10th International Workshop on Unilateral and Bilateral Reinnervation
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10th International Workshop on Unilateral and Bilateral Laryngeal Reinnervation
Pr Jean-Paul MARIE
ENT specialist, phonosurgeon, Head and Neck surgeon
Rouen Normandy University, France.
Jean-Paul Marie, MD, PhD, is a Professor and Head of the Department of Otolaryngology, Head & Neck Surgery and Audiophonology at the University Hospital in Rouen, France.
He is Head of the Rouen Normandy University team UR 3830 GRHVN: Research Team on the Ventilatory and Neurology Handicap.
He works on laryngeal reinnervation, since more than 20 years. He has regularly presented his results at international conferences and workshops.
His main interest is in Phonosurgery, Neurolaryngology, but also interested in Otology and Skull base surgery, moreover : cranial nerves diseases, and reconstruction.
He is a member of the European Laryngological Society, EGFL, American Neurolaryngology Study Group. He is the past President of the French Society of Phoniatry and Laryngology.
Pr Aude LAGIER
ENT Surgeon, Anatomist
Liege University Hospital, Belgium
Aude Lagier has been working as an ENT-phoniatrician in the University Hospital of Marseille (France) and taught anatomy at the Faculty of Medicine (Aix-Marseille University, France) until 2016.
At the University Hospital of Liege (Belgium) since 2016, her clinical activity focuses on the medical and surgical management of voice and swallowing disorders, particularly in the field of laryngeal immobility surgical treatments.
She also continues to teach head and neck anatomy at the University of Liege. Her Ph.D. in sciences of language dealt with the laryngeal physiology and phonotrauma using ex vivo human larynges.
She continues her research on the functional anatomy of the larynx in close collaboration with the laboratories of an anatomy of the universities of Liege (Belgium) and Aix-Marseille (France), and with the “Speech and Language Lab” (UMR 7309, CNRS-Aix Marseille University).
Pr Kate Heathcote
ENT Surgeon, Consultant Laryngologist
Robert White Centre for Airway, Voice and Swallow, Poole General Hospital, UK
Having completed laryngology fellowships in Rouen and London, Kate established the Centre for Airway, Voice and Swallow in Poole.
The Centre offers advanced laryngology procedures to NHS patients and has attracted high level funding from the Robert White Legacy Fund enabling the service to develop further.
The Centre offers the full range of in–‐office laryngology procedures including vocal cord injections, and transnasal biopsy, balloon dilation and laser treatments.
Kate is a consultant ENT surgeon at Poole General Hospital specialising in Head and Neck and Laryngology. She is working with colleagues at the centre to develop more effective and efficient patient pathways for diagnosis, treatment and rehabilitation of NHS patients with airway, voice and swallow disorders
She undertook a fellowship in 2012 with Jean-Paul Marie in Rouen and then went on to a further Laryngology fellowship with John Rubin and Guri Sandhu at the Royal National Throat Nose and Ear Hospital.
She is collaborating with Martin Birchall and Jean-Paul Marie to introduce reinnervation techniques to the UK.
Pr Yakubu KARAGAMA
MBBS, DLO, MSc, FRSC (ORL-HN)
Voice Clinic Guy’s and St Thomas Hospital, London
He leads the multidisciplinary specialist voice clinic Guy’s and St Thomas Hospital, London. He is the founder and Course Director for London and Manchester Phonosurgery course. He is keen in voice research and has obtained an MSc in Advance Voice Research at the University of Newcastle-Upon-Tyne in 2005.
He has presented his research and won prizes at National and international conferences, including North of England Otolaryngological Society meeting, Royal Society of Medicine, British Association Conference of Otolaryngologist (BACO).
He has authored and co-authored over 27 publications. He is an Honorary Senior Lecturer at both University of Manchester and Edge Hill University.
He was the first the Secretary of the British Laryngological Association and an Honorary Fellow at the Royal Northern College of Music Manchester.
Target audience
- Audience limited to certified ENT specialists
Price
- 1500€ hands-on
- 900€ observational
Program
From 8.00 am. to 7.00 pm. (Paris – France)
Day 1
Monday October 21st
8:00am – 8:30am : Welcome and Registation (MTC)
8:30am – 8:45am Talks (Auditorium MTC) :
- Anatomy and physiology of the larynx, applied to laryngeal reinnervation (Prof. Aude Lagier, 15’)
8:45am – 8:55am Talks (Auditorium MTC) :
- Technique of the non selective unilateral reinnervation (ansa recurrent technique) (JP Marie or Kate Heathcote, 10’)
8:55am – 9:00am Talks (Auditorium MTC) :
- Case n°1 presentation (JP Marie 5’)
9:00am – 10:45am : Surgery from the Operating Room (OR) : Unilateral non selective reinnervation (ansa recurrent technique) Kate Heathcote and Aude Lagier (OR), with interaction from the auditorium : Yakubu Karagama, JP Marie
10:45am – 11:00am : Coffee break
11:00am – 11:10am Talks (Auditorium MTC)
- Results of the ansa-recurrent technique and indications (JPM 10’)
11:10am – 11:20pm Talks (Auditorium MTC)
- Discussion (live and visio conference) (10’)
11:20am – 11:30pm Talks (Auditorium MTC)
- Ansa-recurrent: UK experience (K Heathcote, Y Karagama 10’)
11:30am – 11:45pm Talks (Auditorium MTC)
- History and principe of Selective laryngeal reinnervation in bilateral vocal fold paralysis (JP Marie 15’)
11:45am – 11:55am Talks (Auditorium MTC)
- Laryngeal diplegia, etiology, evaluation and LEMG (JPM 10’)
11:55am – 12:00pm Talks (Auditorium MTC)
- Case n°2 presentation (JPM 5’)
12:00pm – 1:00pm : from the OR : Evaluation of diplegia with LEMG in case of laryngeal reinnervation (JPM & Jean Selim) with interaction from the auditorium : Kate Heathcote and Aude Lagier
1:00pm – 2:00pm : Lunch and discussions (MTC)
2:00pm – 2:15pm Talks (Auditorium MTC) :
- Anesthesiology for diplegia (Jean Selim – 15’)
2:15pm – 2:30pm Talks (Auditorium MTC) :
- Anatomy of the hypoglossal branches ansa and XII TH (Frederic Crampon 15’)
2:30pm – 2:45pm Talks (Auditorium MTC) :
- Anatomy and physiology of the phrenic nerve (JPM, 15’)
2:45pm – 3:00pm Talks (Auditorium MTC) :
- Technique of Bilateral and selective laryngeal reinnervation (JP Marie 15’)
3:00pm – 3:15pm Talks (Auditorium MTC) :
- Nerves sutures (JPM – 10’)
3:15pm – 3:30pm : Group determination and travel to Dissection Lab an Microsurgery-Lab in the MTC
3:30pm – 5:45pm hands on :
Group 1 : Cervical anatomy, dissection (Aude Lagier, K. Heathcote, Y. Karagama, F. Crampon, S. Deneuve)
Group 2 : nerves sutures (JP Marie, C. Maquet, P. Charnavel)
6:00pm – 6:05pm :
- Case n°3 presentation (JPM 5′)
6:00pm – 7:00pm :
- Synthesis, discussion
Day 2 :
Tuesday October 22nd
8:00am – 10:30am hands on :
Group 2 : Cervical anatomy, dissection (Yakubu Karagama, F Crampon, K Heathcote, JP Marie) Group 1 : nerve sutures (JP Marie, C Maquet, P. Charnavel)
10:30am – 1:00pm : Surgery from the OR : Bilateral selective reinnervation. Nerve identification. Intralaryngeal dissection (Kate Heathcote, Aude Lagier). Auditorium : Yakubu Karagama, JP Marie.
11:00am : Coffee break (during the procedure)
1:00pm – 2:00pm : Lunch and discussions (MTC)
2:00pm – 4:00pm : Surgery from the OR : Bilateral selective reinnervation. Nerves sutures (JP Marie). Auditorium MTC : Kate Heathcote, Aude Lagier, Y Karagama.
4:00pm – 4:10pm :
- Location of the motor endplates inside the PCA (Aude Lagier, 10’)
4:10pm – 4:30pm :
- Bilateral reinnervation, results and indications (JP Marie,20’)
4:30pm – 6:00pm :
- Discussions
6:00pm – 6:30pm : Closing remarks
