Day 1 :
Keynote Forum
Yehuda Ullmann
Department of Plastic & Reconstructive Surgery, Rambam Healthcare Campus, Haifa, Israel,
Keynote: Applying the “Lejour†Technique for Augmentation Mastopexy
Time : 10:50-11:20 AM
Biography:
Prof. Yehuda Ullmann is Head of the Plastic Surgery Department and Aesthetic Services at Rambam Healthcare Campus in Haifa, Israel. In addition, he is a Associate Clinical Professor of Plastic Surgery at the Rappaport Faculty of Medicine of the Technion-Israel Institute of Technology. Prof. Ullmann's research interests include increasing viability of autologous fat transplants, and reconstructive and aesthetic surgery, and he has published over 120 articles in peer-reviewed journals. He is also an internationally acknowledged expert in the use of laser and IPL technologies. Until recently, Prof. Ullmann served as President of the Israel Society of Plastic Surgery.
Abstract:
Doubts are commonly cast over the safety of the single-stage augmentation mastopexy procedure. Currently, the literature is sparse. Applying the “Lejour” technique for augmentation mastopexy has provided excellent aesthetic results and significantly reduced complications. Hereby presented is this easy to learn reproducible technique, allowing one to perform both procedures together safely. To the best of our knowledge, this is the first description written in the English literature.
Keynote Forum
Lee Akst
Professor, Johns Hopkins University, USA
Keynote: Vocal Cord Leukoplakia: Management in the OR and Office
Time : 09:00-09:30
Biography:
Dr. Lee Akst is head of the Johns Hopkins Voice Center and is Director of the Division of Laryngology at the Johns Hopkins University Department of Otolaryngology-Head and Neck Surgery. The focus of his clinical practice is on management of voice disorders, with focus on office-based treatments and operative management of epithelial diseases such as vocal cord leukoplakia, papilloma, and early glottis cancer. He has lectured extensively on phonosurgical techniques, treatment of laryngeal leukoplakia, laryngopharyngeal reflux, and globus pharyngeus. He has been working with engineers at Johns Hopkins on novel robotic platforms to bringing robotic surgery into the endolarynx to aid microlaryngeal operative precision. Dr. Akst received his undergraduate and medical degrees from Yale University, did his Otolaryngology residency at the Cleveland Clinic, and completed his laryngology fellowship at Massachusetts General Hospital.
Abstract:
This presentation will comprehensively review evaluation and management of laryngeal leukoplakia. Though white vocal fold lesions are common, management remains challenging; doing too little may allow precancerous lesions to progress, while doing too much may create unnecessary dysphonia through scar. I will present a framework for management of leukoplakia which balances oncologic with functional outcomes with the goal of achieving disease control without creating scar. State-of-the-art advances in care of leukoplakia will be emphasized and surgical techniques discussed will include role of infusion, use of the KTP laser and microflap resection of diseased epithelium. Advanced use of the KTP laser for office treatment of laryngeal dysplasia, an important part of my own practice and something which is only available in a limited number of centers worldwide will be discussed as well, to include appropriate anesthesia techniques for office-based procedures. Epidemiology of leukoplakia, rates of progression to malignancy and role of office-based biopsy will be reviewed. Though focus will be on KTP laser strategies as these represent cutting edge approached to management of this disease, I will also discuss cold instrument and CO2 laser techniques so that the audience, regardless of the tools available to them in their own practices, will be able to transition techniques learned in this presentation to care of their own patients. Approaches to anterior commissure involvement, bilateral disease and multiply recurrent dysplasia will be discussed through case presentations which should increase audience interest.
Keynote Forum
Simion J. Zinreich
Professor, Johns Hopkins University, USA
Keynote: Static and dynamic application of Multiâ€Planar Reconstructed (MPR), and 3D CT images to improve image guidance for FESS, based on lamellae landmarks
Time : 09:30-10:00
Biography:
1984: One of the pioneers in introducing 3D imaging in Neuroradiology.
1985: Replaced X-ray poly-tomography with CT for the evaluation of the nasal cavity and paranasal sinuses. Established the CT evaluation parameters, and described the imaging anatomy and pathology of this morphologic area.
1989: Introduced IGS in the USA using a mechanical sensor technology.
1991: First to use optical sensors in IGS and applied in FESS and Neurosurgical procedures.
1992: Advised the emergent VTI team in the application of electromagnetic sensors for IG-FESS procedures.
To date have authored/co-authored over 150 publications.
Author of 7 patents.
Author of 5 textbooks.
Serves as a reviewer for several journals.
Member of several national and international societies
Abstract:
For 3 decades, Coronal sinus CT along with MPR reconstructions/ displays have guided surgeons performing Functional endoscopic Sinus Surgery (FESS) in their procedures.
Image guided surgery (IGS) has improved the familiarity of the surgeon with the surgical field and correlation between the regional morphology and the imaging information.
Unfortunately, image guidance is not always or universally available. For these situations, it is our aim to provide the FESS surgeons more dynamic use of the imaging information to guide their surgical approach in a systematic and safe manner, using landmarks they are already familiar with.
Teaching Points:
• The Surgical approach for FESS is systematic, as it progressively follows sequential surgical steps and landmarks, based on the four lamellae from anterior to posterior:
• Uncinate process
• Ethmoidal bulla
• Basal lamella
• Superior turbinate.
The aim of this communication is to highlight the CT evaluation of the structures related to each of these 4 lamellae, and the important role that dynamic multiplanar reformatting can play.
Imaging evaluation will specifically focus on the structures involved in the performance of the 4 steps of the surgery, namely Uncinectomy, anterior and posterior ethmoidectomy, sphenoidotomy and frontal sinusotomy.
Keynote Forum
Eileen Raynor
professor, Duke University, USA
Keynote: Use of coblation in pediatric head and neck procedures
Time : 10:00-10:30
Biography:
Coblation technology has been used in adult and pediatric adenotonsillectomy since it was introduced in 2001. Since then this device has been used in numerous head and neck procedures including nasal polypectomy, epistaxis management, lingual tonsillectomy, removal or debulking of lymphovascular or venous malformations, removal of suprastomal granulation tissue and laryngeal surgery. Coblation technology uses plasma generation that dissolves hydrogen bonds in tissue, resulting in volume reduction and lower thermal spread to surrounding structures than electrocautery techniques. Literature review of techniques and indications will be supplemented with specific case presentations.
Abstract:
Coblation technology has been used in adult and pediatric adenotonsillectomy since it was introduced in 2001. Since then this device has been used in numerous head and neck procedures including nasal polypectomy, epistaxis management, lingual tonsillectomy, removal or debulking of lymphovascular or venous malformations, removal of suprastomal granulation tissue and laryngeal surgery. Coblation technology uses plasma generation that dissolves hydrogen bonds in tissue, resulting in volume reduction and lower thermal spread to surrounding structures than electrocautery techniques. Literature review of techniques and indications will be supplemented with specific case presentations.
Keynote Forum
Belayat H. Siddiquee
Bangabandhu Sheikh Mujib Medical University (BSMMU), Bangladesh
Keynote: Role of Bilateral Selective Neck Dissection in surgical Management of Advance Laryngeal Carcinoma with No Neck
Time : 11:20-11:50
Biography:
Belayat Hossain Siddiquee is a Pioneer Head Neck Surgeon in Bangladesh. He started career as Head Neck Surgeons in 1992 after obtaining Fellowship in ORLHNS from Bangladesh . He is first person posted as Professor of Head-Neck Surgery in the University Hospital of the country. He is Founder chief of HNS Division,BSMMU, Founder president, Bangladesh Society of HN Surgeons, Governing Council Member, Asian Society Head-Neck Oncology (ASHNO), Councilor, IFHNOS, Country Coordinator, World Head-Neck Cancer Day and Editorial Board Member, Springer journal “Oral Cancer”. He is working to improve skill of HN Surgeon’s of his country to global level, make facilities for HN Surgery accessible to common people.
Abstract:
Advance laryngeal carcinoma with N0 neck is a condition where controversies about surgical management are still present. Clearance of the echelon groups of cervical lymph nodes in clinically and radiologically negative neck during surgery for laryngeal primary has got a positive impact on prognosis. We have treated 114 such cases over thirteen years (2001-2013). Fifty five (55) were glottic and 59 supraglottic carcinoma. Surgery was done both in primary and irradiated cases: Primary modality in 53 cases (Glottic-23 and Supraglottic-30) and 61 irradiated cases (Glottic-32 and Supraglottic-29). Two types of surgery offered were (1) Total Laryngectomy, (2) Total Laryngectomy+Bilateral Selective Neck Dissection of Level-II, III, IV lymph nodes (Bil.SND). Total laryngectomy was done in 41 cases (Glottic-20 and Supraglottic-21), Total Laryngectomy+Bil.SND in 73 cases (Glottic-35 and Supraglottic-38). Postoperative adjuvant radiotherapy was given according to demand of the postoperative histopathology. 97.37% (111 patients) were followed up for >2 years, 74.35% (85 cases) >3 years and 45.61% (52 cases) for >5 years. Recurrence detected in 15 cases of Glottic carcinoma, Laryngectomy group-11 (55%) and Laryngectomy+Bil.SND-04 cases (11.43%; p=0.001). In supraglottic carcinoma recurrence found in 20 cases, Laryngectomy group-11 (52.38%) and Laryngectomy+Bil.SND-09 cases (23, 68%; p=0.026). Most of the recurrence (68.18%) occurs in the neck if not addressed properly during surgery. Prophylactic Bilateral SND in advance carcinoma of the larynx with N0 neck has significant influence in reducing recurrence.
- Tissue Expansion
Location: 1
Session Introduction
Maria Shcherbakova
Researcher of the Scientific Research Institute for Pediatric Surgery at the Pirogov Russian National Research Medical University
Title: Application of skin stretching technique for closure of large surface skin defects in children
Biography:
Maria Shcherbakova has completed First Moscow National Medical University and postgraduate education from Pirogov Russian National Research Medical University. She is the doctor in the Speransky Children's Hospital, researcher of the Scientific Research Institute for Pediatric Surgery at the Pirogov Russian National Research Medical University. She specialised in a plastic and reconstructive surgery of children with postburn trauma
Abstract:
Large surface skin defect closure after extensive burn trauma remains an important issue in plastic and regenerative surgery. Deficit of intact skin dictates a careful and creative approach to donor skin surfaces. Skin stretching technique using endo expansion device is a promising approach to treat large skin defects. It allows a significant reduction of scar surface area. Application of this technique for free dermal transplants allows receiving skin grafts similar to normal skin.
The goal of this approach is to form a full-thickness skin flap of a desired size in cases where traditional skin donor surface areas are limited or not available. The resulting skin flap could be used on various body parts.
The purpose of the study is to further characterize and advance the method of skin surface expansion for auto-grafting.
- Hearing Impairment- Causes and Treatment
Location: 2
Session Introduction
Georges Dumas
Professor, Clinique ORL CHU GRENOBLE, France
Title: The skull vibration induced nystagmus test (SVINT): Clinical benefit in unilateral vestibular lesions and anterior canal dehiscence diagnosis
Biography:
Abstract:
Bone conducted vibration (BCV) applied to the mastoid of patients with unilateral vestibular loss (UVL) usually elicits a skull vibration induced nystagmus (SVIN) beating toward the intact side. In patients with unilateral superior semicircular canal dehiscence (uSCD) this procedure causes a SVIN beating toward the affected side. This study sought to establish the stimulus optimum frequency and location (mid-line or Mastoids) for these two groups of patients and to compare uSCD with bilateral SCD (bSCD) patient responses.
Huseyin Isildak
Professor, The Pennsylvania State University, USA
Title: Current Management Practices in Meniere’s Disease
Biography:
Huseyin Isildak is an Otologist/Neurotologist in Penn State Hershey Medical Center. He also serves as the Director of Otology/Neurotology and Cochlear Implant Program in the center since 2013. He has his expertise in in hearing and balance disorders. His research interests are Meniere disease and implantable hearing implants. Besides being an Ear and Skull Base Surgeon, he is strongly interested in conducting to research and teaching. He has over 40 peer-reviewed scientific publications and a number of book chapters. He is currently in the Editorial Boards of prestigious journals such as Operative Techniques in Otolaryngology-Head and Neck Surgery and BMC cancer.
Abstract:
To evaluate current trends in managing Meniere's disease (MD) by both general otolaryngologists and otologists/neurotologists and discuss treatment modalities.
Sue Ann Lee
Professor, Texas Tech University Health Sciences Center, USA
Title: Use of Ultrasound Biofeed in Speech Intervention for children with hearing loss and Cleft Palate
Biography:
Sue Ann S Lee is an Associate Professor in the Department of Speech, Language & Hearing Sciences at Texas Tech University Health Sciences Center. She has earned her Master’s degree from The Ohio State University and her PhD in Speech Pathology at the University of Texas at Austin. Her research interest lies in speech characteristics in children with and without speech sound disorders and bilingualism. Her recent research focuses on examining speech therapy efficacy using various technologies such as ultrasound and telepractice. She has received external grants from the National Institutes of Health, CH Foundation and the South Plains Foundation. Her work has been published in multiple high impact journals such as the Journal of Child Language and Journal of Speech, Language and Hearing Research. She currently serves as an Editorial Board Member for Clinical Archives of Communication Disorders and Journal of Communication Disorders and Assistive Technology.
Abstract:
Speech-language pathologists frequently provide visual feedback during treatment to help clients visualize articulatory gestures and movements for various speech sounds. While traditional visual feedback approaches incorporate visual cues using mirrors, figures or diagrams, alternative methods of visual feedback are gaining more attention in current research. These alternative methods include the use of acoustic analysis, electropalatogaphy and ultrasound biofeedback
- Headneck and Oral Oncology
Location: 3
Session Introduction
Jeffson Chung
Professor, West Virginia University, USA
Title: Floor of Mouth Window Improves Surgical Access for Trans-Oral Cancer Surgery
Biography:
Jeffson Chung is the Head and Neck Oncologic Surgeon with an appointment of Assistant Professor at West Virginia University, USA. He has research interests in head and neck cancer treatment outcomes, functional outcomes, technology in the ENT practice and telemedicine.
Abstract:
The increasing incidence of HPV associated oropharyngeal cancer has sparked interest in minimally invasive transoral surgery as a primary treatment modality. However, proper surgical exposure and access to the tongue base is difficult to achieve. Many complex oral retraction systems have been developed in attempt to solve this problem but none work consistently or efficiently
Adal Mirza
Professor, University of Southampton, UK
Title: A comparison between HPV positive and negative cervical disease in Head and Neck Squamous Cell Carcinoma
Biography:
Adal Mirza is an Otolaryngology Trainee based in the United Kingdom with an interest in Head and Neck Surgery. He is currently pursuing higher degree in HPV related Head and Neck Cancer at the University of Southampton, UK.
Abstract:
Lymph node metastasis in Head and Neck Squamous Cell Carcinoma (HNSCC) is common at the time of presentation. Prior to the advent of Human Papilloma Virus (HPV)-driven disease, regional metastasis was associated with poor prognosis, but today advanced HPV(+) disease as per the Tumor Nodes Metastasis (TNM) classification, demonstrates a different natural history with improved responses to treatment and 5-year survival. This is a retrospective review of patients undergoing neck dissection for HNSCC and demonstrates remarkable discrepancies in outcomes between HPV(+) and HPV(-) disease.
Reshetov I.V. King
Head of the Department Moscow state medical University Russia
Title: Utilization of robotic and endovideosurgical interventions at the neck/head area
Biography:
I am, RESHETOV Igor Vladimirovich, born may 29, 1964, in the village Kupyansk-Uzlovaya Kharkov region Home address: 129041, Moscow, Bath lane., 4 sq 127
Have existing certificates oncologist, plastic surgeons, oral and maxillofacial surgeon.
Since 2003 is Vice-Rector for innovation work and head of Department of Oncology and reconstructive plastic surgery DEPARTMENT "FMBA of Russia".
I am the author of many joint developments between basic Sciences and clinical medicine, which is reflected in 490 publications, 6 monographs and atlases, 61 inventions and patents. Under my leadership, completed numerous research work and development work, culminating in the creation of new instruments – biomedical atomic force microscope, diagnostic hardware and software complex of "Passport skin" reconstructive titanium implants with nano-coating, etc. Some of them has international recognition in the EU and UK, in particular the medal of the British Institute of patents and inventions in 2013.
Hold the post of Chairman of the expert Council on surgical Sciences VAK, member of the Board of the Russian Foundation for basic research, are the main editor of the international interdisciplinary journal "Head and neck/Head and Neck", Deputy chief editor of the journal "Annals of plastic reconstructive and aesthetic surgery", member of the editorial Board of the journal "Oncology im. P. A. Herzen", a member of the editorial Board of the international journal "Annals of Oral & Maxillofacial Surgery" (London, UK). Since 2014 is head of the Department of plastic surgery from the IPO first Moscow state medical University them. I. M. Sechenov and Director of NACC plastic surgery. In 2016, was elected academician of the Russian Academy of Sciences.
Abstract:
Robotic and endovideosurgical interventions are considered to be among the most innovative techniques in tumor treatment, specifically for head/neck area. At the clinic of plastic surgery PMGMU, named after I.M. Sechenov, several approaches were developed that largely helped with tumor treatment at T1-T2 stages with a minimal impact to patients’ external body parts. One of them is hybrid method, which includes robotic and endovideosurgical intervention that enable the access to the affected area. As a result, blood loss and precision of the surgical actions were minimal. In all cases, gasless method of tumor removal took place with the formation of the subcutaneous tunnel. In order to optimize visualization of tumors, all patients went through the MSKT 640. There were 10 successful surgeries. Three surgeries were performed on the thyroid area with an access through the armpit zone, which minimized the external impact. Two surgeries were performed on the lymph neck nodes, where the access was built from behind the ear. Three oropharyngeal resections and two laryngectomies finalize the list. Among positive post-surgical processes were early patients’ activation, shortening of the hospitalization time and a satisfactory cosmetic result. Early patients’ activation and short rehabilitation time after surgery helps to move to the following treatments at short time (chemotherapy and radiation therapy). This gives a tremendous impact on patients’ lives and it is accomplished by the combined approach in the tumor treatment. Practical implementation of the robotic technology is a successful driver of the plastic surgery. It enables with a combined approach to the execution of the oncological protocol for the patients that have minor neoplasms at the head/neck area.
- Anesthesia and Pian Relief in ENT Surgery
Location: 4
Session Introduction
Sassan Sabouri
Professor, Harvard Medical School, USA
Title: Airway regional anesthesia: What is the usage for ultrasound guided (USG) approach?
Biography:
Sassan Sabouri is an Instructor at Harvard Medical School, USA. He is a graduate from Medical School in Shahid Beheshti Medical University (SBMU) in Tehran, Iran. He has completed his Anesthesiology Residency in SBMU and gained his major experience by practicing anesthesia in different cities across Iran for 10 years. In 2006, he started his Residency in General Surgery in Temple University in Johnstown PA and then Anesthesiology Residency in New York State University at Buffalo NY, where he became one of the Chief Residents. After graduation from Residency he became one of the Staff at the Department of Anesthesia, Critical Care and Pain Medicine at Massachusetts General Hospital, USA. His clinical innovations are primarily focused on regional anesthesia. Collaboratively, he started General Surgery Regional Service in MGH in 2012.
Abstract:
In recent years, there have been many advances using ultrasound to visualize the airway and related structures. Airway regional techniques are essentially used for providing airway anesthesia for Awake Direct Laryngoscopy or Fibro-Optic Intubation. The three major neural supplies to the airway are: Trigeminal, Glossopharyngeal and Vagus. Blocking these individual nerves usually provide more profound anesthesia than simple local anesthetic (LA) topicalization and will reduce the total dose
- Laryngology
Location: 5
Session Introduction
Sharyl Samargia
Professor, University of Wisconsin-River Falls, USA
Title: Transcranial magnetic stimulation reveals differences between spasmodic dysphonia and muscle tension dysphonia
Biography:
Sharyl A Samargia is an Associate Professor and Speech-Language Pathologist. Her expertise is the study of neuroplasticity as it relates to functional motor recovery in individuals with neurologic disease or injury. She is interested in combining neuromodulation techniques and high intensity, task specific behavioral practice to facilitate true neural recovery and minimize maladaptive plasticity.
Abstract:
Adductor spasmodic dysphonia (AdSD) is a form of focal dystonia resulting in a strained voice quality during speech tasks. The pathophysiology of AdSD is largely unknown and differential diagnosis is challenging due to the shared perceptual features with muscle tension dysphonia (MTD). Considering MTD does not have a neurologic-basis, comparison of cortical excitability, using transcranial magnetic stimulation (TMS), between MTD and AdSD offers a novel approach in differential diagnosis. A direct comparison of cortical excitability in AdSD and MTD has not previously been reported.
Ryan H Sobel
Professor, Johns Hopkins University, USA
Title: Submandibular gland transfer: Prevention of post-treatment xerostomia in oropharyngeal cancer patients
Biography:
Ryan H Sobel has earned his MD degree from Drexel University College of Medicine, followed by completion of his Surgical Residency with special interest in head and neck oncology. He has then completed a Post-doctorate Head and Neck Cancer Research Fellowship, followed by an advanced Surgical Fellowship at the illustrious Johns Hopkins Hospital in Advanced Training in Head and Neck Oncologic Surgery. He is currently the Head and Neck Oncologic Surgeon at Johns Hopkins Head and Neck Surgery at Greater Baltimore Medical Center in the Milton J. Dance Head and Neck Center. He specializes in Transoral Robotic Surgery (TORS) and minimally-invasive surgical approaches in treating head and neck mucosal and cutaneous malignancies. He is also a published author and frequent invited speaker on topics involving innovations in head and neck oncologic surgery. He is currently active in grant-supported clinical research in the field of head and neck oncology.
Abstract:
Oropharyngeal cancers are on the rise globally. Of late, many innovations have been applied to optimally treat this complex cohort of patients. A multidisciplinary treatment approach is crucial in meeting the complex needs of patients with head and neck disease as well as optimizing oncologic and functional outcomes
- Development of New Techinques
Location: 6
Session Introduction
Yehuda Ullmann
Professor, Department of Plastic & Reconstructive Surgery, Rambam Healthcare Campus, Haifa, Israel
Title: Dealing with the Protruded ear
Biography:
Prof. Yehuda Ullmann is Head of the Plastic Surgery Department and Aesthetic Services at Rambam Healthcare Campus in Haifa, Israel. In addition, he is a Associate Clinical Professor of Plastic Surgery at the Rappaport Faculty of Medicine of the Technion-Israel Institute of Technology. Prof. Ullmann's research interests include increasing viability of autologous fat transplants, and reconstructive and aesthetic surgery, and he has published over 120 articles in peer-reviewed journals. He is also an internationally acknowledged expert in the use of laser and IPL technologies. Until recently, Prof. Ullmann served as President of the Israel Society of Plastic Surgery.
Abstract:
Our 16 years of experience dealing with protruded ears from infancy to adulthood will be presented.
Infants less than 6 weeks old are being treated by molding and taping for 8-12 weeks. The results on 92 auricles will be discussed. For older age children and adults, we are offering minimal invasive procedure to create the antihelix using clear Nylon sutures inserted through 4 stub wounds for each suture.
Our experience for more than 300 auricles, using this minimal invasive technique will be discussed.