Target Audience

This course is designed for practicing otorhinolaryngologists and otorhinolaryngology residency program trainees as well as other health care professionals with interests in diseases of the nose and paranasal sinuses.

Course Overview

The Lone Star Rhinology continuing medical education course focuses on the comprehensive medical and surgical management of diseases of the nose and paranasal sinuses. Specific topics include the diagnosis, pathophysiology and medical treatment of chronic rhinosinusitis, sinonasal polyposis and allergic rhinitis. The course will feature sessions on contemporary frontal sinus surgical techniques and the latest advances in fungal rhinosinusitis. The course will also focus on other important rhinologic issues, including postoperative care and management strategies for the general otolaryngologist. Advanced technology, including image-guided surgery and innovative techniques in management of sinonasal neoplasia, will also be featured. Difficult-to-treat rhinosinusitis will be discussed in detail through both formal didactic lectures and interactive panels. Controversies will be explored through the viewpoints of a diverse faculty of practicing rhinologists.

A hands-on laboratory session, featuring endoscopic surgical and video equipment, surgical navigation, balloon technology, powered instrumentation and cadaveric specimens, will be available.

Lecture Objectives

Upon completion of the formal didactic sessions of the course, participants should be to:

  • Identify endoscopic anatomical landmarks and abnormal pathology
  • Recognize diseased sinuses and anatomical variants on imaging studies
  • Describe management of sinonasal headache
  • Implement a comprehensive strategy for the diagnosis, evaluation and management of inflammatory and neoplastic conditions involving the paranasal sinuses
  • Discuss the differential diagnosis of inflammatory conditions of the paranasal sinuses
  • Determine medical and surgical management for primary chronic rhinosinusitis
  • Identify surgical landmarks to assist surgical dissection of paranasal sinuses
  • Compare techniques to perform septoplasty and turbinate surgery
  • Manage surgical complications encountered during endoscopic sinus surgery
  • Identifying patients with rhinitis and summarizing treatment options
  • Organize a method to determine anaphylaxis and treatment
  • Identify patients with Eustachian tube dysfunction and select the appropriate treatment options
  • Understand surgical navigation technology, including its basic principles, clinical applications and problem-solving
  • Discuss an integrated postoperative management in patients undergoing sinus surgery
  • Describe the role of corticosteroids in managing chronic rhinosinusitis
  • Determine methods to identify microbiome data and assemble topical therapy based on culture data
  • Discuss the role of biologics in chronic rhinosinusitis management
  • Select patients requiring frontal sinus surgery and list the possible approaches in opening the frontal sinus
  • Identify various frontal sinus revision techniques including selection of the patients
  • Compare various approaches in managing frontal sinus disease
  • Determine patients with fungal rhinosinusitis
  • List various methods to diagnose allergic fungal rhinosinusitis in addition to organizing a treatment paradigm for patients
  • Compare various approaches for medical and surgical management of fungal rhinosinusitis through various case presentations
  • Describe techniques in treatment and monitoring of inverting papilloma
  • Identify techniques to manage patients with epistaxis.
  • Discuss concepts for endoscopic management of the orbit
  • List the various methods for endoscopic repair of cerebrospinal fluid leaks.
  • Gain an understanding of endoscopic techniques for sinus surgery with an emphasis upon new instrumentation and innovations
  • Explain controversies in identifying patients requiring endoscopic sinus surgery.
  • Summarize the controversies that were encountered through the development of the field of rhinology
  • Explain the various methods to surgically addressing pathologies in the anterior and middle cranial skull base

Lab Objectives

Upon completion of the laboratory session of the course, participants should be to:

  • Utilize basic principles of endoscopic sinus surgery
  • Understand advanced applications for surgical nasal endoscopy, including CSF leak repair
  • Understand the rationale and technique for endoscopic frontal sinusotomy
  • Integrate powered instrumentation and various angled instruments into endoscopic sinus surgery
  • Assess the impact of surgical navigation on the endoscopic sinus surgery
  • Relate preoperative CT imaging to anatomy visualized during dissection.