Session

Main Topic 1: State of the Art for Recurrent Clival Chordoma

This session will provide a comprehensive review of state-of-the-art strategies for the management of recurrent clival chordoma. It will be of interest to all those involved in the interdisciplinary treatment of recurrent clival chordoma.

At the conclusion of this session, attendees will be able to:

• • Integrate different approaches for the management of recurrent clival chordoma.
  • Identify novel therapeutic targets in the treatment of recurrent clival chordoma.
  • Recognize the role of interdisciplinary management of recurrent clival chordoma.

Main Topic 2: Orbital and Transorbital Surgical Approaches for Skull Base Tumors 

This session will explore innovative techniques in accessing orbital and skull base tumors through a variety of minimally invasive techniques in and around the orbit. Otolaryngologists/rhinologists, neurosurgeons and ophthalmologists/oculoplastic surgeons are encouraged to attend.

At the conclusion of this session, attendees will be able to:

• Identify appropriate techniques useful in accessing skull base pathology through the orbit.
• Recognize potential complications of transorbital surgery.
• Appreciate approaches and key surgical landmarks used in resecting orbital tumors.

Main Topic 3: Management of Giant Acoustic Neuromas – Are There New Strategies?

This session will provide a comprehensive review of strategies for the management of giant acoustic neuromas, with a special emphasis on surgical techniques to overcome the challenges presented by these demanding tumors.

At the conclusion of this session, attendees will be able to:

• Formulate patient-centered decisions for the treatment of giant acoustic neuromas.
• Identify the role of staged surgical resection for giant acoustic neuromas.
• Apply strategies and techniques aiming to preserve hearing and facial nerve function.

Main Topic 4: Surgical Management of Sinonasal Malignancies with Skull Base Involvement – When to Open?                                            

Evaluation and management of sinonasal malignancies involving the skull base is challenging. While some lesions are amenable to endoscopic techniques, others are not. The dilemma of when to open is a key question confronting the entire team of surgeons and oncologists who care for these patients.

At the conclusion of this session, attendees will be able to:

• Interpret imaging studies used to evaluate malignancies with skull base involvement.
• Integrate decision making on when to open into clinical practice.
• Understand what is possible via the endonasal endoscopic approach.

Main Topic 5: Mentorship in Skull Base Surgery – Fellowship Training and Beyond

This session will discuss evolving paradigms in mentorship in skull base surgery, providing insights on contemporary challenges for both mentors and mentees, and presenting strategies for enduring mentorship relationships.

At the conclusion of this session, attendees will be able to:

• Recognize the constraints to effective mentorship in skull base presented by prevailing practice environments.
• Compare mentorship models at different career stages.
• Articulate strategies for objective evaluation and improvement of mentorship in skull base.

Special Session 1: Implications of Methylation and Genomics in Skull Base Pathology

Treatment options for skull base pathologies have primarily focused on surgery and radiation. However, with advancing knowledge of methylation and genomics in skull base pathologies, further treatment options and risks stratification of these tumors may aid in how these tumors are managed. This session will focus on providing an update on emerging data regarding methylation and genomics in skull base pathology and how these will be used to further patient care.  Any provider who cares for these tumors is encouraged to attend. 

At the conclusion of this session, attendees will be able to:

• Recognize the role methylation and genomics play in skull base pathologies.
• Distinguish which patients are appropriate for pathology testing and how the results of testing will impact patient care.
• Identify where to find active clinical trials that utilize methylation and genomics in skull base pathology.

Special Session 2: State of the Art in Skull Base Imaging

This session will focus on imaging advances and how these are helping to better understand the relationship with skull base pathologies and surrounding structures as well as helping to better predict pathologic entities as well as their behavior before and after treatment. Any provider who cares for skull base pathologies is encouraged to attend to learn these new technologies.

At the conclusion of this session, attendees will be able to:

• Assess the ability and limitations of imaging modalities to predict behavior of skull base tumors.
• Recognize how imaging can help predict skull base pathology and the relationships to neurovascular structures.
• Evaluate new technologies and the future direction of imaging as it relates to skull base pathology.

Expert Debate 1: Management Strategies in Petroclival Meningioma

This session aims to discuss the difficulties in management of petroclival meningiomas. Panelists will discuss illustrative cases and their philosophy around decision making for these challenging tumors.

At the conclusion of this session, attendees will be able to:

• Prioritize goals of care for patients with petroclival meningioma.
• Select an appropriate surgical approach to address the patient’s primary symptom or sign.
• Compare different management philosophies in regard to petroclival meningioma.

Expert Debate 2: Tumor Management and Hearing Preservation/Rehabilitation in NF2

This session aims to discuss the difficulties in management and rehabilitation for patients with NF2. Panelists will discuss illustrative cases and their philosophy around decision making for these challenging patients.

At the conclusion of this session, attendees will be able to:

• Prioritize goals of care for patients with NF2.
• Select an appropriate surgical approach to address the patient’s primary symptom or sign.
• Identify options for hearing rehabilitation for patients with NF2

Expert Debate 3: Treatment Options and Approach for Adult Craniopharyngioma

Attendees will hear about different approaches and modalities for treatment of adult craniopharyngioma. Panelists will discuss and debate illustrative cases in management of these difficult tumors. Session is geared toward neurosurgery, rhinology and radiation oncology.

At the conclusion of this session, attendees will be able to:

• Develop a plan for treatment of adult patients with craniopharyngioma.
• Prioritize the treatment modality based on tumor characteristics and patient signs/symptoms

Expert Debate 4: Prolactinoma Treatment Strategy – When to Operate (Newly DX Macroprolactinomas vs Recurrent/Resistant)

Our expert panelists will debate management strategies for newly diagnosed and recurrent prolactinoma tumors. Panelists will review illustrative cases and debate appropriate management. Appropriate for neurosurgery, endocrinologists, rhinology and radiation oncology.

At the conclusion of this session, attendees will be able to:

• • Distinguish between operative and non operative indications for prolactinomas.
  • Recognize when a recurrent tumor may need surgical intervention.
  • Plan treatment regimens around patients tumor characteristics and patient signs/symptoms

Expert Debate 5: Skull Base Coding

• • Panelists will discuss illustrative cases and appropriate coding and billing strategies for multidisciplinary care of the skull base patient. Examples from both academic and private practice will provide attendees with multiple different scenarios to learn from. Session is appropriate for all attendees who are involved in the billing and coding for patient care.

    At the conclusion of this session, attendees will be able to:

    • Identify appropriate use of modifiers when working as a team.
    • Recognize when to use the skull base approach codes.

General Session

Business Meeting (NASBS Members Only)

1:20 pm – 2:20 pm

Hot Topic 1: Hearing Rehabilitation in Vestibular Schwannoma                          

This session involves a discussion of postoperative hearing loss after vestibular schwannoma treatment. Specific considerations for NF2 and a discussion of surgical approach for hearing preservation will be included. Attendees should be neurotologists and neurosurgeons who perform lateral skull base surgery.

At the conclusion of this session, attendees will be able to:

• Discuss the timing of hearing rehabilitation with cochlear implants in patients with treated VS.
• Discuss options for hearing management when there is only one serviceable ear.
• Compare middle cranial fossa and retrosigmoid approaches for hearing preservation in patients with VS.

Hot Topic 2: Management of Recurrent Functioning Pituitary Adenoma

This session will highlight the options for management for the complex cases of patients with recurrent functioning pituitary adenoma, including salvage surgical options, radiation options and medical management. This session would be of benefit to any level of participant who manages patients with functional pituitary adenomas.

Hot Topic 3: Incorporating Quality Metrics in Everyday Clinical Practice

Quality is a measure by which all surgeons and all physicians are increasingly being evaluated. This session will provide attendees important quality metrics in skull base surgery. This will allow all of us to better understand the importance of safety, cost containment and optimal patient outcomes in our patient population with complex skull base disease.

At the conclusion of this session, attendees will be able to:

• Integrate cost information into everyday practice and assess if this knowledge leads to more judicious resource utilization.
• Employ safety first surgical technique to optimize patient outcomes.
• Develop a practice pattern that maximizes patient satisfaction.

Hot Topic 4: Neoadjuvant Chemotherapy in Sinonasal Malignancies 

This session will discuss the use of neoadjuvant chemotherapy in sinonasal malignancies. Choice of chemotherapy and management after therapy with surgery and/or radiation will be discussed. A specific discussion of subtypes of sinonasal cancer will be included.

At the conclusion of this session, attendees will be able to:

• Discuss choice of chemotherapy for sinonasal malignancies.
• Discuss management after neoadjuvant chemotherapy including surgery and radiation.
• Discuss subtypes of sinonasal cancer, including SNUC and SCC.

Skull Base Primer Course     

The Primer Course will provide a broad overview of skull base pathology as well as surgical and nonsurgical management of tumors affecting this region, emphasizing the multidisciplinary and collaborative nature of these cases. We invite all skull base trainees, newly practicing skull base surgeons, and those interested in learning different approaches or techniques while avoiding and managing complications to attend this session.

At the conclusion of this session, attendees will be able to:

• Identify operative and non-operative management strategies for skull base lesions through a team-based approach.
• Compare the nuances of different open and endoscopic approaches to various regions of the skull base.
• Recognize and manage common complications associated with skull base surgery.

Kawase Education Day: Mastery and Legacy in Neuroanatomy and Surgery of the Skull Base Pathologies

Comprehensive understanding of petrous bone anatomy and 360 degree surgical approaches to various complex pathologies involving the petrous bone.

At the conclusion of this session, attendees will be able to:

• Understand petrous bone anatomy.
• Understand 360 degree approaches to the petrous bone to address various types of pathologies including intradural, extradural and vascular pathologies.
• Prevent and manage potential complications in petrosal approaches.
• Gain confidence with decision-making: surgical indications and approach selection to petrous bone pathologies.
• Understand petrous bone and surrounding structures pathologies.
  

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Video Session 1: Transcavernous Approach to Intracranial Lesions

This session will highlight contemporary utilization of transcavernous approaches to juxtacavernous, basal cistern and posterior fossa pathologies. Limitations in anatomic exposure and the types of pathologies that can be potentially treated with these approaches will be exploded. Neurosurgeons, fellows, residents and advanced care team providers will benefit from this session.

At the conclusion of this session, attendees will be able to:
● Identify the anatomic boundaries exposed by transcavernous approach.
● Distinguish the types of pathologies that require the use of the transcavernous approach.
● Understand the potential complications of the transcavernous approach.

Video Session 2: Expanded Endonasal Approaches to the Clivus and Craniocervical Junction

In this video session, we will review anatomical considerations, technical pears, standard reconstruction techniques, and reconstructive bailout strategies when approaching the clivus and craniocervical junction via an endoscopic endonasal approach. This session is geared primarily for neurosurgeons, rhinologists, head and neck surgeons, and reconstructive surgeons as well as all trainees.

At the conclusion of this session, attendees will be able to:

• Distinguish key anatomical landmarks when approaching the clivus and craniocervical junction via an endoscopic endonasal approach.
• Articulate technical pearls when endoscopically approaching the clivus, jugular foramen, and craniocervical junction.
• Recognize standard and bailout strategies for reconstruction at the clivus and craniocervical junction.

Video Session 3: Transorbital Approach

This session will explore surgical approaches to orbital pathologies, as well as approaches to intracranial pathologies through the orbit. Novel techniques, the anatomic boundaries of exposure and technical limitations will be discussed.  Skull Base Surgeons with backgrounds in Neurosurgery, Otolaryngology, Ophthalmology, Neuroradiology and fellows/residents/advanced care team providers will benefit from this session.

At the conclusion of this session, attendees will be able to:

• Identify novel/nuanced multi-disciplinary techniques for transorbital approaches.
• Identify the limitations in anatomic exposure for transorbital approaches.
• Develop multidisciplinary consideration of approach for complex skull base pathologies using the transorbital approach.

Video Session 4: Management of Endonasal Vascular Injury

Vascular injuries are one of the most devastating complications of endoscopic endonasal skull base surgery and are particularly difficult to manage due to the limited working space. This session will cover a comprehensive approach to prevent and also prepare for these complications. It is intended for rhinologists, head and neck surgeons, neurosurgeons, endovascular specialists, and all trainees.

At the conclusion of this session, attendees will be able to:

• Implement methods to prepare and train for vascular injury in endoscopic skull base surgery.
• Identify the role of endovascular techniques for vascular injury in endoscopic endonasal surgery.
• Identify available techniques and tools used to address non carotid vascular bleeding.

Proffered Papers Sessions 1-4

Proffered Papers Sessions 5-8

Welcome Reception & Poster Viewing in Exhibit Hall

Main Topic 6: Multiple Paraganglioma Syndrome – Comprehensive Management

This session will present modern principles for the management of multiple paraganglioma syndrome, highlighting the importance of interdisciplinary approach and combined techniques employed in the treatment of these challenging tumors.

At the conclusion of this session, attendees will be able to:

• Integrate principles for a comprehensive approach to the management of multiple paraganglioma syndrome.
• Recognize the value of techniques adjunctive to surgical treatment.
• Formulate management plans for the treatment of multiple paraganglioma syndrome

Main Topic 7: Perineural Invasion in Skull Base Malignancies – State of the Art

Moderators: James Bowman & Ivan El-Sayed

Our multidisciplinary panel will discuss the nuances and critical elements of decision making when managing perineural invasion in skull base malignancies. the optimal treatment paradigm in a variety of complex clinical scenarios will be explored.

At the conclusion of this session, attendees will be able to:

• Appreciate the optimal management strategy of perineural invasion in skull base malignancies.
• Interpret imaging studies demonstrating perineural invasion.
• Understand the role of adjuvant treatment for perineural invasion.

Main Topic 8: Skull Base Reconstruction Following Endonasal Surgery – Local, Regional and Free Flaps

Endonasal approaches to skull base tumors are limited in part to our ability to reconstruct complex defects. Experts from across disciplines will discuss options for skull base reconstruction, ranging from simple to complex clinical scenarios. CLinical decision making and intraoperative surgical techniques will be highlighted.

At the conclusion of this session, attendees will be able to:

• Employ comprehensive strategy on how to approach the repair of complex skull base defects.
• Understand the utility and recent advances in the use of the nasoseptal flap.
• Appreciate options to consider in complex reconstructions when the nasoseptal flap is not available

Main Topic 9: Orbital Preservation in Sinonasal Malignancies – When is it Appropriate? 

Advanced sinonasal malignancies frequently involve the orbit requiring exenteration. Multidisciplinary experts from the fields of radiation oncology, head and neck surgery, neuroradiology rhinology and neurosurgery will discuss key aspects of decision making on when to consider orbital preservation using an evidence-based approach.

Tumor Board Session 1: WHO Grade II Meningioma

This session will be focused on reviewing current data to achieve a consensus on best practices for the management of WHO Grade II meningiomas, which is currently controversial. It will target students, residents, junior, and senior faculty members who manage patients with meningiomas.

At the conclusion of this session, attendees will be able to:

• Diagnose and illustrate key radiographic and pathologic features of Grade II meningiomas.
• Discuss the role of molecular subtyping and methylation profiling in the characterization of Grade II meningiomas.
• Formulate a surgical approach and treatment plan for Grade II meningiomas.
• Evaluate the pros and cons of radiation treatment as an alternative to or adjunct to surgery for Grade II meningiomas.

RHOTON ROOM: Dueling Dissections Session 1: Suprasellar and Paraclinoidal Regions, Cavernous Sinus, Meckel’s Cave and Petrous Apex

Endonasal and transcranial routes are competing but also complementary approaches to the skull base. In this session we will review the surgical anatomy of the paraclinoidal and suprasellar space, cavernous sinus, Meckel’s cave and petrous apex 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.

Expert Debate 6: Protons vs Photons – When and Where

Panelists will debate the use of proton vs photon radiation therapy for various lesions of the skull base. Illustrative cases will be discussed to help attendees which modality is more appropriate when radiation therapy is needed. Session will be appropriate for all members of the skull base multidisciplinary team.

At the conclusion of this session, attendees will be able to:

• Identify the differences between proton and photon therapy.
• Recognize when proton therapy may be an appropriate modality for treatment.
• Categorize the risks and benefits of both modalities of radiation treatment.

Expert Debate 7: Endonasal vs Transorbital vs Transcranial Approaches for Anterior Skull Base Meningioma

Panelists will be discussing the various surgical approaches to the anterior skull base. Illustrative cases will be presented and the pros and cons of each approach will be debated. Session is appropriate for attendees who care for patients with anterior skull base lesions including neurosurgery, rhinology, oculoplastics and head and neck oncologic surgeons.

At the conclusion of this session, attendees will be able to:

• Plan a surgical approach based on tumor characteristics and patient anatomy.
• Distinguish the benefits and difficulties of each different approach.
• Recognize the benefits of a multidisciplinary team in care of the anterior skull base patient.

Expert Debate 8: Skull Base Adenoid Cystic Carcinoma

Panelists will discuss the appropriate management of these insidious and rare tumors of the skull base. Demonstrative cases will be analyzed by the panelists and care plans will be formulated. Session is appropriate for head and neck oncology, rhinology, Neurotology, neurosurgery and radiation oncology.

At the conclusion of this session, attendees will be able to:

• Plan a surgical approach based on tumor characteristics and patient anatomy.
• Integrate lessons from a multidisciplinary approach to adenoidcystic carcinoma.
• Recognize the signs and symptoms of adenoidcystic carcinoma of the skull base.

Expert Debate 9: Nasopharyngectomy vs Re-irradiation in Recurrent NPC 

Panelists will debate the difficult decision making around recurrent nasopharyngeal carcinoma. The benefits and risks of surgical vs non-surgical treatment for illustrative cases will be discussed. Session is appropriate for head and neck surgeons, radiation oncologists, and rhinologists.

At the conclusion of this session, attendees will be able to:

• Categorize the risks and benefits of reirradiation for recurrent NPC.
• Integrate lessons from a multidisciplinary approach to recurrent nasopharyngeal carcinoma.
• Recognize when nasopharyngectomy may be appropriate for a given patient.

Expert Debate 10: Management of Small to Midsize Acoustic Neuromas

This session aims to discuss decision making for patients with small to midsized vestibular schwannomas. Panelists will discuss illustrative cases and their philosophy around decision making for these patients.

At the conclusion of this session, attendees will be able to:

• Prioritize goals of care for patients with prioritize goals of care for patients small to midsized VS.
• Select an appropriate surgical approach to address the patient’s primary symptom or sign.
• Compare the pros and cons of open surgical vs radiosurgical management of small to midsized VS.

Tumor Board Session 2: Paraganglioma

This session given by experts in the field, reviews imaging, pathology, data, treatment options and best practices for treating paragangliomas. The session is targeted for students, residents, junior and senior faculty member who manage patients with paragangliomas.

At the conclusion of this session, attendees will be able to:

• Diagnose and recognize imaging features of paragangliomas.
• Recognize and distinguish current molecular subtypes of paragangliomas.
• Formulate and implement a surgical or radiation treatment plan for paragangliomas.

General Session

Research Committee Session: Basic and Translational Science in Skull Base Research

The session is designed to place a spotlight on the effective researchers in our NASBS cohort, as well as motivate us all to get more involved in funded research.

At the conclusion of this session, attendees will be able to:

• Gain an understanding for key steps in successfully incorporating research as a skull base surgeon.
• Gain a basic understanding of establishment of genomics and translational research including funding approaches.
• Motivate NASBS membership to work toward more basic research and multi-institutional collaborations in basic and translational science.

Hot Topic 5: Management of Carotid Involvement in Skull Base Malignancies (Sacrifice, Stent, Bypass)

Management of skull base malignancies is always challenging. This difficult pathology becomes even more fraught with risk when the carotid artery is involved by the tumor. This session will address management strategies for these difficult cases and will seek to demonstrate safe techniques that will still allow good oncologic outcomes.

At the conclusion of this session, attendees will be able to:

• Plan for best options to manage carotid involvement in skull base malignancies pre-operatively.
• Integrate endovascular management options for carotid involvement in skull base malignancies.
• Assess the indication and technique for bypass in skull base malignancy cases with carotid involvement.

Hot Topic 6: Immunotherapy for Sinonasal Cancers

To discuss immunotherapy for squamous cell carcinoma, malignant melanoma, nasopharyngeal cancer, adenoid cystic and adenocarcinoma. Anterior skull base surgeons with a background in rhinology and neurosurgery are encouraged to attend.

At the conclusion of this session, attendees will be able to:

• Discuss immunotherapy for SCC and malignant melanoma.
• Discuss immunotherapy for nasopharyngeal cancer.
• Discuss immunotherapy for adenoid cystic and adenocarcinoma.

Special Session 3: New Technology in Skull Base Surgery

This session will focus on the technological advances that will help propel surgical treatment of skull base pathologies in the future. Specifically, this session will focus on the pre surgical planning and intraoperative utility that result in safer and improved surgical outcomes. This session is primarily designed for skull base surgeons.

At the conclusion of this session, attendees will be able to:

• Understand how new technologies are implemented and utilized in the preoperative environment and planning.
• Appreciate how novel intraoperative technologies are being used to improve visualization of skull base pathologies.
• Assess the role of technology and advances in surgical technique and equipment to provide for superior patient outcomes.

Special Session 4: Building A Skull Base Practice

This session will focus on the beginning of a skull base career and the particular dynamics and tendencies that help young practices thrive. Particular emphasis will be teamwork, program building, and striving for better outcomes while gaining confidence and experience. Medical students, Residents, fellows and early career skull base surgeons will benefit from this session.

At the conclusion of this session, attendees will be able to:

• Differentiate between different program growth models and how to implement these into your own practice.
• Understand how to balance gaining experience, pushing the boundaries, educating team members and optimizing patient outcomes.
• Evaluate which steps and which hurdles are necessary to develop a world class skull base program.

Tumor Board Session 3: Sinonasal Tumors

This session reviews current data and consensus best practices for management and treatment of Sinonasal Tumors and targets students, residents, junior, and senior faculty members.

At the conclusion of this session, attendees will be able to:

• Diagnose and discriminate radiographic features of sinonasal tumors.
• Discuss and evaluate molecular subtyping of sinonasal tumors.
• Formulate and implement a surgical or radiotherapeutic treatment plan for sinonasal tumors

Special Session 5: The Role of the Endovascular Surgeon in Skull Base Pathology

Many skull base pathologies are in close proximity to major intracranial blood vessels, both arteries and veins. Furthermore many skull base pathologies receive their blood supply from these structures requiring and intimate knowledge of both the pathology and vessels themselves. In this session, standard work up for skull base pathologies involving major arteries and veins will be discussed. Techniques including preoperative evaluation, pre-operative interventions including embolization and vessels sacrifice, and techniques will be discussed. This session is primary for skull base surgeons of all types, interventional neurointerventionalist/surgeons, fellows, residents, and medical students.

At the conclusion of this session, attendees will be able to:

• • Assess the different ways that skull base pathologies and the skull base vascularity interaction and impact further treatment.
  • Recognize different preoperative evaluations and treatment options for skull base pathology and their potential impact on surgical excision/treatment.
  • Integrate how endovascular surgeons and skull base surgeons may work as a team to provide for improved skull base pathology treatment and improve patient outcomes.

Special Session 6: Rehabilitation Following Skull Base Surgery (PT, OT, Speech and Swallowing)

Rehabilitation following Skull Base surgery is as critical to patient outcomes as the treatment itself. In this session, standard techniques will be reviewed as well as cutting-edge advantages that are focused on optimizing neural repair, patient physical recovery, as well as options for further intervention for improved outcomes. This session is primarily for skull base surgeons, fellows, residents, medical students and anyone involved with post operative care.

At the conclusion of this session, attendees will be able to:

• Articulate different treatment modalities that may be used to enhance rehabilitation for patients undergoing skull base surgery.
• Evaluate different therapy options to facilitate recovery for patients who undergo skull base surgery.

Develop a team based approach to enhance recovery after skull base surgery using novel techniques to facilitate further recovery

Video Session 5: Exoscopic Surgery

This session will explore the current utilization of the exoscope in skull base surgery. The limitations of the current technology in illumination and optical visualization will be discussed along with the advantages of the exoscope over conventional visualization modalities. The session will be interesting for trainees and surgeons in the fields of neurosurgery, otolaryngology, ophthalmology, radiology and plastic surgery.

At the conclusion of this session, attendees will be able to:

• • Recognize the advantages of the exoscope over current visualization modalities.
  • Assess the limitations in illumination and visualization of the current exoscope technology.
  • Predict the future direction of exoscope utilization in skull base surgery.

Video Session 6: Petrous and Petroclival Surgery

This session is ideally geared to neurosurgeons, neuro-otologists, and trainees interested in viewing techniques for petrous and petroclival surgery. By focusing on surgical nuances through focused operative videos and discussion, the audience members will be able to have an overview of approaching this complicated region from various perspectives.

At the conclusion of this session, attendees will be able to:

• Distinguish scenarios when the petrous apex is approached from the supratentorial, lateral, and infratentorial perspectives.
• Recognize emerging technology and employ technical pearls to avoid complications when approaching the petrous and petroclival region.

Research Committee Session: Clinical, Outcomes, and Anatomical in Skull Base Research

The session is designed to detail research program set-up and how to be successful in clinical, outcomes, or anatomical research.

At the conclusion of this session, attendees will be able to:

• Gain an appreciation for the breadth of skull base research performed in our membership.
• Gain a basic understanding of how to establish a clinical, outcomes, or anatomical research program.
• Describe funding approaches and techniques to support clinical, outcomes, or anatomical research.

Tumor Board Session 4: Clival Chordoma

This session will be focused on reviewing current data to achieve a consensus on best practices for the management of Clival Chordomas. It will target students, residents, junior, and senior faculty members who manage patients with Clival Chordomas.

At the conclusion of this session, attendees will be able to:

• Diagnose and illustrate key radiographic and pathologic features of Clival Chordomas.
• Discuss the role of molecular subtyping in the characterization of Clival Chordomas.
• Formulate a surgical approach and treatment plan for Clival Chordomas, discussing both open and endoscopic routes.
• Evaluate the pros and cons of radiation treatment as an alternative to or adjunct to surgery for Clival Chordomas.

Skull Base Jeopardy!

Proffered Papers Sessions 9-14

RHOTON ROOM: Dueling Dissections Session 2: Petroclival Region

Endoscopic endonasal and transcranial approaches are competing but also complementary approaches to the skull base. 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

5:05 pm – 6:05 pm

Proffered Papers Sessions 15-20

6:30 pm – 7:30 pm

New Member Reception

7:30pm – 10:00 pm

Main Social Event: The Tampa Bay History Center

Women in Skull Base Surgery: Considering Diversity in Defining and Creating a Successful Career in Skull Base Surgery

A career in skull base surgery can undoubtedly be both demanding and rewarding. Being a person of a diverse and minority background, whether of female sex or otherwise, can create even more challenges and potential barriers for success. Participants should include both men and women who are interested in learning strategies for defining and pursuing success for a robust and balanced career in skull base surgery.

At the conclusion of this session, attendees will be able to:

• Define what a successful career in skull base surgery could encompass.

• Identify potential challenges for a skull base specialist of a diverse or minority background.

• Develop realistic strategies for ways to overcome diversity barriers to success.

• Understand that there is a supportive network committed to enhancing diversity in skull base surgery.

Proffered Papers Sessions 21 – 25

RHOTON ROOM: Dueling Dissections Session 3: Lower Clivus and Foramen Magnum

Endoscopic endonasal and transcranial approaches are competing but also complementary approaches to the skull base. 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.

8:35 am – 9:35 am

Proffered Papers Sessions 26 – 30

9:40 am – 10:40 am

Proffered Papers Sessions 31 – 36

10:45 am – 11:45 am

Proffered Paper Sessions 37 – 42