Upcoming Training Courses

ENDOSCOPIC CAVERNOUS SINUS SURGERY

3D Anatomy, Hands-On, and Live Surgery Course

AUGUST 8-9, 2024

Course Director

Juan Carlos Fernandez-Miranda
Professor of Neurosurgery and, by courtesy, of Otolaryngology — Head & Neck Surgery

Registration Inquiries

Course Manager: Jennie Visitacion

Course Director: Juan Fernandez-Miranda

Overview and Objectives

Recent innovations in surgical anatomy and technique have allowed for improved surgical outcomes and opened new indications for tumors invading the cavernous sinus. This monographic hands-on course will thoroughly review innovative anatomical and technical concepts using 3D theater projection system, high-definition surgical videos, injected and lightly-embalmed head specimens with state-of-the-art surgical equipment, ICA injury simulation model, and live surgery demonstration.

Following completion of this course, participants should be able to:

  • Describe the surgical anatomy of the medial wall of cavernous sinus, parasellar ligaments, cavernous sinus compartments, pituitary transposition techniques, and transcavernous corridors.
  • Perform a transpterygoid approach, parasellar exposure, stepwise selective resection of the medial wall of cavernous sinus, compartment exploration, and transcavernous approach to interpeduncular cistern in anatomical specimens.
  • Identify the different patterns of cavernous sinus invasion by pituitary adenomas and the appropriate technique for each case.
  • Understand the indications, outcomes, limitations and potential complications of transcavernous endoscopic surgery.

 

Target Audience

This course is intended for experienced pituitary and skull base surgeons who wish to refine the technical nuances of endoscopic endonasal cavernous sinus surgery and apply new anatomical and technical developments to complex pathologies. Attendance with your surgical team (ENT surgeon or neurosurgeon partner) is encouraged but individual participation is also welcome.

 

Course Registration Fees

  • Team – $5,000 (1 specimen, 2 participants)
  • Single - $3,000 (1 specimen, 1 participant)
  • Resident/Fellow (letter from program director required): $2,000

    Registration includes the course program booklet, access to our surgical video-library and didactic material (www.skullbaseatlas.com), +10 hours of hands-on dissection on injected specimens, ICA injury simulation exercise, live surgery demonstration, and course-related meals/social events.

DAY 1: INVASIVE PITUITARY ADENOMAS

8:00am: Welcome and Introduction

8:05am-8:45am: 3D Surgical Anatomy of the Parasellar region and Cavernous Sinus (CS): walls, ligaments and compartments

8:45am-9:15am: Endonasal transpterygoid-transsphenoidal approach to the CS

9:15am-9:45am: Surgical Technique: Selective resection of the medial wall of the CS and exploration of CS compartments

9:45am-10:15am: Break and Exhibit

10:15am-1:00pm: Hands-On Session: Endonasal Transpterygoid-Transsphenoidal Approach to CS

1:00pm – 1:30pm: Lunch Lecture: Patterns of CS Invasion by Pituitary Adenomas: Wall and Compartments

1:30pm- 2:00pm: Outcomes of Endoscopic Transcavernous approach for pituitary adenomas- The Stanford Experience

2:00pm-5:30pm: Hands-On Session: Selective resection of the medial wall of the CS and exploration of CS compartments

6:00pm-8:00 PM: Dinner and Invited Lecture (Sheraton Palo Alto Hotel)

DAY 2: LIVE SURGERY AND TRANSCAVERNOUS CORRIDORS

8:00am-8:30am: OR Setup, Equipment and Instrumentation for Endoscopic CS Surgery 8:30-12:30 Live Surgery – Endoscopic CS Surgery

1:00pm-1:30pm: Lunch Lecture: Pituitary Transposition Techniques and transcavernous approach for craniopharyngiomas, chondroid tumors and meningiomas

1:30pm-2:00pm: Transcranial and transorbital approaches to CS: Selection and combination of surgical corridors

2:00pm-2:30pm: Carotid Artery Injury: A Worldwide Experience

2:30pm-5:30pm: Hands-on Session – Interdural pituitary transposition and transcavernous approach to the posterior clinoids, retrosellar region and interpeduncular cistern Plus ICA injury simulation exercise

5:30pm: Course adjourn