3^rd International Conference and Exhibition on Rhinology & Otology April 25-27, 2016 - The Oberoi: Dubai, UAE

Biography:

Devendra Kumar Soni has completed his Masters in Otolaryngology in year 2005 from Mahatma Gandhi Memorial Medical Collage, Devi Ahilya University, India. He worked as an Assistant Professor in ENT in MMMC, Ambala. He has publications in international and national journals. He has been assigned work of case reviewer in international journal. Presently, he is working as specialist ENT in Prime Healthcare, Dubai

Abstract:

Allergic rhino sinusitis is common condition seen in day to day ENT practice. Especially in urban area, people are facing significant nasal symptoms, may be due to more exposure to pollutants and chemicals. Although allergic reaction is hyper immune response of our body to any particular allergen/s and well controlled by medical treatment in form of anti-allergic and steroidal nasal spray with or without oral antihistamines and mast cell stabilizers but there is stage where even use of these medicines do not give significant improvement in patient symptoms of persistent nasal obstruction, decrease or loss of sense of smell. Then the role of surgery comes in scene. Studies done in past found that there is up to 61% reduction of medicine requirement for nasal allergy and asthma postoperatively. Although allergic rhino sinusitis is well controlled by medicine but in chronic allergic rhino-sinusitis and its complication, surgery has a significant role.

Biography:

U Ayfer Yukselen has completed her Medical Education at Cukurova University Faculty of Medicine in 1990 and Education of Child Health and Diseases at Hacettepe University Faculty of Medicine in 1995 and education about Pediatric Allergy and Immunology at Cukurova University Faculty of Medicine in 2010. She is currently working in Gaziantep Children Hospital Clinic of Pediatric Allergy as an Associate Professor. She has published more than 25 papers in reputed journals.

Abstract:

Allergic rhinitis represents a major cause of morbidity that includes interference with usual daily activities and impairment of sleep quality. The majority of patients respond adequately to pharmacotherapy, provided that it is taken properly and regularly. Nevertheless, a substantial proportion of patients report inadequate relief of symptoms despite treatment with intranasal corticosteroids and oral or topical antihistamines. Immunotherapy, both subcutaneous and sublingual, is an effective treatment for adults and children with severe allergic rhinitis that does not respond to conventional pharmacotherapy and allergen avoidance measures. It is also reasonable to offer allergen immunotherapy to those unable to tolerate pharmacotherapy. Selection of patients for immunotherapy requires accurate identification of an underlying allergic trigger through a combination of clinical history and skin and/or blood tests for allergen specific IgE. The efficacy of immunotherapy depends on correct patient selection, the type of allergen and the product chosen for treatment. The benefit of immunotherapy for AR triggered by perennial allergens, particularly HDM, is less well established than with seasonal allergens. The available data also suggests that immunotherapy may offer long-term benefits after its discontinuation, particularly where treatment has been continuously administered for several years.

Biography:

Aysser Tawfik Bassaly has obtained his Otolaryngology degree from Banha University in Egypt in 1994. Later, he obtained the European Board of Snoring and Sleeping Disorders from Forli, Italy in 2014. He is an Otolaryngology Consultant and the Head of the Otolaryngology Section at the Arab Academy for Science, Technology and Maritime Transport (League of Arab States) in AboKir, Alexandria Governorate, Egypt. He is a Rhinology and Sinoscopy Specialist and a Qualified Expert in Otolaryngology in Sleep Disordered Breathing Surgery. He is a founding member in the Pan Arab Rhinology Society (PARS). He is an instructor for aspiring otolaryngology physicians in the area of Nasal Sinoscopy Surgery, Snoring, Sleeping and Breathing Disorders.

Abstract:

Respiratory disorders are a big issue that affects around 60% of the population all over the world. It varies from simple snoring up to severe stridor which appears mainly during sleep. The cause of all respiratory disorders depends on obstruction, vibration or both. We can also find respiratory disorders in some rare cases like Obesity Hypoventilation Syndrome or Multisystem Disease. The respiratory events start with simple snoring without symptoms of dyspnea or hypopnea. It may extend to arousals due to respiratory efforts (RERAs Syndrome). With more and more distress, the hypopnea (decrease in Oxygen) appears till complete apnea occurs with awakened stridor. The most common sequence of events in sleep respiratory disorders can be summarized into the following; simple snoring which leads to the increase in upper airway resistance and finally ending in a group of syndromes like OSAS (Apnea, Hypopnea, RERAs).In another sequence, snoring leads to Uvular Oedema which feels like morning Obstructive Sleep Hypopnea Apnea Syndrome (Ob-SHAS). This leads to increase in Arterial Hypertension which causes daytime sleepiness. There are a lot of complications in OSAS which may be local complications in mouse, nose and chest or CVS complications like Erythema or Hypertension or psychological problems like dizziness or loss of consciousness or daytime sleepiness. One of the most common problems is how to exactly detect the size and site of the obstruction of air flow. There are several methods like full history of the patient and the partner, full clinical examination, full radiological examination or fiber-optic endoscopic examination. The treatment is either medical or surgical according to the case.

Biography:

Colonel M. Kemal Irmak MD, PhD is a Professor of Histology and Embryology in School of Medicine at Gulhane Military Medical Academy (Ankara, Turkey) where he became a medical doctor in 1987. He specialized in Histology and Embryology at Hacettepe University (Ankara) in 1992 and then received a PhD on Biochemistry at Inonu University (Malatya) in 2001. His research is focused on biological adaptation through epigenetic inheritance system and on Merkel cells as electromagnetic receptor cells. He is the author of over 80 papers with over 1300 citations and 16 h index

Abstract:

Brain is protected from thermal damage by a so-called radiator system: brain cooling system. As brain gets hotter, the veins of this radiator system bring in cool blood from the evaporating surfaces of skin and craniofacial cavities. Nasal cavity, paranasal sinuses, tympanic cavity and certain parts of head skin are the major components of this system. The cooling occurs through evaporation of mucus or sweat, and the transfer of the cool venous blood to the brain. Therefore washing or wetting these surfaces of the head (face, mouth, nose, scalp, nape and ears) a number of times helps the brain to remain cool throughout the day. In hot climates as in Africa, craniofacial features such as thick everted lips, broader nasal cavity and bigger paranasal sinuses provide more evaporating surfaces for an effective brain cooling. These geographic variations are due to direct environmental effects which, over many generations, became inherited. Epigenetic inheritance system is a genetic regulatory mechanism that allows humans to maintain extraordinarily stable patterns of gene expression over many generations. It enables organisms to acquire and transmit different phenotypes to the next generation. In this system, heritable changes occur in gene expression that are not encoded in the DNA sequence itself in the germ cells (oocytes). Epigenetic modifications of DNA include covalent modifications of bases in the DNA and of amino acid residues in the histones. But inheritance of adaptive changes is limited to embryonic neural crest derivatives such as craniofacial tissues and melanocytes, and species-to-species evolution seems unlikely.

Biography:

Julien Wen Hsieh graduated from University of Geneva Medical School (CH) where he worked on human olfaction following nasal surgery and the control of genome expression in yeast cells. He carried out an Ear, Nose and Throat (ENT) residency at Luxembourg Hospital Center in Luxembourg. In 2014, he won the "Junior Scientific Excellence Prize" for the development of a Smell and Taste Clinic in Luxembourg to treat chemosensory disorders and promote research in this field. He joined the Vosshall Lab at The Rockefeller University in January 2014 as an Instructor in Clinical Investigation. He is working with Andreas Keller in designing novel smell tests that will be useful to diagnose olfactory dysfunction in clinical settings around the world.

Abstract:

Background: Smell dysfunction severely affects human health. Olfactory tests are available; however, they have two shortcomings: (a) the testing scores depend on familiarity with the odors used in the test, and (b) they rely on the detection of a single type of molecules and people are frequently insensitive to single types of molecules, due to differences in genetic background, which are unrelated to health. This leads to misdiagnosis. To address these issues, we developed a set of olfactory tests designed to be useful in all genetic and cultural populations: The General Olfactory Threshold (GOT) and the Olfactory Resolution (OR) tests.<br>
Objectives: To investigate whether (a) the GOT test is reliable and can discriminate between subjects with low sensitivity to phenyl ethyl alcohol and anosmic subjects, and whether (b) the OR test is reproducible and measures a different aspects of olfactory perception than GOT test.<br>
Methods: The design was a test-retest reliability study. The primary outcome measure was the testing score of a butanol threshold, phenyl ethyl alcohol threshold, GOT 1, GOT 2, OR 1, and OR 2 tests. Results: A total of 75 subjects were recruited (mean age: 44.06 ± 16.77; range: 21 to 72). Regarding the GOT tests, we found that the single measure of intra class correlation coefficient was 0.43 and 0.63 for GOT 1 and GOT 2, respectively. The inter-individual variability of the GOT score was reduced compared to the olfactory threshold test (Olfactory threshold versus GOT 1: F (74, 74) = 2,982 P<0.0001; Olfactory threshold versus GOT 2: F(74,73)=2,579 P<0.0001 ). The only anosmic subject could be detected with the GOT test, but not with the olfactory threshold test. The Intra-class Correlation Coefficient of OR 1 and OR 2 was 0.74 and 0.65, respectively. We showed that the Pearson’s correlation between threshold and resolution tests is small (r=0.164-0.365), whereas the correlation between tests of the same kind is greater, especially if they were the novel smell tests (GOT 1 vs. GOT 2: r=0.62; OR 1 vs. OR 2: r=0.58).<>
Conclusion: We developed a reliable method to quantify the resolution and the general threshold of the olfactory system. We showed that this method is able to distinguish between healthy subjects with low sensitivity to phenyl-ethyl alcohol and subjects with a reduced general olfactory sensitivity. Both tests measured different aspects of the olfactory system.

Biography:

Muhammad Sami Jabbr has completed his Bachelor of Medicine from Damascus University and Master degree in Otolaryngology from Ministry of Health in Syria, then two university Diploma from Paris XI University. He got the Arab Board certificate in otolaryngology, Head and Neck surgery in 2015. He is ENT Specialist Senior registrar at Dubai Hospital.

Abstract:

Introduction: Internal nasal valve collapse is a troublesome that the Otolaryngology doctors faces in many patients suffering from inadequate nasal breathing. There are two main suggested reasons for inadequate nasal breathing at the internal nasal valve region; collapsing alar cartilage and narrow nasal angle. While most of the new literature emphasizes the spreader graft technique, I believe that flaring technique still plays an important role in management this challenging quest.
Aim: The aim of the present study is to re-evaluate the role of combining alar flare technique to spreader graft in management of internal nasal valve collapse.
Patients & Methods: 56 patients were included in the present study that underwent different surgical techniques for management of internal nasal valve collapse. None of the patients had undergone any nasal surgical repair procedure to his or her condition before. Spreader graft technique have been used alone in 10 patients, while combined alar flare with spreader graft technique was used in 46 patients through an open rhinoplasty approach. The time of surgical procedure, post-operative healing time, subjective scoring of nasal airway breathing before and after surgery and the degree of nasal dryness were recorded and compared between the two surgical groups. The post-operative evaluation period ranged from 3 to 5 years.
Results: In the first group of patients who underwent spreader graft technique alone all patients have reported an initial improvement in nasal airway breathing but only 80% of them have sustained these results after 4 years. In the second group of patients who underwent a combined alar flare with spreader graft technique, 95.7% of patients have sustained these satisfactory results after 5 years of surgical procedure.
Conclusion: The combined alar flare with spreader graft technique still provides better results than any of the two surgical techniques alone.

Biography:

Sara Safar Alshehri is a 6th year medical student from King Faisal University. She is working on 5 ongoing researches.

Abstract:

Aim: Our study aimed to determine the effect of marriage and sexual activity as risk factors on allergic rhinitis and to figure out degree of impact of consanguinity in the Saudi population on allergic rhinitis.
Methods: The study design was a cross-sectional study. The study was conducted at the outpatient ENT clinic of King Faisal University polyclinic centre at the period from October 2015 to February 2016. A random of 60 patients of age group 20-55 years old including both sexes. The inclusive criteria were patients experienced symptoms related to out- door, indoor allergic rhinitis in the past 12 months. All of them were married and subjected to a questionnaire. It included 21 questions assessing symptoms of allergic rhinitis to verify the diagnosis, and its frequency and severity. It also included the marital details and patterns of consanguinity. The result was 7 female patients (out of 24=29%) and 4 male ones (out of 25=16%) admitted experience of post coital exacerbation of allergic rhinitis attacks. In discussion the two previous studies could not find any association between AR prevalence and marriage. Marriage exerted a protective effect on AR in another study. In contrast, unhappy marriage or dissatisfied marriage can put people under stress and health problems.
Results: Human seminal plasma allergy, in women, is usually caused by sensitization to proteins present in the seminal fluid, leading to immediate hypersensitivity manifestations during or soon after coitus. Four patients had experienced post-coital exacerbation of asthma and allergic rhinitis in a case report. Sexual intercourse can precipitate sexercise-induced asthma or honeymoon rhinitis due to emotional excitement or autonomic over activity.
Conclusion: Marriage and sexual activity are risk factors for allergic rhinitis as 18% of our study experienced post coital exacerbation of allergic rhinitis attacks.

Biography:

Mario Tavolaro Giuseppe is performing the duties of Medical Director of 1st level C/O INAIL Lecce office since 1996. He also performs the assignment of Leadership Medical Major Thickness (B1) carried out at the headquarters of INAIL Jerseys since April, 2008. Dr. Giuseppe is the appointed contact person for the Regional Prevention (Puglia) and he has taken responsibilities in various high ranks in the field. He completed his degree of Medicine & Surgery from the University of Bari in 1985 and specialization in Occupational Medicine from the University of Messina in 1992. He has done extensive work in the field and his work with other authors and co-authors were published in various national and international reputed journals.

Abstract:

We tend to consider taste to be a minor sense, although gustatory perception is highly refined. Its physiology is poorly understood and the little is known about the symptoms of pathological conditions affecting taste. Taste is essentially an oral sense, and it is now widely accepted that we can perceive seven different basic tastes: sweet, salty, bitter, sour, umami, astringent and metallic. Taste is also linked to olfaction (the sense of smell) and salivation. Patients experiencing taste problems should undergo a detailed interview with their doctor, with the aim of identifying the cause of the problem. Buccal, ear-nose-and throat and neurological examinations should be carried out and chemical or electrical stimulation tests can also be very useful. Taste problems may have many different causes. They affect quality of life, reduce appetite and constitute a risk factor for under-nutrition. These conditions are difficult to treat, requiring elimination of the cause, the use of flavor enhancers or a change in diet according to the advice of a dietician. Any associated under-nutrition must be dealt with. This article focuses on post-traumatic dysguesia and its management in affected workers.

Biography:

Vipan Gupta has completed his MBBS from Govt. Medical College, Patiala, Punjab and MS ENT from the same university. He is the Professor and Head of ENT Department at MMMC&H. He has published several papers in reputed journals and has been a reviewer of ENT book of repute.

Abstract:

Background: The intranasal steroids remain the most effective treatment as all major symptoms of allergic rhinitis are effectively attenuated. However, addition of decongestant increases the response obtained along with intranasal steroids. The data on effect of addition of Oxymetazoline to fluticasone is limited. Hence, this study was done to compare the efficacy of fluticasone combined with oxymetazoline and fluticasone alone for a 4-week treatment course of allergic rhinitis.
Methodology: In this randomized, open, parallel study, out of 123 patients randomly assigned to receive fluticasone with oxymetazoline (Group 1) or fluticasone alone (Group 2), 91 patients completed the entire 4 weeks of study. The primary outcome measure was mean change of the daytime nasal symptom score (PDTS) and secondary outcome measure was mean change of nighttime nasal symptom score (PNTS) and composite symptom score (PCS).
Results: The change in total daytime nasal symptom, composite symptom, night time nasal symptom score was significantly (p<0.05) greater in Group 1 as compared to Group 2. Sub-group analysis showed a significantly (p<0.05) greater improvement in congestion score from 2nd week onwards in Group 1.
Conclusion: Oxymetazoline combined with fluticasone was effective in reducing daytime, night time, and composite symptom score as compared to fluticasone alone.

Biography:

Giannicola Iannella graduated in Medicine from Sapienza University of Rome in 2012, with a score of 110/110 with distinction. Currently he is registered to the graduate school in Otorhinolaryngology and Cervico-Facial Pathology to the Policlinico Umberto I “Sapienza” University of Rome since July 2013. He is also the author of more than 40 publications in otolaryngology head and neck surgery.

Abstract:

Recently, a new acoustic device, the so-called Sophono Alpha system (SAS), has been introduced into clinical practice. This is a boneconduction system, implanted transcutaneously, devised for restoring conductive or mixed hearing loss with bone conduction thresholds better than or equal to 45dB. It consists of a behind-the-ear external digital audio processor and a subcutaneous magnetic implant, screwed to the skull. To our knowledge, no investigation has been reported regarding its use in patients submitted to subtotal petrosectomy (SP). This surgical technique induces a postoperative conductive hearing loss up to 50 or 60 dB. SAS may be an optimal alternative to conventional bone conductive hearing aids, in order to restore adequate hearing. The aim of this study was to assess SAS hearing aids in 10 patients suffering from recurrent chronic middle ear disease who underwent subtotal petrosectomy. Presence of mixed hearing loss with bone conduction thresholds better than or equal to 45dB was present in each patient. Audiometric tests were performed before and after Sophono implantation and using a conventional bone conduction hearing aid (hearing glasses). Speech audiometry data (speech recognition threshold and word recognition score) were also performed. Speech recognition threshold in dB and percentage of word recognition score at 65dB were subsequently calculated. After implantation and activation of the Sophono Alpha system audiological data showed an average air conduction value of 42.1 dB. By comparing this data with the values of air conduction following subtotal petrosectomy, an average acoustic improvement of 29.7 dB could be calculated. Results in terms of hearing have been compared with those obtained using conventional hearing aids. The hearing results showed significant better outcomes of Sophono Alpha system vs. conventional bone conduction aid. Information about general, social and physical patient benefits after SAS implantation was carefully investigated using the validated Glasgow Benefit Inventory.

Biography:

Mohammed Alshahrani has completed his MBBS at the age of 24 years from King Saud University and currently an Otolaryngology resident in Saudi Arabia. He has published 2 papers and has many ongoing researches focusing on Otolaryngology.

Abstract:

Introduction: Supraomohyoid neck dissection considered as a part of the management in oral cavity cancer mainly, by dissecting the lymph node in level I-III including the submandibular gland. This will let the patient to have xerostomia post-operatively and it will be worse if the patient received radiotherapy post-operatively. For this reason, we conducted this study to find out the incidence and pattern of metastasis to submandibular gland in oral cavity cancer. This will answer our question if is it safe to preserve it intraoperatively to minimize the risk to have xerostomia later on.
Methodology: Multicenteric retrospective review for all the patients who diagnosed with early stage oral cavity SCC and underwent surgical resection of the primary tumor with neck dissection involving the submandibular gland in King Fahad Medical City-Riyadh- KSA and King Abdul-Aziz Medical City-Jeddah-KSA between 2008 and 2016.
Result: 41 patients were included in our study and 68% of them diagnosed with moderately differentiate SCC. None of our patient reported to have metastasis to the submandibular gland.
Conclusion: Metastases to the submandibular gland itself are extremely rare. Removal of the lymph nodes in sublevel IB seems to be feasible without removal of the submandibular gland itself. This will prevent the patient to have xerostomia.

Biography:

Abstract:

Rhinitis is one of the most common occupational diseases. Since it causes little disability, it is often neglected by affected individuals. However, it is often the preliminary manifestation of a respiratory disorder that could lead to physical complications and socio-economic disability. The potential causative agents of rhinitis are both numerous and diverse. Respiratory disorders that initially manifest as rhinitis may progress to asthma with continued exposure. Prevention of occupational rhinitis depends upon reducing exposure to allergens and irritants. When rhinitis becomes apparent, removal of the causative agent is essential to stop progression to asthma.

Biography:

Andrew Imogu is a chief consultant Ear, Nose and Throat/ Head and Neck Surgeon at the National Hospital, Abuja, Nigeria. He is also the Chief Medical Director of Hi-Fi Hospital Abuja - a high end specialist hospital with emphasis on head and neck medicine and surgery. He had his undergraduate medical training at the prestigious University of Ibadan, Nigeria before proceeding for postgraduate training in the field of Otorhinolaryngology at the Lagos University Teaching Hospital, Lagos, Nigeria. He is a fellow, faculty board member and examiner of the West African College of Surgeons. He is the immediate past president of the Otolaryngological Society of Nigeria. He is an established researcher with special interest in sinus and sleep surgery. He is currently the deputy editor-in-chief of the Nigerian Journal of Otolaryngology and associate editor of the West African Journal of Otolaryngology.

Abstract:

Introduction: Head and neck trauma is a fairly common occurrence in ORL practice in sub-Saharan Africa. Assault from unconventional weapons is increasing following a rise in terrorist activities in some countries including Nigeria.
Methodology / Results: 2 cases of penetrating laryngeal injury following assault with an unusual weapon are presented.Retrograde exploratory Laryngorrhaphy in management of stem-spiked arrow embedded in larynx is described as an innovative technique for the management of unusual penetrating injury to the larynx.
Discussion: The challenges and future perspective of this technique are discussed.

Biography:

G Dave Singh was born, educated and trained in England, UK. He holds three Doctorates including a Degree in Dental Surgery; PhD in Craniofacial Development and DDSc in Orthodontics. At the Center for Craniofacial Disorders, USA, he led a NIH-funded program of craniofacial research. He is currently a Member of the World Association of Sleep Medicine and American Academy of Dental Sleep Medicine and Fellow of the World Federation of Orthodontists and International Association for Orthodontics. He has published numerous articles in the medical, dental and orthodontic literature and has lectured in North America, Asia, Europe and Australia

Abstract:

In this study, we investigated changes in nasal cavity morphology to test the hypothesis that nasal cavity morphology can be improved in patients with sleep disordered breathing. After obtaining informed consent, we undertook 3D cone-beam CBCT scans of 11 consecutive patients prior to and after biomimetic oral appliance therapy (BOAT). The mean treatment time was 18.4 months±2.5. Volumetric 3D reconstruction of the nasal cavity was undertaken and the nasal volume was calculated in all cases. The findings were subjected to statistical analysis using paired t-tests. The results showed that the mean nasal cavity volume was 41.9 cm3±12.0 prior to treatment. After BOAT, the mean volume increased to 44.0 cm3±12.7 (p=0.022). Next, we applied the same protocol to a patient with a history of chronic rhinitis as well as sleep disordered breathing. In this case, treatment was completed over a period of 24 months. During this time, the patient showed less rhinorrhea, improved nasal breathing and regression of adenoidal hypertrophy. In addition, the patient’s head posture, facial appearance and dental occlusion improved along with better sleep. We conclude that biomimetic oral appliance therapy may be beneficial in patients with sleep disordered breathing including chronic rhinitis.

Biography:

Arman Afrashi has completed his MD from Ege University and Post-doctoral studies from Ege University School of Medicine, ENT department. He is a Member of European Sleep Research Society ESRS. He has published 2 papers describing original new methods in positional therapy and surgical therapy for treatment of obstructive sleep apnea in scientific medical journals and has been serving as an Editorial Board Member of Journal of Sleep Medicine and Management and Reviewer of Journal of Sleep Disorders and Therapy.

Abstract:

Obstructive sleep apnea is a disease consisting of episodes of partial or complete closure of the upper airway that occur during sleep and lead to breathing cessation defined as a period of apnea more than 10 s. Symptom include restlessness, snoring, recurrent awakening, morning headache and excessive day time sleepiness. Diagnosis of obstructive sleep apnea is based on sleep history and polysomnography. Today the major treatment methods are continuous positive airway pressure, weight loss, positional therapy, oral appliances and different surgical procedures. In all surgical procedures except maxillomandibular advancement, the main problem is failure of preventing the collapse of lateral pharyngeal wall. In this designed new technique pharyngolateral ferromagnetic prosthesis will prevent the collapse of lateral pharyngeal wall during sleep. Pharyngolateral ferromagnetic prosthesis contains two parts for each side of the pharyngeal part of the neck. 1. Internal part of prosthesis contains a fragmented thin part of a ferromagnetic material such as Iron (Fe), coated with biocompatible Silicone or another biocompatible material 2. External part of prosthesis contains a natural magnet with power more than 10,000 Gauss. The external part of pharyngolateral ferromagnetic prosthesis will use only during sleep in external part of the neck. Surgical technique: patient should be in supine position and under general anesthesia during surgery. After inserting Davis-Boyle mouth gag, surgeon should make a 3-cm long incision vertically in lateral wall of pharynx at the level of base of the tongue. Then surgeon should make dissection under mucosal and submucosal layers toward hypopharynx. After that he/she should insert the internal part of prosthesis and at the end close the incision . Then surgeon could perform the same procedure to the opposite side of the neck or perform unilaterally. A few days after surgery patient should use the external part of the prosthesis in both sides of the neck during sleep. The magnetic power of external part of prosthesis will pull the internal part of prosthesis and lateral hypopharyngeal wall together and this will prevent the collapse of lateral pharyngeal wall and obstructive attacks.

Biography:

Mohamed Ahmed Eladl has completed his Master and PhD in Anatomy and Embryology since 2006 from Mansoura University, Egypt. He has completed his Postdoctoral studies in Medical College of Georgia, USA. He had a Diploma in Quality Management from American University in Cairo and Master of Leadership in Medical Education from Royal College of Surgeons in Ireland. He is an Assistant Professor in the Basic Medical Sciences Department, College of Medicine at University of Sharjah. His areas of research interest are Anatomy, embryology and Medical Education.

Abstract:

Paranasal sinuses are four paired air-filled hollow sacs that surround the nasal cavity. Coronal plane computerized tomographic (CT) scanning has greatly enhanced paranasal sinuses imaging anatomy and increasingly, delicate bony anatomic variations and mucosal abnormalities of this region are being detected. In addition, anatomy has been modified significantly after endoscopes were started to be used commonly. Although the clinical significance of studies of paranasal sinuses development is limited, it is important for the otolaryngologist and radiologist to understand the details of the variation seen in the development of the paranasal sinuses in a clinically relevant manner. Knowledge of the development and pneumatization of sinuses and proper understanding of the highly complex paranasal sinuses anatomy and their anatomical variations is important for understanding sinusitis pathogenesis and its complications. It also helps for proper planning for surgical and endoscopic interventions and reduces complications following endoscopic sinus surgery. The paranasal sinuses develop as early as 8th week of intrauterine life from ridges and furrows in the lateral nasal wall. The maxillary sinuses pneumatize at birth and demonstrate an increasing growth pattern until 15 years of age. The frontal sinuses begin to pneumatize at 2 years of age and exhibit a faster growth pattern between 6 and 19 years of age. The sphenoid sinuses display a growth surge between 6 and 10 years of age and completed by 15 years of age. The ethmoid sinuses exhibit a faster initial tendency to increase until 7 years of age and completed by 15-16 years of age.

Biography:

Curriculum Vitae Personal Data Name Dr. Moustafa Mohamed Abdelnaby Date and Place of Birth 25/09/1980 Alexandria, Egypt Nationality Egyptian Marital Status Married and has 2 sibs Mailing Address 49 khalil el masry st, kafrabdo, Alexandria, Egypt Telephone Contact 002 - 01156777686 E-Mail mostafanaby@hotmail.com Qualification / Education Higher Education: Physicians Credentials Registry of Canada registered  Doctor degree processing :finished the credit hours of PHD 2013, ALEXANDRIA University.  Master Degree of OTORHINOLARYNGOLOGY Head and Neck Surgery ( Ear-Nose-Throat) (ENT)surgery Nov 2009 Faculty of Medicine, Alexandria University, EGYPT.  Bachelor Degree of medicine and surgery Sep 2003. Faculty of Medicine, Alexandria University, EGYPT. High School Degree, moubarak School of Alexandria , EGYPT Sep 1997 Professional work Experience From April 2010: Assistant Lecturer in Otorhinolaryngology Head and Neck Surgery Department . From April 2009 : Demonestrator in Otorhinolaryngology Head and Neck Surgery Department . Alexandria Faculty of Medinine, Egypt. Main duties: • Teaching the residents in the department operative and clinical skills. • Teaching the 4th year students ear, nose and throat surgery(ENT) both academic teaching and clinical teaching. • Ear,nose, throat outpatient clinic three days a week in the main university hospital (ENT) department this includes new cases and follow up cases and post operative cases. • Operations and practising surgery three days a week in the main university hospital , (ENT) department : what I do exactly is:  Ear surgery : grommet (myringotomy), myringoplasty, tympanoplasty, mastoid surgery either canal up or down, canaloplasty, preauricular sinuses, assisting in microtia cases and bat ear and glomus tumors and ear tumors.  Head and Neck: tracheostomy, thyroidectomy, thyroglossal cysts excision, laryngectomy either partial or total, microlaryngosurgery(MLS), direct laryngoscopy, oesaphegoscopy, bronchoscopy, assisting in salivary glands surgery and glomus jugulare surgery and tracheoplasty and total maxillectomy with or without orbital excentration .  Nose: endoscopic sinus surgery, septoplasty, turbinoplasty, caldwell luc operation, lynch external frontoethmoidectomy, orbital cellulitis management, dacrocystorhinostomy, dentigerous cysts surgery, assisting in CSF rhinorrhea repair, septorhinoplasty, pituitary transsphenoidal transnasal endoscopic surgery.  General: tonsillectomy and adenoidectomy, tie tongue repair, epistaxis management . • Acadmic hours for helping 4th year student for related subject and how to make a presentation and how to search about and collect data for any research. Additional work: Nov 2009 till now : ENT surgery and clinics at the SIDIGABER hospital, OKBA BIN NAFEE HOSPITAL , ROYAL Hospital , GERMAN hospital Alexandria. Jul 2005 – July 2008 Resident doctor in Otorhinolaryngology department Alexandria Main University Hospitals(EL MERY Hospital).  Training in ENT clinics  Training in operation theaters ENT on the same operations like above  Research work for the master degree in ENT (bacteriological study on the sinuses ; endoscopic work)  Practicing surgery and examination on ENT patients under supervision. Feb 2004- Feb 2005 House officer in Alexandria Main University Hospitals  2 months general surgery training  2 month internal medicine training  2 months obstetrics and gynacology training  2 months pediatric medicine training  2 months emergency  2 anaethesia and orhtopaedic surgery Feb 2004- June 2005 part time(evening or night shifts) work in El Ahly Hospital, Alexandria the work was in the emergency room also assisting many surgeon in different specialities mostly orthopaedic surgery and traumatology. Additional Skills _______________________________________________________________________ Languages spoken : Arabic (Mother Tongue) English (excellent) Reading , writing, speaking and reading as well . British council (IELTS) French (good reading and writing, moderate speaking and listening ). Deutch( limited) gates eins in gouta instituten. Computer Knowledge: ICDL Activities Otorhinolaryngology department, OTTAWA University, Canada training and observership oct 2013-may 2014 Mount Sinai University, Newyork : training in Otorhinolaryngology Department Jan 2011, 2012 for one month each. Heinch Heine Dusseldorf University, germany Aug 2008 training in haut clinic(dermatology unit). Septorhinoplasty course : organising and attende under supervision Prof. dr. Hossam M.T. foda MD held in Alexandria on: Apr 2007 Apr 2008 Apr 2009. Apr 2010. Apr 2011. Interactive endoscopic sinonasal surgery course Attende under supervision Prof. dr. M. Hassab MD Oct 2007, 2008,2009,2010,2011 Alexandria. Alexandria international combined orl congress Under supervision Prof. Dr. samy Elwany MD, Prof. Hisham Abdelfatah 2007 2008 2009 2010 2012 2013 Egyptian society of skull base surgery Under supervision Prof.Dr . M.Badreldeen MD nov 2008 Alexandria. Rhinoalex Attende under supervision Prof. dr. M. Hassab MD oct 2009, 2010, 2011,2013 Egyptian ORL society( member ) Since 2009feb Cairo. Cairo university rhinology conference 2008,2009,2010,2011. Ballon sinoplasty course sharm el sheikh Einshams University conference, march 2010 Cardiopulmonary Resuscitation Course from European Resuscitation Council feb 2012 Refrences Prof.DR.gehad shebib MD Ottawa Hospital 001613 -721 5757 Prof.DR.Hisham Abdelfatah 002-01222169896 Prof. Dr. Samy Elwany ex-Head of the Department 002-01222166222 Prof dr.fathy Abdel baky ex- Head of the Department 002-01222172076 Prof. dr. Hossam M.T. foda MD 002-01222158695

Abstract:

Background: Chronic polypoidal rhinosinusitis (CPRS) is characterized by mucosal inflammation affecting the nasal cavity and paranasal sinuses. Its pathogenesis is not completely established and potentially overlapping. The possible explanations are: Immune deficiencies, genetics, aeroallergens, fungal sinusitis, osteitis and biofilms. Multivariate causality makes the diagnosis of CPRS and selection of treatment complex. Surgical ventilation with mechanical disruption of biofilms and osteitis is a potential therapeutic choice. Purpose: To study the role of osteitis and biofilms in patients with CPRS and outcomes of functional endoscopic sinus surgery (FESS) in its management. Patients & Methods: Fifty patients (22 males, mean age of 30.6 years) undergoing FESS for CPRS. Multislice CT scan on nose and paranasal sinuses were examined and scored by Lund-Mackay (LM) staging protocol, determination of the severity of Osteitis using a new Global Osteitis Scoring Scale (GOSS). Samples of tissue and bone biopsy were taken from diseased sinuses to be analyzed histopathologically for detection of osteitis/biofilm and with scanning electron microscopy (EM) to evidence biofilms. From another ten patients scheduled for septoplasty with no evidence of sinusitis or polyposis, tissue specimens were obtained 1 cm behind the anterior end of inferior turbinate and processed in the same manner as a control group. Study design: A prospective cross-sectional cohort study Results: In 70% (35/50) of the CPRS patients, histopathology was positive for osteitis and biofilms were detected by EM in 39 (78%). Two of controls (20%) were positive for biofilm but none with osteitis. The mean LM staging was 19.08 and mean GOSS was 18.68. There was a significant correlation between LM staging and GOSS and between both and histopathologically proven osteitis, biofilms and postoperative endoscopic healing where increase soft tissue disease is associated with bad healing and vice versa. Conclusion: Osteitis and biofilms underlie the pathogenesis in the majority of Egyptian patients with CPRS. Scanning EM is a good method for visualization of biofilms that evidenced its presence in CPRS cases. FESS with surgical ventilation, mechanical disruption of biofilms and osteitis is a mandatory therapeutic choice.

Biography:

Mohd Mujtaba Khan has completed his Masters in Otolaryngology from Osmania Medical College, India. He is a Consultant at MAA ENT Hospital, Hyderabad. He is a Member of the prestigious American Head and Neck Society (AHNS). He has given several presentations in national and international conferences and published papers in various journals

Abstract:

Paranasal sinus neoplasms, both benign and malignant are relatively rare in the head and neck. Malignant neoplasms of the paranasal sinuses account for approximately 3.0% of head and neck cancers. In general, these tumors are identified and treated at advanced stages as their symptoms mimic benign inflammatory conditions. Benign lesions tend to slowly enlarge and therefore remodel bone rather than destroy it. Malignant processes are more likely to show frank bone erosion and destruction. The most common malignant neoplasm of the nose and paranasal sinuses is squamous cell carcinoma. The presenting symptoms in patients with paranasal sinus neoplasms are nasal obstruction, rhinorrhea and sinus congestion. However, as the masses grow, paranasal sinus neoplasms lead to facial pain and epistaxis. Imaging is critical to identify the extent of both benign and malignant disease. Treatment includes surgical resection, radiation and rarely chemotherapy. Benign tumors present in a similar manner and typically necessitate surgical resection and close postoperative follow-up. The following presentation is a retrospective study of 40 sinonasal tumors over a period of 2 years at a tertiary referral centre in India. A detailed description of etiology, diagnosis and managment of sinonasal tumors is presented.

Biography:

I am Dr.Uzma Tanveer, Resident doctor at Otorhinolaryngology-Head & Neck Surgery Department, Liaquat National Hospitali have, Karachi.I completed my MBBS in 2009 and then passed fcps part 1 in 2011,I joined as resident doctor at Liaquat National Hospital in 2013. I have publications in journals. Recently I Participated and presented paper on ROLE OF NECK DISSECTION IN N0 DISEASE at 25TH International Conference of PSOL.

Abstract:

ABSTRACT: Introduction: Nasal polyps are grape like structures that originate in the mucous membranes lining the nasal passages or paranasal sinus. Treatment included Functional Endoscopic sinus surgery and post operative steroid therapy. The duration of steroid use is still debatable.
Objective: To assess the frequency and recurrence of patients presenting with nasal polyposis who underwent Functional Endoscopic Sinus surgery and was given topical steroids for twenty four months. Material and method: Total 90 patients diagnosed with nasal pathology were enrolled; various sign & symptoms were tabulated. Clinical and histopathological reports were analyzed. Post operative steroid dose and recurrence rate was noted . Frequency and percentage were calculated of qualitative variables, chi-square test and Fisher’s exact test was applied to see the recurrence.
Results: Total 90 patients of either gender aged between 12 to 63 years fulfilled the inclusion criteria and were enrolled in the study. The results showed that among all study patients, 53(58.9%) were male and 37(41.1%) were female. Common presenting symptoms include nasal obstruction (97%), nasal discharge (90%) and headache followed by diplopia and proptosis. From 90 cases, 73(81.2%) had Allergic sinusitis without fungus & 17(18.9%) cases had Allergic Fungal Sinusitis (Aspergillus). Postoperatively patients were given topical steroids &recurrence was seen in twelve (17.8%) patients, 9(12%) with Allergic sinusitis without fungus and 3(17%) with AFRS.
Conculsion: The incidence of AFRS is (17)18.9% of CRS which is slightly higher as reported in previous literature. Patients presented with nasal polyposis should receive steroids to prevent recurrence.