STATEMENT OF NEEDThis CME conference aims to increase knowledge surrounding the effective diagnosis and management of common, clinically relevant otologic disorders. Furthermore, the course content is designed to enhance clinical practice of medical providers caring for patients with otologic disorders. This course will cover topics involving all aspects of diagnosis, medical management, surgical intervention, as well as applying risk reduction techniques, ordering and interpreting imaging, and evaluating evidenced-based data. The course will consist of didactic lectures, panel/ case discussions, and interactive breakout sessions with the faculty utilizing learner engagement technology.

TARGET AUDIENCEThis international program is designed for:• Physicians• Nurses• Nurse Practitioners• Physician Assistants• Social Workers• Allied Health Professionals • Audiologistsspecializing in Family Practice, Primary Care, Internal Medicine, Otology, and Otolaryngology.

LEARNING OBJECTIVESAt the conclusion of this activity, participants should be able to:• Diagnose hearing loss and balance disorders based on

specific patient characteristic and practice setting.• Evaluate the available management options in hearing

loss and balance disorders based on specific patient characteristics and the practice setting.

• Apply risk reduction techniques in otologic surgery to reduce clinical errors.

• Identify the circumstances that may lead to iatrogenic injury or suboptimal outcomes.

• Assess evidence-based approaches to prevent, diagnose, and treat hearing loss in infants and children.

• Recommend timely referrals of deaf children for cochlear implants.

• Recognize the broad range of etiologies of vertigo and tinnitus.

• Discuss criteria used to prevent and diagnose vertigo and tinnitus.

• Evaluate the current options available to prevent, diagnose, treat and manage vertigo and tinnitus.

• Interpret preoperative imaging and electrophysiologic studies.

• Utilize intraoperative monitoring to improve quality of care.

• Analyze risk and benefits of cartilage tympanoplasty.• Discuss clinical guidelines on managing chronic otitis.• Describe current state of genetics and gene therapy in

otology.• Discuss treatment opportunities resulting from genetic

testing in otology.• Demonstrate techniques in otologic endoscopy and OCR

surgery.• Review challenges in otosclerosis.• Summarize issues in cochlear synaptopathy.• Analyze recent advances in intratympanic therapy and inner

ear pharmacotherapy.• Evaluate latest indications for cochlear implantation.• Assess vestibular physiology, testing and surgery.• Explain symptoms of Meniere disease.• Describe current techniques of bone cement in otology.

ACCREDITATIONThe Stanford University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CREDIT DESIGNATIONThe Stanford University School of Medicine designates this live activity for a maximum of 18.50 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.The California Board of Registered Nursing recognizes that Continuing Medical Education (CME) is acceptable for meeting RN continuing education requirements as long as the course is certified for AMA PRA Category 1 CreditTM (rn.ca.gov). Nurses will receive a Certificate of Participation following this activity that may be used for license renewal.

Li Ka Shing Center for Learning and Knowledge Stanford, CA

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REGISTRATIONRegistration fee includes tuition, course materials, Certificate of Participation, continental breakfast, refreshment breaks and lunch.

ATTENDEE TYPE FEESPhysicians $595Allied Health Professionals, Residents/Fellows

$300

Register online with Visa or Master Card by visiting cme.stanford.edu/otology. If you prefer to pay by check or need assistance, please call (650) 497-8554 or email stanfordcme@stanford.edu. Be sure to register with an email address that you check frequently. Your email address is used for critical information, including registration confirmation, evaluation, and certificate.

CANCELLATION POLICY Cancellations received in writing no less than 30 days before the course will be refunded, less a 20% administrative fee. No refunds will be made on cancellations received after that date. Please send cancellation requests to stanfordcme@stanford.edu.Stanford University School of Medicine reserves the right to cancel this program; in the event of cancellation, course fees will be fully refunded.

CONFERENCE LOCATION Li Ka Shing Center for Learning and Knowledge 291 Campus Drive, Stanford, CA 94305

Phone: (650) 725-6884

VISITING STANFORD UNIVERSITYTo learn more about traveling to Stanford University, please browse visit.stanford.edu.

CONTACT INFORMATIONFor questions about the symposium, please contact Yolanda Cervantes, CME Conference Coordinator at (650) 724-9549 or ycervant@stanford.edu.Stanford Center for Continuing Medical Education 1520 Page Mill Road Palo Alto, CA 94304Phone: (650) 497-8554 Email: stanfordcme@stanford.edu Web: cme.stanford.edu

Stanford University School of Medicine is committed to ensuring that its programs, services, goods and

facilities are accessible to individuals with disabilities as specified under Section 504 of the Rehabilitation Act of 1973 and the Americans with Disabilities Amendments Act of 2008. If you have needs that require special accommodations, including dietary concerns, please contact the CME Conference Coordinator.

ACCOMMODATIONS A block of rooms has been reserved at a reduced rate at both the Sheraton Palo Alto Hotel and the Westin Palo Alto Hotel for conference participants on a first-come, first-served basis and may sell out before October 17, 2018. After this date, reservations will be accepted on a space available basis and at regular resort rates.To make a reservation please contact the hotel directly to secure a reservation. Reservations made via email must include the following: Guest Name, Arrival/Departure Date, Address, Phone # & Name of Group. To guarantee a reservation, one must give a credit card number and expiration date.

Sheraton Palo Alto Hotel 625 El Camino Real Palo Alto, CA 94301

1 (800) 335-3535SheratonReservations@pahotel.comReference: Stanford Otology Course 2018 Room Rates: $349 per night 7th-8th; $149 per night 9th-10th Valet Parking: $25 per day

Westin Palo Alto Hotel 675 El Camino Real Palo Alto, CA 94301

1 (800) 937-8461westinreservations@pahotel.com Reference: Stanford Otology Course 2018 Room Rates: $409 per night 7th-8th; $169 per night 9th-10th Valet Parking: $25 per day

A Continuing Medical Education Conference presented by the Department of Otolaryngology – Head and Neck Surgery; Division of Otology/Neurotology at the Stanford University School of Medicine.

Otolaryngology —Head and Neck Surgery

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Stanford Otology UpdateNovember 8 – 10, 2018

10:30 – 11:25 Breakout Session #111:25 – 11:35 Move to next breakout session11:35 – 12:30 pm Breakout Session # 212:30 – 1:30 LUNCHPM Session Moderator: Nikolas Blevins, MD

1:30 – 1:50 Single Side Deafness—Does it Matter? Gerard O’Donoghue, MBChB, FRCSI, FRCS, MCh

1:50 – 2:05 Prosthesis Selection in Middle Ear Reconstruction

Markus Pfister, MD

2:05 – 2:20 Endoscopic Ear Surgery—Practical Guide for Getting Started

Kay Chang, MD

2:20 – 2:35 Endoscopic Ear Surgery—Advanced Techniques

Hamed Sajjadi, MD

2:35 – 2:55 Imaging in Chronic Otitis Media Moises Arriaga, MD, MBA, FACS

2:55 – 3:30 Panel: Case Studies in Otologic Imaging Moderator: Nancy Fischbein, MD Panelists: Richard Gurgel, MD; Joseph Hegarty,

MD; Ashkan Monfared, MD; Peter Santa Maria, MD; PhD, Samuel H. Selesnick, MD, FACS

3:30 – 3:50 COFFEE BREAK

3:50– 4:10 Synaptopathy: New Understanding of Sensorineural Hearing Loss

Lawrence Lustig, MD

4:10 – 4:30 Regeneration and Gene Therapy Alan Cheng, MD

4:30 – 5:00 Panel: Intratympanic Therapy/Inner Ear Pharmacotherapy

Moderator: Lawrence Lustig, MD Panelists: Sumit Agrawal, MD; C. Eduardo

Corrales, MD; Anil Lalwani, MD; Markus Pfister, MD; Peter Rigby, MD; Kristen K. Steenerson, MD

5:00 – 5:30 Cochlear Implants: The End of the Beginning?

Gerard O’Donoghue, MBChB, FRCSI, FRCS, MCh

5:30 ADJOURN

Friday, November 9, 2018AM Session Moderator: Peter Santa Maria, MD, PhD

8:00 – 8:10 am Welcome/Announcements Lloyd B. Minor, MD; Peter Santa Maria, MD, PhD

8:10 – 8:30 Update in Vestibular Physiology Lloyd B. Minor, MD

8:30 – 8:50 Vestibular Tests and Decision Making in Dizziness

Moises Arriaga, MD, MBA, FACS

8:50 – 9:10 Vestibular Migraine: The Chameleon of Vertigo

Kristen K. Steenerson, MD

9:10 – 9:40 An Update on Meniere Disease Joseph Hegarty, MD

9:40 – 10:00 Surgical Management of BPPV and SSCCD

Sumit Agrawal, MD

10:00 – 10:30 COFFEE BREAK

10:30 – 11:25 Breakout Session #311:25 – 11:35 Move to next breakout session11:35 – 12:30 pm Breakout Session #412:30 – 1:30 LUNCH PM Session Moderator: Samuel H. Selesnick, MD, FACS

1:30 – 1:50 Bone Cement in Otology Moises Arriaga, MD, MBA, FACS

1:50 –2:10 TMJ and Otalgia Anh Nguyen-Huynh, MD, PhD

2:10 – 2:50 Panel: Challenges in the Management of Eustachian Tube Dysfunction

Moderator: Peter Santa Maria, MD, PhD Panelists: Kay Chang, MD; C. Eduardo

Corrales, MD; Jennifer Y. Lee, MD; Jennifer Maw, MD; Hamed Sajjadi, MD

2:50 –3:10 COFFEE BREAK

3:10 – 3:40 Panel: Tinnitus—New Approaches Moderator: Joseph Hegarty, MD Panelists: Jennifer Alyono, MD; Steven Cheung,

MD; Matthew Fitzgerald, PhD; Kate Kaplan, PhD; Peter A. Tass, MD, PhD

3:40 – 4:00 Managing the Facial Nerve in Otology Samuel H. Selesnick, MD, FACS

4:00 – 4:20 Evolving Management of Skull Base Disease

Colin Driscoll, MD

4:20 – 4:40 Skull Base Osteomyelitis—Diagnosis and Management

C. Eduardo Corrales, MD

4:40 – 5:00 Neoplasms of the Ear and Temporal Bone Ashkan Monfared, MD

5:00 – 5:30 Panel: Challenges in Otosclerosis Moderator: Robert K. Jackler, MD Panelists: Moises Arriaga, MD, MBA, FACS;

Nikolas Blevins, MD; Colin Driscoll, MD; Gerard O’Donoghue, MBChB, FRCSI, FRCS, MCh; Samuel H. Selesnick, MD, FACS; Alexander Sevy, MD

5:30 ADJOURN

Saturday, November 10, 2018AM Session Moderator: Matthew Fitzgerald, PhD

8:00 – 8:05 Announcements Matthew Fitzgerald, PhD

8:05 – 8:20 Pulsatile Tinnitus Jennifer Alyono, MD

8:20 – 8:35 Middle Ear Myoclonus Alexander Sevy, MD

8:35 – 8:55 Frontiers in Clinical Audiology Matthew Fitzgerald, PhD

8:55 – 9:15 Presbycusis — Our Current Understanding

Richard Gurgel, MD

9:15 – 9:30 Bone-Conduction Devices Jennifer Maw, MD

9:30 –10:00 Panel: Managing Asymmetric HL— What Works?

Moderator: Matthew Fitzgerald, PhD Panelists: Colin Driscoll, MD; Jennifer Maw,

MD; Anh T. Nguyen-Huynh, MD, PhD; Gerard O’Donoghue, MBChB, FRCSI, FRCS, MCh; Austin Swanson, AuD; Melissa S. Tribble, AuD

10:00 – 10:30 COFFEE BREAK

10:30 – 11:25 Breakout Session #511:25 – 11:35 Move between breakout session11:35 – 12:30 pm Breakout Session #612:30 ADJOURN Program is subject to change.Opportunities for Q&A will be provided at the conclusion of each presentation.

Kay Chang, MD Professor, Otolaryngology— Head & Neck Surgery, (Pediatrics)Stanford University Medical CenterBy Courtesy, Pediatrics at the Lucile Salter Packard Children’s Hospital

Alan Cheng, MDProfessor, Otolaryngology— Head & Neck Surgery, (Pediatrics) and By Courtesy of Pediatrics

Matthew Fitzgerald, PhDAssistant Professor, Otolaryngology—Head & Neck Surgery, Otology and NeurotologyStanford University Medical Center

Nancy Fischbein, MDProfessor RadiologyBy Courtesy, Otolaryngology—Head & Neck Surgery, Neurology, Neurosurgery, Radiation OncologyStanford University Medical Center

Robert K. Jackler, MDProfessor and Chair, Department of Otolaryngology—Head & Neck Surgery Divisions

Kate Kaplan, PhDClinical Instructor, Psychiatry and Behavioral Sciences

Jannine Larky, AuDBasic Life Research Scientist, Otolaryngology—Head & Neck Surgery, /Otology & Neurotology

Jennifer Y. Lee, MDClinical Assistant Professor, Otolaryngology—Head & Neck Surgery

Lloyd B. Minor, MDCarl & Elizabeth Naumann Professorship for the Dean of the School of Medicine, Professor of Otolaryngology (Otology & Neurotology) and, By Courtesy, of Neurobiology and of Bioengineering

Jennifer Maw, MDAdjunct Clinical Associate Professor, Otolaryngology— Head & Neck Surgery

Albert Mudry, MD, PhDVisiting Professor, Private Practice Otology Lausanne, SwitzerlandAdjunct Professor, Otolaryngology—Head & Neck Surgery

Jon-Paul Pepper, MDAssistant Professor, Otolaryngology, Facial Plastic and Reconstructive SurgeryStanford University Medical Center

Hamed Sajjadi, MDClinical Associate Professor (Affiliated) [VAPAHCS], Otolaryngology—Head & Neck SurgeryStaff, Otolaryngology—Head & Neck Surgery

Peter Santa Maria, MD, PhDAssistant Professor, Otolaryngology—Head & Neck Surgery, Otology and NeurotologyStanford University Medical Center

Kristen K. Steenerson, MDClinical Assistant Professor, Otolaryngology—Head & Neck Surgery DivisionsClinical Assistant Professor, Neurology & Neurological Sciences

Austin Swanson, AuDAudiologistStanford Healthcare

Peter A. Tass, MD, PhD Professor of Neurosurgery

Melissa S. Tribble, AuDPediatric Audiology ManagerOtolaryngology—Head & Neck Surgery, /Otology & Neurotology

Yona Vaisbuch, MDClinical Instructor, Otolaryngology, Head & Neck Surgery

FACULTY DISCLOSUREThe Stanford University School of Medicine adheres to ACCME Criteria, Standards and Policies regarding industry support of continuing medical education. Disclosure of faculty and their commercial relationships will be made prior to the activity.

COMMERCIAL SUPPORT ACKNOWLEDGEMENT This CME activity is supported in part by educational grants. A complete list of commercial supporters will be published in the course syllabus.

Thursday, November 8, 2018AM Session Moderator: Robert Jackler, MD

8:00 – 8:10 am Greeting and Announcements Nikolas Blevins, MD; Robert K. Jackler, MD

8:10 – 8:40 The Future of Otology Robert K. Jackler, MD

8:40 – 9:10 A Practical Approach to Cartilage Tympanoplasty

Moises Arriaga, MD, MBA, FACS

9:10 – 9:40 Tympanomastoidectomy—Why Is It So Challenging? Gerard O’Donoghue, MBChB, FRCSI, FRCS, MCh

9:40 – 10:00 Genetics in Otology Anil Lalwani, MD

10:00 – 10:30 COFFEE BREAK Breakout Sessions (6 Sessions over 2 ½ days—Each attendee is assigned to a small group which rotates together. 10 minutes to move to the next breakout session.)

Vertigo Moderator: Sumit Agrawal, MD Joyce Chadderdon, PT, NCS; Jennifer Maw,

MD; Anh Nguyen-Huynh, MD, PhD; Kristen K. Steenerson, MD

SNHL and Cochlear Implantation Moderator: Peter Santa Maria, MD, PhD Nikolas Blevins, MD; Matthew Fitzgerald, PhD;

Lawrence Lustig, MD; Gerard O’Donoghue, MBChB, FRCSI, FRCS, MCh

Otologic Endoscopy and OCR Moderators: Hamed Sajjadi, MD and Ashkan Monfared, MD Jennifer Alyono, MD; C. Eduardo Corrales, MD;

Jennifer Y. Lee, MD; Alexander Sevy, MD; Yona Vaisbuch, MD

Facial Nerve Moderator: Anil Lalwani, MD Richard Gurgel, MD; Joseph Hegarty, MD;

Albert Mudry, MD; PhD, Jon-Paul Pepper, MD

Pediatric Otology Moderators: Kay Chang, MD and Alan Cheng, MD Iram Ahmad, MD, Jannine Larky, AuD,

Markus Pfister, MD, Peter Rigby, MD, Melissa S. Tribble, AuD

Chronic Otitis Media Moderator: Robert K. Jackler, MD Moises Arriaga, MD, MBA, FACS; Colin Driscoll,

MD; Samuel H. Selesnick, MD, FACS

COURSE DIRECTORSNikolas Blevins, MDProfessor, Chief, Division of Otology/Neurotology

Robert K. Jackler, MDProfessor and Chair, Department of Otolaryngology—Head & Neck Surgery

Peter Santa Maria, MD, PhDAssistant Professor—Med Center Line, Otolaryngology—Head & Neck Surgery

Matthew Fitzgerald, PhDAssistant Professor—Med Center Line, Otolaryngology—Head & Neck Surgery

SPECIAL GUEST FACULTYMoises A. Arriaga, MD, MBA, FACSClinical Professor, Otolaryngology and Neurosurgery, Louisiana State University Health Sciences, New Orleans, LADirector of Otology and Neurotology, Hearing and Balance Center, Our Lady of the Lake Regional Medical Center, Baton Rouge, LA

Gerard O’Donoghue, MBChB,FRCSI, FRCS, MChHonorary Professor, Otology and Neurotology,University of NottinghamNottingham, United Kingdom

GUEST FACULTYSumit Agrawal MDAssociate Professor,University of Western OntarioLondon, Ontario

Steven Cheung, MDProfessor, Otolaryngology— Head & Neck SurgeryUniversity of California San Francisco

C. Eduardo Corrales, MDAssociate Surgeon, Otolaryngology, Brigham and Women’s Instructor, Harvard Medical School

Colin Driscoll, MDProfessor & Chair, Otolaryngology—Head & Neck SurgeryMayo Clinic, Rochester, MN

Richard Gurgel MDAssistant Professor, Otolaryngology — Head & Neck Surgery,University of Utah

Joseph Hegarty, MDPrivate Practice, Otology/NeurotologyColorado Springs, CO

Anil K. Lalwani, MDProfessor, Otolaryngology— Head & Neck Surgery, Neurotology, Ped Otolaryngology (ENT), Adult and Pediatric Otologist and NeurotologistColumbia University Medical Center

Lawrence R. Lustig, MDHoward W. Smith Professor and Chair, Otolaryngology— Head & Neck Surgery Columbia University Medical Center

Ashkan Monfared, MDAssociate Professor, Surgery and NeurosurgeryAssociate Director, Skull base SurgeryDirector, Center for Otolaryngology Microsurgical Education and Training (COMET) LabGeorge Washington University Hospital

Anh T. Nguyen-Huynh, MD, PhDPrivate Practice, Portland OR

Markus Pfister, MDOtolaryngology, Head and Neck Surgery, Hirsladen, Private Hospital Group, Zurich, SwitzerlandTübingen Hearing Research Centre, Tübingen, Germany

Peter Rigby, MDPrivate Practice, Otology/Neurotology, Richmond, VA

Samuel H. Selesnick, MD, FACSProfessor and Vice Chairman Department of Otolaryngology, Head & Neck SurgeryWeill Cornell Medical College, New York, NY

Alexander Sevy, MDHearing and Balance Center, Our Lady of the Lake Regional Medical Center, Baton Rouge, LA

STANFORD FACULTYIram Ahmad, MDAssistant Professor, Otolaryngology—Head & Neck Surgery (Pediatrics),Stanford University Medical Center

Jennifer Alyono, MDAssistant Clinical Professor

Nikolas Blevins, MDProfessor, Chief, Division of Otology/Neurotology

Joyce Chadderdon, PT, NCSPhysical TherapistNeuro Outpatient (PT/OT/SLP-SHC)Stanford University Medical Center

PROGRAM FACULTY All faculty members are from Stanford University School of Medicine unless otherwise noted.