2026 Program

The International Consortium on Meningiomas (ICOM) is hosting a joint NASBS/ICOM scientific day on Thursday, March 5th. Led by Dr. Gelareh Zadeh. This consortium was formed to increase awareness for this understudied disease and conduct world-class research through international and multidisciplinary collaboration. This meeting’s program will focus on cutting-edge topics including augmented reality for complex surgical planning, intraoperative molecular diagnosis, artificial intelligence for surgical safety and outcome prediction, modern surgical approaches, novel molecular biomarkers, and many others. The sessions will be highly relevant to anyone involved in meningioma or artificial intelligence research and/or anyone who takes care of patients with brain tumors. Please note, this day is a non-CME educational program.

Learn more about ICOM Education Day here

7:30 AM – 8:30 AM | The Legacy of Vinko Dolenc

Overview: This session will discuss the impact of Vinko Dolenc and his approach on neurosurgery. Those interested in the cavernous sinus as a surgical approach to both tumor and vascular pathology should attend.

At the conclusion of this session, attendees will be able to:
– Describe the Dolenc approach.
– Discuss modern approaches to the cavernous sinuses and the pros and cons of each approach.
– Identify pathology in the cavernous sinus using modern diagnostic algorithms.

Schedule:
7:30 AM The Legacy of Vinko Dolenc
7:40 AM Reminiscences of a Friend
7:45 AM Surgical Anatomy of the Cavernous Sinus and Orbit
8:00 AM MRI Imaging of Cavernous Sinus/Orbital Lesions: A Diagnostic Primer 
8:15 AM Transcranial Dolenc Approach: Step by Step
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8:35 AM – 9:35 AM | Cavernous Sinus Meningiomas and Surgical Approaches

Overview: This session will discuss modern approaches to the cavernous sinus meningiomas and transcranial, trans-orbital and endonasal approaches. Those interested in seeing debates and discussion centered around this anatomical area should attend.

At the conclusion of this session, attendees will be able to:
– Describe the transorbital approach to the cavernous sinus
– Describe the transcranial approach to the cavernous sinus.
– Describe endonasal approaches to the cavernous sinus.

Schedule:
Cavernous Sinus Meningiomas: Radiosurgery vs Microsurgery
8:35 AM Microsurgery is Better for Cavernous Sinus Meningiomas
8:43 AM Radiosurgery is Better for Cavernous Sinus Meningiomas   
8:51 AM Panel Discussion
8:55 AM Transition to next panel

Surgical Approaches: Transcranial vs Transorbital vs Endonasal
8:57 AM When is a Transcranial Approach Superior?          
9:05 AM When is a Transorbital Approach Superior?            
9:13 AM When is an Endonasal Endoscopic Approach Superior?
9:21 AM Panel Discussion
9:25 AM Using the Cavernous Sinus as a Surgical Access Route 
9:30 AM  Using the Cavernous Sinus as a Surgical Target    
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1:20 PM – 2:20 PM | Meningiomas, Tumors and Vascular Lesions of the Cavernous

Overview: This session will discuss among expert panels the management of meningiomas, tumors and vascular lesions of the cavernous sinus.

At the conclusion of this session, attendees will be able to:
– Describe the modern management of meningiomas of the cavernous sinus.
– Describe the modern management of non-meningioma tumors of the cavernous sinus
– Describe the modern management of vascular lesions of the cavernous sinus.

Schedule:
Meningiomas Involving the Cavernous Sinus
1:20 PM Case Presentation & Discussion
1:33 PM Case Presentation & Discussion   
1:46 PM Q&A
1:49 PM Transition to next panel

Meningiomas Involving the Cavernous Sinus
1:51 PM Case Presentation & Discussion
2:04 PM Case Presentation & Discussion   
2:17 PM Q&A

4:00 PM – 5:00 PM | Controversies in Skull Base Reconstruction

Overview: This session will provide an update on controversial scenarios in skull base reconstruction. The speakers will each cover controversial skull base reconstruction scenarios and cases, commenting on points of consideration, reconstructive strategies, and perioperative/postoperative management. The session is suited for otolaryngologists, neurosurgeons, and ophthalmologists.

At the conclusion of this session, attendees will be able to:
– Understand nuances and challenges in specific skull base reconstruction cases.
– Compare different techniques for management of controversial scenarios in skull base reconstruction
– Develop a framework for managing complex skull base reconstruction.

Schedule:
4:00 PM Intro: Examples of Controversies
4:06 PM Radiation Necrosis of the Skull Base
4:16 PM The Role of Autologous Tissues
4:26 PM When No Intranasal Options Exist
4:36 PM The Multiply Recurrent Leak
4:46 PM Adjunctive Materials: Drains, Glues, Packing
4:56 PM Q&A

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5:05 PM – 6:05 PM | Bleeds, CSF Leaks, and Hard Lessons: Proven Strategies for Managing Skull Base Reconstruction Failures

Overview: Even the most meticulous skull base repair can fail—then what? This expert-led panel dives into real-world complications of anterior skull base and orbital reconstruction, including CSF leaks and intracranial hemorrhage. Using a case-based format, experienced skull base surgeons will walk through high-stakes scenarios, dissecting failure points and sharing practical strategies for salvage and prevention. Whether you`re managing your first leak or facing a complex reoperation, this session will equip you with actionable insights grounded in evidence and expert judgment

At the conclusion of this session, attendees will be able to:
– Identify key risk factors and intraoperative decisions that contribute to CSF leak and intracranial bleeding following anterior skull base and orbital reconstruction
– Analyze complex case scenarios of reconstruction failure to determine evidence-based salvage and revision strategies.
– Apply practical, expert-endorsed techniques to prevent and manage common complications in endoscopic and open skull base repairs.

Schedule:
5:05 PM Introduction
5:08 PM Case #1 Presentation & Discussion       
5:26 PM Case #2 Presentation & Discussion       
5:44 PM Case #3 Presentation & Discussion       
6:03 PM Conclusion

7:30 AM – 8:30 AM | Complex DAVFs Unraveled

Overview: This expert panel session will engage in case-based discussions highlighting complex anatomy, treatment controversies, and multidisciplinary management of dural arteriovenous fistulas.

At the conclusion of this session, attendees will be able to:
– Identify complex abnormal anatomy associated with DAVF.
– Compare surgical and endovascular approaches and recognize technical nuances in treating DAVF.
– Formulate multi-disciplinary and staged treatment strategies for complex DAVF

Schedule:
7:30 AM Introduction
7:31 AM Anatomy of the Fistula
7:41 AM Skull Base Approaches for the Complex DAVF
7:51 AM Endovascular Approaches for the `Surgical` DAVF
8:01 AM My Most Challenging DAVF & Discussion
8:25 AM Q&A
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8:35 AM – 9:35 AM | Innovations in Idiopathic Intracranial Hypertension and Carotid Stenosis

Overview: This session will highlight the multidisciplinary innovations in treatment of idiopathic intracranial hypertension including imaging, medical therapy, and endovascular solutions. This session will also highlight the emerging data in carotid stenosis and provide technical tools for managing the most challenging cases.

At the conclusion of this session, attendees will be able to:
– Identify the diagnostic criteria and imaging findings associated with IIH.
– Evaluate medical and surgical treatment options for IIH.
– Prepare for the technical nuances and perioperative considerations of surgical and endovascular carotid interventions.

Schedule:
8:35 AM Radiological Diagnosis of IIH
8:43 AM Ophthalmological Approach to IIH          
8:51 AM Role of Venous Stenting in IIH                 
8:59 AM E-Shunt for IIH
9:07 AM Bypass for Carotid Occlusion    
9:15 AM   Neck Approaches for Challenging Carotid Endarterectomies 
9:23 AM  Q&A     

2:25 PM – 3:25 PM | Skull Base and CV Inseparable Twins: On the Shoulders of Giants

Overview: This session is composed of world experts in open cerebrovascular and skull base surgery. Those interested in skull base and open vascular should attend.

At the conclusion of this session, attendees will be able to:
– Explain indications for using skull base in vascular surgery.
– Explain indications for cerebral bypass surgery.
-Understand training models for skull base and cerebrovascular.

Schedule:
2:25 PM How has Skull Base Been at the Service of Cerebrovascular?                              
2:35 PM How has Cerebrovascular Been at the Service of Skull Base?                           
2:45 PM Challenging Cerebrovascular and Skull Base Cases
2:55 PM Cerebral Bypass, Arterial Sacrifice, Balloon Test Occlusion: What is the Current Role of Bypass Surgery?
3:05 PM Management of Vascular Problems: From Simple to the Most Complex 
3:15 PM Q&A
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4:00 PM – 5:00 PM | Skull Base and CV Inseparable Twins: The Modern Era

Overview: This session is composed of world experts in open cerebrovascular and skull base surgery. Those interested in skull base and open vascular should attend.

At the conclusion of this session, attendees will be able to:
-Explain indications for using skull base in vascular surgery.
– Explain indications for cerebral bypass surgery.
– Understand training models for skull base and cerebrovascular..

Schedule:
4:00 PM Skull Base Techniques for Vascular Pathologies: What Do We Need to Know in 2025    
4:10 PM How Does Cerebrovascular Help My Skull Base Practice?                           
4:20 PM Is Skull Base Training for a Dually Trained Cerebrovascular Neurosurgeon? How Does Skull Base Help My Cerebrovascular Practice?    
4:30 PM How to Create a Skull Base and Cerebrovascular Laboratory               
4:40 PM The Whole is More than the Sum of Its Parts: An Endovascular Neurosurgeon`s Perspective on Teamwork with Open Cerebrovascular Surgeons
4:50 PM   Q&A
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5:05 PM – 6:05 PM | Skull Base and CV Inseparable Twins: The Future

Overview: This session is composed of world experts in open cerebrovascular and skull base surgery. Those interested in skull base and open vascular should attend.

At the conclusion of this session, attendees will be able to:
– Explain indications for using skull base in vascular surgery.
– Explain indications for cerebral bypass surgery.
– Understand training models for skull base and cerebrovascular..

Schedule:
5:05 PM New Innovation in Microsurgery: The Perforator Bypass 
5:10 PM Educational Models and Fellowship Pathways for Skull Base and Cerebrovascular                         
5:20 PM Should Open Cerebrovascular Be Part of Skull Base Fellowship Training? The NASBS Match and More  
5:30 PM Modern Training in Open CV Open Table Discussion

10:05 AM | Presidential Welcome: L. Madison Michael II, MD, FAANS
10:15 AM | Honored Guest Speaker: Jon Robertson, MD, FAANS
10:41 AM | Curtin Call Radiology Lecturer: Skull Base Imaging Conundrums and How to Think Through Them Amy Juliano, MD
11:07 AM | Honored Guest Speaker: Frederick G. Barker II, MD
11:50 AM | Who Wants to be a Millionaire!
12:20 PM | Lunch: Members only lunch to be available in front of the General Session Ballroom.
Additional lunch is provided in the exhibit hall for non-members and those not attending the Members Business Meeting.
12:20 PM | NASBS Business Meeting & Lunch

2:25 PM – 3:25 PM | Video Session: Zeiss (non-CME)

1:20 PM – 2:20 PM | Sinonasal Cancers – Innovations in Multidisciplinary Management and Research

Overview: This session will provide a review of recent advances in research that has direct implications in the Multidisciplinary Management of sinonasal cancers. It will be of interest to all involved in the interdisciplinary treatment of sinonasal cancers.

At the conclusion of this session, attendees will be able to:
– Recognize the role of HPV in sinonasal tumors.
– Describe recent advances in sinonasal cancer research.
– Identify future directions in sinonasal cancer research.

Schedule:
1:20 PM HPV Related Sinonasal Malignancies – An Overview
1:30 PM Molecular Patterns and Mechanisms of Tumorigenesis in HPV-Associated and HPV Independent Sinonasal Squamous Cell Carcinoma
1:40 PM Surgical Planning and Optimizing Margins Using Navigation
1:50 PM Chemoembolization for Paranasal Sinus and Skull Base Tumors: What is the Evidence?                   
2:00 PM  Olfactory Neuroblastoma: Experimental Models and Identification of New Therapeutic Targets   
2:10 PM Q&A  
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2:25 PM – 3:25 PM | Multi-disciplinary Strategies for Orbital and Organ Preservation in Sinonasal Cancer

Overview: This session will examine the current state of art in organ preservation in sinonasal cancers, including the use of chemotherapy, immunotherapy and radiosurgery to avoid morbid surgery.

At the conclusion of this session, attendees will be able to:
– Assess indications for orbital exenteration versus preservation.
– Discuss indications for induction chemotherapy and assess criteria for selecting post-induction chemotherapy treatments.
– Discuss benefits/drawbacks of post-chemotherapy treatment strategies including surgery versus radiotherapy.

Schedule:
2:25 PM Surgical Management of Orbital Invasion – When is It Safe to Preserve the Orbit?   
2:33 PM Induction Chemotherapy and Immunotherapy in Sinonasal Malignancies – What is the Evidence?          
2:41 PM When to Do Radiotherapy vs Surgery for Organ Preservation Following Induction Chemotherapy –The European Perspective
2:49 PM Immunotherapy and Radiotherapy for Organ Preservation in Sinonasal Mucosal Melanoma –Preliminary Results of the PRISM Study
2:57 PM Case Presentations & Discussion  
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4:00 PM – 5:00 PM | Now What Do I Do? Managing Complications and Quality of Life Issues after Sinonasal Tumor Treatment

Overview: This is a case-based panel that will focus on complications encountered in the care of patients who undergo sinonasal tumor and anterior skull base surgery.  Real world cases with adverse outcomes will be presented for discussion, with emphasis on avoidance, recognition, and treatment of complications.   Cranial nerve, intracranial, and vascular injury, cerebrospinal fluid leak, postoperative bleeding, infections, cosmetic and functional deficits, endocrinopathies, pediatric specific complications, and quality of life issues will be discussed.  In addition, general considerations, including perioperative planning to mitigate risks, management of acute emergencies, rehabilitation, and survivorship will be addressed. 

At the conclusion of this session, attendees will be able to:
– Discuss cranial nerve, intracranial, and vascular injuries, cerebrospinal fluid leak, and postoperative bleeding complications of sinonasal tumor treatment: prevention, mitigation, and management.
– Discuss complications unique to pediatric sinonasal tumor patients.
– Discuss quality of life issues and rehabilitation after sinonasal tumor treatment.

Schedule:
4:00 PM Introduction and Background  
4:03 PM Orbital Complications of Sinonasal Tumor Treatment          
4:13 PM Intracranial and Neurovascular Injuries   
4:23 PM CSF Leak, Sinonasal Complications      
4:33 PM Pediatric Complications from Sinonasal Tumor Surgery
4:43 PM  Rehabilitation, Quality of Life, and Survivorship After Skull Base Surgery
4:53 PM Q&A
 

4:00 PM – 5:00 PM | The No-Win Scenario: Difficult Decisions and Downstream Consequences in Managing Temporal Bone/Petrous Tumors

Overview: This expert panel will explore decision making and treatment planning for atypical, aggressive and non-curable tumors of the temporal bone and petrous apex region. Comprised of real world cases with few easy answers and challenging post-treatment scenarios, the panelists and audience will navigate the downstream consequences of early treatment decisions. The panel, comprised of expert Neurotologists and Neurosurgeons, will explore the concepts and strategies needed to achieve the best possible outcomes in `no-win` tumor scenarios.

At the conclusion of this session, attendees will be able to:
– Predict how initial treatment plans for Temporal Bone/Petrous tumors could give rise to future challenging patient care scenarios.
– Construct both initial and downstream treatment plans for various Temporal Bone/Petrous tumors.
– Organize a multi-disciplinary care team for both near- and long-term management of Temporal Bone/Petrous tumors.

Schedule:
4:00 PM Introduction
4:05 PM  Atypical Case Presentation #1: Massive Petroclival Meningioma Pre-Treatment Clinical Symptoms, Radiographic Presentation, Audiometric Data 
4:08 PM Audience Poll
4:10 PM Case Discussion
4:28 PM   Atypical Case Presentation #2: Massive CPA/Petroclival Epidermoid Pre-Treatment Clinical Symptoms, Radiographic Presentation, Audiometric Data        
4:31 PM Audience Poll       
4:33 PM Case Discussion
4:51 PM Q&A         
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5:05 PM – 6:05 PM | Temporal Bone & Petrous Apex Tumors: Radiographic Diagnosis, Surgical Corridors & Cranial Nerve VI Management

Overview: Attendees will gain a radiologic-to-surgical arms‑length roadmap, focusing on how to interpret imaging, choose the optimal corridor, and preserve cranial nerve VI function.  Interactive questions are encouraged—ideal for surgeons in training, combined ENT-neurosurgery teams, neuro-ophthalmologists assessing cranial nerve outcomes, and radiologists engaged in preoperative planning.

At the conclusion of this session, attendees will be able to:
– Differentiate among anterior-lateral, medial, and posterior-lateral surgical approaches to the petrous apex based on anatomical landmarks and proximity to the abducens nerve.
– Interpret advanced radiographic findings of petrous apex lesions to guide surgical planning and assess potential risks to cranial nerve VI.
– Praise management strategies for abducens nerve palsy resulting from petrous apex pathology, and formulate a multidisciplinary treatment plan that integrates surgical, radiologic, and ophthalmologic perspectives.

Schedule:
5:05 PM Introduction    
5:06 PM Reading Beyond the Bone: Radiographic Assessment of Petrous Apex Tumors — From  Anatomy to Zebras       
5:16 PM Medial Approaches & the Abducens Pathway: Landmarks, Tricks & the Dorello Corridor  
5:26 PM Anterior‑Lateral Corridors & VI Nerve Preservation: Sub‑Triangles, Multi‑Portal Strategies & Dissection Tips
5:36 PM Posterior‑Lateral Access & Gruber`s Ligament: Opening the Petrous Entrance While Safeguarding VI James      
5:46 PM  Management & Recovery of VI Nerve Palsy: A Neuro‑Ophthalmology Perspective  
5:56 PM Q&A
 

7:30 AM – 8:30 AM | Anything is Possible: Maximizing Functional Outcome AND Tumor Control in Vestibular Schwannoma

Overview: This session will consist of experts discussing the critical issues regarding maximizing safe tumor resection.  This includes experienced surgeons discussing the `where is the balance,` what postop deficits, if any, are acceptable and in what circumstances?  What is the best intraoperative neuromonitoring method to help guide resection and when to `stop?`  Finally, experts discuss when should any residual tumor be treated?  This session is for anyone counseling and treating patients with vestibular schwannomas.

At the conclusion of this session, attendees will be able to:
– Articulate how aggressive to be when operating on a vestibular schwannoma.
– Predict what intraoperative neuromonitoring feedback can help guide resection.
– Choose when to treat residual tumors and with what modality.

Schedule:
7:30 AM Introduction
7:32 AM Maximizing Functional Outcome AND Tumor Resection        
7:48 AM How Does Intraoperative Neuromonitoring Guide Our Decision Making
8:04 AM When is the Right Time to Treat Residual Tumor and How
8:20 AM Q&A
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8:35 AM – 9:35 AM | Update on NF2-associated Schwannomatosis

Overview: This session is for anyone involved in the evaluation and care of patients with NF2 associated schwannomatosis. The session will feature experts discussing the medical, radiosurgical and microsurgical strategies in managing patients with NF2.

At the conclusion of this session, attendees will be able to:
– Demonstrate the efficacy of medical management of tumors in NF2 and current clinical trials and results.
– Compare the techniques and results of radiosurgical treatment of meningiomas and schwannomas in NF2.
– Prioritize `which tumor when` decision making in management of NF2-associated schwannomas.

Schedule:
8:35 AM Introduction
8:37 AM Update on Medical Therapy and Clinical Trials                     
8:47 AM Role of Radiosurgery  
8:57 AM Surgical Management of NF2 – Which Tumor, When?           
9:07 AM Case Presentations & Discussion: Malignant Transformation and Radiation
9:30 AM Q&A
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1:20 PM – 2:20 PM | Anything is Possible: Management of Large and Giant Vestibular Schwannomas

Overview: This session is for anyone interested in, or involved in, the evaluation and management of patients with large or giant vestibular schwannomas.  Experts will debate the advantages and limitations of retrosigmoid vs. translabyrinthine resection of large or giant tumors as well as the role and limitations of radiosurgery.

At the conclusion of this session, attendees will be able to:
– Convey the advantages and limitations of the retrosigmoid approach for large and giant vestibular schwannomas.
– Convey the advantages and limitations of the translabyrinthine approach for large and giant vestibular schwannomas.
– Demonstrate the role and results of radiosurgery for large vestibular schwannomas.

Schedule:
1:20 PM Introduction
1:22 PM The Advantages and Limitations of the Retrosigmoid Approach for Large and Giant Vestibular Schwannomas
1:32 PM The Advantages and Limitations of Translabyrinthine Resection of Large or Giant Vestibular Schwannomas
1:42 PM The Role of Radiosurgery in the Management of Large and Giant Vestibular Schwannomas
1:52 PM  Case Presentations & Discussion
2:15 PM Q&A

4:00 PM – 5:00 PM | Starting at the Beginning – Imaging the Developing Skull Base

Overview: This session is designed for all clinicians to understand how the skull base is formed and how this development can lead to anatomical variations and skull base pathologies. This session will also present key anatomic radiographic features of pediatric skull base pathology, anatomic variants, key cranial nerve imaging findings, imaging features of pulsatile tinnitus with a key rapid radiologic review of key skull base pathologies.

At the conclusion of this session, attendees will be able to:
– Recognize the appearance and radiographic features of the developing skull base.
– Evaluate and differentiate between pathologic skull base findings and normal anatomic variants.
– Interpret and recognize key radiographic features in skull base pathology.

Schedule:
4:00 PM Imaging of the Pediatric Skull Base                
4:10 PM Imaging Skull Base Normal Variants      
4:20 PM Imaging Skull Base CNs l- VI 
4:30 PM Imaging Skull Base CNx VIl- Xll
4:40 PM Imaging of Pulsatile Tinnitus   
4:50 PM  Rapid Fire Pediatric Skull Base Pathologies 
4:58 PM Q&A
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5:05 PM – 6:05 PM | Seeing and Believing – New Possibilities in Skull Base Imaging

Overview: This session is designed for all clinicians to become familiar with and learn about the  the new possibilities in   skull base imaging with a focus on photon counting CT, MRI advanced imaging techniques for cerebrospinal fluid (CSF) leaks, diffusion weighted imaging, PET, artificial intelligence and advances in the 3D visualization and printing.

At the conclusion of this session, attendees will be able to:
– Recognize how a photon counting CT works and its phenomenal applications in skull base imaging including diagnosing microadenomas in the pituitary.
– Evaluate and differentiate Magnetic Resonance Imaging (MRI) techniques used to identify CSF leaks and diffusion weighted applications near the skull base and upper spinal cord.
– Assess and recognize new techniques in artificial intelligence (AI), advances in the 3D visualization and printing of the skull base.

Schedule:
5:05 PM Photon Counting CT of the Skull Base
5:14 PM Advanced MRI imaging CSF Leaks                
5:23 PM PET CT, Dotatate and New Possibilities in Skull Base Imaging with Radio-labeled Tracers            
5:32 PM AI New Frontiers in Skull Base Imaging     
5:41 PM Advanced 3D Printing Skull Base Visualization      
5:50 PM  Cortex Club Presents – Rapid Fire Great Adult Skull Base Cases!   
5:59 PM Q&A 

7:30 AM – 8:30 AM | Advances and Dilemmas in Pediatric Craniopharyngioma

Overview: Pediatric craniopharyngioma presents a complex dilemma between eradicating the tumor and preserving quality-of-life. This session aims to explore current treatment strategies for pediatric craniopharyngioma, as well as management of long-term endocrinologic sequelae unique to this patient population.

At the conclusion of this session, attendees will be able to:
– Recognize current medical therapies and clinical trials for pediatric craniopharyngioma.
– Identify and compare various treatment strategies for pediatric craniopharyngioma.
– Demonstrate an understanding of the endocrinologic sequelae and their management after treatment of pediatric craniopharyngioma.

Schedule:
7:30 AM Taming the Tumor Without the Trauma: Medical Therapies for Pediatric Craniopharyngioma
7:40 AM The Great Debate: Reoperate or Radiate? Case 1: Recurrent Craniopharyngioma
7:50 AM The Great Debate: Reoperate or Radiate? Case 2: Recurrent Craniopharyngioma
8:00 AM Now What!? Managing the Difficult Endocrine Pathologies: Case 1: Diabetes Insipidus in the Very Young
8:10 AM  Now What!? Managing the Difficult Endocrine Pathologies: Case 2: Hypothalamic Obesity      
8:20 AM  Now What!? Managing the Difficult Endocrine Pathologies: Case 3: Growth and Puberty   
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8:35 AM – 9:35 AM | Breaking the Mold: Considerations in Pediatric Invasive Fungal Sinusitis

Overview: This session will include a review of current strategies in the treatment of pediatric invasive fungal sinusitis (IFS). Panelists will also bring difficult cases involving the orbit and skull base to this forum for discussion.

At the conclusion of this session, attendees will be able to:
– Recognize the need for and difficulty in managing the underlying immunodeficiency in pediatric IFS.
– Identify current strategies in diagnosing and treating pediatric IFS.
– Employ a comprehensive multidisciplinary approach to treating pediatric IFS.

Schedule:
8:35 AM The Fungus Beneath: Managing Immunodeficiency in Pediatric IFS     
8:45 AM From Markers to Medicine: Guiding Antifungal Therapy in Pediatric IFS 
8:55 AM Saving Sight in the Fungus Fight: Orbital Management in Pediatric IFS 
9:05 AM Case Presentation & Discussion
9:25 AM Q&A
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1:20 PM – 2:20 PM | Craniofacial Deformities and Skull Base Defects in Children

Overview: This session will review craniofacial reconstructions for congenital deformities and skull base defects. It will provide a forum to discuss challenging pediatric cases, as well as short and long term considerations particular to this patient population.

At the conclusion of this session, attendees will be able to:
– Describe congenital craniofacial deformities and defects that often require surgical correction.
– Consider surgical approaches to reconstruction for these pathologies and recognize the long-term impact unique to this patient population.
– Articulate differences in craniofacial and skull base reconstruction in children versus adults.

Schedule:
1:20 PM Congenital Craniofacial Deformities and Defects   
1:30 PM Craniofacial Reconstructive Considerations in the Very Young
1:40 PM Case Presentations and Panel Discussion – Cranial Vault Reconstruction Case   
1:52 PM Case Presentations and Panel Discussion – Trauma Case    
2:04 PM Skull Base Reconstruction M&M Case Presentation – What I Wish I Had Done Differently   
2:16 PM Q&A

7:30 AM – 8:30 AM Proffered Papers

8:35 AM – 9:35 AM Proffered Papers

1:20 PM – 2:20 PM Proffered Papers

2:25 PM – 3:25 PM Proffered Papers

4:00 PM – 5:00 PM Proffered Papers

5:05 PM – 6:05 PM Proffered Papers

4:00 PM – 6:05 PM | Rhoton Room Dueling Dissections Session 1: The World Around the Orbit

Overview: The orbit is both a target and a route to the skull base depending on the pathology to treat. In this session we will review the surgical anatomy of the optic canal and orbit. We will discuss the indications and limits of the orbital approaches from the endonasal and transorbital routes. Attendance is recommended for all trainees and skull base specialists with an interest in treating pathology located in the orbit and transorbital approaches to the skull base.

At the conclusion of this session, attendees will be able to:
– Develop a better understanding of the surgical anatomy of the orbit as a target and as a route to the skull base.
– Recognize key surgical landmarks and technical nuances for the endonasal and open transorbital approaches to and through the orbit.
– Compare the benefits and disadvantages of endonasal and open transorbital approaches.

Schedule:
4:00 PM Welcome & Introduction                                
4:01 PM 3D Surgical Anatomy of the Orbit                                             
4:21 PM Case Presentation/Discussion Transorbital Approaches   
4:41 PM Case Presentation/Discussion Endoscopic Endonasal Approaches
5:01 PM Dueling Dissection: Endoscopic Endonasal Approach to the Orbit: Medial and Inferior Approaches & Optic Nerve Decompression, SOF, Cavernous Sinus
5:01 PM Dueling Dissection: Lateral and Superior Approaches to the Orbit and Transorbital Approach to the Skull Base: Anterior Clinoidectomy Optic Nerve Decompression, Superior Orbital Fissure Approach to the Cavernous Sinus & Meckel`s Cave

7:30 AM – 8:30 AM | Update on Chordoma Treatment Guidelines

Overview: This session will provide the latest in treatment options for skull base chordomas. This session will cover everything from approach selection to reconstruction and will move through radiation and molecular classification decision making. As such, it is ideal for all specialties, from neurosurgery to otolaryngology, plastic surgery and radiation and medical oncology.

At the conclusion of this session, attendees will be able to:
– Decide when to consider an open approach for skull base chordoma.
– Plan the best reconstruction option for a clival chordoma resection.
– Predict need for adjuvant treatments such as radiation or even immuno- and chemotherapy.

Schedule:
7:30 AM Surgical Strategies for Clival Chordomas: When is an Open Approach Indicated?                                
7:40 AM Clival Dural Reconstruction: Primary and Secondary Options                         
7:50 AM Radiation: When (if ever) is it Not Needed? is PBRT the Primary Option?
8:00 AM Latest in Biomarkers for Chordoma and Clinical Application  
8:10 AM Case Discussion / Q&A
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8:35 AM – 9:35 AM | Case Based Tumor Board Session: Chordoma

Overview: This session will present challenging chordoma cases for discussion of a variety of management strategies, incorporating recent chordoma guidelines. This session is ideal for everyone from neurosurgeons to otolaryngologists, spine surgeons, plastic/reconstructive surgeons and medical and radiation oncologists.

At the conclusion of this session, attendees will be able to:
– Select the ideal treatment for a primary chordoma, including fixation for craniocervical tumors.
– Formulate a long term treatment strategy for poorly differentiated chordoma.
– Compare treatment options for recurrent chordoma.

Schedule:
8:35 AM Case 1: Newly Diagnosed Case with Surgical and Radiation Considerations   
8:47 AM Case 2: Craniocervical Junction Chordoma Surgical Considerations: Approach, When to Instrument                     
8:59 AM Case 3: Recurrent Chordoma: Surgical, Radiation and Medical Oncology Options    
9:11 AM Case 4: Pediatric Poorly Differentiated Chordoma 
9:23 AM Q&A       

4:00 PM – 5:00 PM | The Role of Targeted Therapy in Craniopharyngioma Management

Overview: This session will explore emerging evidence and clinical applications of BRAF inhibition in the treatment of papillary craniopharyngiomas, highlighting therapeutic strategies, outcomes, and multidisciplinary considerations.

At the conclusion of this session, attendees will be able to:
– Evaluate patients with various subtypes of craniopharyngiomas and determine the best multidisciplinary approach for the management of their tumor.

Schedule:
4:00 PM BRAF/MEK Inhibition for Papillary Craniopharyngiomas                   
4:15 PM Role of Surgery in the Era of Targeted Therapy for Papillary Craniopharyngioma           
4:30 PM Case Presentation & Discussion: Management of Papillary Craniopharyngioma             

   
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5:05 PM – 6:05 PM | Open vs. Endoscopic Management of Craniopharyngiomas: Point-Counterpoint

Overview: This session will feature a dynamic point-counterpoint discussion on the merits and limitations of open versus endoscopic approaches in the management of craniopharyngiomas. Neurosurgeons, otolaryngologist, oncologists, radiation oncologists, and other multi-disciplinary team members involved in skull base tumor care will benefit from expert insights into surgical decision-making, outcomes, and evolving techniques.

At the conclusion of this session, attendees will be able to:
– Choose surgical approaches for craniopharyngiomas and determine whether an open or endoscopic approach is applicable.

Schedule:
5:05 PM Case Presentation & Panel Discussion: 360-degree Surgical Approach to Craniopharyngioma Management       
5:20 PM Case Presentation & Panel Discussion: Approach Considerations in Pediatric Craniopharyngioma             
5:35 PM Case Presentation & Panel Discussion: Endoscopic Approach to Craniopharyngioma Resection           
5:50 PM Case Presentation & Panel Discussion: Open Approach to Craniopharyngioma Resection               

7:30 AM – 8:30 AM | International Pituitary Education Day: Core Principles and Innovations

Overview: This session provides a robust foundation in the critical anatomical, pathological, and radiographic elements that inform modern pituitary surgery. Through expert-led presentations, attendees will revisit key anatomical structures relevant to endonasal approaches, including parasellar and suprasellar extensions. Updated WHO classifications of pituitary tumors will be discussed, with an emphasis on how evolving pathology informs surgical strategy and postoperative management. Advanced imaging modalities, such as functional MRI and diffusion tensor imaging, will be presented alongside predictive models that guide surgical decision-making. This session is ideal for early-career neurosurgeons, otolaryngologists, endocrinologists, and trainees aiming to build or solidify their foundational knowledge in pituitary disease management.

At the conclusion of this session, attendees will be able to:
– Diagnose pituitary tumors more accurately by applying updated imaging modalities and anatomical knowledge presented during the session.
– Distinguish between various types of pituitary tumors using the latest WHO pathological classifications and their clinical implications.
– Plan individualized surgical approaches for pituitary tumors by integrating anatomical, radiographic, and pathological considerations discussed in the session

Schedule:
7:30 AM Introduction – Neurosurgery                                   
7:31 AM Introduction – ENT             
7:32 AM Imaging Nuances of Pituitary Tumors: Advances in Imaging Modalities and Surgical Outcome Predictors
7:40 AM Ophthalmologic Assessment for Pituitary Tumors: Beyond Bitemporal Hemianopsia   
7:48 AM Update in Pathology Classification of Pituitary Tumors
7:56 AM Anatomical Nuances of Modern Pituitary Surgery       
8:04 AM New Technologies in Pituitary Surgery
8:12 AM  Update on Current Clinical Trials in Pituitary Tumors   
8:20 AM Q&A
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8:35 AM – 9:35 AM | International Pituitary Education Day: Functional Pituitary Disorders – Modern Management

Overview: Building upon foundational principles, this session is dedicated to the nuanced intraoperative decision-making and advanced technical skills required for managing complex pituitary lesions. Through high-yield case discussions and expert commentary, the session will address the management of residual or recurrent tumors, intraoperative CSF leaks, and cavernous sinus invasion. Faculty will share pearls and pitfalls from their own experience, including handling of rare tumor subtypes and decision-making in reoperations. Advanced endoscopic techniques, adjunct technologies such as intraoperative navigation and angled endoscopy, and multidisciplinary team strategies will be emphasized. This session is intended for experienced neurosurgeons, skull base teams, and those seeking to refine their surgical judgment and operative finesse.

At the conclusion of this session, attendees will be able to:
-Manage intraoperative challenges in complex pituitary surgery cases, including CSF leaks, cavernous sinus invasion, and recurrent or residual tumors, using evidence-based strategies discussed during the session.
– Recommend appropriate surgical techniques and adjunct technologies—such as angled endoscopy and intraoperative navigation—based on individual patient and tumor characteristics presented in case-based discussions.
– Evaluate surgical decision-making processes and outcomes by critically analyzing expert case presentations and integrating multidisciplinary perspectives to optimize patient care.

Schedule:
8:35 AM Updates on the Diagnosis of Cushing Disease and Acromegaly      
8:43 AM Challenges in Diagnosis and Management of MRI-negative ACTH-secreting Pituitary Tumors                          
8:51 AM Management of Prolactinomas – Expanding Surgical Indication          
8:59 AM The Role of Pharmacological Therapy in Management of Cushing Disease and Acromegaly 
9:07 AM Nuances on Management of Sellar and Suprasellar Rathke Cleft Cyst and Arachnoid Cyst 
9:15 AM   Role of SRS in Functional Pituitary Tumors
9:23 AM  Q&A         
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1:20 PM – 2:20 PM | International Pituitary Education Day: Advanced Surgical Challenges and Solutions

Overview: This session brings together international voices to highlight the global landscape of pituitary surgery education, access, and innovation. Speakers will share initiatives aimed at expanding training and surgical capacity in resource-limited settings, establishing international fellowships, and creating sustainable partnerships across institutions. Through real-world examples and collaborative frameworks, the session will explore how mentorship, virtual learning platforms, and knowledge-sharing can improve patient care globally. Attendees will gain insight into how regional differences in disease presentation, healthcare infrastructure, and surgical access can be addressed through targeted education and international collaboration. This session is ideal for clinicians, educators, program directors, and global health advocates interested in broadening their impact and fostering a more equitable future in pituitary care.

At the conclusion of this session, attendees will be able to:
– Demonstrate effective strategies for enhancing pituitary surgery education and training through international collaboration, mentorship models, and virtual learning platforms.
– Consult international faculty and peers to explore innovative educational models and build collaborative strategies for advancing pituitary surgery training across varying global contexts.
– Solve barriers to global neurosurgical education by applying collaborative problem-solving approaches highlighted in case discussions and institutional success stories.

Schedule:
1:20 PM Decision-Making in Surgical Approach Selection for Giant Pituitary Adenomas    
1:28 PM Transcranial Approach for Pituitary Tumors – Indications and Nuances                          
1:36 PM Cavernous Sinus Medial Wall Resection in Functional Pituitary Tumors          
1:44 PM Management of Intra-operative Complications of Carotid Injury in Pituitary Surgery
1:52 PM Update on the Management of Pituitary Apoplexy 
2:00 PM  Reconstruction Techniques in Endonasal Endoscopic Pituitary Surgery
2:08 PM  Q&A   

7:30 AM – 8:30 AM | Why Invite Orbital Surgeons to the Skull Base Party?

Overview: Neurosurgeons and otolaryngologists who do not normally work with orbital surgeons, as well as those who do, will find this session interesting

At the conclusion of this session, attendees will be able to:
-Choose a surgical approach for diseases of the skull base considering the nature of the pathology and the skill set of the assembled team.
– Integrate an orbital surgeon into a surgical plan.
– Employ orbital/transorbital corridors for surgical treatment of disease of the skull base.

Schedule:
7:30 AM Introduction           
7:33 AM Frontal Sinus Things         
7:44 AM How Orbital Surgeons Can Add Value to the Skull Base Team                                                
7:55 AM Orbitotomy vs Craniotomy for Skull Base Tumors: How Do You Decide?    
8:06 AM Transorbital Approaches to the Anterior Cranial Fossa                        
8:17 AM Q&A

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8:35 AM – 9:35 AM | Orbital Malformations and Tumors: A Deep Dive

Overview: This session will delve into congenital malformations of the orbit, as well as a wide range of orbital tumors, pediatric and adult, benign and malignant, primary and secondary. Neurosurgeons, ENT surgeons, orbital surgeons, and oncologists will be interested in attending.

At the conclusion of this session, attendees will be able to:
– Classify different forms of congenital orbital malformations and identify strategies for their management.
– Discriminate between orbital malignancies that require exenteration and those that don`t and select modalities and techniques to spare the globe when appropriate.
– Recognize the indications for treatment and select appropriate management options for optic nerve sheath meningiomas.
– Distinguish between various types of orbital tumors and develop strategies for diagnosis, medical treatment, and surgical excision.

Schedule:
8:35 AM Congenital Orbital Malformations                          
8:45 AM Saving the Orbit: Why, When, and How                              
8:55 AM Updates in the Management of Optic Nerve Sheath Meningiomas                                                                  
9:05 AM Case Presentation: Orbital Tumor                                             
9:25 AM Discussion: Orbital Tumor       

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1:20 PM – 2:20 PM | New and Improved Treatments for Old Orbital Problems

Overview: This session will examine several potential blinding and lethal diseases that involve the orbit, and the recent means by which we have been able to vastly improve the lives of these patients.  This session will be of interest to the neurosurgeon, otolaryngologist, orbital surgeon, and oncologist who treat patients with skull base pathology.

At the conclusion of this session, attendees will be able to:
– Quickly identify and treat necrotizing fasciitis of the face, prioritizing immediate treatment with specific, evidence-based medicine.
– Recognize mucomycosis and treat immediately with the most recent surgical and medical approaches.
-Develop a plan for a surgical treatment/teaching mission.
– Categorize and begin treatment for inflammatory diseases affecting the skull base in a multidisciplinary fashion.

Schedule:
1:20 PM Introduction                   
1:23 PM New Strategies for Treating Inflammatory Orbitocranial Diseases                        
1:34 PM Necrotizing Fasciitis: Saving Lives and Eyes                                                     
1:45 PM Shifting Paradigms in the Treatment of Rhino-cerebral-orbital Mucomycosis    
1:56 PM The Faces of Ukraine                                            
2:07 PM  Q&A     

7:30 AM – 8:30 AM | Surgical Management of Uncommon Neurovascular Syndromes: The Vascular Oddballs

Overview: This session will explore rare neurovascular syndromes that present with dynamic or structural vascular compression, such as Bow Hunter`s and Eagle Syndrome, with a focus on their clinical manifestations, diagnostic challenges, and surgical management. Attendees will gain a practical framework for recognizing these underdiagnosed conditions and understanding when surgical intervention is appropriate. The session is ideal for neurosurgeons, neurointerventionalists, spine surgeons, neurologists, and advanced trainees interested in cerebrovascular and cranial base pathologies.

At the conclusion of this session, attendees will be able to:
– Identify uncommon neurovascular syndromes that present with dynamic vascular compression or entrapment, including their clinical features and imaging findings.
– Differentiate these syndromes from more common neurological or vascular disorders through targeted history, physical examination, and diagnostic workup.
– Evaluate and select appropriate surgical or interventional treatment strategies based on anatomical considerations and symptomatology.

Schedule:
7:30 AM The Spectrum of Bow Hunters Syndrome: Identification, Workup, and Management            
7:40 AM Eagles Syndrome: When, Why, and How?            
7:50 AM Bypasses for Unusual Vascular Conundrums                                                  
8:00 AM Case Presentation/Panel Discussions                             
8:20 AM Q&A

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8:35 AM – 9:35 AM | The Modern Clipper`s Dilemma: Selection, Avoidance, and Redemption

Overview: This session will explore the evolving role of microsurgical clipping in the management of cerebral aneurysms, with a focus on selecting appropriate cases in the era of endovascular dominance. Through case-based discussion and review of current data, participants will examine when to favor clipping, when to avoid it, and how to approach surgical management of endovascular failures. Emphasis will be placed on practical decision-making, anatomical nuance, and long-term outcomes. Neurosurgeons, endovascular specialists, neurosurgical trainees, and clinicians involved in cerebrovascular care who seek to refine their aneurysm management strategies in a hybrid treatment landscape.

At the conclusion of this session, attendees will be able to:
– Differentiate between cerebral aneurysm cases best treated with surgical clipping versus endovascular approaches based on current evidence and anatomical considerations.
– Recognize aneurysm characteristics and clinical scenarios in which clipping should no longer be considered first-line treatment.
– Formulate appropriate surgical strategies for managing aneurysms that have failed or recurred after endovascular treatment.

Schedule:
8:35 AM Reassessing the Role of Clipping the Era of Endovascular Dominance                            
8:45 AM When Not to Clip: Aneurysm Best managed Endovascularly                              
8:55 AM The Failed Coil: Microsurgical Strategies for Salvage                                                                   
9:05 AM Training the Next Generation Clipper: Preserving a Diminishing Skillset                                              
9:15 AM Case Presentation & Panel Discussion        
9:25 AM  Q&A      

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1:20 PM – 2:20 PM | Have We Forgotten the Veins?

Overview: This case based session focuses on less common pathology involving cerebral venous sinuses, veins and jugular vein as the commonly forgotten aspect of skull base and cerebrovascular surgery. Otolaryngology, orbital surgeons, and neurosurgery trainees and experts will benefit from discussion of common presentations of uncommon problems and their surgical therapy.

At the conclusion of this session, attendees will be able to:
– Identify `dangerous` veins responsible for potential postoperative complications of skull base surgery and include them in preoperative planning.
– Recognize meningiomas involving major venous sinuses can and occasionally should be treated surgically.
– Illustrate the role of open surgery in treatment of dural arteriovenous fistula.
– Recognize, diagnose and treat jugular venous compression/outflow obstruction at the skull base.

Schedule:
1:20 PM Dangerous Veins for the Skull Base Neurosurgeon: Surgically Relevant Anatomy as It Pertains to Potential Intraoperative and Postoperative Complications                         
1:30 PM Meningiomas Involving Major Venous Sinus in Young Patients: Can Surgery Be the Answer?                           
1:50 PM The Role of Surgical Treatment in Dural AVF: Can Open Surgical Intervention Be a Simpler Solution for Certain DAVFs?                                                              
2:00 PM Skull Base and Extracranial Jugular Vein Compression/Outflow Obstruction: Diagnosis and Treatment                                                
2:10 PM  Q&A     

10:05 AM | Presidential Welcome: L. Madison Michael II, MD, FAANS
10:12 AM | Honored Guest Speaker: Gelareh Zadeh, MD, PhD, FRCS(C)
10:49 AM | Presidential Address: L. Madison Michael II, MD, FAANS
11:25 AM | Honored Guest Speaker: Richard Nelson, MA FRCS(Eng) FRCS(Ed)
12:00 PM | Journal Presentation
12:10 PM | Abstract Award Winners
12:16 PM | Presidential Transition

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2:25 PM – 3:25 PM | Video Session: Mitaka (non-CME)
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4:00 PM – 5:00 PM | NASBS Special Operative Video Session: Cerebrovascular
Overview: This session will review operative video related to Cerebrovascular and Skull Base. Those interested in surgical technique, approaches, and pathology related to the surgery of this area should attend.

At the conclusion of this session, attendees will be able to:
– Describe different surgical approaches related to skull base and cerebrovascular procedures
– Describe different surgical techniques related to skull base and cerebrovascular
– Describe different pathologies related skull base and cerebrovascular

Schedule:
4:00PM Strategies for Recurrent MCA Aneurysms
4:07 PM Aneurysm Clipping
4:14 PM Clipping Basilar Tip Aneurysm
4:21 PM High Flow bypass and Incomplete Trapping for Surgical Flow Remodeling of Giant ICA Aneurysms
4:28 PM Hybrid Endovascular and Open Approach for Treatment of Complex Galenic Dural Arteriovenous Fistula
4:35 PM Complex Arteriovenous Malformations
4:42 PM Combined Endo and Open Treatment of Aneurysm

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4:00 PM – 5:00 PM | NASBS Special Operative Video Session: Anterior Skull Base
Overview: This session will review operative video related to the anterior skull base. Those interested in surgical technique, approaches, and pathology related to the surgery of the anterior skull base should attend.

At the conclusion of this session, attendees will be able to:
– Describe different surgical approaches to the anterior skull base
– Describe different surgical techniques both endoscopic and microscopic to the anterior skull base
– Describe different pathologies related to the anterior skull base that are amenable to surgical treatment

Schedule:
4:00PM Step-By-Step Transorbital Approach to the Cervical Spine: Pushing The Limits of The 3rd Nostril
4:07 PM Compartmentalization of Clinoidal Meningioma Based on Vascular Anatomy – The Inseparable Twin: Skull Base and Vascular Neurosurgery
4:14 PM Optic Canal Hemangioma Resection through Uninostril Endoscopic Endonasal Approach
4:21 PM Endoscopic Transorbital Approach for the Lesion in Infratemporal Fossa
4:28 PM Endoscopic Transorbital Approach to Brainstem
4:35 PM Combined Transorbital and Endonasal Transmaxillary Prelacrimal Endoscopic Resection of a Recurrent Meningioma of the Sphenoid Wing, Pterygopalatine and Infratemporal Fossa
4:42 PM Trans Orbital Access to Cavernous Sinus Chordoma and ICA Injury Management

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5:05 PM – 6:05 PM | NASBS Special Operative Video Session: Sellar and Parasellar
Overview: This session will review operative video related to the sella and parasellar region. Those interested in surgical technique, approaches, and pathology related to the surgery of the sella and parasellar region should attend.

At the conclusion of this session, attendees will be able to:
– Describe different surgical approaches to the sella and parasellar region 
– Describe different surgical techniques both endoscopic and microscopic to the sella and parasellar region
– Describe different pathologies related to the sella and parasellar region that are amenable to surgical treatment

Schedule:
5:05 PM Extended Endoscopic Transsphenoidal Approach for Recurrent and Residual Sellar Lesions
5:12 PM EEE for Functional pituitary Adenomas with Cavernous Sinus Invasion
5:19 PM Endoscopic Endonasal Clivectomy for a Midline Middle Clivus Meningioma Removal
5:26 PM Endoscopic Assisted Microscopic Excision of Craniopharyngioma Transcranial
5:33 PM Chondrosarcoma
5:40 PM Tuberculum Sellae Meningiomas: Refined Microsurgical Strategies and Evidence-Based Approach Selection
5:47 PM Endoscopic Nasopharyngectomy
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5:05 PM – 6:05 PM | NASBS Special Operative Video Session: Petroclival, Infratemporal Fossa, Jugular Foramen & Head and Neck
Overview: This session will review operative video related to Petroclival, Infratemporal Fossa, Jugular Foramen & Head and Neck regions. Those interested in surgical technique, approaches, and pathology related to the surgery of this area should attend.

At the conclusion of this session, attendees will be able to:
– Describe different surgical approaches to the Petroclival, Infratemporal Fossa, Jugular Foramen & Head and Neck region
– Describe different surgical techniques both endoscopic and microscopic to the Petroclival, Infratemporal Fossa, Jugular Foramen & Head and Neck region
– Describe different pathologies related to the Petroclival, Infratemporal Fossa, Jugular Foramen & Head and Neck region that are amenable to surgical treatment

Schedule:
5:05 PM Surgery for Jugular Foramen Tumors
5:12 PM Endoscope Assisted Petroclival Meningioma Excision
5:19PM Petro-occipital-Transigmoid Approach: the Direct Route to the Jugular Foramen Tumors
5:26 PM Endoscope-assisted Microsurgical Resection of Epidermoids
5:33 PM Endoscopic Keyhole Anterior Petrosal Approach for the Lesions Around the Petrous Apex
5:40PM Robotic Assisted Nasopharyngectomy for Recurrent Nasopharyngeal Carcinoma
5:47 PM Infratemporal Transjugular Approach for Glomus Jugulare

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5:05 PM – 6:05 PM | Video Session: Leica (non-CME)

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1:20 PM – 2:20 PM | Taming the Beast: Multi-Team Strategies for Efficient Infratemporal Fossa Tumor Resection

Overview: Infratemporal fossa tumors often require the orchestration of 2–3 specialized surgical teams for safe, effective resection. This session will share practical strategies to streamline these complex operations, including the integration of virtual surgical planning, augmented reality, and AI to improve intraoperative efficiency and confidence. Who should attend: Skull base and head and neck surgeons, neurosurgeons, and fellows seeking advanced techniques for complex infratemporal approaches.

At the conclusion of this session, attendees will be able to:
– Recommend strategies to improve efficiency in multi-team infratemporal fossa tumor resections.
– Demonstrate the role of virtual surgical planning to optimize preoperative planning and intraoperative execution.
-Illustrate the use of augmented reality to enhance surgical precision and confidence during resection.

Schedule:
1:20 PM Orchestrating the Team: Strategies for Efficient Multi-Surgeon Infratemporal Resections                
1:35 PM Advances in Surgical Navigation: A Game Changer for Skull Base Tumor Surgery                       
1:50PM Seeing Beyond: Augmented Reality in Skull Base Surgery                                                                             
2:05 PM  Q&A     

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2:25 PM – 3:25 PM | Beyond the Knife: Evolving Radiotherapy and Systemic Strategies for Infratemporal and Jugular Foramen Tumors

Overview:With advances in personalized medicine and radiotherapy, new tools are expanding the options for managing tumors of the infratemporal fossa and jugular foramen. This session explores cutting-edge systemic therapies and radiotherapeutic modalities that complement or serve as alternatives to surgery in select patients. Who should attend: Skull base surgeons, head and neck surgeons, radiation oncologists, and multidisciplinary team members managing complex skull base tumors.

At the conclusion of this session, attendees will be able to:
– Demonstrate knowledge of emerging systemic and radiotherapy approaches for infratemporal and jugular foramen tumors.  
– Recommend collaborative evaluation with specialists to optimize treatment plans.
-Illustrate how multidisciplinary strategies can improve patient outcomes.

Schedule:
2:25 PM Proton vs MR Linac vs VMAT: Choosing the Right Beam for Skull Base Tumors
2:35 PM   Brachytherapy: Underutilized Tool in Skull Base Tumor Management?     
2:45 PM   Targeted Systemic Therapies for Infratemporal and Jugular Foramen Tumors          
2:55 PM   Case Presentation & Discussion                        
3:15 PM   Q&A  

7:30 AM – 8:30 AM | Jugular Foramen Paraganglioma

Overview: This session will cover the emerging importance of genetic testing, special considerations when managing children and young adults, and the increasing role of stereotactic radiation in tumor management. The surgical management of patients with paragangliomas present a myriad of pre-operative and intra-operative decisions all tailored to a specific patient. Through case presentation and discussion the session will focus on these key decision points and techniques experts find helpful in achieving excellent outcomes.

At the conclusion of this session, attendees will be able to:
– Articulate why genetic testing is imperative and how it is used to drive treatment decisions.
– Select when stereotactic radiosurgery is the commonly preferred primary treatment choice.
– Describe the various standard and emerging methods of adjunct endovascular interventions.
– Choose a degree of surgical resection based on goals and prepare for technically challenging surgical steps.

Schedule:
7:30 AM Paragangliomas in Children and Young Adults – Special Considerations         
7:40 AM Why Not Treat All Temporal Bone/Jugular Foramen Paraganglioma with Radiation?           
7:50 AM Why Not Take It All Out? What Drives Surgeons to Choose Subtotal or Partial Resection                                                   
8:00 AM Case Discussion – What the Experts Do                             

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8:35 AM – 9:35 AM | Petroclival Surgery Reimagined: Contemporary Approaches and Controversies

Overview: This session will outline the open, endoscopic endonasal, and transorbital approaches to petroclival lesions by experts in each one of these fields. The challenges,  controversies, and potential recommendations will be addressed through a panel discussion at the end.

At the conclusion of this session, attendees will be able to:
– Recognize the Complexity of lesions in the Petroclival region.
– Compare the different Surgical Approaches to Petroclival lesions.
– Formulate tailored management plans for Petroclival tumors.

Schedule:
8:35 AM Cavernous Sinus Surgery: Taboo or Not Taboo?                            
8:42 AM Endoscopic Endonasal Approaches to the Petroclival Region                            
8:49 AM Transorbital Approaches to Petroclival Lesions                                                                 
8:56 AM Individualized Management To Petroclival Pathology                                              
9:03 AM Case Discussion        
9:23 AM  Q&A      

7:30 AM – 8:30 AM | Osteoradionecrosis of the Paracentral Skull Base: The Gift that Keeps on Giving 

Overview: This session covers the challenging topic of management of osteoradionecrosis of the skull base following treatment for malignancy. This will include an update on pathophysiology, presentation, prevention and medical management, as well as on surgical management with focus on reconstructive options.

At the conclusion of this session, attendees will be able to:
– Recognize skull base Osteoradionecrosis and its risk factors.
– Develop a strategy for non surgical and surgical management depending on the severity of the disease.
– Identify reconstructive options after surgical treatment of skull base osteoradionecrosis.

Schedule:
7:30 AM Introduction and Clinical Presentation    
7:35 AM Pathogenesis and Medical Management of ORN            
7:45 AM Risk Factors, Risk Mitigation and Prevention of Skull Base ORN                                                 
7:53 AM Imaging Characteristics of Osteoradionecrosis         
8:01 AM  Surgical Management and Free Flaps for ORN   
8:09 AM Intracranial Complications of ORN
8:14 AM Case Presentation & Discussion

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8:35 AM – 9:35 AM | Challenging Reconstructive Dilemmas of the Infratemporal Fossa

Overview: This session will highlight reconstructive challenges of infratemporal fossa complex defects, covering various approaches, reconstructive needs, pathologies and functional deficits through brief topic reviews and case presentation discussions.

At the conclusion of this session, attendees will be able to:
– Identify various reconstructive endonasal pedicled flaps for reconstruction of complex infra temporal defects.
– Recognize the role of free tissue transfer in reconstruction of complex infra temporal fossa defects.
– Integrate functional soft tissue rehabilitation in the reconstructive planning for complex infra temporal fossa defects.

Schedule:
8:35 AM Introduction                           
8:40 AM Endonasal Pedicled Mucosal Flaps for Reconstruction of Complex Infratemporal Fossa Defects                                   
8:48 AM Free Tissue Transfer for Reconstruction of Complex Infra Temporal Fossa Defects                                                                          
8:56 AM Static and Dynamic Facial Reanimation in Reconstruction of Complex Infra Temporal Fossa                                             
9:04 AM Case Presentation & Discussion       
9:24 AM  Q&A      

1:20 PM – 2:20 PM | Vestibular Outcomes and Rehabilitation in Lateral Skull Base Surgery

Overview: This session will focus on the pathophysiology of vestibular dysfunction in patients with lateral skull base disorders as well as their treatment. Skull base surgeons with an interest in vestibular outcomes should attend the session. While not applicable to vestibular schwannoma specifically, novel vestibular treatments including vestibular implantation for bilateral vestibular hypofunction will be discussed.

At the conclusion of this session, attendees will be able to:
– Understand the nature of vestibular dysfunction as it pertains to lateral skull base disorders.
– Recognize the ways that vestibular rehabilitation helps patients to compensate for vestibular dysfunction.
– Understand the role of gentamicin prehabilitation in vestibular schwannoma patients and implement prehabilitation pathways in their own skull base treatment algorithms.
– Recognize the role of vestibular implantation for bilateral vestibular hypofunction.

Schedule:
1:20 PM Pathophysiology of Vestibular Dysfunction and Vestibular Outcomes in Lateral Skull Base Disorders                   
1:32 PM The Role and Mechanisms of Recovery in Vestibular Rehabilitation           
1:44 PM Gentamicin Prehabilitation in Vestibular Schwannoma Surgery                                            
1:56 PM Vestibular Implants as an Emerging Treatment for Bilateral Vestibular Hypofunction                                         
2:08 PM  Q&A     

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2:25 PM – 3:25 PM | The Present and Future of Hearing Restoration and Rehabilitation

Overview: This session is intended for neurootologists, neurosurgeons, audiologists, and resident physicians.   The session will provide an update on hearing rehabilitation options for patients with tumor-related hearing loss with a focus on clinical outcomes and emerging therapies, including hearing restoration.

At the conclusion of this session, attendees will be able to:
– Assess the treatment options for hearing rehabilitation in patients with skull base tumors.   
– Recognize the indications for simultaneous vestibular neuroma resection and cochlear implantation.
-Evaluate the emerging therapies for hearing restoration including auditory hair cell regeneration

Schedule:
2:25 PM Pathophysiology of Tumor-related Hearing Loss and Emerging Therapies for Hearing Restoration
2:35 PM  Overview of Hearing Rehabilitation Options for Tumor-Related Hearing Loss – Clinical Outcomes and Patient Satisfaction         
2:45 PM  Simultaneous Cochlear Implantation for Vestibular Schwannomas    
2:55 PM   Update on Auditory Brainstem Implantation – Outcomes & Indications    
3:05 PM   MRI Compatibility of Implants                        
3:15 PM  Q&A  

7:30 AM – 8:30 AM | Modern Management of Superior Semicircular Canal Dehiscence (SSCD) and SSCD Syndrome

Overview: The session covered diagnostic, surgical, and functional management strategies for superior semicircular canal dehiscence (SSCD) syndrome. Topics included updated diagnostic criteria and imaging standards, minimally invasive endoscopic-assisted repairs, comparative outcomes of canal plugging versus sealing, and a hybrid surgical approach combining middle fossa and mastoid techniques to optimize symptom relief and preserve function.

At the conclusion of this session, attendees will be able to:
-Recognize the hallmark clinical features of SSCD and apply current diagnostic criteria, including symptomatology, physiologic testing, and imaging findings, to establish an accurate diagnosis.
– Evaluate the advantages and limitations of various surgical techniques for SSCD.
– Identify appropriate clinical and functional outcome measures to assess treatment efficacy and long-term results with SSCD.

Schedule:
7:30 AM Case Presentation: All the Ways to Skin the Cat       
7:40 AM Diagnostic Criteria & History of `Third Mobile Window` Assessment             
7:50 AM Endoscopic-Assisted Repair: Minimally Invasive Approaches                                                     
8:00 AM Canal Plugging vs. Sealing: Functional Outcome              
8:10 AM Combined Mastoid + Middle Fossa Approach                                   
8:20 AM Q&A

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8:35 AM – 9:35 AM | Are GLP-1 Receptor Agonists Reshaping the Management of Idiopathic Intracranial Hypertension and CSF Leaks?

Overview: Glucagon-Like Peptide-1 (GLP-1) receptor agonists play a key role in managing intracranial hypertension and cerebrospinal fluid leaks by regulating intracranial pressure and promoting weight loss. This session focuses on understanding their pharmacological effects on weight and intracranial pressure and impact on perioperative outcomes in the treatment of idiopathic intracranial hypertension and cerebrospinal fluid leak (CSF) outcomes.

At the conclusion of this session, attendees will be able to:
– Understand the pharmacological effects of GLP-1 receptor agonists on intracranial pressure regulation and their therapeutic potential in cerebrospinal fluid leak management.
– Identify how GLP-1 receptor agonists contribute to the treatment of idiopathic intracranial hypertension through metabolic and weight loss mechanisms.
– Evaluate the clinical evidence supporting GLP-1 receptor agonists as a treatment option for obesity-related complications, particularly temporal bone encephaloceles and CSF leaks.

Schedule:
8:35 AM Obesity, Intracranial Hypertension, and CSF Leak: Pathophysiology and Clinical Implications                            
8:47 AM Metabolic and Systemic Effects of GLP-1 Receptor Agonists                                   
8:59 AM Clinical Impact of GLP-1 Receptor Agonists on IIH and Sequelae                                                                 
9:11 AM GLP-1 Receptor Agonists as Adjunctive Therapy in the Surgical Management of Temporal Encephaloceles and CSF Leaks                                                 
9:23 AM Q&A      

2:25 PM – 3:25 PM | Career Building in Skull Base

Overview: Skull base surgery, a subspecialty within neurosurgery and otolaryngology, requires a thorough understanding of anatomy, collaboration, and continuous learning. Moving from training to professional practice presents several challenges. Experienced and early-career neurosurgeons and otolaryngologists, working in academic and community settings, will share information and strategies for addressing professional, financial, and personal obstacles. Anyone considering a pathway to career advancement should attend this panel.

At the conclusion of this session, attendees will be able to:
– Offer actionable guidance for professional growth, building a strong reputation, finding mentors, and developing collaborations in academia and industry.
– Understand how teamwork and interdisciplinary collaboration become the key drivers of career advancement and outline steps to build an effective team and network.
–  Expose how to leverage institutional resources and advocate for the administrative support needed to meet clinical, surgical, and research goals.
– Point out avenues for research in skull base pathology.
– Develop strategies to balance career goals with personal well-being.

Schedule:
2:25 PM  Introduction       
2:30 PM Professional Obstacles (And How to Overcome Them)      
2:45 PM Personal Obstacles (And How to Overcome Them)                                              
3:00 PM How Finances Impact Career Trajectory                    
3:15 PM Q&A

1:20 PM – 2:20 PM | Educational Advances in Skull Base Surgery: The Intersection of Technology and Practice

Overview: This session will explore innovative approaches and emerging technologies shaping the future of surgical education. This session will highlight the integration of artificial intelligence, advanced training methods, and practical strategies to optimize mentorship and skill development in skull base surgery. Surgeons, educators, trainees, and all interested in refining surgical education and training are encouraged to attend.

At the conclusion of this session, attendees will be able to:
– Evaluate the integration of advanced technologies—including artificial intelligence, 3D printing, and surgical video editing—into contemporary skull base surgical education.
– Prepare surgical videos for review and simulation tools to enhance technical skills, self-assessment, and mentorship in complex skull base surgical procedures.

Schedule:
1:20 PM  Using AI to Create a National Neurotology Curriculum       
1:30 PM 3D Printing in Skull Base Surgery           
1:40 PM Virtual Reality in Skull Base Surgery                                               
1:50 PM Video Editing as a Tool for Skill Acquisition
2:00 PM From Brazil to Indiana: Launching a Cutting-Edge Microsurgery Skull Base Lab
2:08 PM  Panel Discussion                    

7:30 AM – 8:30 AM | Anything is Possible with New Advances in Skull Base AI – Section 1

Overview: This session is designed for all clinicians to become familiar with and learn about artificial intelligence (AI), the basic concepts of AI and potential applications in multidisciplinary care of skull base patients, and new potential and possible applications of AI.

At the conclusion of this session, attendees will be able to:
– Recognize the basic tenets of artificial intelligence and how it is used to diagnose, evaluate, and treat skull base patients.
– Critically evaluate the use of AI and explore biases in AI algorithm performance.
– Assess and recognize new techniques in artificial intelligence (AI), including its application to medical image analysis, digital pathology, and surgical process understanding.

Schedule:
7:30 AM  Introduction       
7:33 AM Power and Possibility of AI for Treating Patients with Skull Base Pathologies           
7:52 AM New Possibilities for AI in Pediatric Imaging                                                 
8:01 AM The Pathologic Perspective: Will AI Kick the Pathologist Out of the Operating Room
8:10 AM The Radiologist Perspective: Will AI Kick the Radiologist Out of the Reading Room
8:19 AM  Around the World with AI – The Global Perspective of AI in ENT Surgery                      
8:28 AM Q&A

_________________________________________________________________________________________________________________________________________

8:35 AM – 9:35 AM | Anything is Possible with New Advances in Skull Base AI – Section 2

Overview: This session is designed for all clinicians to become familiar with and learn about artificial intelligence (AI), the basic concepts of AI and potential applications in multidisciplinary care of skull base patients. This session will present new advances in AI and Graph Networks, skull base neurosurgery and otolaryngology applications, spine imaging, and the importance of avoiding bias in data algorithms.

At the conclusion of this session, attendees will be able to:
– Recognize the basic tenets of artificial intelligence and how it is used to diagnose, evaluate, and treat skull base patients.
– Critically evaluate the use of AI and explore biases in AI algorithm performance.
– Assess and recognize new techniques in artificial intelligence (AI), including its application to medical image analysis, digital pathology, and surgical applications..

Schedule:
8:35 AM AI & Graph Networks in Neuroradiology and Skull Base Imaging                           
8:44 AM From Training to Outcome Prediction: How AI is Advancing Neurosurgery                            
8:53 AM Maximizing AI for Use in Skull Base, Spine Imaging & Patient Care                                                                         
9:02 AM AI and ENT Applications: A New Perspective                                           
9:11 AM  AI, Ethics, Big Data and Bias – Avoiding Bias in AI Algorithms       
9:20 AM  Seeing New Possibilities in the Future: AI and Ophthalmology    
9:29 AM Q&A

7:30 AM – 8:30 AM Proffered Papers

8:35 AM – 9:35 AM Proffered Papers

1:20 PM – 2:20 PM Proffered Papers

2:25 PM – 3:25 PM Proffered Papers

4:00 PM – 5:00 PM Proffered Papers

5:05 PM – 6:05 PM Proffered Papers

7:30 AM – 9:35 AM | Rhoton Room Dueling Dissections Session 2: Suprasellar and Paraclinoidal Regions, Cavernous Sinus, Meckel`s Cave, and Petrous Apex

Overview: In this session we will review the surgical anatomy of the paraclinoidal and suprasellar space, cavernous sinus and we will discuss the pros and cons of endonasal and transcranial approaches to these regions. Attendance is recommended for all trainees and skull base specialties with an interest in treating pathology located in the suprasellar and paraclinoidal regions.

At the conclusion of this session, attendees will be able to:
– Develop a better understanding of the surgical anatomy of the paraclinoidal and suprasellar regions, cavernous sinus, Meckel`s cave and petrous apex.
– Recognize key surgical landmarks and technical nuances for the endonasal and transcranial approaches to the paraclinoidal and suprasellar regions,  cavernous sinus, Meckel`s cave and petrous apex.
– Compare the benefits and disadvantages of endonasal and transcranial approaches to the paraclinoidal and suprasellar regions, cavernous sinus, Meckel`s cave, and petrous apex.

Schedule:
7:30 AM Introduction            
7:31 AM Surgical Anatomy of the Clinoid, Cavernous Sinus, Sellar, Suprasellar Areas, Meckel`s Cave and Petrous Apex             
7:51 AM Case Discussion: Open Approaches                                                  
8:06 AM Case Discussion: EEA                            
8:21 AM Dueling Dissection: Anterior Clinoidectomy, Cavernous Sinus Meckel`s Cave & Anterior Petrosal Approach   
8:21 AM  Dueling Dissection: Sellar, Suprasellar, Cavernous Sinus, Transpterygoid, Meckel`s Cave and Petrous Apex, & Interpeduncular Fossa

_________________________________________________________________________________________________________________________________________

4:00 PM – 6:05 PM | Rhoton Room Dueling Dissections Session 3: Petroclival Region

Overview: In this session we will review the 3D surgical anatomy of the petroclival region, and we will discuss the pros and cons of endonasal and transcranial approaches to this complex area. Attendance is recommended for all trainees and faculty with an interest in managing pathology in this location.

At the conclusion of this session, attendees will be able to:
– Develop a better understanding of the surgical anatomy of the petroclival region.
– Recognize key surgical landmarks and technical nuances for the endonasal and transcranial approach to the petroclival region
– Compare the benefits and disadvantages of endonasal and transcranial approaches to the petroclival region.

Schedule:
4:00 PM Introduction            
4:05 PM 3D Surgical Anatomy of the Petroclival Region                               
4:20 PM Case Presentation/Discussion Open Approaches                                                                     
4:35 PM Case Presentation/Discussion Endoscopic Approaches                                               
4:50 PM Dueling Dissection: Endoscopic Endonasal Approach to the Middle Clivus and Petroclival Region and Contralateral Transmaxillary Approach to the Petrous Apex      
4:50 PM  Dueling Dissection: Presigmoid Retrolab/Transpetrosal/Trancrusal/Translab Approach        

1:20 PM – 2:20 PM | Tuberculum Sella Meningioma Debate: Above or Below? Part 1

Overview: ‘Tuberculum Sella Meningioma Debate: Above or Below?’ focuses on surgical strategy, whether to approach these tumors via a transcranial (open) route versus an endoscopic endonasal (below) corridor. These two sessions adopt a case‑based format with audience polling before and after discussions to gauge opinions, and moderator‑led reviews of published evidence comparing outcomes of each approach. Presenters emphasize the anatomical constraints of the tuberculum sella region, visual results, risks of cerebrospinal fluid leak, and recurrence rates tied to approach selection. The sessions will be beneficial for neurosurgeons and ENT surgeons in practice and training. It would also be beneficial to advanced practice providers

At the conclusion of this session, attendees will be able to:
– Compare and contrast the transcranial and endoscopic endonasal approaches to tuberculum sella meningiomas, with emphasis on surgical anatomy, indications, limitations, and outcomes.
– Evaluate the clinical and radiographic criteria that influence selection of surgical approach.
-Analyze postoperative outcomes such as visual improvement, complication rates.
– Integrate evidence-based data and expert opinions to guide individualized, patient-specific decision-making in the management of sellar and parasellar meningiomas.

Schedule:
1:20 PM Introduction                   
1:22 PM Setting the Stage: Anatomy of the Sellar & Suprasellar Space                
1:34 PM Transcranial Approaches for Tuberculum Sella Meningioma: Pros & Cons                                                    
1:46 PM Endoscopic Endonasal Approaches for Tuberculum Sella Meningioma: Pros & Cons
1:58 PM Predictors and Outcomes from the International Tuberculum Sella Meningioma Study                                           
2:10 PM  Q&A     

____________________________________________________________________________________________________________________

2:25 PM – 3:25 PM | Tuberculum Sella Meningioma Debate: Above or Below? Part 2

Overview: `Tuberculum Sella Meningioma Debate: Above or Below?` focuses on surgical strategy, whether to approach these tumors via a transcranial (open) route versus an endoscopic endonasal (below) corridor. These two sessions adopt a case‑based format with audience polling before and after discussions to gauge opinions, and moderator‑led reviews of published evidence comparing outcomes of each approach. Presenters emphasize the anatomical constraints of the tuberculum sella region, visual results, risks of cerebrospinal fluid leak, and recurrence rates tied to approach selection. The sessions will be beneficial for neurosurgeons and ENT surgeons in practice and training. It would also be beneficial to advanced practice providers

At the conclusion of this session, attendees will be able to:
– Compare and contrast the transcranial and endoscopic endonasal approaches to tuberculum sella meningiomas, with emphasis on surgical anatomy, indications, limitations, and outcomes.
– Evaluate the clinical and radiographic criteria that influence selection of surgical approach.
-Analyze postoperative outcomes such as visual improvement, complication rates.
– Integrate evidence-based data and expert opinions to guide individualized, patient-specific decision-making in the management of sellar and parasellar meningiomas.

Schedule:
2:25 PM Tuberculum Sella Meningiomas: Clinical Cases & Lessons from Complications                                                        
3:13 PM  Q&A  

4:00 PM – 5:00 PM | Practicing Longer and Stronger: Ergonomic Solutions and Strategies for Skull Base Surgery (non-CME)

Overview: Skull base surgery presents distinct ergonomic challenges stemming from the complexity of the pathologies encountered, which impose heightened physical and cognitive demands on the surgeon. This panel will examine the role of ergonomics in skull base surgery, with particular emphasis on its effects on surgeon performance and wellbeing, procedural efficiency, technological advances, and barriers to implementation.

At the conclusion of this session, attendees will be able to:
– Recognize ergonomic challenges faced by all skull base surgeons including women, pregnant individuals and those with limited mobility.
– Explore opportunities for improved ergonomics using different magnification tools in the operating room (endoscopes, exoscopes, microscopes).
–  Identify ways to increase surgical career longevity through improved ergonomics.
– Discuss current and future technological advances and ergonomic innovations within the field and their barriers.

Schedule:
4:00 PM  The Impact of Ergonomics on Skull Base Surgeons` Health, Performance, and Career Longevity    
4:08 PM The Surgeon`s Viewpoint: Magnification and Ergonomics in Anterior Skull Base Surgery    
4:16 PM Heads-Up or Heads-Down: Magnification & Ergonomics in Lateral Skull Base Surgery                                              
4:24 PM Optimizing Surgical Ergonomics for Career Sustainability in Skull Base Surgery
4:32 PM    Ergonomic Innovations for Surgeons with Limited Mobility            
4:40 PM Emerging Technologies for Improved Ergonomics    
4:48 PM Q&A

7:30 AM – 8:30 AM | Approach Selection for Anterior Skull Meningiomas

Overview: In this session we will examine the various surgical approaches for anterior skull base meningiomas. This session is for all anterior skull base surgeons including neurosurgery, otolaryngology and oculoplastic surgery.

At the conclusion of this session, attendees will be able to:
– Identify the important anatomic considerations which covered surgical approach to anterior fossa meningiomas.
– Describe the surgical techniques for approaches to the anterior fossa.
– Develop a framework for choosing the best surgical approach to anterior fossa meningiomas.

Schedule:
7:30 AM Open: Mini-pterional to Crania-orbital to Bifrontal Technique and Indications     
7:38 AM Eyebrow Technique and Indications    
7:46 AM EEA Technique and Indications   
7:54 AM Case Presentations and Discussions
____________________________________________________________________________________________________    

8:35 AM – 9:35 AM | WHO Grade 2 Meningiomas: Management Dilemmas

Overview: WHO grade 2 meningiomas have heterogeneous outcomes and significant variability in management based on surgeon and institution. In this session, we will provide an overview of advances in neuropathology and the molecular biology of meningiomas that are relevant to informing management of these tumors as well as advances in molecular imaging with somatostatin-analogue PET. We will then discuss three cases of anterior cranial fossa meningioma with controversial management and how these advances were applied to guide treatment.

At the conclusion of this session, attendees will be able to:
– Identify high-risk molecular pathology in WHO grade 2 meningioma.
– Identify when somatostatin-PET imaging can inform WHO grade 2 meningioma treatment.
– Apply molecular pathology and imaging findings to manage anterior cranial fossa meningiomas.

Schedule:
8:35 AM Meningioma Molecular Neuropathology: Overview of High Risk Molecular Features for the Skull Base Surgeon
8:50 AM Advances in DOTATATE-PET Imaging to Inform Meningioma Management                   
9:05 AM Case 1: Anterior Cranial Fossa, WHO Grade 2 Meningioma Management
9:15 AM Case 2: Anterior Cranial Fossa, WHO Grade 2 Meningioma Management                            
9:25 AM Case 3: Anterior Cranial Fossa, WHO Grade 2 Meningioma Management
____________________________________________________________________________________________________    

10:05 AM – 11:05 AM | Recurrent Meningiomas: What`s New?

Overview: Multiply recurrent meningiomas that fail initial surgery and radiation present management challenges. This session will begin with an overview of advances in medical management and the landscape of available clinical trials for meningiomas within medical oncology, followed by a presentation on advances in radiotherapy, including proton treatment. We will then discuss how three challenging cases were managed to highlight the challenges and use of adjuvant treatments beyond surgery and radiation.

At the conclusion of this session, attendees will be able to:
– Recognize the landscape of medical options and ongoing clinical trials in meningioma.
– Determine when one should consider proton therapy for meningioma.
– Apply these advances and molecular pathology to guide management of recurrent meningiomas.

Schedule:
10:05 AM Advances in Medical Management of Meningioma and Clinical Trial Landscape
10:20 AM Advances in Radiation Treatment for Meningioma: Role Of Protons and Radio-ligand Based Therapies  
10:35 AM Case 1: Recurrent Meningioma Radio-ligand Based Treatment
10:45 AM Case 2: Medical Management of Recurrent Meningiomas 
10:55 AM Case 3: Medical Management of Recurrent Meningiomas             

11:10 AM – 12:10 PM | NASBS Special Anterior Skull Base Operative Video Session 2
Overview: This session will review operative video related to the anterior skull base. Those interested in surgical technique, approaches, and pathology related to the surgery of the anterior skull base should attend.

At the conclusion of this session, attendees will be able to:
– Describe different surgical approaches to the anterior skull base
– Describe different surgical techniques both endoscopic and microscopic to the anterior skull base
– Describe different pathologies related to the anterior skull base that are amenable to surgical treatment

Schedule:
11:10 AM Giant Clinoidal Meningioma Resection
11:17 AM Transorbital Surgery for Skull Base Meningiomas
11:24 AM Use of both Microscope and Endocope in Transorbital Skull Base Surgery.
11:31 AM Trans orbital access to cavernous sinus Chordoma and ICA injury management
11:38 AM Optimizing Multiportal- Endoscopic trans maxillary trans pterygoid approach with microsurgical prtemporal transcavernous approach for resection of Spheno orbito cavenous Adenocarcinoma
11:45 AM Endoscopic Endonasal Optic Nerve Decompression of a Patient with Cranial Metaphyseal Dysplasia (hyperostotic disease)
11:52 AM Endoscopic Orbital Decompression
           

7:30 AM – 8:30 AM | Operative Videos of Advanced Surgical Techniques in Microvascular Decompression Surgery

Overview: This video-based session will highlight advanced surgical techniques and decision-making in complex cases of microvascular decompression for trigeminal and geniculate neuralgia. Ideal for neurosurgeons and trainees seeking to refine their technical skills and learn practical pearls from experienced operators.

At the conclusion of this session, attendees will be able to:
– Identify key anatomical landmarks and technical steps critical to safe and effective microvascular decompression for trigeminal and geniculate neuralgia.
– Differentiate between decompression and transposition strategies for arterial and venous conflicts, including approaches to complex anatomy such as dolichoectatic vessels.
– Apply advanced operative techniques and intraoperative decision-making strategies to optimize outcomes and reduce complications in neurovascular decompression surgery.

Schedule:
7:30 AM Surgical Transposition Techniques for MVD for Dolichoectactic Vessels         
7:38 AM Surgical Technique for SCA Transposition to Tentorium (Or `Non-teflon Techniques`)          
7:46 AM Surgical Technique for AICA Transposition in Trigeminal Neuralgia      
7:54 AM Surgical Technique for Safe and Successful Venous Decompression in Trigeminal Neuralgia
8:02 AM Surgical Technique for Treatment of Geniculate Neuralgia                  
8:10 AM  Endoscopy in Microvascular Decompression Surgery
8:18 AM Q&A
____________________________________________________________________________________________________    

8:35 AM – 9:35 AM | Controversies in the Management of Trigeminal Neuralgia: A Debate

Overview: This dynamic session will explore hotly contested topics in the diagnosis and surgical management of trigeminal neuralgia, featuring opposing expert viewpoints on complex clinical scenarios. Ideal for neurosurgeons, pain specialists, and trainees interested in sharpening their clinical reasoning and decision-making in facial pain management.

At the conclusion of this session, attendees will be able to:
– Evaluate differing expert perspectives on controversial clinical and surgical decisions in the management of trigeminal neuralgia.
– Distinguish between clinical scenarios that warrant microvascular decompression versus alternative surgical or medical approaches.
– Formulate individualized treatment strategies by integrating radiographic findings, patient factors, and evolving evidence in facial pain care.

Schedule:
8:35 AM Microvascular Decompression vs Transposition: Does It Matter? Pro Decompression   
8:42 AM Microvascular Decompression vs Transposition: Does It Matter? Pro Transposition            
8:49 AM Strategies to Treat Tumor-Related Trigeminal Neuralgia When Resection Not an Option: Role of Percutaneous Rhizotomy
8:56 AM Strategies to Treat Tumor-Related Trigeminal Neuralgia When Resection Not an Option:  Radiosurgery Strategies                                
9:03 AM TN Recurrence and MRI Shows Teflon on Nerve Without Compression: We Should Go for MVD  
9:10 AM TN Recurrence and MRI Shows Teflon on Nerve Without Compression: We Should Go for Rhizotomy Shervin
9:17 AM Is There a Role of Internal Neurolysis in MVD for Trigeminal Neuralgia? Pro Internal Neurolysis
9:24 AM Is There a Role of Internal Neurolysis in MVD for Trigeminal Neuralgia? Con Internal Neurolysis
9:31 AM Q&A
____________________________________________________________________________________________________    

10:05 AM – 11:05 AM | Let`s Do Better for Our Patients with Neurovascular Syndromes

Overview: This forward-looking session will highlight innovations in imaging, perioperative care, patient selection, and emerging therapies aimed at improving outcomes for patients with trigeminal neuralgia and other neurovascular syndromes. Recommended for neurosurgeons, neurologists, pain specialists, and allied health professionals seeking to enhance the quality, safety, and personalization of care.

At the conclusion of this session, attendees will be able to:
– Evaluate the role of advanced imaging, patient selection, and risk stratification in optimizing outcomes for neurovascular decompression procedures.
– Apply principles of enhanced recovery and perioperative care to improve surgical outcomes and patient experience in microvascular decompression.
– Assess emerging technologies and neuromodulation strategies for patients with complex or refractory neurovascular syndromes.

Schedule:
10:05 AM Advanced Imaging Techniques in Neurovascular Syndromes (Still a Role for `Exploration`?) 
10:14 AM New Insights into the Pathophysiology of Trigeminal Neuralgia    
10:23 AM Enhanced Recovery After Surgery Protocol for Microvascular Decompression Surgery
10:32 AM Can We Safely Perform MVD in Octogenarians?   
10:41 AM Superior Oblique Myokymia from Vascular Compression: Workup and Treatment           
10:50 AM Current and Future Neuromodulation Applications for Facial Pain
10:59 AM Q&A

7:30 AM – 8:30 AM | Bernard George Education Day Part 1: Mastering Chordomas – From Microscope to Modern Era

Overview: This session will discuss the management of Chordoma and Bernard George`s impact on the evolution in treatment of Chordoma.

At the conclusion of this session, attendees will be able to:
– Describe the history of chordoma management.
– Describe modern and historical treatment paradigms for chordoma.

Schedule:
7:30 AM Memories of a Master and a Unique Character           
7:35 AM From Open to Endoscopic :  The Lariboisière Story of a Transition             
7:45 AM Surgical Treatment of Chordoma in Pittsburgh and Bernard George Influence
7:55 AM Expanded Endonasal Strategies for Complex Clival Chordomas
8:05 AM Reflections on Chordoma Surgery and Souvenir of Lariboisiere
8:15 AM  Evolution of the Surgical Treatment of Chordoma at Lariboisière: The Legacy of  Bernard George 
8:25 AM Q&A
____________________________________________________________________________________________________    

8:35 AM – 9:35 AM | Bernard George Education Day Part 2: Bernard George `Anterolateral Approach` and Vertebral Artery

Overview: This session will discuss Bernard George`s Anterolateral Approach. Those interested in craniocervical junction surgery and anatomy should attend.

At the conclusion of this session, attendees will be able to:
– Describe the anterolateral approach.
– Describe the anatomy of the vertebral artery as it relates to the craniospinal junction.

Schedule:
8:35 AM Anterolateral Approach: The Story of a Passion       
8:50 AM The Vertebral Artery: Bernard George Legacy             
9:05 AM Bernard George`s Surgical Vision and Lasting Influence
9:15 AM Vertebral Artery Control: Pearls and Pitfalls
9:25 AM Q&A
____________________________________________________________________________________________________    

10:05 AM – 11:05 AM | Bernard George Education Day Part 3: Jugular Foramen & CVJ – Lessons from a Pioneer

Overview: This session will discuss the Jugular Foramen and Craniocervical junction. Those interested in the anatomy, surgery, and pathology associated with these areas should attend.

At the conclusion of this session, attendees will be able to:
– Describe the anatomy of the Jugular Foramen and CVJ.
– Discuss the history of the JF and CVJ and Bernard George`s impact on the surgery in this area.

Schedule:
10:05 AM CJV: My Journey with Bernard George    
10:20 AM Modern Microsurgical Approaches to the Jugular Foramen            
10:30 AM Combined Approaches for Complex Jugular Foramen Lesions
10:40 AM Bernard George`s Inspiration to the Next Generation
10:50 AM Carrying the Torch Forward
10:55 AM Q&A

11:10 AM – 12:10 PM | Succeeding in Fellowship: Applications, Matching and Beyond

Overview: This session will highlight strategies to optimize mentorship and skill development in skull base surgery. Surgeons, educators, trainees, and all interested in refining surgical education and training are encouraged to attend.

At the conclusion of this session, attendees will be able to:
– Identify application features and personal characteristics that are important to fellowship directors.
– Discuss 2 behaviors that successful fellows and early career surgeons employ in their everyday practice.

Schedule:
11:10 AM How to Succeed in Neurotology Fellowship        
11:19 AM Mentoring Fellows and Young Faculty                
11:28 AM Skull Base Fellowship Through the Neurosurgery Lens
11:37 AM Maximizing Your Learning and Teaching Opportunities
11:46 AM Navigating Rhinology Applications and Beyond
11:55 AM  NASBS Fellowship  
12:04 PM Q&A

7:30 AM – 8:30 AM Proffered Papers

8:35 AM – 9:35 AM Proffered Papers

10:05 AM – 11:05 AM Proffered Papers

11:10 AM – 12:10 PM Proffered Papers

11:10 AM – 12:10 PM | Anything is Possible – Imaging of the Skull Base

Overview: This session is designed for all clinicians to learn and have fun and learn key imaging findings of the skull base including understanding the imaging manifestation of all the key holes and openings on the skull base, taught using the fun engaging learning techniques on @teach,play,grub, learning about unique techniques such as arterial spin labeling (ASL),  and diffusion weighted imaging, and best imaging techniques for the anterior skull base and orbits, infection, with a rapid review of key skull base pathologies!

At the conclusion of this session, attendees will be able to:
– Recognize all the key holes and foramina in the `holy land` of the skull base!
– Evaluate and differentiate Magnetic Resonance Imaging (MRI) techniques such as arterial spin labeling (ASL) and diffusion weighted imaging (DWI) and applications for imaging in the skull base.
– Assess and recognize best imaging modalities and imaging findings in skull base infection with a rapid radiologic review of key skull base pathologies using these techniques.

Schedule:
11:10 AM Teach ,Play Grub, Imaging with Social Media – Imaging the Skull Base `Holy Land`             
11:19 AM Arterial Spin Labeling – How It`s Done – Use in Skull Base         
11:28 AM Seeing Possibilities – High Resolution Imaging Anterior Skull Base and Orbit
11:37 AM DWI Imaging in the Skull Base and Cord
11:46 AM Infection in the Skull Base – How Best to Image!   
11:55 AM  Skull Base Cases – Rapid Review Key Pathologies 
12:04 PM Q&A

7:30 AM – 9:35 AM | Rhoton Room Dueling Dissections Session 4: Lower Clivus and Foramen Magnum

Overview: In this session we will review the 3D surgical anatomy of the Lower Clivus and Foramen Magnum regions, and we will discuss the pros and cons of endonasal and transcranial approaches to these regions. Attendance is recommended for all trainees and faculty with an interest in managing pathology in these locations.

At the conclusion of this session, attendees will be able to:
– Develop a better understanding of the surgical anatomy of the Lower Clivus and Foramen Magnum.
– Recognize key surgical landmarks and technical nuances for the endonasal and transcranial approach to the Lower Clivus and Foramen Magnum
– Compare the benefits and disadvantages of endonasal and transcranial approaches to the Lower Clivus and Foramen Magnum.

Schedule:
7:30 AM Introduction            
7:31 AM 3D Endonasal Surgical Anatomy of the Lower Clivus and Foramen Magnum                 
7:51 AM Case Presentation/Discussion: Open Approach                        
8:06 AM Case Presentation/Discussion: EEA                            
8:21 AM Dueling Dissection: Endoscopic Endonasal Approach to the Lower Clivus and Foramen Magnum    
8:21 AM  Dueling Dissection: Far Lateral Transcondylar and Extreme Lateral Approach