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CONGRESS VENUEICLO Teaching and Research Center San Francesco di Sales
Via Albert Einstein, 12 a/b, 52100 Arezzo
ORGANIZING SECRETARIATICLO Arezzo srl
Ph. +39 0575 1948501Fax. +39 0575 [email protected] - www.iclo.eu
under the auspices of
Eighth InternationalSkull Base Dissection Course
Arezzo, ItalyOctober, 11-13, 2017
REGISTRATION FORMEIGHTH INTERNATIONALSKULL BASE DISSECTION COURSEOCTOBER 11-13, 2017AREZZO, ITALY
PARTICIPANT INFORMATION
First NameFirst Name Last Name............................................................................................................................................................Place of birth Date of birth............................................................................................................................................................Address...........................................................................................................................................................City Postal Code Country........................................................................................................................................................................................................................................................................................................................Mob Tel............................................................................................................................................................Email (mandatory)............................................................................................................................................................Fiscal Code (mandatory for italian participants only)........................................................................................................................................................................................................................................................................................................................Place of Work / Institution............................................................................................................................................................Address City............................................................................................................................................................
Occupation/Field
Freelance Employee Freelance Student Public EmployeeYYou are pleased to fill in this Registration Form and deliver it via fax (+39 0575 1948500) or by e-mail [email protected]. This is a limited enrollment Course; the Organizing Secretariat will take care to inform you about your acceptance or non acceptance of the participation.
Date Signature............................................................................................................................................................
WWe inform you that, as expected by the D.Lgs 196/2003, we may use your data in relation with the carrying out of this event. The holder of the forementioned handlings is ICLO Arezzo Srl based in Arezzo.
INVOICE DETAILS (if different from participant information)
Invoice Title ............................................................................................................................................................Address Postal Code........................................................................................................................................................................................................................................................................................................................City Country............................................................................................................................................................Email............................................................................................................................................................Fiscal / Vat Code (mandatory for companies)........................................................................................................................................................................................................................................................................................................................
Confirmation/InvoiceRegistration will be handle accordingly with the first-come, first served system. You will receive a confirm of your registration by e-mail as soon as we will receive the money transfer.
Registration fee - € 1.952,00 vat Included15% fee reduction for EANS members - € 1.659,20 vat included
Registration fee includes• • Single use material and surgical kit• Educational material (Single use material and surgical kit)• 1 human specimen every two participants• 3 nights in 4**** Hotel• 3 dinners in typical Tuscan Restaurants• Lunch and coffee-breaks• Attendance Certificate• • Insurance
PaymentTransfer to: ICLO Arezzo srlBanca Valdichiana Credito Cooperativo Chiusi e MontepulcianoAgency: Arezzo Centro n.14 IBAN: IT36 I0848914 10100000 0370978 BIC/SWIFT: ICRAITRRDL0
(Please(Please indicate your surname and name, the title of the course. Bank charges are the responsibility of the participant and should be paid at source in addition to the registration and accommodation fees).
Eighth International - Skull Base Dissection CourseArezzo, Italy, October, 11-13, 2017
Course Directors Luc De Waele, MD Director Neurosurgery Ghent, Belgium Luciano Mastronardi, MD Co-Director Chief of Neurosurgery San Filippo Neri Hospital Rome, Italy Iver Arne Langmoen, MD Co-Director Professor, Dept. of Neurosurgery Oslo University Hospital Oslo, Norway Juha Ohman, MD Co-Director Professor, Dept. of Neurosurgery Tampere University Hospital Tampere, Finland Jon Ramm Pettersen, MD Faculty Member Oslo University Hospital, Department of Neurosurgery Oslo, Norway Arne Roos, MD Co-Director Sahlgrenska Univ. Hospital Gothenburg, Sweden Dirk De Ridder, MD Faculty Member Professor Dept. of Neurosurgery Dunedin School of Medicine University of Otago New Zealand Pedro Alberto Silva, MD Faculty Member Department of Neurosurgery, Hospital São João Faculty of Medicine, University of Porto
International Honoured Guest Vinko V. Dolenc, MD, PhD Head, Neurosurgery Department Univ. Med. Ctr. UHC Zaloska 7 / Neurosurgery Ljubjana 1525 Slovenia
WEDNESDAY OCTOBER 11TH, 2017 Anterior Skull Base Approaches
08.00 AM Welcome and Introduction. Registration and Presentation of the faculty. 08.10 AM Principles of skull base surgery. 08.20 AM08.20 AM Surgical Anatomy of Pterional - Orbito - Zygomatic approach to parasellar region and variations. Technical note. 08.50 AM The basic instruments you need in skull base surgery. 09.00 AM Endoscopic approach to the anterior skull base. 09.30 AM Cadaver hands on dissection Pterional - Orbito - Zygomatic approach with demo as your guide. 12.00 AM Lunch 01.00 PM01.00 PM Special lecture: anterior skull base lesions: easy to approach - easy to handle. 01.15 PM Surgical anatomy of the Orbit. 01.35 PM Microsurgical approach to cavernous sinus. Surgical anatomy of extra - and intradural cavernous sinus. Anterior + posterior clinoidectomy. Technical note. 02.00 PM Cadaver hands on extra - intradural approach to cavernous sinus/extradural Ant. clinoidectomy with demo as your guide; orbit anatomy - dissection. 05.00 PM Clean up and closing the lab. Summary of the day. 06.45 PM Course dinner with the faculty (casual dinner). 08.45 PM Questions around a beer
THURSDAY OCTOBER 12TH, 2017 Temporal Bone and Petrosal Approaches to the Skull Base
08.00 AM08.00 AM Indications of mastoidectomy and combined petrosal approach. Surgical anatomy. Technical note. 08.45 AM Special lecture: translabirynthine approach for acoustic neuromas. 09.00 AM Cadaver hands on mastoidectomy and combined petrosal approach*.
12.00 AM Lunch 01.00 PM Middle fossa approach: Indications and Surgical Anatomy. Technical note. 01.30 PM Extended middle fossa approach and Anterior Petrosectomy. Indications and Surgical Anatomy. Technical note. 02.00 PM Cadaver hands on middle fossa; anterior petrosectomy - extended middle fossa approach*. 05.00 PM Clean up and closing the lab. Summary of the day. 06.30 PM Formal Course dinner with certificates for qualifiers. Honored Guest lecture 08.30 PM Questions around a beer
FRIDAY OCTOBER 13TH, 2017 Far Lateral Approach to the Skull Base
08.00 AM08.00 AM Surgical anatomy of far lateral approach to Jugular Foramen and lateral high cervical region. Indications and Technical note. 08.45 AM Cadaver hands on Far lateral approach*. 12.00 AM Summary of the Day. Final remarks - Closing the lab
