8th EUROPEAN LARYNGOLOGICAL LIVE SURGERY BROADCAST INVITATION
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Dear ELS members,
I would like to cordially invite you all to participate in the 8th European Laryngological Live Surgery Broadcast. This year we have two new centers performing surgeries: Prof. Dr. Jean Paul Marie from Rouen and Prof. Dr. Christoph Arens from Giessen. The session will take place on November 15, 2023, starting as usual at 9:00 CET (GMT +1).
For more information, please visit our website els.livesurgery.net.
Prof. dr hab. Witold Szyfter
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VOICEISTANBUL April 2024 / ELS WORKSHOP
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We are pleased to invite you to ELS Workshop: Around the Cartilage on 25th April 2024 organized in the framework of the VoiceIstanbul conference.
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REGISTRATION AND ABSTRACT SUBMISSIONS ARE NOW OPEN!
Early bird registration deadline: 31st December 2023.
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CEORL-HNS : Let’s go to Dublin in June!
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The Confederation of the European Otorhinolaryngology and Head and Neck Surgery was established in 2009 with the aim of creating one voice for ORL-HNS in Europe and beyond. The Confederation biennially organise scientific events with the purpose of facilitating continuing medical education and professional development, and to unify the advancement of ORL-HNS in Europe.
We had a fantastic congress in Milan in 2022 where the ELS was involved in planning and executing a high-level academic program, including instructional sessions for the younger clinicians and challenging debates for the experts. You are now invited to join us in Dublin, Ireland, 15-19 June 2024, for the next biennial CEORL congress: the laryngological program will be very rich and varied ranging from presbyphonia to artificial intelligence and new technologies, going through glottis stenosis, papillomatosis or thyroplasty, to name just a few. Please go to https://ceorlhns2024.org/: registrations and abstract submissions are now open!
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WINTER DAYS OF LARYNGOLOGY 2024
INVITATION
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BLA/UEP INAUGURAL JOINT MEETING
By Emilie Dronkers
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The first BLA/UEP Inaugural Joint Meeting held 14 September 2023 in London was a very informative event with high quality international presentations. After the 30th UEP congress in April in Antalya the idea was born to join forces between BLA and UEP. The organising committee has gone above and beyond to provide for amazing keynote speakers and really beneficial, informative and enjoyable talks. The cheese-and-wine reception was a very pleasant way of meeting old friends and new contacts.
Neurolaryngology was a big topic during the day and a state-of-the art overview of current treatment possibilities was presented. The keynote lecture by prof. Berit Schneider-Stickler on the Neurolaryngology clinic was very comprehensive and informative and many listeners were surprised by the results of functional electrostimulation for unilateral vocal cord palsy and tremor. The choice of the organising committee to invite Neurosurgeons Ludvic Zrinzo & Marie Krueger to talk about functional neurosurgery for disorders of speech was a hit with the audience. Deep brain stimulation (DBS) and focused MRI guided ultra sound treatment (FUS) are already being used to good success for patients with laryngeal dystonia and voice tremor. And prof. Tetsuji Sanuki provided the long wanted answer regarding his type II thyroplasty titanium bridges for adductor type laryngeal dystonia: yes, they will be available in Europe shortly! The ever strong and charming emeritus professor Johan Sundberg had a wonderful remote presentation on phonatory aspects of the voice, and left the audience in awe with his live voice recordings and of course the organ in the background of his room. The in-depth panel discussions on surgical techniques for posterior glottic stenosis and treatment of complex dysphagia were a great addition to the day and the diversity in invited speakers was refreshing.
We are already looking forward to the next joint BLA/UEP meeting 23-25 May 2024 in Zagreb Croatia and to the biannual Cutting Edge Laryngology Meeting hosted by the BLA which will be held in the first week of October 2024.
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EUROPEAN LARYNGOLOGICAL RESEARCH AT ITS BEST,
HOW ELS SUPPORTED MEETINGS CAN LEAD TO INTERESTING DISCOVERIES !
By Gauthier Desuter
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The attitude to recent onset unilateral recurrent paralysis has been the subject of much debate. The debate is still raging.
Where non-ENT surgeons, performing surgeries with a high iatrogenic potential, tend to wait sometimes months for a hypothetical spontaneous recovery, ENT surgeons have adopted a more proactive attitude.
Logopedic treatment is initiated as soon as the diagnosis is made. This initial treatment is supplemented by a proposal for injection laryngoplasty. Here again, there is debate on both sides of the Atlantic as to the timing of this injection.
American colleagues propose injection laryngoplasty from the outset, whereas we Europeans tend to wait beyond 6 months of evolution.
There are several reasons for this continental difference in attitude. Our American friends put forward both empirical-scientific and societal arguments. Among the societal arguments, the virtual absence of remuneration during a work interruption imposes a rapid restoration of the voice, whereas in Europe, compensatory remuneration exists and authorizes a more passive approach. American laryngologists have also developed - with the help of insurers - access to office-based procedures where Europe lags behind. Access to injection laryngoplasty is therefore easier and better reimbursed.
Our US laryngologist friends also put forward the scientific argument that early injection improves the long-term prognosis for voice recovery, and reduces the need for more definitive procedures such as thyroplasty or ansa hypoglossi reinnervation [1].
In Europe too, several authors have described the benefits of injections beyond the lifetime of the substance injected [2].
But how can an injection of a temporary substance bring about a definitive improvement?
During a panel discussion in the shadow of the Swiss Alps at the Winter Days of Laryngology, a research project was launched. The aim was to evaluate possible injection-induced neuroplasticity optimizing laryngeal re-innervation [3].
After injection, two types of sensory feedback stimulating potential neuroplasticity can be described: one auditory, the other proprioceptive.
Indeed, the closure of the glottic leak obtained by the injection instantly improves not only the power of the voice and thus the auditory feedback, but also enables the creation and maintenance of a subglottic pressure modifying laryngeal proprioception.
A European study was able to demonstrate the existence of this proprioceptive neuroplasticity loop in a patient after injection, using functional magnetic imaging. In this individual with recurrent nerve neurapraxia, fMRI demonstrated bilateral activation of the brainstem ambiguous and solitary nuclei immediately after injection. This activation gradually disappears over time.
Further studies will have to clarify the conditions required to obtain this post-injection proprioceptive neuroplasticity.
At present, however, there is sufficient evidence to suggest early injection laryngoplasty to our UVFP patients.
The University Clinics of Antwerp and affiliated hospitals have published a flow chart reproduced below [4].
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[1] Early-injection laryngoplasty may lower risk of thyroplasty: a systematic review and meta-analysis. Vila PM, Bhatt NK, Paniello RC. Laryngoscope. 2018 Apr;128(4):935-940. Doi:10.1002/lary.26894.Epub 2018 Jan 22
[2] Early management of acute unilateral vocal fold paralysis: update of the literature. Marques JAS, Marronnier A, Crampon F, Lagier A, Marie JP. J Voice 2021 Nov ;35(6) :924-926.doi 10.1016/j.jvoice.2020.02.021.Epub 2020 Apr3.
[3] Brain adaptation following various unilateral vocal fold paralysis treatments: a magnetic resonance imaging based longitudinal case series. Dedry M, Dricot L, Van Parys V, Boucquey D, Delinte N, van Lith-Bijl J, Szmalec A, Maryn Y, Desuter G. Front Neurosci. 2022 Oct 5;16:947390. Doi:10.3389/fnins.2022.947390.eCollection2022
[4] Modern management of unilateral vocal fold paralysis: how we do it? Petermans O, Lavrysen E, Deben K, Janssens de Varebeke S, Vanderveken O, Desuter G. B-ENT 2020;1 doi 10.5152/B-ENT.2023.231247
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As usual, the ELS "Monday meetings" continue to take place every first Monday of the month from 18:00 to 18:45 (CEST). These sessions cater to all levels of laryngologists from beginners to advanced practitioners. During the meeting, one of our experts and moderators will guide you through a topic in a practical manner - teaching you the basics and their own approach while answering all your questions in this area.
You are cordially invited to the ELS Monday meeting held on 6th November at 6:00 pm CEST with Cesare Piazza who will talking about the Reconstruction of partial/circumferential hypopharyngeal defects by pedicled and free flaps: How I do it. The webinar link is HERE.
The ELS members can watch the following Monday meeting' recordings in the Member zone on the ELS website:
Jennifer Anderson - Laryngeal Trauma
Tom Langeveld - Myoneurectomy for AdSD
Gauthier Desuter - Treatments options for UVFP
Andy Bertolin - State of the Art Open Partial Laryngectomy
Peak Woo - Adductor, abductor, and mixed spasmodic dysphonia and the role of Botox in the management of movement disorders
Elisabeth Sjögren - The role of the arytenoid in the paralysed vocal fold and how to manage it
Declan Costello - Surgery in singers
Marc Remacle - Sulcus and related lesions - Classification, diagnosis and treatment
Kate Heathcote - Cricopharyngeal dysfunction
Christoph Arens - Endoscopic imaging of the larynx
Taner Yilmaz - Arytenoidectomy for BVFP
Isabel Vilaseca - Narrow-band imaging (NBI)
Jean-Paul Marie - Laryngeal reinnervation
Kishore Sandu - Post intubation laryngotracheal lesions
Ahmed Geneid - Office based laryngology: examples and tricks
Isabel Garcia Lopez - Laryngeal EMG
Markus Hess - Glottoplasty in male-to-female transgender patients
Jerome Lechien - Laryngopharyngeal reflux Disease
Ricard Simo - Management of advanced laryngeal cancer
Ricard Simo - Management early laryngeal cancer
Frederik Dikkers - Recurrent respiratory papillomatosis - Introduction
Cesare Piazza - Cricotracheal resection for thyroid cancer
Małgorzata Wierzbicka and Joanna Jackowska - Iatrogenic laryngotracheal stenosis
Marc Remacle - Exudative lesions of the Reinke's space
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NEW Spot diagnosis case - WIN A PRIZE!
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In every newsletter, we share a clinical case for practicing your spot diagnosis skills. Send your answer to europeanlaryngologicalsociety@gmail.com by 31st December 2023 and win a copy of the 2nd Edition Surgery of Larynx and Trachea by Marc Remacle and Hans Eckel! The prize will be awarded by a lottery between the competitors and the winner will be announced in the next ELS newsletter.
Spot diagnosis case 10
To view the spot diagnosis case No. 9, click on the button below.
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Spot diagnosis case 9 ANSWER
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Scenario: This 56-year-old female with a history of COVID-19 pneumonitis and ICU admission visits the ENT outpatient clinic with a chronic cough and shortness of breath on exertion.
Flexible laryngoscopy doesn’t show any abnormalities and there is normal vocal cord movement. There are some interesting findings on flexible tracheobronchoscopy.
Questions:
1) What is the likely diagnosis?
Answer: tracheobronchopathia osteochondroplastica
2) What evidence of previous treatment do you see?
Answer: A-frame narrowing airway related to previous tracheostomy
The following participants in the competition answered correctly:
1. Dr. Nadhirah Mohd Shakri
We hereby announce that the competition has ended and the winner is Dr Nadhirah Mohd Shakri. Congratulations!
The winner will be soon contacted by the ELS secretariat. The prize - the revised edition of Surgery of Larynx and Trachea by Marc Remacle and Hans Eckel - will be sent to the winner.
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We welcome you to submit your cases for the spot diagnosis column*. If your case is chosen you will also win a copy of the book!
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* Please make sure to follow rules and regulations regarding the submission of patient material in your own country.
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INTERVIEW with PROF. JEAN-PAUL MARIE,
By Alexia Mattei
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Can you briefly tell me about your career so far?
I grew up in Rouen. At first, I was torn between music and rock climbing before pursuing studies in medicine. I discovered surgery relatively late and was initially impressed by cardiac surgery, then neurosurgery, and finally ENT (Ear, Nose, and Throat) surgery, with Jérôme Andrieu and Danièle Dehesdin. ENT seemed to encompass all the qualities I was looking for: elegant surgery, complex physiopathology, and diversity.
I was fascinated by microsurgery and functional rehabilitation, which became the focus of my practice and research. I first became interested in reconstructive surgery and free flaps, then in otology and skull base surgery. I conducted my medical thesis on selective laryngeal reinnervation and had the opportunity to meet Roger Crumley in Los Angeles and Harvey Tucker in Cleveland (USA).
Captivated by laryngeal transplantation and aiming to enable functional reinnervation, I embarked on my doctoral thesis on the role of the phrenic nerve in this application. The results I obtained allowed me to initiate laryngeal reinnervation in humans as part of a prospective project that began in 2003.
Becoming a Professor at the Rouen University Hospital in 2000, and later the Head of the ENT Department in 2013, I developed laryngology and phoniatrics alongside otology and skull base surgery. As the head of an experimental surgery laboratory and a research team focused on ventilatory and neurological disabilities (UR 3830, GRHVN), I oversee studies on axonal regeneration of peripheral nerves (recurrent nerve, facial nerve, sciatic nerve) in the presence of olfactory glial stem cells and transcutaneous magnetic stimulation. These studies also have applications in horses.
Together with several French laryngologists, we obtained a PHRC (Hospital Clinical Research Program) grant for reinnervated laryngeal transplantation. I played a role in establishing the Rouen Speech Therapy School and strive to instill a passion for research by awarding clinical prizes to interns and surgeons.
Since 2016, I have been organizing a practical course on laryngeal reinnervation, which attracts laryngologists from all five continents. ELS (European Laryngological Society) is an open platform for me, ideal for sharing advancements in the field of laryngology with other clinicians and researchers.
How have you been involved in the ELS in the recent years?
I have participated at all the ELS meeting, presenting my clinical or research results. I am one of the member of the neurolaryngology commission.
I regularly serve as a reviewer in the Archives of Otorhinolaryngology in the field of the laryngology.
You were at the ELS congress in Milan: was there a session that particularly interested you?
I was really impressed by the new development of tracheal reconstruction, but also by the neurolaryngology sessions: neurostimulation and reinnervation have probably a great future.
What are for you the important future perspectives in laryngology?
Treatment of papillomatosis
New techniques of ventilation
Larynx reconstruction
Ary-cricoid joint replacement
Tissue engineering
Neurolaryngology
Do you have another topic you would like to focus on?
Posterior commissure lesions and rehabilitation. And surgery of oropharyngeal dysphagia.
And to finish can you answer to our laryngologic dilemma : what would be the worst for you : you can’t ever use any type of corticosteroids again ou you can’t ever use a lasers again in your career.
Difficult question! The worst would be to no longer have corticosteroids.
Cold instruments, electrical coagulation, bipolar, microdebrider or radiofrequency can do a lot without laser!
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Our members are at the heart of the ELS. You can find below the main advantages your membership gives you.
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TOP 10 REASONS TO BE A MEMBER OF THE ELS
1. COMMUNITY: Be a part of a unique international community
2. NETWORKING: Meet, learn from and collaborate with colleagues
3. GRANTS AND OBSERVERSHIPS: Apply for laryngology related grants and observerships
4. MEETINGS: Join the monthly Monday meeting
5. RESEARCH GROUPS: Establish or participate in one or more research groups
6. E-NEWSLETTER AND MAILINGS: Direct, interactive and customized communication channel
7. KNOWLEDGEBASE: Access to Members only zone with archived educational material and an online video library
8. AWARDS: Win the Lichtenberger Prize or Neurolaryngology Award (biennial competitions)
9. EAORL JOURNAL: Online subscription to the European Archives of Oto-Rhino-Laryngology
10. SAVINGS: Reduced registration fees at ELS congresses and courses
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MEMBERSHIP FEE PAYMENT FOR 2023
In growing our ELS society, your contribution to the society is invaluable to us and we would like to thank those who have supported us this year. We are most grateful for your contribution as it helps our society to develop further and we sincerely hope you will continue being a part of the ELS.
The list of membership fees is available on our website. The membership year commences in January and ends in December each year. Memberships come into effect upon receipt of the first payment of the membership fee.
MEMBERSHIP REMINDERS - IMPORTANT NOTE:
If you have note done so yet, we would like to kindly remind you to pay the membership fees for 2023 as soon as possible, however no later than the 30th November 2023.
Those who will not pay the fees by then will receive a final reminder in the first half of December with a termination notice. If after that your membership fee still remains unpaid, your membership will, unfortunately, be terminated. Feel free to contact us if you have any questions.
TO RENEW YOUR MEMBERSHIP:
When you click on membership.com, you can renew and pay for your membership for 2023. In case you do not remember your login details or have any problems with your fee or payment, please contact the ELS Association Development Manager - Barbora McBurney - by email mcburney@associationhouse.cz, or check a User guide - Claudin.
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FOR NEW MEMBERS
How to become a member?
Should you wish to join us and become a member of the ELS, please visit our website to sign up.
You will first need to register by creating your member profile in the Claudin membership system. Then you will be able to select the membership type of your choice and proceed to payment.
Please note that you will use the same login details for the Claudin membership system and to access the Members zone on the ELS website accessible exclusively to our ELS members. Should you not recall your password at any time, please do password recovery to retrieve access to your profile.
Note: If you wish to apply for an ELS Junior membership, you will need to upload your certificate of residence into your profile in the Claudin membership system.
For assistance, please contact the ELS Association Development Manager - Barbora McBurney at europeanlaryngologicalsociety@gmail.com.
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SAVE THE DATES / Future Laryngology Events
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TLV DYSPHAGIA COURSE 2023
2nd November 2023
Tel-Aviv, Israel
Congress
Programme: HERE
Registration: HERE
NEUROLARYNGOLOGY WORKSHOP
2nd - 3rd November 2023
Jena, Germany
Workshop
More information HERE
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14th ANNUAL ROYAL MARSDEN HEAD AND NECK CONFERENCE:
New horizons in Head and Neck Cancer Diagnosis and Management
10th November 2023
London, UK
Conference
Website: https://www.royalmarsden.nhs.uk/HN2023
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8th EUROPEAN LARYNGOLOGICAL LIVE SURGERY BROADCAST
15th November 2023
Online
Virtual
Free of charge
More information HERE
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4th Oncological Laryngology International Master
20th - 23th November 2023
Vittorio Veneto, Italy
Meeting
More information HERE
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SURGERY TECHNIQUES IN LARYNGOLOGY
24th - 25th November 2023
Hamburg, Germany
Workshop
10% discount for ELS members
More information HERE
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COMMEMORATIVE EVENT IN THE HOUSE OF THEODORE BILLROTH
1st - 2nd December 2023
Vienna, Austria
Symposium
For more information, click HERE.
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22nd LARYNGEAL SURGERY COURSE
7-9 December 2023
Cologne Germany
Course
10% discount for ELS members
More information HERE
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PHONOSURGERY AND LASER LARYNGEAL COURSE
9th December 2023
Athens, Greece
Course
Held under the auspices of ELS
10% discount for ELS members
Website: https://www.attcenter.eu/laser-laryngeal-phonosurgery-course
Registration: Phonosurgery and Laser Laryngeal Course - Attcenter
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HEAD AND NECK STUDY DAY:
An Update on Head, Neck and Thyroid Oncology: New and Changing Practice Within the Management and Care of Individuals with Cancer of the Head, Neck and Thyroid
15th January 2024
London, UK
Study day
Website: https://www.royalmarsden.nhs.uk/HNTOncology
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13TH GCC OTORHINOLARYNGOLOGY AUDIOLOGY AND COMMUNICATION DISORDERS CONGRESS
17th-19th January 2024
Dubai, United Arab Emirates
Congress
More information HERE
Registration: HERE
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13th WINTER DAYS OF LARYNGOLOGY 2024
17th - 20th January 2024
Crans Montana, Switzerland
Congress
Website: https://www.winterdaysoflaryngology.org/
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WINTER COURSE LARYNGEAL DYSTONIA
25th - 26th January 2024
Helsinki, Finland
Course
More information HERE
Click on the image below to open it in a new window.
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2ND INTERNATIONAL OPEN PARTIAL LARYNGECTOMY COURSE
29th February - 1st March 2024
Barcelona, Spain
Course
More information HERE
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CONSENSUS CONFERENCE
12th April 2024
Milan, Italy
Conference
Endorsed by the ELS
Website: Consensuslarynx.org (studioprogress.it)
Programme: HERE
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VOICEISTANBUL 2024 AND ELS WORKSHOP
25th - 28th April 2024
Istabul, Turkey
Conference
ELS is the invited society for VoiceIstanbul 2024
Website: https://voiceistanbul2024.org/en
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VOCAL FOLD MEDIALIZATION TECHNIQUES
6th May 2024
Strasbourg, France
Course
More information HERE
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INTERNATIONAL OFFICE-BASED ENDOSCOPIC SURGERY COURSE
21st - 23rd May 2024
Nijmegen, The Netherlands
Course
More information HERE
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CEORL - HNS 2024
15th - 19th June 2024
Dublin, Ireland
Congress
More information HERE
Registration: HERE
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UEP 2025
4th - 7th June 2025
Prague, Czech Republic
Congress
More information HERE
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It’s Time to Make the MOVE!
While the OR has been the main site for ENT procedures for many years, growing hospital backlogs have led to demand for treatment approaches that can help ease the burden.
Office-based ENT procedures are a viable alternative to conventional OR-based techniques as recommended by multiple professional standards agencies.1, 2
With Olympus as your partner with a broad portfolio of ENT solutions, suitable for outpatient settings, we can help you discover an alternative way to perform ENT procedures.
Explore how moving ENT procedures to outpatient settings supports you with:
• Better patient satisfaction
• Safe and high-quality care
• Better value
Hear Prof. Markus Hess share his knowledge and useful tips since he already made the move in the field of laryngology.
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For more information, click on Medspray Trachospray - Soluvos.
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We would like to sincerely thank to all our corporate members and partners for their continued support.
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