Day 1 :
School of Medicine Universitas Brawijaya, Indonesia
Sinta Murlistyarini has concluded her Medical studies in 2006, and has specialized in Dermatovenereology in 2011 from School of Medicine of Universitas Diponegoro Semarang Indonesia. Since 2012, she opened her own outpatient private clinic for Dermatovenereology in Malang, Indonesia. She became a Lecturer at Dermatovenereology Department, School of Medicine Universitas Brawijaya and Dr. Saiful Anwar General Hospital, Malang, Indonesia since 2012. She now is the Head of Cosmetic Dermatology Department at Dermatovenereology Department School of Medicine, Universitas Brawijaya Malang.
Introduction: Periorbital dark circle is a common condition that involves darkening of the upper and lower eyelid skin. Dark circles are caused by multipe etiologic factors that include dermal postinflammatory hyperpigmentation, dermal melanin deposition, superficial location of vasculature, periorbital edema, and shadowing due to skin laxity. It is often refractory to treatment. Multiple treatment modalities have been used for periorbital hyperpigmentation with unsatisfactory result.
Case: A 28 years-old Javanese female came with chief complaint of dark circles around her eyes. She had a personal history of atopy. Dermatological examination revealed bilateral periorbital hyperpigmented patch with thickening and fine lines involving her upper and lower eyelids. Pre-peel treatment with 8% glycolic acid once daily and sunblock SPF33 were given since 2 weeks before peeling treatment. 15% glycolic acid chemical peeling was performed. After two series 3-weekly interval chemical peeling, there was improvement in hyperpigmentation of 25-50% Physician Global Assessment and scored 3 in patient’s Visual Analog Scale. No side effect was noted.
Discussion: Periorbital dark circle due to atopic dermatitis are believed to be caused by accumulation of fluid due to facial allergy, rubbing and scratching the skin around the eyes. Glycolic acid may contribute through various ways, as anti-inflammatory, keratolytic, and antioxidant effects. Glycolic acid accelerates collagen synthesis, decreasing Ca ion and modulates matrix degradation.
Dr. Hans Centre for ENT, Hearing Care & Vertigo, India
Time : 10:45
Padma Shri awardee Prof. (Dr) J. M. Hans, is a topper and medalist from PGI Chandigarh. Dr. Hans has done pioneering work in the field of cochlear implant surgery and has done more than 1500 cochlear implants in his center, centers around the country and also in SAARC countries. He is the Founder Member of the Cochlear Implant Group of India. He is currently Chairman& Director of Dr. Hans Centre for ENT & Cochlear Implant and Chairman of Dept of ENT & Cochlear Implant, Venkateshwar Hospital, Dwarka, New Delhi. He is Honorary Consultant to Ex-Prime Minister of India. Dr. Hans is Government Member to the Ali Yajur Jung National Institute for Deafness, Mumbai. The Government appointed him as Executive Member of the All India Institute of Speech and Hearing, Mysore. He is appointed Member to the National Program on Prevention and Control on Deafness (NPPCD) and Advisor to UPSC and WHO. He pioneered the minimally invasive technique for Cochlear Implantation in India. He is also advisor Cochlear Implant Surgeon to Pingalwara Trust in Amritsar. He is visiting cochlear implant surgeon to the Medical Colleges of Chattisgarh, Andhra Pradesh and Madhya Pradesh, PGI Chandigarh etc., to perform CI surgery on deaf and dumb children.
Member of ADIP, Committee of Cochlear Implant, Govt. of India and Executive Council AIISH Mysore.
The Veria technique for cochlear implantation is a non mastoidectomy technique which is done through the endaural route for the cochleostomy with a transcanal tunnel drilled in the posterior canal wall. This technique has been used for implanting in more than 2000 cases. This technique uses a specially designed perforator to make the tunnel in the posterior canal wall. Though the conventional techniques has been successful it is more time consuming and is prone to various complications especially in children with small facial recess, cochlear malformations and cochlear rotation. This technique is simple, helps in faster healing and earlier fitting of the processor, is precise thereby minimising trauma to the facial nerve. The surgery can be performed in infants who have not yet developed the mastoid completely. This technique can be applied in difficult cases of common cavity, ossified cochlea, cochlear hypoplasia, otosclerosis, high jugular bulb, rotated cochlea with great ease and minimal difficulty.
Health Zone (Aesthetic & Skin Chamber), India
Keynote: Sunscreen vs. Sunlight at altitude
Masroor Ahmad Wani is Gold Medalist, has done MD from Medical College, Kolkata. He is practicing Aesthetic and Skin Medicine at Health Zone Medicate, Srinagar, India. He has published many articles in newspapers and magazines, has attended more than 22 national and international dermatological conferences.
Altitude increases the sunburn risk. Skiers, hikers and other people whose activities are in the mountains especially during the sunny snow season develop mild or moderate sun burn. UV intensities increase with altitude because objects are physically closer to sun. In general, intensity increases at a rate of 6% per 1000 feet above the sea level for the same altitude. At 5000 feet the sun is 30% stronger than at sea level. At 1000 ft. the sun’s intensity increases by 60%, at a very high altitude, the sun’s characteristics also change due to thinning of the atmosphere. Ultra violet light is made up of UVC, UVB and UVA; UVC being the shorter wavelength that is filtered out by the earth’s ozone layer. UVA and UVB penetrate the ozone layer and reach the earth’s surface but the atmosphere filters more UVA and UVB. Fortunately UVA is not so powerful in its effects with UVB on the skin. In a study published in the Academy of Dermatology, Rigel and his team reported similar results with ski instructors in Vail, who applied two different sunscreens – one with SPF 50 and other with SPF 85 to different sides of face. The sunscreen SPF 50 was not enough to protect them from sun burn.
King Saud bin Abdulaziz University for Health Sciences, KSA University of Arkansas for Medicla Sciences, USA
Ahmad A. Alanazi, has completed his PhD and AuD degrees from University of Arkansas for Medical Sciences, USA and his maters’ degree from Flinders University, Australia. He is a lecturer at King Saud bin Abdulaziz Univeristy for Health Sciences, Saudi Arabia and an adjunct clinic instructor at University of Arkansas for Medical Sciences. His research interests are broad but mainely focus on hearing loss detection and intervention, simulation, and interprofessional education/practice in which he has published several papers in peer-reviewed journal. His recent research focuses on the collborative work between healthcare professionals in meeting the 1-3-6 timeline via the use of simulation.
Early detection of congenital hearing loss is critically important. Research tells us that if we find out a baby has hearing loss early, we can begin interventions and improve a child's ability to develop language and to learn and develop social skills. Universal neonatal hearing screening was legislated in many countries with a goal of meeting the 1-3-6 timeline (identification of hearing loss by one month, diagnosis by three months, and intervention by six months). This early identification and habilitation of deafness offers the child the best chances to develop communication skills commensurate with their typically hearing peers. The process of hearing loss identification, diagnosis, and intervention requires interprofessionl education/practice (IPE/IPP) between ENT specialists, audiologists, speech-language pathologists, and other healthcare professionals. However, much misinformation exists among healthcare professionals with reagard to this timeline. The Joint Committee on Infant Hearing reported that there is a shortage of professionals with skills and expertise in both pediatrics and hearing loss. This misinformation also appears among parents. For instance, the Arkansas loss-to-follow-up/loss-to-documentation rate was more than 70% in 2014. Therefore, the importance of IPE/IPP has been recognized by the Institute of Medicine as a major contributor to improving healthcare outcomes across the lifespan. The use of simulation (i.e., manikins and standardized parents who represent specific scenarions) can help to: (a) conduct infant hearing screening and diagnosis, (b) counsel the parents regarding the results and next steps in the hearing loss identification and re/habilitation process, and (c) appreciate the benefits of the 1-3-6 timeline.