SCIENTIFIC PROGRAM 62nd ANNUAL MEETING Fairmont Jasper Park Lodge, JASPER, AB OVERALL LEARNING OBJECTIVES This meeting offers our delegates the unique opportunity to learn from experts and share their own professional experience in various areas of otolaryngology-head & neck surgery. Participants are also encouraged and challenged to expand their knowledge and ideas beyond the boundaries of health care. The overall objective of this meeting is to provide community and academic otolaryngologists with relevant and up-to-date information in all otolaryngology sub-specialty areas. Upon completion of this CME activity, the otolaryngologist should be able to acquire the current approach to formulating differential diagnoses, diagnostic, therapeutic and preventive management of common otolaryngological conditions in the fields of pediatric, laryngology, head and neck cancer, rhinology and facial plastics. Participants will be cognizant of the latest research undertaken across Canadian universities. Participants will identify common post-operative complications and learn technical aspects to avoid or minimize such complications. SUNDAY, JUNE 1, 2008 - MORNING Mary Schaffer Ballroom (ABC) CPD Credits – 3.0 hours POLIQUIN MEDTRONIC RESIDENT COMPETITION Chair: Dr. Emad Massoud, HALIFAX 09:00-09:15 Introduction and Outline of the Competition – E. Massoud, (Awards Chair), HALIFAX, NS 09:15-09:30 The Effect of Lingual and Hypoglossal Nerve Reconstruction on Swallowing Function in Head and Neck Surgery: A Prospective Functional Outcomes Study (University of Alberta) – D. O'Connell, EDMONTON, AB 09:30-09:45 Informed Consent in Rhinoplasty: A Prospective Randomized Study of Risk Recall in Patients Who are Given Written Disclosure of Risks versus Traditional Oral Discussion Group (Dalhousie University) – P. Hong, HALIFAX, NS 09:45-10:00 Quantitative Proteomics of Nasal Mucus in Chronic Sinusitis with Nasal Polyposis (McGill University) – Y. Al Badaai, MONTREAL, QC 10:00-10:15 A Blinded, Randomized Clinical Study of Preoperative Flexible Fiberoptic Nasopharyngoscopy Alone versus Flexible Fiberoptic Nasopharngoscopy with Mutiview Videofluoroscopy in Determining Pharyngoplasy Type (University of Ottawa) – A. Conlin, OTTAWA, ON 10:15-10:30 Steel Scalpel vs Electrocautery – A Comparison of Cosmetic and Patient Satisfaction Outcomes of Different Incision Methods (University of Alberta ) – J. Chau, EDMONTON, AB 10:30-10:45 COFFEE BREAK 10:45-11:00 Development of a New Visual Analogue Scale for the Assessment of Area Scars (University of Western Ontario) – D. Micomonaco, LONDON, ON 11:00-11:15 Polymorphisms in the TNF Alpha-Induced Protein 3 Gene are Associated with Chronic Rhinosinusitis (Université de Montréal) – C. Cormier, MONTREAL, QC 11:15-11:30 Do We Measure Up? Is an Objective Measuring Device Necessary for the Accurate Assessment of Oral Cavity Lesions? (Dalhousie University) – C. Bartlett, HALIFAX, NS 11:30-11:45 Prospective, Double-Blind Randomized Trial Evaluating Patient Satisfaction, Bleeding and Wound Healing Using Polyurethane Foam (Nasopore ®) as a Middle Meatal Spacer in Functional Endoscopic Sinus Surgery (FESS) (University of British Columbia) – N. Shoman, VANCOUVER, BC 11:45-12:00 Laser v. Drill Stapedotomy. A Randomized Double Blind Study Comparing Two Common Techniques (University of Alberta) - J. Szudek, EDMONTON, AB 12:00-13:30 LUNCH sponsored by MEDTRONIC OF CANADA SUNDAY, JUNE 1, 2008 - AFTERNOON Mary Schaffer Ballroom (ABC) CPD Credits – 2.5 hours 13:30-13:45 The Reliability of the Reflux Finding Score Among General Otolaryngologists (University of British Columbia) – D. McNeil, VANCOUVER, BC 13:45-14:00 Microvascular Changes in Oral Mucositis (University of Western Ontario) – S. Hamilton, LONDON, ON 14:00-14:15 Reconstruction of Parotidectomy Defects Using Free Tissue Transfer Flaps (University of Alberta) – D. Cote, EDMONTON, AB 14:15-14:30 Functional Outcomes in BAHA: Comparing Unilateral and Bilateral Conductive Hearing Loss, Single Sided Deafness and Unilateral Mixed Hearing Loss (University of Alberta) – J. Dumper, EDMONTON 14:30-14:45 COFFEE BREAK 14:45-15:00 Auditory Testing in Mice: A Comparison of Three Methods (University of Manitoba) – T. Quddusi, WINNIPEG, MB 15:00-15:15 Measurement of Impact Stress on the Human Cadaveric Larynx - A Novel Technique (McGill University) – J. Young, MONTREAL, QC 15:15-15:30 Octreotide (Sandostatin): Radioprotective Agent For Rats Salivary Glands Receiving Gamma-Knife Radiation (University of Sherbrooke) – M. Belzile, SHERBROOKE, QC 15:30-15:45 Testing Biomechanical Strength of Grafts Sealed with Adjuncts in an Ex Vivo Model of CSF Leaks (University of Toronto) – J. De Almeida, TORONTO, ON MONDAY, JUNE 2, 2008 - MORNING Mary Schaffer Ballroom (ABC) CPD Credits – 1.0 SATELLITE SYMPOSIUM 07:00-08:00 Principles of Tympanoplasty Surgical Techniques CHAIR: Westerberg, B., VANCOUVER, BC PANEL: Bance, M., HALIFAX, Rappaport, J., MONTREAL, Chen, J., TORONTO This symposium is supported by ALCON CANADA through a non-restricted educational grant. 2 MONDAY, JUNE 2, 2008 - MORNING Mary Schaffer Ballroom (ABC) CPD Credits – 4.0 hours OPENING SESSION Chair – Dr. R. Rae, President 08:00-08:10 08:10-08:15 08:15-08:35 08:35-08:40 08:40-08:50 08:50-09:00 09:00-09:05 09:05-10:00 10:00-10:30 10:30-10:35 10:35-11:15 11:15-11:20 11:20-12:00 12:00-13:30 Welcome and Presidential Address – R. Rae, SAINT JOHN, NB Introduction of First Guest of Honour Dr. Joseph Wong, Toronto, ON – R. Rae, SAINT JOHN, NB Guest of Honour Presentation – J. Wong, TORONTO, ON Introduction of Second Guest Speaker Dr. Derald Oldring, Edmonton, AB – TBA Guest of Honour Presentation – D. Oldring, EDMONTON, AB Awards Presentations: Residents Competition – E. Massoud, HALIFAX, NS, C. Muir, MEDTRONIC / Educational Excellence Award – E. Massoud, HALIFAX, NS, R. Rae, SAINT JOHN, NB / COHNS Fund Fellowships – K. Kost, MONTREAL, QC, J. Harris, EDMONTON Introduction of Inspirational Speaker Senator Romeo Dallaire, OTTAWA, ON – H. Seikaly, EDMONTON, AB Inspirational Guest Speaker Address – R. Dallaire, OTTAWA, ON COFFEE BREAK Introduction of Guest Speaker Dr. Warren Bell, Canadian Assoc. of Physicians for the Environment, SALMON ARM, BC – A. Tan, KINGSTON, ON The Environment ‘R’ Us – How We Humans (including members of the CSOHNS) are Interacting With the Ecosystem and It With Us – W. Bell, SALMON ARM Introduction of Guest Speaker Dr. John Chaplin, AUCKLAND, NZ – H. Seikaly, EDMONTON, AB Cutaneous Malignancy of the Head & Neck in the Southern Pacific Region – J. Chaplin, AUCKLAND, NZ LUNCH & VISIT TO EXHIBITORS MONDAY, JUNE 2, 2008 - AFTERNOON Mary Schaffer Ballroom (AB) CPD Credits – 2.5 PAPER SESSION: GENERAL OTOLARYNGOLOGY Chair: Dr. Martin Black, Montreal, QC 13:30-13:37 Botulinum Toxin Injection for Spasmodic Dysphonia – T. Alandejani, A. Lamothe, J. Lemire, E. Lalonde, OTTAWA, ON 13:37-13:44 13:44-13:51 Acoustic Analysis of Normal Saudi Adults – F. Alzhrani, K. Almalki, A. Hagr, RIYADH, KSA Nasal Patency Assessment in Sleep Apnea – W. Qian, J. Chen, J. Haight, Y. Ma, TORONTO, ON 13:51-14:00 DISCUSSION 14:00-14:07 Do We Know How to Clean? A Survey Comparing Flexible Nasopharyngoscope Decontamination Procedures Across Canada – M. Blake, L. Savoury, B. Lee, ST. JOHN’S, NL Sinus Irrigation Bottles: A Potential Source of Infection? – E. Chang, K. Wong, H. Shoman, A. Javer, VANCOUVER, BC 14:07-14:14 14:14-14:23 DISCUSSION 14:23-14:30 Percutaneous vs Open tracheostomy: Separating Myth from Reality – K. Kost, MONTREAL, QC 14:30-14:37 Endoscopic Stapling versus External Transcervical Approach for Treatment of Zenker's Diverticulum – M. Brace, R. Hart, J. Trites, M. Taylor, E. Attia, J. Nasser, HALIFAX, NS 14:37-14:44 Unilateral Tonsillar Enlargement: Is It An Ominous Sign? – Y. Dolev, S. Daniel, P. Campisi, MONTREAL, QC 14:44-14:51 Case Series: Kikuchi's Disease in Vancouver and Its Association with Systemic Erythematous Lupus – P. Pace-Asciak, P. Lee, R. Gascoyne, VANCOUVER, BC DISCUSSION 14:51-15:00 3 15:00-15:30 COFFEE BREAK & VISIT TO EXHIBITS CPD Credits – 0.75 hours WORKSHOP 15:30-16:15 Management of Velopharyngeal Insufficiency: The Art and Craft PANEL: M. Husein, LONDON, ON, J. MacCormick, A., Dworshak-Stokan, OTTAWA, ON CPD Credits – 0.75 hours WORKSHOP 16:15-17:00 Evaluation and Management of Thyroid Nodules and Thyroid Cancer: Updates for the General Otolaryngologist-Head and Neck Surgeon PANEL: J. Harris, H. Seikaly, EDMONTON, AB and R. Hart, K. Ansari, HALIFAX, NS CPD Credits – 1.0 hours SATELLITE SYMPOSIUM 17:00-18:00 Septoplasty and Turbinates: A Panel on Treatment and Philosophy CHAIR: S. Frenkiel, MONTREAL, QC PANEL: E. Massoud, HALIFAX, NS, M. Samaha, MONTREAL, QC, J. Korkis, BURLINGTON, ON, I. Witterick, TORONTO, ON This symposium is supported by GLAXOSMITHKLINE through a non-restricted educational grant MONDAY, JUNE 2, 2008 - AFTERNOON Mary Schaffer Ballroom (C) CPD Credits – 2.5 hours PAPER SESSION: RHINOLOGY Chair: Dr. Ian Witterick, Toronto, ON 13:30-13:37 Clinical Experience with an Autoregistration Mask in Image Guided Sinus Surgery – A. Chiodo, K. Ngo, O. Smith, W. El-Masri, D. Sommer, TORONTO, ON 13:37-13:44 Initial Experience Using a New Electromagnetic Surgical Navigation System for Image Guidance During Anterior Skull Base and Complex Sinus Surgery – E. Wright, R. Bhalla, H. Seikaly, J. Harris, R. Broad, EDMONTON, AB Virtual Endoscopy of the Nasal Cavity and Sinuses – S. Frenkiel, R. Glickstein, L. Quoc Huy, A. Seminonov, S. Anand, MONTREAL, QC 13:44-13:51 13:51-14:00 DISCUSSION 14:00-14:07 Is the Detection of Nontypeable Hemophilus Influenza Improved by Using Specific Culture Techniques in Patients with Chronic Rhinosinusitis? – S. Kilty, V. Tremblay, M. Cusson, M. Poisson, M. Desrosiers, MONTREAL, QC 14:07-14:14 Colonization with Staphylococcus Aureus is Not Ubiquitous in Patient with Nasal Polyposis – C. Cormier, L. Mfuna, P. Boisvert, L.P. Boulet, B. Marie-Eve, S. Vallée-Smedja, M. Desrosiers, MONTREAL, QC 14:14-14:21 Total Serum IgE Levels do Not Correlate with E.S.S. Outcome – S. Al-Ghamdi, H. Yoong, M. Samaha, M. Desrosiers, MONTREAL, QC DISCUSSION 14:21-14:30 14:30-14:37 Are Polymorphisms in the Gene for Alpha-1-antitrypsin Associated with Chronic Rhinosinusitis? – S. Kilty, Y. Bosse, L. Mfuna, et al., MONTREAL, QC 14:37-14:44 Polymorphisms in TLR9 Gene Influence Response to Corticosteroids in Severe Chronic Rhinosinusitis – C. Cormier, Y. Bosse, M. Tewfik, L. Mfuna, T. Hudson, M. Desrosiers, MONTREAL, QC 14:44-14:51 Cost Benefit of Endoscopic Sinus Surgery in Asthmatic Patients with Chronic Rhinosinusitis – Y. Al Badaai, M. Samaha, MONTREAL, QC 14:51-15:00 DISCUSSION 15:00-15:30 COFFEE & VISIT TO EXHIBITS 4 CPD Credits – 0.75 hours WORKSHOP 15:30-16:15 From Intention to Impact - How to Become More Involved with Global Health Initiatives CHAIR: L. McLean, OTTAWA, ON PANEL: B. Westerberg, M. Morrison, N. Shoman, VANCOUVER, J.P. Vaccani, OTTAWA CPD Credits – 0.75 hours WORKSHOP 16:15-17:00 Complications in Rhinoplasty PANEL: R. Younger, H. Strecker, A. Bartlett, A. Denton, VANCOUVER, BC and P. Brownrigg, OTTAWA, ON MONDAY, JUNE 2, 2008 - AFTERNOON Pyramid Room CPD Credits – 1.5 hours PAPER SESSION: HEAD AND NECK Chair: Dr. Joseph Dort, Calgary, AB 13:30-13:37 Sentinel Lymph Node Biopsy for Oral Cavity Squamous Cell Carcinoma – S. Popat, N. Rigual, T. Loree, W. Hicks, D. Lamonica, R. Cheney, M. Merzianu, BUFFALO, NY 13:37-13:44 Tru-Indications for Core Biopsy, Indications for an Expanded Role for Tru-cut Biopsy in the Head and Neck - J. Franklin, B. Wherli, LONDON, ON DISCUSSION 13:44-13:52 13:52-13:59 Discrepancy Between Ultrasonographic and Final Pathology Mesasurements in Thyroid Nodules – L. Sowerby, J. Franklin, C. Chin, J. Yoo, K. Fung, W. Zaleski, LONDON, ON 13:59-14:06 Fine-Needle Aspiration Biopsy of the Thyroid: A Review of Cytopathological Features Predictive of Malignancy – T. Mijovic, O. Gologan, L. Rocho, M. Hier, M. Black, MONTREAL, QC 14:06-14:13 Correlation of 665 Thyroid Fine Needle Biopsies with Final Pathology: A Single Institution Experience – J. Franklin, L. Sowerby, C. Chin, K. Fung, J. Yoo, LONDON, ON 14:13-14:26 DISCUSSION 14:26-14:33 Complementary and Alternative Medicine Use Among Patients Presenting to a Head and Neck Clinic – T. Vyas, R. Hart, J. Trites, J. Nasser, M. Taylor, HALIFAX, NS 14:33-14:40 Multilevel Organ Preservation Strategy in Laryngeal Cancer: An Emerging Paradigm – N. Sadeghi. WASHINGTON, DC 14:40-14:47 14:47-15:00 Voice-related Quality of Life Analysis in Laryngectomized Patients - R. Moukarbel, P. Doyle, J. Franklin, J. Yoo, K. Fung, LONDON, ON DISCUSSION 15:00-15:30 COFFEE & VISIT TO EXHIBITS CPD Credits – 1.5 hours SPECIAL SEMINAR 15:30-17:00 Organ Preservation by Transoral Laser Microsurgery in Cancer of the Upper Aerodigestive Tract CHAIR: W. Steiner, GERMANY, J. Harris, EDMONTON, AB TUESDAY, JUNE 3, 2008 - MORNING Mary Schaffer Ballroom (AB) CPD Credits – 1.0 hours SATELLITE SYMPOSIUM 07:00-08:00 Interesting and Challenging Cases in Pediatric Otolaryngology CHAIR: S. Daniel, MONTREAL, QC This symposium is supported by SCHERING PLOUGH through a non-restricted educational grant. 5 TUESDAY, JUNE 3, 2008 - MORNING Mary Schaffer Ballroom (AB) CPD Credits – 2.0 hours PAPER SESSION – OTOLOGY Chair – Dr. A. Zeitouni, Montreal, QC 08:00-08:07 08:07-08:14 Psychiatric Sequalae of Benign Positional Vertigo BPV – S. Alromaih, A. Hagr, Y. Alhudhail, RIYADH KSA Otolithic Organ Involvement in Gentamicin-Induced Vestibular Ototoxicity – L. Kadhim, M. Zarandy, P. Kessler, J. Rutka, TORONTO, ON 08:14-08:21 08:21-08:29 Sniffing Induced Middle Ear Pressure Changes – L. MacLachlan, M. Bance, M. Gulliver, HALIFAX DISCUSSION 08:29-08:36 Two Sets of Twins with Congenital Endolymphatic Hydrops: A Case for the Hereditary Basis of Endolymphatic Hydrops Based on Diagnosis and Follow-up for 25 years – J. Nedzelski, I. Sherifi, TORONTO, ON 08:36-08:43 Hearing Abnormalities in Fetal Alcohol Syndrome: A Review of 10 Cases - S. Walen, B. Lange, B. Gibbard, CALGARY, AB 08:43-08:50 Nerve Recovery Profile Following Injury in the Cerebellopontine Angle Compared to that of the Intratemporal Bone Course Alone - H. Yuen, J. Dorion, J. Nedzelski, TORONTO, ON 08:50-08:58 08:58-09:05 DISCUSSION The 3D Vibro-Acoustics of the Tuning Fork – A. Ho, B. Katlai, L. Curran, M. Bance, HALIFAX, NS 09:05-09:12 09:12-09:17 Laser Assissted Malleo-vestibulopexy - A Valuable Alternative to Ossiculoplasty? – V. Kisilevsky, N. Bailie, J. Halik, TORONTO, ON DISCUSSION 09:17-09:24 Stapedotomy in Osteogenesis Imperfecta: Results of a New Series – A. Safar, J. Halik, TORONTO, ON 09:24-09:31 A Novel Method for Predicting Long-term Postoperative Facial Nerve Outcome After Vestibular Schwannoma Surgery – H. Yuen, V. Lin, D. Houlden, J. Nedzelski, J. Chen, TORONTO, ON 09:31-09:38 Bilateral Sequential Cochlear Implantation in Post-lingually Deafened Adult – H. Yuen, J. Ostroff, D. Shipp, J. Nedzelski, J. Chen, TORONTO, ON 09:38-09:45 Canal Wall Down Mastoidectomy Surgery - Reasons for Failure in the Community vs A Teaching Hospital – A. Safar, J. Rutka, TORONTO, ON 09:45-10:00 10:00-10:30 DISCUSSION COFFEE BREAK AND VISIT TO EXHIBITORS 10:30-12:00 12:00-13:15 Annual Business Meeting LUNCH IN THE EXHIBITS AREA TUESDAY, JUNE 3, 2008 - AFTERNOON Mary Schaffer Ballroom (AB) CPD Credits – 0.75 hours WORKSHOP 13:15-14:00 My Worst Pediatric Airway Nightmare CHAIR: S. Daniel, MONTREAL, QC CPD Credits – 1.0 hours WORKSHOP 14:00-15:00 ENT and Pregnancy PANEL: M. Black, M. Samaha, J. Rappaport, R. Payne, MONTREAL, QC 15:00-15:30 COFFEE & VISIT TO EXHIBITS 6 TUESDAY, JUNE 3, 2008 - AFTERNOON Mary Schaffer Ballroom (AB) CPD Credits – 2.5 hours PAPER SESSION – PEDIATRIC OTOLARYNGOLOGY Chair: Dr. J. MacCormick, Ottawa, ON 15:30-15:37 Wideband Reflectance - A New Technique for the Diagnosis of COME and other Middle Ear Pathology – M. Bromwich, D. Brown, L. Hunter, B. Smith, J. Meinzen-Derr, CINCINNATI, OH 15:37-15:44 Laser Doppler Vibrometry: A Novel Technique in Assessing the Middle Ear in Children - C. Szeto, B. Al-Sabah, S. Daniel, MONTREAL, QC 15:44-15:51 TBA 15:51-15:58 Choking Prevention: Short-Comings of Traditional Public Education Campaigns and the Need for Web-Based Interactive Teaching Tools for Pre-Teens, Teenagers and Adults – A. Thanboo, T. Nguyen, J. Ludemann, VANCOUVER, BC DISCUSSION 15:58-16:08 16:08-16:15 16:15-16:22 16:22-16:29 16:29-16:38 Conenital Tracheal Stenosis Managed Conservatively – R. Ywakim, J. Guillemaud, H. El-Hakim, EDMONTON, AB A Novel Modification of Slide Tracheoplasty - L. Johnson, HALIFAX, NS. A Series of Congenital Vallecular Cysts: A Rare Yet Potentially Fatal Cause of Upper Airway Obstruction and Failure to Thrive in the Newborn – N. Sands, S. Anand, J. Manoukian , MONTREAL DISCUSSION 16:38-16:45 Does Function Define Form? Moss' Functional Matrix Hypothesis and Sinonasal Development? – P. Mick, P. Moxham, F. Kozak, K. Riding, J. Ludemann, VANCOUVER, BC 16:45-16:52 Incidence of Acute Sinusitis Complications Among Children: A 15 Years Tendency in Quebec – J. Bolduc Begin, A. Lapointe, A. Desroches, C. Giguère, C. Mercier, SHERBROOKE, QC 16:52-17:00 DISCUSSION CPD Credits – 1.0 hours SATELLITE SYMPOSIUM 17:00-18:00 Eosinophilic Esophagitis in Children: A Primer for Otolaryngologists PANEL: H. El-Hakim, R. Persad, EDMONTON, AB This symposium is supported by ABBOTT LABORATORIES through a non-restricted educational grant. TUESDAY, JUNE 3, 2008 - MORNING Mary Schaffer Ballroom (C) CPD Credits – 1.0 hours PAPER SESSION – RESEARCH METHODOLOGY & EDUCATION Chair: Dr. Karen Kost, Montreal, QC 08:00-08:07 08:07-08:14 A Needs Assessment of Undergraduate Education in Otolaryngology Amongst Family Medicine Residents – M. Brandt, J. Glicksman, J. Parr et al., LONDON, ON Diagnosis of Upper Aerodigestive Foreign Bodies: A Major Gap in Medical School Education – D. Dance, D. MacNeil, P. Moxham, J. Ludemann, VANCOUVER, BC 08:14-08:21 Qualitative Impact of An Introductory Course on "The Art of Surgery" on Otolaryngology Resident – V. Brousseau, N. Fanous, E. Brousseau, N. Yammine, K. Shaw, MONTREAL, QC 08:21-08:28 Is the Podcast Medium, As Viewed on a MP3 Player, Suitable for Viewing and Simultaneously Commenting on Surgical Procedures? – A. Conlin, L. McLean, L. Varpio, OTTAWA, ON DISCUSSION 08:28-08:37 08:37-08:44 Evaluation of Meta-analyses in the Otolaryngologic Literature – L. Rudmik, S. Walen, E. Dixon, J. Dort, CALGARY, AB 7 08:44-09:00 DISCUSSION CPD Credits – 1.0 WORKSHOP 09:00- 10:00 Life as if the Planet Mattered: How to Work and Live in a Sustainable Way CHAIR: W. Bell, Canadian Assoc. of Physicians for the Environment, SALMON ARM, BC 10:00-10:30 COFFEE BREAK AND VISIT TO EXHIBITORS CPD Credits – 1.0 RESIDENT WORKSHOP 10:30-11:30 Demystifying the Royal College Examination Process CHAIRS: I. Witterick, TORONTO, ON, D. Dorion, SHERBROOKE, QC Establishing an ENT Practice CHAIRS: M. Maharaj, N. Longridge, VANCOUVER, BC 12:00-13:15 LUNCH IN THE EXHIBIT AREA TUESDAY, JUNE 3, 2008 - AFTERNOON Mary Schaffer Ballroom (C) CPD Credits – 0.75 hours WORKSHOP 13:15-14:00 Managing the Paralysed Vocal Cord: What Works and What Doesn’t PANEL: Kost, K., Black, M., Eibling, D., MONTREAL, QC, Morrison, M., VANCOUVER, BC, CPD Credits – 1.0 hours WORKSHOP 14:00-15:00 Electronystagmography in 2008 CHAIR: Blakley, B., WINNIPEG, MB 15:00-15:30 COFFEE BREAK AND VISIT TO THE EXIBITORS TUESDAY, JUNE 3, 2008 - AFTERNOON Mary Schaffer Ballroom (C) CPD Credits – 1.5 hours PAPER SESSION - RHINOLOGY Chair: Dr. Erin Wright, Edmonton, AB 15:30-15:37 Site of Attachment of Inverted Papilloma Predicted by CT Findings of Osteitis - A Prospective Study – E. Wright, R. Bhalla, EDMONTON, AB 15:37-15:44 Sphenoid Sinus Inverted Papilloma: Prevalence, Clinical Presentation, Evaluation and Management – J. Guillemaud, I. Witterick, TORONTO, ON A Comparison of Two Sphenoidotomy Approaches Using a Novel CT Grading System – T. Orton, A. Javer, H. Gheriani, B. Mechor, VANCOUVER, BC 15:44-15:51 15:51-16:00 DISCUSSION 16:00-16:07 Does Pterygoplatine Canal Injection with Local Anesthetic and Epinephrine Decrease Bleeding During Endoscopic Sinus Surgry? – S. Al-Ghamdi, M. Samaha, MONTREAL, QC 16:07-16:14 A Prospective, Double-blind Randomized Placebo Controlled Trial to Determine Whether Intraoperative Injection of 0.25% Bupivicaine with 1:200,000 Epinephrine Decreases Intra-operative Blood Loss in Functional Endoscopic Sinus Surgery (FESS) – D. Flamer, H. Gheriani, B. Mechor, A. Javer, VANCOUVER, BC 16:14-16:21 The Effect of Topical Vasoconstrictors on Intra-operative Blood Pressure, Heart Rate and Blood Loss during Endoscopic Sinus Surgery – A. Janjua, I. Witterick, TORONTO, ON 8 16:21-16:30 DISCUSSION 16:30-16:37 The Use of Antimicrobial Active Manuka Honey (MEDIHONEY™) as an Anti-inflammatory Agent in Endoscopic Sinus Surgery – A. Javer, A. Thamboo, D. Flamer, H. Gheriani, VANCOUVER, BC 16:37-16:44 Complication Rates Following Functional Endoscopic Sinus Surgery at the QEII Health Sciences Centre in Halifax, Nova Scotia – M. Al- Gilani, E. Massoud, J. Mills, K. MacDonald, W. Mills, HALIFAX, NS 16:44-16:51 Extracranial Complications of Endoscopic Trans-sphenoidal Hypophyseal Surgery: The University of Montreal Experience – S. Kilty, N. McLaughlin, M. Bojanowski, F. Lavigne, MONTREAL, QC 16:51-17:00 DISCUSSION TUESDAY, JUNE 3, 2008 - MORNING Pyramid Room CPD Credits – 2.0 hours PAPER SESSION – HEAD & NECK SURGERY Chair: Drs. Martin Corsten, Ottawa, ON & Jason Franklin, London, ON 08:00-08:07 Hemithyroidectomy in Total Laryngectomy, Is it Really Indicated? – T. Al-Khatib, M. Hier, MONTREAL, QC 08:07-08:14 Salvage Transoral Laser Microsurgery for Radiation Failure in T1-T2 Laryngeal and Hypopharyngeal Squamous Cell Carcinoma – E. Brown, D. Anderson, VANCOUVER, BC 08:14-08:21 Complete Frozen Section Margins with Measurable (1 or 5 mm thick) Free Margin for Cancer of the Tongue – P. Gauthier, L. Guertin, I. Arteau-Gauthier, L. Pilon, L. Comeau, A. Allaire, N. Audet, M. Camire, D. Beaudoin, R. Dubé, C. Lussier, QUEBEC CITY, QC 08:21-08:28 Bone Impacted Fibula (BIF), a New Technique of Increasing Bone Density for Placing Dental Implants after Osseus Microvascular Reconstruction – A. Mlynarek, H. Seikaly, J. Harris, J. Reiger, J. Wolfaadt, K. Al-Qahtani, EDMONTON, AB 08:28-08:40 08:40-08:47 DISCUSSION Maxillary Survival Outcomes - J. Yu, D. Cote, J. Chau, A. Mlynarek, H. Seikaly, EDMONTON, AB 08:47-08:54 TBA 08:54-09:01 Functional Outcomes After Surgical and Non-surgical Treatment Modalities for Oropharyngeal Carcinoma – A. Mlynarek, J. Harris, H. Seikaly, J. Reiger, D. O’Connell, K. Al-Qahtani, EDMONTON DISCUSSION 09:01-09:10 09:10-09:17 Use of Time-resolved Laser-induced flouroescent Spectroscopy (TR-LIFS) to Evaluate Musocal Pathology in the Hampster Cheek-pouch Carcinogensis Model – D. Enepekides, G. Farwell, J. Park, L. Marcu, H. Stoy, Y. Sun, Y. Sun, S. Tinling, SACRAMENTO, CA 09:17-09:24 Intraoperative Application of Fluorescence Visualization (FV) to Identify Subclinical Extension in High-Risk Oral Lesions – S. Durham, C. Poh, J. Durham, D. Anderson, K. Berean, A. Kung, C. MacAuley, M. Rosin, VANCOUVER, BC 09:24-09:31 Use of Ablation fT4:Tg Ratio for Predicting High Risk of Disease Recurrence in Well-differentiated Thyroid Cancer (WDTC) – M. Aron, V. Cote, M. Tamilia, M. Hier, M. Black, X. Zhang, MONTREAL 09:31-09:40 DISCUSSION 09:40-09:47 Postoperative Concomitant Chemotherapy with Radiotherapy in Advanced Stage Head and Neck Cancer: A Meta Analysis – S. Johnson, A. Al Herabi, M. Corsten, OTTAWA, ON 09:47-09:54 Post Thyroidectomy Pain – L. Kalmovich, R. Payne, M. Black, M. Hier, MONTREAL, QC 09:54-10:00 10:00-10:30 DISCUSSION COFFEE AND VISIT TO EXHIBITS 10:30-12:00 Annual Business Meeting (Mary Schaeffer Ballroom AB) 12:00-13:15 LUNCH & VISIT TO EXHIBITS 9 TUESDAY, JUNE 3, 2008 - AFTERNOON Pyramid Room CPD Credits – 0.75 hours WORKSHOP 13:15-14:00 Development of Access to Care and Access to Quality Care Standards in Head and Neck Oncology in Ontario CHAIRS: Irish, J., Gilbert, R., TORONTO, ON CPD Credits – 1.0 hours WORKSHOP 14:00-15:00 Parotidectomy in General Practice: Indications and Techniques PANEL: Seikaly, H., Harris, J., Ansari, K., Al-Qahtanai, K., Mlynarek, A., EDMONTON, AB 15:00-15:30 COFFEE BREAK AND VISIT TO THE EXIBITORS TUESDAY, JUNE 3, 2008 - AFTERNOON Pyramid Room CPD Credits – 1.5 hours PAPER SESSION –FACIAL, PLASTIC & RECONSTRUCTIVE SURGERY Chair: Dr. J. Trites, HALIFAX, NS 15:30-15:37 The "Bikini Lip Reduction" - A Detailed Approach to Hypertrophic Lips – V. Brousseau, N. Fanous, A. Yoskovitch, MONTREAL, QC 15:37-15:44 A Microbiologic Assessment of Multidose Restylane for Facial Augmentation – M. Gilani, J. Balderston, R. Davidson, M. Taylor, HALIFAX, NS Anatomy, Physiology, and Radiofrequency Ablation for Glabellar Frowning – M. Sardesai, D. Ellis, TORONTO, ON 15:44-15:51 15:51-15:58 The Taylor Saddle Effacement (TSE): A New Technique for Correction of the Saddle Nose Deformity – M. Taylor, M. Rigby, HALIFAX, NS 15:58-16:10 DISCUSSION 16:10-16:17 Primary closure of the donor site in the radial forearm free flap: a novel approach – M. Corsten, M. Allen, OTTAWA, ON Scapular Free Flaps in Head and Neck Reconstruction – K. Fung, J. White, J. Franklin, J. Yoo, LONDON, ON 16:17-16:24 16:24-16:31 The Increasing Use of Double Free Flap Reconstruction: Changing Indications, Challenges, and Prospective Functional Outcomes – J. Guillemaud, J. Harris, H. Seikaly, EDMONTON, AB 16:31-16:38 An Adaptable Flap - Using the Hatchet Flap to Reconstruct a Variety of Facial Cutaneous Defects – L. Sowerby, C. Moore, LONDON, ON 16:38-16:45 Comparative Evaluation of Primary vs. Secondary Tracheoesophageal Puncture Voice Restoration: Acoustic, Psychophysical, and Quality of Life Outcomes – J. Tang, P. Doyle, R. McDonald, et al., LONDON, ON 16:45-17:00 DISCUSSION WEDNESDAY, JUNE 4, 2008 - MORNING Mary Schaffer Ballroom (AB) CPD Credits – 1.0 hours SATELLITE SYMPOSIUM 07:00-08:00 Salivary Gland Obstruction: Assessment and Management, including Endoscopic Techniques CHAIR: R. Irvine, VANCOUVER, BC PANEL: D. Sommer, HAMILTON, ON, J. Kolenda, S. Daniel, MONTREAL, QC This symposium is supported by NYCOMED through a non-restricted educational grant. 10 CPD Credits – 1.0 hours WORKSHOP 08:00-09:00 Upper Lid Blepharoplasty for the Otolaryngologist-Head & Neck Surgery CHAIR: M. Taylor, HALIFAX, NS CPD Credits – 3.0 hours WORKSHOP 09:00-12:00 Non-Melanoma Skin Cancer CHAIR: M. Hier, MONTREAL, QC PANEL: J. Chaplin, R. Gilbert, J. Harris, N. Jha, C. Keeling, C. Moore, R. Taylor, H. Seikaly, M. Sepejasco, J. Yoo INTRODUCTION – Dr. Michael Hier SECTION 1 Dr. Mario Sepejasco - Epidemiology, etiology, diagnosis / Moh’s Surgery – Indications, techniques, cases SECTION 2 Dr. Michael Hier - Surgical Indications Dr. Naresh Jha - Indications for XRT Dr. Chris Keeling - Role for chemo and novel medical therapeutics Drs. Corey Moore / Ansari - Local flaps for head and neck Moh’s defects SECTION 3 MODERATORS – Drs. Hadi Seikaly / John Yoo PANELISTS – Drs. John Chaplin, Ralph Gilbert, Rick Taylor and Jeff Harris - Reconstruction of large head and neck skin defects 10:00-10:15 COFFEE BREAK 12:00-13:00 LUNCH BREAK WEDNESDAY, JUNE 4, 2008 - AFTERNOON Mary Schaffer Ballroom (AB) CPD Credits – 2.0 hours SPECIAL MINI-WORKSHOP 13:00-16:00 Transoral Laser Microsurgery in the Upper Aerodigestive Tract: Early to Advanced Tumors CHAIR: W. Steiner, GOTTENGEN, GERMANY PANEL: D. Brown, TORONTO, ON, J. Harris, EDMONTON, AB, P. Kerr, WINNIPEG, MB, M. Taylor, HALIFAX, NS This symposium is supported by KARL STORZ ENDOSCOPY through a non-restricted educational grant. WEDNESDAY, JUNE 4, 2008 - MORNING Mary Schaffer Ballroom (C) CPD Credits – 1.0 hours WORKSHOP 08:15-09:15 A Brief History of Epistaxis: From Salt Pork to Surgicel CHAIR: I. Dempsey, HALIFAX, NS CPD Credits – 1.0 hours WORKSHOP 09:15-10:15 10:15-10:30 Current Trends in Cochlear Implantation: A Panel Discussion CHAIR: D. Schramm, OTTAWA, ON COFFEE BREAK CPD Credits – 1.0 hours WORKSHOP 10:30-11:30 11:30-13:00 Maximizing Quality in Your OR: Can it be Done? CHAIR: K. Kost, MONTREAL, QC, D. Eibling, PITTSBURGH, PA LUNCH BREAK 11 POSTERS MONDAY & TUESDAY, JUNE 2 & 3, 2008 The Great Hall, Jasper Park Lodge CPD Credits – 5.25 hours GENERAL OTOLARYNGOLOGY BOARD G1 Potential Life Threatening Complication of Excisional Cervical Lymph Node Biopsy with Concomminant Mediastinal Lymphadenopathy – J. MacLean, F. Baxter, B. Jackson, HAMILTON, ON BOARD G2 Penetrating Neck Injury: Our Retrospective Review – F. Al-Qattan, A. Brook, ARDIYA, KUWAIT BOARD G3 Is Nasal Audiometry A Reliable Test of Eustachian Tube Function? – A. Ho, M. Gulliver, D. Kirkpatrick, M. Bance, HALIFAX, NS BOARD G4 Deep Neck Space Infections: The Kuwait Experience – A. Hussain, F. Al-Qattani, A. Brook, K. Al-Abdulhadi, MISHREF, KUWAIT BOARD G5 Necrotizing Fasciitis of the Neck: Diagnosis and Management in Kuwait – A. Hussain, F. Al-Qattani, A. Brook, A. Jafar, MISHREF, KUWAIT BOARD G6 A Systematic Evaluation of the Information Available for Patients on the Internet Regarding Obstructive Sleep Apnea M. Langille, S. Shahnavaz, S. Veldhuyzen Van Zanten, E. Massoud, HALIFAX, NS BOARD G7 Practice Environment and Satisfaction Level of Canadian Otolaryngologists – M. Zirkle, TORONTO, ON BOARD G8 Bilateral Vocal Fold Paralysis Secondary to Botulism: A Case Report – N. Sanjeevan, T. Davids, A. Sharma, P. Campisi, V. Forte, TORONTO, ON BOARD G9 Petrous Temporal Bone Anatomy of a Sperm Whale (Physeter macrocephalus) – T. Davids, R. Mount, S. Blaser, R. Harrison, P. Campisi, TORONTO, ON BOARD G10 Familial Paraganglioma Syndrome – A. Knox, J. Harris, R. Liu, H. Seikaly, EDMONTON, AB BOARD G11 Severe Upper Airway Injury Following Crack Coaine Ingestion: Case Reports and Review of the Literature – M. Allegretto, A. Morissey, EDMONTON, AB BOARD G12 "The Old Hag”: The Cultural Interpretation of Sleep Paralysis in Newfoundland and Labrador – M. Brake, K. Burrage, T. Smith, L. Savoury, B. Lee, ST. JOHN’S, NL HEAD AND NECK SURGERY BOARD H1 Invasive Melanomas of the Head and Neck: A Retrospective Analysis of the Southern Alberta Experience 1995 – 2004 – M. Hoy, G. Huber, W. Matthews, J. Dort, CALGARY, AB BOARD H2 Thyroid Cancer and Second Primaries – M. Duval, R. Payne, MONTREAL, QC 12 BOARD H3 Decreasing Mandibulotomy Related Complications: Simple Solutions – P. Dziegielewski, J. Dimitri, J. Harris, H. Seikaly, EDMONTON, AB BOARD H4 Volumetric and Multi-dimensional Analysis of Oral Cavity and Oropharyngeal Defects Following Cancer Extirpation Surgery, a Cadaveric Study – A. Mlynarek, H. Seikaly, J. Harris, D. O’Connell, K. Al-Qahtani, P. Dziegielewski, EDMONTON, AB BOARD H5 N0 Necks in HNSCC, a 7-Year Retrospective Review of Treatment Modalities and Outcome – M. Hafidh, R. Hart, M. Taylor, J. Trites, J. Nasser, HALIFAX, NS BOARD H6 Patient Preferences in Early Glottic Cancer Treatment – M. McNeil, D. Wilke, M. Taylor, HALIFAX, NS BOARD H7 A Comparative Cost Analysis of Laser Cordotomy and Radiation Therapy for Glottic Cancer in Nova Scotia – T. Phillips, B. Hoyt, D. Wilke, R. Hart, J. Trites, M. Taylor, HALIFAX, NS BOARD H8 Papillary Thyroid Micro-carcinoma - The Incidence and Characterization in 739 Thyroid Specimens – J. Franklin, C. Chin, L. Sowerby, K. Fung, J. Yoo, LONDON, ON BOARD H9 Clinical Predictors of Malignancy in Follicular, Hurthle Cell, or Indeterminate Lesions of the Thyroid – A. Mendelson, J. Rivera, M. Hier, M. Sherman, N. Garfield, O. Chiparus, M. Black, M. Tamilia, R. Payne, MONTREAL, QC BOARD H10 Surgical Management of a Thyroid Fine-Needle Aspiration Biopsy Diagnosis of “Follicular Neoplasm” – J. Tibbo, M. Corsten, OTTAWA, ON BOARD H11 Impact of Neck Dissection on Swallowing Function – A. Grewal, S. Hawkins, R. Martin, C. Dreyer, M. McCormack, J. Yoo, J. Franklin, K. Fung, LONDON, ON BOARD H12 Left-sided Chylothorax Due to Thoracic Duct Compression by a Large Retrosternal Goiter – J. Paradis, S. Kherani, P. Odell, OTTAWA, ON BOARD H13 The Natural History of Mandibular Osteoradionecrosis by Serial Panoramic Radiography – J. Trites, M. Brake, R. Hart, M. Taylor, HALIFAX, NS BOARD H14 Complete Spontaneous Regression of Node-Positive Merkel Cell Carcinoma of the Upper Face – J. Trites, M. Brace, R. Hart, M. Taylor, HALIFAX, NS BOARD H15 Extramedullary Plasmacytoma of the Tongue: Two Cases and a Review of the Literature – V. Biron, H. Brown, W. Blahey, J. D. Bosch, CALGARY, AB BOARD H16 Chondrosarcoma of the Cervical Trachea – M. Grandy, R. Hart, J. Trites, D. Bethune, M. Taylor, HALIFAX, NS BOARD H17 Chondrosarcoma of the Head and Neck: A Report of 11 Cases and Review of the Literature – P. Hong, E. Wainwright, J. Trites, M. Taylor, J. Nasser, M. Bullock, R. Hart, HALIFAX, NS 13 LARYNGOLOGY BOARD L1 Spasmotic Dysphonia in Twins: A Case Study – T. Davids, J. Anderson, TORONTO, ON BOARD L2 Life Threatening Paradoxical Vocal Cord Movement in a Newborn Caused by Gastroesophageal Reflux – Z. Abou Chacra, A. Lapointe, MONTREAL, QC BOARD L3 Accent Method of Voice Therapy for Treatment of Severe Muscle Tension Dysphonia: A Case Report – K. Al Malki, N. Abdel Nasser, S. Hassan, M. Farahat, RIYADH, SAUDI ARABIA BOARD L4 Subglottic Stenosis Secondary to Waldenstrom’s Macroglobulinemia – M. Brake, B. Lee, B. Hoyt, M. Brake, M. Taylor, ST. JOHN’S, NL OTOLOGY BOARD L5 How We Do It: The Epley Maneuver Teaching Head Set and Modified Epley Maneuver – J. Keir, J. Tahery, CHESHIRE, UK BOARD L6 One versus Two Bone Anchored Hearing Aids: Audiometric Evaluation and Skull Vibration Characteristics - H. Hafidh, O. Majdalawieh, R. VanWijhe, M. Bance, HALIFAX, NS BOARD L7 Use of Intratympanic Dexamethasone for the Treatment of Langerhans Cell Histiocytosis and Associated Sensorineural Hearing Loss – S. Khalili, T. Batten, ST. JOHN’S, NL BOARD L8 Towards Standardization of Vestibular Examination - A Novel Body Positioning Device [BPD] – B. Lange, B. Miller, CALGARY, AB PEDIATRIC OTOLARYNGOLOGY BOARD P1 The Emerging Role of Escherichia Coli as Deep Neck Space Abscess Pathogen in Immune-competent Children: A Report of 2 Twin Cases – A. Hilal, L. Johnson, G. Corsten, HALIFAX, NS BOARD P2 Congenital Midline Cervical Cleft: Case Report and Literature Review – Y. AL Badaai, S. Daniel, MONTREAL, QC BOARD P3 Congenital Epulis: An Atypical Case – X. Zhao, S. Chandarana, M. Husein, LONDON, AB BOARD P4 Lingual Nerve Sheath Myxoma Presenting in a Healthy 14 Year Old Male – J. Paradis, J. Chou, J. Harris, Allegretto, OTTAWA, ON BOARD P5 Inflammatory Myofibroblastic Tumor of the Subglottis: A Case in a 5-year-old Child – T. Hart, R. Rassekh, J. Ludemann, P. Moxham, VANCOUVER, BC BOOTH P6 A Floor of Mouth Teratoid Cyst with Tract in a Newborn – Case Report and Literature Review Unravelling Misquotes in the English Literature – K. Gan, E. Fung, H. Idikio, H. El-Hakim, EDMONTON, AB BOARD P7 Airway Obstruction Secondary to Esophageal Mucoceles: 2 Pediatric Cases and a Review of the Literature – E. Fung, K. Gan, A. Lacson, G. Lees, H. El-Hakim, EDMONTON, AB 14 BOARD P8 The Use of Deflux Injections in the Treatment of Type 1 Laryngeal Clefts: A Case Study – A. Dadgostar, J. MacCormick, OTTAWA, ON BOARD P9 Balloon Dilatation Repair for Unilateral Choanal Atresia – E. Brown, P. Moxham, VANCOUVER, BC BOARD P10 Diagnosis and Managament of a Neonatal Intralingual Cyst of Foregut Origin – S. Patel, S. Chandarana, M. Husein, N. Chan, LONDON, ON RHINOLOGY BOARD R1 Cerebrospinal Fluid Rhinorrhea: Ten Year Review in Nova Scotia – G. Thompson, E. Massoud, HALIFAX, NS BOARD R2 Paranasal Sinus Bony Structures, Sinus Functioning, and Asthma Severity: Is There a Relationship? – B. Lui, D. Sommer, P. Nair, HAMILTON, ON BOARD R3 A Novel Grading System for the Approach to the Sphenoid Sinus – T. Orton, A. Javer, H. Gheriani, B. Mechor, VANCOUVER, BC BOARD R4 Rhinoscleroma Case Report and Literature Review – M. Hussain, A. Al-Habib, F. Al-Qattan, MISHREF, KUWAIT BOARD R5 Endoscopic Resection of Solitary Fibrous Tumours of the Nose and Para-nasal Sinuses - A. Janjua, I. Witterick, TORONTO, ON BOARD R6 Case Report: Anaplastic Large T Cell Lymphoma of the Sinonasal Tract Involving Three Separate Sites – Y. Dolev, J. Manoukian, DOLLARD-DES-ORMEAUX, QC BOARD R7 Aneurysmal Bone Cyst of the Nasal Bone – B. Lui, B. Korman, R. Lemckert, HAMILTON, ON FACIAL PLASTICS BOARD F1 Upper Lid Blepharoplasty Outcome Study – R. Jaggi, R. Hart, M. Taylor, HALIFAX, NS 15