COMPREHENSIVE HANDS-ON COURSE

OF TRANSNASAL SKULL BASE SURGERY

5 - 7 December 2017 | Ostrava

University Hospital Ostrava, Czech Republic

Department of Neurosurgery, University Hospital Ostrava

Department of Head and Neck Surgery, University Hospital Ostrava
Aesculap Academy

Endorsed by:
1st INFORMATION

Neurosurgery and Head and Neck Surgery Departments

of University Hospital Ostrava in cooperation with
Aesculap Academy would like to invite you to the advanced
neuroendoscopy course of endoscopic skull base surgery.
We are looking forward to seeing you!

UNDER AUSPICES OF:

Radim Lipina
Chairman of the Department of Neurosurgery
UniversityHospital Ostrava
Pavel Komnek
Chairman of the Department of Head and Neck Surgery
UniversityHospital Ostrava

TERM:
5 - 7 December 2017

VENUE:
Department of Neurosurgery, University Hospital Ostrava
17. listopadu 1790, 708 52 Ostrava-Poruba
Czech Republic

SPECIAL GUESTS:
Andr Grotenhuis, Netherlands
Francesco Zenga, Italy
David Netuka, Czech Republic

FACULTY:
Radim Lipina
Petr Vacek
Petr Matouek

REGISTRATION FEE:
950 EUR

Registration fee includes participation in lectures and

workshop, course materials, refreshment during the course,
hotel accommodation for 2 nights, social dinner on 6 Dec.

NUMBER OF PARTICIPANTS:
15

REGISTRATION:
Aesculap Akademie, B. Braun Medical s.r.o.
Iva Dobrovoln, DiS., Tel. +420-271091663
E-mail: iva.dobrovolna@bbraun.com
REGISTRATION

I wish to register to attend the forthcoming event:

Comprehensive hands-on course of transnasal skull base
surgery, 5 - 7 December 2017

Date of additional night/s:___________________________

(Additional night/s can be booked subject to availability)

Name, Surname, Title

Proffesion

Hospital / Institution / Department

Address

Country VAT No. (if available, only valid for EU)

Phone E-mail

Date Signature

Please fill out this form and send to Aesculap Academy:

e-mail: iva.dobrovolna@bbraun.com
Fax +420-271091663
Payment will be implemented on the basis of proforma
invoice sent at least 5 weeks before the event.

Billing information (only if it is different from above)

Company/Hospital/Institution

Address, Country

VAT No.
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MUDr.MUDr. Miroslav
Milan Kokavec,Ryska,
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MUDr. Jozef Adam,
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MUDr. estmr Neoral, Ph.D.
Sylvie Opatrn, CSc. MUDr.
MUDr. Frantiek Hampl
Ji Chrobok, Ph.D.
Prof. MUDr.
Prof. MUDr. Radovan
Sylvie Opatrn, Ph.D.
Pilka, Ph.D. MUDr.
MUDr. Ji Chrobok,
Jarmila Ph.D.
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Prof. MUDr.
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RadovanSvaina,
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DrSc., MBA MUDr. Vladimr
MUDr. Jarmila Kohoutov
Vojanec
Prof. MUDr.
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tpn Balk,
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Ph.D., MBA
EDIC MUDr.Martina
PhDr. Vladimrochmanov,
Vojanec MBA
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MUDr. Martin Balk, Ph.D., EDIC
Pavel Tnsk PhDr. MartinaHojn
Mgr. Michal ochmanov, MBA
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MUDr. Pavel Tnsk
Miroslav Vaverka, CSc. Mgr.
Mgr. Michal Hojn
Darja Hrabnkov-Navrtilov
Doc.
Doc. MUDr.
MUDr. Miroslav Vaverka, Ph.D.
Roman Zachoval, CSc. Mgr. Darja
Ing. Ji Hrabnkov-Navrtilov
Petrek
Doc. MUDr. Roman Zachoval, Ph.D. Ing. Ji Petrek

AESCULAP
AESCULAP AKADEMIE
AKADEMIE
B.
B. Braun Medical s.r.o.
Braun Medical s.r.o.
V
V Parku
Parku 2335/20
2335/20 || 14800
14800 Praha
Praha 44 || esk
esk republika
republika
Tel. +420-271091666
Tel. +420-271091666 || Fax
Fax +420-271091652
+420-271091652

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