THEME: "Harmonizing Senses: Innovations and Insights in Otology, Rhinology & Laryngology"
Title: Moving Past A-B-C: It’s All About Mass & Stiffness Now
Time: 09:15 - 09:50
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.
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
Title: Correlation between Epworth Sleepiness Scale, Muller's Maneuver Findings And Polysomnography In Obstructive Sleep Apnea Patients
Time: 09:50 - 10:25
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.
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.
Title: Shut Your Mouth and Save Your Life: Revisited
Time: 10:25 - 11:00
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.
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.
Title: Perverted (Non-Coplanar) Compensatory Saccades after Head Impulses in Unilateral Posterior Semicircular Canal Hypofunction and Superior Vestibular Neuritis
Time: 11:20 - 11:55
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.
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.
Title: Understanding the Anatomy and Role of Maxilla in Facial Development: Insights into Expansion Techniques and Clinical Applications
Time: 11:55 - 12:30
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.
Title: What Otolaryngologists and Audiologists Need to Know about Wideband Tympanometry
Time: 12:30 - 13:05
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.
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.
Conclusion: WBT delivers a comprehensive,
frequency-specific assessment that enhances diagnostic precision, informs
surgical and medical management, and provides objective monitoring across
patient ages. As an adjunct to pure-tone and otoacoustic audiometry and
immittance measures, WBT represents a paradigm shift in middle-ear diagnostics,
aligning with the Congress’s mission to harmonize sensory assessment through
innovative otologic technologies.
Title: Cervical Tuberculous Lymphadenitis: A Review of 165 Cases
Time: 13:55 - 14:30
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.
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.
Conclusion:
Cervical tuberculous lymphadenopathy is still a commenest pathology. It affects
both sexes at a young age. A high index of suspicion is needed for accurate
diagnosis whereas histopathological examination remains the main tool to
establish the diagnosis. However, fine needle aspiration cytology has emerged
as a simple and effective method, it is recommended to be used as the initial
diagnostic test in suspected cases.
Title: Endoscopic Transcanal Coblation Excision of Glomus Tympanicum: A Novel Technique
Time: 14:30 - 14:55
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.
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.
Title: Sphenochoanal Polyp in an Elderly: A Case Report
Time: 14:55 - 15:20
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.
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.
Title: Clinical Observation and FMRI Brain Functional Imaging Study of Nasal Acupuncture Treatment for Moderate to Severe Allergic Rhinitis
Time: 15:20 - 15:45
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.
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.
Title: Rare Presentation of Pleomorphic Adenoma Arising Beneath the Facial Nerve in the Parotid Gland: A Surgical Challenge
Time: 16:05 - 16:30
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.
Background:
Pleomorphic adenoma is the most common benign salivary gland tumor, typically
originating from the superficial lobe of the parotid gland and situated
superficial to the facial nerve. Tumors arising deep to the nerve branches are
rare and pose significant surgical challenges.
Case Presentation: A 57-year-old
woman presented with a progressively enlarging right parotid mass over one
year. Imaging and biopsy confirmed pleomorphic adenoma. During superficial
parotidectomy, the tumor was found deep to the facial nerve branches. Careful
dissection under intraoperative neuromonitoring allowed for complete excision
while preserving all nerve branches. Postoperative recovery was uneventful with
full facial nerve function.
Conclusion: This case highlights a
rare presentation of pleomorphic adenoma beneath the facial nerve, underscoring
the need for surgical vigilance and the value of neuromonitoring for optimal
outcomes.
Title: Intraoperative Hoarseness in Image-Guided Radiofrequency Ablation of a Benign Thyroid Tumor
Time: 16:30 - 16:55
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.
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.
Title: Adult Laryngeal Neurofibroma – Guidelines for Diagnosis and Management
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.
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.
Title: Congenital Midline Cervical Cleft: A Case Report
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.
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.
Title: Latrogenic Injury of the Chorda Tympani Nerve during Otosclerosis Surgery
Time: 09:30 - 09:55
Dr.
Tewfik Boutiba is a specialist physician in
Otolaryngology and Head and Neck Surgery with 19 years of experience in the
public healthcare sector, including 18 years in university hospital centers. He
has extensive expertise in middle ear surgery, cochlear implantation, endoscopic
sinus surgery, laryngeal procedures, as well as thyroid and parotid gland
surgeries. With over 13 years of experience in academic teaching within
university hospital settings, Dr. Boutiba is also a seasoned presenter, having
regularly contributed as a speaker at both national and international medical
conferences.
Otosclerosis surgery is one of the most standardized
procedures in ear surgery. It is a highly functional surgery aimed at restoring
hearing. The chorda tympani nerve is often located within the surgical field,
making it susceptible to multiple manipulations that may lead to various
postoperative complications, particularly taste disturbances.
Objectives:
The
aim of our study is to determine the frequency of taste disturbances secondary
to chorda tympani nerve manipulation during otosclerosis surgery.
Methods:
We
conducted an exhaustive, monocentric, prospective observational cohort study
from 2022 to 2024, performing 345 chemical gustometry tests using taste strips
on 69 patients who underwent otosclerosis surgery.
Results:
The overall frequency of postoperative taste disturbances was 73.9%, as
assessed by chemical gustometry using taste strips. Chorda tympani nerve
stretching was the most common lesion, occurring in 52.2% of cases (36 out of
69 patients). The creation of the Rosen notch during otosclerosis surgery was
associated with postoperative taste disturbances in 83.6% of cases (51 out of
61, p = 0.00). The recovery rate of taste function after chorda tympani nerve
manipulation was 78.4% (40 out of 51 patients). The recovery rate after nerve
stretching was 72.7% at 6 months (23 out of 33 patients), whereas it reached
92.9% when the chorda tympani nerve was not manipulated (13 out of 14 cases).
Conclusion:
Taste
disturbances secondary to chorda tympani nerve manipulation during otosclerosis
surgery are highly underestimated. Chemical gustometry using taste strips is a
simple yet reliable test for detecting these iatrogenic taste disorders.
Title: Sensitivity and Specificity of Indocyanine Green Dye in Oral Squamous Cell Carcinoma
Time: 09:55 - 10:20
Dr
Aamir Malick Saifi is currently working as a consultant Head
and Neck Cancer & Reconstructive Surgeon at Rohilkhand Cancer Institute,
Bareilly and as an Assistant Professor at Institute of Dental Sciences,
Bareilly. He has vast experience in the field of Cancer and Reconstructive
surgeries from various prestigious institutions in the country such as Victoria
Hospital, Bangalore; Kidwai Cancer Institute, Bangalore; Shanku's Medicity
Hospital, Ahmedabad. He specialises in all kinds of Head and Neck Cancer
Surgeries including oral cancer, salivary gland pathologies, paranasal sinus
pathologies, anterior and lateral skull base surgeries and various
reconstructive surgeries including advanced microvascular reconstructive
surgeries.
Backgrounds:
Sentinel node identification for cN0 oral/oropharyngeal cancer has been
suggested as a standard approach using radioactive tracer-based screening. The
goal of this study was to compare sentinel node biopsy based on indocyanine
green(ICG) dye employing near-infrared imaging technique and histopathology in
cN0 oral squamous cell cancer.
Methods:
In this study, 40 cases of cT1-2N0M0 oropharyngeal cancer that had not
previously received treatment were included. Before making a skin incision, one
millilitre of ICG (5 mg/ml) was successively injected in a four-quadrant
manner around the primary tumour. With a near infrared
Fluorescence device, images were taken after elevating the
sub-platysmal flap, paying close attention to the lymph nodes. Sentinel lymph
nodes were classified as lymph nodes with fluorescent hot spots, and these
nodes were excised, sent for frozen sectioning, and compared with
post-operative histology.
Results:
All 40 of the attempted harvests of sentinel nodes were successful. There were
anything from 3 to 9, on average, five sentinel nodes (SNs) each case. In
twelve patients (30%), routine pathology showed that occult metastases.
Indicocyanine green dye has a 57.4% sensitivity and a 100% specificity,
respectively. The positive predictive value was 100% & negative predictive
value was 81.2%. The accuracy of the indocyanine green dye was 85%.
Conclusions:
Near-infrared imaging using indocyanine green mapping is a reliable, consistent
and safe method for SNs identification and for SN biopsy in cN0
oral/oropharyngeal carcinoma.
Title: Genetic Testing for Hearing Loss in Children and Subsequent Treatment for Hearing Loss (Ci)
Time: 10:20 - 10:45
Dr Mohammad Sabir is a
Senior Clinical Audiologist at SEHA Sh. Tahnoon Bin Mohammed Medical City
(STMC) in the UAE, specializing in audio-vestibular healthcare. He is also the
Co-Founder and Vice President of the Emirates Audiology Society (EAS), where he
actively contributes to the growth and development of the audiology field in
the region. Currently an Au.D. candidate, Mohammad Sabir is committed to
advancing his expertise and providing top-notch care to patients with hearing
and balance disorders.
Genetic defects are
one of the most important etiologies of severe to profound sensorineural
hearing loss and play an important
role in determining cochlear
implantation outcomes. While the
pathogenic mutation types of a number of deafness genes have been cloned, the
pathogenesis mechanisms and their relationship to the outcomes of cochlear
implantation remain a hot research
area. The auditory performance is considered to be affected by the etiology of
hearing loss and the number of surviving spiral
ganglion cells, as well as others. Current research
advances in cochlear implantation for hereditary deafness, especially the
relationship among clinic-types, genotypes and outcomes of cochlear
implantation, will be discussed in this review.
Title: Maxillofacial Trauma Management
Time: 10:45 - 11:10
Dr.
Harpreet Singh Khullar is a Junior Resident in the
Department of ENT at AIMSR, Bathinda. Originally from Gurdaspur, Punjab, he has
built a strong foundation in both clinical practice and academic research. His
current thesis focuses on the clinical profile of patients with maxillofacial
injuries in the Malwa region, highlighting his interest in trauma care. He is
actively involved in managing ENT-related emergencies and advancing his
expertise through hands-on experience. Known for his dedication and
professionalism, Dr. Khullar is committed to improving patient outcomes and
contributing to the field of otolaryngology.
Trauma
and Pathophysiology: Maxillofacial trauma is on the rise, often
caused by road accidents, violence, falls, or sports. These injuries demand
urgent care due to the region’s complex anatomy and proximity to vital
structures like the brain. Timely diagnosis and treatment are key to preventing
serious complications and ensuring quality of life.
Etiology:
Around
60% of severe facial trauma cases involve multisystem injuries. Brain injuries
occur in 20–50%, cervical spine injuries in 1–4%, and blindness in 0.5–3%.
Airway compromise is a major risk, requiring immediate attention.
Emergency
Management – Airway Control: Secure the airway early.
Prefer fiberoptic intubation; if unavailable, consider transtracheal or
retrograde methods. Be ready for cricothyroidotomy or tracheostomy in severe
cases.
Emergency
Management – Intubation Considerations: Avoid nasotracheal
intubation due to bleeding and risk of skull base injury. Skip Rapid Sequence
Intubation when possible—opt for awake intubation with benzodiazepine sedation.
Emergency
Management – Hemorrhage Control: Use direct pressure for
facial and nasal bleeding. Pack anteriorly and posteriorly for nosebleeds. For
pharyngeal bleeding, pack around the endotracheal tube carefully to control
bleeding and protect the airway.
Title: The Influence of Micronutrients on Olfactory Loss in Covid 19 Patients
Time: 11:20 - 11:45
Samer
Younes has a strong foundation in clinical pharmacology and
a proven record of delivering impactful community health education programs.
With a solid combination of clinical and technical expertise, He earned a
Bachelor's degree in Pharmacy from the Faculty of Pharmacy, Tartous University,
Syria, in January 2024. Currently, He is actively seeking fully funded
scholarships to pursue a Master's degree and further contribute to the field of
pharmaceutical sciences and public health. have systematic professional with 2
years of experience in pharmaceutical services
Emerging evidence suggests that anosmia, or the loss
of smell, may serve as an early indicator of infection with the coronavirus
disease 2019 (COVID-19). It is likely that the severe acute respiratory
syndrome coronavirus 2 (SARS-CoV-2) contributes to olfactory dysfunction. Prior
studies have established a notable correlation between the intake of certain
micronutrients and a reduction in both coronavirus infection severity and
olfactory deficits.
Specifically, deficiencies in vitamin B3 have been
linked to abnormal olfactory perception. Similarly, inadequate levels of
vitamin B6 may negatively affect zinc concentration, which is essential for
maintaining normal smell function. Furthermore, vitamin C has been identified
as a factor that reduces inflammatory cytokines, potentially mitigating some of
the olfactory impairments associated with viral infections.
Research indicates that vitamins A and D3 can enhance
olfactory function. Vitamin D3, in particular, has neuroprotective properties
that may aid in the restoration of the sense of smell. Elevated levels of tumor
necrosis factor-alpha (TNF-?), found in the olfactory epithelium of individuals
regaining their sense of smell after COVID-19, suggest that vitamins C and E
could provide additional support in the recovery process.
The subsequent analysis in this review explores the
relationship between certain nutrients, such as vitamins A, D, C, and B, zinc,
and alpha-lipoic acid, and the pathways involved in the sense of smell,
including potential regulatory effects.
Title: Efficacy of in Office Posterior Nasal Nerve Electrocauterization in Patients with Persistent Allergic Rhinitis
Time: 11:45 - 12:10
Reham
Farouk Zittoon is a Head of otolaryngology department in
Port Said University Assistant Prof of otolaryngology From Egypt.
Introduction:
Allergic rhinitis
(AR) is known as a non-infectious inflammatory disease of the nasal mucosa,
mediated by IgE mainly after the body has contact with an allergen and it has
clinical symptoms of sneezing, rhinorrhea, nasal congestion and itching .(Kakli
and Riley, 2016). Ordinary therapies for AR include avoidance or
minimization of contacting allergens, medication, specific immunotherapy and
surgery (Small et al., 2018). Previous studies have evidence for the
good efficacy of non-surgical conventional therapies in most of the AR cases (Wallace
and Dykewicz, 2017). Therefore,
targeted therapies to the region of post. nasal nerve may offer relief of
chronic rhinitis symptoms with limited side effects are desired. Due to the
simple, office-based nature, cryotherapy has gained interest. Cryotherapy
utilizes liquid nitrogen to ablate posterior nasal tissue through extremely low
temperature (Erinjeri and Clark, 2010). Using bipolar
electro-cauterization to cauterize the posterior region of the middle meatus
like cryotherapy may offer another simple, office based treatment for
refractory allergic rhinitis.
Conclusion:
office-based electrocauterization of posterior nasal nerve is considered a safe
and effective method in treatment of persistent allergic rhinitis. Further
studies should be done to compare the results of office based
electrocauterization of PNN with other techniques like PNN cryoablation, laser
ablation and neurectomy. Future randomized controlled trials should be done to
evaluate long term nasal symptoms improvement with a larger sample size.
Further studies should be done to evaluate the efficacy of PNN electrocauterization
in chronic rhinitis patients. Comparative studies between PNN
electrocauterization and medical treatment in treatment of allergic rhinitis
should be done.
Title: How Much the Newly Designed Bofares's Speculum is Beneficial for Endoscopic Sinus Surgery?
Time: 12:10 - 12:40
As
it is well known that the most significant, interested and target area for
surgeons during functional endoscopic sinus surgery (FESS) is the middle
meatus. The most highlighted problem that may facing the surgeon who are
approaching the endoscopic middle meatal surgery is the inability to get a
sufficient surgical access into the middle meatus. This is most probably due to
oversized middle turbinate or floppiness of middle turbinate that resulting in
the obscuring of the field and frequent fogging of the lens due to recurrent
touching of coming in route middle turbinate. Therefore, it become necessary to
resolve this problem, which I am sure that interrupt the interest of most of
the surgeons. For this reason, this tool was proposed and designed to retract
the middle turbinate medially at its different three part (M1, M2, and M3) with
accommodated heights and self-retained controlled with wide range adjustor to
provide a sufficient access to this very important area.
Title: Caught Between Teeth and Breath: The Tongue’s Tale
Time: 12:40 - 13:10
Dr.
Krishna Kumar R is a Professor of
Pediatric and Preventive Dentistry at Annoor Dental College, Kerala, with over
15 years of clinical and academic experience. He holds an MDS, PhD, and FDSRCS
(England), and is a fellow in Myofunctional Therapy and Laser Dentistry. An
invited speaker at international forums, he has received the Famdent
Pedodontist of the Year (2024) and Educator of the Year (2025) awards. He is
widely published and known for his work in pediatric endodontics, sedation, and
oral health in medically compromised children. His topic of interest is Laser
Dentistry, Airway Based Dentistry, Myofunctional exercises and Pediatric Rotary
Endodontics.
The tongue, often
overlooked, plays a critical role in the development of both craniofacial
structure and upper airway function. This presentation explores the dual impact
of tongue posture, tone, and function in the etiology of malocclusion and
obstructive sleep apnea (OSA). Improper tongue posture during rest and
swallowing can lead to dentoalveolar discrepancies, contributing to
malocclusions such as open bite, crossbite, and narrow arches. Simultaneously,
a low or posteriorly positioned tongue during sleep can obstruct the airway,
playing a significant role in the pathophysiology of sleep apnea. Emerging
evidence highlights the interconnection between orofacial myofunctional
disorders, oral habits, and altered craniofacial growth patterns, establishing
the tongue as a central player in both
orthodontic and sleep-related concerns. This talk aims to unravel the “tongue’s
tale” by bridging dental and sleep medicine perspectives, advocating for early
identification, multidisciplinary intervention, and the role of myofunctional
therapy in achieving holistic outcomes.
Title: Save Tomorrow's Hearing Today
Time: 13:10 - 13:40
Cheryl L. Nolte, based in Lake
City, Florida, is the founder and owner of Hearing Challenge Coach, LLC,
established in 2021. With an Associate Science Degree from Indian River
Community College and a background in real estate title work spanning 34 years,
Cheryl transitioned into hearing support after experiencing tinnitus-related
disability from 2006 to 2012. Since 2014, she has been dedicated to teaching
lipreading, initially as a volunteer and later professionally. Her teaching
approach, known as the “Sher Way,” has supported students ranging in age from
22 to 97. Cheryl is also the author of Treasure Coast Hearing Guide and has
held several volunteer roles, including Chapter President of the Hearing Loss
Association of America and instructor for the American Red Cross and Civil Air
Patrol.
Losing my hearing gradually starting with German measles as a child, has
fueled a lifelong passion: to protect hearing and advocate for others. For over
a decade, I have served as an adult advisor, consultant, and advocate, researching
and presenting solutions for hearing loss prevention.
Hearing is critical—not only for communication but for
safety and well-being. While safety appears on the second tier of “Maslow’s
Hierarchy of Needs,” hearing loss impacts all levels: physiological,
love/belonging, esteem, and self-actualization.
The World Report on Hearing 2021 by the World
Health Organization (WHO) predicts a dramatic rise in hearing
loss—more than 1.5 times over the next 30 years, affecting an additional 1
billion people. Importantly, WHO states that over 60% of hearing loss
is preventable in children and young adults, and significantly preventable in
adults.
The urgency is clear: Unaddressed hearing loss costs the
global economy approximately $1 trillion USD annually. Beyond
economics, the social and emotional toll is incalculable.
Prevention starts with limiting noise exposure, a leading
cause of hearing damage at all ages. My presentation will outline key
statistics and strategies to reduce noise risk. Another critical but often
overlooked factor is ototoxicity—the harmful effects of
certain medications and chemical solvents on hearing. Many are unaware of how
common drugs, pesticides, and industrial chemicals can impact auditory health.
Conclusion: Even partial hearing loss can create safety
risks and social isolation, underscoring the need for global action. We
must act now. Prevention is essential to preserving quality of life.
It begins with awareness—and that’s the goal of today’s presentation: to educate
and empower. Let’s work together to Save Tomorrow’s Hearing
Today.
Title: Auditory Processing Disorders in Adults: Evidence-Based Identification
Time: 13:50 - 14:20
Dr
Elizabeth Leigh is an
Audiologist with over 25 years of experience as a clinician, researcher, and
educator. She established Central Auditory Clinics at two VA hospitals to
diagnose and treat patients with hearing issues despite normal audiologic
assessments. Elizabeth was among the first to explore hearing problems beyond
pure-tone threshold tests, particularly in Veterans. Her research focuses on
the effects of aging and minimal hearing loss on auditory temporal coding and
speech understanding in noise. She has published and presented extensively on
how abnormal binaural processing impacts speech perception in noise.
Auditory
Processing Disorders (APDs) have been a challenge for audiologists for decades.
Audiologists need evidence-based testing and treatment options specific to
adults because their needs are different from children. Best clinical practice
for APD in adults is based in functional assessment and functional
rehabilitation, the specifics of each are presented.
The
assessment, identification, and treatment of auditory processing disorders
(APDs) began with a medical model based on site of lesion in adults which
eventually led to a communication model based on developmental and educational
abilities in children. Audiologists today, however, need a functional model
based on whether, or not, their patient has an auditory component to their
communication problems. Further, over the past several years, much of the
clinical research has provided models of APD based on broader
auditory-cognitive communication components that address functional abilities
that form the basis of the work presented here.
Adult
APD services must be widely available in audiology clinics because there is no
other profession with the expertise to evaluate and treat auditory processing
problems. Failure to serve adults with APD results in reduced employment
opportunities, increases communication failures with others (i.e., family
members), and social isolation, especially as a result of a head injury.
Treatment and recommendations are based on functional difficulties and tailored
to support the educational, employment, and interpersonal communication needs
of the individual.
Title: Why Septoplasty Among Children is Still Controversy Issue?- Demystify and Unify the Concepts
Time: 14:20 - 14:50
Back ground and objectives:
septoplasty is considered as one of commonest surgical procedures in rhinology. It can be categorized as one of commonest surgeries at our daily operative schedule. Therefore, there will be continuous research concerns to improve this procedure from different aspects including the indications, preoperative preparation, the surgical techniques and postoperative care. Although, there are no major significant debates and controversies regarding the performance of this procedure among adult age groups. On the other hand, the most of the disputes as well as altercations about the conduction of this surgery at childhoods. Thus, there were a lot of researches and clinical trials that tried to postulate for further clarifications related to this important issue. In same context, we tried via this clinical trial to show and present our long-term experience with big sized patients' sample how this international rhinology accompanied challenge and dilemma can be resolved with reputable guidelines starting from most basic concepts and up graded to most advanced ones.
Our aim is to reach to the cancellation of all old fashion concepts and come out to gather with new trends to help many children in the community, who are suffering either due to absolute nasal obstruction itself, or the sequences of this obstruction, which is proved due to severe deviated nasal septum.
Title: The Value and Power of Lip Reading_ Let Me Clue You In
Time: 14:50 - 15:20
Cheryl L. Nolte, based in Lake
City, Florida, is the founder and owner of Hearing Challenge Coach, LLC,
established in 2021. With an Associate Science Degree from Indian River
Community College and a background in real estate title work spanning 34 years,
Cheryl transitioned into hearing support after experiencing tinnitus-related
disability from 2006 to 2012. Since 2014, she has been dedicated to teaching
lipreading, initially as a volunteer and later professionally. Her teaching
approach, known as the “Sher Way,” has supported students ranging in age from
22 to 97. Cheryl is also the author of Treasure Coast Hearing Guide and has
held several volunteer roles, including Chapter President of the Hearing Loss
Association of America and instructor for the American Red Cross and Civil Air
Patrol.
Lipreading clues power us into far more than words alone—they unlock deeper
understanding. Often invisible and undervalued, lipreading is a powerful tool
on the roadmap to clearer communication—not only for those with hearing loss,
but also for people experiencing tinnitus, hyperacusis (as I have), and other
cognition-related challenges.
Objective:
To raise awareness of lipreading as a vital, underrecognized communication
skill that supports individuals with diverse sensory and cognitive needs.
Scope & Methods:
With over 60 years as a lipreader and more than a decade as an advisor,
advocate, and instructor, I use a roadmap analogy and an easier-to-learn “Sherlock
Method” to show how lipreading bridges gaps, empowers communication, and
restores confidence.
Value and Impact:
Lipreading requires no batteries or devices. It improves comprehension, reduces
repetition, and strengthens clarity—even for hearing aid users. It also engages
the brain, easing cognitive load and potentially reducing risks linked to
dementia, falls, and other medical concerns. I will also show how learning
lipreading can be attainable and life-changing. Student end-class responses
indicate 98% learned more than expected. Real value.
As Bernstein et al. (2022) note, there is a growing need to
reinvigorate interest in lipreading as a meaningful communication strategy,
especially given its broader applications beyond hearing loss.
Conclusion:
Lipreading is a lifelong, low-cost skill with high return. It deserves greater
visibility and inclusion—for the hearing challenged and for all who rely on
strong communication. Lipreading is the key to navigating today’s
communication’s roadmap challenges—unlocking meaning, reducing confusion, and
restoring confidence in the communication journey.
Title: Local Allergy in the Atopic March: New Insights into Adenotonsillar Hypertrophy
Time: 15:20 - 15:45
Raha
Zamani is a final-year medical student at Tehran
University of Medical Sciences and an active researcher at the university’s
Otorhinolaryngology Research Center. Her academic and clinical interests lie
primarily in head and neck pathologies, with a strong focus on radiation
oncology and minimally invasive surgical techniques. Through her research, she
aims to contribute to advancements in diagnostic and therapeutic approaches
within the field of otolaryngology.
Adenoid hypertrophy (AH) and combined adenotonsillar
hypertrophy (ATH) are primary causes of childhood sleep-disordered breathing
(SDB), and are strongly correlated with atopic diseases affecting the
respiratory mucosa. Allergen sensitization, class-switching of B cells and IgE
production in the adenotonsillar tissue, namely local atopy, is a crucial step
in the pathogenesis of allergic rhinitis (AR) and asthma. The adenotonsillar
tissue is also known to be responsible for a considerable part of circulating
specific IgE, potentially contributing to the pathogenesis of atopy in other
organs. Atopic children experience fewer benefits from adenotonsillectomy
compared to their non-atopic counterparts, but this surgical intervention
remains effective in relieving both obstructive and allergic symptoms in children
with concomitant ATH and AR or asthma. Adjunctive treatments such as allergen
immunotherapy are shown to reduce the risk of recurrence in atopic children
undergoing adenotonsillar surgery. This review focuses on the evidence linking
local adenotonsillar IgE sensitization and the atopic march and its
implications in the treatment and outcomes of both conditions.
Title: Review of Nose and Sinus Imaging
Time: 15:45 - 16:10
Dr. Arefeh Hedayati is a board-certified Otolaryngologist and Head
& Neck Surgeon, currently serving as the Head of the Department of
Otolaryngology at Kermanshah University of Medical Sciences (KUMS) in Iran. She
earned her MD from Shahid Sadoughi University of Medical Sciences in Yazd and
completed her residency in Otolaryngology–Head and Neck Surgery at KUMS. Her
primary research interests include facial plastic surgery, and she has
presented on topics such as nasal and paranasal sinus imaging.
Ø
Arterial blood supply of the right lateral nasal
wall
Ø
Radiologic anatomy on coronal CT slices
Ø
Radiologic anatomy on sagittal CT slices
Ø
Radiologic anatomy on axial CT slices
Ø Normal variations of
sinonasal anatomy
Supraorbital ethmoid cell: Supraorbital ethmoid cell is the
ethmoid cell that extends superolaterally between the middle orbit wall and the
ethmoid roof.
Supraorbital ethmoid cells may simulate multiple frontal sinuses, type III
frontal cells, suprabullar cells, frontal bulla cells or interfrontal sinus
septal cells on coronal CT images. During endoscopic sinus surgery, these cells
may be mistaken for the frontal sinus and need to be differentiated by their
more lateral and posterior location as compared to the frontal sinus.
Ø
Inferior turbinate position ipsilateral to septal
deviation
Ø
Concha bullosa: endoscopic view
Ø Chronic sinusitis
Title: Review of Nose and Sinus Pathology
Time: 16:10 - 16:35
Dr. Mohammad Taha Mahdi Araghi is a board-certified
Otolaryngologist and Head & Neck Surgeon, serving as Assistant Professor
and Educational Deputy in the Department of Otolaryngology at Kermanshah
University of Medical Sciences (KUMS), Iran. He earned his MD from KUMS and
completed his residency in Otolaryngology at Shahid Beheshti University of
Medical Sciences in Tehran. His research primarily focuses on endoscopic
surgery of the nose and paranasal sinuses, and he has presented on topics
including nasal and paranasal sinus tumors.
Fibrous dysplasia: Expansion of the anterior and
lateral walls of the right maxillary sinus with a “groundglass” internal
matrix. note involvement of the right pterygoid process.
Ø
Benign
Tumors and Tumor Like Lesions
Ø
Sinonasal
Fibrous Dysplasia
Ø
Sinonasal
Osteoma
Esthesioneuroblastoma (ENB): is best identified radiologically
by a dumbbell-shaped mass, with its upper portion located in the anterior
cranial fossa and the lower portion in the upper nasal cavity, creating a
"waist" at the level of the cribriform plate. A highly suggestive
feature for diagnosing ENB is the presence of peripheral tumor cysts at the
tumor-brain margin intracranially. The typical location of ENB is in the
superior nasal cavity at the cribriform plate. Smaller tumors generally appear
as a unilateral nasal mass centered on the superior nasal wall, with local
spread into the nose and sinuses. In contrast, larger ENBs may present as a
tumor in the anterior cranial fossa, showing infiltration into brain parenchyma
and dura, with possible extension into the orbits. Additionally, cervical nodal
metastases can be present at initial diagnosis or develop later, particularly
affecting the upper cervical nodes (levels I–III) and the retropharyngeal
space.
Title: Virtual Reality-Based Sound Localization Rehabilitation
Time: 16:35 - 16:45
Zohreh Zameni
is a Ph.D. student at Iran University of Medical Sciences with a focused
interest in hearing aids, tinnitus, and auditory electrophysiology. Her
doctoral research involves comprehensive evaluations of tinnitus and EEG
recordings in patients with tinnitus, contributing to a deeper understanding of
auditory system disorders. In addition to her academic work, Zohreh translated
the renowned textbook The Auditory System: Anatomy, Physiology, and Clinical
Correlates by Jane A. Baran and Frank E. Musiek into Persian, making this key
resource accessible to a broader audience. She has also actively participated
in academic conferences, presenting multiple poster sessions on her research.
Introduction: Sound localization is important for comprehending the surrounding world and interacting with the environment. Recent studies have demonstrated that the physical movements enhance sound localization compared to passive methods like just naming the sound's position. Virtual Reality (VR), as a technology in learning and rehabilitation, particularly in the realm of spatial hearing, has gathered considerable attention from researchers.
Purpose: The aim of this research is to investigate the virtual reality-based sound localization rehabilitation
Methods: The current study was conducted by searching the PubMed database. The reviewed articles were restricted to English language publications from 2018 onwards.
Findings: Recently, VR technology, by fostering active interactions between the user and sound sources through unconstrained hand and head movements, has contributed to improving sound localization performance. VR systems can provide users with experiences, allowing for the simulation and control of diverse auditory conditions. For instance, users can be immersed in virtual urban environments, forests, or enclosed spaces to test their auditory skills under varied circumstances. This diversity in auditory environments assists users in enhancing their ability to finding the direction and distance of sound sources in real-world scenarios. VR-based training programs significantly augment the accuracy and speed of identifying the location of sound sources.
Conclusion: The findings suggest that VR emerges as a
novel rehabilitation for sound localization disorders. This technology can
contribute to the improvement of spatial hearing performance and facilitate
the learning process. However, despite
its numerous advantages, the application of VR is also accompanied by
challenges. These challenges include the high cost of VR equipment and
potential side effects such as nausea and dizziness reported by some users.
Title: Central Auditory Processing in Autism: Challenges and Implications
Time: 16:45 - 16:55
Farnaz
Rahnama is an
accomplished audiologist with a solid academic foundation in the field of
hearing sciences. She earned her Bachelor's degree in Audiology from Shiraz University of Medical Sciences,
one of Iran’s leading medical institutions. Building on this foundation, she
pursued and completed her Master’s
degree in Audiology at Iran
University of Medical Sciences (IUMS), where she deepened her clinical
and research expertise in auditory health and rehabilitation. Throughout her
academic journey, Farnaz has demonstrated a strong commitment to advancing
audiological care and continues to contribute to the field through both
clinical practice and professional engagement.
Introduction:
Autism
Spectrum Disorder (ASD) is a multifaceted
neurodevelopmental condition delineated by impairments in social communication,
restricted interests, repetitive behaviors, and atypical sensory processing.
Among these sensory challenges, Central
Auditory Processing Disorders are commonly observed in ASD
individuals. Comprehending these auditory divergences in autism is paramount,
as they can profoundly influence communication and overall daily functioning.
Purpose: The objective of
this research is to investigate the auditory differences in autism.
Method: The current review is the result of a search
in PubMed and Google Scholar databases limited to the years 2019–2024 with the
keywords "autism" and "auditory processing".
Findings: Accumulated
empirical evidence indicates significant auditory
processing atypicalities in ASD individuals. Autistic
individuals exhibit difficulty in disengaging attention from extraneous sounds
and may demonstrate hyper-responsivity
to auditory stimuli. This often culminates in sensory overwhelm within noisy, multi-source
environments. While early neural detection of highly salient stimuli may remain
intact in some individuals, higher-order processing appears to be dysregulated,
suggesting deficits in selective
attention and self-other
discrimination. Additionally, reduced auditory cognition,
particularly concerning auditory
memory, has been observed. Sensory reactivity demonstrates a
correlation with anxiety and sleep disturbances, with auditory filtering deficits
identified as a contributing factor to sleep difficulties.
Conclusion: Auditory
processing atypicalities represent a pervasive and critical facet of ASD,
impacting both social and non-social behavioral domains. These difficulties
arise from impairments in the perceptual
organization, filtering, and higher-order cognitive processing of auditory
information, potentially attributable to underlying
neurological differences in brain regions essential for sensory integration and
memory.