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THE 4TH MIDDLE EAST VOICE AND LARYNGOLOGY SYMPOSIUM April 6 - 7, 2019Gefinor Rotana Hotel, Beirut, Lebanon
Organized by The Lebanese Voice Association, in collaboration with The American College of Surgeons, Lebanon Chapter and the Association Libanaise des Orthophonistes
In collaboration with the Continuing Medical Education (CME) Office at the American University of Beirut Medical Center (AUBMC)
SYLLABUS
cme.aub.edu.lb
In collaboration
Copyright 2019 American University of Beirut. All rights reserved.
Message from the Chairman
Dear colleagues and friends,
The complexity of voice as a projection of our well-being and its ever-increasing importance as a meansof communication have inspired many scientificdevelopments in vocal science and laryngology. Physicians of various specialties are becoming moreaware of the broad nature of vocal and laryngeal complaints, a cross-cutting among medical specialties that led to a multidisciplinary approach in the diagnosis and treatment of diseases related to
the laryngopharyngeal complex. Moreover, advances in technology, enhanced surgical skills, and increased patient’s engagement have also fostered a revamp in laryngology practice towards un-sedated office-based practice. This broad perspective in the approach to the dysphonic patients and the strategic reform in management have incentivized the organization of the Fourth Middle East Voice and Laryngology symposium, the official annual meeting of the Lebanese Voice Association.
It gives me great pleasure to welcome you to this event. The four main themes of this year’s scientific program are; updates in diagnosis and treatment of dysphagia, controversies in the management of early glottic carcinoma, the echo of gravity on body and voice with emphasis on voice lift, and last but not least, the approach to laryngeal movement disorders. We are very fortunate to have with us locally and internationally renowned guest speakers in various medical fields including laryngology; they will be sharing their expertise and distinguished knowledge.
The scientific program will also offer a pedestal for residents, investigators andphysicians to present their research projects and benefit from “The Robert T. Sataloff Award” for the best scientific research project in the field of laryngology and voice. “The Robert T. Sataloff Award” for young investigators has been established in 2017 in recognition of Dr. Robert T. Sataloff distinguished contribution to the field of voice science and laryngology and to his inspiration as an educator and researcher to many generations and colleagues.
Please join us in this exceptional yearly event in the realm of an exceptional city, Beirut. We look forward to your presence and active contribution.
Abdul-Latif Hamdan, MD, EMBA, MPH, FACS Head, Division of LaryngologyDirector of “Hamdan Voice Unit”Otolaryngology Head and Neck Surgery
Message from President of the American College of Surgeons, Lebanon Chapter
Dear colleagues and friends,
The Lebanon Chapter of the American College of Surgeons continues to promote the art and science of Surgery in Lebanon. Our annual meetings aim to gather surgeons of various specialties in a multifaceted scientific day to present short topics of mutual interest. This year we joined with the Lebanese Voice Society to present a very diversified program that focuses on changes and diseases
occurring with aging on the larynx, voice and face. The presentations are focused and short but will enable to attendees to learn about the latest developments in the subjects. The speakers have diversified background and experiences which will help to shape the learning experience and strengthen the ties among different surgeons and physicians in Lebanon. This aspect is at the heart of the College’s mission. I would like to encourage all of our college fellows and attendees alike to invite their colleagues and residents to be part of this scientific activity. I am looking forward to seeing you all and wish you a very successful conference.
Sincerely,
Ahmad Zaatari, MDPresident of the American College of Surgeons, Lebanon Chapter
Message from the LVA President
Dear colleagues and friends,
We are announcing with great honor and pleasure our 4th Middle East Voice and Laryngology Symposium that will be held on the 6th and 7th of April, 2019. This yearly scientific activity has been organized by the Lebanese Voice Association in collaboration with the American College of Surgeons – Lebanon Chapter – and the Association Libanaise des Orthophonistes (ALO).
The 4th Middle East Voice and Laryngology Symposium will be tackling reform in laryngology practice and will be including an updated and effective insight into the latest surgical and non-surgical approaches in the management of laryngeal diseases and vocal disorders. The comprehensive program of this year Symposium held by the dynamic and hard-working organizing committee comprises four Medical sessions covering the most current themes: ‘Dysphagia – Update in Diagnosis and Management’, ‘Early Glottic Cancer; The current stance’, ‘The Echo of Gravity; Body and Voice’ and ‘Laryngeal Movement Disorders’.
The symposium will also provide residents and young researchers the opportunity to present research projects in the field of Laryngology and Voice with the purpose of winning the ‘Robert T. Sataloff’ Award” granted to the best scientific research study.
Last but not least, we’d like to extend a very warm welcome to all participants including our distinguished scholars of national and international reputation for joining such a remarkable event to share their expertise with leading edge knowledge encompassing a broad spectrum in the Laryngology/Voice field. Beirut – The vibrant, diverse and friendly city of the Lebanon – is expecting you.
We’re looking forward to the key elements to a successful meeting, your substantial presence and your active contribution.
Yours sincerely,
Maher Kasti, MD, MHHMPresident of the Lebanese Voice Association Head of Otolaryngology Head & Neck Department Rafic Hariri University Hospital (RHUH) Clinical AssociateOtolaryngology Head & Neck surgery American University of Beirut, Lebanon
Message from the President of ALO
Dear colleagues and friends,
It is a great pleasure to meet around The Fourth Middle East Voice & Laryngology Symposium. This year’s version successfully manages to gather a panel of international and local experts, with one goal in mind: scientific development. The Lebanese Speech-Language Association ALO is thankful once again for the positive collaboration with the Lebanese Voice Association, and The American College of Surgeons – Lebanon Chapter. It’s a reminder for us that working hand in hand can’t be but fruitful.
This year’s symposium is structured around 4 main themes. And we are so happy to see dysphagia joining the other voice-related topics: early glottic cancer, the ageing voice, and the laryngeal movement disorders. As usual, through focusing on the interdisciplinary input in the diagnosis and treatment, we promise to present to you a space for reflection and learning, lead by our speakers and enriched by the participation of every specialist and student.
The presence of a voice therapist in every session will offer us an updated review on the latest findings in research, and provide us with a closer look on the best practices in Lebanon and around the world, our intervention being an inseparable element in the holistic case management.
And to extend the learning process, we are offering a specialized workshop “Dysphagia: Diagnosis and Treatment”. We hope it will allow our specialists to better detect, analyze, evaluate, and plan rehabilitation, and open the discussion for the professional challenges and achievements across the different structures of work.
Allow me in this occasion, to thank ALO’s active Voice Committee, and all its members. The efforts you put in the preparation phase, allowed us to reach today’s plan. And to every voice therapist speaker, from Luxembourg and Lebanon, for the enriching share of knowledge you had the generosity to make. And last but not least, to our friends, colleagues and collaborators, for working together towards the same goal.
Good luck to all of us, turning this symposium into a successful and positive space. May our concerns in the development of voice rehabilitation be met in the different discussions.
Sincerely,
Tarek FÉGHALISpeech-Language TherapistPresident of the Lebanese Speech-Language Association
General InformationOverview
The scientific program of this symposium has been tailored to address the cross- cutting challenges and major reform in laryngology practice with special focus on the diagnostic work-up and management of dysphagia, office-based treatment of leukoplakia and early glottic cancer, the aging voice and the role of the otolaryngologist in managing laryngeal movement disorders. This symposium also offers an environment conducive of scientific exchange while providing students, researchers, and physicians in the field of voice and laryngology the opportunity to present their scientific findings and win “The Robert T. Sataloff Award”designed to recognize the distinguished work of young and senior investigators.
Learning Objectives
1. Provide an interdisciplinary approach for the diagnosis and management of dysphagia
2. Relate the most recent developments and challenges in the treatment of early glottic cancer
3. Highlight advances in office-based treatment of laryngeal movement disorders4. Introduce current innovations in the management of the elderly voice
Target Audience
The target audience of the 4th Middle East Voice and Laryngology Symposium includes otolaryngologists and laryngologists who treat patients with dysphonia in addition to voice therapists and speech language pathologists who are actively involved in the management rehabilitation of the elderly voice.
Venue This symposium will be held at Gefinor Rotana Hotel, Beirut, Lebanon.
Lebanese Order of Physicians Accreditation Statement
The 4th Middle East Voice and Laryngology Symposium complies with the Lebanese Order of Physicians Continuing Medical Education guidelines
Registration
Registration for this symposium is free.
Chairman and Activity Director
Abdul-Latif Hamdan, MD, EMBA, MPH, FACSProfessor Head, Division of LaryngologyDirector of “Hamdan Voice Unit”Otolaryngology Head and Neck SurgeryAmerican University of Beirut Medical Center
Organizing Committee
Maher Kasty, MD, MHHM
Ghassan Nawfal, MD
Ahmad Zaatari, MD
Tarek Feghali, SLP
Nayla Mattar, MD
Jihad Ashkar, MD
Raja Fakhoury, MD
Mireille Eid, SLP
Faculty
Abdul-Latif Hamdan, MD, EMBA, MPH, FACS Head, Division of LaryngologyDirector of “Hamdan Voice Unit”Otolaryngology Head and Neck SurgeryAUBMCBeirut, Lebanon
Ahmad Zaatari, MDPlastic SurgeonHammoud HospitalSaida, Lebanon
Alaa Sharara, MDProfessorInternal MedicineAUBMCBeirut, Lebanon
Amr El Badrawy, MDProfessor of Otolaryngology Director of Officebased Laryngology Unit at Kasr Al Aini Hospital Cairo University, Egypt
Anita El Hajj, SLPInstructorPhoenicia UniversitySpeech, Voice & Swallowing Therapist Clemenceau Medical CenterBeirut, Lebanon
Antoine Jacklis, MDOtolaryngology Head and Neck SurgerySaint George Hospital UniversityBeirut, Lebanon
Batoul Jaber, SLPMasters in Speech and Language PathologyInstructor at the Islamic University of LebanonBeirut, Lebanon
Bassam Romanos, MDOtolaryngology Head and Neck SurgerySaint Joseph HospitalMetn, Lebanon
Charbel Rameh, MDOtolaryngology Head and Neck SurgeryMount Lebanon HospitalHazmeyeh, Lebanon
Hamoud Alarouj, MD Laryngologist, ENT consultantFarwaniya HospitalFarwaniya, Kuwait
Hana Ghazi, MDOtolaryngology Head and Neck SurgeryHayek HospitalTripoli, Lebanon
Ihab El Hajj, MDGastroSaint George Hospital UniversityBeirut, Lebanon
Jean Abitbol, MDProfessor of Otolaryngology, Head and Neck SurgeonPhoniatician and Laser & SpecialistParis, France
Jihad Ashkar, MDOtolaryngology Head and Neck SurgeryClemenceau Medical CenterBeirut, Lebanon
Laeticia Welsch, SLP Centre Hospitalier of Luxembourg
Maher Kasti, MD, MHHMPresident of the Lebanese Voice Association Head of Otolaryngology Head & Neck Department Rafic Hariri University Hospital (RHUH) Clinical AssociateOtolaryngology Head & Neck surgery American University of Beirut, Lebanon
Marc Murad, MDResidentOtolaryngology Head and Neck SurgeryAmerican University of Beirut Medical CenterBeirut, Lebanon
Marc RemacleResponsable des troubles de la voix et de la déglutitionService ORL et Chirurgie Cervico- FacialeCHL, Luxembourg
Michael S. Benninger, MDChairman, Head and Neck InstituteProfessor of SurgeryLerner College of MedicineThe Cleveland ClinicCleveland, USA
Mireille Eid, SLPLecturer and Supervisor Lebanese UniversityVoice TherapistTrainer of SLPs in the Voice Therapy Field, Speaking and Singing VoiceSacré Cœur HospitalBeirut, Lebanon
Nayla Matar, MDOtolaryngology Head and Neck SurgeryHotel Dieu de FranceBeirut, Lebanon
Raja Fakhoury, MDAssistant ProfessorOtolaryngology Head and Neck SurgerySaint George Hospital UniversityBeirut, Lebanon
Rami Saadeh, MDOtolaryngology Head and Neck SurgeryMount Lebanon HospitalHazmeyeh, Lebanon
Ramzi Younes, MDProfessorOtolaryngology Head and Neck SurgeryAUBMCBeirut, Lebanon
Randa Barazi, MDAssistant ProfessorOtolaryngology Head and Neck SurgeryAmerican University of Beirut Medical CenterBeirut, Lebanon
Sami Saad, MDPlastic, Reconstructive & Aesthetic surgeryHamra, Lebanon
Wael Kabalan, MDOtolaryngology Head and Neck SurgeryCMCBeirut, Lebanon
Scientific Program
Day 1: Saturday, April 6, 2019
8:00 - 8:45 REGISTRATION AND COFFEE
8:45 - 9:00 Welcome noteAbdul-Latif Hamdan (Chairman), Maher Kasti (LVA-President), Ahmad Zaatari (ACS, Lebanon Chapter-President), Tarek Feghali (ALO-President)
9:00 - 10:20 Medical Session I: Dysphagia; Update in Diagnosis and Management
Chairman: Ghassan Nawfal, MD Moderators: Amr El Badrawy, MD; Mulham Jaber, MD;Zeina Attieh, SLP.
9:00 - 9:10 Diagnostic Work-up of DysphagiaMaher kasty, MD
9:10 - 9:20 Esophagoscopy in Patients with DysphagiaAlaa sharara, MD
9:20 - 9:30 Upper Esophageal Sphincter Dysfunction in Patients with Dysphagia Wael Kabalan, MD
9:30 - 9:40 Structural Pathologies Leading to DysphagiaMarc Remacle, MD
9:40 - 9:50 Endoscopic Treatment of Dysphagia Ihab El hajj, MD
9:50 - 10:00 Dysphagia Across Various Head and Neck Cancer Treatment Modalities
Rami Saadeh, MD
10:00 - 10:10 Role of Speech Language Pathologists in the Management of Dysphagia
Anita El Hajj, SLP 10:10 - 10:20 Q & A
10:20 - 10:30 COFFEE BREAK
10:30-11:50 Medical Session II: Early Glottic Cancer; The Current Stance ?
Chairman: Roger Mukarbel, MD. Moderator; Melhem Samara, MD; Ali Sabayon, MD; Zahya Ghaddar, SLP
10:30 - 10:40 Laryngeal Endoscopy in Early Glottic CancerHana Ghazi, MD
10:40 - 10:50 Office- based Approach to LeukoplakiaA. Hamdan, MD
10:50 - 11:00 Laser Therapy for Early glottis CarcinomaJean Abitbol, MD
11:00-11:10am Endoscopic Management of Glottis Lesions Michael Beninger, MD
11:10 - 11:20 Coblation/Cautery for Early Glottic Cancer Bassam Romanos, MD
11:20 - 11:30 Voice Outcome Following Cordectomy: Prognostic Factors.Nayla Matar, MD
11:30 - 11:40 Vocal Rehabilitation Following CordectomyBatoul Jaber, SLP
11:40 - 11:50 Q & A
11:50 - 12:10 Case DiscussionModerator: Abdul-Latif Hamdan, MDPanelists: Michael Benninger, MD; Jean Abitbol, MD;Marc Remacle, MD.
12:10 - 1:30 Book Signing “Laryngeal Manifestations of Systematic Diseases”Abdul-Latif Hamdan, Robert T. Sataloff, MaryJ. Hawkshaw
LUNCH
1:30 - 2:50 Medical Session III: The Echo of Gravity; body and voice
Chairman: Ahmad Zaatari, MDModerators: Michel El Hajj, MD; Elie Akl, MD; Nathalie Sakr, SLP
1:30 - 1:40 The Aging Face; Optics and IllusionsAhmad Zaatari, MD
1:40 - 1:50 Presbyphonia: Diagnosis and Pathophysiology Raja Fakhoury, MD
1:50-2:00 Laryngeal Framework Surgery in Elderly Marc Murad, MD
2:00 - 2:10 Facial Rejuvenation Sami Saad, MD
2:10 - 2:20 Voice Lift; Why Not? Jean Abitbol, MD
2:20 - 2:30 Regenerative MedicineAntoine Jacklis, MD
2:30 - 2:40 The Wobbly Voice and the Voice TherapistLaeticia Welsch, SLP
2:40 - 2:50 Q & A
2:50 - 3:00 COFFEE BREAK
3:00 - 4:10 Medical Session IV Laryngeal Movement Disorders
Chairman: Zeina Kurban, MDModerators: Hamoud Alarouj, MD; Samer Serhal, MD; Leslie Akl, SLP
3:00 - 3:10 Office-based Therapy of Laryngeal Movement DisordersMike Benninger, MD
3:10 - 3:20 The Frozen Larynx; What to Do? Charbel Rameh, MD
3:20 - 3:30 Spasmodic Dysphonia: Update Jihad Ashkar, MD
3:30 - 3:40 Paradoxical Vocal Fold Movement: Fictitious StridorRanda Barazi, MD
3:40 - 3:50 Dysphonia in Parkinson’s DiseaseMarc Remacle, MD
3:50 - 4:00 Psychogenic DysphoniaRamzi Younis, MD
4:00 - 4:10 Role of SLP in the Management of the Shaky Larynx; Mireille Eid, SLP
4:10 - 5:10 The “ Robert. T. Sataloff “ Award Presentation Abstracts presentation
Transoral Fiberoptic Laser Therapy: An Alternative Approach in Office-based Laryngeal Surgery Abdul-Latif Hamdan, MD; Elie Khalifee, MD; Anthony Ghanem, MD.
Tolerability of the Transoral Fiberoptic Approach in Un-sedated Office-Based Laryngeal SurgeryAbdul-Latif Hamdan, MD; Elie Khalifee, MD; Anthony Ghanem, MD.
Oropharyngeal Dysphagia in a Tertiary Referral Medical Center: An Epidemiological Study:H.Smaily, MD; P.Cherfane, MD; C.Hanna, MD; N.Matar, MD.
Volumetric Measures of the Paralyzed Vocal Fold Using Computerized Tomography: Clinical Implications in Injection LaryngoplastyAbdul-Latif Hamdan, MD; Karl Asmar, MD; Elie Khalifee, MD; Roula Hourany, MD.
Diagnostic Yield of Office-based Laryngeal Biopsy in Patients with LeukoplakiaAbdul-Latif Hamdan, Elie Khalifee, MD; Anthony Ghanem, MD.
Cost of Treatment of Early Laryngeal Cancer: A Comparison Between CO2 Transoral Laser Microsurgery and Radiation Therapy: Patrick Cherfane, MD; Hussein Smaily, MD; Tony Richa, MD; Mariane Dgheim, MD; Nayla Matar, MD, PhD.
Prevalence of Dysphagia in Patients with MTD: Abdul-Latif Hamdan, MD; Elie Khalifee, MD; Hussein Jaffal, MD; Anthony Ghanem, MD; Bakr Saridar, MD.
Award Submission Professor Michael Benninger
Day 2: Sunday, April 7, 2019
8:30 -12:00 Dysphagia workshop SLP Laeticia Welsch
International Speakers
Professor Jean Abitbol, MDProfessor of Otolaryngology, Head and Neck SurgeonPhoniatician and Laser & SpecialistParis, France
Professor Michael S. Benninger, MDChairman, Head and Neck InstituteProfessor of Surgery Lerner College of MedicineThe Cleveland ClinicCleveland, USA
Professor Marc RemacleResponsable des troubles de la voix et de la déglutitionService ORL et Chirurgie Cervico- FacialeCHL, Luxembourg
International Speakers
Laeticia Welsch, SLP Centre Hospitalier of Luxembourg
Amr El Badrawy, MDProfessor of Otolaryngology Director of Officebased Laryngology Unit at Kasr Al Aini Hospital Cairo University, Egypt
Hamoud Alarouj, MD Laryngologist, ENT consultantFarwaniya HospitalFarwaniya, Kuwait
The Robert T. Sataloff Award
Robert T. Sataloff, MD, D.M.A, F.A.C.SRobert Sataloff is Professor and Chairman, Department of Otolaryngology-Head and Neck Surgery and SeniorAssociate Dean for Clinical Academic Specialties, DrexelUniversity College of Medicine. He is also Adjunct Professor in the Departments of Otolaryngology – Head and Neck Surgery at Thomas Jefferson University and the University of Pennsylvania, as well as Adjunct Clinical Professor at Temple University and the Philadelphia College of Osteopathic Medicine; and he is a member
of the Faculty of the Academy of Vocal Arts. He serves as conductor of the ThomasJefferson University Choir. Dr. Sataloff is also a professional singer and singingteacher. He holds an undergraduate degree from Haverford College in MusicTheory and Composition; he graduated from Jefferson Medical College, Thomas Jefferson University and received a Doctor of Musical Arts in Voice Performance from Combs College of Music. He completed residency in Otolaryngology - Head and Neck Surgery and a Fellowship in Otology, Neurotology and Skull Base Surgeryat the University of Michigan.
Dr. Sataloff is Chairman of the Board of Directors of the Voice Foundation and the American Institute for Voice and Ear Research. In addition to directing all aspects of these two non-profit corporations, he has led other non-profit and for-profit enterprises. He has been Chairman and Chief Executive of a multi-physician medical practice for over 30 years, and he served as Vice President of Hearing Conservation Noise Control, Inc. from 1981 until the time of its sale in 2003. He hasalso served as Chairman of the Board of Governors of Graduate Hospital, President of the American Laryngological Association, the International Association of Phonosurgery, and the Pennsylvania Academy of Otolaryngology – Head and Neck Surgery, The American Society of Geriatric Otolaryngology, and numerous other leadership positions.
Dr. Sataloff is Editor-in-Chief of the Journal of Voice, Editor-in-Chief of Ear, Nose and Throat Journal, Associate Editor of the Journal of Singing, and on the editorial boards of numerous otolaryngology journals. He has written approximately 1,000 publications, including 61 books, and has been awarded more than $5 million inresearch funding. His medical practice is limited to care of the professional voiceand to otology/neurotology/skull base surgery. Dr. Sataloff has developed numerous novel surgical procedures including total temporal bone resection for formerly untreatable skull base malignancy, laryngeal microflap and mini-microflap procedures, vocal fold lipoinjection, vocal fold lipoimplantation, and others. He has invented The Robert T. Sataloff Award approximately 100 laryngeal microsurgical instruments produced by Integra Medical, ossicular replacement
prostheses produced by Grace Medical, and novel laryngeal prostheses with Boston Medical. Dr. Sataloff is recognized as one of the founders of the field of voice, having written the first modern comprehensive article on care of singers, and the first chapter and book on care of the professional voice, as well as having influenced the evolution of the field through his own efforts and through the Voice Foundation for nearly 4 decades. He has been involved extensively throughout his career in education, including development of new curricula for graduate education.
Dr. Sataloff has been instrumental in training not only residents but also fellows and visiting laryngologists.
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For more information about this activity, please contact:
Continuing Medical Education OfficeAmerican University of Beirut Medical CenterP.O. Box 11-236 Riad El SolhBeirut 1107 2020LebanonTel: +961-1-350 000 ext. 4717-4752Fax: +961-1-744 467Email: [email protected] Web: http://cme.aub.edu.lb
