Biography

Dr. Jackie M. Davie is a Professor at Nova Southeastern University in Fort Lauderdale, FL, with over 25 years of experience in clinical precepting and didactic teaching for both on-campus and UK programs. She earned her Ph.D. in Communication Disorders from The Pennsylvania State University in 2005, focusing her dissertation on assessing otitis media in daycare-attending infants and toddlers. She is a peer mentor and guest speaker on Wideband Tympanometry for Grason Stadler, Inc. Beyond academia, Dr. Davie serves as South Florida Regional Coordinator and Clinical Coordinator for Special Olympics’ Healthy Athlete, Healthy Community, and Healthy Hearing initiatives, and co-directed the Healthy Hearing program at the 2022 USA Games. Her honours include the Professional Poster Award from the American Academy of Audiology and Volunteer Apperception recognition from Special Olympics. 

Abstract

Background: Moving past basic 226 Hz tympanometry, clinicians can now focus on mass, stiffness, and friction in middle-ear mechanics. Wideband tympanometry (WBT; 250 Hz–8 kHz) reveals how pathologies like fluid (friction), ossicular discontinuity (mass) and otosclerosis (stiffness) alter absorbance. By defining these systems, identifying related pathologies, and applying mechanical terms, WBT improves diagnostic clarity clinically.

Objective: This presentation defines mass-, stiffness-, and friction-dominated middle?ear mechanics; identifies associated pathologies; and applies mechanical terminology to tympanometry and wideband tympanometry interpretation for accurate, effective clinical reporting.

Methods: A series of case studies and normative data analyses were reviewed. Absorbance patterns associated with common middle-ear pathologies—otosclerosis, ossicular discontinuity, otitis media with effusion (OME), negative middle-ear pressure, and patent pressure-equalizing tubes—were characterized. Quantitative indices of energy absorbance were correlated with additional clinical findings.

Results: WBT was performed on adult and pediatric ears using a calibrated probe to measure absorbance from 250 Hz to 8 kHz. Absorbance curves were analyzed to determine primary?peak maxima and morphology, allowing classification into mass-, stiffness-, or friction-dominated patterns. Clinical examples with known middle?ear pathologies (e.g., otosclerosis, effusion, ossicular discontinuity) were included to demonstrate pattern identification. All results were documented in clinical reports using mechanical terminology to describe deviations from normative WBT responses.

Conclusion: WBT reliably differentiates mass-, stiffness-, and friction-dominated middle-ear mechanics by analyzing absorbance across 250 Hz–8 kHz. Clinical validation with cases of otosclerosis, effusion, and ossicular discontinuity confirmed pattern accuracy. Incorporating standardized mechanical terminology into reports enhanced diagnostic precision and 

Biography

Dr. Hakim Tani is a distinguished otorhinolaryngologist based at the Regional Military University Hospital of Oran, Algeria. He is a key member of an inter-hospital ENT team, collaborating with colleagues at Blida and Constantine in the fields of head and neck surgery. Dr. Tani earned his medical qualifications and residency training at Mansoura University Hospital, Egypt, and has built his career on delivering advanced ENT care in military teaching hospitals across Algeria. His expertise spans a range of otologic, rhinologic, and laryngologic procedures, reflecting both clinical depth and academic engagement. Working in high-stakes environments, he contributes to teaching junior medical staff and supports regional initiatives to enhance ENT services. In addition to his clinical work, Dr. Tani engages in collaborative research and professional exchange with ENT specialists in Blida and Constantine, aiming to advance standards of care across these key military medical centers.

Abstract

Objectives: Congenital Midline Cervical Cleft (CMCC) is a very rare defect of the midline neck which is also named mentosternal dysraphia. The aim of this study is to present and describe the clinical features of this pathology to increase the awareness among surgeons about this exceptional midline anomaly and define the proper therapeutic management.

Case presentation: We report the case of a 5-year-old boy, presenting a congenital midline cervical cleft. Physical examination revealed the presence of a linear cleft measuring 3 x 0.8 cm with a vertical orientation. The proximal end consisted of a notch structure, corresponding to a vertical bead with an excrescence of cartilage consistency, the inferior end consisted of a blind sinus. In hyperextension of the head, we noted a subcutaneous band extending from the mandible to the upper edge of the sternal fork which causes limitation of the extension of the neck. Mandibular retrognathism was noted in our patient. Surgical treatment was performed, associating excision of the cleft with its underlying fibrous cord, and closure with local plasty (Z plasty). Histopathological examination showed typical pathologic findings of CMCC. Currently, two years after surgery, functional outcome is excellent with a perfect neck extension. no recurrence has developed.

Conclusion: CMCC is a very rare entity among congenital neck anomalies. The diagnosis is clinical, based on the characteristic appearance of this anomaly which extends from the mandibular symphysis to the substernal hollow. Prompt complete surgical excision is essential to get good aesthetic and functional outcomes.

Biography

Prof. Mohannad Al-Qudah is a distinguished Professor of Otolaryngology at the Jordan University of Science & Technology and serves as the Chief Medical Officer of King Abdullah University Hospital. He is currently the Chairman of the Scientific Committee for the Jordanian Board of Otolaryngology - Head and Neck Surgery, a role he has held since 2017 also Prof. has extensive specialized training in skull base surgery, having completed fellowships at Union Memorial Hospital and Baylor College of Medicine. His early medical education includes training at Jordan University of Science and Technology (JUST). With over two decades of academic and clinical leadership, Dr. Al-Qudah is recognized for his contributions to advancing otolaryngology both regionally and internationally.

Abstract

Objective: Choanal polyp (CO) is uncommon benign nasal mass that reaches the posterior nares. We aim to review our surgical experience in CP management using the trans- nasal endoscopic microdebider assisted technique (TEMT)

Method: Chart and electronic records were reviewed for all CP cases that being managed by the senior author using (TEMT) at university tertiary hospital. TEMT consists of excision the CP by three cutting steps in the CP using the microdebrider under rigid endoscopic view. The technique involved debulking the contralateral choanal part using a straight microdebrider blade first, then cutting the nasal portion as close as possible to the maxillary sinus and finally addressing the antrum part of the CP.

Results: 56 Cases were identified. The average age of this series was 40 years old with 24 men and 32 women. Maxillary sinus was the origin of the polyp in 50 cases. Other rare origin sites were the sphenoid sinus, inferior turbinate and posterior ethmoid cell. All cases were managed by TEMT without reporting any major complications. At the time of surgery, 8 cases had other associated sinonasal pathology and were managed endoscopically with CP excision.

Conclusion: (TEMT) alone and without the need of oral cavity access is safe and effective surgical method to manage CP.

Biography

Dr. Francesco d'Onofrio is an experienced otorhinolaryngologist in private practice since 2023 and a co-founder of the Italian Cenacle of Audio-Vestibology. He graduated with honors in Medicine in 1991 from Federico II University of Naples and specialized in ENT in 1995 with top marks. He served in key medical assistant roles at leading hospitals, including “Maria SS dello Splendore” in Giulianova (2000–2023), with a focus on ENT neurophysiology, as well as earlier positions at Dolo Hospital and “Casa Sollievo della Sofferenza.” With over 25 years of clinical experience, he is highly regarded in the fields of audiology and vestibular science.

Abstract

Video sequences after head impulses in patients with Unilateral Posterior Semicircular Canal Hypofunction (UPSCH) and Superior Vestibular Neuritis (SVN) were studied in slow motion, and the direction of compensatory saccades was controlled for non-coplanar (perverted) responses.

Between 2020 and 2023, 37 outpatients presenting isolated UPSCH at the Video Head Impulse Test (VHIT) were studied: 19 of them had an upward sliding of the eyes, followed by a downward oblique compensatory saccade during the horizontal impulse of the head towards the healthy side. The correlation between these saccades and the relative functional imbalance of the Vertical Semicircular Canals (VSCs) of the affected side was studied (Figure 1)

Later (2021-2024) 37 patients suffering from SVN underwent VHIT and were checked for Perverted Compensatory Saccades (PCS) after head impulses in all the tested planes (horizontal and oblique): 29 of them (78,4%) presented PCS in one or more test conditions. (Table: Superior Vestibular Neuritis. Perverted Compensatory Saccades).

The results have been interpreted based on labyrinthine response models from the scientific literature, which take into account the diffusion of kinetic action across multiple semicircular canals simultaneously.

It is proposed that perverted saccades in the acute stage of SVN are mainly the result of the static imbalance between the labyrinths, whose expression is modulated by the action of all the semicircular canals involved in the kinetic stimulus; this dynamic interference predominantly drives eye movements in the late stages of the disease.

Perverted responses may interfere with the VHIT causing rejects and reducing the gain value (pseudo-deficit); their analysis is not currently supported by VHIT systems.

The operator deserves to know if eye movement occurs in planes other than the one tested, so that this can be taken into proper account in evaluating the results of the VHIT and investigated when they are unexpected.

Biography

Bianca Mari B. Dizon, born on July 6, 1996, in Paranaque City, Philippines was raised in her hometown, and received her early education at St. Scholastica's College, Manila, completing both her elementary and high school studies.  Ms. Dizon pursued a  Bachelor of Science in Biology at De La Salle University, Manila and furthered her education by earning a Doctor of Medicine degree from the University of the East Ramon Magsaysay Memorial Medical Center.  Ms. Dizon is an ENT Resident at Asian Hospital and Medical Center. In this role, she applies her extensive medical knowledge and skills to deliver high-quality care to her patients. Her career in medicine is a testament to her unwavering commitment to the improvement of patient health and well-being.

Abstract

Thyroid neoplasms are mostly benign tumors with only a small percentage of tumors being malignant. The standard of care for thyroid tumors is conventional thyroidectomy but due to advancements in technology, minimally invasive techniques have been developed. Radiofrequency ablation can be done to specifically target a solid thyroid nodule while leaving the rest of the normal thyroid tissue intact. This decreases the incidence of complications that can arise from a conventional thyroidectomy. However, due to radiofrequency ablation being a fairly new technique, there are limited literature regarding its complications. This report presents a case of a male patient developing hoarseness intraoperatively while undergoing image guided radiofrequency ablation of a benign thyroid tumor. 

Biography

Dr. Jackie M. Davie is a Professor at Nova Southeastern University in Fort Lauderdale, FL, with over 25 years of experience in clinical precepting and didactic teaching for both on-campus and UK programs. She earned her Ph.D. in Communication Disorders from The Pennsylvania State University in 2005, focusing her dissertation on assessing otitis media in daycare-attending infants and toddlers. She is a peer mentor and guest speaker on Wideband Tympanometry for Grason Stadler, Inc. Beyond academia, Dr. Davie serves as South Florida Regional Coordinator and Clinical Coordinator for Special Olympics’ Healthy Athlete, Healthy Community, and Healthy Hearing initiatives, and co-directed the Healthy Hearing program at the 2022 USA Games. Her honours include the Professional Poster Award from the American Academy of Audiology and Volunteer Apperception recognition from Special Olympics. 

Abstract

Background: Wideband tympanometry (WBT) has emerged as an advanced diagnostic modality for evaluating middle-ear function across the speech-critical frequency spectrum. Unlike conventional 226 Hz tympanometry, WBT measures acoustic absorbance and reflectance from 250 Hz to 8 kHz, offering heightened sensitivity to mechanical alterations in mass, stiffness, and frictional components.

Objective: This presentation examines the clinical utility of WBT for differential diagnosis, management guidance, and treatment monitoring across diverse patient populations; aimed at improving interpretation of clinical results and documentation.

Methods: A series of case studies and normative data analyses were reviewed. Absorbance patterns associated with common middle-ear pathologies—otosclerosis, ossicular discontinuity, otitis media with effusion (OME), negative middle-ear pressure, and patent pressure-equalizing tubes—were characterized. Quantitative indices of energy absorbance were correlated with additional clinical findings.

Results: WBT used clinically demonstrates superior detection of subtle impedance shifts compared with single-frequency testing, identifying early-stage otosclerosis and mild effusions that were undetected by standard tympanometry. Distinct wideband absorbance signatures reliably differentiated between mass- and stiffness-dominated disorders (sensitivity > 85%, specificity > 90%). Intra- and postoperative monitoring confirmed its value in verifying PE tube patency and assessing postoperative middle-ear mechanics. Feasibility is high in both pediatric and adult cohorts, with rapid measurement times and minimal patient discomfort.

Biography

Miss Lili Liu is a dedicated audiology professional and researcher at the Dongzhimen Hospital, affiliated with Beijing University of Chinese Medicine (BUCM), China. With a solid background in both clinical practice and academic inquiry, she contributes to the hospital’s audiology and related research programs. BUCM, founded in 1956 and recognized as a Project 211 and Double First?Class university, is one of China’s premier centers for traditional and integrative medicine. At Dongzhimen Hospital, a key teaching and research site under BUCM, Miss Liu takes part in cutting-edge studies and patient care that bridge traditional Chinese medical principles with clinical practices.

Abstract

Abstract: Objective:To investigate the clinical efficacy of intranasal acupuncture in patients with moderate-to-severe allergic rhinitis (AR) and to explore its effects on functional brain network reorganization using resting-state functional magnetic resonance imaging (fMRI).

Methods: A total of 60 patients diagnosed with moderate-to-severe AR at the Department of Otolaryngology, Dongzhimen Hospital, Beijing University of Chinese Medicine, were enrolled between March 2024 and December 2024. Under nasal endoscopic guidance, bilateral acupuncture was performed at the Yingxiang (LI20) and Nasal Hill points every other day for two weeks, totaling seven sessions. Clinical outcomes were assessed using the Visual Analog Scale (VAS), Total Nasal Symptom Score (TNSS), and the Rhinoconjunctivitis Quality of Life Questionnaire (RQLQ) at baseline, post-treatment, and during follow-up periods at two weeks (Follow-up 1) and four weeks (Follow-up 2). Resting-state fMRI scans were conducted on a subset of 19 patients. Amplitude of Low-Frequency Fluctuations (ALFF), fractional ALFF (fALFF), and functional connectivity analyses were employed to evaluate changes in brain activity and network connectivity before, during, and after intranasal acupuncture.Results:1.Clinical Efficacy:Significant improvements in clinical symptoms and quality of life were observed following intranasal acupuncture, as evidenced by reductions in TNSS and VAS scores and improvements in RQLQ scores. The therapeutic effects were sustained during follow-up periods, with a high overall treatment efficacy rate.2.Brain Functional Activity:Intranasal acupuncture induced notable changes in brain activity, particularly in the occipital lobe (lingual gyrus, middle occipital gyrus, and superior occipital gyrus), anterior cingulate cortex, and prefrontal cortex. Additionally, significant alterations in functional connectivity were observed between the limbic system and bilateral olfactory cortex.Conclusion:Intranasal acupuncture is an effective intervention for alleviating clinical symptoms in patients with moderate-to-severe AR and promotes functional reorganization in brain regions associated with olfactory and limbic processing. These findings provide insights into the neurophysiological mechanisms underlying the therapeutic effects of intranasal acupuncture.

Biography

Bianca Mari B. Dizon, born on July 6, 1996, in Paranaque City, Philippines was raised in her hometown, and received her early education at St. Scholastica's College, Manila, completing both her elementary and high school studies. Ms. Dizon pursued a Bachelor of Science in Biology at De La Salle University, Manila and furthered her education by earning a Doctor of Medicine degree from the University of the East Ramon Magsaysay Memorial Medical Center. Ms. Dizon is an ENT Resident at Asian Hospital and Medical Center. In this role, she applies her extensive medical knowledge and skills to deliver high-quality care to her patients. Her career in medicine is a testament to her unwavering commitment to the improvement of patient health and well-being.

Abstract

Sphenochoanal polyps are rare types of nasal polyps that ori ginate from the sphenoid sinus or ostium and extend towards the nasopharynx. The deep origin of the polyp contributes to the varied presentation and delayed identification of the disease. This report aims to present a case of sphenochoanal polyp in a Filipino male adult who presented with unilateral nasal congestion of 3 years duration. Diagnostics include nasal endoscopy and paranasal sinus (PNS) CT scan while the treatment of choice is polypectomy and endoscopic sinus surgery.

Biography

Dr. Somayeh Araghi is a dedicated Otolaryngologist and Head and Neck Surgeon currently practicing at NMC Royal Hospital DIP. With over five years of clinical experience in her specialty, she brings a strong background in both surgical and non-surgical ENT care. Dr. Araghi earned her MD from Tehran University of Medical Sciences in 2012 and went on to complete her specialization in Otolaryngology–Head and Neck Surgery at Jondishapour University of Medical Sciences in 2016. Further enhancing her expertise, she obtained a certificate in Facial Plastic Surgery from the United Kingdom in 2018. Throughout her career, Dr. Araghi has been actively involved in academic research and has authored more than 20 peer-reviewed publications. Her clinical interests and areas of expertise include Pediatric ENT, Rhinology, neck and thyroid surgeries, laryngeal and ear conditions, facial plastic surgery, and ENT emergencies.

Biography

Dr. Mohamed Abdelbadie Salem is a Consultant in Otorhinolaryngology at the Specialized Medical Center (SMC) in Riyadh, Saudi Arabia, since December 2023. He also serves as an Assistant Professor at Mansoura University, Egypt, where he has held various academic roles since 2007. With over 15 years of experience, Dr. Salem has advanced through the ranks from Resident to Lecturer, and now Assistant Professor, specializing in ENT and head and neck surgery. His career reflects a strong blend of clinical expertise, academic leadership, and commitment to advancing ENT care.

Abstract

Objective: To evaluate the feasibility of coblation in excision of glomus tympanicum tumors.
Patients and methods: A retrospective study carried out over 28 patients with types I and II glomus tympanicum tumors according to GLASSCOCK-JACKSON classification. Preoperative radiological and endocrinal evaluation were performed. All patients underwent endoscopic transcanal excision of their glomus tympanicum tumors using coblation.
Results: None of the patients developed recurrence during the 1-year follow up period proved radiologically. None of the patients developed facial palsy postoperatively. Differences between preoperative and postoperative dizziness and taste disturbance were statistically non-significant. Tinnitus disappeared completely in 22 patients postoperatively. A statistically significant reduction in Tinnitus Handicap Inventory (THI) after surgery was found. Statistically significant reductions in postoperative air conduction (AC) threshold and air bone gap (ABG) were recorded while bone conduction (BC) threshold showed statistically non-significant change.
Conclusion Coblation is an effective and safe tool in excision of glomus tympanicum tumors. Further studies comparing coblation with laser and piezosurgery are strongly recommended.

Biography

Dr. Sophocles Tan is a skilled and dedicated medical professional specializing in Otolaryngology, Head & Neck Surgery. He earned his MBBS degree from Singapore, showcasing his academic and clinical expertise in the field of medicine. Currently, Dr. Tan is practicing as a hospital clinician in the Department of Otolaryngology, Head & Neck Surgery at Changi General Hospital, one of Singapore's leading healthcare institutions.

Abstract

We present a rare case of an isolated laryngeal neurofibroma in an adult patient. Upon reviewing all available literature to date, there has only been approximately 15 isolated reports of such a case found.

This gentleman was attended by us initially as a case for emergency airway access when he crashed intra-operatively while undergoing an unrelated elective surgical procedure; life-saving slash tracheostomy was promptly performed, and he was successfully resuscitated.

Subsequently while being under our care post-operatively, the patient was incidentally found to have a laryngeal mass on nasoendoscopic examination; he then underwent definitive subtotal carbon dioxide laser excision and histological diagnosis subsequently confirmed the mass to be a neurofibroma. He was discharged from inpatient care upon ensuring that his breathing and speech were both stable post-operatively; during his last outpatient review, the gentleman was clinically assessed to have made a full recovery without any complications.

Going forward, we are striving to further embark on an extensive and comprehensive literature review of all cases of adult laryngeal neurofibromatosis, comparing these cases with existing literature of paediatric NF-1 and NF-2 patients. Thereafter, we aim to publish a set of guidelines on recommendations with regard to standardizing screenings before surgery, determining prognosis from certain clinical parameters and discussing the pros and cons of various known treatment options, including modalities like micro-debrider, laser, robotic surgery and the newly described transcervical radiofrequency ablation technique. This will help ensure efficacy and accuracy of prompt diagnosis and intervention, which in turn will lead to better patient outcome potentially.

Biography

Dr. Xiaofeng Qiao holds a Doctorate degree and works as a Chief Physician. He has a proficient command of all surgical skills in the field of ENT (Otolaryngology - Head and Neck Surgery). He leads and performs difficult surgeries in the Department of Otolaryngology - Head and Neck Surgery. Simultaneously, he has presided over 5 national and provincial projects. He has published 10 SCI-indexed papers and obtained 4 patents. He is good at interdisciplinary integration, for example, combining educational psychology with medicine. He also possesses excellent team-management skills and the ability to train young physicians.

Abstract

Objective: To analyze the relevant factors that may affect the incidence of benign paroxysmal positional vertigo (BPPV). Methods: Fifty BPPV patients who were treated in the Department of Otolaryngology Head and Neck Surgery of Shanxi Provincial People's Hospital from May to September 2023 were selected as the BPPV group, and 50 healthy adults were selected as the control group. Relevant information was collected through questionnaires and medical history inquiries. The differences between the two groups of people in terms of bedtime, nighttime sleep duration, number of awakenings, presence of underlying diseases (such as hypertension, diabetes mellitus, and coronary heart disease), and influence of negative emotions were compared. Results: In the BPPV group, the male-to-female ratio was 16% and 84% respectively, and in the control group, the male-to-female ratio was 20% and 80% respectively. The age of the BPPV group ranged from 27 to 80 years old, with an average of (54.66 ± 13.39) years old, and the age of the control group ranged from 26 to 80 years old, with an average of (54.42 ± 12.55) years old. The bedtime of the BPPV group was significantly later than that of the control group, and the difference was statistically significant (P < 0.05); the nighttime sleep duration of the BPPV group was shorter and significantly lower than that of the control group, and the difference was statistically significant (P < 0.05); there was no significant difference in the number of awakenings between the BPPV group and the control group (P > 0.05); the number of patients with underlying diseases (54%) and those affected by negative emotions (70%) in the BPPV group was higher than that in the control group, and the difference was statistically significant (P < 0.05). Conclusion: Going to bed late, having a too short nighttime sleep duration, having underlying diseases, and having negative emotions can all affect the incidence of BPPV.

Biography

Dr. Hakim Tani is a distinguished otorhinolaryngologist based at the Regional Military University Hospital of Oran, Algeria. He is a key member of an inter-hospital ENT team, collaborating with colleagues at Blida and Constantine in the fields of head and neck surgery. Dr. Tani earned his medical qualifications and residency training at Mansoura University Hospital, Egypt, and has built his career on delivering advanced ENT care in military teaching hospitals across Algeria. His expertise spans a range of otologic, rhinologic, and laryngologic procedures, reflecting both clinical depth and academic engagement. Working in high-stakes environments, he contributes to teaching junior medical staff and supports regional initiatives to enhance ENT services. In addition to his clinical work, Dr. Tani engages in collaborative research and professional exchange with ENT specialists in Blida and Constantine, aiming to advance standards of care across these key military medical centers.

Abstract

Introduction: In Algeria, Cervical Tuberculous Lymphadenitis (CTL) is the commonest form of extrapulmonary tuberculosis and one of the leading causes of chronic cervical lymphadenopathy in young age people. Diagnostic management remain a challenge, despite the improvement of diagnostic techniques.

Objectives: The main goals of our study are to present the demographic and clinical patterns, identify the contribution of diagnostic tools and discuss the diagnostic value of surgery in the management of CTL cases.

Patients and Methods : A descriptive monocentric study was conducted at the ENT- Head and Neck Surgery department of the Regional Military University Hospital of Constantine, in a series of consecutive cases with retro-prospective recruitment, from January 2016 untel December 2020. It included all patients having CTL with or without other site of tuberculosis (TB).

Results: The present study involved 165 patients. Male/female ratio was equal (1,01:1). The mean age was 32.29±14.09. 3.03% of our patiens had a past medical history of TB and, previous history of TB exposure was found in 6.06% cases. Raw milk consumption was found in 82.45% of cases. No patient was HIV positive. Multiple lymph nodes were found in 90.61% cases. Among all patients, 85.71% presented with firm lymph nodes and 5.84% with discharging sinus. Upper and middle deep jugular nodes were the most commonly affected lymph nodes. Associated TB lesions of various other sites were evident in 22 cases (13.33%). Ultrasound evaluation showed hypoechogenicity in 69.69% cases and necrosis in 84.84% cases. 120 patients (72,72%) underwent fine needle aspiration cytology (FNAC), which results were affirmative of TB in 43.33% cases when they revealed granuloma with caseous necrosis. Histopathology exam was done in 113 patients (68.48%), it was affirmative of TB in all cases.The mycobacterial research involved 67 patients, Ziehl Neelsen stains were positive in only 2 cases and culture was positive in 3 cases.

Biography

Prof. Joby Peter is the Professor and Head of the Department of Pediatric and Preventive Dentistry at Annoor Dental College and Hospital. He completed his BDS from MCODS, Mangalore (MAHE University) and MDS in Pediatric Dentistry from Annamalai University, Tamil Nadu. He holds a certificate in Sleep, Neurobiology, Medicine, and Society from the University of Michigan, and is a certified Buteyko Breathing Instructor through BPI, Ireland. A Fellow of the Royal College of Surgeons, England [FDS (RCS)], he also serves as the Global Head of the International Fellowship Program in collaboration with Manipal University College, Malaysia, and Online Dentistry.

Abstract

Objectives: Role of otolaryngologist in correction of oral breathing in collaboration with a Dentist.

Scope: As an otolaryngologist, you are the expert in treating a patient with snoring, nasal congestion, rhinitis, adenoid and tonsil enlargements and OSA. But are following the upstream and downstream medical management of a disease. The future scope and change is a multidisciplinary approach and the role of a dentist to assist your protocol.

Results: This highlights the clinical case discussion of a holistic approach called Bio functional Interceptive and Myofunctional Therapy (BIMT). As a pediatric dentist this paper showcase varieties of cases referred to us by otolaryngologist after their assessment requires a dentist to support then to get them a predictable result of AT especially for OSA.

Method used: assessment of Disturbed sleep disorder in children and adolescence with 2 scale, assess the airway including the transpalatal width, tongue disfunction, habits and perioral muscle activity and assess them before after dental intervention and calibrate the sleep quality.

Conclusion: patients who underwent dental expansion and orofacial myo therapy after AT and otolaryngology intervention showed marked improvement in speech, quality of life, academic performance, bedwetting, and psychosocial behavior

Biography

Dr. Binu Abraham is an experienced orthodontist with over 26 years in private practice, currently running a modern dental clinic in Kochi, Kerala. A graduate of the College of Dental Surgery, Manipal (1995), he completed his postgraduate diploma in Orthodontics at New York University, where he also served as faculty. He has held academic roles in India and the UAE and now focuses on early-age orthodontics and clear aligners. He is the CEO of Online Dentistry, promoting dental continuing education, and an active faculty of the International Association of Orthodontics. 

Abstract

Biography

Dr. Mahmood Abdulzahra Almohsen is a dedicated ENT specialist with over 25 years of clinical experience. He holds a Master’s degree in Otolaryngology from Benha University and has served at Al Nahdha Hospital in Muscat, Oman since 2007 and currently working as ENT specialist at Azhar private hospital. Dr. Mahmood has performed and supervised hundreds of ENT surgeries, with a focus on obstructive sleep apnea and head & neck procedures. He has contributed to academic conferences, published research, and actively participated in CME activities. Known for his professionalism and patient-centered care, he continues to advance in the field of Otolaryngology with integrity and expertise.

Abstract

Background: The impact of sleep disturbances including the obstructive sleep apnea (OSA) is increasing in the last decades. It is affecting up to 2–4% of the population although many remains undiagnosed. Evaluation includes questionnaires and performing subjective/objective tests to confirm the diagnosis and to assess the severity.

Objective: The objective of this research is to assess the correlation between the severity of the daytime sleepiness by The Epworth Sleep Scale, the type and level of obstruction by Muller maneuver using the awake nasolaryngoscopy and severity of the sleep apnea by the polysomnography which is used in the assessment of patient of OSA clinic at AL Nahdha hospital.

Methods: Our study is a Cohort retrospective observational non-randomized study included 773 patients then filtered to 388 after exclusion of those who have deficient data.

Results: The analysis showed that the correlation between ESS and MM Stage was very weak positive relationship which was not statistically significant (r = 0.026, p= 0.604). while the correlation test between ESS and AHI was weak positive relationship which is statistically significant (r = 0.205, p= 0.000). And the correlation test between MM Stage and AHI was very weak positive relationship which is statistically significant (r = 0.233, p= 0.000).

Conclusion: The ESS-AHI, and the Muller’s maneuver stage-AHI correlations separately can be dependable but not for the ESS-Muller’s maneuver stage. This means that the AHI is the key standard for the diagnosis and evaluation of severity, but the ESS is a dependable tool for evaluation of excessive daytime sleepiness if correlated to the AHI but not alone. The Muller’s maneuver is a tool for primary but not final evaluation for OSA.