ELS Meeting 2016 — Genoa, Italy
11th European Laryngological Society meeting hosted by Giorgio Peretti, June 8–11. Photo recap with full set on Flickr. Villa Lo Zerbino gala evening. Next meeting: 2018.
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Middle East Update in Otolaryngology — Dubai 2016
13th Annual Middle East Update in ORL-HNS, Dubai. Organized by Tarabichi, Alamadi, and Benninger. Pediatric airway sessions (papilloma, de Alarcon on airway stenosis). Memorable debate on “reflux laryngitis” with Kraus, Benninger, Bradford, Gomaa. Reconnected with former fellows Ibrahim Issa and Redwan Kalash. Travel notes: Al Fahedi historic district, Burj Khalifa light show, Metro transit.
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Thyroid Surgery Guidelines for Voice Evaluation — Letter to JAMA OTO
Letter to editor submitted to JAMA Otolaryngology Head & Neck Surgery in response to Shonka & Terris (2016). Argues that current AAO-HNS and ATA guidelines are insufficient — vocal capability recording before and after any thyroid/parathyroid surgery is the gold standard. Vocal functions reviewed: SLN = tension (high pitch, volume increase); RLN-ant = adduction for…
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CEORL 2015 Prague
3rd Combined European ORL Society, Prague. Venue adjacent to Vyšehrad castle. Gala at Zofin Palace. Noted: voice feminization session (Remacle, Ricci-Maccarini, Thomas, Giovanni, Sandhu); Jean-Paul Marie’s abductor reinnervation surgery results (rare feat); HPV vaccination and papilloma; reflux laryngitis skepticism. A/V notes on Mac vs. PowerPoint presenter challenges. Recommends making all sessions included in the registration…
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High Definition Laryngology 2015 — CEORL Prague
Presentation at 3rd CEORL, Prague. How combined high and low technology leads to high definition laryngeal examination. Lecture handout on High Definition Laryngology (downloadable PDF linked). Migration note: Connects directly to the /HD QR handout.
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Paul’s Internal Laryngeal Framework Surgical Approach — Bangalore
AOICON 2014, Bangalore. Paul Castellanos’ trans-oral internal approach to laryngeal framework surgery: microlaryngeal CO2 laser incision through aryepiglottic fold/false cord junction, creating a pocket for arytenoid maneuver and Silastic placement. Superior cornu and corniculate cartilage as local flap. Suturing technique with clip applier on a P-3 needle (4-O Proline, Monocryl, PDS). Lindholm laryngoscope for bimanual…
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Functional Voice Disorder Diagnosis Course — Barcelona
Announcement of Voice Course Barcelona — practical course on functional diagnosis of voice disorders. Faculty list (Ferran Vilà, Casanova, Coulombeau, Perouse, Hess, and others). Brief commentary: “The difficult part of laryngology is making a diagnosis.”
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Neurolaryngology — Reinnervation Surgery (ALA 2014)
Announcement of Jean-Paul Marie’s lecture at the American Laryngological Association meeting at COSM: “Ten years experience in selective bilateral reinnervation of the larynx.” Caesar’s Palace, Las Vegas, May 14, 2014.
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Tracheal Shave and Anterior Commissure Detachment
Abstract submitted to Fall Voice Conference, San Antonio. Individuals undergoing tracheal shave (Adam’s apple reduction) are at risk for anterior commissure detachment — presenting as lower comfortable speaking pitch, reduced vocal range, loss of volume, increased effort. Visually: convex vocal cords (often misattributed to smoker’s polyps or reflux). Hoarseness >7–14 days = likely detachment, not…
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Compensating for Hoarseness
How natural compensation hides voice disorders during examination, both audibly and visually. Two examples: (1) TA muscle weakness — CT muscle compensates by raising pitch. Examiner removes compensation by asking patient to progressively lower pitch, revealing the bowing/flutter of the weak cord. (2) Mucosal swellings — patient raises volume at high pitch to compensate; examiner…