ASPO PEDIATRIC AERODIGESTIVE SYMPOSIUM AND SIMULATION

Date: Tuesday April 29, 2025 – 7:00 AM – 17:30 PM and Wednesday April 30, 2025 – 7:00 AM – 10:30 AM

Location: Shriner’s Hospital for Children, 1003 Decarie Boulevar, Montreal H4A 0A9, Canada.
Course Contact Person: Ms. Vicky Decubellis
E-mail: vicky.decubellis@muhc.mcgill.ca
Phone: (514) 412-4400; extension 25302
Fax: (514) 412-4342

Virtual Option Available - Please use PRECON2VIRT when registering to receive 50% off the registration fees. 

Learning objectives:
At the conclusion of this activity, participants should be able to:

  • Integrate into practice innovations, approaches and strategies for approaching and managing the difficult airway.
  • Determine proper patient selection and choosing appropriate surgical interventions.
  • Apply new airway surgical techniques
  • Approach and manage patients with aerodigestive pathology

Symposium co-directors:
Dr. Alessandro De Alarcon, Cincinnati Children’s Hospital
Dr. Sam Daniel, McGill University, Montreal, Canada
Dr. Clare Richardson, Phoenix Children's Hospital

Organizing committee symposium:
Dr. S Daniel, Dr. A De Alarcon, V Decubellis, Dr. C Hart, Dr. D Preciado, Dr. N Almutairi, Dr. O Orischak, Dr. B Thierry

Organizing Commitee Advances Airway Simulation:
Dr. C Richardson, Dr. J Siu, Dr. A De Alarcon, Dr. M Bergeron, Dr. S Daniel, Dr. E Propst, Dr. C Myer

Tuesday April 29, 2025 – 7:00 AM - 17:30 (DAY 1)

Symposium Schedule:

AM

7:00 to 8:00    Breakfast
                        Introduction and welcome

8:00-10:00      Plenary Session (All groups are together – A, B, Simulation)

8:00-9:00        Challenges and Airway Surgery. Things I wish I had not done
                        Moderator: A De Alarcon
                        A De Alarcon, M Gerber, D Preciado, J Russell

9:00-10:00      Challenges and Airway Surgery. Thinking outside the box
                        Moderator: M Rutter                       
                        M Rutter, K Sandu, T Valika

10:00-10:20    Health Break

10:20-12:00    Breakout Rooms (please select room A, room B, or Simulation)

Room A
10:20-11:10     Re-innervation for vocal cord paralysis - what is new?
                        Moderator: S Daniel
                        P Fayoux, S Rickert, Marshall Smith, M Wyatt

11:10-12:00     Bilateral vocal fold immobility - How do you chose?
                        Moderator: M Wyatt
                        A Al-Ammar, J Russell, Marshall Smith, S Daniel

Room B
10:20-11:10     Laryngomalacia, What is new, What are we missing
                        Moderator: S Rickert
                        D Thompson, J Simons, G Richter

11:10-12:00     Dysphagia in 2025 - Innovations in diagnosis and treatment
                        Moderator: S Sobol
                        P Willging, C Myer

Simulation (Models)
10:00-12:00     Simulation morning session: Flexible bronchoscopy, airway foreign body retrieval, laryngeal cleft repair, and slide tracheoplasty

12:00-13:00    Lunch (All groups are together – A, B, Simulation) – Bring your difficult cases  

PM

13:00-15:00    Breakout Rooms (please select room A, room B, or Simulation)

Room A
13:00-13:50     Tracheomalacia - latest in diagnosis and treatment
                        Moderator B. Thierry
                        D von Allmen, B Thierry, J Siu, E Propst

13:50-14:40     Tracheal transplant / regenerative medicine
                        Moderator B. Thierry
                        T Chiang, B Thierry

14:40-15:00     Discussion

Room B
13:00-13:50     Aspiration challenges – Moderator N. Gonik
                        Moderators C Hart
                        Diagnosis of Aspiration, what is new? J Schroeder
                        Dysphagia in children with vocal cord dysfunction / paralysis J Schroeder
                        Approach to aspiration in CHARGE patients – C Hart

13:50-14:40     Non-anatomical aspiration - what to do?- El-Hakim
                        Moderator N. Gonik,H 
                        Surgery for intractable aspiration – P Fayoux
14:40-15:00     Discussion

Simulation (Models)
13:00-15:00     Simulation afternoon session: graft carving, laryngotrachoplasty, cricotracheal resection

15:00-15:20    Health Break – Visit exhibition of simulation models

15:20-17:30    Breakout Rooms (please select room A or room B)

Room A
15:20-16:10     Difficult Airway Foreign body cases, Lasers and Fires
                        Moderator: C Zdanski, S   Roy
                        C Zdanski, S Roy, Y Schwarz, T Marom

16:10-17:30     Revision laryngotracheal surgery - Tips, Tricks and Traps
                        Moderator: C Hart
                        K Sandu, M Rutter, Matthew Smith
Room B
15:20-16:10     Tracheo-esophageal fistula - Endoscopic and open approaches by the airway surgeon
                        Moderator: C. Richardson
                        C Hart, K Johnson, C. Richardson

16:10-17:00     Laryngeal Cleft - tips, tricks and traps
                        Moderator : Deepak Mehta
                        A De Alarcon, D Mehta, C Zdanski, S Kanotra

17:00-17:15     Artificial Intelligence and Pediatric Otolaryngology. Don’t miss the boat!
                        Moderator M Bromwich
                        T Valdez

17:15-17:30     How to take your innovation in airway surgery to the next level?
                        Moderator S Roy                       
                        M Bromwich

Simulation Program (Models) – Registration required  

Tuesday, April 29, 2025 – 10:00 AM - 17:00 (running in parallel with the symposium)

Morning Session (10:00 – 12:00)
Flexible Bronchoscopy with Intervention
Lead: C Torres-Silva, A Shapiro

Airway Foreign Body Retrieval
Lead: B Thierry                       Faculty: A Deshpande, J Siu

Endoscopic Laryngeal Cleft Repair
Lead: K Johnson                     Faculty: M Bergeron, S Zhou

Slide Tracheoplasty
Lead: C Hart                           Faculty: D von Allmen, A Clements, M Rutter

Afternoon Session (13:00 – 15:00)
Airway Graft Carving
Laryngotracheoplasty
Cricotracheal Resection

Lead: A de Alarcon, E Propst, C Meyer
Faculty: M Gerber, C Liu, J Manoukian, K Sandhu, T Valika

Wednesday, April 30, 2025 – 7:00 AM – 11:30 (Day 2)

07:00-10:00    Breakout Rooms (please select room A or room B)

Room A
HOW I DO IT
7:00-8:00        International invited Panel - Moderator B Chun
                        My approach to posterior glottic stenosis, D White
                        Transcervical Epiglottopexy for epiglottic prolapse, S Konatra
                        Suture Lateralization of Vocal cord, R Mehanna
                        Endoscopic laryngotracheal reconstruction, A Alammar
                        Balloon dilation: tips, tricks, traps, S Sobol
                        Post intubation Insufficiency: A novel surgical treatment, J Russell

8:00-8:10        Discussion

8:10-9:10        International invited Panel - Moderator G Zalzal
                        One-step supraglottoplasty, H ElHakim
                        Dealing with complicated glottic stenosis, K Sandu
                        Open and Endoscopic Cleft Repair; tips and tricks, D Mehta
                        Laryntracheoplasty pearls, D White
                        GOSH protocol for ward decannulation of children with tracheostomy, M Wyatt
                        Strategies for recalcitrant Stenosis Following Pediatric LTR, D Preciado

9:10-9:20        Discussion 

9:20-9:50        International invited Panel – Moderator K Sandu
                        Laryngeal re-innervartion, P Fayoux
                        Tips for a successful slide tracheoplasty, K Johnson
                        Esophageal approach to TEF repair, E Propst

9:50-10:00      Discussion

Room B

HOW I DO IT
7:00-8:00        International invited Panel – Moderator D Leonard, M Maksimoski
                        Flexible Bronchoscopy pearls and Tricks, C Torres-Silva
                        Endoscopic transseptal approach for choanal atresia repair, C Valdes
                        Safe FESS Surgery, Y Chan
                        Computational fluid dynamics (CFD), virtual rhinomanometry, and virtual surgery for neonatal congenital
                        nasal pyriform aperture stenosis, E Moreddu
                        Hypoglossal nerve stimulator Update, S Parikh
                        Persistent apnea post T&A, now what? C Heubi

8:00-8:10        Discussion

8:10-9:10        International invited Panel – Moderator M Soma
                       Use of spirometry in laryngotracheal stenosis, L AlMakoshi
                       Management of noncleft velopharyngeal insufficiency, N Jefferson
                       A non-breakable optic scope; this is not fiction, B Thierry
                       Fiberoptic Endoscopic Evaluation of Swallowing, Lessons Learned, J Schroeder
                       Management of Suprastomal Collapse and Granulation Tissue, J Simons 
                       Lymphangioma with airway compression – surgery or no? R Nicollas

9:10-9:20        Discussion

9:20-9:50        International invited Panel- Moderator A Deshpande
                        Slide Tracheoplasty for TEF, my experience, M Rutter
                        Injection Medialization in Infants with Vocal Fold Immobility, S Parikh
                        Tongue reduction in Beckwith Wiedemann Syndome, S Daniel

 9:50-10:00      Discussion

10:00-10:20     Health Break

10:20-11:20     Breakout Rooms (please select room A or room B)

Room A
10:20-10:50    Challenging cases: Problems and solutions- Moderator : K Yann-Fuu
                        Bilateral vocal cord paralysis and posterior glottic stenosis
                        Type 3 laryngeal clefts
                        Tracheal A-frame deformity
                        K Yann-Fuu, M Rutter, C Richardson, T Valika

10:50-11:20    Iatrogenic Airway injuries. What to do and when?
                        Moderator G Liu 
                        J D'Souza, T Valika, A Evans, J Wiedermann

Room B
10:20-10:50    Challenging cases: Problems and solutions
                        Moderator C Zdanski
                        My approach to Pierre Robin patients and novel technique to measure airway volumes in patients with
                        craniofacial abnormalities– S Rickert
                        Acute management and approach to long-term laryngotracheal complications after inhalation injury
                        S Vijayasekaran

 10:50-11:20    CHAOS: To exit or not to exit
                         Moderator M McKenna 
                         J McLevy Bazenella, A Tobey, J Wood, R. Mehanna