{"id":2849,"date":"2019-06-19T14:42:27","date_gmt":"2019-06-19T21:42:27","guid":{"rendered":"https:\/\/keck.usc.edu\/news\/putting-usc-at-the-center-of-endoscopic-sinus-and-skull-base-surgery-education\/"},"modified":"2025-10-23T13:32:49","modified_gmt":"2025-10-23T20:32:49","slug":"putting-usc-at-the-center-of-endoscopic-sinus-and-skull-base-surgery-education","status":"publish","type":"post","link":"https:\/\/keck.usc.edu\/news\/putting-usc-at-the-center-of-endoscopic-sinus-and-skull-base-surgery-education\/","title":{"rendered":"Putting USC at the center of endoscopic sinus and skull base surgery education"},"content":{"rendered":"\n \n \n\n\n\n\n\n\n\n
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\n\n \n Press Release<\/span>\n\n\n\n<\/div>\n \n \n
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Putting USC at the center of endoscopic sinus and skull base surgery education<\/h1>\n\n\n<\/div>\n \n \n
\n \n June 19, 2019<\/span>\n <\/div>\n \n \n
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It\u2019s a happy coincidence that Bozena Wrobel\u2019s two principal passions \u2014 medicine and teaching \u2014 intersect.<\/h2>\n

Bozena Wrobel, MD<\/a>, an associate professor of clinical otolaryngology \u2013 head and neck surgery and neurological surgery at the Keck School of Medicine of USC and the division chief of rhinology and endoscopic skull base surgery, is a trailblazer in surgical technique and is deeply committed to circulating cutting-edge knowledge to surgeons and specialists worldwide. Even with a busy surgical schedule, she finds ways to share her expertise with residents, students and fellow otolaryngologists across diverse educational venues.<\/p>\n

As director of the USC Advanced Endoscopic Sinus and Skull Base Surgery courses, Wrobel has assembled a robust community within the specialty, while expanding her reach as an invited speaker nationally and internationally. More than a decade ago, she organized the first International Endoscopic Sinus Surgery Course in Kajetany, Poland, an event now held annually in her native country. Most recently, Wrobel traveled to South Africa and led the first American Rhinologic Society (ARS) Sinus and Skull Base Course at the Stellenbosch University in Cape Town.\u00a0\u00a0\u00a0<\/p>\n

\u201cOver the years, we\u2019ve achieved milestones on the national level \u2014 the first to combine sinus and skull base continuing medical education courses for the community, the first to establish collaborative skull base courses for otolaryngology and neurosurgery residents, and the first endoscopic sinus course for upcoming ARS fellows, hosted at USC,\u201d she says. The Sinus Surgery Course, held at USC in March 2019, drew attendees from countries such as Saudi Arabia, Australia, New Zealand and Canada, as well as from academic medical centers in Pennsylvania, South Carolina and Texas.\u00a0<\/p>\n

The curriculum also highlighted the region\u2019s collective strengths, welcoming researchers and educators from Southern California institutions, including the University of California, Los Angeles; University of California, Irvine; University of California, San Diego; Kaiser Permanente; Cedars-Sinai Medical Center; and Loma Linda University Medical Center. \u201cThis is a USC course, but we\u2019re embracing our relationship with local universities as a way to evolve a community to improve patient care,\u201d Wrobel says.<\/p>\n

Wrobel has also helped introduce other innovations into her courses. \u201cNormally, we do the lectures and dissection in the lab, but we\u2019ve now introduced at our last course a 3-D model for dissection,\u201d she explains. The resin model of a human skull and sinuses \u2014 originally generated from CT scans and created by Peter-John Wormald of the University of Adelaide \u2014 offers the tactile feel of a skull, while eliminating some of the complex issues related to working with cadavers. It\u2019s a breakthrough in training that could be transformative, Wrobel believes.<\/p>\n

Wrobel collaborated with Gabriel Zada, MD<\/a>, an associate professor of neurological surgery at the Keck School and director of the Skull Base Therapeutics Center at Keck Medicine of USC, to develop and certify a cadaver perfusion training model for carotid injury \u2014 one of just a handful of simulation models of its type. Carotid injury during endoscopic skull base surgery is a devastating complication and can result in stroke or even death, so training surgeons in how to manage the procedure is crucial to improving patient outcomes.<\/p>\n

\u201cThe model captures a very real situation \u2014 it\u2019s exactly like in the operating room during the skull base surgery,\u201d Wrobel explains. \u201cOn this simulated cadaver model, you expose the real vessels at the skull base, like during the pituitary surgery, and use paint to replicate blood flow through the vessels, walking surgeons through the ABCs so they won\u2019t panic when it happens in real life. We put fitness trackers on participants and created a mock operating room environment, where the training model and surgeon are connected to monitors to track the perfusion and heart rate. We showed that despite the fact that doctors were nervous and heart rate and blood pressure went up \u2014 which is realistic and normal \u2014 they still performed really well after they gained the psychomotor skills through training on the USC model.\u201d\u00a0<\/p>\n

Summer 2019 promises to be very busy for Wrobel and Zada, with a series of lectures and trainings scheduled at RhinoWorld Chicago and the North American Skull Base Society (NASBS) summer workshop in New Orleans.<\/p>\n

\u201cWorking with Dr. Zada, we have developed a world-class endoscopic skull base surgery program at USC, with education, research and comprehensive clinical care for patients with sinonasal malignancies, anterior skull base pathology and pituitary tumors,\u201d she says.<\/p>\n

\u201cAt this point, we\u2019ve got the strongest endoscopic skull base program in Southern California and well beyond,\u201d Wrobel concludes, proudly highlighting her team\u2019s achievements. \u00a0<\/p>\n

To make a gift to the USC Tina and Rick Caruso Department of Otolaryngology \u2013 Head and Neck Surgery, click here<\/a>.<\/p>\n\n\n\n<\/div>\n <\/div>\n\n\n <\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":168,"featured_media":2850,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"advgb_blocks_editor_width":"","advgb_blocks_columns_visual_guide":"","footnotes":"","_links_to":"","_links_to_target":""},"categories":[6],"tags":[628],"class_list":["post-2849","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-press-release","tag-usc-caruso-department-of-otolaryngology-head-and-neck-surgery"],"acf":[],"yoast_head":"\nPutting USC at the center of endoscopic sinus and skull base surgery education<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link 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