5th Sleep Surgery Course

25–27 August

Introduction

This is a course designed for ENT specialists and doctors/Residents in training who have an interest in the medical and surgical management of Snoring and Obstructive Sleep Apnoea (OSA). It aims to give participants a balanced and comprehensive view in the management of Snoring and Obstructive Sleep Apnoea. The course spans three days and consists of a series of core lectures on the basics of OSA, with lectures on non-surgical and surgical techniques with hands-on cadaveric dissections. This course is held in conjunction with the Singapore Sleep Symposium.

Course Objectives

Upon completion of the course, the participants will be able to:

  • Assess and evaluate patients with snoring and Obstructive Sleep Apnea
  • Understand and formulate a rational non-surgical and surgical approach to patients with snoring and Obstructive Sleep Apnoea
  • Properly counsel patients on short and long term risks, benefits, success and cure of different approaches and techniques
  • Understand the role of basic and advance surgical techniques (nasal, palatal and hypopharyngeal surgeries) in the treatment of snoring and Obstructive Sleep Apnoea
  • Properly select and perform safely the basic and advance sleep surgical techniques
  • Manage patients with Obstructive Sleep Apnoea perioperatively
  • Understand controversies in the surgical treatment of snoring and Obstructive Sleep Apnea

Cadaveric Dissection (Basic and Advance)

  • Palatal Surgeries
  • Radiofrequency: Turbinate, Soft Palate & Tongue Base
  • Coblation: Turbinate, Soft Palate, Tongue & Tongue Base
  • Hyoid Suspension
  • Genial Tubercle Advancement & Genioplasty
  • Maxillomandibular Advancement
  • Hypoglossal Nerve Stimulator Implant Surgery

Course Directors

Dr HAN Hong Juan
Consultant,
Chief, Sleep Apnoea Surgery Service
Department of Otolaryngology
Consultant, Sleep Disorders Unit
Singapore General Hospital

Dr TOH Song Tar
Senior Consultant
Sleep Apnoea Surgery Service
Department of Otolaryngology
Director, Sleep Disorders Unit
Singapore General Hospital
Head, Singhealth Duke-NUS Sleep Centre

Dr Shaun Loh
Associate Consultant
Department of Otolaryngology, Sleep Disorder Unit
Singapore General Hospital

Faculty

Dr Shintaro Ciba
Director OTA Memorial Sleep Centre,
Associate Professor, Otorhinolaryngology,
Jikei University School of Medicine,
Tokyo, Japan

Dr Stanley Yung-Chuan Liu
Assistant Professor of Otolaryngology
Co-Director, Sleep Surgery Fellowship
Stanford University School of Medicine
USA

Dr Srinivas Kishore Sistla
Consultant ENT Head and Neck Surgeon, STAR hospitals
President of Indian Association of Surgeons for Sleep Apnea
Co-editor –International Sleep Surgeons Society
Hyderabad, India

Dr Vikas Agrawal
ENT Surgeon, Specialty ENT Hospital
President, Indian Association of Surgeons for Sleep Apnea
Mumbai, India

Dr Goh Yau Hong
Consultant ENT Surgeon
YH Goh Ear Nose Throat Head & Neck Surgery
Singapore

Dr Hsu Pon Poh
Chief of Department of Ear,
Nose and Throat (Otolaryngology)
Changi General Hospital
Singapore

Dr Ignatius Mark
Consultant Ear Nose Throat Surgeon;
Director of Sleep Services,
Ascent Ear Nose Throat Specialist Group
Singapore

Dr Chong Khai Beng
Associate Consultant
Department of Otolaryngology
Tan Tock Seng Hospital
Singapore

Dr Terry Tan
Associate Consultant
Department of Otolaryngology
Khoo Teck Puat Hospital
Singapore

Dr Lau Hung Tuan
Associate Consultant
Khoo Teck Puat Hospital
Singapore

Program

25th August 2017 (Friday), Day 1 @ Singapore Sleep Symposium

Time Topic Speaker
0700 – 0730 Registration All
0730 – 0745 Opening Address Dr Toh Song Tar & Prof Michael Chee
0745 – 0800 Obstructive Sleep Apnoea Management – Overview Dr Toh Song Tar
0800 – 0820 Measuring Sleep: New Technologies to Personalize Care Prof Teofilo L. Lee-Chiong Jr.
0820 – 0840 Sleep Study – Inlab or Ambulatory Dr Tan Keng Leong
0840 – 0900 Pathophysiology of Obstructive Sleep Apnoea – Are there different Phenotypes and can we prevent OSA? Prof Christian Guilleminault
0900 – 0920 Medical Consequences of Obstructive Sleep Apnoea Dr Mok Yingjuan
0920 – 0940 Positive Airway Treatment for Obstructive Sleep Apnoea – Recent Evidence Dr Leow Leong Chai
0940 – 1010 Tea Break
1010 – 1030 Weight Management in Obstructive Sleep Apnoea Dr Tham Kwang Wei
1030 – 1050 Positional Treatment in Obstructive Sleep Apnoea Dr Chong Khai Beng
1050 – 1110 Oral Appliances in Obstructive Sleep Apnoea Dr Mimi Yow
1110 – 1130 Surgical Treatment – Overview Dr Han Hong Juan
1130 – 1150 Cognitive Behavioural Therapy for OSA and CPAP Mr Kevin Becks
1150 – 1210 Allergic Rhinitis and Sleep Dr Shaun Loh
1210 – 1330 Lunch
1330 – 1400 Pediatric Obstructive Sleep Apnoea – Managing Pediatric OSA using Multidisciplinary Program Prof Christian Guilleminault
1400 – 1420 Pediatric Obstructive Sleep Apnoea – Medical Treatment Dr Petrina Wong
1420 – 1440 Pediatric Obstructive Sleep Apnoea – Surgical Treatments Dr Chan Ching Yee
1440 – 1500 Pediatric Obstructive Sleep Apnoea – Dental Considerations Dr Mimi Yow
1500 – 1520 Obstructive Sleep Apnoea – Myofunctional OSA – Adults and Kids Prof Christian Guilleminault
1520 – 1550 Update 2017: Sleep Apnoea and the Heart After SERVE-HF and SAVE Prof Teofilo L. Lee-Chiong Jr.
1550 – 1615 Tea Break
1615 – 1815 PRACTICAL WORKSHOP

PSG Workshop

26th August 2017 (Saturday), Day 2

Time Topic Speaker
0800 – 0820 Upper Airway Evaluation Dr Chong Khai Beng
0820  -0840 Drug Induced Sleep Endoscopy Dr Vikas Agrawal
0840 – 0900 Surgical indications for OSA: A respiratory pattern perspective Dr Shintaro Chiba
0900 – 0920 Break
0920 – 0940 Nasal Surgery – Current Evidence and Techniques Dr Vikas Agrawal
0940 – 1010 Palatal Surgery – Current thinking and Different Techniques Dr Srinivas Kishore
1010 – 1030 Tongue Base Surgery – Minimally Invasive Treatment Dr Han Hong Juan
1030 – 1050 Geniotubercle Advancement/Genioplasty Dr Stanley Liu
1050 – 1110 MMA Dr Stanley Liu
1110 – 1130 Hypoglossal nerve stimulation Dr Stanley Liu
1130 – 1230 Panel Discussion: OSA Treatment Strategy Dr Toh Song Tar/

Dr Han Hong Juan/

Dr Hsu Pon Poh/

Dr Ignatius Mark/

Dr Goh Yau Hong

1230 – 1330 Lunch
1330 – 1700 Basic Sleep Apnea Surgery Dissection

1.     Minimally Invasive Turbinate Reduction Techniques – RF, coblation, microdebrider

2.     Palatal Surgeries Techniques

3.     Minimally  Invasive Palate – RF, Coblation Channeling

4.     Minimally Invasive Tongue Base technique – RF, Coblation Channelling

5.     Partial Epiglottidectomy

27th August 2017 (Sunday), Day 3

Time Topic Speaker
0830-0900 Transoral Robotic Tongue Surgery Dr Han Hong Juan
0900-0920 Epiglottis Obstruction – Pattern and Treatment Dr Srinivas Kishore
0920-0940 Hyoid Surgery Dr Terry Tan
0940-1000 Break
1000-1100 Panel Discussion/

Video Viewing of Genioplasty and MMA

1200-1700 Advanced Sleep Apnea Surgery

1.     Geniotubercle advancement

2.     Genioplasty – Mortise, Trapezoid

3.     MMA

4.     Hyoid Sugery

5.     Hypoglossal Nerve