Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 4th International Conference on Rhinology and Otology Dubai, UAE.

Submit your Abstract
or e-mail to

[email protected]
[email protected]
[email protected]

Day 1 :

Session Introduction

Abdul Razzak Juratli

ENT Surgeon at Leicester University, United Kingdom

Title: Twisted nose & Valvuloplasty New classification
Speaker
Biography:

Mr Abdul Juratli is a Consultant ENT Surgeon  at Leicester University Hospitals. He has completed his postdoctoral studies from Damascus University Hospitals, Al Moassat. In the last 10 years he has been a consultant and professor. He also worked  in various hospitals.

Abstract:

Nasal autografts are mainly harvested from the nasal septum in the case of primaryrhinoplasty and from ear's concha and or rib cartilage when the case is a revision.External nasal deviation has a direct impact on the anterior nasal valve function.

The implementation of modifying auto- spreader graft technique and the modified cottl's classification for the nasal septal areas have a direct impact on understanding the anterior nasal valve long term post-surgical function and the most convenient surgical correction technique for each separate deformity. Alar base stabilisation and the anterior nasal spine suture technique are essential for achieving a stable midline anchor for ensuring long term straight nasal alignment The external nose is divided into three parts each part's deviation is classified into three grades in accordance with the brow tips lines.For each grade, there's most convenient surgical technique. 

The anterior nasal valve is subdivided into internal and external. The prompt change on the airflow at the level of the internal nasal valve will create an inner vector as in Bernoulli's law, all techniques are expected to take the core principle into consideration during rhinoplasty. There are three causes for nasal obstruction; mucosal, structural and sensory. The structural causes are mainly valve-related.

 

 

Speaker
Biography:

Fahad Safran Alsafran is studying in the Imam Abdulrahman bin Faisal University school of medicine in the 6th year. Active campaigner at various educational and medical awareness campaigns.

Abstract:

The sino-nasal outcome test questionnaire 22 (SNOT-22) is recommended among the validated and published instruments to assess the impact of CRS on the quality of life in adults. The objective was to perform translation, cross-cultural adaptation, and validation of the SinoNasal Outcome Test (SNOT)-22 in Arabic language. Validation of the Arabic questionnaire included translation of original SNOT-22 items from English to Arabic by two independent native Arabic translators, and retranslation back from Arabic to English by two other native English translators. We distributed with patients diagnosed with CRS at the Otolaryngology clinic in our hospital and group of healthy volunteers., the total score was calculated as the mean of completed items. The study included individuals divided into 104 cases and 110 controls, who reported no sinonasal disease. Internal consistency was evaluated with Cronbach’s alpha test, reproducibility with Kappa coeffi-cient, reliability with interclass correlation coefficient (ICC), validity with Mann–Whitney U test and responsiveness with Wilcoxon test. In cases, Cronbach’s alpha was .939, as for controls, it was .943. The comparison of mean SNOT-22 scores of healthy individuals with those of patient group indicated statistically significant difference between the two groups, proving the validity of SNOT-22 in Arabic in differentiating between healthy individuals and patients with CRS. The results indicated that the Arabic version of the SNOT-22 is a valid and reliable instrument for accessing sinonasal diseases in Arabic speaking people.  

Speaker
Biography:

Jianjun Ren is a PhD student and ENT doctor from West China Hospital, Sichuan University. Her main research work has been focusing on head and neck cancer, GERD and immunology.

Abstract:

We aimed to confirm the presence of pepsinA in the nasal secretions and tissues of chronic rhinosinusitis (CRS) patients and reveal the relationship between CRS and laryngopharyngeal reflux (LPR).The study was conducted at the Department of Otolaryngology of West China Hospital, Sichuan University.A total of 32 CRS patients with or without nasal polyps (CRSwNP and CRSsNP, respectively) and 10 normal controls were enrolled in our study. We investigated the expression of pepsinA in the nasal tissues, secretions and blood plasma from the subjects by immunohistochemical staining (IHC), western blot or ELISA. Additionally, the expressions of MUC4, MUC5AC, MUC5B, MUC8 and pepsinogenA in nasal tissue were evaluated by Q-PCR.

IHC and western blot revealed that the pepsinA expression levels in the turbinate mucosa in CRSwNP/CRSsNP patients, which were largely restricted to the epithelial layer or glandular mucous cells in nasal tissues, were significantly higher than those in controls and in the polyp tissues of CRSwNP patients (p<0.05). In addition, the concentration of pepsinA in nasal secretions was significantly increased in the CRSwNP (147.85±53.69 ng/ml) and CRSsNP groups (134.12±36.23 ng/ml, p<0.001) compared with the controls (68.69±19.28 ng/ml, p<0.001). Although MUC5AC, MUC5B, MUC8 expression differed among the groups, no correlation between pepsinA and mucin genes was found.The results of this study provided evidence of an association between LPR and CRS, although no correlation was found to exist between LPR and mucin genes in CRS patients.

Speaker
Biography:

Abstract:

Background: In the field of rhinology, the majority of studies focus on mucosal immunology of the nose without giving attention to the underlying bones. Recent evidence indicates that the inflammation of chronic rhinosinusitis (CRS) is beyond the mucous membrane and involves the underlying bone of the paranasal sinuses as well. In the current study we tried to assess the prescence of osteitis in ethmoid bone and tissue eosinophilia in nasal mucosa of patients with chronic rhinosinusitis.

Patient and Method: A total of 85 patients (37 females and 48 males) who underwent surgery in our university hospital contributed to this study by providing bone samples from the ethmoid bone. They were divided into four groups: group I are Allergic Fungal Sinusitis (AFS) patients; group II are Chronic Rhinosinusitis patients without nasal polyp (CRSsNP); group III are Chronic Rhinosinusitis patients with nasal polyp (CRSwNP) and group IV are patients who underwent septoplasty as control group. Histological evaluation for osteitis (periosteal thickening and remodeling, osteoblastic and osteoclastic activity, and osteomyelitis and bone destruction) that was graded from 0 to IV, where grade 0 is normal histology and grade IV is frank osteomyelitis and bone destruction.

Results: Descriptive histology of the ethmoid bone analysis demonstrated osteitis of different grades in patients suffering from CRS: AFS patients; grade I (13.3%), grade II (46.7%), grade III (33.3%) and grade IV (6.7%). CRSsNP patients; grade 0 (10%), grade I (30%), grade II (40%), grade III (16.7%) and grade IV (3.3%). CRSwNP patients; grade 0 (10%), grade I (50%), grade II (20%), grade III (20%) and Control patients(DNS); grade 0 (70%), grade I (30%).

Conclusion: Herein, we show evidence of osteitis in CRS and confirm the presence of a higher grade osteitis in the AFS patients. This sinus bone remodeling may contribute to the chronicity of the disease and carries special consideration in the treatment of CRS.

Speaker
Biography:

 In 1982 Dr Yuri Nikolov graduated in Medical University of Pleven. Five years later he specialized "Ear, Nose Throat" and in 1991 he became a Phd. He specializes in St. Petersburg, Munich, Nice, Vienna, and Rome. He is a member of the Bulgarian Society of Otorhinolaryngology, also the European Academy of Otology since 2001 and American Academy of Otolaryngology, surgery of the head and neck since 2005. He has publications and participations in European and word Conferences and Workshops. 

Abstract:

In the last years, the using of a dynamic videoendoscopic analysis of the function of the Eustachian tube (ET) under conditions of changing pressure in the nasopharynx was shown that in 65% of cases of dysfunction of the Eustachian tube (ETD), the reason is in epipharyngeal tubal ostium. The most common factors bringing to narrowing the ostium of ET could be grouped as endonazal (inflammation with purulent reflux to the ostium, deformation and hypertrophy) and nasopharyngeal (hypertrophy of the tubal tonsils, of the torus tubarius and lymphoid tissue).The presence of this endonasal and nasopharyngeal pathology in chronic ETD reasonably raises the question of the effectiveness of the combination of radiofrequency (RF) tuboplastic and RF endonasal surgery, which is the objective of this work.Over a period of seven years have been made 210 (120 - m. 90 - f.) endoscopic RF tuboplastic surgery combined with RF endoscopic, endonasal surgery to remove the anatomical and chronic - inflammatory changes in the nasal cavity. All patients make a dynamic Videoendoscopie of the nasal cavity and the epipharinx and a complex of audiometry and tympanometry.The combination between the radiosurgical endonasal interventions and RF tuboplastc surgery gives very good results concerning the aeration of the middle ear, improvement of results audiometry and tympanometry in 85% of patients for follow-up period of 4 years.As a conclusion we can say that the treatment of chronic ETD should be aimed at restoring the-structure-functional unity of the ostium of the E.tube, as in our opinion the simultaneous RF endonasal operations combined with RF tuboplastic surgery appear to be a highly effective solution.

Yousif Alqahtani

Imam Abdulrahman Bin Faisal University, Saudi Arabia

Title: Sinonasal symptoms and outcome in pilots and Flight attendants
Speaker
Biography:

Yousif  Alqahtani is a 6th medical student at imam abdulrahman bin faisal  university, participate in many research and many campaign.

Abstract:

Sinonasal symptoms and outcome in pilots and  Flight attendants, Chronic rhinosinusitis (CRS) is a common medical condition, resulting in a considerable burden for both patients and health care providers. To determine the SINO-NASAL OUTCOME TEST (SNOT22) score and its  effect with flying hours in normal Air crew. This is a cross-sectional based questionnaire was conducted amoung 172 air crews randomly selected in Saudi Arabia. During the period from 24th may 2016 up to 24th august 2016.the survey included: demographic data,smoking,flying hours , effect on the job, (snot22) score and nasal surgery. The research included all Saudi air crews and excluded other air crews nationalities. The data was entered and analyzed by SPSS and chi-squared test. In result, the sample of the study is 172. 142 males(84%) and 27 (16%)females. 45.4% of air crews, their jobs are affected by sinonasal symptoms due to long hours of flying and 24.8% of them canceled their flight due to same problem. Most of the air crews (34.1%) fly more than 12 hours per flight.60% of the air crews complain of block nose and ear pain followed by nasal discharge. By using chi-square test ,there is a statistical  significant association between flying hours and nasal discharge (p = 0.012), ear fullness(p = 0.03) and nasal block(p = 0.004).In conclusion, Long flying hours have a significant risk of development many sinonasal problems such as nasal discharge ,nasal block and ear fullness . Therefore ,it is recommended to decrease the flying hours to the air crews.

Speaker
Biography:

Wang Jing is currently working toward her MD from West China Medical School, Sichuan University.
 

Abstract:

The objectives of this study are to investigate the relation between laryngopharyngeal reflux and chronic rhinosinusitis(CRS) and to explore the effect of pepsinA on the level of Heat Shock Protein (HSP)70. Nasal tissue specimens, nasal secretions and blood plasma obtained from 23 CRS patients with nasal polyps(CRSwNP) , 26 CRS patients without nasal polyps(CRSsNP) and 9 normal controls were studied, using Enzyme-Linked Immunosorbent Assay(ELISA) to measure pepsin levels in nasal secretions and blood plasma, Western analysis to measure Hsp70 and pepsinA levels in Nasal tissue specimens and Quantitative Real-time Polymerase Chain Reaction(Q-PCR) to detect the expression of pepsinogenA, HSPA5 and PTGS2 in Nasal tissue specimens.The expression of PepsinA in nasal secretions was significantly higher in patients with CRS than in normal controls(p<0.05). HSP70 expression level was significantly increased in pepsinA-positive turbinate mucosa, compared with controls (P<0.001) and pepsinA-negative turbinate mucosa in CRSwNP and CRSsNP patients (P<.001). Similarly, the HSP70 expression level was significantly increased in pepsinA-positive polyp tissues, compared with the controls (p =.021) and pepsinA-negative polyp tissues in CRSwNP patients (p =.016). There was no significant HSP70 expression difference between pepsinA-negative turbinate mucosa or polyp tissues and controls. Furthermore, no association was found between the presence of pepsinA and HSPA5 in Nasal tissue specimens.

The results suggest that the LPR may play a role in the development of CRS through the reflux of pepsinA. Increased expression of HSP70 may be associated with the pathogenic mechanism of pepsinA.

Speaker
Biography:

Ohoud is an intern , studied in king abdulaziz university the bacholar degree , collage of medicine  

Abstract:

Objective: To assess patients’ satisfaction about cosmetic and functional outcomes of uncomplicated rhinoplasty and the consequent psychological impact.

Methodology: A cross-sectional study carried out among patients aged ≥20years, who underwent primary functional and/or cosmetic rhinoplastic surgery at Al-Mashfa hospital, Jeddah. before January 2015 (1 year of postoperative follow-up).

A total 200 patients were randomly selected from the hospital database and contacted for an anonymous telephone interview using a validated, semi-structured questionnaire. Investigating 7 postoperative satisfaction parameters. The questionnaire was completed by 3 additional items scoring from 0-100 the overall nose function, appearance and patients’ mood before and after rhinoplasty; answers were analyzed as continuous variables

Results: We included patients who underwent functional(13.5%), cosmetic(20.5%) or both functional and cosmetic(66.0%) rhinoplasty. Satisfaction parameters showed highest satisfaction score for nose breathing followed by family and friends’ satisfaction about nose appearance, while willingness to change appearance through a new surgery had the lowest satisfaction score as 51.0% of the patients answered that they will undergo a new rhinoplasty for that purpose.

Female, divorced and unemployed patients had lower scores regarding satisfaction parameters, respectively, while no difference was observed by indication or educational level . Linear regression showed positive correlation of change in mood with both change in nose function and appearance.

Conclusions:  Patients who underwent primary uncomplicated rhinoplasty have fair satisfaction about functional long-term outcomes but remain relatively dissatisfied esthetically especially female, divorced and unemployed patients. The extent of functional and cosmetic improvements have positive impact on the patient’s mood.

Speaker
Biography:

Dr Rohit Goyal completed Residency in Otorhinolaryngology(ENT) in May 2008 from

Government Medical College, Amritsar, India.Consultant Otorhinolaryngology  in  MAX SUPERSPECIALITY HOSPITAL Bathinda from18 june 2012 till date .Senior registrar in Deptt of Otorhinolaryngology, Batra Hospital and Medical Research Centre ,New Delhi from 1st june 2008 till 3rd August 2009.Senior Registrar in Deen Dayal upadhaya Hospital a Delhi government 500 bedded hospital  from  August 2009 till june 2012 .

RECENT FELLOWSHIP- FELLOWSHIP IN RHINOLOGY UNDER DR ANDREAS LEUNIG , MUNICH   GERMANY  in 2015

Abstract:

Deafness is indeed a silent disability in many parts of the world, and the majority of people who have hearing impairment live in non metropolitan cities of  developing countries. With rising economy and increasing population developing nations have  become hub of industrialization, hearing loss is  increasing  in these countries. In this review, the authors have elected to focus the discussion on non metropolitan cities of  India to frame the challenges of cochlear implants in a developing country. This article reviews the common causes of hearing loss, the challenges faced by those with hearing impairment and why the penetration of these devices is low and also reviews some reasons for the inability of the government to support the implant programme in  non metropolitan cities of   India.

Early identification of hearing is crucial towards ensuring appropriate hearing rehabilitation; it is, however, challenged by various factors, including public awareness, absence of a national new born screening programme, accessibility to diagnostic centres, availability of trained personnel and equipment and patient affordability. Cochlear implants are a proven auditory rehabilitative option for individuals with severe to profound sensorineural hearing loss, who otherwise do not benefiting from hearing aids. Nevertheless, only a small percentage of these individuals receive cochlear implants, and cost remains a leading prohibitive factor, particularly in developing countries. For example, in India, the personal average annual income is well below 3lakh whereas these devices cost between 10 to 12 Lakh  exclusive of hospital and staff fees. Hence, the technology is virtually unavailable to the masses.

To overcome the cost limitation of those who would benefit from cochlear implants countries such as India  have started to develop their own indigenous implants.

Speaker
Biography:

Abstract:

Background & Purpose: There are number of factors that influence medical students career choice in each specialty. The present study was designed to investigate factors influencing career choice among medical students interested in ORL at Faculty of Medicine, King Abdulaziz University (KAU), Jeddah, Saudi Arabia.

Methods: In the present cross-sectional study, a total of 531 medical students participated. A questionnaire was used to collect the data. Data was analyzed on SPSS-16.

Results: A total of 238(44.8%) male and 293(55.2%) female students participated in the present study, and 211 (39.7%), 185 (34.83%), 162 (30.5%) students belonged to 4th, 5th, and 6th year, respectively. Two hundred twenty-one (41.6%) were interested in ORL specialty, but only 56 (10.5%) had ever attended the ORL Conference, 209(39%) become interested in ORL after rotation in ORL ward.

Almost all of the students (95%) agreed that a patient`s ear, nose, throat, and head & neck health plays an important role in their overall health. The majority of the participants (68%) disagreed that that ORL is less important than other specialties. There were several reasons for selecting ORL as career choice such as: a secured and respected job (71%), well-paid job (63%), rewarding work, grateful patients (69%), opportunity to meet people of different age groups and various backgrounds (68%), a window into ordinary people’s everyday life (52%), comprehensive doctor-patient relationships (54%), versatile, challenging work (54%), and long-term doctor-patient relationships (58%).

Conclusion: Overall participants’ responses were overwhelmingly positive to pursue a career in ORL specialty.

Speaker
Biography:

Reham Rafei El-Shafei has completed her MD of Audiovestibular Medicine at the age of 36 years from Cairo University and postdoctoral studies from Cairo University and Fayoum University School of Medicine. She  works in Audiovestibular Unit for 15 years; 15 years experience in diagnosis, treatment and rehabilitation of dizzy patients and hearing impaired patients, 3 years experience in the Cochlear implant patients and 7 years teaching experience in Audiovestibular medicine for undergraduates and postgraduates students.         
 

Abstract:

Hearing loss is a neglected public health problem that affects millions of adults and children in the world. Major causes of this burden vary across the life stages; surprisingly, nutritional imbalance is emerging as a causative factor of hearing loss. The systemic stress from a chronically unhealthy diet, lifestyle, and environment may carry consequences for ear health and hearing. Micronutrient deficiencies as risk factors for acquired cause of childhood hearing loss. The broad role of diet and nutrition within its complex set of etiologies defines a lot about hearing loss problem regarding both its causes and prevention. 

Speaker
Biography:

Krissa Devani, Hanifah and Tasya Kamila are fresh graduate who has completed their PhD degree in Padjadjaran University in 2016. They finished medical study for 5 years. This is their first published paper after their graduation in Padjadjaran University.

 

Abstract:

Noise Induced Hearing Loss (NIHL) is a sensorineural hearing loss caused by noise exposure with intensity over 85 dB and often happens at workers. Train drivers and train driver assistants are one type of work exposed high intensity of noise from locomotive. This study aims to know the relationship between working periods and Noise Induced Hearing Loss on train drivers and train drivers assistants in PT. Kereta Api Indonesia Bandung, Indonesia. This study is an observational quantitative research with cross-sectional design using consecutive sampling. Subjects are train drivers and his assitants of PT Kereta Api Indonesia. On subject of study conducted anamnesis, otoscopic examination, and pure tone audiometry. Results are analyzed by Chi-Square test. From 44 people of subjects, there are 2 people NIHL who have worked less than 10 years, 4 people NIHL with working period 10-19 years, and 5 people NIHL with working period more than 20 years.Result was analyzed by chi-square and result of  p-value is 0.007 (p<0.05). From this study, we conclude that there is relation between working period enchancement with noise induced hearing loss on train drivers and train drivers assistansts in PT. Kereta Api Indonesia

Speaker
Biography:

Figen TT has completed his PhD at the age of 27 years from Ondokuz Mayıs University and postdoctoral studies from Cumhuriyet University School of Medicine. She studied about Mamografi in Adnan Menderes University, Department of Radiology.     
 

Abstract:

Frequent and broad application of endoscopic sinus surgery (ESS) in parallel with experience makes it imperative to know the anatomy and the existing pathology very well before surgery. This study examines the association between anomalies in the sphenoid sinus area in paranasal sinuses computed tomography (PNS-CT) and pathological findings and determines variations of sphenoid sinus. A total of 200 cases (100 women, 100 men) who had PNS-CT in the emergency and radiology polyclinics within the period of one year were included in this study. Bone tissue anomalies and soft tissue pathologies were assessed in the CT. Pterygoid process was found in 36.75% of our cases, anterior clinoid pneumatization was found in 21.25%; vidian canal in 34.25%, foramen rotundum in 17.5% and ICA in 12.75% had protrusion into the sphenoid sinus; 8.25% were found to have onodi cell, 11.25% were found to have multiple septation, 16.75% were found to have mucosal thickening and 2.5% were found to have retention cyst. The importance of PNS-CT in terms of determining anatomic variations before ESC and predicting possible complications during surgery has been emphasized once more. In our study, as sphenoid sinus pneumatization increased, the projection of neighbouring vein and nerve structures into the sinus was found to increase as well.

Speaker
Biography:

Bouali Mustapha is a ENT doctor fron Oran University Hospital. His main research is on head and neck surgery.

Abstract:

 Langerhans cell histiocytosis (LCH) is a group of three rare diseases (annual incidence less than 4/1000.000 H) with increasing aggressiveness respectively: Eosinophilic granuloma (unifocal solitary osteolytic lesion), Hand-Schuller-Christian disease (multifocal lesion) and Letterer-Siwe disease (the most aggressive, disseminated disease with systemic manifestations). The bone is the most commonly involved with a predilection for the skull. Some cases of temporal bone localisations have been described in the literature. We report a case of an 18 month child presenting a LCH of the temporal bone misdiagnosed at the beginning as an otoantritis. In fact, the child presented a retro-auricular swelling with inflammatory characters, fever and otorrhea. The exploration before surgery revealed besides the extensive temporal lesion, hematologic perturbations, a splenomegaly and a hepatomegaly. The histopathology confirmed the diagnosis of a LCH. We describe the diagnosis challenges, the surgical difficulties and the therapeutic response of the child and give a review of what was published on LCH and Letterer-Siwe disease.

Hitendra Prakash Singh

King George’s Medical University, India

Title: Recurrent Meningitis: An Unusual Cause
Speaker
Biography:

Dr. Hitendra Prakash Singh has completed his Master of Sursery in ENT from India’s premier medical institution Institute of Medical Sciences, BHU, Varanasi, India. He is presently working at King George’s Medical University, Lucknow, India as associate professor. He has published more than 25 papers in reputed journals. His areas of interest are otology and Head-neck cancer surgery.
 

Abstract:

Bacterial meningitis remains an existence debilitating disease even in the present anti-toxin time; thus, any abnormality which predisposes a patient to a recurrence of this serious disease, must be identified and corrected. There have been numerous reports of meningitis due to congenital malformation of the inner ear. Recurrent bouts of meningitis are are regular and acknowledgment of the internal ear as the source oftentimes comes simply after a few scenes have happened.Congenitally malformed inner ears may be a source of CSF otorhinorrhea. Two abnormal pathways must be present for any CSF leak to occur; One between the subarachnoid space and the inner ear, Second between the inner ear and middle ear. The essential clinical significance of CSF spillage is the danger of meningitis.The presentation of such patients occur in early stages of life. Authors hereby intend to present an unusual case of recurrent meningitis with common cavity malformation and fistula at stapes footplate, who presented to us at middle age. The patient was operated upon and became symptom free after that.

Hossam Thabet

Alexandria University, Egypt

Title: Branchial Arch Anomalies
Speaker
Biography:

Professor Hossam Thabet graduated from Alexandria University School Of Medicine (M.B.B.Ch )in 1980 with general grade of " Excellent with   honors”. He finished his  Master of Otolaryngology (M.Ch.ORL) in, 1984. He finished two years Clinical & Research Fellowship in Washington University (Barns Hospital), St Louis Missouri. USA  1988-1990. He got  his  Doctorate of Otolaryngology & Head and Neck Surgery in 1991. Hi is the head of the H&N Surgery Unit in Otolaryngology-H&N Surgery Department in Alexandria University. He has more than 35 publications in international & Egyption Journal

Abstract:

Branchial arch anomalies occur due to abnormal development of the branchial arch clefts or pouches. They may be in the form of a cyst, sinus, or fistula. Branchial cyst are the second common congenital pediatric neck swelling after thyroglossal duct cysts. Second arch branchial cleft cysts are the most common, they are  situated in the posterior submandibular space between the SMG  & SCM muscle. 3rd & 4th branchial arch cysts or fistulae are very rare. Branchial Cleft Cysts (BCC) with external openings are associated with the 1st  & 2nd  arches, whereas the 3rd & 4th  arches are associated with internal openings.

.