Day 2 :
Muhs Nashik University, India
Keynote: Correlation of HRCT mastoid with clinical presentation and operative findings in ear diseases
Time : 09:00-09:45
Sambhaji Govind Chintale is currently working as Associate Professor in ENT department at JIIUs Indian Institute of Medical Science & Research. He is a Senior Resident at Kem Hospital, Mumbai from 1st Feb to 31st Jul 2012 and Senior Resident at DR. R N Cooper Hospital, Mumbai from 15th Sep to 15th Jan 2013. He has published many papers in reputed journlas like Indian Journal of Basic and Applide Medical Research, Otolaryngology Online journal, and International Journal of Recent Trend in Science and Technology.
Background: HRCT is found to be extremely useful for evaluating the ear diseases involving the external auditory canal, middle ear cavity, vertical segment of facial nerve canal, vestibular aqueduct, tegmen tympani, sigmoid sinus plate, sinodural angle, carotid canal, jugular fossa, infra and supralabrynthine air cells and temporomandibular joint. Our main objective was to correlate the clinical presentation and operative findings of ear diseases with HRCT mastoid.
Methods: This study is done in our institute’s Otorhinolaryngology dept. from April 2014 to April 2016. This is a prospective study which involves 36 patients belonging to different ages and sex groups with high suspicious of ear diseases. We have taken detailed history of each patient with complete ear nose throat examination, and after that all patients were investigated with routine blood investigation, X-ray and HRCT mastoid to correlate clinical finding and subjected for operation to compare operative findings with HRCT finding.
Results: Pearson Chi Square test indicated a statistically significant correlation between HRCT temporal bone with clinical presentation and operative findings of ear diseases [P<0.05].
Conclusion: With the advent of modern high-resolution CT scanners, detailed demonstration of temporal bone anatomy is practically possible now. We have been able to identify many significant structures not demonstrated by any of the known imaging modalities. The improved contrast and soft tissue, a definition possible with HRCT has resulted in production of excellent images of soft tissue lesions in air spaces. Hence HRCT appears to be the diagnostic modality of choice for cholesteatomas and other soft tissue lesions in middle ear
Apollo Cosmetic Surgical centre & V-Graft Hair Transplant centre, India
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.
Introduction: Hair transplant is a common cosmetic surgery. Finer & newer techniques are coming up very often. Identifying and modifying the factors that affect graft survival have received a great deal of attention.
Materials & Methods: Harvesting done by Follicular Unit Transplant (FUT) and Follicular Unit Extraction (FUE). By adding good buffering solution for the graft storage and PRP application during the hair transplantation increases the graft survival. The factors affecting graft survival are discussed under the following headings: A. Follicular trauma – Mainly occurs by transection, dehydration and crushing of the grafts; B. Bio chemical factors – Lack of O2, blood, nutrients and pH shift; C. Vascular factors – Refers to immediate post-operative oxygen supply and revascularization.
Results & Analysis: Suction assisted hair transplant with good buffering storage for the graft survival and PRP application during hair transplant has be done around 350+ cases in past 5 years.
Conclusion: Graft survival can be increased to greater extend by reducing the follicular trauma, storing the grafts in good buffering solution and by PRP application
Dr. Hans Centre for ENT, Hearing Care & Vertigo, India
Padmashree awardee Prof. (Dr) J. M. Hans, is a topper and medalist from PGI Chandigarh. Dr. Hans has done pioneering work in the field of cochlear implant surgery and has done more than 1500 cochlear implants in his center, centers around the country and also in SAARC countries. He is the Founder Member of the Cochlear Implant Group of India. He is currently Chairman& Director of Dr. Hans Centre for ENT & Cochlear Implant and Chairman of Dept of ENT & Cochlear Implant, Venkateshwar Hospital, Dwarka, New Delhi. He is Honorary Consultant to Ex-Prime Minister of India. Dr. Hans is Government Member to the Ali Yajur Jung National Institute for Deafness, Mumbai. The Government appointed him as Executive Member of the All India Institute of Speech and Hearing, Mysore. He is appointed Member to the National Program on Prevention and Control on Deafness (NPPCD) and Advisor to UPSC and WHO. He pioneered the minimally invasive technique for Cochlear Implantation in India. He is also advisor Cochlear Implant Surgeon to Pingalwara Trust in Amritsar. He is visiting cochlear implant surgeon to the Medical Colleges of Chattisgarh, Andhra Pradesh and Madhya Pradesh, PGI Chandigarh etc., to perform CI surgery on deaf and dumb children.
Member of ADIP, Committee of Cochlear Implant, Govt. of India and Executive Council AIISH Mysore.
Aim: To understand and assess the presence of abnormal cochlear aqueduct and vestibular aqueduct and their presentation during cochlear implant surgery
Methods: The study involved 100 cases of a large cochlear aqueduct and 50 cases of large vestibular aqueduct which were identified on radiological assessment prior to surgery. The cases were operated by the same surgeon and by VERIA technique. The large cochlear aqueducts presented with CSF gushers after cochleostomy and the large vestibular aqueducts presented as pulsatile leak of perilymph. The cochleostomy in large cochlear aqueducts and the large vestibular aqueducts cases were sealed at the time of the CSF leak by the three handed technique in VERIA technique with a dumbbell shaped tissue seal or by using the specially designed electrode array.
Results: Large cochlear aqueducts presented with CSF gushers on cochleostomy which required a better preparedness during surgery to seal the cochleostomy at the time of the gusher to obtain a complete seal and the large vestibular aqueducts presented as a mild pulsatile leak of perilymph which was self-limiting and was easily sealed using tissue. All cases were sealed well at the cochleostomy and did not require any lumbar drain.
Conclusion: Better access provided by VERIA technique provides the surgeon a complete access to the cochlea which enables a three handed control of the gushers for better sealing of cochleostomy. Knowing the aqueducts radiologically prior to surgery is a must for every cochlear implant surgeon.
ASUR Marche, Italy
Alessandro Bucci is the Head of Sleep Apnea Center and Rhinology/Rhino-Allergology Center - Otolaryngology department, ASUR Marche, AV2 – Senigallia, Italy. He is an International Faculty Member of the XXXV Pan-American Congress of Otorhinolaryngology 2016, Cuba, Past Director of the 1st International Conference on Rhinology and Rhino-Allergology/5th Bulgarian Italian Rhinology Meeting, 2016 Senigallia (Italy), Committee Member and Chairman of the International Specialists Conference on Ear, Nose and Throat Disorders, November 2016 Alicante (Spain). In the past, he was a University Professor at the UNIVPM, Ancona, Italy. He attended Medical school at Catholic University (UCSC) in Rome, and completed his Residency in Otolaryngology-Head and Neck Surgery at UCSC - Gemelli Hospital in Rome. He is a Reserve Medical Officer of the Italian Navy and Consultant in Otolaryngology from 2002. He obtained PhD (in Rhinology and Rhino-Allergology) in 2006 at UCSC, Rome and a Fellowship in Otolaryngology in Spain (University Hospital, Cadiz). He held Fellowships in Facial Plastic Surgery (AMC) and OSAS (Sint Lucas Andreas Hospital) in Amsterdam, The Netherlands, and in Facial Plastic Surgery in Calixto Garcia University Hospital, La Habana, Cuba. He is Vice-president of the ONLUS association: “ANATRA.it” (National Association of Tracheotomised Patients) and is a Member of the ERS (European Rhinologic Society).
At the start of the 20th century (in 1908), Russian Noble Prize winner and Father of Modern Immunology, E. Metchnikoff, a scientist at the Pasteur Institute, observed that a surprising number of people in Bulgaria lived more than 100 years. Metchnikoff observed that Bulgarian peasants consumed large quantities of “yogurt”. He subsequently isolated bacteria from the yogurt and determined that they conferred the observed health-promoting benefits. The clinical evidence for application of the interfering ability of non-virulent bacteria to prevent or treat infections has been rather limited, although promising for certain purposes. Bacterial interference refers to the antagonism between bacterial species during the process of surface colonisation and acquisition of nutrients. Conventionally, probiotics, defined by the WHO as ‘live organisms which, when administered in adequate amounts confer a health benefit on the host’, have almost exclusively been bacteria of intestinal origin, and their application has largely been targeted at relieving maladies of the gastrointestinal tract. A number of relevant preliminary trials suggest that in the upper respiratory tract the rate of recurrence of Streptococcal pharyngotonsillitis appears to decrease using selected bacteria with inhibitory ability against common pathogens of upper respiratory tract. Sore throat is one of the most common reasons for visits to family physicians or paediatrician. URTIs are very common and cause substantial illness and billions of dollars of economic loss every year. Streptococcus pyogenes is a major cause of acute pharyngeal infections, especially in children. Oral probiotic as Streptococcus salivarius K12 has been shown clearly to antagonize the growth of Streptococcus pyogenes, the most important bacterial cause of pharyngeal infections in humans, by releasing two bacteriocins named Salivaricin A2 and Salivaricin B, reducing the incidence of Streptococcal pharyngitis and/or tonsillitis. According to our reviews of the literature and our experience prophylactic administration of Streptococcus salivarius K12 to adults and/or children having a history of recurrent oral streptococcal pathology reduces the number of episodes of streptococcal pharyngeal infections and/or tonsillitis.