Rhinology Track

Key Topics:

  • New Concepts in Management of CRS with & without Nasal Polyps
  • How to Manage Resistant & Difficult to Treat Sinus Cases?
  • Advanced Endoscopic Sinus Procedures: Key Steps and Tricks 
  • Endoscopic Surgery & Reconstruction of Anterior Skull Base
  • Endoscopic Trassellar &Transplanum Approaches: How Experts Do it?

Benefits of attending:

  • Apply novel tools and techniques to improve the overall health and quality of life for people treated by Otolaryngologists
  • Improve the standard of care in by gaining a critical toolkit of current research and advances in otolaryngology
  • Achieve competence in performing diagnostics and treatment measures to deliver better quality service to otolaryngology patients
  • Review current indications of newly developed products and devices and integrate these advances correctly to clinical practice
  • Access research backed medical practices that will shorten the patient’s hospital stay, recovery time and associated costs

 

Conference Chair:
Dr Islam Herzallah MD, PhD, Associate Professor and Consultant of Rhinology & Endoscopic Skull Base Surgery, King Abdullah Medical City, Makkah, KSA & Zagazig University, Egypt 

Featured Speakers:

  • Prof Claire Hopkins, ENT Consultant, Guy’s and St’ Thomas Hospital NHS Foundation Trust, London, UK
  • Prof Dr Isam Alobid, Specialist, Rhinology Unit & Smell Clinic, ENT Department, Hospital Clinic, Professor of Otolaryngology, Department of Surgical Sciences, University of Barcelona, Barcelona, Spain
  • Dr Roy R Casiano, Professor and Vice Chairman, Director: Rhinology and Endoscopic Skull Base Program, Department of Otolaryngology, Head & Neck Surgery, University of Miami, Miller School of Medicine, Miami, Florida, USA
  • Prof Dr Michael Benninger, Chairman, Head and Neck Institute, Cleveland Clinic, Ohio, Professor of Surgery, Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, Ohio, USA

 

Call us on +971 (0) 4 336 7334 for more information or email me-oto@informa.com

DAY 1: Sunday, 1st April 2018

 

09:15 -- Opening Remarks -- Islam Herzallah
 
Updates in CRS and nasal polyp management
Moderator: Islam Herzallah
 
09:30 -- Medically resistant CRS: 2018 update of the allergy & immunology role -- Mohannad Alqudah
 
09:45 -- Early surgical intervention in CRS cases: When & Why -- Michael Benninger
 
10:00 -- Sinonasal disease and olfactory disorders: Understanding the evidence -- Saad Alsaleh
 
10:15 -- Panel discussion: Clinical scenarios in CRS cases with and without polyps: How experts would manage?
Moderator: Claire Hopkins
Panelists: Michael Benninger, Roy Casiano, Isam Alobid, Samy Elwany, Islam Herzallah

11:00 -- Coffee Break



The frontal sinus
Moderator: Michael Benninger
 
11:30 -- Frontal sinus surgery: From balloons to drill-outs -- Roy Casiano
 
11:45 -- A stepwise approach to frontal sinus surgery -- Claire Hopkins
 
12:00 -- Endoscopic modified Lothrop procedure: How we do it? -- Ghassan Alokby
 
12:15 -- Panel discussion: Surgical scenarios in frontal sinus cases: How experts would manage?
Moderator: Islam Herzallah
Panelists: Claire Hopkins, Isam
Alobid, Mona Ashoor, Saad Alsaleh, Mohannad Alqudah

13:15 -- Q & A 

13:30 -- Lunch Break



Technical tips in sinonasal surgery 
Moderator: Omar AbuSuliman
 
15:00 -- Pearls and pitfalls in FESS -- Claire Hopkins
 
15:15 -- Instructional course: Navigating without a navigator: Endoscopic landmarks for polyps and
revision surgery -- Roy Casiano
 
15:45 -- Sinonasal complications of dental diseases -- Samy Elwany
 
16:00 -- Septal perforation: State of the art -- Isam Alobid
 
16:15 -- Research presentation: Nasal septal surgeries with and without nasal splits -- Arif Raza Khan

16:25 -- Q&A 

16:30 -- Coffee Break

 

The inferior turbinate
Moderator: Mohammad Al-Bar
 
17:00 -- Medial flap inferior turbinoplasty; My preferred technique over the past 10 years -- Mona
Ashoor
 
17:15 -- Research presentation: Powered endoscopic turbinolplasty - a clinical
study -- Sajad Alhelo
 
17:25 -- Research presentation:  A comparative study between partial inferior turbinectomy and powered
endoscopic turbinoplasty -- Wasam A. Albusalih
 
17:35 -- Research Presentation:Cryoneurectomy of Vidian nasal branches update – A simple modality of office
treatment for vasomotor rhinitis a novel method --  Farooq Khan
 

17:50 -- Q & A

18:00 -- End of Day

DAY 2: Monday, 2nd April 2018

 

Anterior skull base surgery
Moderator: Samy Elwany
 
09:00 -- Endoscopic anterior skull base surgery: How I do it -- Mohammad Albar
 
09:15 -- Pedicle flaps for skull base reconstruction --Isam Alobid
 
09:30 -- New advances in endoscopic skull base surgery -- Roy Casiano
 
09:45 -- Endoscopic skull base surgery: Learning curve in an academic institute -- Mona Ashoor
 
10:00 -- Management of carotid artery injury -- Roy Casiano
 
10:15 -- Panel discussion: An anterior skull base case and what experts would do
Moderator: Mohammad Albar
Panelists: Roy Casiano, Isam Alobid, Ghassan Alokby, Saad Alsaleh

11:00 -- Coffee Break



CSF Rhinorrhea
Moderator: Saad Alsaleh
 
11:30 -- Traumatic CSF
leaks: Our protocol -- Samy Elwany
 
11:45 -- Closure techniques
in CSF rhinorrhea -- Islam Herzallah
 
12:00 -- Research presentation:  Successful
endoscopic repair of spontaneous CSF rhinorrhea: An institutional experience --  Sara Rayed Alsaleh
 
12:10 -- Research presentation:  Endoscopic endonasal repair
of sphenoid cerebrospinal fluid Leak -- Isra Ali Al-Jazeeri, Hazim Aleid
 
12:20 -- Panel discussion: CSF rhinorrhea: Cases and how to manage
Moderator: Ghassan Alokby

Panelists: Roy Casiano, Claire Hopkins, Islam Herzallah, Mona Ashoor, Omar AbuSuliman

13:20 -- Q & A 

13:30 -- Lunch Break



Office-based rhinology
Moderator: Ghassan Alokby
 
15:00 -- In-office procedures in rhinology: Feasibility vs efficacy? -- Roy Casiano
 
15:15 -- Use of topical anesthetics in the ENT office prior to endoscopic procedures
with diagnostic purpose -- Annelyse Cristine Ballin
 
15:30 -- Sphenopalatine ganglion block: A minimally invasive novel technique -- Mohannad Alqudah
 
15:45 -- Panel discussion: Rhinology clinic: What is the best setting?
Moderator: Omar AbuSuliman
Panelists: Roy Casiano, Isam Alobid, Samy Elwany, Mohannad Alqudah, Michael Benninger

16:30 -- Coffee Break



Selected topics in rhinology
Moderator: Mohammad Al-Bar
 
17:00 -- Allergic fungal rhinosinusitis in children -- Ali Alzarei
 
17:15 -- Rhinology and Olfactology: For better practice in Saudi Arabia -- Naif Alshiblan Alotaibi
 
17:30 -- Research Presentation:  Extended axillary flap: Effective pedicle flap for anterior
skull base reconstruction -- Humaid  Alhumaid

17:45 -- Management of sinonasal neoplasms: Endonasal versus external approaches -- Mohsen Naraghi

18:00 -- End of Day

 

 

 

DAY 3: Tuesday, 3rd April 2018

 

Updates in CRS management
Moderator: Mona Ashoor
 
09:00 -- Update on medical management in CRS -- Claire Hopkins
 
09:15 -- Allergy testing and the role of component testing -- Michael Benninger
 
09:30 -- Research presentation: Rush immunotherapy: The optimal way for the busy patient -- Saied Alhabash
 
09:40 -- The correlation of vitamin D3 level and Lund Mackay score in patients with chronic rhinosinusitis -- Ahmed Athab Mayan
 
09:50 -- Panel discussion: Management scenarios in sinonasal cases: What experts would do?
Moderator: Mona Ashoor
Panelists: Claire Hopkins, Roy Casiano, Saad Alsaleh, Ghassan Alokby, Ali Alzarei

10:50 -- Q & A

11:00 -- Coffee Break



Nasal masses
Moderator: Mohannad Alqudah
 
11:30 -- Management of inverted papilloma: Changing paradigm? -- Roy Casiano
 
11:45 -- Olfactory neuroblastoma -- Isam Alobid
 
12:00 -- Research presentation: Smoked cooked meat as a risk factor for nasopharyngeal carcinoma: A case control study among Saudi populations -- Khalid Hakami
 
12:15 -- Panel discussion: How to manage this nasal mass?
Moderator: Saad Alsaleh
Panelists: Claire Hopkins, Roy Casiano, Saad Alsaleh, Mohammad Albar, Khalid Hakami

13:15 -- Q & A 

13:30 -- Lunch Break


All about endoscopic DCR
Moderator: Isam Alobid
 
15:00 -- Preoperative evaluation of epiphora & choosing the right patient -- Somaya T. Hanafi
 
15:15 -- No more tears: Detailed anatomy of the lacrimal system and how to perform endo-DCR -- Chucri Hamasni
 
15:30 -- Research presentation: Endoscopic DCR: A 10-year personal experience -- Basil Saeed
 
15:45 -- Research presentation: Bilateral endoscopic DCR: Our experience and outcome -- Noha Faraj
 
16:00 -- Lecture with panel discussion:  Endoscopic DCR: Lessons learned from 200
cases (Interactive lecture with panelists input)
Presenter: Islam Herzallah
Panelists:  Isam Alobid, Omar AbuSuliman, Chucri
Hamasni, Somaya Hanafi, Basil Saeed

16:30 -- Coffee Break

17:00 --  Endoscopic sinus surgery: How I do it?
               Moderator: Islam Herzallah

               Full Case, step by step, video demonstration of how to perform endoscopic sinus surgery -- Roy Casiano

18:00 -- End of conference

   
  • Dr Ali H. Alzraei, Senior Consultant of Sinus and Skull Base Endoscopic Surgery, Consultant of ORLHNS, Director, Saudi Board Program of ORLHNS, Chairman, Local Supervision Committee of ORLHNS program, Southern Region, Riyadh, KSA
  • Dr Annelyse Cristine Ballina, Resident, Faculty of Medicine of Santa Casa of São Paulo, São Paulo, Brazil, Federal University of Parana, Instituto Paranaense de Otorrinolaringologia, Curitiba, PR, Brazil
  • Prof Dr Arif Raza Khan, Chairman, Department of Otorhinolaryngology and Head and Neck Surgery, Khyber Teaching Hospital and Khyber Medical College, Peshawar, Pakistan
  • Dr Basil Mohammed Nather Saeed Saeed, Specialist Otorhinolaryngologist, College of Medicine, University of Mosul, Mosul, Iraq
  • Dr Chucri Hamasni, MD, FACS, Head Of ENT Department, Dr Sulaiman Al Habib Hospital, Olaya, KSA
  • Prof Claire Hopkins, ENT Consultant, Guy’s and St’ Thomas Hospital NHS Foundation Trust, London, UK
  • Dr Farbood Kalantari, Otolaryngologist Head and Neck surgeon , Assistant Professor, Iran University Of Medical Sciences - IUMS, Firoozgar Hospital, Tehran, Iran
  • Dr Farooq Khan, ENT/Endoscopic Sinus Surgeon, Director ENT Department, Khalid Multispecialty Center, Makkah, KSA
  • Dr Ghassan Alokby, MD, Board Certified Otolaryngologist, Fellowship in Rhinology and Endoscopic Skull Base Surgery, Department of Otolaryngology-Head and Neck Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
  • Prof Dr Isam Alobid, Specialist, Rhinology Unit & Smell Clinic, ENT Department, Hospital Clinic, Professor of Otolaryngology, Department of Surgical Sciences, University of Barcelona, Barcelona, Spain
  • Dr Khalid Hakami, Consultant of Rhinology & Skull Base Surgery, Alhada Armed Forces Hospital, Ministry of Defence, Riyadh, KSA
  • Prof Dr Michael Benninger, Chairman, Head and Neck Institute, Professor of Surgery, Lerner College of Medicine, The Cleveland Clinic, Cleveland, Ohio, USA
  • Prof Dr Mohannad Al-Qudah, MD, FACS, FICS, Professor of ORL-HNS, Chairman of Specialized Otolaryngology Scientific Committee, Jordan Medical Council, Amman, Jordan
  • Dr Mohammad Albar, MD, Assistant Professor, Rhinology and Endoscopic Skull Base Surgery, Laryngology and Voice Surgery, Department of Otolaryngology, King Fahad University Hospital, Al Khobar, KSA
  • Dr Mohsen Naraghi, Chairman, Rhinology Research Society, Tehran, Iran
  • Dr Mona Ashoor, Assistant Professor, Department of Ear Nose and Throat, College of Medicine, Dammam University, Dammam, KSA
  • Dr Noha Faraj, Specialist Otolaryngologist, Ministry of Health, Riyadh, KSA
  • Dr Omar Abu Suliman, Consultant, Otolaryngology, Department of Otolaryngology. Head & Neck surgery, King Abdullah Medical City, Makkah, KSA
  • Dr Roy R Casiano, Professor and Vice Chairman, Director: Rhinology and Endoscopic Skull Base Program, Department of Otolaryngology, Head & Neck Surgery, University of Miami, Miller School of Medicine, Miami, Florida, USA
  • Dr Saad Alsaleh, MBBS FRCSC, Consultant, Assistant Professor, Rhinology and Skull Base Surgery, Chairman, Otolaryngology - Head & Neck Surgery Department, King Saud University Medical City, Riyadh, KSA
  • Dr Saied Alhabash, ENT consultant, Medcare Sharjah Hospital, Sharjah, UAE
  • Dr Sajad Al-Helo, Consultant ORL-HNS, Chief of Arabic Board, Najaf Center, Najaf, Iraq
  • Prof Dr Samy Elwany, MD, FACS, President, Egyptian Society of Otolaryngology, Professor, Past Chairman of Department of Otolaryngology, Alexandria Medical School, Member, Collegium of Otolaryngology - CORLAS, Chairman, Alexandria Society of Rhinology – RhinoAlex, Cairo, Egypt
  • Dr Wasam A. Albusalih, MB.CH.B. C.A.B.M. OTL, Head & Neck Surgery, Diwnyia Teaching Hospital, Diwanyia, Iraq

 

  • Dr Ali H. Alzraei, Senior Consultant of Sinus and Skull Base Endoscopic Surgery, Consultant of ORLHNS, Director, Saudi Board Program of ORLHNS, Chairman, Local Supervision Committee of ORLHNS program, Southern Region, Riyadh, KSA
  • Dr Annelyse Cristine Ballina, Resident, Faculty of Medicine of Santa Casa of São Paulo, São Paulo, Brazil, Federal University of Parana, Instituto Paranaense de Otorrinolaringologia, Curitiba, PR, Brazil
  • Prof Dr Arif Raza Khan, Chairman, Department of Otorhinolaryngology and Head and Neck Surgery, Khyber Teaching Hospital and Khyber Medical College, Peshawar, Pakistan
  • Dr Basil Mohammed Nather Saeed Saeed, Specialist Otorhinolaryngologist, College of Medicine, University of Mosul, Mosul, Iraq
  • Dr Chucri Hamasni, MD, FACS, Head Of ENT Department, Dr Sulaiman Al Habib Hospital, Olaya, KSA
  • Prof Claire Hopkins, ENT Consultant, Guy’s and St’ Thomas Hospital NHS Foundation Trust, London, UK
  • Dr Farbood Kalantari, Otolaryngologist Head and Neck surgeon , Assistant Professor, Iran University Of Medical Sciences - IUMS, Firoozgar Hospital, Tehran, Iran
  • Dr Farooq Khan, ENT/Endoscopic Sinus Surgeon, Director ENT Department, Khalid Multispecialty Center, Makkah, KSA
  • Dr Ghassan Alokby, MD, Board Certified Otolaryngologist, Fellowship in Rhinology and Endoscopic Skull Base Surgery, Department of Otolaryngology-Head and Neck Surgery, Prince Sultan Military Medical City, Riyadh, Saudi Arabia
  • Prof Dr Isam Alobid, Specialist, Rhinology Unit & Smell Clinic, ENT Department, Hospital Clinic, Professor of Otolaryngology, Department of Surgical Sciences, University of Barcelona, Barcelona, Spain
  • Dr Khalid Hakami, Consultant of Rhinology & Skull Base Surgery, Alhada Armed Forces Hospital, Ministry of Defence, Riyadh, KSA
  • Prof Dr Michael Benninger, Chairman, Head and Neck Institute, Professor of Surgery, Lerner College of Medicine, The Cleveland Clinic, Cleveland, Ohio, USA
  • Prof Dr Mohannad Al-Qudah, MD, FACS, FICS, Professor of ORL-HNS, Chairman of Specialized Otolaryngology Scientific Committee, Jordan Medical Council, Amman, Jordan
  • Dr Mohammad Albar, MD, Assistant Professor, Rhinology and Endoscopic Skull Base Surgery, Laryngology and Voice Surgery, Department of Otolaryngology, King Fahad University Hospital, Al Khobar, KSA
  • Dr Mohamed Hassan AbdAllah Hassan, Assistant Lecturer, Otorhinolaryngology Department, Ain Shams University, Cairo, Egypt
  • Dr Mohsen Naraghi, Chairman, Rhinology Research Society, Tehran, Iran
  • Dr Mona Ashoor, Assistant Professor, Department of Ear Nose and Throat, College of Medicine, Dammam University, Dammam, KSA
  • Dr Noha Faraj, Specialist Otolaryngologist, Ministry of Health, Riyadh, KSA
  • Dr Omar Abu Suliman, Consultant, Otolaryngology, Department of Otolaryngology. Head & Neck surgery, King Abdullah Medical City, Makkah, KSA
  • Prof Dr Osama Marglani, Professor, Umm Al-Qura University, ENT Surgeon, King Abdullah Medical City, Makkah, KSA
  • Prof Dr Peter Catalano, MD, FACS, FARS, Chief of Otolaryngology, St. Elizabeth's Medical Center, Professor of Otolaryngology, Tufts University School of Medicine, Medical Director of Research, Steward Health Care, Medford, Massachusetts, USA
  • Dr Roy R Casiano, Professor and Vice Chairman, Director: Rhinology and Endoscopic Skull Base Program, Department of Otolaryngology, Head & Neck Surgery, University of Miami, Miller School of Medicine, Miami, Florida, USA
  • Dr Saad Alsaleh, MBBS FRCSC, Consultant, Assistant Professor, Rhinology and Skull Base Surgery, Chairman, Otolaryngology - Head & Neck Surgery Department, King Saud University Medical City, Riyadh, KSA
  • Dr Saied Alhabash, ENT consultant, Medcare Sharjah Hospital, Sharjah, UAE
  • Dr Sajad Al-Helo, Consultant ORL-HNS, Chief of Arabic Board, Najaf Center, Najaf, Iraq
  • Prof Dr Samy Elwany, MD, FACS, President, Egyptian Society of Otolaryngology, Professor, Past Chairman of Department of Otolaryngology, Alexandria Medical School, Member, Collegium of Otolaryngology - CORLAS, Chairman, Alexandria Society of Rhinology – RhinoAlex, Cairo, Egypt
  • Dr Sara AlQuorain, ENT Demonstrator, Resident Physician, Dammam University, Dammam KSA
  • Dr Wasam A. Albusalih, MB.CH.B. C.A.B.M. OTL, Head & Neck Surgery, Diwnyia Teaching Hospital, Diwanyia, Iraq

 

  • Dr Ali H. Alzraei, Senior Consultant of Sinus and Skull Base Endoscopic Surgery, Consultant of ORLHNS, Director, Saudi Board Program of ORLHNS, Chairman, Local Supervision Committee of ORLHNS program, Southern Region, Riyadh, KSA
  • Dr Annelyse Cristine Ballina, Resident, Faculty of Medicine of Santa Casa of São Paulo, São Paulo, Brazil, Federal University of Parana, Instituto Paranaense de Otorrinolaringologia, Curitiba, PR, Brazil
  • Prof Dr Arif Raza Khan, Chairman, Department of Otorhinolaryngology and Head and Neck Surgery, Khyber Teaching Hospital and Khyber Medical College, Peshawar, Pakistan
  • Dr Badr Zagzoog, Otolaryngology Consultant, King Fahd Armed Forces, Jeddah, KSA
  • Dr Basil Mohammed Nather Saeed Saeed, Specialist Otorhinolaryngologist, College of Medicine, University of Mosul, Mosul, Iraq
  • Dr Chucri Hamasni, MD, FACS, Head Of ENT Department, Dr Sulaiman Al Habib Hospital, Olaya, KSA
  • Prof Claire Hopkins, ENT Consultant, Guy’s and St’ Thomas Hospital NHS Foundation Trust, London, UK
  • Dr Ghassan Alokby, MD, Board Certified Otolaryngologist, Fellowship in Rhinology and Endoscopic Skull Base Surgery, Department of Otolaryngology-Head and Neck Surgery, Prince Sultan Military Medical City, Riyadh, KSA
  • Dr Hazim Aleid, Paediatric Otolaryngologist, Chairman Surgery Department, King Fahad Specialty Hospital, Dammam, KSA
  • Dr Humaid Al Humaid, Assistant Professor and Consultant Rhinologist and Skull Base Surgeon, College of Medicine, Qassim University, Al Qassim, KSA
  • Prof Dr Isam Alobid, Specialist, Rhinology Unit & Smell Clinic, ENT Department, Hospital Clinic, Professor of Otolaryngology, Department of Surgical Sciences, University of Barcelona, Barcelona, Spain
  • Dr Isra Ali Al-Jazeeri, King Fahad Specialty Hospital, Riyadh, KSA
  • Dr Khalid Hakami, Consultant of Rhinology & Skull Base Surgery, Alhada Armed Forces Hospital, Ministry of Defence, Riyadh, KSA
  • Prof Dr Mohannad Al-Qudah, MD, FACS, FICS, Professor of ORL-HNS, Chairman of Specialized Otolaryngology Scientific Committee, Jordan Medical Council, Amman, Jordan
  • Dr Mohammad Albar, MD, Assistant Professor, Rhinology and Endoscopic Skull Base Surgery, Laryngology and Voice Surgery, Department of Otolaryngology, King Fahad University Hospital, Al Khobar, KSA
  • Dr Mona Ashoor, Assistant Professor, Department of Ear Nose and Throat, College of Medicine, Dammam University, Dammam, KSA
  • Dr Naif Alotaibi, Assistant Professor of Otolaryngology – Head and Neck Surgery, Al Faisal University, Riyadh, KSA
  • Dr Noha Faraj, Specialist Otolaryngologist, Ministry of Health, Riyadh, KSA
  • Dr Omar Abu Suliman, Consultant, Otolaryngology, Department of Otolaryngology. Head & Neck surgery, King Abdullah Medical City, Makkah, KSA
  • Dr Roy R Casiano, Professor and Vice Chairman, Director: Rhinology and Endoscopic Skull Base Program, Department of Otolaryngology, Head & Neck Surgery, University of Miami, Miller School of Medicine, Miami, Florida, USA
  • Dr Saad Alsaleh, MBBS FRCSC, Consultant, Assistant Professor, Rhinology and Skull Base Surgery, Chairman, Otolaryngology - Head & Neck Surgery Department, King Saud University Medical City, Riyadh, KSA
  • Dr Saied Alhabash, ENT consultant, Medcare Sharjah Hospital, Sharjah, UAE
  • Dr Sajad Al-Helo, Consultant ORL-HNS, Chief of Arabic Board, Najaf Center, Najaf, Iraq
  • Prof Dr Samy Elwany, MD, FACS, President, Egyptian Society of Otolaryngology, Professor, Past Chairman of Department of Otolaryngology, Alexandria Medical School, Member, Collegium of Otolaryngology - CORLAS, Chairman, Alexandria Society of Rhinology – RhinoAlex, Cairo, Egypt
  • Dr Sara Rayed Alsaleh, Pre ENT Scholar, John Hopkins Aramco Health Care, Dammam, KSA
  • Dr Somaya Hanafi, Oculoplastic Consultant, King Abdullah Medical City, Makkah, KSA
  • Dr Omar Abu Suliman, Consultant Rhinology, Endoscopic Sinus Surgery, King Abdullah Medical City, Makkah, KSA
  • Dr Wasam A. Albusalih, MB.CH.B. C.A.B.M. OTL, Head & Neck Surgery, Diwnyia Teaching Hospital, Diwanyia, Iraq