FHNO Workshops

Time Topic
8.00 - 8.15 am  Welcome Address
8.15 - 8.45 am Dysphagia in head and neck cancer – challenges and opportunities
8.45 - 9.45 am Pre-treatment evaluation of the head and neck cancer patient – establishing a standard
9.45 - 10.30 am The instrumental evaluation of oropharyngeal dysphagia in head and neck cancer patients
10.30 - 10.50 am Break
 10.50  - 11.30 am  Optimising swallowing outcomes following chemoradiation for head and neck cancer
11.30  - 12.00 noon Late treatment effects –longer term care of the head and neck cancer patient
12.00  - 12.30 pm  Choosing the right candidate for surgical voice restoration following total laryngectomy
12.30 - 1.00 pm Dysphagia following total laryngectomy – working in partnership to improve outcomes
1.00 - 1.45 pm Lunch
1.45  - 2.30 pm Patients as partners – improving the quality of care
2.30  - 3.00 pm Management of complication in surgical voice restoration

*** May undergo few changes

Day 2: Saturday – 16th September, 2017

Rehabilitation Session (40 minutes each session)

Topic
Voice Evaluation and Therapy in Head Neck Cancer
Utility of scientigraphy and manometry in Swallowing therapy
Videofluoroscopy - Protocol and Scoring
Fiberoptic Endoscopic Evaluation of Swallowing (FEES) - Protocol and Scoring
Setting up a Swallowing Clinic

Less Discussed And Unanswered Issues In Thyroid

Venue: Tata Memorial Centre, Mumbai

Program Highlights
Time Topic
8.10 - 8.25 am Imaging: Incremental benefits of ordering a CT scan in identifying elusive lymph node and revisiting cross sectional anatomy in thyroid cancer
8.30 - 8.45 am Pathology: Role of Frozen section and Uncommon variants of Thyroid Neoplasm (NIFTP to PDTC, the histological spectrum)
8.45- 10.30 am Live surgery: The newer surgical nuances
Hemi/Total thyroidectomy surgery will be focusing on uses of Nerve monitoring, Harmonic focus, Parathyroid gland identification by newer technique, and Intraoperative ultrasonography in addition to conventional techniques
10.30 - 11.00 am Video Session: Robotic Thyroidectomy video demonstrating the technique by the masters
Transaxillary approach
Retroauricular approach
11.00 - 11.10 am Tea Break  
11.15 - 11.30 am
11.30 - 11.45 am
11.45 – 1200 pm
Nuclear Medicine
- RAI fundamental
- Mx of RAI Refractory Tumor
- TENIS
12.00 - 12.20 pm
12.25 - 12.45 pm
Unrecognized Endocrine concerns in thyroid cancer treatment
- Early identification and management of refractory hypocalcemia
- Nuances in Thyroid hormone replacement
- Gene directed prophylactic thyroidectomy
12.45 - 1.30 pm Case discussion with the masters
1.00 - 2.00 pm Hands on training
Attempts will be made to get participants exposed to hands on training with nerve monitoring and harmonic focus depends on availability of mannequins and equipment.

Rustom Chokshi Auditorium, Tata Memorial Centre, September 15, 2017

  • Laser - Physics, Why CO2, Tissue and Laser interaction
  • Surgical Anatomy and Oncologic Principles of Laser Surgery
  • Principles of Laser in Ca Larynx Indications for TLM and Patient Selection
  • Diagnostic work up for pre-neoplastic and neoplastic lesions of the larynx
  • Narrow Band Imaging
  • Imaging of Cancer of Oropharynx &Laryngopharynx: Critical Decision Making
  • Laser Equipment & Safety
  • Frozen Section and Margins analysis
  • Live Surgery
  • Supraglottic and Hypopharyngeal Lesions TLM / Robotic surgery
  • Trouble Shooting & Surgical Debriefing – Prathamesh S. Pai
  • Laryngoscore and various scopes- Rakesh Srivastava
  • Oncological and Fuctional results of TLM in Glottic Cancers
  • Oncological and Functional results of EBRT in Glottic Cancers
  • Optimising Vocal Outcomes in TLM – Mx of Early Glottic Cancers

Venue: Kokilaben Dhirubhai Ambani Hospital, Mumbai

TIME Event Title
07.30 - 08.00 am Registration
08.00 - 08.15 am Lecture TORS - Exploring new frontiers in Head & Neck Surgery
08.15 - 08.30 am Lecture TORS Anatomy - Inside out
08.30 - 08.45 am Lecture Role of robotic surgery in Head and Neck cancer
08.45 - 11.00 am Surgery 1 TORS
11.00 - 11.20 am Lecture TORS - Indian scenario
11.20 - 11.40 am Lecture Retroauricular Robotic Surgery
11.40 - 12.00 pm Lecture TORS - Do we have evidence?
12.00 - 12.30 pm Lunch

Venue: Anatomy Dissection Hall, K.E.M. Hospital, Mumbai

20 pax 5 Cadavers
Time Session
08.00 – 08.20 am Anatomy of neck Video: Neck dissection
08.20 – 10.00 am Cadaver dissecton - Neck
10.00 - 10.15 am Tea break
10.15 - 10.40 am Anatomy of tongue Video: Tongue resections – Local and advanced
10.40 – 1200 noon Cadaver dissecton –Tongue
12.00 - 12.30 pm Lunch
12.30 - 12.45 pm Anatomy of mandible and maxilla Video:Mandibular and maxillary resection
12.45 - 14.00 pm Cadaver dissecton – Mandible and Maxilla
14.00 – 14.30 pm Queries and wrap up

We Are Very Pleased To Announce The Flap Dissection Course To Be Held On Friday, 15th September, 2017 At Mumbai.

Faculty: Leaders In The Field Of Reconstructive Microsurgery.

This Course Will Focus On Dissection Of Microsurgical Flaps Of The Head And Neck. By Focusing On Fewer ‘Workhorse’ Flaps, We Intend To Create Capability For Reconstruction Of Almost All Defects Commonly Encountered In Practice. There Will Be Ample Time For Independent Dissection. It Will Be An Opportunity For Residents, Fellows, And Juniors To See And Hear The Experts Dissect Common And Complex Flaps Used In Microsurgical Practice And Understand Their Utilization. This Course Is Meant To Be An Interactive Experience For The Attendees With Time To Ask The Experts!

Registration Will Be Limited To 4 Attendees Per Cadaver To Ensure Small Intimate Groups To Allow For Questions And Answers During Dissections. We Anticipate The Course To Fill Quickly!

Methodology:

  • Conditions For Flap Raising And Dissection Will Be Similar To Those Of The Living Human Body. Donated Unembalmed Bodies Will Be Made Available.
  • Step By Step Harvesting Of The Most Important Flaps For Head And Neck Reconstruction.
  • A Hands-On Approach Will Be Used With No More Than Four Participants Per Cadaver. This Will Allow Ample Opportunity For Delegates To “See One, Assist One And Do One” For Each Of The Flap.
  • All Didactics Will Take Place In The Cadaver Lab.
  • A Multimedia Approach Will Be Used, And We Recommend That Registrants Bring Their Loops.
  • All Other Instrumentation And Scrub Will Be Supplied.

    Flaps Planned For Dissection –

    1. Free Radial Artery Forearm Flap (FRAF)
    2. Antero Lateral Thigh Flap (ALT Flap)
    3. Pectoralis Major Myocutaneous Flap (PMMC Flap)
    4. Deltopectoral Flap (DP Flap)
    5. Forehead Flap - Standard / Median
    6. Temporalis Muscle Flap
    7. Other Local Flaps - Nasolabial, Limberg, Lip Adjustment Flaps.
    8. Free Fibula Osteocutaneous Flap (FFOCF)
    9. VRAM Flap

Learning Objectives:

  1. To understand the common complications occurring during head and neck chemoradiation (CTRT).
  2. To understand the difference between implications of complications occurring during CTRT as opposed to those occurring during systemic therapy without radiation.
  3. To learn the management of common complication occurring during CTRT.
  4. Understanding the role of allied services (nutritionist and speech & swallowing experts) in preventing and managing complications of CTRT.

Time Topic Objective
9.00 -9.30 am Complications during chemoradiation
  1. Types of complication
  2. Magnitude of complications Time of occurrence of these complications
  3. Grading of complications Prediction of development of complications
    • Factors prior to start of CTRT
    • Factors occurring during CTRT
9.30 -10.00 am Selection of appropriate systemic regimen for CTRT and importance of dose intensity
  • In radical and adjuvant setting
    1. Defining platinum fitness for cisplatin
    2. Selection of regimen in cisplatin fit patient
    3. Selection of regimens in platinum unfit patient
  • Practical examples
    1. Low serum creatinine clearance
    2. Sensorineural hearing loss
    3. Low cardiac ejection fraction of below 50%
    4. Presence of valvular heart disease
    5. Presence of uncontrolled diabetes mellitus with albuminuria
  • Importance of dose intensity
10.00 -10.30 am Nutritional support during chemoradiation
  1. Importance of weight loss during CTRT
  2. Indication for nutritional screening
  3. Types of nutritional support
  4. Frequency of adequate nutritional intake assessment
  5. Target calorie and proteins
  6. When Ryles tube? Peg tube?
  7. When to remove?
10.30 -11.00 am Speech and swallowing
  1. Importance of speech and swallowing assessment prior and during CTRT
  2. Indication for speech and swallowing assessment Methods of assessment
  3. Types of swallowing exercises
  4. Frequency of assessment during CTRT
11.00 -11.30 am Practical tips for adequate delivery of systemic therapy during CTRT
  • Baseline work up
  • Assessment during CTRT for complications : frequency; when weekly, when daily?
  • Adequate supportive care
    1. Antiemetic
      1. Aprepitant"
      2. Dexa
      3. Olanzapine?
      4. Nausea → raised creatinine
      5. Nausea → anorexia
    2. Hydration during CTRT (3 weekly, frequency)
    3. Assessment of electrolytes
      • Sodium during Cisplatin
        1. Importance of low Na belo 130
        2. Reason for hyponatremia
      • Magnesium & cetuximab
      • Potassium
  • Grade 3 mucositis not an indication for CTRT
11.30 -12.00 noon Immediate Post CTRT care
  1. When to discharge a patient post CTRT
  2. Immediate post CTRT care for mucositis, dermatitis, odynophagia, dysphagia and aspiration pneumonia
12.00 -12.30 pm Targeted therapy with RT-Are the side effects different  
12.30 -1.00 pm Panel discussion Case based
Time Topic
9.00 -10.00 am Module 1

Tissue collection & Biobanking

Culture, Cell Lines, Organoids

Animal Models, Imaging

Discussion (15 min)
10.00 -11:15 am Module 2: Biomarkers

Cytogenetics (karyotyping, FISH, Array CGH)

Genomics

Proteomics

Discussion

11.15 - 11.30 am Tea Break
11.30 - 12.30 pm Module 3: Immunology and Immunotherapy

Basics of Immunology , Monoclonal antibodies, Vaccines, Biomarkers for Immunotherapy –Response assessment, Flow cytometry

Immunotherapy

Discussion
12.30 - 1.30 pm Module 4: Pharmacokinetics / Drug development

PK / PD modeling – Practical demonstration
Drug design and development


Precongress - Oral Cancer Mastercourse - 15th September 2017

Venue: J.W. Marriott, Mumbai


Time Session
09.00 – 09.15 am Diagnostic adjuncts for oral PMD – current evidence
09.15 – 09.30 am Imaging in oral cancer - how to choose the best modality
09.30 – 09.40 am Surgical margins in oral cancer – whats the latest evidence?
  Q&A
09.45 – 10.00 am Management of the neck in early oral cancer – N0 (including SNB)
10.00 – 10.20 am Video session: Selective neck dissection Sentinel node biopsy
  Q&A
10.25 - 10.55 am Organ preservation in Oral cancer Surgery – including marginal video RT including Brachytherapy video Nonsurgical Organ preservation
  Q&A
11.00 -11.15 am Coffee break
11.15-11.55 am Advanced oral cancer management
Surgical principles
Definitive and Adjuvant CRT
  Q&A
11.00 -11.15 am Coffee break
12.00 – 12.30 pm Video session : Mandibular resection
ITF Clearance
Advanced tongue resection
  Q&A
12.30 – 01.30 pm Case Based Discussion
01.30 – 02.30 pm Lunch

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