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Learning Center

Learning Center

Session Name: Learning Centers

Pod 1 - Hands On Ultrasound Guidance and Review of Functional Anatomy for Head and Neck Botulinum toxin injections

Saturday, November 18, 2023
12:00 PM – 1:30 PM CT
Location: Learning Center in the Pavilion
In-Person

    Session Director(s)

  • Katharine E. Alter, MD

    Senior Research Clinician
    National Institute of Health
    Bethesda, Maryland

    No financial relationships to disclose.

  • Michael C. Munin, MD

    Professor, Vice Chair Strategic Planning and Program Development
    University Pittsburgh School of Med
    Pittsburgh, Pennsylvania

    No financial relationships to disclose.

    • Faculty(s)

  • Heakyung Kim, MD (she/her/hers)

    Professor and Chair, Dept of PM&R, Kimberly Clark Distinguished Chair in Mobility Research, UTSW
    University of Texas Southwestern Medical Center
    Dallas, Texas

    Disclosure(s): Abbvie Biotech: Consultant/Advisory Board (Terminated, December 31, 2021); Catalyst medical Education: Honorarium (Ongoing); Cleveland Clinic: Honorarium (Terminated, December 31, 2022); Ipsen: Research Grant (includes principal investigator, collaborator or consultant and pending grants as well as grants already received) (Ongoing); LIH Health Care: Honorarium (Ongoing); Merz: Consultant/Advisory Board (Terminated, April 30, 2022); Parcira Pharmaceutical Company: Consultant/Advisory Board (Ongoing)

  • Jeimylo cristobal De Castro, MD (he/him/his)

    Chairman
    The Medical City- South Luzon
    Silang, Cavite, Cavite, Philippines

    No financial relationships to disclose.

  • SY

    Simge J. Yonter, MD

    Staff Physician
    National Institutes of Health
    Bethesda, Maryland

    No financial relationships to disclose.

  • Kevin P. Murphy, MD (he/him/his)

    Medical Director Pediatric Rehabilitation Medicine
    Sanford Health System
    International Falls, Minnesota

    Disclosure(s): No financial relationships to disclose

  • FD

    Franklin Domingo, MD

    Medical Staff
    Makati Medical Center
    San Pedro, Laguna, Philippines

    No financial relationships to disclose.

Lab Marketing

Description: : Successfully performing botulinum toxin (BoNT) injections for cranio-cervical muscle overactivity is challenging requiring clinicians correctly identify muscles contributing postures/movements, dosage calculation and accurately targeting muscles during a procedure. This skills lab will provide clinicians with a review of regional functional anatomy and hands on training in ultrasound guidance techniques required to perform BoNT injections in key cranio-cervical muscles/glands. The hands-on skills and anatomy review provided will enhance attendees' functional and US pattern recognition, their US guidance skills and optimize patient outcomes. The course will also review the advantages of combined US-electrophysiologic guidance, the impact of anatomic variations, muscle patten recognition, identification of a safe path to the target, and in-plane and out of plane needle insertion technique.

Why is this lab needed? : The lack of access to hands on training for US guided head and neck chemodenervation procedures is a barrier for clinicians in incorporating this technique into their practice. Utilizing theUS guidance skills leaned during this course will reduce procedural risks, enhance patient safety and optimize treatment outcomes.

Lab Outline/Format:: Course/session review 5 minutes
Didactic and hands on review of cranio-cervical functional anatomy 20 minutes
Hands on US stations:
Anterior head/neck muscles, nerves, vessels 30 minutes
Lateral-posterior head/neck muscles, nerves, vessels 30 minutes
Proximal posterior head/neck muscles, nerves, vessels 30 minutes
Salivary glands, oromandibular muscles 15 minutes
Questions: 10 minutes
"Free Scanning" rotation for attendees to re-scan areas of key interest 20 minutes
In-plane and out of plane needle guidance practice: 15 minutes
Wrap-up 5 minutes.

Learning Objectives:

  • muscles contributing to key postures including torticolli/capitiss, latero-collis/capitis, antero-capitis/collis, retro-capitis/collis
  • be able to identify key muscles using US pattern recognition.
  • Gain proficiency in transduce handling, machine operation and needle guidance.