Report of the Activity of the
Fisch International Microsurgery Foundation for the Year 2010

The FIMF has pursued its activity according to the following lines :

  1. Organization of annual teaching courses in Zürich
  2. Promotion of 3 months clinical fellowships
  3. Assistance to courses promoted by Associated Centres
  4. Participation to national and international teaching meetings
  5. Production and distribution of teaching material

1. Annual Teaching Courses in Zurich

The following teaching courses were organized in Zürich by FIMF in the year 2010:

1. February 10 – 11, 2010

Seventh introductory course in microsurgery of the temporal bone

This course was intended for residents or fellows in training and highlights basic otologic microsurgical techniques.

Course Directors: Prof. Thomas Linder and Ugo Fisch

The ENT Faculty was formed by Dr. A. Gmür (Chur), Dr. P. Kwok (Regensburg, D), Dr. M. Scherler (Zürich), Dr. Ch. Schlegel (Lucerne) and Dr. Ch. Thüring, Schaffhausen,

The Location was the Department of Anatomy, University of Zurich (Dir. Prof. O. Ullrich)

The 12 Participants came from: Switzerland (9), UK (2) and France (1).

2. June 29 – July 02, 2010

Microsurgery of the skull base – nineteenth practical course

3. July 03 – 06, 2010

Advanced microsurgery of the temporal bone (otology) – nineteenth practical course

For each of these courses only twelve resp. fourteen participants were accepted to optimise teaching and supervision.

The SKULL BASE COURSE covered the lateral skull base approaches A–D, the transotic approach to the cerebellopontine angle and the middle cranial fossa approach. The different microsurgical procedures were practiced on specially prepared cadaver heads. The working stations in the dissection laboratory of the Anatomy Department were fully equipped with Leica operating microscopes, Bien-Air Surgery drills, M. Stäubli aspiration equipment and the newest surgical instruments provided by Karl Storz Tuttlingen.

The ADVANCED COURSE IN OTOLOGY was for experienced otologists and included practicing microsurgical procedures on temporal bones (e.g. open and closed cavity techniques, myringoplasty, ossiculoplasty, incus- and malleus-stapedotomy, cochlear and middle ear implant surgery).

Course Directors were Prof. Ugo Fisch, Zürich and Prof. Thomas Linder, Lucerne.

The ENT Faculty was formed by Mr. John Hamilton U.K., Prof. John May USA, Prof. R. Posada Colombia, Prof. F.Trabalzini Italy, Prof. Xia Yin, Beijing China, Dr. Andre Ataide BR, Dr. Rolien Free NL, Dr. Giovanni Ralli Italy, Dr. Marcin Szymanski Poland, Dr. E. Monsell, USA and Dr. Y. Wang, Shanghai China.

The Anatomy Faculty consisted of Prof. O. Ullrich, Dr. M. Manestar and Dr. M. Vich (Anatomy Department of the Universitiy of Zürich).

The Participants came from: Austria, Brazil, China, France, Germany, Japan, Malaysia, Netherlands, Saudi Arabia, Spain, Slovenia, Switzerland, and United Kingdom.

More information on the annual FIMF Courses is available on the FIMF Homepage.

2. Special activities of FIMF

2a Eight Luzius Rüedi Memorial Lecture

Saturday, December 2, 2010
Lecture Hall of the AMTS of Lucerne 14:00 – 18:00

The LR Lecture was held on the 110 birthday of Luzius Rüedi and we had the honour of the presence of his son, Prof. Thomas Rüedi, emeritus Head of the Department of Surgery of the Cantonal Hospital of Chur.

The invited Guest Lecturer were Prof. Dr. Vittorio Colletti Verona, Italy, and Prof. Dr. Paul Fagan, Sydney, Australia.

Prof. Vittorio Coletti

is head of the ENT Department of the University of Verona, Italy.

His innovative work has expanded the surgical possibilities to relieve deafness in an exemplary way and is specially known for his studies on:

  1. Brainstem and Midbrain Implant surgery in adults and children with neurofibromatosis type 2 (NF2)
  2. Middle Ear implant surgery, which was first performed by him March 15, 2006.
  3. BAHA implant surgery

Prof. Colletti gave a fascinating FIMF honorary Lecture on: Present and Future of Middle Ear Implants

Prof. Paul Fagan,

has been a Visiting Medical Officer at St Vincents Hospital since 1974 where he established the Microsurgical Skills Laboratory. He came to Zürich to work as a clinical fellow in Zürich with Prof. U.Fisch for a year in 1983. After the Zürich Fellowship (“a turning point in my life”, ENT News 2007).

Paul Fagan went back to St. Vincent Hospital in Sydney and became the academic Head of Otolaryngology, Head & Neck Surgery and conjoint professor at the University of New South Wales. He was awarded an honorary Doctorate of Medicine at UNSW in 1994. He is on many editorial boards including the Journal of Otolaryngological Society of Australia, Skull Base Journal, Otology and Neurotology, Medicine Today, Annals of Otology, Rhinology and Laryngology. He has published over 160 papers and has two major research projects: The Freedom Speech Processor for N24 series Cochlear implants and the Quality of Life in acoustic tumour patients who have had no treatment.

Prof. Fagan gave an impressive Lecture on: How to become an Otologist.

These two lectures were framed by a stimulating Round Table on: Wann welches Implantat which was brilliantly moderated by Prof. Thomas Linder.

2b Exhibition: “Microscope and ear: The way to microsurgery”

This exhibition organized by Prof. Ugo Fisch, PD Dr. Albert Mudry and Prof. Christoph Mörgeli at the Museum of History of Medicine of the University of Zürich Sept. 25, 2009 – Mai 31, 2010 found great interest and had to be prolonged until Sept. 12, 2010.

3. Fellowships

The following doctors were awarded with a FIMF fellowship during the year 2010:

  • Lerut Bob, Leuven, Belgium (January – March)
  • Lin Frank, Baltimore, USA (April – June)
  • Canali Inesangela, Porto Alegre, Brasil (July – September)
  • Assoc. Prof. Kaishi Wang, Shanghai, China (October – December)

The FIMF has provided free housing in Luzern during the fellowship. The fellows had the possibility to observe the surgical activity of Prof. Th. Linder and his staff as well as of Prof. U. Fisch in Lucerne. They could also use the ENT Library, the Video-room, attend lectures and grand rounds and work in the temporal bone laboratory under the supervision of Prof. Linder and Prof. Fisch.

4. Activities of fimf divisions

4a brazilian division of FIMF

(Director: Dr. André Luiz de Ataide, Curitiba, Past Director: Prof. Dr. Decio Castro, Porto Alegre)

1. Courses

XI Curso de Otologia da Fundação Internacional de Microchirurgia Fisch
no Brasil. Organization: Dr. André Ataide.
Curitiba (Parana) 13 – 16 October, 2010

The Eleventh Course on Otologic Microsurgery of the Brazilian Division of FIMF was perfectly organized by Dr. A. Ataide and took place in Curitiba, October 13 – 16, 2010.

The Course followed the traditional format of 2 days of theoretical lectures followed by 2 days of practical work.

82 participants registered for the theoretical module and 16 participants for the practical module. For the practical work, the 3D projection was available and the participants were able to practice the ossicular reconstruction using the various types of "Fisch Titanium Prostheses”.

Many brazilian FIMF fellows have collaborate in the program which was a great success.

2. Teaching

Otologic training in Curitiba

Dr. Andrè Ataide has further developed his program of training for young otologists based on the principles and techniques of the Fisch School of Otology. He has also continued to organize local courses and to write papers concerning the FIMF techniques.

3. Books

Dr. Krishnamurti Sarmento, Brasilia, is translating the FIMF Guidelines for Temporal Bone dissection in Portuguese.

4. Instruments, Prostheses

Dr. Krishnamurti Sarmento, Brasilia, has been instrumental in obtaining the ANVISA approval for the introduction of the Fisch Titanium Prostheses in Brazil

4b colombian division of fimf

(Director: Prof. Dr. Rodrigo Posada, Pereira)

1. Teaching

The intense teaching activity of Prof. Posada is documented by the following list:

  1. Lecturer in the “XXXV Congreso Nacional ACORL”. Barranquilla-Colombia, May 26–29 2010: “Fisch Techniques on Middle Ear Surgeries” and “Surgical Anatomy of the Temporal Bone: Fisch Techniques”.
  2. Lecturer in the “XXVI Curso de Otología Teórico Práctico”, organized by Fundación Tato, Patagonia, Argentina, October 25 – 29 2010. Course attendance: 10 ENT doctors from Argentina, Uruguay, Paraguay, Bolivia, Panama, Puerto Rico and Dominican Republic. Facilities: 10 microscopes. The course was a success and will be repeated in October 2011.
  3. Lecturer in the “Ateneo Mensual Abierto del Servicio de ORL del HospitalI.G.A. Evita· Buenos Aires, October 30th/ 2010. “Otosclerosis and Cholesteatoma Surgery, the Fisch Techniques”
  4. Lecturer in “Santander ENT Meeting”, Bucaramanga-Colombia, April 10 – 11 2010 “Fisch Techniques on Cholesteatoma Surgery” and “Temporal Bone Disecction as basis for a correct middle ear surgery”
  5. Lecturer in “2º Congreso Iberoamericano de Implantes Cocleares y Ciencias Afines”. Cartagena, December 1–3 2010. “Different approaches to Cochlear Implant”

The temporal bones presented by Prof. Posada at the Exhibition: Ear and Microscope which took place from Sept. 25, 2009 to Sept. 12, 2010 at the Museum of Medical History of the University of Zürich have been placed in permanent exhibition at the Anatomy Department of the University of Zürich.

They will be used during the yearly Zürich FIMF courses in microsurgery of the ear.

2. Books

Prof. R. Posada has continued to prepare the Spanish translation of the 2nd edition of the book: Tympanoplasty, Mastoidectomy, and Stapes Surgery, by U.Fisch, John May and Thomas Linder, Thieme 2008, which should appear 2011.

4c Indian division of FIMF

(Directors: Dr. Ashim Desai and Dr. Ashesh Bhumkar, Mumbai)

No activities were presented.

4d Chinese divisiion of FIMF

(Director: Prof. Zheng-Min Wang, Head of ENT Department of the Eye Ear Nose & Throat Hospital of Fudan University, Shanghai).

1. Courses
Practical Advanced Course in Microsurgery of the Ear and Skull Base
May 10 – 16, 2010, Shanghai, China

Organization: Department of Otology & Skull Base Surgery, Eye, Ear, Nose & Throat Hospital Fudan University, Shanghai and Fisch International Microsurgery Foundation (FIMF), Zürich, Switzerland.

Sponsors: Karl Storz China and Bien-Air China.

The course was attended by 41 participants coming from all parts of China. The first three days were theoretical and consisted in lectures covering the topics of middle ear diseases (chronic otitis media, otosclerosis), facial nerve palsy, disorders of the peripheral vestibular system and temporal bone tumors.

Emphasis was put on the diagnosis, the surgical indications and the surgical management of these conditions. All speakers were experienced surgeons focusing their lectures on how to deal with problems encountered in daily practice. Prof. Wang gave a talk based on his personal experiences with strategies used to prevent surgical complications. The forth day was practical and the participants had the possibility to dissect temporal bones in the laboratory of our department under the guidance of senior surgeons. The practiced procedures included various types of tympanoplasty, mastoidectomy as well as of stapedotomy and lateral skull base surgery. In addition, live surgical demonstration (mastoidectomy, tympanoplasty, cochlear implant, stapedotomy, subtotal petrosectomy) were shown during the last two days.

The participants found the course very valuable and were grateful for the received teachings.

Prof. Zheng-Min Wang

2. Teaching

  1. The Chinese translation of the 2nd edition of the book: Tympanoplasty, Mastoidectomy, and Stapes Surgery, by U.Fisch, John May and Thomas Linder, Thieme 2008 has been completed by Prof. Zheng-Min Wang. The book has appeared on the market beginning 2010 and we are very grateful to the translator for having accomplished such a superb job.
  2. FIMF Temporal Bone Dissection Laboratory
    The Temporal Bone Dissection Laboratory of the Eye Ear Nose & Throat Hospital of Fudan University which is dedicated to the Fisch International Microsurgery Foundation was used for the above mentioned dissection course demonstrating the FIMF techniques of microsurgery of the Ear and Skull Base.

3. FIMF donation

The Donation Ceremony of Ear & Skull Base Surgical Instruments from FIMF to EENT Hospital, Fudan University was held on August 18th 2010. The president of our hospital presented the ceremony and was honored to accept the complete set of advanced instruments of KARL STORZ Company. My Chinese colleagues and I sincerely appreciate your kind and generous gifts. We believe that it was an important event with great historical significance in the cooperation between FIMF and EENT Hospital. All the staff of our Otolaryngology Department appreciate your kindness and believe that the application of these instruments will greatly push our work forward. We also appreciate your great dedication to the development of our specialty, and will cherish these precious instruments forever.

Prof. Zhengmin Wang

4e USA Division of FIMF

(Director: Prof. John S. May, Winston Salem, North Carolina)

Dr. John May has given various dissection courses for residents in his temporal bone laboratory at Wake Forest University. He has also taken part in local and regional workshops with hands-on demonstration of the FIMF techniques.

5. Production of teaching material

The illustrated Guidelines for temporal bone dissection by U. Fisch and Thomas Linder produced by Karl Storz Tuttlingen which are available in Chinese-, German-, Greek-, Italian-, Polish-, Spanish-, and Turkish- and French Language were also translated in Portuguese by Dr. Krishnamurti Sarmento, Brasilia, BR.

6. Sponsoring

As for the past we are very grateful for the generous donations made by numerous private sponsors in support of our Foundation.

We also acknowledge with deep gratitude the help received by the following companies:

  • Karl Storz GmbH & Co, Tuttlingen, Germany for providing instruments and prostheses for our dissection courses in Switzerland and abroad. This help exceeds commercial relations and has contributed to improve the care of patients with ear and skull base diseases throughout the world.
  • Bien-Air Surgery SA, Biel, Switzerland for providing the drill-systems for our courses and for developing a new hand piece needed for the precise microsurgical bone work in the middle ear and skull base.
  • Leica Microsystem AG, Heerbrugg, Switzerland for supplying their best microscopes for our yearly dissection courses.
  • M. Stäubli, Horgen, Switzerland for furnishing their excellent aspiration equipment and, therefore, contributing so much to the success of our yearly dissection courses.
  • Coclear TM for the generous sponsoring of the material needed for practising cochlear implantation
  • Med-El Austria / Switzerland
  • InnoForce Creative Solutions, Lichtenstein

7. Conclusions

The interest for the teaching activities of FIMF has remained high also in 2010.

The FIMF practical microsurgical courses in Otology and Skull Base in Zürich were again fully booked months in advance. The requests of FIMF Fellowships has a waiting list up to 2013.

We have to acknowledge once more the enthusiastic dedication of Prof. Thomas Linder and off the entire staff of the ENT Department of the Cantonal Hospital of Lucerne to the aims of FIMF. The practical dissection courses in Zürich as well as the FIMF Fellowships could not be carried out without the generous help of doctors and nurses of the ENT Dept. of Lucerne.

Dr. M. Vich and Dr. M. Manestar of the Anatomy Department of the University of Zürich (Haed Prof. Oliver Ullrich) have been essential for the organization of our practical courses. Mr. Axel Lang has provided us with the excellent preparations necessary for adequate dissections.

The directors of the international FIMF divisions deserve a lot of gratitude for their continuous loyal and efficient efforts in realizing the aims of the Foundation. in their respective countries. We have to mention particularly:

  • Prof. Zhengmin Wang for translating our books in Chinese and offering every year a FIMF Course in Shanghai
  • Prof. Rodrigo Posada for translating all our books in Spanish and for his untiring teaching activity in South America
  • Prof. Andre Ataide for the perfect organization of FIMF Courses in Curitiba, including 3D presentations
  • Prof. Decio Castro, past President of the Brazilian Division of FIMF, for his help in organizing FIMF Courses in Porto Alegre

Furthermore we would like to thank all the tutors of our courses for their generous help and all those who support the continuously growing international FIMF family.

Prof. U. Fisch, President of FIMF

Zürich, September 25, 2011