Day 2 :
Keynote Forum
R Anand,
Surgeon, ENT Specialty Centre, India
Keynote: Hypo pharyngeal collapse in obstructive sleep apnea: How to address it?
Biography:
R Anand is the Director and Head of ENT in Dr. Anand ENT Specialty Centre, an academic training institute, Coimbatore, India. He has graduated from Madurai Medical College, Madurai, Tamil Nadu and India. He has worked as a Resident under Dr. Mohan Kameswaran, a world renowned ENT Surgeon from Chennai, India. He is a Member of various associations’ like European Politzer Society of Otology, World Sleep Association, Cochlear Implant Group of India, Founder Member of Indian Academy of Otorhinolaryngology Head & Neck Surgery and Indian Association of Surgeons for Sleep Apnea. He has presented several papers in India and international conferences and conducts Cadaver hands on workshops in regular intervals. He has also conducted Rhinology and Otology live surgery workshops. He is the Head of cochlear implant department in PSG Hospital, India.
Abstract:
Obstructive sleep apnea (OSA) is a silent nightmare. It is a rising social problem. A variety of medical and surgical solutions are available in the field but still there is no 100% cure. There are many hidden causes for the failure: Lack of proper counseling, over-weight, improper diagnosis and unaddressed areas in surgery. Hypo-pharyngeal collapse in OSA is the main cause for failure. Hypo-pharynx is the area between upper borders of epiglottis to lower border of cricoid cartilage. In failure cases, a high level of suspicion about hypo-pharyngeal collapse must be thought. Structures like huge tongue base, floppy epiglottis, lingual tonsil and laryngeal mass can be the reasons for the collapse. Apart from the routine workup Sleep Endoscopy is a very important tool to find out the cause. Surgeries like hyoid mobilization & suspension with mandible, midline glossectomy, epiglottopexy and vocal cord surgeries-posterior cordectomy are being performed to correct the failures. Proper pre-operative assessment along with Drug Induced Sleep Endoscopy (DISE) is very important for accurate diagnosis and better outcome. Multilevel surgical intervention tailored according to each individual is mandatory.
Keynote Forum
Eileen Raynor
Professor, Duke University, USA
Keynote: Multimodality management of head and neck vascular malformations: Review of current literature
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:
Vascular malformations of the head and neck often require multiple interventions with the use of a variety of modalities including periods of observations, systemic medical management, targeted interventional radiologic approaches and surgical debulking or excision. The literature is deficient in evidence based management protocols with the majority being small case series or retrospective reviews. The terminology for these lesions historically has been confusing and until the development of a classification system by the International Society for the Study of Vascular Anomalies (ISSVA), understanding the nature of various vascular lesions has been challenging. Use of a vascular malformation team based approach has improved the diagnosis and management of these complicated lesions. The team generally consists of interventional radiologists, vascular surgeons, dermatologists, plastic surgeons and head and neck surgeons with contributions from other specialties as the need arises. This discussion will focus on diagnosis and management options of the major categories of vascular malformations including hemangioma, venous or mixed venous malformations, lymphatic malformations and arteriovenous malformations with an emphasis on team management and review of the current literature.
Keynote Forum
Belayat H. Siddiquee
Professor, Bangabandhu Sheikh Mujib Medical University (BSMMU), Bangladesh
Keynote: Parapharyngeal tumors: Surgical experience
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:
Parapharyngeal space is a complex potential space situated on both sides of the upper neck and contains several vital neurovascular structures. Parapharyngeal tumors are relatively rare, less than 0.5% of head-neck neoplasms. Because of location in a critical space and heterogeneous histological variety, often they impose diagnostic dilemma. FNAC may be difficult and risky. Biopsy may not be possible. Although mostly benign, primary malignant tumors, metastatic lymphnodes, involvement from lymphoproliferative diseases and tumors extending from adjacent sites may also occur. This is a series of 173 such cases in seven years period (July 2008 to June 2014).