First Name Last Name Place of birth Address City Mob Email Fiscal Code Place of Work Address under the auspices of Date of Birth District Tel City Occupation/ Field District Freelance Employee Student Government Employee You are pleased to fill in this Registration Form and deliver it with your Professional Curriculum Vitae via fax (+39.0575.1948500) or by e-mail [email protected]. The Course is a limited enrolment Course; the Organizing Secretariat will take care to inform you about your acceptance or non acceptance of the participation. Date Signature We 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 Let People Move Srl based in Arezzo. Invoice details Title Dr Prof Affiliation State Address Postal Code Email City Phone VAT Identification Number • Confirmation/Invoice Registrations 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 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 • 2 dinners in typical Tuscan Restaurants • Lunch and coffee-breaks • Attendance Certificate • Insurance • Payment Bank Transfer to: Banca Popolare dell’Etruria e del Lazio Agenzia: Corso Italia IBAN: IT 98 O 05390 14100 000000093898 BIC/SWIFT: AR BA IT 33028 Please indicate your surname, name and “6th International Skull Base Dissection Course” Bank charges are the responsibility of the participant and should be paid at source in addition to the registration and accommodation fees. Organizing Secretariat Course Venue Sixth International Tel. +39 0575 1948541 Fax. +39 0575 1948500 [email protected] - www.iclo.eu ICLO San Francesco di Sales Teaching and Research Center Via A. Einstein, 12 Arezzo Skull Base Dissection Course Arezzo, Italy 7-9 October 2015 Sixth International - Skull Base Dissection Course Arezzo, Italy 7-9 October 2015 WEDNESDAY OCTOBER 7TH, 2015 Anterior Skull Base Approaches 8.OO AM 8.10 AM 8.20 AM 8.50 AM 9.00 AM 9.30 AM 12.00 AM 1.00 PM 1.15 PM 1.35 PM 2.00 PM 5.00 PM 6.45 PM 8.45 PM Welcome and Introduction. Registration and Presentation of the faculty. Principles of skull base surgery. Surgical Anatomy of Pterional – Orbito- Zygomatic approach to parasellar region and variations. Technical note. The basic instruments you need in skull base surgery. Endoscopic approach to the anterior skull base. Cadaver hands on dissection Pterional – Orbito- Zygomatic approach with demo as your guide. Lunch Special lecture: anterior skull base lesions: easy to approach – easy to handle. Surgical anatomy of the Orbit. Microsurgical approach to cavernous sinus. Surgical anatomy of extra– and intradural cavernous sinus. Anterior + posterior clinoidectomy. Technical note. Cadaver hands on extra–intradural approach to cavernous sinus/extradural Ant. clinoidectomy with demo as your guide; orbit anatomy- dissection. Clean up and closing the lab. Summary of the day. Course dinner with the faculty (casual dinner). Questions around a beer THURSDAY OCTOBER 8 , 2015 TH Temporal Bone and Petrosal Approaches to the Skull Base 8.00 AM 8.45 AM 9.00 AM 12.OO AM 1.00 PM Indications of mastoidectomy and combined petrosal approach. Surgical anatomy. Technical note. Special lecture: translabirynthine approach for acoustic neuromas. Cadaver hands on mastoidectomy and combined petrosal approach*. Lunch Middle fossa approach: Indications and Surgical Anatomy. Technical note. 1.30 PM 2.00 PM 5.00 PM 6.30 PM 8.30 PM Extended middle fossa approach and Anterior Petrosectomy. Indications and Surgical Anatomy. Technical note. Cadaver hands on middle fossa; anterior petrosectomy extended middle fossa approach*. Clean up and closing the lab. Summary of the day. Formal Course dinner with certificates for qualifiers. Questions around a beer FRIDAY OCTOBER 9TH, 2015 Far Lateral Approach to the Skull Base 8.00 AM 8.45 AM 12.00 AM Surgical anatomy of far lateral approach to Jugular Foramen and lateral high cervical region. Indications and Technical note. Cadaver hands on Far lateral approach*. Summary of the Day. Final remarks – Closing the lab. Course Directors Luc De Waele, MD Director Neurosurgery Ghent, Belgium Bernard George, MD Honoured Guest Professor, Chief of the Department of Neurosurgery, Lariboisière University Hospital Paris, France 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 Petterson, MD Co-Director Oslo University Hospital, Department of Neurosurgery Oslo, Norway Oslo, NorwayArne Roos, MD Co-Director Sahlgrenska Univ. Hospital Gothenburg, Sweden