Head and Neck Conference: The Multidisciplinary Approach December 10-11, 2018 Dubai, UAE

Biography:

Fabio Fanfoni is a ENT Consultant at Concordia Community Outpatients / Associate Specialist at Croydon University Hospital, London, United Kingdom. He worked as a Locum Specialty Doctor ENT at Heatherwood and Wexham Park Hospital NHS Foundation Trust. He has done his M.D, Specialty in ENT and Otoehinolaryngology, Specialty in Audiological Medicine and Phoniatry in Sapienza University of Rome. 

Abstract:

Aim is to evaluate endoscopic eustachian tube balloon dilatation (ENTellus®) outcomes as treatment of Eustachian Tube Dysfunction (ETD) in selected patients who did not respond to medical treatment and/or not improve after Grommet insertion or not keen on Grommet. It is a prospective study of 6 months follow up, conducted in secondary care academic center. Patient’s selected those who diagnosed with persistent Eustachian tube dysfunction refractory to medical treatment. No concomitance of chronic otitis media, tympanic membrane perforations, labyrinthine dysfunction, Meniere’s disease, patulous eustachian tube. Patient’s symptoms feedback evaluated through comparison of the 7-items Eustachian Tube Dysfunction Questionnaire (ETDQ-7) score before and after the procedure. Primary safety endpoint was complication rate. Fourteen (14) patients were selected and underwent endoscopic eustachian tube balloon dilatation. Mean pre-operative EDTQ-7 score was 4.5, post-operative 2.6 with a mean change of -1.9. No surgical complications were reported. Balloon dilatation is a promisingly safe procedure and effective treatment option that can be offered to patients with persistent ETD. Further studies with increased number of representative sample of participants and longer terms results will certainly help confirming effectiveness.

Biography:

Sadq Ghaleb Kadem has completed his Doctor of Medicine – MD, Medicine from Basrah University/ Iraq and Fellowship in General Surgery from Iraqi Council of Medical specializations( FICMS). He is the Director of Department Of Surgery in Al-Shifa General Hospital, Iraq. His interest is in the thyroid surgery and has published more than 6 papers in reputed journals.

Abstract:

Introduction: The transoral endoscopic thyroidectomy vestibular approach is a new pioneering procedure, natural orifice surgery, truly scar free and involves minimal dissection, thus resulting in excellent cosmetic results and decreased post-operative complications. In this series, we describe the results of the first ten cases of Trans Oral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) performed in Iraq.

Method: Between August 2017 and December 2017, the data of ten cases of transoral endoscopic thyroidectomy by vestibular approach was collected prospectively. All operations was done using 3 laparoscopic ports inserted at the oral vestibule.

Result: One out of 10 patients have bilateral benign thyroid pathology and undergoes near total thyroidectomy, the remaining cases have single lobe pathology and undergoes thyroid lobectomy. The operative time was range from ( 90-150 min), the duration of drain removal was range from ( 20-24 hr), the amount of drainage per drain was range from ( 15-25 ml), the duration of hospital stay was range from (33-47hr), the final histopathological results were benign for all cases and the only complications recorded in this series are the mild cervical emphysema that reported in one case and resolved completely within 24 hour and one case of temporary mental nerve palsy that resolved completely within a few weeks, no reported cases of conversion to open thyroidectomy or mortality.

Conclusion: The Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA) is a safe, feasible procedure when the patient selected properly.

Biography:

He is a Consultant of Palliative Care and Family Medicine at the Postgraduate Education of Family Medicine, Ministry of Health, Saudi Arabia and Consultant of Palliative Care department at King Fahad Medical City since 2010. Dr. AlShammary completed his      Bachelor Degree in Medicine (MBBS) at King Saud University, Riyadh in 1997, and received his Arab Board and Jordanian Board of Family Medicine in 2005. He also earned his Saudi Board in Family Medicine in 2004. In 2010, he completed APHN Diploma in Palliative Care at National Cancer Centre, Singapore and Fellowship in Palliative Care at University of British Columbia, Vancouver, in Canada. In 2009, he completed a Palliative Medicine Fellowship at King Faisal Specialist Hospital and Research Centre, Riyadh and Graduate Certificate & Diploma in Palliative Care at Flinders University, Adelaide, Australia.  Dr. Sami obtained Master of Medical Education (MME) at King Saud bin Abdulaziz University for Health Sciences, Riyadh on August 2010.

Abstract:

Ruqyah defined in Islam as the recitation of the Quran seeking the refuge in Allah, remembrance and supplications that are used as a means of treating sicknesses and other problems as the Quran is a source of healing. Cancer is a life-threatening disease that often has a tremendous impact on patient’s quality of life, also is associated with the experience of uncertainty, vulnerability, hopelessness, isolation, fear, shock, depression, anger and expectation of healing versus death. Cancer is one of the leading causes of mortality worldwide. It places considerable mental, physical and emotional stress on patients and requires them to make significant adjustments in many key areas of their lives. The aim of this study was to explore the impact of Ruqyah on cancer patients among patients admitted to the Comprehensive Cancer Center (CCC) in KFMC, Riyadh, to explore the significance of Ruqyah on cancer patients. Ruqyah satisfaction as part of the religious and cultural influences on general heath well-being of Muslims and provides a better understanding of Ruqyah practice and its implications for counseling and spiritual interventions. The data to validate this satisfaction is lacking; Few study has been done in Muslim countries. Dling this study will provide an understanding the significant Ruqyah.

Biography:

Mohsen Naraghi is a double-board certified facial plastic reconstructive surgeon with more than two decades of academic postgraduate teaching experience in rhinology and facial plastic surgery. He was ranked first among all the national graduates of medicine, was awarded the first rank in the national comprehensive medical examinations, graded first in the national board examinations in otolaryngology-head and neck surgery, and also became the fellow of the European board of otorhinolaryngology-head and neck surgery. He continued his training in facial plastic surgery and rhinology fellowship, receiving the international board for certification in facial plastic and reconstructive surgery.

Abstract:

Sinonasal polyposis is an inflammatory condition of the nose and paranasal sinuses, sometimes associated with chronic rhinitis, aspirin intolerance and asthma. Recent improvements in endonasal surgery such as functional endoscopic sinus surgery, caused more complete removal of polyps and better control of associated rhino sinusitis. However nasal polyposis in the triad patients remains a challenge. Endoscopic surgery alone could not treat the underlying inflammation of the nasal mucosa. Postoperative medical management with follow up endoscpic control is mandatory to prevent recurrence. In this presentation, preoperative, operative and postoperative aspects in the management of sinonasal polyps by endonasal endoscopic surgery will be discussed.

Biography:

Maria Cristina Geraldo is a Head and Neck surgeon at the National Cancer Institute, Brazil. She has done her Master of Science at AC Camargo Cancer Center, Brazil

Abstract:

Primary malignant tumors of the orbit are rare and comprised of many pathologic types. They have broad demographic distribution, but are more common among the elderly. In children, rhabdomyosarcoma, embryonal subtype, is the most frequent tumor involving the orbit.  Fortunately the embryonal form is associated with more favorable biological behavior and prognosis. In adults, one of the most common sites of origin is the lacrimal gland and the most common pathology is cystic adenoid carcinoma. The treatment for these tumors the challenging objectives of disease control and vision preservation when possible.  Loss of vision in the affected orbit and the cosmetic implications of radical surgery can have significant impact on function and quality of life among patients afflicted with these tumors. 

Methods: Fifty-one patients were treated for primary orbital malignancies between January 2000 and December 2010 at the Department of Head and Neck Surgery of the National Cancer Institute and the Department of Head and Neck Surgery and Otorhinolaryngology of AC Camargo Cancer Center, retrospective data was obtained from medical record review.

Results: Lymphoma (36%) was the most frequent histological type, followed by carcinoma (32%) and sarcoma (20%).  Nine patients (39%) presented with stage I tumors; 4 cases (17%) in stage II and 3 (13%) in stage III and 7 cases (30%) in stage IV.  Twenty two patients had surgical treatment, among them, 40% had orbital exenteration. Thirty two patients received radiation therapy and 20 patients had chemotherapy. Bone invasion was detected in 24% of the cases and invasion of the optic nerve, in 13%. Overall 5-year survival was 79% and disease-free survival at 5 years was 51%.

Conclusion: Disease control is favorable in the treatment of primary orbital malignancies even in cases of advanced tumors.

Biography:

Bharat M Mody completed his Bachelor’s and Master’s in Dental Science in Government Dental College and Hospital Mumbai. He worked as a principle and professor in k.m.shah. dental college Vadodara. He is presently working as a professor at Its dental college, Ghaziabad.

Abstract:

3D printing (3dp) is the next big milestone in health care delivery. This game changer is steadily creating in-roads into medical and allied fields. 3dp creates solutions in diagnostic and treatment procedures. The presentation is in two parts, inside out and seeing the unseen. The first section deals with models to be used for fabricating stents, guide paths, reconstructing lost parts due to surgery or trauma. These involve designing and creating lost parts, aligning to be symmetrical and restoring function of the region. The reconstruction process could be simple or may need CAD designing. Both are showcased in actual cases. The reconstructed parts are in bio-compatible 3 D printed materials like titanium. The second part involves recreating inner tissues and structural changes produced by the disease process by 3dp. The 3dp created models assist in diagnosing, revealing and making more visible the subtle changes in disease process, highlighting the possibly missed lesions, revealing effects on vital tissues close to the disease process be it major blood vessels, organs, etc. The changes seen are easily visible and understandable. Patients do not understand radiographs or laboratory results but can appreciate on these models in effect, creating evidence based informed patient. The models reveal all tissues from skin, fascia, muscles, organs and bone. The models can be used to create probable outcomes of the treatment by doing simulations. The final position of the simulation can be used to produce stents for immediate post-surgical immobilization in the new position. This gives quality assurance, predictability and precision with the help of these simulations and gets enhanced treatment outcomes in patient satisfaction.