Otorhinolaryngology

Biography

Petronela Zaharia is a first-year resident in the Otorhinolaryngology Department at St. Spiridon Hospital in Iasi, Romania, very passionate about this complicated field of interrelated systems. Recently participated at the IFOS ENT World Congress in Paris, where she expressed her desire to deepen her surgical skills and knowledge upon various themes. A team worker, agile, focused and with a desire to discover innovative outcomes in this specialty. Also, a very important aspect of her everyday practice is offering confidence, empathy and respect for her patients, managing to successfully combine medical knowledge with the aforementioned personality traits.

Abstract

Three-dimensional printing has numerous applications and has gained much interest in the medical world. The constantly improving quality of 3D-printing applications has contributed to their increased use on patients. Nowadays,3D

printing is very well integrated into the surgical practice and research. Also, the field of head and neck reconstructive surgery is constantly evolving because of the three-dimensional printing, a technology which can be widely used in a variety of situations such as the reconstruction of tissue defects, surgical planning to surgical guides, medical modeling, and prosthesis. By using 3D printing into tissue engineering and materials, it may be possible for otolaryngologists to implant 3D printed functional grafts into patients and will also provide a rapid production of personalized patient-specific devices. Advances in 3D printed implants and future tissue-engineered constructs will bring great progress to the field of otorhinolaryngology. Rhinosinusal tumors are a very important subject in otorhinolaryngology. malignomas of the nasal cavity and the paranasal sinuses count for less than 3% of the ENT-malignancies. We discuss the case of a 48 years old male patient diagnosticated with rhinosinusal carcinoma treated with radical surgery in July 2017 and now is under radiotherapy treatment. This case required a multidisciplinary surgical team: ENT, Plastic Surgery, OMFS, and Ophthalmology. In our experience, this procedure was perfectly adapted to the reconstruction of the anterior wall of the left maxillar sinus and inferior orbital wall, providing easier reconstruction using titanium mesh which proved to be safe and effective. This significantly reduces the operative time and improves aesthetic outcomes of postsurgical sinusal reconstruction. To conclude with, even though there are so many advantages of 3D printing, the additional expensive cost and the time needed to produce devices by current 3D technology still limit its widespread use in hospitals. There is a need for a formal cost-effectiveness analysis. However, the development of guidelines to improve the reporting of experience with 3D printing in surgery is highly desirable.

Biography

Mirian Cabral M . Castro, has been working at Faculty of Medicine and taking care of needy people in a public hospital, Santa Casa de Belo Horizonte, with more than 1000 beds as head of ORL and HNS department. Over the years developing skills in surgical treatment, studying, learning and teaching as team leader to improve healthcare and graduating new specialists.

Abstract

Juvenile nasopharyngeal angiofibroma (JNA) is a benign, vascular neoplasia, representing less than 5 percent of head and neck tumors which occur almost exclusively in male adolescents with a clinical presentation of nasal obstruction and repeated epistaxis. It has slow growth patterns around the sphenopalatine foramen and can expand into the nasal cavity, maxillary sinus, pterygomaxillary space, infratemporal fossa, orbit and middle cranial fossa. The infratemporal fossa (ITF) communicates with the orbit through the inferior orbital fissure, with the middle cranial fossa through the foramen spinosum, the pterygopalatine fossa (PPF) via the pterygomaxillary fissure, and the parapharyngeal space inferiorly. ITF remains one of the most difficult areas to access surgically. Traditionally, this area has been approached with a variety of techniques, but the visualization and surgical procedures are still limited due to its deep location within the surgical field. As technology improved, new instrumentation and experience resulted in the ability for treatment with a curative intent and good results. The preoperative arterial embolization has been used 24 to 48 hours before surgery, allowing endoscopic management in special patients. Employing endoscopic surgical approaches, the need for facial incisions, facial disarticulating osteotomies, or dissection of the facial nerve are eliminated, which may decrease surgical morbidity. Many endoscopic skull base surgeons consider endoscopic approaches a favorable alternative to more traditional open routes. Advantages of endoscopic access to the ITF include a magnified and multiangle view, ability to define clear dissection planes between the tumor and the surrounding structures, and improved visualization. The 2-surgeons technique can be used to provide better instrumentation and to avoid the necessity of traction when dissecting tumors from potentially hazardous areas.

Biography

Georgios Papadelis is an Associate Professor at the School of Music Stud­ies, at the Aristotle University of Thessaloniki in Greece. His field of exper­tise is Musical Acoustics, Psychoacoustics, and Music Cognition. He has a longstanding research interest on Music Perception in Cochlear Implant (CI) users, with a focus in the development of assessment tools for screening music listening abilities in CI users, and how we can improve their listening experience through structured music-based rehabilitation and training.

Abstract

Statement of the Problem: Even with the most advanced cochlear implant (CI) systems today, recipients still experience distorted pitch and timbre of individual tones in music, and this critically affects perceived consonance of tone combinations, such as intervals and chords. Recent experimental evidence suggests that judgements of chord consonance made by CI users significantly differ to those of normally hearing (NH) listeners, but there is growing evidence that CI users are somewhat able to recognize various consonance/dissonance classes in music. The purpose of this study was to identify key dimensions that underlie perception of musical consonance/ dissonance in CI users, and compare these to those of NH individuals. It was further intended to determine which particular timbral or perceptual features of a sound mostly associated with each one of these dimensions, and within each group separately.

Methodology & Theoretical Orientation: Ratings of perceived consonance/dissonance of twelve chords played on the piano were obtained in a group of CI users (N = 79), and a group of NH adults (N = 47). Analysis of participants’ ratings was based on a combination of multidimensional scaling techniques, computational feature-extraction algorithms, and principal component analysis.

Findings: Compared to NH listeners, results suggested that consonance rating and classification of chords is quite different in CI users. Most important, while the pitch structure of a chord was shown to be the primary determinant of perceived consonance in NH listeners, timbral properties of the sound appear to strongly affect judgements of chord-consonance in CI users.

Conclusion & Significance: Patterns of associations between spectral or structural descriptors of chords, and CI users’ perception of musical consonance obtained in this study, provide useful insights for further improvement of sound processing strategies for CI systems.

Biography

Raghu Nandhan Sampath Kumar is a Consultant ENT Surgeon at Madras ENT Research Foundation (MERF), Chennai, a premier tertiary referral ENT care Institute in South India. He specializes in Neuro-Otology, Auditory Implantation & Skull-Base Surgery having received higher surgical training from reputed centers like Manchester and Birmingham in the UK. He is a Fellow of the Royal College of Surgeons of Edinburgh, overseas member of ENT UK and British Cochlear Implant Group. He has a decade of experience with Cochlear & Brainstem Implants at MERF, which is today one of the largest centers in the world for Implantation Otology and he is currently the Clinical Lead for Otology at this Institute. He holds a PhD in Cochlear Implant Audiology and is also the Research Lead at MERF with keen interest in spearheading the various ongoing and future research programs of the institution. He has around 70 publica­tions in indexed medical journals and has presented research papers in international conferences around the world, where he has received awards. He has co-authored seven textbook chapters and is one of the very few Indian authors to write chapters in Scott-Brown and Logan-Turner. Apart from his passion to be a competent clinician and skilled surgeon, he dedicates his professional time to being a researcher, academic, medical leader, teacher and trainer for his peers and junior colleagues.

Abstract

Introduction: Advanced otosclerosis affects nearly 10% of patients with otosclerosis. Ossification of the cochlea increases with the course of the disease and may cause sensorineural or mixed hearing loss. Hearing aids, middle ear implants, stapedotomy and cochlear implants are the various management options for hearing loss in such a scenario. Stapedotomy is a treatment option for patients with mixed hearing loss and good speech discrimination (SDS >50%) where by serviceable audiological outcomes are achievable when a hearing aid is given after obviating the air-bone gap with surgery. Cochlear implantation (CI) is used successfully in patients with far advanced otosclerosis with poor cochlear reserve (SDS <50%) either as primary treatment or for progressive sensorineural loss following stapedotomy.

Methods: This presentation highlights the surgical issues related to advanced otosclerosis and analyzes the outcomes of stapedotomy + H.Aid and cochlear implantation, in a cohort of 153 patients with advanced otosclerosis who were managed at a premier tertiary referral ENT centre in South India 1997- 2017.

Results: Based on the rationale for candidacy as mentioned above, 110 of these patients underwent stapedotomy and received H.Aids while 43 patients received cochlear implants. Complete electrode insertion was possible in 39 patients and partial insertion was done in 4 patients due to partial cochlear ossification. Facial nerve stimulation was seen in 5 CI patients and appropriate management given. The outcomes of cochlear implantation and stapedotomy + H.Aid were both found to be satisfactory, with low complication rates (<5%). The patient related outcome measures were comparable in both cohorts with no obvious statistical differences (p<0.05).

Conclusion: A stringent candidacy criteria need to be defined for offering stapedotomy versus CI in advanced otosclerosis. Judicious counseling of patients regarding the rationale for choosing either intervention and explaining their realistic outcomes remains paramount.

Biography

Taliye Cakabay, is a practicing Ear, Nose& Throat (ENT specialist) in Kanuni Sultan Sulyman Education and Research Hospital. She completed his res­idency in Otolaryngology-Head and Neck Surgery at the Bakırköy Dr.Sadi Konuk Education and Research Hospital in 2011. She is a general otolaryn­gologist with special interest pediatric otolaryngology.

Abstract

Pediatric tracheostomy is a relatively common surgical procedure worldwide. In recent decades, the indications for pediatric tracheostomy have been changing. While in previous years acute airway inflammation such as diphtheria or epiglottis was a frequent infection of the tracheostomy, nowadays more frequent indications for pediatric tracheostomy include upper respiratory tract obstruction, long-term need for mechanical ventilation and necessity of pulmonary care. Approach to the child with airway problems requires a multidisciplinary approach. Pediatric tracheostomy procedure has higher morbidity, mortality and complication rates compared to the tracheostomy in adults population. Thus, the experience of the team is very important. The aim of this presentation is to advert indications, surgical technique and complications of pediatric tracheostomy.

Biography

Trissia Maria Farah Vassoler Otologist and Paediatric Otorhinolaryngologist, work with cochlear implantations since 2004, and have been studying since then ways to make a better planning of hearing and speech development treatment.

Abstract

To allow hearing is the first aim of cochlear implant but the most desired result by the family and society is oral communication. As soon as hearing is reestablished language development must initiate, but it is not that simple. There is a number of factors such as time of diagnose of deafness, age at implantation, interval between diagnose and cochlear implant surgery, family participation, rehabilitation, individual characteristics(prematurity, Intensive care unit, genetics, other comorbidities) that will determine the speed and quality of language acquisition. A good pre implant evaluation to detect this factors and to help the family to understand the outcomes and the close evaluation of post implant development, having instruments to measure this results comparing the children with itself can optimize treatment planning and enhanceperformance.

Biography

This is Eulaf Hassan Alaadah, had the bachelor degree of Medicine and Surgery from King AbdulAziz University on 2016. During 2017, she finished her internship training and got accepted in the Saudi board of OtoRhino­Laryngology– Head and Neck Surgery. She is passionate in doing research activities, teaching and volunteering. Her career vision is Seeking an impec­cable medical knowledge to be a leading medical doctor, a researcher, and a developer for medical & educational services in the society.

Abstract

Introduction: Neck pain is one of the most frequent complaints among general population. However, health care professional and Otolaryngologist are particularly vulnerable to this phenomenon.

Objective: To determine the prevalence of neck pain among Otolaryngologist, head and neck surgeons (ORL HNS). Furthermore, to assess the influence of neck pain on their quality of life.

Subjects and methods: A cross-sectional study was conducted during the 10th International Saudi Otorhinolaryngology Head & Neck Surgery Conference on March 2016, Jeddah, Saudi Arabia. The study included ORL HN surgeons.

Results: A total of 92 samples were collected. The most prevalent was general ORL doctors with a percentage of 32.6, followed by rhinologists with a 28.3%. As years of experience and the days of operation per month might have an influence on the rate of neck pain, most of our physician a 48.9% had an experience of 5-20 years. A high percentage of 81.4% was complaining from neck pain, 14.1% of them reported that this symptom is affecting their work. Some had stiffness, weakness and paresthesia with a 49.2%, 5.1% and 8.5% respectively. The Neck Disability Index was calculated, which showed that 34.8%had mild disability, 54.3% had moderate disability and 10.9% had severe disability.

Conclusion: It appears that the rate of operating days per month does affect the neck and the personal life of the doctor so does the years of expertise as it shows that with increase of workload the neck symptoms and its affect increases as well.

Biography

Dr. Ihsan Abbas Al-Baldawi born in Baghdad, Iraq in 1963. A graduate of collage of medicine/ University of Mosul/ Iraq M.B.Ch.B. in 1987. He worked as obligatory military services doctor 1988-1992, then became resident in otolaryngology from 1997 till 2004. Diploma in Otorhinolaryngology from Baghdad medical collage in 2006. -Fellow of the European Board of Oto­rhinolaryngology-Head and Neck surgery in Vienna 2014. ENT surgeon in AL-Kindy teaching hospital Baghdad from 2006 till now. ENT-Skullbase sur­geon in Neurosciences hospital Baghdad from 2009 till now. Member of the Arab Association of otorhinological surgeons’ society since 2011.

Abstract

Abstract: There are multiple approaches to reach the sellar region using microscope or endoscope, which are the old sublabial, with its post-operative morbidities, or the uni-nostril transseptal, which has a limited working field. Another technique is the direct transnasal, which is associated with tissue sacrifice, and lastly the bi-nostril (one side transseptal-other side transnasal), aiming to preserve one of the septal flaps.

Method: We have 27 case studies using a new technique in which we access the sphenoid endoscopicaly through the nasal septum from both nostrils under the mucoperichondrial-periosteal flap.

Conclusion: This new technique provides easy way of wide exposure to the