Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 3rd International Conference and Exhibition on Rhinology & Otology - The Oberoi: Dubai, UAE.

Day 2 :

OMICS International Otolaryngology-2016 International Conference Keynote Speaker Maie St John photo
Biography:

Maie St John is an academic head & neck surgeon with a passion for education. She holds the Pearlman endowed Chair in Otolaryngology/Head and Neck\r\nSurgery and is the Co-Director of the UCLA Head and Neck Cancer Program. The focus of her clinical work is the treatment of head and neck tumors. As chair of\r\nthe Curriculum Committee in the Department of Head and Neck Surgery at UCLA, she developed a critical and comprehensive education program that prepares\r\nour graduates for board certification. Recently, she also received the UCLA Health System Humanism Award, as one of the top 10 most humanistic physicians at\r\nUCLA. She is an active member of several professional societies, including: the American Academy of Otolaryngology-Head and Neck Surgery, the American Head\r\nand Neck Society, the Los Angeles Biomedical Research Institute, the Triological Society and the American Association for Cancer Research.

Abstract:

Oral and Head and neck squamous cell carcinoma (OSCC) is the sixth most common cancer in the world. The primary\r\nmanagement of OSCC relies on complete surgical resection of the tumor. However, the establishment of margin-free\r\nresection is often difficult given the devastating side effects of aggressive surgery and the anatomic proximity to vital structures\r\nsuch as the carotid artery and the spinal cord. Positive margin status is associated with significantly decreased survival. Currently,\r\nit is the surgeon’s fingers that determine where the tumor cuts are made, by palpating the edges of the tumor. Accuracy varies\r\nwidely based on the experience of the surgeon and the location and type of tumor. Efficacy is further confounded by the\r\nrisk of damage to adjacent vital structures, which limit resection margins. The goal of this proposal is to evaluate a novel,\r\nnon-invasive, imaging system based on Dynamic Optical Contrast Imaging (DOCI) that has been developed to differentiate\r\nbetween cancerous and normal tissue intra-operatively using OSCC as the model. The imaging system is based on a novel\r\nrealization of temporally dependent measurements of tissue auto-fluorescence that allow the acquisition of specific tissue\r\nproperties over a large field of view. This system is optimized such that it can be used by surgeons at the time of cancer resection\r\nsurgery to gather quantitative information on margins of malignancies and has been extensively validated in ex vivo OSCC\r\nsamples. Companion histology has verified the sensitivity and specificity of the technique. This intra-operative instrument\r\nwould be the first of its kind, giving us the potential to significantly improve the sensitivity and accuracy of determining true\r\nOSCC margins thus enabling the surgeon to save healthy tissue and improve patient outcomes.

Keynote Forum

Robert Kesmarszky

Budapest University of Technology and Economy
Hungary

Keynote: Otitis externa in tropical areas- A field experience
OMICS International Otolaryngology-2016 International Conference Keynote Speaker Robert Kesmarszky photo
Biography:

Róbert Késmárszky is currently involved in tropical ENT and Head & Neck surgical projects besides effecting neuro-mechanical research at the University of\r\nTechnology and Economics in Budapest, Hungary. He is passionate about the facial nerve and reconstructive surgery. He is the author of several presentations and\r\nreviewer in the field. Humanitarian work has an important role in his professional activity.

Abstract:

Aim: To analyze the incidence, etiology and characteristics of otitis externa occurring in tropical areas.
\r\nSources & Methods: The anamnestic data, physical examination and documentation were achieved during ENT consultations\r\nto be analyzed retrospectively.
\r\nResults: Otitis externa was a leading motivation to consult in ENT. All age groups and both sexes were included though\r\ndifferences were observed concerning their incidence, cause, side and causative agents. The presence of foreign bodies and\r\nmycosis was higher than experienced in Europe. The presence of mycosis was confirmed clinically when no culture was\r\navailable. Despite of the important pain present in most cases, local cleaning and adapted treatment were usually efficacy.
\r\nConclusion: In tropical areas mycotic otitis externa is more frequent. In many cases aggravated and provocated by the presence\r\nof foreign bodies. Adapted treatment is necessary even when no microbiological confirmation is available. Patient education\r\nis a must.

  • Track 6: Ear Disorders
    Track 7: Diseases of Middle and Inner Ear
    Track 8: Tinnitus
    Track 9: Neurotology
    Track 10: Common Cold: Causes and Treatment
    Track 11: Hearing Impairment and Deafness-causes and Treatment
    Track 12: Endoscopy,Diagnosis and Imaging Techniques
    Track 13: Surgical Approaches for Ear Disorders
    Track 14: New Treatment Approaches For Hearing Disorders
Location: Grand Hall A

Chair

Kalimullah Thahim

College of Physicians and Surgeons
Pakistan

Co-Chair

Amany Ahmed Shalaby

Ain Shams University
Egypt

Session Introduction

Kul Bhushan Bali

Al Ain Hospital
UAE

Title: Myringoplasty- Eight years experience at Al-Ain hospital

Time : 11:10-11:30

Speaker
Biography:

Kul Bhushan Bali completed his Masters degree from King George Medical University in 1989. He has advanced training in ear and nasal surgeries from Scotland, Germany, Austria and Canada. He is working at Al Ain Hospital since 2007.

Abstract:

Myringoplasty is the procedure for restoring the integrity of the tympanic membrane. Success rates for myringoplasty vary widely in the literature from 65-100%, with many authors advocating specific techniques to improve outcomes. We discuss our eight years’ experience of doing various types of Myringoplasties at Al Ain Hospital and its success rate.

Speaker
Biography:

Lebogang Ramma completed his Doctor of Audiology (AuD) degree from the University of Florida, Gainesville, USA and Master of Public Health degree (MPH) from the University of Witwatersrand, Johannesburg, South Africa. He is the current Head of Division, Division of Communication Sciences & Disorders at the University of Cape Town. He has published over 20 papers in reputed journals. He also chaired a Health Professions Council of South Africa’s task team that developed guidelines for monitoring ototoxicity in patients who are on treatment that involves ototoxic medications.

Abstract:

Ototoxicity, defined as a functional impairment and cellular degeneration of the tissues of the inner ear caused by therapeutic agents, is a common adverse event reported following treatment with various compounds such as aminoglycosides and platinum derivatives. Ototoxicity often leads to permanent damage to cochlear and vestibular end organs and may lead to permanent hearing loss. Several criteria have been developed over the years to document ototoxicity-induced hearing loss following treatment with ototoxic medication. However, most of existing criteria have limitations that preclude their use across different contexts; lack of a ‘common language’ used to grade ototoxicity, do not strongly relate to functional outcomes and do not appreciate the effect of ultrahigh frequency hearing loss. We therefore developed an alternative and more clinically relevant grading system (UCT ototoxicity grading scale) for ototoxicity in adults that could be used across patient populations and institutions. In this study, we assessed the feasibility of using this alternative ototoxicity grading criteria as well as compared it to existing ototoxicity grading criteria for adults. The findings of our study showed that the new criteria was easy to use (good interrater reliability, Kappa = 0.87) and showed good agreement with existing ototoxicity grading criteria for adults (UCT versus CTCAEv4, 73.4%; UCT versus TUNE, 78.2%). Given that the UCT ototoxicity grading scale was developed from universally used hearing loss classification systems and it is easy to use, we recommend it for use across different contexts and population groups.

Ahmad Nasrat Al-Juboori

Hamad Medical Corporation
Iraq

Title: Keratosis Obturans: A rare cause of facial nerve palsy

Time : 11:50-12:10

Speaker
Biography:

Ahmad Nasrat Al-Juboori has received his PhD in Iraqi Commission for Medical Specialization, Al-Nahrine University during the period of 1994-1997. Currently, he is working as Professor in Otorhinolaryngology in Ibn Sina College of Medicine, Al-Iraqia University. He has successfully completed his administrative responsibilities as Consultant Otorhinolaryngologist. His research has included 18 published articles in ear, nose, throat and neck surgical fields. Based on this research and fellowship training he has received several awards and honors, such as: Award from ministry of Iraqi higher education and scientific research, award from Iraqi ministry of health and membership of American Association for Science and Technology (AASCIT). He is serving as an Editorial Board Member of several reputed journals like General Medicine: open access in OMICS group, as well as to International Journal of Clinical Medical Research (USA) & expert Reviewers for journals like International Journal of Clinical Medical Research. He has authored 18 research articles. He is a member of Iraqi Medical Association, Iraqi Society of Otolaryngology, head and neck surgery, as well as American Association for Science and Technology.

Abstract:

Keratosis obturans is a rare condition characterized by the accumulation of desquamated keratin material in the bony portion of the external auditory canal (EAC). It is thought that keratosis obturans is due to abnormal epithelial migration of ear canal skin. Classically, it is reported to present with severe otalgia, conductive deafness and global widening of the canal. The frequency of keratosis obturans has been estimated as 4-5 in 1000 new otological cases. Extensive erosion of the bony meatus, with exposure of the facial nerve, has been previously reported as one of the complications on Medline the 1st published such complication in 2006. The purpose of this case report was to present a rare and probably the first reported keratosis obturans in Iraq that caused facial palsy.

Speaker
Biography:

Amany Ahmed Shalaby, MD is the Professor of Audiology in Ain Shams University since 1994. She is the Member of International Auditory Physician Association (IAPA), Egyptian Otorhino-laryngology Society, Egyptian Audio-Vestibular Medical Society and Board Member in the Egyptian Audio-vestibular Medicine Association (EAVMA). She is a Certified Trainer of KAMPS method of Auditory Integration Training (AIT). She is a Reviewer in the ENT Committee for promotion of Professors and Assistant Professors and Reviewer of EJENTAS Journal and EJO Journal. She is specialized in diagnosis & management of hearing & balance disorders, main domain evaluation & management of children with learning disabilities, central auditory processing disorders (CAPD), Attention Deficit Hyperactive Disorder (ADHD), Autistic spectrum disorder.

Abstract:

Background & Aims: The purpose of this study was to investigate whether children with ADHD may have a co-existing auditory attention disorder which may be a potential underlying cause for their impaired recognition in background noise and therefore their educational problems.
Methods: A prospective study, in which sixty children diagnosed as having ADHD were examined. They were classified according to DSM-IV or its Arabic translation (ADHD-SC4) into three subgroups: 20 children were ADHD-HI, 20 children were ADHD-IA and 20 children were ADHD-C. The control group comprised twenty children, ranging in age from 5-12 years with normal hearing sensitivity, normal middle ear function, normal intelligence and good scholastic achievement. All children were subjected to history taking, basic audiological evaluation, ACPT test to measure sustained auditory attention, SPIN test and TEOAE suppression test to measure selective auditory attention.
Results: ACPT test showed moderate sensitivity in diagnosing ADHD disorder, though it was efficient in ADHD sub-typing. Children with ADHD have poor selective auditory attention ability as shown by reduction in SPIN test scores in the three subgroups. ADHD children showed limited overall TEOAEs suppression which suggested medial OCB involvement.
Conclusion: Management plan for ADHD should include strategies for selective as well as sustained auditory attentional abilities. And rehabilitation of ADHD children should be directed to enhance their auditory abilities rather than to depend on their visual perception which is more commonly affected.

Break: @Nine7One Restaurant
12:30-13:10
Biography:

Debora Maria Befi-Lopes is a Speech, Language and Hearing Therapist. She has completed her under graduation course at the Catholic University of São Paulo, Brazil, in 1979. She has earned PhD in Linguistics from the University of São Paulo (1997). She is an Associate Professor at the School of Medicine, University of São Paulo, Brazil, since 2002. She has published 98 papers in indexed journals and 284 abstracts in conference proceedings. She has published book chapters and books and received 39 awards and honors.

Abstract:

To evaluate neural mechanisms encoding speech sounds through Speech-ABR in APD and SLI children. Specifically, literature describes temporal processing abnormalities in SLI, so we hypothesized that SLI and APD would demonstrate greater perceptual deficits in neural encoding of speech sounds in subcortical auditory pathways in response to rapidly speech. Speech-ABR was tested in 57 children, 6-12 years old (three groups), TD (n=18; mean 109, 83 months), APD (n=18; mean 110, 00 months) and SLI (n=21; mean 96, 00 months). All children presented normal peripheral hearing bilaterally. Speech-ABRs were elicited using fiveformant syllable/da/(BioMARK). Based on these characteristics of Speech-ABR response, 3 dimensions were defined for analysis: Timing, harmonics and pitch. ANOVA test was applied (significance level 0.05). Timing of onset response to /da/ showed statistical differences between groups with APD and SLI, showing greater latency of “A” peak than TD (p=0.009 and p=0.002, respectively). For C, E, F and O peaks, only SLI group showed a statistically significantly increase in latency when compared to TD [E, O=p<0.05; C, F=p<0.01]. Furthermore, we observed discrete latency increase for SLI when compared to APD group with difference for E and F peaks [p<0.05]. For pitch and harmonic encoding, there were no group differences in amplitude of spectral component F0 and F1. In contrast, there was difference in encoding of HF among the response to TD and SLI (p=0.01) as well as APD and SLI (p=0.05). TD and APD exhibited greater amplitudes when compared with SLI. We concluded abnormal encoding for specific acoustic features that are characteristic of speech for children with APD and SLI. The hypothesize that abnormal speech-ABR should manifest itself in difficulties in speech perception was confirmed. However, SLI exhibited worst results when compared with APD and TD suggesting worst representation of crucial components of speech sounds could contribute to difficulties.

Speaker
Biography:

Mohammad Hossein Khosravi is a young investigator and medical student and has dedicated most of his research favor to otorhinolaryngology. He has already published two papers in this field in journals like International Forum of Allergy and Rhinology and also has one in press in British Journal of Oral and Maxillofacial Surgery. He is working on several Otolaryngology projects especially “new treatments for tinnitus” as his thesis. Recently he participated in 6th THC and 1st ICNU as a member of students' scientific committee. At present, he is in charge for deputy of research and head of otorhinolaryngology research group at BMSU students' research committee.

Abstract:

Tinnitus is the perception of a sound in the absence of an apparent acoustic stimulus. After otorrhea and hearing loss, tinnitus is the most common symptom in the patient with chronic otitis media (COM). We aimed to evaluate the improvement of tinnitus in COM patients after tympanoplasty and tympanomastoidectomy surgeries. This prospective study was conducted on 50 COM patients suffering from tinnitus who were referred to Otolaryngology clinic of Baqiyatallah Hospital and underwent tympanoplasty or tympanomastoidectomy surgery. After confirmation of COM, Tinnitus Handicap Inventory (THI) and Visual Analogue Scale (VAS) questionnaires were filled before and two months after surgery by patients and considered subjects were compared with each other. Also an audiometry test was taken from each patient before and two months after surgery and results as well as Air-Bone gap were measured and evaluated prior and after surgery. Eventually 26 male and 24 female patients with a mean age of 38.62±11.88 years underwent analysis. Air conduction at all frequencies was significantly improved after surgery (P<0.001). Severity of tinnitus was significantly decreased after surgery based on both TIH (P<0.001) and VAS (P<0.001) evaluations. Tinnitus severity reduction was significantly associated with the improvement of hearing loss and decrement of Air-Bone gap (P<0.001). Tinnitus symptoms such as loudness, annoyance, impact on life and perception of tinnitus significantly reduced after surgery. Also tympanomastoidectomy was more effective on improvement of tinnitus in comparison with tympanoplasty (P=0.019). So, both tympanomastoidectomy and tympanoplasty surgeries are effective on improvement of tinnitus in patients with COM; however tympanomastoidectomy seems to be more effective.

Rezvan Dashti

Ahvaz Jundishapur University of Medical Sciences
Iran

Title: Satisfaction with hearing aid based on type and degree of hearing loss

Time : 13:50-14:10

Biography:

Rezvan Dashti has completed her MSc in Rehabilitation administration at the age of 28 years from Ahvaz jundishapur University of medical science.She has published more than 4 papers in reputed journals.

Abstract:

Background & Objectives: Hearing loss is one of the most disabling impairments that its consequences affect hearing impaired people in all aspects. Using hearing aid in order to resolve hearing problem, positively affects this peoples’ quality of life. This research aimed to assess satisfaction with hearing aids based on type and degree of hearing loss.
Subjects & Methods: This descriptive-analytic and cross-sectional research was conducted on 187 subjects with hearing loss who were using hearing aid. The subjects were over 18 years old and they have been using hearing aid at least for 6 months. Persian version of Satisfaction with Amplification in Daily Life (SADL) questionnaire was the instrument which was used for assessing satisfaction with hearing aid. It was assessing four dimensions: services and costs, users’ self-image, negative features and positive effects.
Results: A significant difference was observed among mean satisfaction scores between people with different degree of hearing loss in cost and services subscale (P=0.04); subjects with moderate hearing loss estimated more satisfied. Mean satisfaction in persons who had mixed hearing loss estimated more than people who had sensorineural hearing loss in all subscales (P<0.021).
Conclusion: Global mean score of satisfaction showed a relatively high satisfaction of subjects with heir hearing aids. Increasing knowledge and educating audiologists for more proper and better hearing aid fitting as well as using self-reporting questionnaires like SADL for estimating social condition can essentially change patients’ disability condition and countervail their hearing loss. Audiologists can decrease negative effects in moderate as well as moderate to severe hearing loss persons by deliberate consulting about limitation and abilities of amplifier.

Biography:

Amaia Méndez Zorrilla holds a BSc in Telecommunication Engineering and a PhD in Computer Science from the University of Deusto. She is currently a lecturer at the University of Deusto, where she teaches at the Bilbao campus. She teaches BSc courses in Industrial Technology Engineering. Specifically, she teaches the following subjects: Networks I, TV and Video Digital Systems and Multimedia Networks. Her publications mainly focus on biomedical engineering and new technologies applied to society. During the past few years she has carried out research on the design and development of digital image-processing algorithms and on projects to improve the quality of life of people with special needs. She is part of the DeustoTech Life research team.

Abstract:

Hypothesis: Personalizing the material used for the tests based on the physiological characteristics of each patient can reduce patient discomfort during endoscopies.
Background: It is common to use similar probes in terms of diameter and length regardless of the characteristics of the patient. This can cause discomfort during execution of the tests and can lead to results of worse quality than expected.
Methods: A low-cost app installed on an iPad which from a photo of the patient performed at a set distance can extract the necessary measurements for the probe could optimize endoscopies. The application includes an algorithm that automatically calculates distances including bends that the fiber optic probe/strobe would go, so the doctor can prepare material for use with a personalized size for each patient.
Results: We have performed simulations in the University of Deusto Evida Laboratory of patients with varied characteristics of age, race and skin tone. Tests have also included patients with different aesthetic characteristics such as beards, glasses or fringes. In 80% of cases the results are satisfactory in the first iteration. In 12.3% of cases the application does not detect the important points for calculations in the first iteration and needs a second, obtaining the expected results in the second attempt. Only in 7.7% of cases the app does not work properly at all, although the authors have found that the capture stage did not meet the 100% ideal lighting conditions and distance to the camera.
Conclusions: ICTs are a great support to medical personnel and can improve the user experience during the clinical trials.

Speaker
Biography:

Enaas Kolkaila has finished Medical School in 1983 from Tanta University and completed her Master's in 1987 from Ain Shams University in Cairo. She lived the following years in USA and returned in 1991 when she continued studies and finished MD in 1997 from Ain Shams University. She is a Professor of Audiology in Tanta University which is the 4th largest university in Egypt. She had supervised 22 theses both Masters and MD. She has published more than 30 papers and has been serving as a reviewer in EJENTA.

Abstract:

Background: Tinnitus is a sound perception in one or in both ears, as well as in one's head which is not related to any external source of stimulation or noise. It is now evident that tinnitus may be initiated by abnormal activity from the peripheral auditory system. However, its progress is due to involvement of the central nervous system.
Objectives: This study was designed to evaluate cortical auditory evoked potentials (CAEPs) in tinnitus patients with normal hearing. Subjects & Method: This study included two groups: Group I (control group); consisted of 20 normal hearing adults and group II (study group) consisted of 20 normal hearing subjects with bilateral tinnitus. CAEPs were recorded using tone stimuli in frequencies of 500, 1000, 2000 and 4000Hz at 50dB & 70dB sensation levels.
Results: The tinnitus group showed no significant difference among the four frequencies in latencies at 70dBSL. Also, there was more saturation of 4000Hz latency response to increased intensity and the shorter latencies than control group in the four tested frequencies at both intensities used.
Conclusion: Tinnitus patients with normal hearing showed alterations of CAEPs response which confirm the central auditory structures changes in those patients.

Speaker
Biography:

Somia Tawfik has been graduated from medical college on 1978 & had Doctorate degree of audiological medicine on 1986 from Ainshams University. She is a senior professor of audio-vestibular medicine at Ainshams University. She is a member of International Association of Physicians in Audiology (IAPA), International Association of Logopedics and Phoniatrics (IALP), the Egyptian Audio-Vestibular Medicine Association (EAVMA) and the Egyptian Society of Oto-rhino-laryngology. She has published more than 30 papers in reputed journals particularly in the auditory processing area. She is a member of the team who developed the Arabic test materials for diagnosis of central auditory processing disorders in adults & children and shared in the development of the Arabic computer-based program for remediation of children with central auditory processing disorders. She is a reviewer at the EJENTAS & the AAA journals. She has been invited to speak in many regional & international audio-vestibular and ENT conferences.

Abstract:

Background: Tinnitus is a sound perception in one or in both ears, as well as in one's head which is not related to any external source of stimulation or noise. It is now evident that tinnitus may be initiated by abnormal activity from the peripheral auditory system. However, its progress is due to involvement of the central nervous system.
Objectives: This study was designed to evaluate cortical auditory evoked potentials (CAEPs) in tinnitus patients with normal hearing. Subjects & Method: This study included two groups: Group I (control group); consisted of 20 normal hearing adults and group II (study group) consisted of 20 normal hearing subjects with bilateral tinnitus. CAEPs were recorded using tone stimuli in frequencies of 500, 1000, 2000 and 4000Hz at 50dB & 70dB sensation levels.
Results: The tinnitus group showed no significant difference among the four frequencies in latencies at 70dBSL. Also, there was more saturation of 4000Hz latency response to increased intensity and the shorter latencies than control group in the four tested frequencies at both intensities used.
Conclusion: Tinnitus patients with normal hearing showed alterations of CAEPs response which confirm the central auditory structures changes in those patients.

Ihsan A T

Jubilee Mission Medical College and Research Institute
India

Title: Atraumatic myringoplasty

Time : 15:10-15:30

Speaker
Biography:

Amany Ahmed Shalaby, MD is the Professor of Audiology in Ain Shams University since 1994. She is the Member of International Auditory Physician Association (IAPA), Egyptian Otorhino-laryngology Society, Egyptian Audio-Vestibular Medical Society and Board Member in the Egyptian Audio-vestibular Medicine Association (EAVMA). She is a Certified Trainer of KAMPS method of Auditory Integration Training (AIT). She is a Reviewer in the ENT Committee for promotion of Professors and Assistant Professors and Reviewer of EJENTAS Journal and EJO Journal. She is specialized in diagnosis & management of hearing & balance disorders, main domain evaluation & management of children with learning disabilities, central auditory processing disorders (CAPD), Attention Deficit Hyperactive Disorder (ADHD), Autistic spectrum disorder.

Abstract:

Objectives: To study temporal auditory processing abilities in SNHL children using behavioural [Auditory fusion test (AFT); Duration pattern test (DPT); Pitch pattern sequence test (PPST); time compressed sentence test (TCST)] and electrophysiological measure [Mismatch negativity (MMN)]. And to study whether there is a correlation, if any, between results of behavioural tests and MMN in assessment of temporal auditory processing.
Methods: This study included 2 groups: A study group of 60 children with mild to moderate sensorineural hearing loss (SNHL); and a control group of 30 normal hearing children. The children's age ranged from 6-12 years.
Results: The SNHL subgroups showed statistically significant lower scores in AFT, TCST, DPT and PPST as well as longer MMN latency than their controls. Age had significant effect on temporal auditory processing tests results and on MMN parameters but gender and aetiology of SNHL had no effect. There was no statistically significant correlation between results of behavioural tests and MMN in normal as well as SNHL children.
Conclusion: Sensorineural hearing loss affects temporal auditory processing abilities reflected on both behavioural & electrophysiological test results. Age showed maturational effect on behavioural tests in all subjects, but this effect was not reflected on the MMN results of the controls, despite of the significant effect of SNHL on MMN parameters. There was no correlation between behavioural & electrophysiological test results.

Simple Patadia

Sanjay Gandhi Post Graduate Institute of Medical Sciences
India

Title: Failure of cochlear implant device in postoperative period: Our experience

Time : 15:30-15:50

Biography:

Simple Patadia completed her MBBS (2010) and MS ENT (2013) from the reputed BJ Medical College, Ahmedabad (registered under Dr. Rajesh Vishwakarma). She joined her senior residency in Neuro-otology in the department of Neuro-surgery at Sanjay Gandhi Post Graduate Institute of Medical Sciences in Jan 2014. She has special interest in Neuro-otology and Endoscopic Skull Base Surgery and has presented many papers in national conferences.

Abstract:

Introduction: Cochlear implants are one of the most successful implants in the world. However, any implantation surgery is prone to considerable risk of failure (4-8% in literature). Our experience in dealing failure of cochlear implant devices is shared in this paper.
Materials & Methods: A retrospective study of 250 patients (201 children, 41 adults), with normal cochlea, at a tertiary care center, from June 2004 to June 2014, was done. All cases were implanted multichannel devices via Veria technique of cochlear implant surgery. Preoperative assessment, surgical considerations and postoperative audio-logical outcomes were analyzed. Preoperative and postoperative audio-logical outcomes were analyzed using Category of Auditory Perception (CAP) Score and Speech Intelligibility Rating (SIR) Score
Results: Rate of re-implantation was 2.8%. The causes of revision cochlear implant surgery were hard device failure (n=3), surgical complications (n=2), magnet displacement (n=2), soft failure (n=1), electrode extrusion (n=1). In one patient, recurrent cutaneous infection on the implanted site ultimately resulted in re-implantation in the opposite ear, after multiple surgical interventions on the same side. The preoperative and postoperative CAP and SIR score showed significant improvement in postoperative period with p<0.05 as compared with paired t test.
Conclusions: Preoperative counseling for device failure should always be emphasized. There is a high surgical success rate in RCI with preservation or improvement in preoperative auditory performance.

Break: @ Foyer 15:50-16:10

Rezvan Dashti

Ahvaz Jundishapur University of Medical Sciences
Iran

Title: Assessing satisfaction with hearing aids based on style among hearing impaired persons

Time : 16:10-16:30

Biography:

Rezvan Dashti has completed her MSc in Rehabilitation administration from Ahvaz Jundishapur University of Medical Science. She has published more than 4 papers in reputed journals

Abstract:

Objectives: WHO (2005) estimated 278 billion of people suffer from hearing loss that about 2/3 of them live in developing countries. The practical step in aural rehabilitation process for majority of persons who have hearing loss is hearing aid.
Methods: 187 patients with hearing loss fitted with different hearing aids were included. Scale “Satisfaction with Amplification in Daily Life" (SADL) was applied used to assess the benefits yielded by the hearing aids.
Results: In evaluation of satisfaction with hearing aid, the positive effects showed the highest mean score among SADL subscales and negative features has the least mean score that shows relative dissatisfaction of elderly users. Significant difference was observed between mean satisfaction score and hearing aid model too. In evaluating satisfaction with hearing aid and style of that only was observed in cost and services subscale (P=0.005).
Conclusion: Subjects with different style of hearing aid were estimated relatively satisfied. Whereas prevalence of hearing loss is flourish, specify need to rehabilitation was developing and think for fund supply to secure that.

Speaker
Biography:

Manal El-Banna has completed her MD in 2005 from Alexandria University and became Assistant Professor in Phoniatrics in 2011. She is a member of IALP since 1998. She is consultant at the Clinical Genomic center since 2010. She has published 13 papers at national and international journals.

Abstract:

Introduction: Cochlear implant recipients vary in their performance with their implants. One of the reasons of difference in performance might be the number of surviving spiral ganglion cells. Potentials evoked by electrical stimulation of the auditory nerve depend on the degree of synchrony of neural firing. Thus it is expected that cochlear implant recipients who show electrically evoked potentials at different levels of the auditory nervous system might perform better than those who do not.
The aim of this study: To record EABR and EMLR from cochlear implant users, investigate consistency over time, investigate the relationship between electrophysiology and MAP psychophysics and correlate the recordings with speech perception scores. Subjects: Twenty four cochlear implanted subjects were recruited from Audiology clinic; Otolaryngology Department, Faculty of Medicine, University of Alexandria, Egypt The inclusion criteria were to have a functioning implant that possessed a bidirectional telemetry feature.
Methodology: All subjects underwent the following, (1) detailed history taking medical and surgical, (2) aided free field testing with their implants, (3) electrically evoked potentials recordings, (4) Speech perception testing was performed at the phonetic level using the speech pattern contrast test that tested the ability of cochlear implant users to differentiate between contrasts related to vowels and consonants.
Results: Most of the subjects showed responses at one or more electrically evoked potential. Electrophysiological thresholds of EABR were within patients’ dynamic ranges and were detected form the first recording time and were generally consistent over time. EMLR was absent in many children before 1 year of implant use. All subjects were able to detect vowels and consonants, however, performance in the discrimination task varied. Comparing different speech perception scores with electrophysiological parameters revealed that the slope of EABR amplitude growth function showed significant correlation with fricative discrimination. Also, EABR latency decreased whereas amplitude increased with increased performance. There was no relationship between the numbers of the electrophysiological levels showing performance and speech perception scores.
Conclusion: EABR might serve as a predictor of speech performance at the phonetic level; however, increasing the sample size is required for generalization.

Harun-Ar-Rashid Talukder

1Shaheed Suhrawardy Medical College Hospital
Bangladesh

Title: Frequency of extracranial complications of chronic suppurative otitis media

Time : 16:50-17:10

Biography:

Harun-Ar-Rashid Talukder graduated from Mymensingh Medical College and completed his Post-Graduation (FCPS) in Otolaryngology from Bangladesh College of Physicians and Surgeons, Dhaka. His research and medical interest lies in Otology. He has attended many ENT and Head-Neck Surgery conferences, both in Bangladesh and abroad. He is presently working as Consultant and Resident Surgeon (ENT & Head-Neck Surgery) in Shaheed Suhrawardi Medical College Hospital, Bangladesh.

Abstract:

Objectives: To observe the way of presentation of extracranial complication and to find out the relationship between socio-economic factors & extracranial complication of CSOM.
Methods: This is a cross-sectional study carried out in the Department of Otolaryngology and Head-Neck Surgery, Sir Salimullah Medical College & Mitford Hospital and Dhaka Medical College Hospital, Bangladesh from 1st July 2009 to 30th June 2010. 100 patients of CSOM were included in this study. Diagnosis was established by detailed history, clinical examination and investigations. Collected data was analyzed by using SPSS.
Results: In this study it was found that illiterate (24%) & less educated (41%) male patients (59%) of lower socio-economic group (57%) aged 11-20 years (51%) living in rural areas (66%) who bath in the ponds and rivers (66%) were more sufferers. Cholesteatoma was found in 78% of patients. Post auricular abscess (47%), Postauricular discharging sinus (26%), facial nerve paralysis (11%), Bezold’s abscess (07%) and Zygomatic abscess (06%), labyrinthitis (3%) was the extracranial complications revealed in this study.
Conclusion: The frequency of CSOM with extracranial complications is still high in the young age of lower socio-economic class in rural areas. Findings of this study will help create awareness among all level of medical practitioners about the extracranial complications of CSOM and its association with certain socio-demographic factors to enhance prompt diagnosis and treatment.

Nancy Tye-Murray

Washington University School of Medicine
USA

Title: New frontiers in auditory training

Time : 17:10-17:20

Speaker
Biography:

Nancy Tye-Murray specializes in Aural Rehabilitation Research. Her research projects concern auditory training, speech reading and audiovisual integrations and speech recognition assessment. She is the former Director of Research at Central Institute for the Deaf and is currently the Hearing Editor of Journal of Speech-Language-Hearing Research. Her books include the introductory textbook, Foundations of Aural Rehabilitation: Children, Adults and Their Family Members (4th Edition).

Abstract:

Many exciting developments are happening in the realm of auditory training. This presentation will present an overview of these developments and will also highlight what may happen in the near future. The purpose of auditory training is to maximize a patient’s ability to utilize residual hearing, especially when background noise is present. New developments include an emphasis on transfer-appropriate-processing (TAP) and learning, training with frequent communication partners, game-like instructional designs and web-based platforms. We will consider auditory training for both adults who have hearing loss as well as children. The presentation will be comprehensive and will cover assessment issues, training protocols and recent research about efficacy. The research concerns two studies recently completed in our laboratory. The first study provided TAP training to a group of adults and found that training led to better speech recognition. The second study showed that patients can benefit from training with speech spoken by their frequent communication partners

Biography:

Isabelle Nibelle has completed her PhD in France at the University of Strasbourg and Post-doctoral studies in Paris. She is Head of the ENT department in Al Ain Hospital, UAE and is teaching as Adjunct Assistant Professor at the UEA College of Medicine and Health Sciences.

Abstract:

Introduction: Salivary fistula is a common complication in oncology neck surgery. However, this is an unusual outcome after neurosurgical procedure with cervical approach. We report a case of late onset salivary fistula occurring after cervical spinal fixation following a fracture C5C6. We analyze the risk factors. We discuss the diagnostic and therapeutic choices. Finally, we insist on preventing this complication.
Material & Method: A 21 year old patient was admitted with quadriplegia after a neck trauma. The injury was a fracture dislocation-C6 / C7 with narrowing of the posterior wall. A neurosurgical surgery is performed in emergency by right anterior cervical approach: decompression of the posterior wall, vertebral fixation with screws C5 to C7, bone graft, laminectomy at C6 and partial facetectomy.A tracheostomy is performed in the same surgical time. Postoperative feeding is provided by nasogastric tube. The patient developed day 43 postoperative a cervical collection, which is simply drained by general surgeons. Collection reccures, associated with clear right paratracheal discharge. Clinical examination is in favor of a salivary fistula. A hydrosoluble hypo pharyngeal transit confirms the continuity between the pharynx and the cervical skin. Direct laryngoscopy confirms the fistula with hypopharyngeal mucosa breach, at the retro-cricoid area with exposure of cervical fixation material. Esophagus is intact. Percutaneous gastrostomy is performed at the same time. Local care with compressive dressing cannot dry the fistula. Surgical closure is performed at day 79 from the initial surgery: The exposure of the previous ostheosyntesis materiel reveals that two screws are loose. The anterior fixation material is removed. Visualization of the salivary fistula at the level of the retro-cricoid area; Hypo pharyngeal mucosa is closed with intermittent stiches with Vicryl 3.0. Coverage performs with local sternocleidomastoid muscle flap with upper and lower attachment. No postoperative event; no recurrence of the fistula.
Discussion: Late onset salivary fistula in neck surgery is an unusual complication after neurosurgical approach. In this case, several risk factors have been identified: The presence of tracheotomy, as a factor of compression, nutrition by nasogastric tube as a factor of compression, denutrition as a general condition and the presence of mobile screws, as a friction factor which resulted in the damage of the hypo pharyngeal mucosa. The diagnosis of a salivary fistula is based on: Clinical arguments, biological level of amylase on the discharge, hypo pharyngeal transit with hydrololules: communication between hypopharynx and skin and direct laryngoscopy: visualization of the fistula. Treatment is based on: Local care: twice a day dressing with washing, swallowing diluted betadine and compression bandages, Surgery if failure of the dressing to repair mucosa and coverage flap. Local: sternocleidomastoid muscle or platysmamuscle flap. Regional: pectoralis major and latissimus dorsi flap and free: antebrachial flap
Conclusion: Late onset salivary fistulas are rare in non-neoplastic pathologies but may complicate neurosurgical cervical spine surgery with cervical approach. Diagnostic has to be done in front of cervical collection associated with chronic cervical discharge. The treatment begins with twice-daily dressing and, in case of failure, surgery. Prevention is based on reducing risk factors: avoid prolonged nasogastric nutrition, promote high-calorie, high protein nutrition in vulnerable subjects, ensure adequate fixation.

Break: End of Day 2