ADVANCED HANDS-ON MASTERCLASS

ON CSF-LEAKS AND ENDOSCOPIC SKULL BASE RECONSTRUCTION

In sintesi

Inizio: 11 Maggio 2026

Fine: 13 Maggio 2026

Milan

Crediti ECM: 40,4

Registration: Regular

Available seats: 11

Registration: Reduced fee for SIB, SIO, IAR, and ERS members

Available seats: 4

Course Directors

Prof. Apostolos Karligkiotis

Dr. Nicola Boari

Dr. Abdulaziz AlQahtani

Honorary presidents

Prof. Mario Bussi
Prof. Paolo Castelnuovo
Prof. Pietro Mortini

Faculty

Remo Accorona, Milano

Abdulaziz AlQahtani, Ryad

Alberto Arosio, Varese

Muaid Baban, Sulaymaniyah

Francesco Bandi, Milano

Paolo Battaglia, Como

Maurizio Bignami, Varese

Nicola Boari, Milano

Mario Bussi, Milano

Frank Rikki Canevari, Genoa

Paolo Castelnuovo, Milano

Giorgos Giourgos, Bergamo

Apostolos Karligkiotis, Milano

Federico Leone, Milano

Davide Mattavelli, Brescia

Nicolò Mevio, Milano

Pietro Mortini, Milano

Alessia Lambertoni, Varese

Giacomo Pietrobon, Milano

Andrea Pistochini, Varese

Andrea Preti, Milano

Vittorio Rampinelli, Brescia

Federico Russo, Como

Alberto Schreiber, Garda

Giorgio Sileo, Varese

Luca Spirito, Firenze

Mario Turri-Zanoni, Como

Alessandro Vinciguerra, Como

Luca Volpi, Varese

Jacopo Zocchi, Milano

Cesare Zoia, Gravedona

Scientific Board

Rationale

Skull base surgery represents one of the most challenging areas within rhinology and neurosurgery, where surgical precision, anatomical knowledge, and reconstructive skills are crucial to patient safety and outcomes. Among these procedures, cerebrospinal fluid (CSF) leak repair is particularly demanding, as it requires mastery of complex anatomical corridors, appropriate graft and flap selection, and the ability to achieve reliable watertight closures.

Despite its importance, exposure to real CSF leak cases during training remains limited, and the steep learning curve of endoscopic skull base reconstruction can increase operative risks when performed without adequate preparation. Simulation models and cadaveric dissection therefore play a pivotal role in bridging this educational gap, offering a safe environment for surgeons to acquire and refine the necessary technical skills before translating them into clinical practice.

This advanced hands-on international masterclass in Milan is designed to provide participants with comprehensive training in endoscopic management of CSF leaks and skull base defects.

Through a combination of focused lectures, expert-led discussions, and step-by-step cadaveric  dissections, attendees will gain in-depth knowledge of sinonasal and skull base anatomy, principles of reconstruction, and the use of grafts, flaps, and innovative techniques such as the gasket seal approach. A distinctive feature of the course is the use of a validated cadaveric perfusion model that realistically simulates CSF leaks, allowing participants to practice under conditions closely resembling live surgery.

By the end of the three-day program, participants will have developed enhanced surgical confidence and competence in endoscopic skull base reconstruction, equipping them with the skills required to face real clinical challenges with greater safety and efficacy.

We look forward to welcoming you in Milan for this unique educational experience in May 2026!

Target

The training event will be accredited (40,4 italian CME credits) for the following medical specialties:

Neurosurgery, Maxillofacial Surgery, Otorhinolaryngology

DAY 1, 11 May 2026

 

 

08:00 – 08:15 Registration of participants

08:15 – 10:45 Lectures:

  • Paranasal Sinuses Endoscopic Anatomy
  • Skull Base Endoscopic Anatomy: ENT perspective
  • Skull Base Anatomy from above: Neurosurgeons perspective
  • Radiological Anatomy of the sinuses and Skull base
  • Physiology of CSF circulation
  • Radiological Diagnosis of CSF-leak
  • Laboratory tests and the role of fluorescein in CSF-leaks
  • Management of idiopathic intracranial hypertension
  • Traumatic CSF-leaks
  • Operative room set-up and instrumentation

 

– Q&A’s Discussion

 

11:00 – 13:00 Lectures:

  • Skull Base reconstruction principle techniques based on site
  • Grafts vs Flaps in Skull Base reconstruction
  • Allogenic materials
  • External approaches for skull base reconstruction
  • CSF-leaks in children
  • Role of lumbar drains
  • Post-operative care and instructions
  • Management of complications

 

– Q&A’s Discussion

 

13:00 – 14:00 Light Lunch

 

14:00 – 15:30 Live-guided step-by-step dissection

– Endoscopic sinus surgery: identification of main surgical landmarks
– Paraseptal sphenoidotomy and rescue flap harvesting

– Anterior sinus compartments: uncinectomy, middle meatus antrostomy, anterior ethmoidectomy and Draf type I frontal sinusotomy

 

15:30 – 18:00 Live-guided step-by-step dissection

– Identification of sphenopalatine artery complex

– Posterior ethmoidectomy and transethmoid sphenoidotomy

– Frontal sinusotomy Draf type IIa

DAY 2, 12 May 2026

 

08:00 – 10:00 Live-guided step-by-step dissection

– Nasoseptal flap harvesting

– Inferior turbinate flap harvesting

 

10:00 – 13:00 Live-guided step-by-step dissection

– Middle turbinate graft harvesting

– Cribriform plate reconstructive techniques (single layer overlay graft)

– Ethmoidal roof reconstructive techniques (multilayer grafts)

 

13:00 – 14:00 Light Lunch

 

14:00 – 16:00 Live-guided step-by-step dissection

– Transnasal endoscopic approach to the sella

– Sellar defect reconstructive techniques (multilayer grafts and flap)

 

16:00 – 18:00 Live-guided step-by-step dissection

– Transnasal endoscopic approach to tuberculum sellae and planum

– Gasket seal technique (multilayer grafts and flap)

DAY 3, 13 May 2026

 

08:00 – 10:30 Live-guided step-by-step dissection
– Draf type III and anterior transnasal craniectomy

– Pericranial flap harvesting

 

10:30 – 13:00 Live-guided step-by-step dissection

– Frontal Mailbox Slot for pericranial flap

– Anterior skull base reconstruction

 

13:00 – 14:00 Light Lunch

 

14:00 – 16:00 Live-guided step-by-step dissection

– Medial maxillectomy and infratemporal fossa corridor

– Temporoparietal fascial flap harvesting

 

16:00 – 18:00 Live-guided step-by-step dissection

– Endonasal transposition via a temporal-infratemporal tunnel

– Side door temporoparietal fascial flap

 

18:00 – Closing remarks

Registration fees

Registration: Regular

1.850,00 

Registration: Reduced fee for SIB, SIO, IAR, and ERS members

1.650,00 

How to register

The registration fee includes: Nr. 1 dinner on 12th May, catering service during the course, surgical and educational material, nr. 1 specimen (every two attendees), attendance certificate, insurance. In case of rescheduling or cancellation of the course due to reasons attributable to Hinovia and/or AnatomX, participants will be entitled to a refund of the registration fee should they not accept the newly proposed date.

As for travel and accommodation expenses:

Only and exclusively the costs related to travel or accommodation arrangements issued directly by Hinovia on behalf of AnatomX will be refunded in full.

Any travel or accommodation expenses independently arranged by the participants will not be reimbursed by Hinovia for AnatomX. Participants are therefore strongly advised to take out an insurance policy that covers such costs in the event of changes or cancellation of the event.

CME Accreditation

The training event will be accredited (40,4 italian CME credits) for the following medical specialties:

Neurosurgery, Maxillofacial Surgery, Otorhinolaryngology

Event Venue

AnatomX by IRCCS MultiMedica

Via Gaudenzio Fantoli, 16/15 20138 Milan

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Summary

Inizio: 11 Maggio 2026

Fine: 13 Maggio 2026

Milan

Crediti ECM: 40,4

Course Directors

Prof. Apostolos Karligkiotis

Dr. Nicola Boari

Dr. Abdulaziz AlQahtani

Registration: Regular

Available seats: 11

Registration: Reduced fee for SIB, SIO, IAR, and ERS members

Available seats: 4