International Conference on Aesthetic Medicine and ENT July 06-08. 2017 Kuala Lumpur, Malaysia

Biography:

Dr Zuraida is a senior medical lecturer in the Audiology Program, School of Health Sciences, Universiti Sains Malaysia (USM). She received her Medical Degree (MD) from USM in 2002 and Master of Science (Medical Audiology) in 2010 from the same university. She was the pioneer in establishing USM Vertigo Clinic since 2008. Apart from her clinical commitment, she has also been an active researcher in the field balance and vestibular. She has been sharing her research findings both locally and internationally and has published more than 60 publications including journal, oral, books and proceeding. Awarded with many research grants, Dr Zuraida has invented many clinical tools for assessing and treating balance disordered and stroke patients. Her home based treatment product, known as Bal Ex, has won many awards (gold and silver medals). She is currently developing a virtual vestibular rehabilitation procedure for balance disordered patients.

Abstract:

Vestibular rehabilitation is one of the optimum treatments to promote the recovery among vestibular disorder and stroke patients. The effectiveness of these physical therapies has been clearly demonstrated. In fact, having an effective therapy that is home based or one to one offers many advantages to the patients and clinicians. Zainun and her colleagues (2009) had developed the first video guided exercise that is home-based known as Bal Ex. Other module and protocols developed for balance rehabilitation are Bal Ex Stand Up: Manual Footplate for Balance Rehabilitation, Bal Ex Mobile Virtual Room for visual vertigo patients, Bal Ex Stroke homebased video module for stroke rehabilitation, Bal Ex Physio homebased physiotherapy module for stroke patients and others. This module has many advantages which are easy to perform as there are step by step instructions presented with audio and visual cues. Second, since it is home-based, the patients are able to use them as self-guidance and they can minimize their follow up to the hospital for treatment. This is also practical for patients with reduced mobility and it also offers more flexibility. Indirectly, it is also cost-effective in a long run. Indirectly having this latest innovation product will improve our current clinical management of vestibular disorder and stroke patients.

Biography:

Md Monjurul Alam has been working as Professor of Otolaryngology & Head - Neck Surgery at Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka since 2010. He Passed MBBS from Rajshahi Medical College, FCPS (ENT) from Bangladesh College of Physicians & Surgeon, Qualified MS in Otolaryngology from Dhaka University,obtained FICS from USA. He got advanced training in Micro-ear Surgery, FESS & RhynoPlastic Surgery, Snoring & Sleep Surgery, LASER Surgery, Skull-Base surgery from USA, UK, Australia, India, Singapore, Bangkok, Malaysia & different countries of Europe. He is a pioneer of Endoscopic Ear surgery in Bangladesh. He activly perticipated in workshop, seminer, conference, Congress in different countries. He has more than 80 articles published in different national & international journals.More than 5 research works has been going on under his supervision in BSMMU.

Abstract:

Obstructive sleep Apnoea ( OSA) is a chronic disorder characterized by intermittent upper airway collapse which impairs ventilation and disrupts sleep. Approximately 3-7% of adult men & 2-5% of adult women in general population suffers from OSA associated excessive daytime slerpiness. Nearly 22 million Americans are affected by osa, making it most common disorder. Patients & with undiagnosed & untreated OSA are at incresed risk for cardiovascular and cardiovascular health consequences and co-morbidities. Suspicion of the disease, investigations & diagnosis of OSA is very essential. Usually OSA is observed by bed partners or roommates that the patient having problems of loud snoring sound Apnoea during sleep.Patient's Body mass index, Neck & waist circumference and presence of retrignathia or micrognathia should be taken into account. Mallampati score & Epwarth scale of the parient is also important. Adequate physical exam - oral Exam is essential.Mueller maneuver Fibro optic Nasopharyngo Laryngoscooy is important. Pulse Oximetey is screening test. Polysomnography is a gold standard of all investigations from which AHI, RDI, ODI can assessed. Sleep MRI or dynamic ultrafast MRI is done to detect level of obstructions. Recently Drug Induced Sleep Endoscopy (DISE) is latest method to diagnose OSA detect level of obstructions. Cephalometric methods can also be applied. OSA is associated with subatantial economic costs to society including increased medical costs. So early Suspicion, adequate physical Examination, essential investigations should be done to diagnose OSA timely & treat the patient timely to prevent morbidity mortality from OSA.

Biography:

Dr. M M T Vasan practices at Apollo Spectra Hospitals. Professional qualification of the Doctor is MBBS, MS, Fellowship in Plastic & Cosmetic Surgery and specializes in Plastic and Cosmetic Surgery. Dr. M M T Vasan has expertise in Cosmetic Surgery with an experience of 7 Years.

Abstract:

Introduction: Hair transplant (HT) is a common cosmetic surgery. Finer & newer techniques are coming up very often.

Materials & Methods: Suction assisted procedure for inserting the hair grafts is very easy and faster technique. Harvesting is done by: 1. Follicular Unit Transplant (FUT) or 2. Follicular Unit Extraction (FUE). For inserting the grafts we can use, 11 blade knife or iris knife to make a slit or 19 or 22 gauge hypodermic needles to make holes and to insert the grafts, for easy insertion of the graft can use suction negative pressure. The needle is attached to a no.14 size suction catheter which in turn is attached to a suction machine which produces a mild vacuum suction pressure (approximately 50-80 mm of Hg). The suction power sucks out the blood making the field clear for easy visualization of the hole. It removes the skin debris produced during piercing. Then the hair graft is inserted.

Results & Analysis: Suction assisted hair transplant was done in 500+ cases in past 6 years. It was noted that, there was a significant decrease in cyst formation post operatively and increased hair growth.

Conclusion: The suction sucks out the dermal skin debris produced by the piercing of the skin with hypo dermic needles and hence avoids the formation of dermal inclusion cysts. 2. Sucks out the oozing blood & hence produces clear field for easy insertion. 3. The suction negative pressure automatically guides the hair graft to enter into the hole easily without much manipulation & hence faster surgery can be done.

Biography:

Dr Masroor Ahmad Wani is gold medalist, has done MD from medical college Kolkata. He is practicing aesthetic and skin medicine at Health zone Medicate Srinagar India. He has published many articles in newspapers and magazines, has attended more than 22 national and international dermatological conferences. 

Abstract:

A compound peel is a treatment in which a corrosive arrangement is utilized to expel the harmed external layers of the skin. In performing concoction peels, we apply alpha hydroxy acids, trichloroacetic corrosive, or phenol to the skin. The synthetic peel is one of the most established corrective systems on the planet, and was performed in old Egypt, Greece, and Rome to enable individuals to accomplish smoother, more excellent skin. Today, concoction facial peels are prominent everywhere throughout the world since they offer almost quick outcomes and can be executed as an outpatient strategy. Patients with reasonable skin and light hair are the best concoction peel hopefuls. Be that as it may, patients with other skin pigmentation and hair shading can accomplish great outcomes also. Synthetic peels once in a while result in genuine intricacies, yet certain dangers do exist. These dangers incorporate scarring, disease, swelling, changes in skin tone, and mouth blister. A concoction facial peel can give a few advantages to the skin. The strategy can re-establish a more energetic appearance to skin and diminish wrinkles, uneven pigmentation and sun-harm.

Biography:

Marwa Mohamed Fawzy has completed her PhD from Cairo University and Postdoctoral studies from Cairo University School of Medicine. She is a Professor of Dermatology, Cairo University (since April 2016). She has got International Board Certificate in Dermatopathology (December 2010) passing successfully the 8^th International Board Certifying Examination in Dermatopathology. She has published more than 30 papers in reputed journals and has been serving as an Editorial Board Member of repute.

Abstract:

Background: Alopecia areata (AA) is a common condition causing non-scarring hair loss, yet its pathogenesis is still unclear. Treatment of AA is a difficult challenge. The discovery of epithelial stem cells in the bulge region of the outer root sheath of hair follicles in mice and man has encouraged researchers to utilize the hair follicle as a therapeutic source of stem cells for regenerative medicine.

Objective: The objective of the study is to evaluate the use of follicular stem cells in the treatment of AA.

Patients & Methods: Fifteen patients with AA of the scalp were included in a randomized controlled double blinded clinical trial. Isolation of hair follicle stem cells was done by enzymatic digestion of the bulge areas. Cell tagging using iron oxide particles was performed in order to elucidate the exact fate of the injected cells as a way for in vivo cell tracking. Sham saline injections have been done at control sites on the scalp of the treated patients.

Results: Excellent response was achieved in three patients (20%), good response was achieved in seven patients (47%), while five patients (33%) showed poor response at the end of nine months evaluation. None of the placebo injected sites in all included patients showed any response.

Limitations: Sample size is relatively small. Long-term follow up is mandatory.

Conclusion: It can be concluded that, local follicular stem cell therapy could be a feasible, efficient and safe therapeutic option for alopecia areata.

Biography:

Associate Professor Dr.Sethu Thakachy Subha Current Appointment:,Head of Unit ENT Head & Neck Surgery ,Department of Surgery/Otorhinolaryngology  Faculty of Medicine & Health Sciences University Putra Malaysia Serdang,Malaysia. Associate Professor Dr.Sethu Thakachy Subha ,obtained her MBBS degree from the University of Kerala India in 1989 and MS degree in ENT Head & Neck Surgery from University Malaya,Kuala Lumpur Malaysia in  2002.she has published articles in local and international peer reviewed journals. She has also presented her research papers in various international conferences. She has been serving as reviewer for many reputed medical Journals.         
 

Abstract:

Nasopharyngeal carcinoma (NPC)representing about 0.7% of global burden of cancers where as NPC  is the most common cancer of head and neck in Malaysia,South Eastern China ,Hong kong and Singapore.Nasopharyngeal carcinoma has typically metastases to cervical lymphnodes.Majority(>75%) of NPC patients have advanced locoregional disease with cervical metastases at the time of initial presentation. The common sites of distant metastases are bone,liver,lung and rarely metastases to axillary nodes.We report the rare presentation of recurrent NPC with axillary lympnode metastases.Our patient , 44 years old chinese gentleman who was diagnosed to have NPC  with initial staging T2N3bM0  could not  complete  neoadjuvant chempradiotherapy due to severe oral mucositis.subsequent surveillance assessments were unremarkable and after 3 years he has presented with right axillary lymph nodes.Clinical examination revealed  radiotherapy changes at the nasoharynx and absent cervical lymphadenopathy.Fine needle aspiration of nodes showed as metastatic carcinoma.CT  scan showed obliteration of right fossa of Rosenmuller and axillary nodes.PET CT demonstarted right supraclacicular , axillary and mediatinal lymphnodes and patient has been subsequently referred  for palliative chemotherapy.

Conclusion

This case illustartes the fact that ,eventhough NPC is highly radio and chemo sensitive ,these patients needs close follow up for early detection of recurrence and distant metastases.Despite the effectiveness of radiation and chemotherapy in the mangement of npc ,local or regional failure still occurs.Knowledge of potential mode of spread is not only vital to surgeons and also must be conveyed to patients for self examination.FDG-PET CT is better than CT in detecting residual or recurrent disease in NPC

Biography:

Masroor Ahmad Wani is Gold Medalist, has done MD from Medical College, Kolkata. He is practicing Aesthetic and Skin Medicine at Health Zone Medicate, Srinagar, India. He has published many articles in newspapers and magazines, has attended more than 22 national and international dermatological conferences.

Abstract:

A chemical peel is used to improve the appearance of the affected skin. A chemical peel solution is applied to the skin that eventually peels off the affected area. The new, regenerated skin is usually smoother and less wrinkled than the old skin. The new skin is temporarily more sensitive to the sun. Three basic kinds of chemical peels are: Superficial peel: Alpha-hydroxy acid or any another mild acid is used to penetrate only the outer layer of skin to gently exfoliate it. The treatment is used to improve the appearance of mild skin discoloration and rough skin as well as to refresh the affected area. Medium peel: Glycolic acid is used to penetrate the out and middle layers of skin to remove damaged skin cells. The treatment is used to improve age spots, fine lines and wrinkles, acne spots, freckles. Deep peel: Phenol or trichloroacetic acid is applied to deeply penetrate the middle layer of skin to remove damaged skin cells. The treatment removes moderate lines, age spots, freckles and shallow scars. Patients feel good improvement in skin appearance. Who is a good candidate for a chemical peel? Generally, fair-skinned and light-haired patients are better candidates for chemical peels. If you have darker skin, you may also have good results, depending upon the type of problem being treated. But you also may be more likely to have an uneven skin tone after the procedure.

Biography:

Dr. Awan did his MBBS from Nishtar Medical College in 1990. He did his residency training at Pakistan Institute of Medical Sciences, Islamabad and Aga Khan University Hospital, Karachi and got his post graduate degree (FCPS) from College of Physicians and Surgeons, Pakistan in Otolaryngology and Head and Neck Surgery in 1998. He got his further training in the field of Otology (Ear diseases and surgery) from Wurzberg University, Germany and Portmann Institute, France. Dr. Awan has special interest in Cochlear Implant surgery and started a CI program at AKU in 2005 first of its kind in the country.  Dr. Awan has keen interest in research activities and has 50+ national and international publications to his credit. Currently Dr. Awan is working as Associate Professor and Consultant Otolaryngologist at AKUH, he is head of ENT department and also leading the Cochlear Implant Program at Aga Khan University.

Abstract:

Objective: The objective is to analyze the clinical presentation, histopathology, complications and outcomes of parotidectomy.

Material & Methods: Retrospective chart review of 193 patients was performed who underwent parotidectomy from January 2005 to December 2015 at the Aga Khan University Hospital, Karachi. Data collected included age, gender, comorbid, signs and symptom, perioperative facial nerve function, details of surgery, FNA, histopathology and complications.

Results: Out of 193 patients undergoing parotidectomy, 110 (57%) were males and 83 (43%) were females, mean age being 48.21 and 43.76 years respectively. Mean duration of symptoms was 41.33 months and most common symptom was pre-auricular swelling present in all patients followed by pain present in 29 patients (15%) and facial nerve weakness in 6 patients (3.1%). FNAC was performed preoperatively and results were compared with final histopathology. 158 patients (81.86%) underwent superficial parotidectomy while 35 patients (18.14%) underwent total parotidectomy. The final histological diagnosis showed benign lesion in 147 (76.2%) patients and 46 patients (23.8%) had malignant lesions. 23 (11.9%) patients had transient nerve paralysis while 11 (5.7%) had complete facial nerve paralysis after surgery and majority of them were seen after total parotidectomy. Six (3.1%) patients developed post-operative hematoma and 2 (1%) developed Frey’s syndrome. 33 (71.73%) patients were sent for adjuvant radiation therapy out of 46 patients with malignancy and 9 (19.6%) patients with malignancy developed recurrence.

Conclusion: Parotidectomies are performed for almost all parotid masses and are usually associated with good postoperative outcomes. Malignancies of the parotid are rare with most of the masses benign in nature. FNA can prove to be a valuable tool for preoperative counseling of the nature of the disease and prognosis. With modern day procedures facial nerve can be saved in most of the surgical interventions.

Biography:

Dr. Shakeel Uz Zaman completed his MBBS from King Aga Khan University, Later he joined for specialization of Otorhinolaryngology at Liaquat National Hospital & Medical College, Karachi, Pakistan.

Abstract:

Objective: The purpose of this study was to identify the significant predictors of locoregional recurrence in early stage SCCA of buccal mucosa with pathologically clear surgical margins and negative neck.

Materials & Methods: We retrospectively reviewed records of 73 patients who underwent per oral wide excision and supraomohyoid neck dissection for early stage buccal SCCA between 2007 and 2011 with clear surgical margins (>5 mm margins each) and negative neck (N0). None of the patients received postoperative radiotherapy or chemotherapy. The primary endpoint of the study was local, regional or locoregional recurrence. Univariate and multivariate analyses were used to identify independent predictors of locoregional recurrence.

Results: Recurrence was observed in 22 of 73 (30%) patients at the end of this study. Twelve (54.5%) had local, seven (31.8%) had regional and three (13.6%) developed locoregional recurrences. Sixteen patients (72.2%) had recurrence within the first 2 years of primary treatment. Both univariate and multivariate analyses demonstrated that lymphovascular invasion (LVI) and non-T4 muscular invasion (non-T4MI) were independent predictors affecting locoregional control.

Conclusion: Our results demonstrate that LVI and non-T4MI significantly increased the locoregional recurrence rate in early stage buccal SCCA with clear surgical margins and negative nodal status. Adjuvant treatment with either radiation or chemoradiation should be considered when one or both of these factors present.

Biography:

Mohamed Saleh Elarbi is a renowned Professor in Ali Omar Askar Neurosurgery Centre, Libya. He has many publications to his credit.

Abstract:

Aim: Aim: To review medical records from patients who had maxillofacial infections between january 2008 and January 2016.

Methods: Retrospective analysis of 91 patients  ,51 males(56%) and 40 females(44%) admitted in Ali Omar Askar(AOA) University hospital for Neurosurgery ,Oral &Maxillofacial surgery department, Esbea ,Tripoli Libya.

Epidemiology, causes of infection treatment carried out and complications were discussed.

Results:

 A total of 91 patients with maxillofacial infection of which 51 were male (56%) , 40 females (44%), 85 patients had Odontogenic infections (93%) , 45 males (52,9%) & 40 females (47,1%)and 6 had non-Odontogenic infections(7%). The Odontogenic infections occurred mostly at the mandible and its associated spaces 74 cases (87%)

Involving the posterior teeth (82%). The main cause was dental caries 80 cases (94%)

The most commonly affected facial anatomic region was the submandibular 39 cases (45,9%)Surgical treatment was required in all the  cases.

Conclusions: Maxillofacial infections require proper urgent treatment, to avoid complications, which can be serious. Their Management is primarily surgical (incison ,drinage with extraction  of offending tooth as required which require  skilled anaesthetic airway management. Immedate admision, monitoring vital signs  and  high doses of antibiotics ,with intravenous fluids  for rehydration  .

Early diagnosis and national oral health preventive programme required in all age groups with emphasis on younger age group will reduce the incidence of Odontogenic infections and its serious consequences.

Complications; Mediastinitis, Cavernous sinus thrombosis were reported in two cases.

Keywords: Odontogenic infection, non-Odontogenic;, epidemiology, retrospective analysis.

Biography:

Has been working as Professor of Otolaryngology & Head - Neck Surgery at Bangabandhu Sheikh Mujib Medical University (BSMMU), Shahbag, Dhaka since 2010.

He Passed MBBS from Rajshahi Medical College, FCPS (ENT) from Bangladesh College of Physicians & Surgeon, Qualified MS in Otolaryngology from Dhaka University, obtained FICS from USA.

He got advanced training in Micro-ear Surgery, FESS & Rhyno Plastic Surgery, Snoring & Sleep Surgery, LASER Surgery, Skull-Base surgery from USA, UK, Australia, India, Singapore, Bangkok, Malaysia & different countries of Europe.

He is a pioneer of Endoscopic Ear surgery in Bangladesh. He actively participated in workshop, seminar, conference, Congress in different countries. He has more than 80 articles published in different national & international journals. More than 5 research works has been going on under his supervision in BSMMU.

Abstract:

Background: Endoscopic ear surgery is an emerging technique with recent advancement highlighting advantages over the traditional microscopic approach. In Bangladesh  we started doing myringoplasty since 2005 with otoendoscope and stopped due to few problems But again, since 2007,  all types of middle ear surgeries  with nasal endoscopes has been being done with bright , wide & clear view. We did different types of Transcanal  Tympanoplasties, ossicluplasties, stapedotomies, also few cholesteatoma surgeries by endoscope.As Rigid endoscopy allows for wide-field view of the surgical field improved resolution with high magnification, and the ability to look around corners , enabling direct visualization of the hidden recesses including the retrotympanum, epitympanum, supratubal recess, peritympanum  and hypotympanum, granulation tissue or cholesteatoma matrix can be removed easily.

Methods: A cross sectional study done during March, 2010 to June,2014 in otolaryngology & Head-Neck surgery dept of Bangabundhu Sheik mujib Medical University (BSMMU) after having permission from Ehethical review board  of the University.

Results: During the study period 1200 different types of transcanal  Endoscopic  Tympanoplasties like underlay &  interlay tympanoplasty using different graft matrials ;temporalis fascia,perichondrium, cartilage with graft taken up rate & hearing gain equivalent with tympanoplasty done by microscope. 517 different types ossicluplasties  and stapedotomies were done with similar hearing gain  done by microscope.117 cholesteatoma surgery – Atticotomy, attico-antrostomy with reconstruction have been done  without any major  complication or recurrence. Learning curve of surgery among the residents is higher with endoscope.

Conclusions: Endoscopic ear surgery is a new technique that is gaining momentum in Bangladesh and there is enthusiasm for its incorporation into future practice. Further investment in training courses and guidance for those who looking to start or advance the use of endoscopes in their practice will be vital in the the years to come.