Workshop on laryngeal reinnervation : 20 et 21 mars 2019 – Rouen (FRANCE)

Le Pr Jean-Paul Marie organise de nouveau cette année un cours sur la réinnervation laryngée, en complicité avec le Pr Aude Lagier, au sein du Medical Training Center (MTC) de Rouen.

Le programme préliminaire est le suivant :

 

Locations 

  • Auditorium, and dissection rooms: Medical Training Center (MTC), 20 rue Marie Curie, 76000 Rouen, France (Close to Faculty of Medicine and Charles Nicolle University Hospital)
  • Working dinner : “6ème sens” Restaurant, 2 rue Thomas Corneille, 76000 Rouen

 

Monday May 20th

 

8:00 - 8:15: Registation (MTC)

8:15 - 8:30: Introduction. Prof Alain Cribier, Prof Philippe Grise, Prof Laurent Yon, Mr Antoine Boudet, Prof Jean-Paul Marie

8:30 - 9 :00: Talks (Auditorium MTC)

  • Anatomy and physiology of the larynx, applied to laryngeal reinnervation (Prof. Aude Lagier, 15’)
  • Technique of the non selective unilateral reinnervation (ansa recurrent technique) (Kate Heathcote, 10’)
  • Case n°1 presentation (JPM 5’)

9:00 - 10:45: Surgery from the Operating Room (OR) : Unilateral non selective reinnervation (ansa recurrent technique)  Kate Heathcote and Nicolas Bon Mardion (OR), with interaction in MTC : JP Marie, Yakubu Karagama, Prof. Roger Crumley)

10:45 - 11:0 : café croissants

11:00 - 12:00: Talks (Auditorium MTC)

  • Roger Crumley : US experience with ansa recurrent technique (20’)
  • Rouen experience of the ansa-recurrent technique and indications (JP Marie 10’)
  • Ansa-recurrent: UK experience (K Heathcote, Y Karagama 10’)
  • Discussion (10’)
  • Laryngeal diplegia, etiology, evaluation and LEMG (JP Marie, 10’)
  • Case n°2 presentation (JPM 5’)

12:00-13:00: from the OR : Evaluation of diplegia with LEMG before laryngeal reinnervation (JP Marie, N Bon Mardion). Auditorium of the MTC : Kate Heathcote and Nicolas Bon Mardion.

13:00 - 14:00: Lunch and discussion (MTC)

14: 00 - 15:15: Talks (Auditorium MTC)

  • History and principle of Selective laryngeal reinnervation in bilateral vocal fold paralysis. Synkinesia (Prof Roger Crumley- JP Marie 20 min)
  • Anatomy of the hypoglossal branches (ansa and XII TH), Frederic Crampon 15’
  • Anatomy and physiology of the phrenic nerve (JP Marie, 15’)
  • Technique of Bilateral and selective laryngeal reinnervation (JP Marie 15’)
  • Neck dissection (JP Marie, 10’)

15:15 - 15:30: Groups formation and go to Dissection laboratories (in the MTC)

15:30 -  18:00: Hands on. Group 1 : Cervical anatomy, dissection (MTC). (Aude Lagier, Y Karagama, K Heathcote, F Crampon) ; Group 2: nerves sutures (JP Marie, N Bon Mardion, Mathieu Evrard, Yohan Poirot).

18:15 - 19:00: For all : Go back to Auditorium of MTC.  Synthesis, discussion and preparation for Friday surgery : Bilateral selective reinnervation

  • Nerve sutures (N Bon Mardion, 10’)
  • (Stem cells for axonal regeneration (N Bon Mardion, 10’))
  • Case n°3 presentation (JPM 5’)
  • Discussion

20:00 : Dinner: “6ème sens” Restaurant, 2 rue Thomas Corneille, 76000 Rouen (Downtown)

 

Tuesday May 21th

 8:00 - 10:30: Hands on. Group 2 : Cervical anatomy, dissection (Yakubu Karagama, F Crampon, K Heathcote, JPM) ; Group 1 : nerve sutures (JP Marie, M Evrard, Y Poirot)

10:30 - 13:00 : Auditorium of MTC : from the OR : Bilateral selective reinnervation.

Nerves identification. Intralaryngeal dissection (Nicolas Bon Mardion, Aude Lagier). Auditorium : Kate Heathcote, Yakubu Karagama.

(11:00 - 11:15 : cafe croissants) during the procedure.

11:15- 11:45: Patient presentation (unilateral and bilateral reinnervation results) (with Xion* assistance).

11:45- 12:00: Synkinesis (Prof Roger Crumley)

13:00 - 14:00: Lunch and discussion with surgeons in the OR (Kate Heathcote in MTC)

14:00 - 16:00: Auditorium of MTC : from the OR : Bilateral selective reinnervation.

Nerves sutures (Nicolas Bon Mardion, JP Marie). Auditorium MTC: Kate Heathcote, Aude Lagier, Y Karagama, R Crumley.

15:00 - 16:00: Anesthesiology for diplegia (Jean Selim, 15’)

16:00- 18:15: Talks

  • Location of the motor endplates inside the PCA (Aude Lagier, 10’)
  • Bilateral reinnervation, results and indications (JP Marie, 20’) +++
  • Discussions (30’)

18:15 - 18:30: Closing remarks

Workshop on laryngeal reinnervation : 20 et 21 mars 2019 – Rouen (FRANCE)

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