Endoscopic Skull Base Surgeon, Central Manchester NHS Foundation Trust; Clinical Director, Manchester Surgical Skills and Simulation Centre, University of Manchester, UK

Current management of SCC of the temporal bone
Mr Peter Monksfield, Consultant Otolaryngologist, University Hospitals, Birmingham, UK

Why is skull base osteomyelitis on the increase and how should we manage it?
Mr Neil Donnelly, Consultant Otoneurological and Skull Base Surgeon, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK

Definitive guide to pulsatile tinnitus
Mr Patrick Axon

Questions
Mr Rupert Obholzer


Friday 6 July 2018, 10.00-11.00

Symposium: Managing Complex Skull Base Cases

Chair: Mr Neil Donnelly, Consultant Otoneurological and Skull Base Surgeon, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK

Speakers:

Proton beam therapy in the UK – what will it treat and what is required of the ENT surgeons?
Mr Neil Burnett

PET-MRI fusion for managing complex residual pituitary disease
Olympia Koulouri

FC75.1 Reconstruction of the ventral skull base: the Manchester approach after extended endoscopic skull base surgery
Rebecca Dawson, Manchester Royal Infirmary, Manchester, UK

The challenges in a paediatric anterior skull base practice
Ms Ann-Louise McDermott, Consultant Paediatric Otolaryngologist, Birmingham Children’s Hospital, UK

Latest medical therapies for severe phenotype NF2 – is Bevacizumab the answer?
Mr Patrick Axon

Discussion


Friday 6 July 2018, 11.45-13.15

Specialty Keynote: The future of skull base surgery

This 90 minutes session will review the latest evidence and techniques for managing skull base pathology.  We have the President of EANO describing innovative techniques for hearing preservation during osseous labyrinthectomy. Experts will debate the latest evidence for managing traumatic facial palsy and a “hot off the press” review of the multi-speciality consensus for managing head and neck paraganglionoma.  Lastly, young surgeons will be given key advice on a future in skull base from a surgeon whose training has taken him around the World in search of developing his full 360-degree skull base practice.

Key learning points

  • Understand innovative hearing preservation techniques during surgical excision of temporal bone pathology.
  • Join the debate on the multi-speciality consensus document for managing H&N paraganglionoma.
  • Awareness of the indications for intervention following traumatic facial palsy.
  • Define what it takes to become the next 360-degree skull base surgeon.

Chair: Mr Patrick Axon

Speakers: 

Hearing preservation techniques in vestibular schwannoma surgery
Professor Per Caye-ThomasenOtologist, Neuro-otologist and Senior Skull Base Surgeon, ORL-HNS University Clinic in Copenhagen, Denmark

The essential requirements for new skull base surgeons and their units?
Mr James Tysome, Skull base surgery, otology and hearing implantation, Cambridge University Hospitals

When and how should we manage traumatic facial palsy
Mr Richard Irving, Consultant ENT Surgeon, Queen Elizabeth Hospital, Birmingham, UK

Managing head and neck paraganglionoma – a National consensus
Professor Simon Lloyd, Consultant neuro-otologist, Manchester; Professor of ENT Surgery at the University of Manchester

Panel discussion
Mr Mike Wareing, Consultant ENT Surgeon, The Royal London Hospital & The London Clinic, London, UK


Friday 6 July 2018, 14.15-15.15

Cadaver Dissection: Approaches to the petrous apex and central skull base

Chair:
Mr Raj Bhalla, Rhinologist and Endoscopic Skull Base Surgeon, Central Manchester NHS Foundation Trust; Clinical Director, Manchester Surgical Skills and Simulation Centre, University of Manchester
Mr Richard Irving, Consultant ENT Surgeon, Queen Elizabeth Hospital, Birmingham, UK

Dissections:

Lateral Approaches to the central skull base
Professor Per Caye-Thomasen, Otologist, Neuro-otologist and Senior Skull Base Surgeon, ORL-HNS University Clinic in Copenhagen, Denmark

Endoscopic trans-nasal approaches to the petrous apex
Mr Omar Pathmanaban, Consultant Neurosurgeon, Manchester Centre for Clinical Neurosciences, Salford Royal Hospital, UK

Mr Raj Bhalla, Rhinologist and Endoscopic Skull Base Surgeon, Central Manchester NHS Foundation Trust; Clinical Director, Manchester Surgical Skills and Simulation Centre, University of Manchester, UK