Neurosurgery (Skull Base Approaches)

Dates- 20^th -21^st April 2019

Course Objectives

The objective of this surgical course is to improve patient care. Upon completion of this course, participants will be able to:

• Identify principles of various skin flaps and craniotomies
• Describe cavernous sinus anatomy and surgical exposure
• Describe and better understand various commonly used anterior, middle and posterior cranial fossa skull base approaches
• Review Lateral skull base anatomy and surgical exposures
• Identify temporal bone anatomy and specify transpetrosal surgical approaches

Target Audience

Practicing neurosurgeons, otolaryngologists, fellows, and residents in training.

Course director: Dr. Shashank S Kale

Course Coordinator: Dr. Deepak Agrawal / Dr. Dattaraj Sawarkar

Course Faculty:

National:

Dr. BS Sharma

Dr. Sanjay Behari

AIIMS:

Dr. Ashish Suri

Dr. Manmohan Singh

Dr. Rajinder Kumar

Dr. Deepak Agrawal 

Course Schedule- Level I

9.00 – 9.15 AM            Course introduction- Faculty and participant introduction

                              Dr. Deepak Agrawal / Dr. Dattaraj Sawarkar

9.15-9.30 AM              Pre test

9.30 – 10. 30 AM        Lectures (15 minutes each)

1. Positioning Craniotomy & flaps in neurosurgery procedures
2. Principles, Indications and Surgical anatomy of Pterional, SOKHA & FTOZ craniotomy
3. Surgical anatomy and Microsurgical approach to the cavernous sinus
4. Anterior Clinoidectomy- Technical note

10. 30 – 10.50 AM Video Session– Short 5-minute videos each-

1. Pterional Craniotomy
2. FTOZ Craniotomy
3. Anterior Clinoidectomy
4. Dolenc’s Approach

10.50-11.00 AM- TEA BREAK

10.45 – 12.45 PM       Demonstration of exercise (30 min each)-

1. Pterional craniotomy

2. Frontotemporal Orbito Zygomatic approach
3. Anterior Clinoidectomy
4. Dolenc Approach

1.00-2.00 PM  LUNCH

2.00- 5.00 PM             Hands on Dissection on all Exercises (45 min/ Exercise)

Course Schedule- Level II

9.00- 10.15 AM- Lectures (15 mints each)-

1. Extended middle fossa approach and anterior petrosectomy- indications and Surgical anatomy
2. Indications and surgical anatomy of combined petrosal approach
3. Facial Nerve Mobilization
4. Indications and surgical anatomy of Far Lateral/ extreme / lateral trans condylar approach to Jugular foramen and lateral high cervical region
5. Complication avoidance in skull base surgery

10.15- 11.00 AM        Video Session– Short (6+1) minute videos each-

1. Kawase’s Approach
2. Combined petrosal approach
3. Facial Nerve Mobilization
4. Far lateral approach
5. Extreme far lateral/ lateral transcondylar approach

11.00 AM – 1 PM       Demonstration (40 minutes each)

1. Kawase’s Approach
2. Total Petrosectomy / Facial Nerve Mobilization
3. Far lateral/ Extreme Far Lateral Approach

1 – 2 PM                      Lunch

2 – 5 PM                      Hands on Dissection on all Exercises

5 -5.15 PM- Post-test and Valedictory