Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 5th Global Summit and Expo on Head, Neck and Plastic Surgery Philadelphia, Pennsylvania, USA.

Day 2 :

Keynote Forum

Raju Anand

Director and Head of ENT in Dr. Anand ENT Specialty Centre, India

Keynote: Hypo pharyngeal collapse in obstructive sleep apnea: How to address it?

Time : 9:30-10:00

Head & Neck Surgery 2017 International Conference Keynote Speaker Raju Anand photo
Biography:

R Anand is the Director and Head of ENT in Dr. Anand ENT Specialty Centre, an academic training institute, Coimbatore, India. He graduated from Madurai Medical College, Madurai, Tamil Nadu, and India. He worked as Resident under Dr. Mohan Kameswaran, a world renowned ENT Surgeon from Chennai, India. He is a member of various associations’ like European Politzer Society of Otology, World Sleep Association, Cochlear Implant group of India, Founder Member of Indian Academy of Otorhinolaryngology Head & Neck surgery, Indian Association of Surgeons for Sleep Apnea. He has presented several papers in India and international conferences and conducts Cadaver hands on workshops in regular intervals. He also conducted Rhinology and Otology live surgery workshops. He is the head of cochlear implant department in PSG hospital  a leading Pediatric  cochlear implant center  in India

Abstract:

Obstructive sleep apnea (OSA) is a silent nightmare. It is a rising social problem. A variety of medical and surgical solutions are available in the field but still there is no 100% cure. There are many hidden causes for the failure: Lack of proper counseling, over-weight, improper diagnosis and unaddressed areas in surgery. Hypo-pharyngeal collapse in OSA is the main cause for failure. Hypo-pharynx is the area between upper borders of epiglottis to lower border of cricoid cartilage. In failure cases, a high level of suspicion about hypo-pharyngeal collapse must be thought. Structures like huge tongue base, floppy epiglottis, lingual tonsil and laryngeal mass can be the reasons for the collapse. Apart from the routine workup Sleep Endoscopy is a very important tool to find out the cause. Surgeries like hyoid mobilization & suspension with mandible, midline glossectomy, epiglottopexy and vocal cord surgeries-posterior cordectomy are being performed to correct the failures. Proper pre-operative assessment along with Drug Induced Sleep Endoscopy (DISE) is very important for accurate diagnosis and better outcome. Multilevel surgical intervention tailored according to each individual is mandatory.

Keynote Forum

Eileen Raynor

Associate Professor, Duke University Health System, USA

Keynote: Multimodality management of head and neck vascular malformations: Review of current literature

Time : 9:00-9:30

Head & Neck Surgery 2017 International Conference Keynote Speaker Eileen Raynor photo
Biography:

Eileen Raynor is an Associate Professor of the Pediatric Otolaryngology, Head and Neck Surgery & Communication Sciences at Duke University Health System, USA. She has been actively engaged in clinical research since Residency.

Abstract:

Vascular malformations of the head and neck often require multiple interventions with the use of a variety of modalities including periods of observations, systemic medical management, targeted interventional radiologic approaches and surgical debulking or excision. The literature is deficient in evidence based management protocols with the majority being small case series or retrospective reviews. The terminology for these lesions historically has been confusing and until the development of a classification system by the International Society for the Study of Vascular Anomalies (ISSVA), understanding the nature of various vascular lesions has been challenging. Use of a vascular malformation team based approach has improved the diagnosis and management of these complicated lesions. The team generally consists of interventional radiologists, vascular surgeons, dermatologists, plastic surgeons and head and neck surgeons with contributions from other specialties as the need arises. This discussion will focus on diagnosis and management options of the major categories of vascular malformations including hemangioma, venous or mixed venous malformations, lymphatic malformations and arteriovenous malformations with an emphasis on team management and review of the current literature.

Keynote Forum

Belayat Hossain Siddiquee

Professor Bangabandhu Sheikh Mujib Medical University (BSMMU), Bangladesh

Keynote: Parapharyngeal tumors: Surgical experience

Time : 10:00-10:30

Head & Neck Surgery 2017 International Conference Keynote Speaker Belayat Hossain Siddiquee photo
Biography:

Belayat Hossain Siddiquee is a Pioneer Head  Neck Surgeon in  Bangladesh. He started  career  as  Head  Neck Surgeons in 1992 after obtaining Fellowship in ORLHNS from Bangladesh . He is first person posted as Professor of Head-Neck Surgery in the  University Hospital of the country. He is  Founder chief of HNS Division,BSMMU, Founder president, Bangladesh Society of HN Surgeons, Governing Council Member, Asian Society  Head-Neck Oncology (ASHNO), Councilor, IFHNOS, Country Coordinator, World Head-Neck Cancer Day and Editorial Board Member, Springer journal “Oral Cancer”. He is working to improve  skill of  HN Surgeon’s of his country to global level,  make  facilities for HN Surgery accessible to common  people.  

 

Abstract:

Advance laryngeal carcinoma with N0 neck is a condition where controversies about surgical management are still present. Clearance of the echelon groups of cervical lymph nodes in clinically and radiologically negative neck during surgery for laryngeal primary has got a positive impact on prognosis. We have treated 114 such cases over thirteen years (2001-2013). Fifty five (55) were glottic and 59 supraglottic carcinoma. Surgery was done both in primary and irradiated cases: Primary modality in 53 cases (Glottic-23 and Supraglottic-30) and 61 irradiated cases (Glottic-32 and Supraglottic-29). Two types of surgery offered were (1) Total Laryngectomy, (2) Total Laryngectomy+Bilateral Selective Neck Dissection of Level-II, III, IV lymph nodes (Bil.SND). Total laryngectomy was done in 41 cases (Glottic-20 and Supraglottic-21), Total Laryngectomy+Bil.SND in 73 cases (Glottic-35 and Supraglottic-38). Postoperative adjuvant radiotherapy was given according to demand of the postoperative histopathology. 97.37% (111 patients) were followed up for >2 years, 74.35% (85 cases) >3 years and 45.61% (52 cases) for >5 years. Recurrence detected in 15 cases of Glottic carcinoma, Laryngectomy group-11 (55%) and Laryngectomy+Bil.SND-04 cases (11.43%; p=0.001). In supraglottic carcinoma recurrence found in 20 cases, Laryngectomy group-11 (52.38%) and Laryngectomy+Bil.SND-09 cases (23, 68%; p=0.026). Most of the recurrence (68.18%) occurs in the neck if not addressed properly during surgery. Prophylactic Bilateral SND in advance carcinoma of the larynx with N0 neck has significant influence in reducing recurrence.

  • Head, Neck and Oral Oncology

Session Introduction

Reshetov I.V. King

Head of the Department Moscow state medical University Russia

Title: Utilization of robotic and endovideosurgical interventions at the neck/head area

Time : 11:50-12:10

Speaker
Biography:

I am, RESHETOV Igor Vladimirovich, born may 29, 1964, in the village Kupyansk-Uzlovaya Kharkov region Home address: 129041, Moscow, Bath lane., 4 sq 127

Have existing certificates oncologist, plastic surgeons, oral and maxillofacial surgeon.

Since 2003 is Vice-Rector for innovation work and head of Department of Oncology and reconstructive plastic surgery DEPARTMENT "FMBA of Russia".

I am the author of many joint developments between basic Sciences and clinical medicine, which is reflected in 490 publications, 6 monographs and atlases, 61 inventions and patents. Under my leadership, completed numerous research work and development work, culminating in the creation of new instruments – biomedical atomic force microscope, diagnostic hardware and software complex of "Passport skin" reconstructive titanium implants with nano-coating, etc. Some of them has international recognition in the EU and UK, in particular the medal of the British Institute of patents and inventions in 2013.

Hold the post of Chairman of the expert Council on surgical Sciences VAK, member of the Board of the Russian Foundation for basic research, are the main editor of the international interdisciplinary journal "Head and neck/Head and Neck", Deputy chief editor of the journal "Annals of plastic reconstructive and aesthetic surgery", member of the editorial Board of the journal "Oncology im. P. A. Herzen", a member of the editorial Board of the international journal "Annals of Oral & Maxillofacial Surgery" (London, UK). Since 2014 is head of the Department of plastic surgery from the IPO first Moscow state medical University them. I. M. Sechenov and Director of NACC plastic surgery. In 2016, was elected academician of the Russian Academy of Sciences.

Abstract:

Robotic and endovideosurgical interventions are considered to be among the most innovative techniques in tumor treatment, specifically for head/neck area. At the clinic of plastic surgery PMGMU, named after I.M. Sechenov, several approaches were developed that largely helped with tumor treatment at T1-T2 stages with a minimal impact to patients’ external body parts. One of them is hybrid method, which includes robotic and endovideosurgical intervention that enable the access to the affected area. As a result, blood loss and precision of the surgical actions were minimal. In all cases, gasless method of tumor removal took place with the formation of the subcutaneous tunnel. In order to optimize visualization of tumors, all patients went through the MSKT 640. There were 10 successful surgeries. Three surgeries were performed on the thyroid area with an access through the armpit zone, which minimized the external impact. Two surgeries were performed on the lymph neck nodes, where the access was built from behind the ear. Three oropharyngeal resections and two laryngectomies finalize the list. Among positive post-surgical processes were early patients’ activation, shortening of the hospitalization time and a satisfactory cosmetic result. Early patients’ activation and short rehabilitation time after surgery helps to move to the following treatments at short time (chemotherapy and radiation therapy). This gives a tremendous impact on patients’ lives and it is accomplished by the combined approach in the tumor treatment. Practical implementation of the robotic technology is a successful driver of the plastic surgery. It enables with a combined approach to the execution of the oncological protocol for the patients that have minor neoplasms at the head/neck area.

R Anand

Dr. Anand ENT Specialty Centre, India

Title: Coblation surgery in early glottic cancer: Day care procedure

Time : 12:30-12:50

Speaker
Biography:

R Anand is the Director and Head of ENT in Dr. Anand ENT Specialty Centre, an academic training institute, Coimbatore, India. He graduated from Madurai Medical College, Madurai, Tamil Nadu, and India. He worked as Resident under Dr. Mohan Kameswaran, a world renowned ENT Surgeon from Chennai, India. He is a member of various associations’ like European Politzer Society of Otology, World Sleep Association, Cochlear Implant group of India, Founder Member of Indian Academy of Otorhinolaryngology Head & Neck surgery, Indian Association of Surgeons for Sleep Apnea. He has presented several papers in India and international conferences and conducts Cadaver hands on workshops in regular intervals. He also conducted Rhinology and Otology live surgery workshops. He is the head of cochlear implant department in PSG hospital  a leading Pediatric  cochlear implant center  in India.

Abstract:

In India the incidence of laryngeal cancer is high because of smoking and increased consumption of alcohol. In laryngeal cancer true vocal cords are the commonest site. The treatment for early vocal cord carcinoma depends upon the staging. In early vocal cord cancer the treatment modality will be surgery or radiotherapy, or may be combined. In early glottic cancer intra oral surgeries like striping of vocal cord margin in very early period is acceptable. Lots of powered instruments are useful in these surgeries like micro debrider, CO2 and diode laser and the conventional cold knife. It is a case study, 6 cases were selected the criteria being involvement of one side vocal cord without fixation of vocal cord. All cases were followed postoperatively for a period of 6 months to one year to assess the pain, comfort, voice quality and recurrence of the lesion. Coblation is an innovation in ENT. It is a very useful tool for intra oral and intra laryngeal cancer excision. It has a lot of advantages over all other methods such as trans oral route, less pain, no bleeding (ability to control over bleeding), no complication laryngeal odema is less, tracheostomy is not required (chance of tracheostomy is less), healing is good, less hospital stay, low risk of airway fire, complete excision is possible and risk of scarring and stenosis is less, minimally invasive and less thermal penetration as compared to the laser advanced tip design provides easier access to the anterior commissure and removal of sessile (flat) lesions, optimal surgeon visibility, short learning curve easy OR set up and cost effective, safer to use than the laser and integrated suction and coagulation. Coblation technique is a recent advance in ENT and we can use it safely in early laryngeal cancer without any complications.

Biography:

Adal Mirza is an Otolaryngology Trainee based in the United Kingdom with an interest in Head and Neck Surgery. He is currently pursuing higher degree in HPV
related Head and Neck Cancer at the University of Southampton, UK.

Abstract:

Introduction & Aim: Lymph node metastasis in Head and Neck Squamous Cell Carcinoma (HNSCC) is common at the time of presentation. Prior to the advent of Human Papilloma Virus (HPV)-driven disease, regional metastasis was associated with poor prognosis, but today advanced HPV(+) disease as per the Tumor Nodes Metastasis (TNM) classification, demonstrates
a different natural history with improved responses to treatment and 5-year survival. This is a retrospective review of patients undergoing neck dissection for HNSCC and demonstrates remarkable discrepancies in outcomes between HPV(+) and HPV(-) disease.
Methods: Ethical approval was obtained (UKCRN 8130; ISRCTN 71276356; and REC references 09/H0501/90 and 07/Q0405/1). 662 patients diagnosed with HNSCC were retrospectively identified. HPV-status was determined using a combination of p16 immunohistochemistry and HPV in situ hybridization; 131 patients were HPV(+) and 531 HPV(-). 337 patients underwent
neck dissection and were included in the study.
Results: HPV(+) disease demonstrated better overall survival than HPV(-) disease. Extracapsular spread (ECS) was seen in 44.1% of HPV(+) cohort, but had no effect on overall survival (OS) (p=0.269, HR 0.99). Contrarily, 18.9% of the HPV(-) cohort had evidence of ECS and this had a detrimental effect on OS (p=0.027, HR 1.9). In the HPV(+) cohort, a mean of 4 positive nodes were harvested, in comparison to 1.5 in HPV(-) patients (p=0.005). Five or more positive nodes were found to be significantly correlated with poor OS in HPV(+) disease (p<0.001).
Conclusion: We show that the presence of ECS is only linked with a poor outcome in patients who are HPV(-). Our data also demonstrates that number of positive nodes is linked to survival.
 

  • Face Lift Surgery

Session Introduction

Jose Luis Covarrubias Rosas

Plastic Surgeon, USA

Title: COVAS-LIFT

Time : 11:10-11:30

Speaker
Biography:

26 years of experience as a plastic surgeon. Creator of the Covas-Lift procedure.

Abstract:

This procedure is ideal for Patients with heavy faces and early aging process, when there is a main issue like ptosis involves, a sub-periostal mid facelift doing it through an intraoral incision (CADWELL LOOK), its done, a suture is placed in the temporal area to lift the malar tissue, whit a innovative 18-cm long curved double-beveled needle (COVAS NEEDLE) bearing a tiny sliding carriage to which 2/0 Non Absorbable suture may be anchored, this create suspension loops, that are anchored to the deep galea in the temporal region and this provide more tissue support, - fat grafts are used to increase volume, Vivification Peel and Botulism Toxin is the COVAS-LIFT procedure and can be combine with other modalities, like TCA PEEL 30%, blepharoplasty, rhinoplasty, liposuction of the double chin, otoplasty, and much more procedures, this is to have a more natural look ,and the satisfaction of both the doctor and patient.

  • Development of New Technique

Session Introduction

Michael F. Angel

Professor, ENT institute in Atlanta, USA

Title: Further thoughts on the surgical repair of Meningomyeloceles

Time : 11:30-11:50

Biography:

Michael F Angel is doubled boarded in Plastic Surgery and Otolaryngology. He has been involved in various basic science projects, primarily involving ischemia and free radical mechanisms in skin, muscles, and nerves. He has many clinical interests and has written on areas ranging from meningomyleoceles, breast reduction, and wound healing, to nerve compression. He is currently working at the ENT institute in Atlanta Georgia

Abstract:

Michael F Angel is doubled boarded in Plastic Surgery and Otolaryngology. He has been involved in various basic science projects, primarily involving ischemia and free radical mechanisms in skin, muscles, and nerves. He has many clinical interests and has written on areas ranging from meningomyleoceles, breast reduction, and wound healing, to nerve compression. He is currently working at the ENT institute in Atlanta Georgia

  • Hearing Impairment- Causes and Treatment

Session Introduction

Mostafa R Mohamed Khalifa

Consultant and Lecturer at Assiut University, Egypt

Title: Tinnitus: From the perspective of different medical specialties

Time : 12:10-12:30

Speaker
Biography:

Mostafa R Mohamed is an Audio-Vestibular Medicine Consultant and Lecturer at Assiut University, Egypt. He has been practicing in the field of audio-vestibular medicine since 1999, combining academic, research and clinical activities. In addition, he has his clinic for assessing patients with hearing loss, tinnitus and vestibular diseases. He is conducting both diagnostic and rehabilitative maneuvers, including acoustical and electrical sound amplification.

 

Abstract:

Tinnitus is one of the most widespread disorders of the auditory system, affecting approximately 17% of the general population. In addition, it is one of the most difficult to treat symptoms in audiological practice. It is the perception of sound in the absence of an appropriate external sound source. Early treatment included boiling earthworms in goose grease, cedar sap, rose oil, honey, vinegar, wine, cockroaches ground in rose oil and opium. With all scientific advances, up till now, there is not one medication specific and successful for treating tinnitus. There are a lot of treatment trials, some gained some success and some failed. The main obstacle with managing tinnitus is the fact that the place of origin and pathogenesis of tinnitus is not yet determined. Therefore, dealing with tinnitus should not be restricted to certain medical specialty. Rather, we need to have a multidisciplinary team to study tinnitus and put theories on diagnosis and management. This presentation aims at putting a hypothesis on how doctors from different medical disciplines can handle the problem of tinnitus, each from his point of view and how they should meet at certain target point which is finding optimal treatment for tinnitus.

 

  • Facial Plastic and Reconstructive Surgery

Session Introduction

Daniel Manrique

MD-ENT-Facial Plastic Surgery Consultant and Instructor, USA

Title: Analysis of risk of the biopolymer fillers injection in the face, head and neck, and the future reaction after the application

Time : 10:50-11:10

Speaker
Biography:

Daniel Manrique is an international Medical graduate from Colombia. He has 19 years of experience as a Medical Doctor and Surgeon, and 13 years of experience as a Specialist in Otorhinolaryngology (ENT) and Facial Plastic Surgery. He has proposed in a research work the first nose transplantation in Colombia in 2006. Currently he works as a MD-ENT-Facial Plastic Surgery Consultant and Instructor teaching and training physicians and health professionals in otorhinolaryngology, facial plastic, cosmetic and reconstructive surgery in USA and other countries. He is also a Member of the different academic societies and also of the Committee of Plastic and Reconstructive Surgery of American Academy of Otolaryngology-Head and Neck Surgery.

 

Abstract:

Today men and women use fillers to prevent wrinkles and expression lines or adding volume in areas of lost tissue for reconstruction or for only changing appearance. The most common injection is the fat transfer (lipoinjection) that gives excellent results and does not cause a reaction or some patients prefer the use of hyaluronic acid of a trusted origin, but other people take risks of using products that do not absorb through the body and that produce high allergy reactions and deformations like products derivatives from polymers. Biopolymer is a bio-protesis derivative from methyl-polysiloxane (silicone) or methyl-polysiloxane (methacrylate), and it is a thick product composed of microspheres that are introduced in tissues and due to low water absorption through it, they break and destroy muscle, fat and skin, looking for a way out to the surface and generating in the patient’s deformation an allergic reaction with redness and numbness in the area. We can touch it and feel it as hard as a rock and due to the weight the skin will descend and open the pores. The goal is to demonstrate the different cases of patients that arrive at an office consultant after they received a filler of methyl-polysiloxane and methyl-polysiloxane injection in the face, head and neck areas at approximately 10 years before a visit and the reaction under the tissues. The result after years of injection was deformation in different areas due to migration of products and they received several and complicated surgeries for product extraction. The purpose of this study is to describe the experience in the extraction through open surgery and minimal surgery with diode laser and the different results showing how these fillers derivative of this substance can affect the health in the patients and generate deformations.