6^th International Conference on Rhinology & Otology September 13-14, 2019 Singapore

Biography:

Ahmed Hasan Ashfaq is an Associate Professor of ENT and Head & Neck Surgery at Rawalpindi Medical University, Rawalpindi. He is a passionate researcher and has credit for conducting live surgical workshops on reconstructive otology and endoscopic sinus surgery. He is an active medical educationist as well. He is currently running several courses for under and postgraduate levels in his university. He is course Co-Director for a national level postgraduate course for family physicians of Pakistan.

Abstract:

Introduction: The preferred approach for opening the chronically infected nasolacrimal sac is transnasal endoscopic. A silicone stent is placed to maintain the patency of the sac but its role is becoming controversial.

Objective: The purpose of our study was to compare endoscopic dacrocystorhinostomy with and without stenting in terms of the resolution of epiphora and postoperative complications associated with either method.

Methods: This randomized clinical trial was conducted in the ENT department holy family hospital Rawalpindi from November 2015 to April 2018. A hundred patients with Chronic dacryocystitis were randomized into two groups.  The stent group received endoscopic DCR with silicone intubation, while the non-stent group received endoscopic DCR without silicone intubation. Both groups were evaluated at a follow-up visit at 1^st, 6^th and 12^th and 24^th postoperative weeks for anatomical success by patent ostium on irrigation and functional success by the free flow of dye from ostium and postoperative resolution of epiphora (using Munk’s score). Complications like intranasal adhesions, Canalicular stenosis, and Sac stenosis were also recorded. Data was entered and analyzed using SPSS 20.

Results: Both groups were compared for gender, resolution of epiphora, nasal and ocular irritation, patency of neo-ostium, postoperative synechiae and granulations. Resolution of epiphora was observed in 88.8% patients in the non-stent group and 82.6% patients in the stent group respectively. Reduction in the size of ostium was noted more in the stent group due to postoperative synechia and granulation formation. Benefits of the non-stent group are fewer patients discomfort, less operating time, cost-effectiveness, less stenting related problems and less follow up visits.

Conclusions: It is concluded that although there is no significant difference between the post-op results of Endoscopic DCR with or without stenting in terms of resolution of epiphora but  DCR without stenting should be the procedure of choice for chronic dacryocystitis because of other factors. The stenting should only be reserved for selected patients.

Biography:

Sonali Malhotra is currently pursuing her Junior Resident in the Department of Otorhinolaryngology at Lady Hardinge Medical College, New Delhi, India.

Abstract:

Objective: To detect the presence of biofilms in CSOM and to study the bacterial/fungal flora of biofilms.

Method:  40 patients suffering from chronic otitis media- An active squamosal disease were recruited in this prospective study. 35 out of 40 specimens were successfully processed. The remaining samples were not analyzed due to damage or loss during preparation. Data was duly recorded. Cholesteatoma sample procured at the time of mastoid surgery was microbiologically analyzed for bacterial and fungal infestation, and biofilms were detected using Scanning Electron Microscopy (SEM). The proportion of patients with presence of biofilms and their correlation to bacterial/fungal culture was statistically analyzed. 

Results: Biofilms were present in 25 out of 35 (72%) patients. Bacterial biofilms were present in 12 out of 15 (80%) patients with middle ear cholesteatoma while fungal biofilms were found in 6 out of 12 (50%) patients.

Conclusion: Our findings suggest that bacterial and fungal biofilms are common in CSOM with middle ear cholesteatomas. Our results provide new insights for further research in the treatment of CSOM.

Biography:

Suchi is an experienced International Pre School Principal/Manager who picked up laughter exercises from many coaches around the world. She then designed laughter therapy which is being used in many places such as Hospitals and Senior Activity Centers. She is currently working as a Former Manager/Trainer who engages in building social awareness about holistic approach for recovery. Her aim is to encourage people to seek help early and get on the path to recovery.

Abstract:

There is a lack of awareness about what happy hormones are how to use positive words to feel energetic and what can be done to get happy hormones. People tend to feel unhappy for multiple reasons and neuropathic pain adds on stress levels of not only the patient but the caregivers as well being in pains leads to feeling depressed and anxious in some cases. Review of books and research shows that getting a dosage of happy hormones will not only ease slight pain of the patient but feeling happy will also have a positive impact on the recovery of the patient. Adopting laughter therapy and getting hormones which makes one feel good will help many to recover from neuropathic pain/long term sadness caused by having grief, anger or resentment, depression and anxiety. One needs to work on his/her energies using laughter therapy which is a positive approach for not having depression and anxiety caused by neuropathic pain. The therapy can be used as a holistic way to recovery. The laughter therapy which includes ways to get the dosage of happy hormones promotes overcoming depression and anxiety caused by neuropathic pain is a fun way to manage pain. Repeated sessions to be conducted to remind patients that life while having pain or during the recovery should go beyond just seeking medical and counseling help and also include rebuilding spiritual, physical, emotional, relational and mental health. The model has been put together for testing in many settings including hospitals, elderly homes and senior citizen centers. It is just an effort to demystify the help available for depression and anxiety caused by pain. It is an attempt to motivate and encourage people to seek help and take a simple approach to remember and work on all aspects of their recovery.

Biography:

Sonali Malhotra is currently pursuing her Junior Resident in the Department of Otorhinolaryngology at Lady Hardinge Medical College, New Delhi, India.

Abstract:

Objective: This study evaluates the success rate of transtympanic myringoplasty and defines its role in the current era.

Method: The technique was carried out in 25 adult patients with chronic suppurative otitis media-mucosal disease under local anesthesia on the basis of day surgery.

Main Outcome Measures: An intact graft at the end of the third month was considered a success. A 10 dB hearing improvement in two consecutive frequencies in the range of 500,1000, 2000, and 3000 Hz was regarded as an audiologic success. Furthermore, the patient's perforations were divided into anterior, inferior, and posterior and the success rate was evaluated in each subgroup. Perforations were also classified into small and medium on the basis of surface area and evaluated statistically on the basis of the Fisher exact test.

Results: An overall success rate of 84% and 71.5% was recorded in terms of perforation closure and hearing improvement. Statistically, the surface area of the perforation did not influence the outcome of the result, but anteriorly placed perforations showed a poor graft uptake.

Conclusion: From the results herein, we find the technique to be convenient, highly cost-effective, time saving, and patient friendly, with closure rates comparable to other standard techniques of myringoplasty.

Biography:

Ravjit Singh pursued his Degree in Medicine from the University of New South Wales (NSW), Australia (2013). He has been an active member of the Prince of Wales ORL Head and Neck Research Group conducting research in the Head and Neck field. He is currently the ENT Registrar at Prince of Wales Hospital, Sydney, NSW, Australia.

Abstract:

X-Linked Gusher Syndrome occurs at the point of vestibule opening, with an associated rush of perilymph first reported by Sennaroglu et al 2006. Initially, the presence of the characteristic radiological features was a contraindication to cochlea implantation but recent reports have demonstrated successful implantation. The postoperative outcomes of these implantations have been variable, with expressive language and speech intelligibility ratings being improved from pre-operatively but poor compared to normal cohort. We present our experiences of four ears who underwent Cochlea implantation with intra-operative gusher syndrome.

Biography:

She is Pediatric trainee at American University of Beirut Medical Center, Lebanon. A self-driven passionate Medical Doctor, who gained various clinical experience and communicative knowledgeable skills over the past 6 years in different medical settings, and had the pleasure of serving a diverse range of populations.

Abstract:

Objective: Millions of teenagers been exposed to human papillomavirus unconsciously throughout their hypersexual activity or been exposed to it. Nowadays, as physicians we know HPV is a leading cause to oropharyngeal cancers. Pathology departments, obstetrics and gynecology eased up most of the work to laryngologist within developed work reaching great outcomes throughout proven studies been showed recently. Pooled HPV screening sensitivity (95% cl)=88.6-90.1% Pooled Specify screening (95% cl)=89.7-90.0%. According to American cytological statistical studies with a varied definitive result to each population been tested for cervical HPV.

Method: Creating an early guideline screening for oropharyngeal area what most of us physician need for early detection of HPV correlated cancer facilitating the treatment process, following up those suffering needy patients those infected yet brining comfort for patients on early stages.

Results: Triggering question to be answered on my real Visualized:

1. How can we set HPV screening guidelines?
2. Who need to screened?
3. How physicians will start screening?
4. What are beneficial outcomes of screening?
5. What’s Cost effect of Oropharyngeal Screening?

Biography:

Athapattu AMTM has completed her BSc Speech and Hearing Sciences, specializing in Audiology from Faculty of Medicine, Unversity of Kelaniya. She is currently working in Clinical Audiologist at Emar Pharma Pvt Ltd. Her research interests lies on Causes for Adult Hearing Loss, Hearing and Vestibular Assessment and Intervention for Adults.

Abstract:

Diabetes is becoming an extremely common disease, making it a larger contributor to hearing loss. One in five adults in Sri Lanka has either diabetes or pre-diabetes and one-third of those with diabetes are undiagnosed. Patients with diabetes have been shown to have worsen hearing as compared to non-diabetic healthy individuals. The main objective of this study was to evaluate the association between Sensorineural Hearing Loss (SNHL) and Diabetes Mellitus (DM) among patients with type-2 DM attending to Diabetes Clinic, Faculty of Medicine, University of Kelaniya. A descriptive cross-sectional comparative study was carried out on 62 type-2 DM patients attending the Diabetes Clinic, Faculty of Medicine, University of Kelaniya and 62 non-diabetic healthy individuals from the non-academic staff of Faculty of Medicine, University of Kelaniya who were between 45 to 55 years. Purposive sampling method was used to recruit the participants. An interviewer-administered questionnaire and audiological test battery including otoscopy, tympanometry and diagnostic pure tone audiometry were used for the data collection. Data was analyzed using SPSS trial version. When compared to the non-diabetics (9.7%) diabetics (75.8%) had a higher proportion of SNHL. When the duration of diabetes increased, SNHL was more prevalent in the diabetics group (70.2%). There was a significant association between the duration of diabetes and the severity of hearing loss in mid and high frequencies (p<0.05). When compared to the non-diabetic group, the diabetic group had increased proportions of auditory effects. The findings of this study have established that type-2 diabetes mellitus significantly affected the hearing levels of the participants. There is a need for screening and routine monitoring of hearing acuity of DM type-2 patients, in order to detect the hearing sensitivity changes early, offering prompt adequate management and remedial measures as appropriate.