|
Professor Kerry D Olsen
Head & Neck Surgeon, Mayo Clinic, Rochester, Minnesota, USA
|
Kerry D. Olsen, M.D., Joseph I and Barbara Ashkins Professorship in Surgery, is chair of the Division of Head and Neck Surgery in the Department of Otolaryngology and medical director of the Dan Abraham Healthy Living Center at Mayo Clinic. He is an emeritus member of Mayo Clinic Board of Governors and Board of Trustees.
Dr. Olsen received a B.A. degree in economics from Northwestern University and his M.D. from the first graduating class of Mayo Medical School. His internship in general surgery and residency in otolaryngology were completed at Mayo Graduate School of Medicine, and facial plastic surgery training in Boston. He has over 200 publications, has championed surgical approaches for the removal of head and neck tumors that are commonly used today, and has one of the largest head and neck surgical practices in the country.
Avoiding Management Errors in Suspected Head and Neck Tumour Patients
This didactic session will present illustrative case reports to reinforce key messages to reduce the risk of a poor outcome in head and neck oncology. Learning objectives include: When is my negative biopsy dependable? How can I distinguish anatomic variants that mimic pathologic masses? A parotid area mass? Why don't I biopsy it? The cystic neck mass? What should be done next? What work-up is helpful before referral? I removed a mass/lump/polyp and it is cancer? What do I do now? My patient will best benefit by a referral to whom?
Oropharyngeal Cancer – Myths, Viruses & Robots
Oropharyngeal cancer is one of the fastest growing cancers in the world. The etiologic factors include tobacco and alcohol and the emerging role of human papillomavirus (HPV). HPV presence now is found in the majority of tumors, but the detection of HPV activity may have a greater mechanistic role in true causation.
Many centers are now treating all oropharyngeal cancers with a combination of chemotherapy and radiation. This is an attempt at organ preservation but often one is losing sight of the functional value of saving a portion of the tongue base or tonsils. The short and long term sequelae of C/RT are even more concerning. Therefore, at our institution, for most early and selected advanced oropharyngeal cancer, we are utilizing a transoral or transhyoid resection with excellent oncologic head and neck outcomes. Local recurrence is less than 5% and 5-year determinate survival rate is 90%. Most important, a surgical treatment modality is the most cost effective with excellent functional outcome. Adjuvant therapy can be tailored to the pathology findings of the primary and neck, and in the future correlated with HPV activity. The introduction of robotic surgery has led to a renewed interest in the transoral approach as this tool now allows effective treatment of most oropharyngeal cancers. Our oncologic, functional, and feasibility results with robotic surgery for oropharyngeal cancer will be presented.
Advanced Laryngeal Cancer
This course will present the audience with a unique and critical examination of modern management of laryngeal cancer with a historical perspective, thorough review of the literature, the pitfalls and authors' experience of treating this disease over 30 years at major institutions. Laryngeal cancer is the only head and neck cancer that has a decrease in survival. In addition, surgical techniques both modern and traditional will be described including partial laryngectomies which should have a role today for radiation failures mainly, and robotic as well as endoscopic laser partial laryngectomies and their impact on voice and swallowing.
Variations in Parotidectomy
This talk will review the indications and surgical techniques for a partial parotidectomy, a superficial parotidectomy, a deep lobe parotidectomy, a total parotidectomy, and an extended parotidectomy. Oncologic principles will be reviewed pertinent to the management of intraparotid and regional lymphatic disease. The goal of complete removal with minimal capsular dissection and facial nerve preservation will be emphasized. Individualization of technique will allow for a safe and complete removal that minimizes risks and optimizes function, oncologic results, and cosmesis.
Tumours and Surgery of the Parapharyngeal Space
The parapharyngeal space provides a treatment challenge due to the varied tumor extent and pathology encountered in this region. This presentation will review the pertinent anatomy of the parapharyngeal space and the clinical characteristics of its neoplasms. Special emphasis will be given to developing a rational clinical and radiographic evaluation of lesions in this area. This information will determine the appropriate surgical treatment: either a parotid-cervical approach or the parotid-cervical approach with a parasymphyseal mandibulotomy. These two surgical procedures will be described in detail. Numerous illustrative case studies will also be presented.
|