8^th International Conference on
Otorhinolaryngology

Biography:

Dr Christopher Jackson is a Principal House Officer in ENT at the Toowoomba Hospital in Queensland where he has been based for two years. He graduated from the University of Queensland in 2015 and holds academic title at this institution with ongoing research within the ENT field

Abstract:

Aims: Peritonsillar abscess is a common and well described complication of acute tonsillitis with potentially life-threatening complications if not managed in a timely and adequate manner. Global epidemiological studies have painted an emerging picture of increasing antimicrobial resistance patterns. The aim of this study was to characterise the epidemiology, management, outcomes and microbial flora and resistance patterns of peritonsillar collections at a large regional hospital in Queensland which services both rural and remote communities. Methodology: Retrospective data was collected from patients diagnosed with peritonsillar abscess at Toowoomba Hospital Queensland from January 2013 to September 2017. Patient demographics, pre-hospital disease course, management, complications and abscess aspirate cultures and sensitivities were collected. Results: 90 patients were diagnosed and treated for peritonsillar abscess via simple drainage during this period. The average patient age was 28.5 years with a male to female predominance of 1.4:1. The average length of odynophagia prior to presentation was 5.7 days. Culture results were obtained from 82% of patients with the most common organisms being streptococcal species in 43% of aspirates followed by mixed anaerobic bacteria (16%). Of the 90% of streptococcal isolates for which sensitivities were available, all 100% were penicillin sensitive. 8% (N=7) of patients required repeat needle drainage during admission and 4 (4.4%) proceeded to quinsy tonsillectomy. There were no surgical complications documented. One patient in the series presented with acute airway emergency requiring cricothyroidotomy and temporary tracheostomy. Conclusion: This study confirms effective management of peritonsillar collection can be achieved via simple drainage with penicillin as a first line antimicrobial agent. The bacteriology and resistance patterns in this series are consistent with previous studies involving international centres.

Biography:

Masyita Gaffar is an otology consultant in the Hasanuddin teaching hospital and lecturer in education institution medical Faculty of Hasanuddin University. She   has work as a medical specialist and doing research on genetics and hearing in Indonesian ethnics.

Abstract:

Approximately one to two new-borns per one thousand new-borns have moderate, severe or profound hearing loss. Unfortunately, hearing loss often is not detected until a child is 2,3 or even 4 years old. For children with moderate or unilateral hearing loss, it was not unusual to find that they weren’t identified as hard of hearing until kindergarten. We report four out of 94 students (4,25%) of the special school for Deaf in Makassar, Indonesia with moderate sensorineural hearing loss.  One of four students fitted of hearing aid for 10 years old and can speak fluently and most of his speech is understandable, but still use sign language if he talks to other students. Three of them never fitted hearing aid and one of them with bilateral moderate sensorineural can speak fluently and more of her speech is understandable, but she prefers use sign language to communicate with friends and teachers. Two of them use sign language but still try to speak to normal people even though more of their speech is difficult to understand but still have a few understandable words. It is well established that children with moderate hearing loss can develop better hearing and speech if they have early amplification and undergo speech therapy (rehabilitation). The failure to identify hearing loss at a young age can have serious implications for a child’s speech.

Biography:

Clinical Fellow in Otology, Neurotology & Skull Base Surgery at The Gruppo Otologico, Piacenza, Italy under Prof. Mario Sanna guidance. ENT specialist at Hillel Yaffe Hospital, Affiliated to the Technion University in Haifa, Hadera, Israel. Residency of Otorhinolaryngology, Head and Neck Surgery Department, Hadassah Ein Karem Hospital, Jerusalem, Israel. During the period I wrote scientific work under the guidance of prof. Sohmer ' Acoustic activation in the presence of an immobilized stapes, oval window and round window' Residency of Otorhinolaryngology, Head and Neck Surgery Department at Sheba Hospital. During the period I accepted the Tel Hashomer Award of Honourable Resident. Internship at Beilinson Hospital, which included elective in Otorhinolaryngology both in Tel Hashomer, Meir and Beilinson.

Abstract:

Objective: To describe the surgical technique of drill canaplasty for exostosis and osteoma and to evaluate our results. To propose a new grading system for external auditory canal stenosis (EACS).

Subjects and Methods: Two hundred seventeen patients (256 ears) with exostosis or osteoma were included in the study. Surgical and audiological parameters were evaluated. Results: Mean age was 51.5 (13.41) years. One hundred sixty-nine cases were men and 48 women. Two hundred forty-three (95%) cases were exostosis and 13 (5%) were osteomas. According to the proposed grading system, 81% ears had severe or complete stenosis. Seventy-eight (30.5%) ears had a concurrent diagnosis of otosclerosis. Retroauricular approach was used in 245 (95.7%). Intraoperative complications included tympanic membrane (TM) perforation seen in four (2%) and mastoid cell exposure in two (1%). Postoperative stenosis/prolonged healing was seen in 11 (4%) patients and required revision in seven cases. Audiologic analysis available for 153 ears-showed the mean change in air-bone gaps (ABG) of 2.18 dB, pure tone averages (PTA) bone conduction BC (0.5–4 kHz) of 0.3 db. Mean healing rate was available for 246 (96.1%) patients and was found to be 6.35 (4–16) weeks. Conclusion: A systematically performed drill canalplasty via retroauricular approach, as described in this article, yields excellent postoperative outcomes as seen in our series. Notably, one-third of exostoses patients in this series, also suffered from otosclerosis. The proposed grading system for EACS enables the surgeon to objectively stage the disease.

Biography:

Nova Audrey Luetta Pieter is an Otorhinolaryngology specialist and lecturer both in hospital and education institution. Focusing work in head and neck oncology of Department of Otorhinolaryngology Hasanuddin University.

Abstract:

This research aimed to obtain the profile levels of Ig A (VCA-p18+EBNA1) and the viral load (VL) in the relatives of the NPC patients with a positive EBV. The research design was a cross-sectional design which was analytically observational. The total samples comprised 50 relatives of the NPC patients who had been chosen using the consecutive sampling technique and had been treated in Dr Wahidin Sudirohusodo Hospital. The univariant and bivariat analyses, as well as the ‘t test’ were used to measure and to find out the correlation between the level of Ig (VCA-p18+EBNA1) and the VL. The research results indicated that 28% of the NPC patients were female with the average age of 31,12 +/- 11,91 years. Meanwhile, 68% of the NPC patients were the siblings of the NPC patients, and 58% were of the Bugis origins. For the distribution of the NPC risks, the samples were categorized into three groups: the NPC high risk group, the NPC intermediate risk group and the NPC low risk group - the NPC intermediate risk group was the largest in number (50%). The result also revealed that the correlation between the level of the Ig A (VCA-p18+EBNA1) and the level of VL was very significant (p=0,337). About 16% of the NPC high risk group were still normal though they had to be cautious. Statistically, the Pearson correlation analysis revealed a correlation but not significant.

Biography:

Nani Iriani Djufri is a senior consultant of oncology, head and neck in Department of Otorhinolaryngology, Hasanuddin University.  She works both in the hospital and teaching in the medical faculty of Hasanuddin university

Abstract:

The objective of the study is to analyze the role of HLA-A2 expression gene polymorphism of CYP2E1, and nitrosamine in nasopharyngeal carcinoma patient. The data were taken from 70 nasopharyngeal carcinoma patients who came for treatment at two tertiary referral hospitals Dr. Wahidin Sudirohusodo and Pelamonia Hospitals in cross-sectional way for one year. The expression of HLA-A2 was examined with immunohistochemical method, CYP2E1 Gene genotype with Polymerase Chain Reaction (PCR) and Restriction Fragment Length Polymorphism (RFLP), and nitrosamine with Liquid Chromatography Mass Spectrometry (LCMS/MS). The data were analysed with SPSS 20 statistical tests and chi-square. The study indicates no significant relationship between the expressions of HLA-A2 positive and the degree of NPC (OR 1.2; CI: 0.25-5.5: p:0.554). it is also found that no significant association between the genotype CT CYP2E1 gene and the degree of NPC (OR 3.8; CI: 0.76-18.85: p=0.079), also no correlation between nitrosamine detected and the degree of NPC (OR 2.6; CI: 0.82-8.03: p=0.088). however, a significant correlation exists between the genotype CT CYP2E1 gene nitrosamines and the degree of NPC (OR 7.2; CI: 1.08-47.96).

Biography:

Mr Walsh completed his Royal Australasian College of Surgeons fellowship in Otolaryngology, Head and Neck Surgery in 2011, He then went on to complete post-fellowship training in the UK in rhinology. He is the chair of the Multidisciplinary Head and Neck Oncology Team at Western Health, Victoria, and is a member of the Victorian Regional Training Subcommittee (Otolaryngology) of the Royal Australasian College of Surgeons. He also works in private practice in Melbourne, specializing in cosmetic and functional rhinoplasty.

Abstract:

The expectations held by a patient about the results of any procedure are influenced by a multitude of factors; the personal traits of the patient themselves, their social background, the surgeon, and the society in which they operate. Unreasonable expectations are unlikely to be limited simply to the instance of one procedure, but are likely to extend to other interactions, and an exploration of the patient in their social context is necessary to avoid disappointment and misunderstanding. How does the surgeon avoid generating unreasonable expectations and how are warning signs of their presence elicited in an unavoidably brief consultation?

Biography:

Abdul Qadar Punagi has his expertise in rhinology and passion in research related nose disease and allergy. He is recently chairman of division of rhinology and Head of Department   t of ORL Hasanuddin University. He has built all the work as rhinologist and ORL after year experience in the hospital, teaching and administration both in the hospital and education institution.

Abstract:

This research aimed to find out the effect of the treatment therapy of the additional vitamin D on the levels of specific IgE of the patients with alergic rhinitis. The research was an experimental research with the design of pre-and post-tes of control group design. The research involved 40 patients with allergic trhinitis, who were divided into 2 groups. Group I consisting of 20 patients were treated with intranasal spray fluticasone therapy and vitamin D of 2x400IU for 21 days, and Group II consisting of 20 patients were only treated with intranasal spray fluticasone for 21 days. The levels of the calciferol and IgE of specific Der p of both groups of patients were examined before and after the therapy. The examination of the calciferol and IgE specific Der p using ALISA method. From the analysis of the subject demography of the research in each group did not showed any significant difference (p>0.05) based on the gender and age of the patients. The result of Mann-Whitney analysis revealed a significant change difference (p>0.05) between the two groups, that is, the level of IgE specific Der p showed greater decrease in the group receiving vitamin D compared to the group not receiving vitamin D.