Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 2nd International Conference on Craniofacial Surgery London, UK.

Day 2 :

Keynote Forum

Alessandro Bucci

Hospital of Senigallia, Italy

Keynote: Title: An updated review of DISE
OMICS International Craniofacial 2018 International Conference Keynote Speaker Alessandro Bucci photo
Biography:

Alessandro Bucci pursued his PhD (Rhinology and Rhino Allergology) in 2006 at UCSC (Catholic University), Rome (Italy). He completed his Residency in Otolaryngology- Head and Neck Surgery at UCSC - Gemelli Hospital in Rome. His fellowship credentials include: Fellowship in Otolaryngology in Spain (University Hospital, Cadiz); Fellowship trained in Facial Plastic Surgery (AMC) and OSAS (Sint Lucas Andreas Hospital) in Amsterdam, The Netherlands; Facial Plastic Surgery (Calixto Garcia University Hospital), Havana, Cuba. He is currently the Head of Sleep Apnea Center and Rhinology/Rhino-Allergology Center in the Otolaryngology Department of ASUR Marche AV2, Senigallia, Italy. He is an International Faculty Member of the XXXV Pan-American Congress of Otorhinolaryngology 2016, Cuba. He has been the past Director of the 1st International Conference on Rhinology and Rhino-Allergology; 5th Bulgarian Italian Rhinology Meeting, 2016 Senigallia (Italy). His credentials include: University Professor at the Marche Polytechnic University, Ancona, Italy; International Faculty Member of the VI Bulgarian Italian Meeting of Rhinology, Medical School: Catholic University (UCSC) of Rome; He served as Reserve Medical Officer of the Italian Navy. His research focuses on Rhinology/Rhino Allergology, Sleep Apnea/OSAS. His main interest include: humanitarian and international outreach. He served as: Vice-President of the National Association of Tracheotomized patients- ONLUS ( nonprofit organization of social utility); Member of the ERS (European Rhinologic Society).

Abstract:

Obstructive sleep apnea (OSA) is characterized by intermittent, repeated upper airway narrowing or obstruction occurring during sleep. Most authors agree that rigorous patient selection is logical and mandatory. Successful surgical treatment of OSA is based on the accurate identification of the pattern of airway obstruction and targeted, effective treatment. Nevertheless, surgical results in OSA vary greatly, whatever the surgical technique or site treated. For many years, the primary surgical treatment for obstructive sleep apnea was soft palate surgery, and this worked well for patients with blockage of breathing in the palate region alone. Unfortunately, many patients also appear to have blockage of breathing in the tongue region, and multiple procedures have been developed to address this in the hope of improving surgical outcomes. DISE (Drug induced sleep endoscopy) was introduced almost two decades ago and used extensively since the 2000s. Nevertheless, there are still limited data about the real role of sleep endoscopy in obstructive sleep apnea syndrome. DISE offers a unique structure-based assessment of the airway, compared to other commonly-used evaluation techniques. It mimics sleep in order to observe the upper airway on flexible endoscopy. Because surgical procedures are ultimately directed at specific structures, DISE may improve procedure selection and outcomes. DISE involves a certain number of limitations: natural sleep is not precisely reproduced, the anesthesia protocol is not standardized, and there is no gold-standard validation. Classification is imperfect, indications remain to be standardized. Despite the lack of standardization in clinical  examinations, the type of drugs used for sedation and the classification system used, the results obtained till date favor the inclusion of DISE in the investigation of obstruction sites in patients with OSA.

Keynote Forum

George J. Bitar

Bitar Cosmetic Surgery Institute, USA

Keynote: Ethnic Rhinoplasties: A 16 year experience
OMICS International Craniofacial 2018 International Conference Keynote Speaker George J. Bitar photo
Biography:

George J. Bitar, MD, FACS is an award-winning, the medical director, fellowship-trained, board certified plastic surgeon and has performed over 5,000 cosmetic facial and body procedures. Dr. Bitar obtained his medical degree from the George Washington University School of Medicine in Washington, DC, where he now serves as an Assistant Clinical Professor. He then finished a general surgery residency at the Albert Einstein Medical Center in Philadelphia. His plastic surgery residency was completed at the University of Virginia Plastic Surgery Program, which provided him with a strong foundation in reconstructive surgery, for people injured in accidents or who have facial deformities or severe burns, and in hand surgery and microsurgery.

Abstract:

Introduction: Performing ethnic rhinoplasties successfully requires many skills. Technical expertise is must. A plastic surgeon should have the skill-set to perform a rhinoplasty and accept to perform such surgeries commensurate with his or her level of expertise, resulting in naturally looking results. Various ethnic rhinoplasties include Caucasian nose (European white), Hispanic nose, Middle Eastern nose (Arabic, Turkish, North African, and Persian Descent), Asian Nose (Chinese, Japanese, Filipino, Korean, and Indonesian) and African nose.
Methods: Non-surgical algorithm: Nonsurgical or filler rhinoplasty is becoming more popular due to safe and readily available fillers. Injectables are commonly done on all nose types with calcium based fillers for primary noses or when more volume needs to be achieved, and hyaluronic acid fillers for primary noses that need contour changes or secondary noses with concern for blood supply.
Surgical algorithm: A nose should be thought of as a pyramid and should look good from all angles after a rhinoplasty is completed. My algorithm for rhinoplasty will be discussed.
Conclusion: Ethnic rhinoplasty is a precise and demanding operation due to many factors discussed in this talk. The upside is that if all the considerations are addressed, then our patients will be very happy and have noses that match their identity and sense of beauty.

OMICS International Craniofacial 2018 International Conference Keynote Speaker Santosh Kumar Swain photo
Biography:

Santosh Kumar Swain pursued MS in Otorhinolaryngology from VSS Institute of Medical Sciences and Research, India; completed Senior Residency from Christian Medical College, Vellore, India; passed Diplomate of National Board (DNB) in Otorhinolaryngology. He is the Head of the Department of Otolaryngology and Head-Neck Surgery at the Institute of Medical Sciences and SUM Hospital, Siksha O Anusandhan University, India. He is a Member of National Academy of Medical Sciences, New Delhi. Currently, he is also working as a mentor for the Department of Science and Research Government of India on the research project: “Development of molecular kit to minimize the ciprofloxacin and amoxyclav resistance strains from chronic suppurative otitis media.” He has published more than 70 research articles in peer reviewed journals. In 2017, he was awarded Medical Talent of the Year at New Delhi, India.

Abstract:

Primary laryngeal tuberculosis is a chronic bacterial infection of the larynx by Mycobacterium tuberculosis without affecting the lungs. It is a rare type of extrapulmonary tuberculosis seen in clinical practice. This study aimed to evaluate the clinical presentation, diagnosis, and treatment of primary laryngeal tuberculosis at a tertiary care teaching hospital in eastern India. This is a retrospective study of 11 cases of primary laryngeal tuberculosis managed between December 2013 and January 2018. The detailed clinical presentations, investigations, and treatment of primary laryngeal tuberculosis of the patients were studied. Primary laryngeal tuberculosis is common in men with mean age of 38.63 years. Hoarseness of the voice is the most common symptom, and the most common site for primary laryngeal tuberculosis is the vocal fold with ulcerative lesion. Endoscopic examinations of the larynx in laryngeal tuberculosis are nonspecific and are to be confused with laryngeal cancer. Histopathological and bacteriological examinations are confirmatory tests for the diagnosis. After confirmation of the diagnosis, all patients had taken antitubercular therapy for 6 months, which gave excellent outcome. Delayed diagnosis or untreatable laryngeal tuberculosis will lead to high morbidity and mortality of the patient. Although primary laryngeal tuberculosis has nonspecific clinical presentations, it is very important to have a high index of suspiciousness to rule out tubercular lesion in the larynx as this disease is curable.