1

Royal Belgian Society for Ear, Nose, Throat, Head and Neck Surgery

Annual Congress14-15 November 2014

Conference Center Oud Sint-Jan, BrugesPresident: Stephan Vlaminck

Preliminary Programme

© Ja

n D

hond

t

2

Congress SecretariatSemico n.v.Korte Meer 16, B-9000 GentTel.: +32 (0)9 233 86 60 Fax: +32 (0)9 233 85 97 E-mail: ORL@semico.be

3

Dear Otorhinolaryngologists, audiologists and scientists,

We welcome you in Bruges, the Venice of the North, for the 109th Congress of the Royal Belgian Society for Ear, Nose, Throat, Head & Neck Surgery.

This congress aims to highlight recent advances in our different fields and to provide a clear take home message useful in daily practice. A faculty of high-level international presenters will be present.

On Friday a multitude of sessions will tackle different problems by specialists in the field such as facial pain; current indications and limits of robot surgery; sleep disordered breathing from diagnosis to surgery. Fungal chronic rhinosinusitis will be approached by different masters in the field. A session by young promising colleagues brings us their findings in rhinology.

For the third year in row we welcome B-Audio. This year sessions will focus on topics as bone conduction, neuroaudiology and vestibular function under the presidency of professor Jan Wouters.

The Saturday sessions will concern specific topics in otology and rhinology. The otology sessions will cover amongst others: pain and inflammation in otology, otolith testing, M-meatoplasty, exposure in tympanoplasty. Those attending the rhinology sessions will learn from experts in the field about treatment modalities in adenocarcinoma, nasal polyposis and complications in acute rhinosinusitis.

I wish you all an interesting congress and look forward for your active collaboration in raising the standard of care and knowledge in our constant changing field of Otorhinolaryngology, Head & Neck Surgery and Audiology.

Moreover it might be the occasion to visit and enjoy our city, its patrimonial treasures, excellent restaurants and the Amsterdam Philharmonic Orchestra on Saturday evening.

Warmest regards ,dr. Stephan Vlaminck

President of the Royal Belgian Society for Ear, Nose and Throat, Head & Neck Surgery 2014

4

Scientific Programme

5

International Faculty Tomislav Baudoin, Department of Otorhinolaryngology, Head and Neck Surgery, Sisters of Mercy University Medical Center, Zagreb, Croatia

Roger Jankowski, Department of Otorhinolaryngology, University Hospital Center Nancy, Nancy, France

Sergei Karpischenko, Department of Otorhinolaryngology, Head and Neck Surgery, I.P. Pavlov, State Medical University, Saint Petersburg, Russia

Eugene Kern, Professor of Rhinology and Facial Plastic Surgery, Emeritus Mayo Clinic Medical School, Residence Department of Otorhinolaryngology SUNY State University of New York, Buffalo, NY, USA

Nam Keun Kim, Department of Clinical and Experimental Medicine, Linköping University, Linköping, Sweden

Basile N. Landis, Rhinology and Olfactology Unit, ENT Department, University Hospital Geneva, Geneva, Switzerland

Piet Mirck, Department of Otorhinolaryngology, Academic Medical Center of the University of Amsterdam, Amsterdam, the Netherlands

Filippo Montevecchi, Department of Special Surgery, Otolaryngology- Head & Neck Surgery Division, Oral Surgery Unit, University of Pavia in Forlì, G.B. Morgagni L. Pierantoni Hospital, Forlì, Italy

Piero Nicolai, Department of the Otorhinolaryngology – Head and Neck Surgery Unit and the Department of Surgical Specialties, Radiologic Sciences, and Public Health at the University of Brescia, Brescia, Italy

Jens U Ponikau, Department of Otorhinolaryngology, Center, University at Buffalo, The State University of New York, Buffalo, NY, USA

Erik Van Spronsen, Department of Otorhinolaryngology, Academic Medical Center of the University of Amsterdam, Amsterdam, the Netherlands

6

Friday 14 November 2014

Auditorium Witte Roos

09.30-10.30 EVIDENCE-BASED FACIAL PAIN MEDICINE (in cooperation with VAVP)

Chairs: T. Vauterin, S. Vlaminck, J. Meulemans

09.30 Facial pain: pathophysiology, differential diagnosis, red flags and treatment A. Ver Donck10.00 Neuromodulation in head and facial pain J.-P. Van Buyten10.30 Coffee break

11.00-12.30 CURRENT USE OF ROBOTICS IN HEAD AND NECK SURGERY

Chairs: F. Montevecchi, V. Vander Poorten, J. Meulemans

11.00 General introduction and robotic thyroid surgery T. Vauterin 11.20 Transoral robotic surgery in head and neck oncology M. Remacle11.50 Transoral robotic surgery in snoring and OSAS F. Montevecchi12.30 Lunch

14.00-15.30 CURRENT CONCEPTS IN SLEEP DISORDERED BREATHING SURGERY

Chairs: F. Montevecchi, O. Vanderveken, A. Poittier

14.00 General introduction and position of surgery in SDB treatment T. Vauterin 14.20 Selection of the right patients for the right SDB surgery O. Vanderveken14.50 Spectrum of surgical techniques in SDB F. Montevecchi15.30 Coffee break

16.00-17.30 HEAD & NECK

Chairs: K. Van Lierde, V. Vander Poorten, C. Dick

16.00 Early glottic cancer: does the patient need a surgeon or a radiation oncologist? V. Vander Poorten16.20 Thyroplasty and vocal fold augmentation: indications and therapeutic pitfalls C. Dick

7

16.40 Listening to and looking at voices G. Laureyns17.00 Modern methods for measuring overall voice quality Y. Maryn17.20 Discussion17.30 End of session

17.35-19.00 CORPORATE SYMPOSIUM VISMODEGIB, A TRUE TRANSFORMATION IN THE TREATMENT OF ADVANCED BASAL CELL CARCINOMA

J. Alcalay, Mohs surgeon, Assuta Medical center, Tel-Aviv, Israel Basal cell carcinoma (BCC) can progress into a advanced form that can

be highly disfiguring and debilitating. Until now, patients with advanced BCC who are considered

inappropriate for surgery or radiotherapy had limited therapeutic options with particularly poor outcomes.

Vismodegib, which has been shown to shrink tumors, addresses this unmet need and is a welcomed new treatment option for patients with advanced BCC.

19.30 Concert at Site Oud Sint-Jan

20.45 Dinner at the Port House De Caese

8

Friday 14 November 2014

Auditorium Beethoven

09.15-09.35 B-AUDIO: TUTORIAL Chairs: I. Dhooge, P. Verheyden, L. Van Crombrugge

09.15 The encyclopedia of repositioning maneuvers J. Dedeyne, M. Muylle

09.35-10.30 B-AUDIO: AUDIOMETRY AND AUDITORY SENSITIVITY

Chairs: I. Dhooge, P. Verheyden, L. Van Crombrugge

09.35 Masking dilemma for bone conduction: the advantage of insert earphones and/or the Sensorineural Acuity Level test K. De Voecht09.46 Speech understanding in older adults: influence of temporal resolution and working memory A. Knoop, M. Talaveron-Rodriguez, C. De Boom, K. Vermeire09.57 Is loudness adaptation represented in the auditory steady-state response? M. Van Eeckhoutte, J. Wouters, T. Francart10.08 Evaluation of the feasibility of using speech audiometry in noise in function of a new RIZIV/INAMI initiative for the reimbursement of hearing aids M. Laureyns, V. Van Hese, I. Van Roy, S. Buysen10.19 European multicentric analysis of the use of a new semi-implantable hearing device : Ototronix Maxum System D. Riff, V. Verhaegen, Th. Somers, M. Barbara, D. à Wengen, Th. Dumon, A. Zarowski, J.R. Maia, J. van Dinther, F.E. Offeciers, S. Borghgraef, C. De Backer

10.30 Coffee Break

11.00-12.30 B-AUDIO: BONE CONDUCTION, WHO ART THOU? A TRIBUTE TO WILLIAM DAMMAN

Chairs: J. Wouters, R. Kuhweide, A. Willaert

11.00 Fish, chips and bone conduction R. Kuhweide11.30 Modelling of bone conduction and pathological conditions N.K. Kim12.00 Measuring bone conduction with the SAL technique W. Damman12.15 Laudation R. Kuhweide, J. Wouters

12.30 Lunch

9

14.00-15.30 B-AUDIO: HEARING IMPLANTS AND NEURO-AUDIOLOGY

Chairs: A. van Wieringen, P. Deltenre, F. Acke

14.00 Streamlining cochlear implant fitting: audiological outcomes F. Vanpoucke, A. Plasmans, S. Lievens14.11 Clinical take-home evaluation of music pre-processing scheme for cochlear users W. Buyens, B. van Dijk, M. Moonen, J. Wouters 14.22 Undesirable effects as a result of short‐term exposure to an ultrasonic repellent device A. van Wieringen, C. Glorieux14.33 Cochlear implant performance using multi-microphone noise reduction in adverse conditions involving reverberation and microphone mismatch A.A. Hersbach, C.D. Warren, D.B. Grayden, J.B. Fallon, H.J. McDermott, B. van Dijk14.44 Developmental changes in neural auditory processing at cortical and brainstem level S. Vanvooren, H. Poelmans, M. Hofmann, A. De Vos, P. Ghesquière, J. Wouters14.55 Exploring the neural encoding of musical rhythms: a gateway to understand the human auditory system S. Nozaradan15.06 Age-related changes in the binaural interaction component derived from the auditory brainstem response L. Van Yper, K. Vermeire, A. Beynon, E. De Vel, I. Dhooge15.17 Binaural evoked potentials in young normal hearing adults: objective measures of the binaural system C. Vercammen, J. Wouters, A. van Wieringen, T. Francart

15.30 Coffee Break

16.00-17.30 B-AUDIO: VESTIBULAR FUNCTION AND TINNITUS

Chairs: N. Deggouj , A. Zarowski , B. Ihtijarevic

16.00 Vestibular function and motor performance in children infected with congenital cytomegalovirus (cCMV) infection L. Maes, A. De Kegel, H. Van Waelvelde, I. Dhooge16.11 Evaluation of the outcome of the Dizziness Handicap Inventory (DHI) in an outpatient database of 568 vestibular patients R. Vanspauwen, A. Knoop, S. Camp,C. Blaivie, J. van Dinther, A. Zarowski, Th. Somers, E. Offeciers16.22 Age related norm values for cervical vestibular evoked myogenic potentials L. Coucke, V. Vandenbroeck

10

16.33 Ocular vestibular evoked myogenic potentials (oVEMPs): evaluation of three different electrode positions using a minishaker (Fz) R. Vanspauwen, F. Wuyts, S. Krijger, M.-C. De Raeve, S. Vandoorne, C. Rijckaert, L. Maes16.44 Measuring noise-induced damage in normal-hearing young adults A. Gilles, P. Van de Heyning16.55 Altered inhibitory control in tinnitus patients: evidences from auditory and visual go/no-go tasks R. Araneda, A.G. De Volder, N. Deggouj, L. Renier17.06 Epidemiology and characteristics of tinnitus after leisure noise exposure in young adults in Flanders S. Degeest, E. Clays, P. Corthals, H. Keppler17.17 Spatial hearing improvement and long‐term suppressive effect on tinnitus after cochlear implantation in profoundly single-sided-deaf patients G. Mertens, A. Kleine Punte, P. Van de Heyning17.30 End of session

19.30 Concert at Site Oud Sint-Jan

20.45 Dinner at the Port House De Caese

11

Friday 14 November 2014

Auditorium Erasmus

09.00-10.30 ANNUAL REPORT: THE HISTORICAL AND FUNDAMENTAL LINKS BETWEEN ENT AND MUSICIANS: THE BAGGAGE OF ORPHEUS

Chairs: B. Millet, R. Boniver

09.00 Presenter: J. Tainmont , Sarton medallist History of Sciences Ghent University

10.30 Coffee break

11.00-12.30 RHINOLOGY BASICS

Chairs: P. Hellings, P. Lemkens, T. Robillard

11.00 Navigation in FESS T. Baudoin11.20 Aerodynamic flow B. Schmelzer11.40 FESS and osteomas S. Karpischenko12.00 The fungal story E. Kern12.20 Discussion

12.30 Lunch

14.00-15.30 YOUNG FACULTY: What’s new / innovative

Chairs: J.-B. Watelet, G. De Vos, E. Kern, M. Timmermans

14.00 Capsacain and rhinitis L. Van Gerven 14.15 Severe epistaxis ‐ Clinical profile E. Marin14.30 Orbital abcedation: the Chandlers list revised K. Speleman14.45 Olfactory dysfunction and Alzheimer’s disease C. Huart15.00 Unusual epiphora in adults G. Heylen 15.15 Occupational upper airway disease V. Hox

15.30 Coffee Break

12

16.00-17.30 FUNGAL CHRONIC RHINOSINUSITIS

Chairs: P. Hellings, Ph. Rombaux, B. Schmelzer, E. Kern, L. Mus

16.00 The fungal paradigm J.U. Ponikau16.20 Aphotericin therapeutic option in fungal chronic rhino-sinusitis P. Hellings16.35 Eosinophil mucin marker Ph. Gevaert16.50 EFRS: the clinical picture K. Speleman17.05 Flanders battlefield: eosinophils are deadly ammunition … S. Vlaminck

17.15 Discussion

17.30 End of session

19.30 Concert at Site Oud Sint-Jan

20.45 Dinner at the Port House De Caese

13

Saturday 15 November 2014

Auditorium Witte Roos09.00-10.30 ADENOCARCINOMA

Chairs: R. Jankowski, M. Jorissen, Th. Van Zele, V. Hox

09.00 Adenocarcinoma: State-of-the-art P. Nicolai09.30 Cases Moderator: S. Vlaminck Panel members: M. Jorissen, Th. Van Zele, R. Jankowski

10.30 Coffee break

11.00-12.30 NASAL POLYPOSIS

Chairs: P. Nicolai, C. Bachert, J. Ponikau, Ph. Eloy, C. Cox

11.00 Physiopathology of nasal polyposis C. Bachert 11.20 Medical treatment of nasal polyposis Ph. Gevaert11.40 Long-term outcome: tissue marker predictors L. Calus11.50 Surgery: our philosophy P. Nicolai12.00 Surgery: our philosophy R. Jankowski12.10 Smell preservation in nasal polyposis surgery B.N. Landis

12.30 Lunch

14.00-15.30 ACUTE RHINOSINUSITIS: COMPLICATIONS

Chairs: E. Kern, P. Nicolai, L. Calus 14.00 Acute rhinosinusitis - Complications: Orbital S. Vlaminck Frontal Ph. Rombaux Sfenoidal tba Cerebral Th. Van Zele

15.10 Case discussions Moderators: M. Jorissen, P. Nicolai Panel members: Ph. Rombaux, T. Baudoin, P. Nicolai, E. Kern

15.30 End of session

15.30 Farewell drink

14

Saturday 15 November 2014

Auditorium Erasmus

09.00-10.00 RED FLAGS IN OTOLOGY

Chairs: A.-S. Vinck, J. Goderis

09.00 Pain, inflammation and conductive hearing loss: when to think outside the box ? A.-S. Vinck, B. Lerut, R. Kuhweide 09.40 There is more than Meniere’s disease C. Desloovere

10.00-10.30 INNER EAR TREATMENT

Chairs: A.-S. Vinck, J. Goderis

10.00 Inner ear treatment: State-of-the-art Ph. Lefebvre

10.30 Coffee break

11.00-12.30 SURGERY OF THE EXTERNAL CANAL

Chairs: B. Lerut, P.-J. Leupe

11.00 The M-meatoplasty: why and how? P. Mirck 11.20 The MO-variant for combined meato-canalplasty F.E. Offeciers11.40 The canalplasty for exposure in tympanoplasty R. Kuhweide, B. Lerut12.00 Acquired atresia: what and how? I. Dhooge 12.20 New trends in BAHA B. Lerut

12.30 Lunch

14.00-14.30 MASTOID OBLITERATION

Chairs: R. Kuhweide, A.-L. Hiel

14.00 Flaps & materials in mastoid obliteration E. Van Spronsen

15

14.30-15.30 FROM THE LAB TO THE CLINIC

Chairs: R. Kuhweide, A.-L. Hiel

14.30 Implementation of a vestibular and motor test protocol in a pediatric hearing impaired population L. Maes, A. De Kegel, H. Van Waelvelde, I. Dhooge14.45 The binaural interaction component: a method to monitor plasticity in bimodal listeners? L. Van Yper, K. Vermeire, A. Beynon, R.-D. Battmer, I. Dhooge15.00 Magnetoencephalography in ENT: current and future developments M. Vanderghinst15.15 Endoscopic procurement of allograft tympano-ossicular systems: valuable to replace the Schuknecht bone plug technique? V. Van Rompaey, J. Caremans, E. Hamans, L. Muylle, P. Van de Heyning

15.30 End of session

15.30 Farewell drink

16

General InformationVenue and Dates

The annual congress of the Royal Belgian Society for Ear, Nose, Throat, Head and Neck Surgery will take place on 14 and 15 November 2014 at the Conference Center Oud Sint-Jan in Bruges.

Address: Site Oud Sint Jan Mariastraat 34 8000 Bruges If you come by car: Zonnekemeers, 8000 Bruges

Itinerary

By public transportationBrugge (Bruges) railway station: Site ‘Oud Sint -Jan’ is a 5 min walk from the station. When you leave the station (side Bruges) you have to cross the station. Then follow the signs via Oostmeers and Zonnekemeers.

By carThe site Oud Sint -Jan has ample private parking (paying), accessible via Zonnekemeers.

Congress SecretariatSemico n.v.Korte Meer 16, B-9000 GentTel.: +32 (0)9 233 86 60 Fax: +32 (0)9 233 85 97 E-mail: ORL@semico.be

17

RegistrationRegistration by the enclosed form or on-line at www.ENT-congress.be

Registration fee *

Member Royal Belgian Society ENT-HNS 14 November 2014 € 60,00 15 November 2014 € 60,00 14 & 15 November 2014 € 120,00Resident: Member Belgian Society ENT-HNS 14 November 2014 € 30,00 15 November 2014 € 30,00 14 & 15 November 2014 € 60,00Member B-audio 14 November 2014 € 60,00 15 November 2014 € 60,00 14 & 15 November 2014 € 120,00Medical doctor: Non-Member Royal Belgian Society ENT-HNS 14 November 2014 € 210,00 15 November 2014 € 210,00 14 & 15 November 2014 € 270,00Resident: Non-Member Belgian Society ENT-HNS 14 November 2014 € 60,00 15 November 2014 € 60,00 14 & 15 November 2014 € 120,00Audiologist: Non-Member B-audio 14 November 2014 € 75,00 15 November 2014 € 75,00 14 & 15 November 2014 € 135,00Paramedical professional 14 November 2014 € 60,00 15 November 2014 € 60,00 14 & 15 November 2014 € 120,00Medical student & Audiology student 14 November 2014 € 30,00 15 November 2014 € 30,00 14 & 15 November 2014 € 60,00

Congress Dinner (14 November 2014) € 100,00

* The registration fee covers: admittance to the scientific sessions, final program, access to the technical exhibition, lunches, refreshments during breaks and farewell drink.

18

Social Program and Congress DinnerFriday 14 November 2014

19.30 Concert at Conference Centre Oud Sint-Jan

Every year Belgium’s musical press (Union de la Presse Musicale/ Vereniging van de Belgische Muziekpers) awards a prize to a young Belgian musician. The 2010 laureate was the pianist Julien Libeer, born in 1987. Pianist Julien Libeer is one of the most outstanding pianists of his generation. He is artist in residence at the Queen Elisabeth Music Chapel, where he studied with the renowned pianist Maria João Pires. He will be accompanying Sarah Laulan, mezzo-soprano and winner of the 3rd Prize at the 2014 Queen Elisabeth Music Competition. She is a participating member of the Queen Elisabeth Music Chapel Opera Studio. Ms. Laulan currently studies under the tutelage of José Van Dam, Jocelyne Dienst, Alain Garichot and Helmut Deutsch.

Enjoy the virtuoso performances of works!

20.45 Walking dinner at the Port House De CAESE Address: Hoogstraat 4, 8000 Bruges

Port House De Caese is a historic building dating from 1765. It used to be the official residence of the treasurer of the ‘Brugse Vrije’, which succeeded in building up a rich patrimony during the Ancien Régime. Today it is the pied-à-terre of the Port of Zeebrugge and the local chamber of commerce VOKA.

It is always a privilege to be able to have a look inside such a richly decorated house. Behind the abundant rococo house front you can admire a superbly sculpted stairway, sublime furniture, rich tinsel and elegantly draped textile. The restoration of the entire premises shows taste, not a single element disturbs the harmony.

The rear side of the building is in classicistic style and gives out onto the ‘Reien’, the picturesque medieval Bruges’ canals. In addition the terrace lies adjacent to the water. You could easily imagine yourself in Venice!

19