ΧΡΙΣΤΟΣ ΓΕΩΡΓΑΛΑΣ MRCS, DLO, FRCS(ORL-HNS...

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1 ΧΡΙΣΤΟΣ ΓΕΩΡΓΑΛΑΣ MRCS, DLO, FRCS(ORL-HNS) ΩΤΟΡΙΝΟΛΑΡΥΓΓΟΛΟΓΟΣ - ΧΕΙΡΟΥΡΓΟΣ ΚΕΦΑΛΗΣ ΚΑΙ ΤΡΑΧΗΛΟΥ

Transcript of ΧΡΙΣΤΟΣ ΓΕΩΡΓΑΛΑΣ MRCS, DLO, FRCS(ORL-HNS...

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ΧΡΙΣΤΟΣ ΓΕΩΡΓΑΛΑΣ MRCS, DLO, FRCS(ORL-HNS) ΩΤΟΡΙΝΟΛΑΡΥΓΓΟΛΟΓΟΣ - ΧΕΙΡΟΥΡΓΟΣ ΚΕΦΑΛΗΣ ΚΑΙ ΤΡΑΧΗΛΟΥ

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ΣΥΝΟΠΤΙΚΟ ΒΙΟΓΡΑΦΙΚΟ ΣΗΜΕΙΩΜΑ ................................................................... 31. ΠΡΟΣΩΠΙΚΑ ΣΤΟΙΧΕΙΑ ............................................................................................ 92. ΠΑΡΟΥΣΑ ΘΕΣΗ ....................................................................................................... 103. ΣΤΡΑΤΙΩΤΙΚΗ ΘΗΤΕΙΑ ........................................................................................... 114. ΥΠΗΡΕΣΙΑ ΥΠΑΙΘΡΟΥ ............................................................................................ 115. ΕΚΠΑΙΔΕΥΣΗ – ΜΕΤΕΚΠΑΙΔΕΥΣΗ – ΤΙΤΛΟΙ ΣΠΟΥΔΩΝ ................................ 126. ΔΙΔΑΚΤΙΚΟ ΕΡΓΟ ..................................................................................................... 169. Οργανωση συνεδρίων – σεµιναρίων ........................................................................... 327. ΚΛΙΝΙΚΟ/ΕΡΓΑΣΤΗΡΙΑΚΟ ΕΡΓΟ .......................................................................... 348. ΝΟΣΟΚΟΜΕΙΑΚΕΣ ΚΑΙ ΠΑΝΕΠΙΣΤΗΜΙΑΚΕΣ ΘΕΣΕΙΣ ................................... 399. ΕΡΕΥΝΗΤΙΚΟ ΕΡΓΟ ................................................................................................. 4010. ΒΡΑΒΕΙΑ-ΔΙΑΚΡΙΣΕΙΣ-ΥΠΟΤΡΟΦΙΕΣ ............................................................... 4411. ΜΕΛΟΣ ΕΠΙΣΤΗΜΟΝΙΚΩΝ ΕΤΑΙΡΕΙΩΝ ........................................................... 4612. ΣΥΝΤΑΚΤΙΚΟ ΕΡΓΟ ............................................................................................... 47Συντάκτης σε διεθνή πολυσυγγραφικά βιβλία ........................................................ 48Συγγραφή βιβλίου ....................................................................................................... 49

14. ΣΥΜΜΕΤΟΧΗ ΣΕ ΕΠΙΣΤΗΜΟΝΙΚΕΣ ΣΥΝΑΝΤΗΣΕΙΣ .................................... 5415. ΕΡΕΥΝΗΤΙΚΟ ΣΥΓΓΡΑΦΙΚΟ ΕΡΓΟ ..................................................................... 57

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ΣΥΝΟΠΤΙΚΟ ΒΙΟΓΡΑΦΙΚΟ ΣΗΜΕΙΩΜΑ ΣΥΝΟΠΤΙΚΟ ΒΙΟΓΡΑΦΙΚΟ ΣΗΜΕΙΩΜΑ

ΟΝΟΜΑΤΕΠΩΝΥΜΟ: Γεωργάλας Χρίστος

ΗΜΕΡΟΜΗΝΙΑ ΓΕΝΝΗΣΗΣ: 5/9/1970

ΤΟΠΟΣ ΓΕΝΝΗΣΗΣ: Αθήνα

ΔΙΕΥΘΥΝΣΗ ΚΑΤΟΙΚΙΑΣ: Ρεµατιάς 26 και Έκτορος, 15235, Βριλήσσια, Αττική,

Ελλάδα

ΣΤΡΑΤΙΩΤΙΚΗ ΘΗΤΕΙΑ: 2/1996 εώς 10/1997

ΕΙΔΙΚΟΤΗΤΑ: Ωτορινολαρυγγολογία – Χειρουργική Κεφαλής και Τραχήλου

ΘΕΣΗ: Διευθυντής, Endoscopic Skull Base Center, Academic Medical Center,

University of Amsterdam (2010-2015)

National Delegate for Netherlands (Εθνικός Εκπρόσωπος της Ολλανδίας) -

European Rhinology Society (2010 – 2016)

Ιδρυτικός Μέλος και Γενικός Γραµµατέας, Ελληνική Εταιρεία Ογκολογίας

Κεφαλής και Τραχήλου (ΕΕΟΚΤ) (2015-..)

Ειδικός Γραµµατέας, Ελληνική Ρινολογική Εταιρεία (2016 - )

Universitair Docent (UD) - Medisch Academisch Specialist voor onbepaalde tijd

- Tenured academic post µόνιµη ακαδηµαϊκή θέση, στο τµήµα

Ωτορινολαρυγγολογίας, Academic Medical Center, Amsterdam, Netherlands

(2007-2015)

ΣΥΝΟΠΤΙΚΗ ΠΑΡΟΥΣΙΑΣΗ ΣΥΝΟΛΙΚΟΥ ΕΠΙΣΤΗΜΟΝΙΚΟΥ ΕΡΓΟΥ

1. Εκπαίδευση, µετεκπαίδευση, τίτλοι σπουδών

ΠΡΟΠΤΥΧΙΑΚΗ ΕΚΠΑΙΔΕΥΣΗ Ιατρική Σχολή του Πανεπιστηµίου Αθηνών (Ιούλιος 1994, βαθµός Άριστα) ΜΕΤΕΚΠΑΙΔΕΥΣΗ: Μεταπτυχιακό πρόγραµµα Βιοστατιστικής και Μεθοδολογίας της Έρευνας, Ιατρική Σχολή, ΕΚΠΑ (Σεπτέµβριος 1998 – Μάιος 1999) ΚΛΙΝΙΚΗ ΕΚΠΑΙΔΕΥΣΗ

1. Σισµανόγλειο Νοσοκοµείο (ειδικευόµενος) (Γενική Χειρουργική) (1 έτος)

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2. Hastings General Hospital / St Mary’s Hospital (ειδικευόµενος – Senior House Officer) (Αγγλία) (2 έτη)

3. Specialist Registrar (Ειδικός Επιµελητής) στην Ωτορινολαρυγγολογία σε έµµισθες νοσοκοµειακές θέσεις (6 έτη) στην Αγγλία στο επίσηµα αναγνωρισµένο εκπαιδευτικό πρόγραµµα της Πρυτανείας του Λονδίνου/Royal National Throat Nose and Ear Hospital µε αριθµό (National Training Number NTN NTH/023/001/N) µετά από ανοικτό διαγωνισµό στα ακόλουθα νοσοκοµεία: Royal National Throat and Nose Hospital (Gray’s Inn Road), St Bartholomew Hospital, Whipps Cross University Hospital, Southend University Hospital, St Mary’s Hospital (Imperial College of Medicine)

4. Επί εξάµηνο κλινική µετεκπαίδευση στην ρινολογία, ενδοσκοπική χειρουργική βάσης κρανίου και πλαστικής προσώπου στο Hopital Lariboisiere, Paris (10/2006 to 12/2006, Professors Tran Ba Huy , Hermann) και στο Academic Medical Center, Amsterdam (1/2007 – 4-2007, Professors Fokkens, Trenite)

ΜΕΤΑΠΤΥΧΙΑΚΟΙ ΤΙΤΛΟΙ

1. Διδάκτωρ Πανεπιστηµίου Αθηνών, Ιανουάριος 2006 (Βαθµός : Άριστα) 2. Diploma of Laryngology and Otology of the Royal College of Surgeons

(DLO) (µετά από εξετάσεις 2001) 3. Membership of the Royal College of Surgeons (MRCS) (µετά από εξετάσεις)

(2001) 4. Intercollegiate Fellowship of the Royal College of Surgeons (FRCS – ORL

HNS) (µετά από εξετάσεις) (2006) ΥΠΟΤΡΟΦΙΕΣ- ΒΡΑΒΕΙΑ

1. Υποτροφία Ιδρύµατος Κρίτσκη ως φοιτητής Ιατρικής, 1989 – 1994 2. Υποτροφία Ωνασείου Ιδρύµατος για µεταπτυχιακές σπουδές, 1998 3. Πρώτο Βραβείο για αναρτηµένη ανακοίνωση, (Geubert Poster Scientific Award), European Society of Paediatric Radiology 2001 4. Υποτροφία της Βρετανικής Εταιρίας Αλλεργιολογίας (British Allergy Society / Schering travelling fellowship) (Δεκέµβρης 2002) 5. Υποτροφία De Jode Fund, για τη µελέτη των διαταραχών ύπνου και αποφρακτικής υπνικής άπνοιας (Ιούνιος 2004) 6. Υποτροφία του Βασιλικού Κολεγίου Χειρουργών (Ethicon travelling fellowship) , για το συνολικό ερευνητικό έργο (Δεκέµβρης 2004) 7. Υποτροφία του Ωνασείου ιδρύµατος για µετεκπαίδευση σε ρινολογία – χειρουργική βάσης κρανίου στο Academic Medical Center, Amsterdam και στο Lariboisiere Hospital, Paris. s 8. Βραβείο Nan-Blofeld Prize (9000 βρετανικές λίρες)– από το Royal National Throat and Nose Hospital για µετεκπαίδευση σε ρινολογία – χειρουργική βάσης κρανίου στο Academic Medical Center, Amsterdam και στο Lariboisiere Hospital, Paris. 9. Clinical Excellence and Innovation Award (100.000 euros) από κοινού µε τον dr Wouter van Furth, από το Academic Medical Centre, University of Amsterdam για την δηµιουργία του πρώτου multidisciplinary Endoscopic Skull Base Center στην Ολλανδία. (2011)

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10. Υποτροφία - Βραβείο παρουσίασης στο 1st European Combined Academic Otolaryngology – Head And Neck surgery meeting, (1st CEORL-HNS), Barcelona, 2011 (Ιούλιος 2011) 11. Πρώτο Βραβείο από την Royal Society of Medicine και το περιοδικό

Journal of Laryngology and Otology για καλύτερη επισκόπηση της χρονιάς (best evidence –based review award) 3000 βρετανικές λίρες London, United Kingdom

(Μάιος 2011)

2. Διδακτικό έργο 1. Εκπαίδευση φοιτητών Εκπαίδευση πέµπτο-ετών φοιτητών Ιατρικής και συµµετοχή στις προφορικές εξετάσεις επί 6 έτη στην Μεγάλη Βρετανία (University College of London στο Royal National Throat Nose and Ear Hospital, St Bartholomew Hospital, Whipps Cross και στο Imperial College στο St Mary’s Hospital. Εκπαίδευση και αξιολόγηση κατόπιν εξετάσεων πέµπτο-ετών Φοιτητών Ιατρικής της Ιατρικής Σχολής του University of Amsterdam, Οκτ 2007 εώς τώρα 2. Εκπαίδευση ειδικευοµένων Εκπαίδευση των ειδικευοµένων στην Ωτορινολαρυγγολογία, συζητήσεις περιστατικών και καθοδήγηση σε ωτορινολαρυγγολογικές επεµβάσεις, ως Επιβλέπων Χειρουργός στα έξι χρόνια ως Specialist Registrar και University Medical Specialist in Rhinology, Academic Medical Centre, Amsterdam, Netherlands) από τον Οκτώβριο 2007 εώς σήµερα. Προσκεκληµένος οµιλητής και εκπαιδευτής / χειρουργός (faculty and surgical trainer σε 5 εθνικά workshops για ειδικευόµενους στην Ολλανδία 3. Εκπαίδευση ειδικών ωτορινολαρυγγολόγων Προσκεκληµένος εκπαιδευτής / χειρουργός (faculty and surgical trainer) σε περισσοτερα απο 40 διεθνή χειρουργικά workshop σε 18 χώρες (ΗΠΑ, Μεγάλη Βρετανία, Ολλανδία, Ιταλία, Ισπανία, Αυστρία, Πολωνία, Κροατία, Μάλτα, Αίγυπτος, Λιβανος, Ιραν, Τουρκία, Ρουµανία, Κουβέιτ, Βραζιλία και Ελλάδα). Στο Άµστερνταµ, , έχω από το 2008 δεχτεί και εκπαιδεύσει επτά training fellows , συµπεριλαµβανοµένων ειδικών (specialist registrar) από τη Μεγάλη Βρετανία, Ιταλία, Σιγκαπούρη, Ισπανία, Νέα Ζηλανδία και Ελλάδα και δώδεκα επισκέπτες ειδικούς (visiting observerships) . Τον τελευταιο χρόνο στην Ελλάδα εχω δεχτεί και εκπαιδεύεσει σαν επισκεπτες ειδικους (visiting fellows) Πανεπιστηµιακοςυ ΩΡΛ απο Ολλανδία, Βουλγαρία και Ρωσσία. 4. Δεκάδες εκπαιδευτικά, άµεσα µεταδιδόµενα χειρουργεία (Live surgery/dissection) – Live International Otolaryngology Network (LION-ESS) / 2015, 2016, 2017 , AMC advanced sinus course 2011/2012 , Live dissection Endovienna (Vienna endoscopic skull base congress, 2011), Croatia NESS course(2011), Nottingham Frontal sinus course (2013/2014/2015/2916) / Manchester Sinus surgery course (2013), Endomilano 2014, Barcelona 2013/2014/2015/2016, Hygeia 2016,

3. Κλινικό/Εργαστηριακό έργο Κλινική και χειρουργική εµπειρία σε όλες τις υπο-ειδικότητες της Ωτορινολαρυγγολογίας: Ογκολογική Χειρουργική Κεφαλής & Τραχήλου, Φωνοχειρουργική, Ρινολογία & Πλαστική Χειρουργική Προσώπου, Παιδιατρική

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ΩΡΛ, Ωτολογία και Χειρουργική Βάσης Κρανίου Συνολικός αριθµός επεµβάσεων (ως πρώτος χειρουργός) (αναλυτικός κατάλογος excel file AMC (2007-2014) – 1159 επεµβάσεις. UK – 1910 επεµβάσεις – συνολικά 3069 επεµβάσεις ως πρώτος χειρουργός (συνηµµένα πιστοποιητικά 1 και 2) – βεβαιωµένα από Royal College of Surgery, England and Academic Medical Centre.

4. Νοσοκοµειακές και Πανεπιστηµιακές θέσεις

1/3/2015 – τωρα: Ακαδηµαϊκός Συνεργάτης, Leiden University Medical Center, Leiden, Ολλανδία 2015 – Visiting professor, Varese University Hospital, Italy (Head: Professor Paolo Castelnuovo) (2017 – invited – Visiting professor, Northwestern University Hospital, Chicago (Head of department: Professor Robert Kern)) 1/3/2015 – τώρα: Αν Διευθυντής, Τµήµα Χειρουργικής Κεφαλής και Τραχήλου, Υπεύθυνος, Τµήµα Ενδοσκοπικής Χειρουργικής Παραρρινίων και Βάσης Κρανίου, Νοσοκοµείο ΥΓΕΙΑ 1/10/2010- 1/3/2015: Διευθυντής Κέντρο Ενδοσκοπικής Χειρουργικής Βάσης Κρανίου, Academic Medical Center, University of Amsterdam 1/10/2007- 1/3/2015: Universitair Docent (UD)/ Medisch Academisch Specialist voor onbepaalde tijd - Tenured academic post µόνιµη ακαδηµαϊκή θέση, στο τµήµα Ωτορινολαρυγγολογίας, Academic Medical Center, University of Amsterdam, Netherlands 1/5/2001 – 31/8/2007 Ειδικός Επιµελητής (Specialist Registrar) στο εκπαιδευτικό

πρόγραµµα (rotation) της Πρυτανείας του Λονδίνου (London Deanery) µε έδρα το

Royal National Throat Nose and Ear Hospital (Gray’s Inn Road)

5. Οργανωτικό, διοικητικό και ευρύτερο επιστηµονικό έργο

1. Ίδρυσα και διεύθυνα την πρώτη διεπιστηµονική (multidisciplinary) (ΩΡΛ- Νευροχειρουργική – Ενδοκρινολογία) κλινική υπόφυσης και βάσης κρανίου στην Ολλανδία . Σε συνεργασία µε τον Dr. v. Furth, Νευροχειρουργό, δηµιούργησα και διεύθυνα το ESA, Endoscopic Skull Base Amsterdam, ένα κοινό project µεταξύ 3 πανεπιστηµιακών νοσοκοµείων (Academic Medical Centre- AMC, Free University Hospital – VU και Antoni van Leeuwenhoek, Het Nederlands Kanker Instituut, AvL-NKI) και επτά ειδικότητες (ωτορινολαρυγγολογία, νευροχειρουργική, ενδοκρινολογία, παιδιατρική, ογκολογία, ακτινολογία και οφθαλµολογία). Στο κέντρο αυτό, που ήταν εθνικό και διεθνές κέντρο αναφοράς (Centre of excellence) ασθενείς µε καλοήθεις ή κακοήθεις όγκους της ρινός, των παραρρινίων και της βάσης κρανίου αντιµετωπίζονταν σε ένα διεπιστηµονικό πλαίσιο (multidisciplinary context). Κατά τα τελευταία 4 χρόνια, ως µέλος ΔΕΠ της ΩΡΛ κλινικής του AMC του πανεπιστηµίου του Άµστερνταµ έχω συµµετάσχει στην οργάνωση εξειδικευµένων κλινικών ρινολογίας, χειρουργικής βάσης κρανίου/ υποφύσεως (µε νευροχειρουργούς, ενδοκρινολόγους και χειρουργούς κόγχου), παιδιατρικής χρόνιας νόσου ανώτερου και κατώτερου αναπνευστικού/ κυστικής ίνωσης (µε πνευµονολόγους).

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2. Organizing and scientific committee - ERS conference , Amsterdam 2014 3. Scientific committee, EndoBarcelona, Barcelona 2018 4. Course director, Endoscopic Skull Base Masterclass , yearly from 2014 to 2017 5. Συν-διοργανωση , Σεµιναριο Ενδοσκοπικης Χειρουργικης , Νοσοκοµειο

Ευαγγελισµος (2/2016, 10/2016) 6. Course director, Santo-Rhino 2016 (Santorini Endoscopic sinus, skull base and

and Rhinoplasty workshop) 7. Οργανωτης, 2ο και 3ο Worskhop Ενδοσκοπικης Χςειρουργικης παραρινιων και

βασης κρανιου, Νοσοκοµειο ΥΓΕΙΑ 8. June 10-..Εθνικός εκπρόσωπος της Ολλανδίας στην Ευρωπαϊκή Ρινολογική

Εταιρεία

9. Oct 07-..Assistant Editor and member of Editorial Board, International Rhinology Journal ( Impact Factor 3.7 – 2012)

10. Οργάνωση µετεκπαιδευτικών σεµιναρίων, εξειδικευµένων κλινικών και χειρουργείων στον Νοσοκοµείο Al-Quds (Παλαιστινιακός Ερυθρός Σταυρός) στην πόλη της Γάζας, Λωρίδα της Γάζας, (Σεπτέµβρης – Οκτώβρης 2012)

11. Συµµετοχή σε εθελοντική αποστολή και χειρουργεία στην Καµπάλα, Ουγκάντα µε οµάδα ειδικών από τον Καναδά και το Ηνωµένο Βασίλειο ( Professor Brian Westerberg, Professor Anshul Sama - Φεβρουάριος 2013)

12. Οργάνωση κινητών ιατρικών µονάδων – Γιατροί του Κόσµου (γαλλικό τµήµα) – Κόσοβο (Δεκέµβρης 1998 – Γενάρης 1999)

13. Εθνική µελέτη των βασικών προδιαγραφών ποιότητας των Τµηµάτων Ωτορινολαρυγγολογίας της Μεγάλης Σε συνεργασία µε τον οργανισµό NHS Modernization Agency του Βρετανικού Υπουργείου Υγείας – Ιούλιος 2005

14. Τέσσερις µελέτες κλινικού ελέγχου (audit) συµπεριλαµβανοµένης της λειτουργίας πολυκλινικής για τραχηλικές διογκώσεις (one stop clinic)

6. Ερευνητικό, συγγραφικό και συντακτικό έργο Associate Editor and member of editorial board, Journal Rhinology, Impact Factor

3.7)

Member of International Editorial Board, Journal of Clinical Otolaryngology and

Allied Sciences, Impact factor 2.1)

Member of Editorial Board, Sinusitis Journal, Switzerland

Member of Editorial Board, Edorium Journal of Otolaryngology , Germany

Μέλος συντακτικής επιτροπής ( International Editorial Board) Ελληνική

Ωτορινολαρυγγολογία - Otolaryngologia – Head and Neck surgery, official journal of

the Panhellenic Society of Otolaryngology – Head and Neck surgery

Μέλος της συντακτικής επιτροπής και συγγραφή διεθνών οδηγιών (international guidelines) για την παραρινοκολπίτιδα (International Consensus Statement on Allergy and Rhinology: Rhinosinusitis Executive Summary ) -International Forum of Allergy and Rhinology, Vol. 6, No. S1, February 2016

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Μέλος της συντακτικής επιτροπής και συγγραφή διεθνών οδηγιών (international guidelines) για την παραρινοκολπίτιδα ( European Position Document of Rhinosinusitis - EPOS document 2012) - Rhinology, Suppl 23

Μέλος της συντακτικής επιτροπής και συγγραφή διεθνών οδηγιών (international guidelines) για την ενδοσκοπική ανατοµία και ορολογία της χειρουργικής παραρινίων ( European Position Document on Anatomical Terminology on Sinusitis – 2013) - Rhinology, Suppl.24

ΔΗΜΟΣΙΕΥΣΕΙΣ ΣΕ ΞΕΝΟΓΛΩΣΣΑ ΠΕΡΙΟΔΙΚΑ (εντος Scopus/Pubmed)

Σύνολο δηµοσιεύσεων (ISI extended/Scopus Indexed): 101 Ήδη δηµοσιευθείσες: 109 Σειρά υποψηφίου µεταξύ συγγραφέων 1ος σε 33 2ος σε: 23 Τελευταίος σε 7 Βιβλιογραφικές αναφορές (Citations) (Scopus / Web of Science) : 1656– H-Index 19 Ο αθροιστικός συντελεστής απήχησης (Impact Factor) είναι 235. Ο µέσος όρος του συντελεστή απήχησης είναι M.O=2,2 µε µέσο όρος του συνόλου των περιοδικών(ISI-PubMed-Scopus) της Ωτορινολαρυγγολογίας 1,32.

ΔΗΜΟΣΙΕΥΣΕΙΣ ΣΕ ΕΛΛΗΝΙΚΑ ΠΕΡΙΟΔΙΚΑ: 2 1ΟΣ ΣΥΓΓΡΑΦΕΑΣ: 2 AΛΛΕΣ ΔΗΜΟΣΙΕΥΣΕΙΣ: 5 ΕΠΙΣΤΗΜΟΝΙΚΟΣ ΕΚΔΟΤΗΣ ΣΕ ΒΙΒΛΙΑ: 2 ΣΥΓΓΡΑΦΗ ΚΕΦΑΛΑΙΩΝ ΣΕ ΔΙΕΘΝΗ ΒΙΒΛΙΑ: 11 ΕΠΙΤΙΜΟΣ ΠΡΟΣΚΕΚΛΗΜΕΝΟΣ ΣΕ ΔΙΕΘΝΗ ΣΥΝΕΔΡΙΑ: 32 ΕΚΠΑΙΔΕΥΤΗΣ ΣΕ ΧΕΙΡΟΥΡΓΙΚΑ ΣΕΜΙΝΑΡΙΑ: 22 ΑΝΑΚΟΙΝΩΣΕΙΣ ΣΕ ΔΙΕΘΝΗ ΣΥΝΕΔΡΙΑ: 30 ΑΝΑΚΟΙΝΩΣΕΙΣ ΣΕ ΕΛΛΗΝΙΚΑ ΣΥΝΕΔΡΙΑ: 10 ΔΙΑΛΕΞΕΙΣ – ΕΙΣΗΓΗΣΕΙΣ ΣΕ ΣΥΝΕΔΡΙΑ ΚΑΙ ΗΜΕΡΙΔΕΣ: 82 ΣΥΜΜΕΤΟΧΗ ΣΕ ΣΤΡΟΓΓΥΛΕΣ ΤΡΑΠΕΖΕΣ:

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ΑΝΑΛΥΤΙΚΟ ΒΙΟΓΡΑΦΙΚΟ ΣΗΜΕΙΩΜΑ

1. ΠΡΟΣΩΠΙΚΑ ΣΤΟΙΧΕΙΑ

Ονοµατεπώνυµο: Χρίστος Γεωργάλας

Ηµεροµηνία γέννησης: 5 Σεπτέµβρη 1970

Τόπος Γέννησης: Αθήνα

Υπηκοότητα: Ελληνική

Διεύθυνση οικίας:

Ελλάδα: Ρεµατιάς 26 και Εκτορος,

Βριλήσσια, ΤΚ: 152 35

Αθήνα

Ολλανδία: Grensstraat 114,

Amsterdam, 1091 SZ,

the Netherlands

Τηλέφωνα οικίας:

Αθήνα: 210 6096369

Άµστερνταµ: 0031207793536

Κινητό: 0031619331540

00306981084101

Τελευταία Θέση: Universitair Docent/ Medisch

Academisch Specialist voor onbepaalde

tijd, (academic post – µόνιµη ακαδηµαϊκή

θέση)

Department of Otolaryngology

Academic Medical Center,

Postbus 22660, 1100 DD

Amsterdam, Netherlands

Τηλέφωνο εργασίας: (+31) 20 566 9111

Fax: (+31) 20 566 4440

E-mail: [email protected]

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2. ΠΑΡΟΥΣΑ ΘΕΣΗ 1/10/2007 – 1/3/2015: Medisch Academisch Specialist voor onbepaalde tijd -

Tenured academic post µόνιµη ακαδηµαϊκή θέση, στο τµήµα

Ωτορινολαρυγγολογίας, Academic Medical Center, Amsterdam, Netherlands

Γενική Ωτορινολαρυγγολογία και Ρινολογία / ενδοσκοπική χειρουργική πρόσθιας, µέσης

και οπισθίας βάσης κρανίου και πλαστική χειρουργική προσώπου / ρινοπλαστική.

Το τµήµα Ωτορινολαρυγγολογίας και εδικά το τµήµα ρινολογίας / πλαστικής προσώπου

του AMC είναι διεθνές κέντρο αναφοράς στη ρινολογία και πλαστική προσώπου. Όντας

η βάση του European Facial Plastic Fellowship, προσφέρει το πιο έγκυρο και

αναγνωρισµένο µετεκπαιδευτικό πρόγραµµα ρινοπλαστικής στην Ευρώπη. Στο

µετεκπαιδευτικό πρόγραµµα ρινολογίας τα τελευταία 7 χρόνια έχω µετεκπαιδεύσει στην

ενδοσκοπική χειρουργική παραρρινίων και βάσης κρανίου ειδικούς επιµελητές από την

Αγγλία, την Σκωτία, (Year 6 specialist registrar), από την Ελλάδα, την Ισπανία, την

Ιταλία και τη Νέα Ζηλανδία.

Παράλληλα, µε το διεθνές εκπαιδευτικό έργο, οι ειδικευόµενοι της κλινικής

εκπαιδεύονται χειρουργικά, σε ένα από τα εθνικά κέντρα αναφοράς της Ολλανδίας..

Η θέση συνεπάγεται σηµαντικό διοικητικό έργο και συµµετοχή στη οικονοµική

διαχείριση της κλινικής και καθώς και ευθύνη διδασκαλίας των πεµπτοετών φοιτητών

(co-assistenten) του University of Amsterdam Medical School, των ειδικευοµένων

καθώς και των επισκεπτών international fellows. Συµµετέχω σε 4 ερευνητικά

πρωτόκολλα και είµαι συνυπεύθυνος (µε την καθηγήτρια. Prof Fokkens) για τα

διδακτορικά ειδικευοµένων.

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3. ΣΤΡΑΤΙΩΤΙΚΗ ΘΗΤΕΙΑ

Φεβρουάριος 1996-Οκτώβριος 1997 (20 µήνες)

Ιούνιος 1996- Μάρτιος 1997: Σµηνίας Ιατρός, 112 Πτέρυγα Μάχης, Άραξος

Μάρτιος 1997- Ιούλιος 1997: Σµηνίας Ιατρός, Μοίρα ΓΕΑ, ΓΕΕΘΑ, Αθήνα

Ιούλιος 1997- Οκτώβριος 1997: Εσωτερικός Βοηθός, Β’ Παθολογική Κλινική, 2

51 Γενικό Νοσοκοµείο Αεροπορίας, Αθήνα.

Διευθ.: Σµχος(ΥΙ) Στ. Καραβασίλης

4. ΥΠΗΡΕΣΙΑ ΥΠΑΙΘΡΟΥ

Νοέµβριος 1994- Νοέµβριος 1995 (12 µήνες): Π.Ι Βραχασίου / Νοσοκοµείο Νεαπόλεως,

Νοµός Λασιθίου, Κρήτη

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5. ΕΚΠΑΙΔΕΥΣΗ – ΜΕΤΕΚΠΑΙΔΕΥΣΗ – ΤΙΤΛΟΙ ΣΠΟΥΔΩΝ

Εγκύκλιες σπουδές: 1982-1988 3ο Δηµόσιο Γυµνάσιο Χαλανδρίου- 3ο Δηµόσιο

Λύκειο Χαλανδρίου (Αριστα)

Προπτυχιακή εκπαίδευση: Σεπτέµβριος 1988 - Ιούλιος 1994, Ιατρική Σχολή, Εθνικό

Καποδιστριακό Πανεπιστήµιο Αθηνών,

Βαθµός πτυχίου: Άριστα

Άδεια Ασκήσεως Ιατρικού Επαγγέλµατος: 1994, Νοµαρχία Αθηνών

Άδεια Ασκήσεως στις ΗΠΑ (µετά από εξετάσεις) (U.S. Medical Licensing Examination

(USMLE) in Basic Medical Sciences, βαθµός 94 - U.S.M.L.E., Clinical Sciences

(Step 2), βαθµός 91 ECFMG certification, Ιούνιος 1997

Μεταπτυχιακό πρόγραµµα Βιοστατιστικής και Μεθοδολογίας της Έρευνας, τµήµα

Βιοστατιστικής της Ιατρικής Σχολής του Πανεπιστηµίου Αθηνών (Οκτώβριος 1998-

Μάιος 1999)

Μεταπτυχιακή εκπαίδευση:

ΓΕΝΙΚΗ ΧΕΙΡΟΥΡΓΙΚΗ ΕΙΔΙΚΕΥΣΗ

• Δεκ 97-Νοεµ 98 Ειδικευόµενος Γενικής Χειρουργικής, Σισµανόγλειο Γενικό

Νοσοκοµείο, Αθήνα. Διευθυντές: Δ. Ζόγκας, Γ. Αντσακλής

ΕΞΕΙΔΙΚΕΥΣΗ ΣΤΗΝ ΩΤΟΡΙΝΟΛΑΡΥΓΓΟΛΟΓΙΑ (Όλες οι θέσεις είναι έµµισθες, αναγνωρισµένες από την Πρυτανεία του Λονδίνου (Thames Deanery) και το Βασιλικό Κολέγιο Χειρούργων- Royal College of Surgeons of England recognized training posts) Ολες οι θέσεις ειναι κατόπιν ανοιχτου διαγωνισµου (BMJ – advertised posts). Το Specialist Registrar North Thames (London – RNTNE) Rotation ειναι το πιο καταξιωµένο πρόγραµµα στην Μεγάλη Βρεταννία και η αποδοχή µου σε αυτο ήταν µετά απο διαγωνισµό ανάµεσα σε 140 υποψηφίους και η πρώτη για µη απόφοιτο Βρετανικης Ιατρικής σχολής. Κατά τη διάρκεια της εκπαιδευσης µου και κατοπιν εργασίας µου στο ΗΒ πραγµατοποίησα 1910 χειρουργεία ως πρωτος χειρουργός (Πιστοποιητικό 1), συµµετείχα και οργάνωσα το εκπαιδευτικό πρόγραµµα και έλαβα µέρος και οργάνωσα µια σειρά απο ερευνητικά πρωτόκολλα.

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• Μάιος 99 – Οκτ 99 Ειδικευόµενος (Senior House Officer), Τµήµα

Ωτορινολαρυγγολογίας – Χειρουργικής και Τραχήλου, The Conquest Hospital,

Hastings, Sussex, Ηνωµένο Βασίλειο

• Οκτ99 – Μάιος 01 Ειδικευόµενος (Senior House Officer), Τµήµα

Ωτορινολαρυγγολογίας – Χειρουργικής και Τραχήλου, St Mary’s Hospital,

Λονδίνο, Ηνωµένο Βασίλειο

• Μάιος 01- Σεπ 01 Specialist Registrar (Ειδικός Επιµελητής), Τµήµα

Ωτορινολαρυγγολογίας – Χειρουργικής και Τραχήλου, Royal Surrey County

Hospital, Guildford, Surrey

• Οκτ 01 – Σεπ 02 Specialist Registrar (Ειδικός Επιµελητής), Royal National

Throat, Nose and Ear Hospital, Λονδίνο (North Thames Rotation)

• Οκτ 02 – Μάιος 03 Specialist Registrar (Ειδικός Επιµελητής), Τµήµα

Ωτορινολαρυγγολογίας – Χειρουργικής και Τραχήλου, St Bartholomew’s and

Royal London Hospital NHS Trust, Λονδίνο (North Thames Rotation)

Τίτλος Ειδίκευσης: 2003, Ωτορινολαρυγγολόγος

Άδεια Ασκήσεως Ιατρικής Ειδικότητας: Νοµαρχία Αθηνών, 2003.

ΜΕΤΑΠΤΥΧΙΑΚΟΙ ΤΙΤΛΟΙ ΣΠΟΥΔΩΝ

Διδάκτωρ Πανεπιστηµίου Αθηνών, Δεκ 05 Θέµα Διδακτορικής Διατριβής: Οι

Ωτοακουστικές Εκποµπές στον προληπτικό έλεγχο βαρηκοΐας και µέσης εκκριτικής

ωτίτιδας σε παιδιά σχολικής ηλικίας

Τριµελής Επιτροπή: Αν Καθηγητές κκ Φερεκύδης, Ξενέλλης, Κανδηλώρος

Ωτορινολαρυγγολογική Κλινική Πανεπιστηµίου Αθηνών.

Βαθµός: Άριστα

Χρονικό διάστηµα εκπόνησης: Μάιος 2002- Σεπτέµβριος 2005.

DLO - Diploma of Laryngology and Otology of the Royal College of Surgeons, ,

(Μετά από εξετάσεις) Αύγουστος 01

Πτυχίο γνώσης ωτορινολαρυγγολογίας, κατόπιν 4 εξετάσεων (γραπτών και

προφορικών ) στις βασικές επιστήµες και την κλινική θεωρία της

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Ωτορινολαρυγγολογίας καθώς και στην πρακτική κλινική εξέταση, διάγνωση και

αντιµετώπιση ασθενών µε ωτορινολαρυγγολογική παθολογία

MRCS - Membership of the Royal College of Surgeons (Μετά από εξετάσεις)

Ιανουάριος 01

Μεταπτυχιακός τίτλος σπουδών, που απονέµεται κατόπιν 4 εξετάσεων (2 γραπτών

και 2 προφορικών) στις βασικές επιστήµες και τη θεωρία της χειρουργικής καθώς

και στην κλινική εξέταση, διάγνωση και θεραπεία χειρουργικών ασθενών

FRCS(ORL-HNS) –Royal Colleges of London, Edinburgh, Glasgow and Ireland Μάιος 06 Intercollegiate otolaryngology exams - Ο ανώτατος τίτλος σπουδών που απονέµεται

στην Μεγάλη Βρετανία µετά από διήµερες υψηλού επιπέδου θεωρητικές και

πρακτικές εξετάσεις που περιλαµβάνουν πρακτική µικρο ωτο χειρουργική και

ενδοσκοπική χειρουργική σε ανατοµικά παρασκευάσµατα)

ΚΛΙΝΙΚΗ ΜΕΤΕΚΠΑΙΔΕΥΣΗ

Οι παρακάτω αποτελούν έµµισθες θέσεις (6 έτη) µε το βαθµό του Ειδικού Επιµελητή

(Specialist Registrar) στο εκπαιδευτικό πρόγραµµα (rotation) της Πρυτανείας του

Λονδίνου (London Deanery) µε έδρα τo Royal National Throat Nose and Ear

Hospital (Gray’s Inn Road) . Στο συγκεκριµένο πρόγραµµα συµµετείχα µετά από

ανοικτό διαγωνισµό µε εθνικό αριθµό εκπαιδευτικού µητρώου –(National Training

Number ΝΤΗ/023/001/Ν) Συνολικά πραγµατοποίησα 1910 επεµβάσεις (Πιστοποιητικό

1) σαν πρωτος χειρουργός σε όλους τους τοµείς της ΩΡΛ κατά την µετεκπαιδευση µου

στο ΗΒ.

Νοσοκοµείο Υποειδικότητα Διευθυντές Χρονική Περίοδος

Northwick Park Hospital Ενδοσκοπική Παραρρινίων Paul Marais Μαρ 07 – Σεπ

07

St Mary’s Hospital

Χειρουργική Θυρεοειδούς – Παραθυρεοειδών -

Παρωτίδας Neil Tolley Οκτ 05 – Μαρ

06

Ωτολογία Anthony Narula Μαρ 06 – Σεπ 06

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Southend University Hospital

Ογκολογική Χειρουργική Κεφαλής - Τραχήλου

Gavin Watters Οκτ 04 – Σεπτ 05

Ρινολογία – Πλαστική Χειρουργική Προσώπου David Gatland Οκτ 04 –Σεπτ

05 Γενική ΩΡΛ

David Warwick –

Brown Οκτ 04– Σεπτ

05

Whipps Cross University Hospital

Ογκολογική Χειρουργική Κεφαλής – Τραχήλου /

Γενική ΩΡΛ Michael Papesch Οκτ 03- Σεπ 04

Ωτολογία / Φωνοχειρουργική Abir Bhattacharryya Οκτ 03 – Σεπ

04

St Bartholomew’s and Royal London

Hospital

Ογκολογική Χειρουργική Κεφαλής – Τραχήλου

/Βάσης Κρανίου

Anthony Cheesman / Khalid Ghufoor Οκτ 02 – Σεπ

03 Ρινολογία / Πλαστική χειρουργική προσώπου Gus Alusi

Royal National Throat Nose and

Ear Hospital

Χειρουργική Βάσης Κρανίου / Κεφαλής και

τραχήλου

David Howard / Paul O’Flynn

Οκτ 01–Σεπ 02 Ρινολογία Valerie Lund / Glenys Scaddding

Χειρουργική Υπνικής Απνοιας Bhik Kotecha

ΜΕΤΕΚΠΑΙΔΕΥΣΗ ΕΚΤΟΣ ΜΕΓΑΛΗΣ ΒΡΕΤΑΝΙΑΣ (αναγνωρισµένη από την Πρυτανεία του Λονδίνου)

Χειρουργική

µετεκπαίδευση στη ενδοσκοπική

χειρουργική, πλαστική προσώπου, ρινολογία

(Royal College of Surgeons Εthicon

Fellowship)

Hôpital Lariboisière, Université Paris

VII,Paris, France

Professors : Tran Ba Huy, Herman

Οκτ 06- Δεκ 06

Academic Medical Center, Amsterdam,

The Netherlands

Professors: W Fokkens, G Nolst

Trenite

Ιαν 07 – Μαρ 07

Ξένες Γλώσσες

• Ολλανδικά: Άριστη γνώση

• Αγγλικά: Άριστη γνώση (Certificate of Proficiency in English, University of

Cambridge,1985)

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• Γαλλικά: Άριστη γνώση (Diplôme d’Études Françaises, (2éme degré), Université

de Sorbonne, 1986)

• Ισπανικά: Βασικές γνώσεις

6. ΔΙΔΑΚΤΙΚΟ ΕΡΓΟ

1. Εκπαίδευση φοιτητών Ιατρικής

Εκπαίδευση πεµπτοετών Φοιτητών Ιατρικής της Ιατρικής Σχολής του University

College of London στο Royal National Throat Nose and Ear Hospital, Gray’s Inn Road

Οκτ 2001-Ιουν 2002

Εκπαίδευση τεταρτοετών Φοιτητών Ιατρικής της Ιατρικής Σχολής του University

College of London στο St Bartholomew Hospital, London Οκτ 2002- Ιουν 2003

Εκπαίδευση πεµπτοετών Φοιτητών Ιατρικής της Ιατρικής Σχολής του University

College of London στο Whipps Cross University Hospital Οκτ 2003-Ιουν 2004

Εκπαίδευση πεµπτοετών Φοιτητών Ιατρικής της Ιατρικής Σχολής του Imperial

College στο St Mary’s Hospital, Οκτ 2005-Σεπ 2006

Εκπαίδευση και αξιολόγηση κατόπιν εξετάσεων πεµπτοετών Φοιτητών Ιατρικής της

Ιατρικής Σχολής του University of Amsterdam, Οκτ 2007-τωρα

2. Διατριβες:

Υπεύθυνος (Co-Promotor) για 2 διατριβές

Carlijn Holland: New developments in the diagnosis and management of Non Allergic

rhinitis: The role of Cold Dry Air (CDA) provocation and TRV1 agonists and

antagonists. – Medical School, University of Amsterdam

Fleur Hansen: External approaches in Rhinosinustis: Their role and limitations –

Medical School, University of Amsterdam

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Επιτήρηση Πτυχιακής εργασίας – « Bachelor Thesis, Anusha Samkar – QOL after

endoscopic removal of benign sinonasal tumors” βραβευτηκε ώς µίας απο τις 5

καλύτερες της Ιατρικής Σχολής του Πανεπιστηµίου του Αµστερνταµ (Δεκέµβρης 2012)

3. Εξεταστική εµπειρία

Συµµετοχή ως εξεταστής στις προφορικές εξετάσεις ωτορινολαρυγγολογίας των

πεµπτοετών φοιτητών της Ιατρικής Σχολής St Mary’s, Imperial College (Oκτ. 2005)

Αξιολόγηση και βαθµολόγηση φοιτητών της Ιατρικής Σχολής UCL, Whipps Cross

Hospital, London , UK

Αξιολόγηση και βαθµολόγηση φοιτητών της Ιατρικής Σχολής University of

Amsterdam , Amsterdam, Netherlands (2007- τωρα)

4. Εκπαίδευση ειδικευοµένων

Εκπαίδευση των ειδικευοµένων στην Ωτορινολαρυγγολογία, συζητήσεις

περιστατικών και καθοδήγηση σε ωτορινολαρυγγολογικές επεµβάσεις, ως Επιβλέπων

Χειρουργός στα έξι χρόνια ως Specialist Registrar (Royal National Throat Nose and Ear

Hospital, St Bartholomew Hospital, Whipps Cross Hospital, Southend Hospital, St

Mary’s Hospital, Northwick Park Hospital) Οκτ 2001-Σεπ 2007.

Εκπαίδευση των ειδικευοµένων στην Ωτορινολαρυγγολογία, συζητήσεις

περιστατικών και καθοδήγηση σε ωτορινολαρυγγολογικές επεµβάσεις, ως Επιβλέπων

Χειρουργός (Academic Medical Centre, Amsterdam, Netherlands) από τον Οκτώβριο

2007 έως σήµερα.

5. Διαλέξεις σε φοιτητές Otolaryngological problems and diving: An overview

Grand Rounds

St Mary’s Hospital (Απρίλιος 1999)

Chronic Suppurative Otitis Media – Etiology and Pathogenesis

Postgraduate Teaching

Whipps Cross University Hospital (Φεβ. 2004)

Diagnosis and Classification of Sleep Disordered Breathing

Postgraduate Teaching

Whipps Cross University Hospital (Σεπ. 2004)

Endoscopic Management of CSF Rhinorrhea

Grand Rounds

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Whipps Cross University Hospital, Λονδίνο, (Σεπ. 2004)

Emergencies in ENT

Postgraduate Teaching

St Mary’s Hospital (Οκτώβριος 2005)

Quality of Life and Outcome in Children with Adenotonsillar disease

Grand Rounds

St Mary’s University Hospital, Λονδίνο (Οκτώβριος 2005)

Literature Review (Μηνιαία αν ανασκόπηση βιβλιογραφίας)

Postgraduate Teaching

Southend Hospital, Essex, (Οκτ 2004-Σεπ 2005)

Μετεκπαιδευτικά τµήµατος Ωτορινολαρυγγολογίας - µαθήµατα Ιπποκράτειου

Νοσοκοµείου / Πανεπιστηµίου Αθηνών (καθηγητής κ Αριστείδης Σισµάνης)

26 Ιανουαρίου 2010 – Ενδοσκοπική χειρουργική παραρινίων σε παιδιά – Ενδείξεις

7 Φεβρουαρίου 2012 – Τα όρια της ενδοσκοπικής χειρουργικής της βάσης κρανίου

23 Απριλίου 2013 – Οι νέες ευρωπαϊκές οδηγίες για την παραρρινοκολπίτιδα (2012

EPOS guidelines)

7. Μετεκπαίδευση ειδικών ΩΡΛ - διεθνών επισκεπτων (Clinical Fellows / Visiting

professors)

Στα πλαίσια των διεθνων σχέσεων του κέντρου ESA και στην προσπάθεια συνεισφοράς

στην άνοδο του ευρωπαϊκού και διεθνούς επιπέδου ρινολογίας/ χειρουργικής βάσης

κρανίου διεθνώς, οργάνωσα το international hands- on clinical fellowship. Κατα την

διάρκεια του οποίου δέχτηκα ειδικούς από όλο τον κόσµο τους οποίους και εκπαίδευσα

.Συγκεκριµένα:

1. Οκτώβριος– Δεκέµβριος 2009: Humera Babar-Craig BSc, DOHNS,

FRCS(ORL-HNS) , Consultant, Surrey and Sussex ENT trust, London, UK

2. Δεκέµβριος 2009 – Φλεβάρης 2010: Robert Almeyda BSc, DLO, FRCS(ORL-

HNS), Visiting Fellow in Rhinology, Consultant, Oxford University Hospital,

Oxford, UK

3. Σεπτέµβριος– Δεκέµβριος 2010: Ha Chau BSc, DOHNS, FRCS(ORL-HNS),

Consultant , Chelmsford Hospital, London, UK

4. Ιανουάριος– Απρίλιος 2011: Ελευθέριος Μαργαρίτης – Ιατρός ΩΡΛ, Αθήνα

5. Απρίλιος – Ιούνιος 2011: Παναγιώτης Zυγλίνας –Επιµελητής, Bern University

Hospital, Switzerland

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6. Οκτώβριος – Δεκέµβρης 2011: Giuseppe Meccariello – Academic Clinic of

Otolaryngology and Head-Neck Surgery, Department of Surgical Sciences,

University of Florence, Florence, Italy

7. Ιανουάριος – Μάρτιος 2012: Σπύρος Γουγούσης –Επιµελητής B, ΓΝ Γιαννιτσών

8. Απρίλιος – Ιούνιος 2012: Maritina Sevilla - Consultant, Auckland, New

Zealand

9. Ιούλιος 2013 – Ιούλιος 2014: Lim Hua Keng, Consultant, Singapore General

Hospital, Singapore.

Ταυτόχρονα µε τα χειρουργικά fellowship, σαν επισκέπτες ( clinical observers/visiting

observing fellows / professors) , έχω υποδεχτεί για βραχυπρόθεσµη εκπαίδευση τους

κάτωθι

1. 2011: Βάνα Παλιόµπεη - ΩΡΛ ιατρός, Θεσσαλονίκη

2. 2011: Ειρήνη Εξαδακτύλου – ιδιώτης ΩΡΛ, Αθήνα

3. 2012: Γιάννης Γεραµάς – ΩΡΛ ιατρός , Αθήνα

4. 2012 : Tira Galm, ENT Registrar, Birmingham University Hospital, UK

5. 2012:Αλέξανδρος Φασόλης – ENT specialist, Linkoping, Sweden,

6. 2012: Sami Tambouzi - Lebanon

7. 2013: Τίνα Βλάχου, Επιµελήτρια Α, Ερυθρός Σταυρός, Αθήνα

8. 2013: Κωνσταντίνος Βέρος – Fellow, Bordeaux Hospital, France

9. 2013: Σωτήρης Μποτσάκης – Διευθυντής, Τµήµα ΩΡΛ, Ευαγγελισµός, Αθήνα

10. 2013: Joao Pimentel, ENT Surgeon, Egas Moniz Hospital, Lisbon, Portugal

11. 2013: Pavel Surda, ENT registrar, Warrington Hospital, UK

12. 2013: Tomasz Gotlib, ENT specialist, Warsaw, Poland

Με την επιστροφή µου στην Ελλάδα, οργάνωσα το πρώτο διεθνές fellowship στο

ΥΓΕΙΑ, στο τµήµα ενδοσκοπικής χειρουργικής βάσης κρανίου, µε επισκέπτη -

εκπαιδευόµενο τον ΩΡΛ ιατρο της πανεπιστηµιακής κλινικής του Leiden University

Medical Center, Maarten Kleijwegt, 4-9 Απρίλιου 2016.

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6. Χειρουργική εκπαίδευση και οµιλίες σε εθνικά workshops για

ειδικευόµενους

1ο Πρακτικό σεµινάριο µε ανατοµικά παρασκευάσµατα

Νοσοκοµείο Ευαγγελισµός , Αθήνα 1– 2 Φεβρουαρίου 2016 (Συνδιοργανωση µε κο

Μποτσακη, διευθυντη ΩΡΛ Ευαγγελισµος)

Επιδειξη χειρουργείων (Ηθµοειδεκτοµη, αντροστοµία, σφηνοειδεκτοµή, Draf 2, Draf 3,

αποσυµπιεση κόγχου, ενδοσκοπική δακρυορινοστοµία, απολίνωση σφηνουπερωίου

αρτηρίας)

2ο Πρακτικό σεµινάριο µε ανατοµικά παρασκευάσµατα

Νοσοκοµείο Ευαγγελισµός , Αθήνα 13– 14 Οκτωβρίου 2016 (Συνδιοργανωση µε κο

Μποτσακη, διευθυντη ΩΡΛ Ευαγγελισµος)

Επιδειξη χειρουργείων (Ηθµοειδεκτοµη, αντροστοµία, σφηνοειδεκτοµή, Draf 2, Draf 3,

αποσυµπιεση κόγχου, ενδοσκοπική δακρυορινοστοµία, απολίνωση σφηνουπερωίου

αρτηρίας)

Πρακτικό σεµινάριο µε ανατοµικά παρασκευάσµατα (fresh frozen cadavers)

για εκπαίδευση ειδικευοµένων (AIOS onderwijsweek) Academic Medical Center,

Amsterdam 31 Ιανουαρίου – 4 Φεβρουαρίου 2011

Διάλεξη: Access to sphenoid and frontal sinuses

Complications of Rhinosinusitis

Πρακτικό σεµινάριο µε ανατοµικά παρασκευάσµατα (fresh frozen cadavers)

για εκπαίδευση ειδικευοµένων (AIOS onderwijsweek) Academic Medical Center,

Amsterdam 8-12 Φεβρουαρίου 2010

Διάλεξη: Tracheostomy/Coniotomy

CT sinus and its interpretation

Complications of Rhinosinusitis

Πρακτικό σεµινάριο µε ανατοµικά παρασκευάσµατα (fresh frozen cadavers) για

εκπαίδευση ειδικευοµένων από την Ολλανδία (AIOS onderwijsweek) Academic

Medical Center, Amsterdam 2-6 Φεβρουαρίου 2009

Διάλεξη: Access to sphenoid and frontal sinuses

Complications of Rhinosinusitis

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Πρακτικό σεµινάριο µε ανατοµικά παρασκευάσµατα (fresh frozen cadavers) για

εκπαίδευση ειδικευοµένων από την Ολλανδία (AIOS onderwijsweek) Academic

Medical Center, Amsterdam 11-15 Φεβρουαρίου 2008

Διάλεξη: Access to ethmoid sinuses

Complications of ESS

Minifess course, πρακτικό σεµινάριο µε πτωµατικά παρασκευάσµατα Academic

Medical Center, Amsterdam 27-28 Νοεµβρίου 2008

Διάλεξη: Ethmoidectomy / Sphenoidectomy

Χειρουργική εκπαίδευση ειδικευοµένων σε πτωµατικά παρασκευάσµατα (fresh frozen

cadavers)

Basis FESS/LUMC (Leiden University Medical Center) cursus, Leiden, 21-22

Νοεµβρίου 2011

Complications of Endoscopic Sinus Surgery και χειρουργική εκπαίδευση σε ανατοµικά

παρασκευάσµατα (fresh frozen cadaveric heads)

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7. Προσκεκληµένος εκπαιδευτής / χειρουργός (faculty and

surgical trainer) σε διεθνή χειρουργικά workshop

Α. Μεγάλη Βρετανία

St Bartholomew’s Endoscopic Surgery and Rhinoplasty course (Organizers:

Khaleed Ghufoor, Gus Alusi, Sandeep Paun)

Endoscopic surgery of the sphenoid and frontal sinus

10-13 th May 2010

St Barts and The London NHS Trust, UCL, London

St Bartholomew’s Endoscopic Surgery and Rhinoplasty course (Organizers:

Khaleed Ghufoor, Gus Alusi, Sandeep Paun)

Endoscopic surgery of the sphenoid and frontal sinus

10-13th June 2009

St Barts and The London NHS Trust, UCL, London

St Bartholomew Septoplasty Hands – On surgical Course, (Organizers: Khaleed

Ghufoor, Gus Alusi, Sandeep Paun)

13th November 2008

St Barts and The London NHS Trust, UCL, London

St Mary’s Facial Plastic Surgery Course 8-10rd Dec 2012 (Organizers: Kalpesh

Patel / Alwyn D’Sousa)

(Invited International Speaker- Surgical Tutor)

St Mary’s Hospital, Imperial School of Medicine, London

St Mary’s Facial Plastic Surgery Course 12-14rd Dec 2011 (Organizers: Kalpesh

Patel / Alwyn D’Sousa)

(Invited International Speaker- Surgical Tutor)

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St Mary’s Hospital, Imperial School of Medicine, London

St Mary’s Facial Plastic Surgery Course 21-23rd May 2010 (Organisers: Kalpesh

Patel / Alwyn D’Sousa)

(Invited International Speaker- Surgical Tutor)

St Mary’s Hospital, Imperial School of Medicine, London

28-29 Ιανουαρίου 2013

Nottingham University Hospital, Nottingham

2nd Nottingham Advanced Frontal sinus surgery course (Organiser: Professor

Anshul Sama/ Nick Jones)

13-14 Ιανουαρίου 2014

Nottingham University Hospital, Nottingham

3rd Nottingham Advanced Frontal sinus surgery course (Organiser: Professor

Anshul Sama/ Nick Jones)

19-20 Ιανουαρίου 2015

Nottingham University Hospital, Nottingham

4rd Nottingham Advanced Frontal sinus surgery course (Organiser: Professor

Anshul Sama)

Live Dissection – Draf 3 / Modified Endoscopic Lothrop

19-20 Ιανουαρίου 2016

Coventry University Hospital, Coventry

Live Dissection: Frontal sinus approaches – Draf 2a

Live Dissection: Frontal sinus approaches - Draf 2a

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5rd Nottingham Advanced Frontal sinus surgery course (Organiser: Professor

Anshul Sama)

Live Dissection – Draf 3 / Modified Endoscopic Lothrop

4th Manchester Endoscopic Sinus Surgery and Rhinoplasty dissection course

(Organiser: Andrew Swift, Raj Bhalla)

3-6 Ιουνίου 2013

Manchester University Hospital

Newcastle Pituitary Course – Hands on Dissecton Course

28 Απριλιου 2016

Freeman Hospital, Newcastle

Β. Ολλανδία

5th International Course in Advanced Sinus Surgery Techniques, Academic

Medical Center, Amsterdam 13-14 Μαρτίου 2008

Διάλεξη: Μedial Maxillectomy and management of inverted papilloma

και χειρουργική εκπαίδευση σε ανατοµικά παρασκευάσµατα (fresh frozen cadaveric

heads)

6th International Course in Advanced Sinus Surgery Techniques, Academic

Medical Center, Amsterdam 19-20 Μαρτίου 2009

Διαλέξεις : Endoscopic Μedial Maxillectomy

Endoscopic pituitary surgery

Χειρουργική εκπαίδευση συµµετεχόντων - σε πτωµατικά παρασκευάσµατα (fresh

frozen cadavers) µε χρήση image guidance και CT 3d reconstruction.

Συγγραφή του χειρουργικού εγχειριδίου του workshop.

7th International Course in Advanced Sinus Surgery Techniques, Academic

Medical Center, Amsterdam 19-20 Μαρτίου 2010

Διαλέξεις : Endoscopic Μedial Maxillectomy

Endoscopic pituitary surgery

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Χειρουργική εκπαίδευση συµµετεχόντων σε πτωµατικά παρασκευάσµατα (fresh frozen

cadavers) µε χρήση image guidance και CT 3d reconstruction.

8th International Course in Advanced Sinus Surgery Techniques, Academic

Medical Center, Amsterdam 19-20 Μαρτίου 2011

Διαλέξεις : Endoscopic Μedial Maxillectomy

Endoscopic skull base surgery

9th International Course in Advanced Sinus Surgery Techniques, Academic

Medical Center, Amsterdam 19-20 Μαρτίου 2012

Organizer: W Fokkens

Διαλέξεις : Endoscopic Μedial Maxillectomy

Endoscopic pituitary surgery

Χειρουργική εκπαίδευση συµµετεχόντων σε πτωµατικά παρασκευάσµατα (fresh frozen

cadavers) µε χρήση image guidance και CT 3d reconstruction.

11th International Course in Advanced Sinus Surgery Techniques, Academic

Medical Center, Amsterdam 27-28 Μαρτίου 2014

Organizer: W Fokkens

Διαλέξεις : Beyond Pituitary: the shifting borders of endoscopic skull base surgery

Χειρουργική εκπαίδευση συµµετεχόντων σε πτωµατικά παρασκευάσµατα (fresh frozen

cadavers) µε χρήση image guidance και CT 3d reconstruction.

12th International Course in Advanced Sinus Surgery Techniques, Academic

Medical Center, Amsterdam 27-28 Μαρτίου 2015

Organizer: W Fokkens

Πραγµατοποίηση εκπαιδευτικής εγχείρησης (LIVE SURGERY) σε

ζωντανή αναµετάδοση (Prof Wytske Fokkens audience Mediator)

Πραγµατοποίηση εκπαιδευτικής εγχείρησης (LIVE SURGERY) σε

ζωντανή αναµετάδοση (Prof Heinz Stammberger audience mediator)

περιλαµβάνεται στο DVD του Rhinology – Skull Base Surgery

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Χειρουργική εκπαίδευση συµµετεχόντων σε πτωµατικά παρασκευάσµατα (fresh frozen

cadavers) µε χρήση image guidance και CT 3d reconstruction

Γ. Ιταλία

6th Biannual Milan Masterclass (profs : Paolo Castelnuovo –Pietro Palma)

25-27th Μαρτίου 2011

Μιλάνο

6th BIENNIAL INTERNATIONAL INSTRUCTIONAL “MILANO  MASTERCLASS”

SEGMENT 1 ENDOSCOPIC SINONASAL & SKULL BASE SURGERY

Friday, March 25 – Sunday, March 27

International Faculty

Manuel Bernal-Sprekelsen (E); Ulrike BOCKMUEHL (D); Hannes BRAUN (A); Ricardo CARRAU (USA);

Wytske FOKKENS (NL); Christos GEORGALAS (NL); Amin KASSAM (USA); Valerie LUND (UK);

Michael MOKRY (A); Robert REISCH (CH); Naokatsu SAEKI (J); Daniel SIMMEN (CH); Aldo STAMM (BR);

Heinz STAMMBERGER (A); Manfred TSCHABITSCHER (A); Wouter VAN FURTH (NL); Eduardo VELLUTINI (BR)

LOCAL FACULTY

Maurizio BIGNAMI, Paolo BOSSI, Paolo CAPPABIANCA, Jacopo DALLAN, Giorgio FRANK, Davide LOCATELLI, Piero NICOLAI, Ernesto PASQUINI, Stefano SELLARI FRANCESCHINI, Giustino TOMEI, Davide TOMENZOLI,

Claudio VICINI

SELECTED SPEAKERS

Homoud ALNOUMAS (KWT), Paolo BATTAGLIA (I), Andrea BOLZONI VILLARET (I), Paolo BOSSOLESI (I), Rikki CANEVARI (I), Paolo CARENA (I),

Giovanni COLOMBO (I), Francesca DE BERNARDI (I), Enzo EMANUELLI (I), Roberto GERA (I), Ahmed Aly IBRAHIM (ET), Boštjan LANIŠNIK  (SLO), Osama MANSOUR (ET), Fabio PAGELLA (I), Andrea PISTOCHINI (I),

Tarek SALEM (ET), Matteo TRIMARCHI (I)

7th Bi-annual Milano Masterclass (Profs: Paolo Castelnuovo- Pietro Palma)

22-24 Μαρτίου 2013

Μιλάνο

ITALIAN FACULTYENT, ENT/Facial Plastics, Plastic Surgeons, Maxillo-Facial Surgeons

UNDER THE AUSPICES• International Federation of Facial Plastic Surgery Societies (IFFPSS) www.iffpss.org • European Academy of Facial Plastic Surgery (EAFPS) www.eafps.org• European Rhinoplasty Society (ERhS) www.europeanrhinoplastysociety.org• European Rhinologic Society (ERS) www.europeanrhinologicsociety.org

SINONASAL, ORBIT & SKULL BASE ENDOSCOPIC SURGERY International FacultyRicardo Carrau (USA), Roy Casiano (USA), Philippe Eloy (Belgium), Christos Georgalas (The Netherlands), Philippe Herman (France), Werner Hosemann (Germany), Andreas Leunig (Germany), Heinz Stammberger (Austria), Manfred Tschabitscher (Austria)

FACIAL REJUVENATION INTENSIVE TRAINING CAMP Faculty

Daniel Becker (USA), Giovanni Botti (Italy), Steve Byrd (USA), Patrick Byrne (USA), Minas Constantinides (USA), Steven Dayan (USA), Tracy Drumm (USA),

Holger Gassner (Germany), Sam Most (USA), Craig Murakami (USA), Mario Pelle Ceravolo (Italy), Alessio Redaelli (Italy), Chiarella Sforza (Italy), Massimo

Signorini (Italy), Matteo Tretti Clementoni (Italy)

www.milanomasterclass.it

RHINOPLASTYFROM MINIMALLY INVASIVE TO STRUCTURALInternational FacultyFazil Apaydin (Turkey), Daniel Becker (USA), Steve Byrd (USA), Patrick Byrne (USA), Minas Constantinides (USA), Steven Dayan (USA), Holger Gassner (Germany), Olivier Gerbault (France), Dong-Hak Jung (Korea), Raj Kanodia (USA), Joao Maniglia (Brazil), Sam Most (USA), Craig Murakami (USA), Julian Rowe-Jones (UK), Choladis Sinrachtanant (Thailand), Gordon Soo (Hong Kong), Antonio Sousa Vieira (Portugal), Abel-Jan Tasman (Switzerland), Timothy Woolford (UK)

Information

CQ Travel - Via Pagliano, 37 / 20149 Milano, Italy - Tel: +390236753900Fax: +390243911650 - +390249542900 - Email: [email protected]

Intended Audience

Otorhinolaryngologists • Plastic Surgeons • Maxillo-Facial Surgeons Rhinologists • Facial Plastic Surgeons • Neurosurgeons

8th Bi-annual Milano Masterclass (Profs: Paolo Castelnuovo- Pietro Palma)

20-24 Μαρτίου 2015

Μιλάνο

Πραγµατοποίηση εκπαιδευτικής εγχείρησης (LIVE SURGERY) σε

ζωντανή αναµετάδοση (Prof Wytske Fokkens audience Mediator)

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Endomilano - 6th World Congress for Endoscopic Surgery of Nose, Skull Base and

Spine – Milano, Italy 2014

Endochicago - 7th World Congress for Endoscopic Surgery of Nose, Skull Base and

Spine – Milano, Chicago, USA May 2016

Δ. Ισπανία

2nd Advanced Endoscopic Skull Base hands on and cadaveric dissection course

(Professors: Isam Alobid, Manuel Bernal- Sprenkelsen)

Δεκέµβριος 2012, Βαρκελώνη, Ισπανία

Οµιλία – QOL issues in extended endonasal skull base approaches.

Χειρουργική εκπαίδευση σε ανατοµικά παρασκευάσµατα (Fresh frozen cadavers)

3rd Advanced Endoscopic Skull Base hands on and cadaveric dissection course

(Professors: Isam Alobid, Manuel Bernal- Sprenkelsen)

Νοέµβριος 2013, Βαρκελώνη, Ισπανία

Οµιλία – QOL issues in extended endonasal skull base approaches / Dilemmas in CSF

closure.

Χειρουργική εκπαίδευση σε ανατοµικά παρασκευάσµατα (Fresh frozen cadavers)

4th Advanced Endoscopic Skull Base hands on and cadaveric dissection course

(Professors: Isam Alobid, Manuel Bernal- Sprenkelsen)

Νοέµβριος 2015, Βαρκελώνη, Ισπανία

Οµιλία – Role of Frontal sinus in endoscopic skull base surgery / Dilemmas in CSF

closure.

Χειρουργική εκπαίδευση σε ανατοµικά παρασκευάσµατα (Fresh frozen cadavers)

Ε. Αυστρία

Πραγµατοποίηση εκπαιδευτικής εγχείρησης (LIVE DISSECTION

COURSE ) σε ζωντανή αναµετάδοση (POSTERIOR

COMPARTMENT FESS)

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5th World Congress for Endoscopic Surgery of the Brain, Skull Base and Spine / The

First Global Update on FESS, sinuses and nose – Endovienna 2012 (Professor

Stammberger) – 29th Μαρτίου -1st Απριλίου 2012, Vienna, Austria

ΣΤ. Κροατία

1st Navigated Sinus Surgery Course (NESS) 24h Φεβρουαρίου 2012, Zagreb, Croatia

(Organiser: Professor Kalogjera, Baudoin)

Ζ. Μάλτα

2rd Mediterranean Rhinoplasty Course. (Organiser: Adrian Agius)

24-26th Φεβρουαρίου 2011, La Valetta, Malta

Οµιλία – Selection of patients for Rhinoplasty / Preoperative imaging for rhinoplasty

Χειρουργική εκπαίδευση σε ανατοµικά παρασκευάσµατα (Fresh frozen cadavers)

H.HΠΑ

Ohio University – State of the Art Endoscopic Skull Base Surgery Course, Course

Directors: Ricardo Carrau, Daniel Prevedello

May 2015 – Ohio, USA

Οµιλία – Setting up an endoscopic skull base center / Evidence – Based surgery for

sinonasal malignancies

Χειρουργική εκπαίδευση σε ανατοµικά παρασκευάσµατα (Fresh frozen cadavers)

Oceanic American Sinus Skull Base Surgery Symposium (OASSIS) – Atlanta,

Georgia (Organisers – John Del Gaudio, Sarah Wise, Zara Patel – University of

Atlanta)

Live dissection (approaches to the frontal sinus including Draf 3)

Live dissection (Frontal sinus approaches)

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Οµιλία – Setting up an endoscopic skull base center / Evidence – Based surgery for

sinonasal malignancies

Χειρουργική εκπαίδευση σε ανατοµικά παρασκευάσµατα (Fresh frozen cadavers) και

εκπαιδευτικά χειρουργεία (Raising up nasoseptal flap)

Θ.

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8 . Τιµητική συµµετοχή σε συνέδρια, διεθνείς στρογγυλές τράπεζες κατόπιν

προσκλήσεως (invited faculty speaker- keynote lectures)

1. 2. Endomilano - 6th World Congress for Endoscopic Surgery of Nose, Skull Base

and Sprine – Milano, Italy 2014 a. Quality of life and Nasal Function in Endoscopic Skull Base Surgery b. 3-D imaging in endoscopic skull base surgery c. Moderator and organiser round table – Surgical and Medical Management

of Nasal Polyposis (speakers: Georgalas, Lopatin - Belozer - Kovsky - Douglas – Tirelli)

3. 17ου Πανελληνίο Συνέδριο Ωτορινολαρυγγολογίας Χειρουργικής Κεφαλής και Τραχήλου - Οκτωβρης 2013 Extended endoscopic approaches to the skull base

4. 13ο Σεµινάριο Ελληνικής Ρινολογικής Εταιρίας. Απρίλιος 2013 Θεσσαλονίκη (οργάνωση – Καθηγητής κος Ιωάννης Κωνσταντινίδης) Pediatric FESS: When and why? Patient selection for Rhinoplasty

5. 21ο Μετεκπαιδευτικό Σεµινάριο της Ελληνικής ΩΡΛ Εταιρίας October 2012 (οργάνωση, καθηγητης κος Βασίλειος Δανιηλίδης) The road less travelled: extended endoscopic approaches to the skull base

6. IFHNOS , International Federation of head and Neck Societies, October 2012 , Amsterdam, Netherlands Endoscopic Skull base surgery: State of the art

7. ESPO 2012 (European Society of Pediatric Otolaryngology) Amsterdam, Netherlands, May 2012 Endoscopic management of pediatric skull base tumors: Has it come of age?

8. ERS-ISIAN 2012 (European Rhinology Society Congress – International Rhinology Congress ) Toulouse, France June 2012 QOL in extended endoscopic endonasal approaches (Keynote lecture) Imaging and Preoperative assessment of the rhinoplasty patient (Workshop) Allergy and rhinosinusitis link - epidemiological evidence (Round table)

9. 5th World Congress for Endoscopic Surgery of the Brain, Skull Base and Spine / The First Global Update on FESS, sinuses and nose 29th March-1st April 2012, Vienna, Austria

QOL in extended endonasal approaches: A match made in heaven or a rhinologists nightmare? Round table and Chair

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Crossing borders: Making the move to Neuro-rhinology Round Table and Moderator

10. 2nd Croatian Rhinology Congress 24h February 2012, Zagreb, Croatia Endoscopic skull base surgery - beyond hypophysis Frontal sinus surgery: A structured approach

11. 12th Σεµινάριο της Ελληνικής Ρινολογικής Εταιρίας Φεβρουαριος 2012, Βόλος, Medial Maxillectomy and inverted papilloma Endoscopic Management of Benign Fibroosseous tumors Pediatric sarcomata and the role of endoscopic surgery

12. 16th National congress of Greek Otolaryngology society Athens, 2nd to 4th December 2011 Beyond the sella: The ever changing limits of endoscopic skull base surgery

13. 28th Politzer Society meeting, Athens 28 September 1st October 2011 Outcomes of Otitis Media with Effusion – The TARGET results

14. Tri-Society Head and Neck Oncology meeting, Singapore September 2011 - Extended endonasal skull base approaches

15. 1st Congress of the Confederation of European Otorhinolaryngology-Head and

Neck societies Barcelona 2-6th July 2011 Approaches to the Frontal sinus- a practical guide (Keynote lecture) Quality of life issues in skull base reconstruction (Round table) Difficult cases of rhinosinusitis (Round table) Inverted papillomata : From diagnosis to endoscopic management (Chair and co-presenter)

16. 11th Σεµινάριο της Ελληνικής Ρινολογικής Εταιρίας Keynote lecture: Endoscopic management of inverted papilloma February 2011, Thessaloniki, Greece (Καθηγητής κκ Γιωτάκης –Κωνσταντινίδης)

17. 20th Postgraduate Greek Otolaryngology Seminar, 20-24th October 2010, Veroia, Greece Medial Maxillectomy and Inverted Papilloma Transnasal endoscopic surgery of the skull base: A multidisciplinary approach Καθηγητής κ. Αριστείδης Σισµάνης

18. 33rd Year of European Academy of Facial Plastic Surgery (EAFPS) Congress Otoplasty: Less is More 28August – 1st September 2010

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Antalya, Turkey

19. ERS – ISIAN 2010 (European Rhinology Society Congress – International Rhinology Congress ) 21-24th June 2010, Geneva, Switzerland Workshop Medial Maxillectomy for Inverted Papilloma The Role of Fungi in Chronic Rhinosinusitis

20. 3rd International congress of Rhinology, Otology and Skull base surgery May 2009, Athens, Greece Bone remodeling in CRS Tube or not to tube – our position today

21. ERS – ISIAN 2008 (European Rhinology Society Congress – International Rhinology Congress (Invited Speaker): ASA Intolerance: Which drugs are safe? June 15 – 19 2008, Crete, Greece

22. Meta-analysis: A user’s Guide Pan Thames Training Day, ILO, London, October 2006

23. Pediatric Otolaryngology Post Graduate Masters in ENT program, Institute of Laryngology and Otology, London, October 2006

24. Rhinology and Allergy Post Graduate Masters in ENT program, Institute of Laryngology and Otology, London, October 2006

25. 2nd International Congress of Otology, Rhinology and Skull Base surgery Athens, 3 September 2006 Current Concepts in OME, Round Table: Facial Palsy Keynote Lecture

26. European Federation of Otolaryngological Societies Meeting(EUFOS) Selection of patients for OSA surgery Round Table: Surgery for OSA, , Rhodes, Greece, Sept. 2004

27. OME in children older than 3 years: The TARGET trial Round Table: Current concepts on OME National Otolaryngology Congress, Athens Greece November 2005

9. Οργανωση συνεδρίων – σεµιναρίων

1. Συν - οργανωτής (scientific organizing committee, local organizing committee) και κρίση 760 κατατεθειµένων oral and poster abstracts. 25th Congress of the European Rhinology Society σε συνδυασµό µε το 32nd

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International Symposium of Infection and Allergy of the Nose, Ιουνιος 2014, Amsterdam.

2. Οργάνωση διεθνους σεµιναρίου µε ανατοµικά παρασκευάσµατα - Course director (with Wouter van Furth)- 1stMasterclass in Endoscopic Skull Base surgery–with Mini Symposium - Amsterdam, 2014

Faculty

- For Neurosurgeons and ENT’s

- Step by step “How I do It” demonstrations

- 1 : 3 faculty to participant ratio

- Fresh Frozen specimens

- Neuro-Navigation and High Speed Endoscopic Drills

- Free DVD with HD dissections included

- High Definition 3-D surgical dissection demonstration- High Definition 3-D surgical dissection demonstration

Price: 1200 euros

Course secretariat: M. van Huiden

Academic Medical Center, University of Amsterdam

1100 DD Amsterdam, The Netherlands

tel. 00 31 20 5668586/ fax. 00 31 20 56 69 573

[email protected]

Christos Georgalas

ENT surgeon, AMC

Wouter van Furth

Neurosurgeon, AMC

Isam Alobid (E) - ENT

Iacopo Dallan (I) - ENT

Matteo De Notaris (I) - Neurosurgeon

Wytske Fokkens (NL) - ENT

Christos Georgalas (NL) - ENT

Claire Hopkins (UK) - ENT

Diego Mazzatenta (I) - NeurosurgeonDiego Mazzatenta (I) - Neurosurgeon

Anshul Sama (UK) - ENT

Heinz Stammberger (A) - ENT

Wouter van Furth (NL) - Neurosurgeon

Marco Verstegen (NL) - Neurosurgeon

3. Οργάνωση διεθνους σεµιναρίου µε ανατοµικά παρασκευάσµατα - Course director (with Wouter van Furth)- 2stMasterclass in Endoscopic Skull Base surgery–with Mini Symposium - Pituitary Tumors, - Amsterdam, June 2015

17-18-19June2015Amsterdam

- For Neurosurgeons and ENT’s

- Step by step “How I do It” demonstrations

- 1 : 3 faculty to participant ratio

- Fresh Frozen specimens

- Neuro-Navigation and High Speed Endoscopic Drills

- Free DVD with HD dissections included

Course secretariat: M. van Huiden

Academic Medical Center, University of Amsterdam

1100 DD Amsterdam, The Netherlands

tel. 00 31 20 5668586/ fax. 00 31 20 56 69 573

[email protected]

[email protected]

www.skullbasecourse.nl

Amsterdam - 2015

2nd International Endoscopic Skull Base Course

4. Οργάνωση διεθνους σεµιναρίου µε ανατοµικά παρασκευάσµατα - Course

director (with Wouter van Furth)- 3stMasterclass in Endoscopic Skull Base

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surgery–with Mini Symposium – Sinonasal Malignancies,

Leiden n, 2016

5. Οργανωση Εκπαιδευτικου σεµιναρίου µε ανατοµικά παρασκευάσµατα, (συνδιοργανωτης – κος Μποτσάκης, Διευθυντής ΩΡΛ, Νοσοκοµείο Ευαγγελισµος )

6. Οργανωση (Course Director – with Prof Sama and Prof Sprekelsen) -

MEDICAL EXPERT TRAINING IN ADVANCED ENDOSCOPIC SINUS SURGERY - West Midlands Surgical Training Centre , Coventry, UK (20-21 Ιουνιου 2016)

7. Οργάνωση Εκπαιδευτικής Ηµερίδας Χειρουργικής Παραρινίων και Βάσης Κρανίου µε Ζωντανή µετάδοση χειρουργείου (Draf 3) – Νοσοκοµείο ΥΓΕΙΑ, Φεβρουάριος 2016

8. Συνδιοργάνωση (µε Reinartz, Hellings) διεθνούς σεµιναρίου µε ανατοµικά παρασκευάσµατα Ρινοπλαστικής 2014 - October 2014 – 23rd Course in Advanced Rhinolasty Techniques.Amsterdam

9. Οργανωση Onderwijs week (εκπαιδευτική εβδοµάδα) για ειδικευοµένους,

Academic Medical Centre, Amterdam - Ιανουάριος 2014. Εβδοµαδιαίο πρόγραµµα µε dissection και οµιλίες .

10. Οργάνωση Ηµερίδας - Refereermiddag – Endoscopic Skull Base surgery :

New Frontiers- για την Ολλανδική Εταιρία ΩΡΛ – Academic Medical Centre, Amsterdam, 7 Σεπτεµβρίου 2011 µε διεθνή συµµετοχή – Felice Esposito, Neurosurgeon, Napoli , Italy ,

7. ΚΛΙΝΙΚΟ/ΕΡΓΑΣΤΗΡΙΑΚΟ ΕΡΓΟ ΚΛΙΝΙΚΗ ΕΜΠΕΙΡΙΑ

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Κατά τα 17 χρόνια εργασίας µου σε ΩΡΛ κλινικές είχα την ευκαιρία να έρθω σε επαφή µε όλο το φάσµα της σύγχρονης ωτορινολαρυγγολογίας - χειρουργικής κεφαλής και τραχήλου, µέσα από τις µεγαλύτερες κλινικές του Ηνωµένου Βασιλείου, της Ολλανδίας και της Γαλλίας, και να αποκτήσω χειρουργική εµπειρία περισσότερων από 3000 χειρουργείων ως πρώτος χειρουργός. Πιο συγκεκριµένα Ρινολογία και Πλαστική Χειρουργική Προσώπου Η εκπαίδευση µου σε τριτοβάθµια πανεπιστηµιακά νοσοκοµεία στο Λονδίνο (Royal National Throat Nose and Ear Hospital, prof Valerie Lund) µου έδωσε µια καλή βάση στην Ρινολογία και στην πλαστική χειρουργική προσώπου, η οποία επεκτάθηκε µε τις διεθνείς υποτροφίες στο Academic Medical Centre, Amsterdam και νοσοκοµείο Lariboisiere, Paris. Έχω εκτενή εµπειρία στις βασικές τεχνικές ενδοσκοπικής χειρουργικής παραρινίων κόλπων και τις εκτεταµένες εφαρµογές τους, συµπεριλαµβανοµένων της αποσυµπίεσης κόγχου, επισκευή διαρροής ΕΝΥ , δακρυορινοαντροστοµία, έσω γναθεκτοµή καθώς και ενδοσκοπικές και εξωτερικές προσεγγίσεις για κακοήθεις όγκους παραρινίων, υπόφυση και βάσης κρανίου. Η τεχνική µου στη ρινοπλαστική αναπτύχθηκε κατά τα χρόνια της εργασίας µου στο Αµστερνταµ µε τον Nolst Trenite, και σηµαντικό ποσοστό επεµβάσεων ρινοπλαστικής που κάνω είναι επεµβάσεις αναθεώρησης από άλλες κλινικές, τόσο ανοιχτές όσο και κλειστές προσπελάσεις.. Χειρουργικής Κεφαλής και Τραχήλου Έχω ολοκληρωµένη εµπειρία στη διαχείριση καλοήθων και κακοήθων όγκων της περιοχής κεφαλής και τραχήλου και της φωνητικής οδού (St Marys Hospital – Neil Tolley, RNTNE – Paul o’Flynn, David Howard , Barts and The London – Gas Alusi, Khalid Ghufoor, Whipps Cross Hospital – Michael Papesch). Αυτή βασίζεται στην διεπιστηµονική προσέγγιση για τη φροντίδα των εν λόγω ασθενών . Χειρουργικά, ως κύριος χειρουργός έχω εκτελέσει περίπου 30 παρωτιδεκτοµές και 40 συνολικά ηµι και ολικές θυρεοιδεκτοµές ενω έχω αποκτήσει σηµαντική εµπειρία σε επιλεκτικούς και ριζικούς λεµφαδενικούς καθαρισµούς, µερικές λαρυγγεκτοµές και εκτοµές τοπικών βλαβών (θυρεογλωσσικές κύστεις, βραγχιακές κύστεις κλπ). Ως βοηθός χειρουργός έχω εµπλακεί σε πιο πολύπλοκες εκτοµές όγκων της στοµατικής κοιλότητας , του φάρυγγα και του λάρυγγα / τραχεία , περιλαµβανοµένων επανορθωτικών τεχνικών - µοσχεύµατα δέρµατος , τοπικούς και περιφερειακούς κρηµνούς καθώς και µικροχειρουργική αποκατάσταση µε ελεύθερους κρηµνους. Λαρυγγολογία Έχω εκπαιδευτεί στις αρχές και την εφαρµογή του transoral laser καθώς και σε µικροχειρουργικές φωνοχειρουργικές τεχνικές cold steel ( RNTNE – David Howard, Whipps Cross – Bhataccharya, RNTNE – John Rubin, St Marys – Neil Tolley, Barts – Klaid Ghufoor). Έχω αποκτήσει δεξιότητες στην κλινική αξιολόγηση και διαχείριση ασθενών µε οξεία απόφραξη του ανώτερου αναπνευστικού, συµπεριλαµβανοµένων παιδιών, στη βάση κοινής διαχείρισης µε αναισθησιολόγους του αεραγωγού (shared airway concept) και συστηµατικής αξιολόγησης συµπεριλαµβανοµένης µικρολαρυγγοσκόπησης και παιδιατρικής βρογχοσκόπησης . Ως βοηθός απέκτησα εµπειρία ενδοσκοπικών και ανοιχτών προσπελάσεων συµπεριλαµβανοµένων cricoid split and laryngotracheal reconstruction using coastal rib graft. Σηµαντική εµπειρία έχω αποκτήσει στην εκτίµηση και τη διαχείριση ( χειρουργικά και συντηρητικά) ασθενών µε ροχαλητό και αποφρακτική υπνική άπνοια.

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Ωτολογία Απέκτησα σηµαντική χειρουργική εµπειρία στην πρωτοβάθµια χειρουργική τύµπανου - µαστοειδούς για χρόνια µέση ωτίτιδα., (canal wall up and canal wall down techniques), καθώς και εµπειρία σε τυµπανοπλαστική και τεχνικές οσταριοπλαστικής για µέσο ους, και εµπειρία σαν βοηθός σε κοχλιακά εµφυτεύµατα. (St Marys – Tony Narula, Whipps Cross – Abir Bhatacharya, RNTNE – Paul o Flynn) Παιδιατρική Ωτορινολαρυγγολογία Εκτίµησης παιδιατρικού ασθενούς , ειδικά κατά την εργασία µε την οµάδα παιδό – ωρλ στο St Marys Hospital. Εκεί απέκτησα εµπειρία στην εκτίµηση του παιδιατρικού ασθενούς µε απόφραξη αεραγωγών καθώς και σε ενδοσκοπικές και ανοιχτές χειρουργικές προσεγγίσεις. Ενα σηµαντικό τµήµα της εργασίας µου στο AMC περιλαµβάνει τριτοβάθµια περιστατικά παιδιών µε παραρινοκολπιτιδα σαν επιπλοκη κυστική ίνωσης ή άλλων, ατρησία χοάνης και άλλες συγγενείς ανωµαλίες. Στις παραπάνω θέσεις, πλην των γενικών ΩΡΛ κλινικών, συµµετείχα στις ακόλουθες εξειδικευµένες κλινικές υποειδικότητας (combined / multidisciplinary clinics):

1. Κλινική Θυρεοειδούς (7 µήνες)

2. Ογκολογική Χειρουργική Κεφαλής - Τραχήλου (24 µήνες)

3. Κλινική ωτολογικών εµφυτευµάτων (κοχλιακά εµφυτεύµατα, εµφυτεύµατα

µέσου ωτός, και ΒΑΗΑ) (6 µήνες)

4. Φωνιατρική κλινική (12 µήνες)

5. Ρινολογική κλινική / Κλινική πλαστικής προσώπου (12 µήνες)

6. Παιδιατρική ΩΡΛ κλινική (6 µήνες)

7. Κλινική Διαταραχών Ύπνου (12 µήνες)

Κατά τα τελευταία 7 χρόνια, ως µέλος ΔΕΠ της ΩΡΛ κλινικής του AMC του

πανεπιστηµίου του Άµστερνταµ έχω συµµετάσχει στην οργάνωση εξειδικευµένων

κλινικών ρινολογίας, χειρουργικής βάσης κρανίου/ υποφύσεως (µε

νευροχειρουργούς, ενδοκρινολόγους και χειρουργούς κόγχου), παιδιατρικής χρόνιας

νόσου ανώτερου και κατώτερου αναπνευστικού/ κυστικής ίνωσης (µε

πνευµονολόγους). H εµπειρία από την οργάνωση τµήµατος Ρινολογίας στο AMC

περιγράφεται αναλυτικά στο άρθρο « Georgalas C, Fokkens W: Setting up a rhinology

service: From the lab to the clinic” στο περιοδικό ENT NEWS (επισυνάπτεται)

ΧΕΙΡΟΥΡΓΙΚΗ ΕΜΠΕΙΡΙΑ Κατά τα τελευταία 8 χρόνια της εργασίας µου στο πανεπιστηµιακό νοσοκοµείο του Άµστερνταµ, έχοντας δηµιουργήσει ένα εθνικό και διεθνές κέντρο αναφοράς σε

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χειρουργική βάσης κρανίου έχω αποκτήσει σηµαντική χειρουργική εµπειρία σε περίπλοκα ρινολογικά, ογκολογικά περιστατικά και όγκους βάσης κρανίου, καθώς και γενικής ωτορινολαρυγγολογίας. Η χειρουργική αυτή εµπειρία (1159 χειρουργεία) έχει αναγνωριστεί τόσο στην Ολλανδία όσο και διεθνώς, µε την µεταφορά περιστατικών καθώς και µε τις προσκλήσεις για εκπαιδευτική χειρουργεία και σεµινάρια. Κατά τη διάρκεια της εκπαίδευσης και της µετεκπαίδευσής µου στην Ωτορινολαρυγγολογία στην Μεγάλη Βρετανία είχα την ευκαιρία να πραγµατοποιήσω προσωπικά περίπου 2000 χειρουργικές επεµβάσεις και να αποκτήσω χειρουργική εµπειρία στις περισσότερες υποειδικότητες της Ωτορινολαρυγγολογίας στις οποίες συµπεριλαµβάνονται: Ογκολογική Χειρουργική Κεφαλής - Τραχήλου Φωνοχειρουργική Ρινολογία – Πλαστική Χειρουργική Προσώπου Χειρουργική για Υπνική Άπνοια Παιδιατρική ΩΡΛ Χειρουργική Βάσης Κρανίου Μετά την βασική χειρουργική εκπαίδευση (Βasic surgical training) στην Πρυτανεία του

Λονδίνου πέρασα επιτυχώς εξετάσεις του Βασιλικού Κολλεγίου (ΜRCS) και ειδικές

εξετάσεις στην Ωτορινολαρυγγολογία (DLO). Στη συνέχεια, κατόπιν ανοιχτού

διαγωνισµού, απέκτησα έµµισθες θέσεις (για 6 έτη) µε το βαθµό του Ειδικού

Επιµελητή (Specialist Registrar) στο εκπαιδευτικό πρόγραµµα (rotation) της

Πρυτανείας του Λονδίνου (London Deanery) µε έδρα τo Royal National Throat Nose

and Ear Hospital (Gray’s Inn Road) . Στο συγκεκριµένο πρόγραµµα συµµετείχα µετά

από ανοικτό διαγωνισµό µε εθνικό αριθµό εκπαιδευτικού µητρώου –(National

Training Number ΝΤΗ/023/001/Ν)

Νοσοκοµείο Υποειδικότητα Διευθυντές Χρονική Περίοδος

Northwick Park Hospital

Ενδοσκοπική Παραρρινίων Paul Marais Μαρ 07 – Σεπ

07

St Mary’s Hospital

Χειρουργική Θυρεοειδούς –

Παραθυρεοειδών - Παρωτίδας

Neil Tolley Οκτ 05 – Μαρ 06

Ωτολογία Anthony Narula Μαρ 06 – Σεπ 06

Southend University Hospital

Ογκολογική

Χειρουργική Κεφαλής - Τραχήλου

Gavin Watters Οκτ 04 – Σεπτ 05

Ρινολογία – Πλαστική Χειρουργική Προσώπου

David Gatland Οκτ 04 –Σεπτ 05

Γενική ΩΡΛ

David Warwick – Brown

Οκτ 04– Σεπτ 05

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Whipps Cross University Hospital

Ογκολογική Χειρουργική Κεφαλής – Τραχήλου / Γενική

ΩΡΛ

Michael Papesch Οκτ 03- Σεπ 04

Ωτολογία / Φωνοχειρουργική Abir Bhattacharryya Οκτ 03 – Σεπ

04

St Bartholomew’s and Royal London Hospital

Ογκολογική Χειρουργική Κεφαλής

– Τραχήλου /Βάσης Κρανίου

Anthony Cheesman / Khalid Ghufoor Οκτ 02 – Σεπ

03 Ρινολογία / Πλαστική χειρουργική προσώπου Gus Alusi

Royal National Throat Nose and Ear Hospital

Χειρουργική Βάσης Κρανίου / Κεφαλής και

τραχήλου

David Howard / Paul O’Flynn

Οκτ 01–Σεπ 02 Ρινολογία Valerie Lund / Glenys Scaddding

Χειρουργική Υπνικής Άπνοιας Bhik Kotecha

Κατά τον τελευταίο έτος ως Registrar, πραγµατοποίησα περαιτέρω εξειδίκευση στην Ρινολογία και στην Χειρουργική Βάσης Κρανίου και Πλαστική προσώπου, µε υποτροφία από το Βασιλικό Κολέγιο Χειρουργών και το Ωνάσειο ίδρυµα.

ΜΕΤΕΚΠΑΙΔΕΥΣΗ ΕΚΤΟΣ ΜΕΓΑΛΗΣ ΒΡΕΤΑΝΙΑΣ (αναγνωρισµένη από την Πρυτανεία του Λονδίνου)

Χειρουργική

µετεκπαίδευση στη ενδοσκοπική

χειρουργική, πλαστική προσώπου, ρινολογία

(Royal College of Surgeons Εthicon

Fellowship)

Hôpital Lariboisière, Université Paris

VII,Paris, France

Professors : Tran Ba Huy, Patrice

Herman

Οκτ 06- Δεκ 06

Academic Medical Center, Amstardam,

The Netherlands

Professors: W Fokkens, G Nolst

Trenite

Ιαν 07 – Μαρ 07

Πλήρες αρχείο των χειρουργικών επεµβάσεων είναι κατατεθειµένο στο Royal College of Surgeons και στο Academic Medical Center. (1910 επεµβάσεις )

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8. ΝΟΣΟΚΟΜΕΙΑΚΕΣ ΚΑΙ ΠΑΝΕΠΙΣΤΗΜΙΑΚΕΣ ΘΕΣΕΙΣ 1/3/2015 – τωρα: Ακαδηµαϊκός Συνεργάτης, Leiden University Medical Center, Leiden, Ολλανδία 1/3/2015 – τωρα: Αν Διευθυντής, Τµήµα Χειρουργικής Κεφαλής και Τραχήλου, Υπεύθυνος, Τµηµα Ενδοσκοπικής Χειρουργικής Παραρρινίων και Βάσης Κρανίου, Νοσοκοµείο ΥΓΕΙΑ 1/10/2010 – 1/3/2015 Co-Director, Endoscopic Skull Base Center, Academic Medical Center, Amsterdam 1/10/2007 – 1/3/2015: Universitair Docent - Medisch Academisch Specialist voor onbepaalde tijd - Tenured academic post µόνιµη ακαδηµαϊκή θέση, αντίστοιχη σε associate professor στο τµήµα Ωτορινολαρυγγολογίας, Academic Medical Center, Amsterdam, Netherlands 1/5/2001 – 31/8/2007 Ειδικός Επιµελητής (Specialist Registrar) στο εκπαιδευτικό πρόγραµµα (rotation) της Πρυτανείας του Λονδίνου (London Deanery) µε έδρα το Royal National Throat Nose and Ear Hospital (Gray’s Inn Road)

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9. ΕΡΕΥΝΗΤΙΚΟ ΕΡΓΟ Α. 2014 -...: [PLATFORM FOR ROBOTIC ENDOSCOPIC CERVICAL SINUS AND SKULL BASE SURGERY] PRECISE: European Robotic Skull Base surgery Research Network Part of Horizon 2020 EU funding grant Development Advisory board and Consortium member Application for EU funding for the creation of a new European Robotic system for sinus and skull base surgery Vision: PRECISE will develop and test two embodiments of a lightweight flexible non-collocate robotic controlled-restraint robotic platforms for skull-base, endoscopic head and neck and functional endoscopic sinus surgery. These will address an unmet need for difficult surgery within a severely restricted region (skull base, nose/ paranasal sinuses and head and neck). The essential requirement for such a robotic manipulation platforms in this exacting anatomical region is the ability to change from soft robot for directional placement of end effector to firm platform for precision grasping/ manipulation imposed by the difficulty access to the anatomical site of the operations, the limited space restricting surgical manipulations, and the absolute requirement for extreme surgical precision to avoid iatrogenic injuries from collateral damage to important vital structures during the interventions, some being potentially lethal or resulting in permanent disabilities, e.g., blindness. The robotic arms of the PRECISE platform will be introduced through one of two access routes depending on the nature of the operation: (i) cervical trans-oral (c-TORS) or (ii) trans-nasal sinus and skull base robotic surgery (tn-SSBRS). The former approach is a refinement based on previous published surgical approach developed in Dundee by A Cuschieri, and involves the use of two strategically placed cervical 5mm ports inserted by a special percutaneous technique on either side into the pyriform fossa (where cervical skin is in direct contact with pharyngeal mucosa). In this operating set-up suited for both anterior and posterior skull base surgery, a semi-flexible articulating opto-electronic 5mm telescope will be developed for central insertion through the mouth via a dedicated gum shield/ oral occluder designed to simultaneously hold open the mouth whilst depressing the tongue. In addition the occluder will admit insertion of endo-tracheal tube for ventilation of the patient during the operation. In this cervical C-TORS set-up two flexible (controlled-restraint) 5mm robotic arms introduced through ports into pyriform fossae, will be used on either side of the neck providing excellent triangulation for optimum manipulations. One flexible robotic arm and a modified semi-rigid opto-electronic telescope will be used for trans-nasal and sinus surgery. The PRECISE proposal includes several inter-connected work packages, each with the potential for developing new technologies in own right. Collectively, the engineers and industrial partners will work throughout the IP with an international multidisciplinary Advisory Board group of surgeons (already established) on the functional requirements and safety aspects of the robotic C-TORS and trans-nasal robotic surgery throughout the project from design to completion and evaluation. PRECISE is envisaged as a new generation of flexible surgical robot which occupies little space and brings the surgeon and his team (assistant and scrub nurse) back to the sterile area around the operating table. It will extend significantly the technology beyond the current state of the art and is seen as the second generation of surgical robotic master slave manipulators. PRECISE will incorporate Wi-Fi fast-wide band access to Internet with open architecture cloud computing for joint (requiring different specialty surgeons) robotic operations and

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resident training sessions. Sensing including tactile feedback and will be integrated with novel actuation systems, ultrasonic dissection/cutting/sealing and controlled stability. PRECISE will be also equipped with intra-operative navigation / augmented reality based on patient-specific preoperative imaging (segmented CT, MRI). In both embodiments (c-TORS, tn-SBBRS) the surgeon with operate the robotic arms via an operating console attached to the robotic cart placed within the sterile field. Β. 2015 - ...: International Collaborative Project (senior researcher for Europe ) – International Microbiome Project (PI – PJ Wormald, University of Adelaide, Australia) 5.1. Project summary Provide an overview of the research in plain language describing the purpose, intentions and anticipated outcomes of the project. Recent advances in high-throughput DNA sequencing technology have revolutionized bacterial detection techniques. Contrary to traditional isolation methods, which are prone to biases inherent in the varying abilities of bacteria to grow in culture, sequencing allows direct examination of the DNA content in a sample. Based on these DNA readings, we are thus able to infer the bacteria contained within. This molecular method is very sensitive and is able to provide a more complete picture of all the microbes living in a certain environment, what is termed the microbiome. Recently there Consequently, there has been increased interest in recent years in sinonasal microbiome research, and how changes in the microbiome could relate to sinus pathologic conditions such as chronic rhinosinusitis (CRS). Recent findings point towards reduced microbial diversity in CRS patients, when compared with healthy controls. However, more research is needed to explore the clinical factors (such as nasal polyps, or asthma) associated with changes in the sinonasal microbiome, which is the aim of this study. 5.2. Research aims and significance Briefly state the aims, research objectives, key research questions and/or the hypothesis to be tested, where appropriate. The aim of this research is to at a sequencing depth. The key research objectives are: 1. to better characterize the sinonasal microbiome in health and disease using DNA sequencing technology (using the Illumina platform, which allows sequencing at ultra-high- depths, generating millions of DNA reads per sample); 2. to determine how disease-related factors (such as presence of nasal polyposis or comorbid asthma) affect the sinonasal microbiome; 5.3. Research methodology Provide details of the proposed method to achieve the aims, including project design, data collection techniques, data to be collected, participants and analysis of results. Provide a justification of the proposed sample size, including details of statistical power of the sample, where appropriate. Study participants: Participants attending the Queen Elizabeth hospital or Memorial hospital for ENT surgery (both CRS and non-CRS patients) will be consecutively enrolled into the study. Questionnaire: This questionnaire includes information about relevant medical history such as the presence of CRS and related conditions such as asthma or allergies. It also includes questions about smoking status, recently administered medications.

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C. With Andreani D. Odysseos, MD/PhD Head, Nanomedicine and Nanobiotechnology Director of Research - EPOS-Iasis, and, University of Cyprus and Storz research and development team, we are doing a project in Biosimilar endoscopy, including the Implementations of Optical Molecular Imaging and Molecular Therapy (Theranostics) facilitated by biosimilar endoscopy in the CNS as a paradigm. The project includes The Cancer Stem Cell and BBB challenges in Brain Tumors and their "imaging" and "targeting' with biosimilar endoscopy Fluorescent/biouminescent adjustments of their hardware; And assessment of the extent of small-animal equivalents. D. Μέλος της ερευνητικής οµάδας “ Pathology of upper airway and digestive system” (Οκτ 2007 – µαρτιος 2015) Ιδέ : http://www.amc.nl/?sid=1549

We have shown that the regulatory cytokine IL-10 is produced by epithelial cells and by endothelial cells that line the blood vessels. Remarkably, in allergic rhinitis patients the levels of complaints correlates strongly with the expression of this cytokine. In another project we characterized potential differences between the responses of nasal epithelium from healthy and allergic individuals to house dust mite allergen (HDM) and found clear differences in the expression pattern between epithelial cells isolated from healthy and allergic individuals at baseline and between their responses to allergen exposure. Moreover we showed that a broad range of mediators produced upon allergen exposure by epithelial cells can participate in the immune response via recruitment and activation of cells of the immune system. Two projects investigate tissue resident dendritic cells dynamics and function. We have developed staining procedures for FACS and immunohistochemistry to study different subpopulations and compare tissue resident cell function with that of blood isolated precursors in both allergic and healthy individuals Characterization and pathogenesis of chronic rhinosinusitis/nasal polyposis The main finding in this projects was that Amphotericin B nasal lavages are ineffective in the treatment of patients with CRS. In three related newly initiatied studies we investigate potential contributing factors to the pathogenesis of NP: (a) the role of underlying bone structures, (b) the role of viral transformation and (c) the role of epithelium-fibroblast interactions. Researchers Prof. dr. W.J. Fokkens, Dr. C.M. van Drunen, Dr. C. Georgalas Postdocs Dr. E. van Spronsen PhD students F.A. Ebbens C. van Oene B. Muller S.M. Reinartz A.B. Rinia J. Tongeren W. Videler

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F.S. Hansen M.J.E. van Kuijen G.F. Adriaensen

E. Collaborating scientist: Multicenter amphotericin trial, University of Amsterdam, UCL, University of Barcelona Μια τυχαιοποιηµένη πολυκεντρική µελέτη (ΗΒ, Βέλγιο, Ολλανδία, Ισπανία) για την µελέτη της επίδρασης των εκπλύσεων αµφοτερικίνης σε σύγκριση µε placebo σε ασθενείς µε χρόνια παραρινοκόλπίτιδα (για τις δηµοσιεύσεις βλέπε αναλυτικα) F. Research Fellow, Institute of Hearing, Professor Mark Haggard, Medical Research Council, Cambridge Trial of Alternative Regiments in Middle Ear Effusion(Από Σεπ. 04 – Σεπ 05) Σκοπός αυτής της έρευνας ήταν η ανάλυση και περιγραφή των ευρηµάτων της TARGET της µεγαλύτερης πολυκεντρικής µελέτης της Μεσης Εκκριτικής Ωτίτιδας στη Μεγάλη Βρετανία. Μερικά από τα συµπεράσµατα της µελέτης αυτής ανακοινώθηκαν στο συνέδριο της Otolaryngology Research Society, Bristol καθώς και στο Extraordinary Symposium on Otitis Media, Amsterdam. Από την µελέτη αυτή έχουν ήδη εκδοθεί 5 δηµοσιεύσεις, ενώ τα αποτελέσµατα ακόµα αναλύονται. (βλέπε δηµοσιεύσεις) G. Cochrane Review Group, Use of Antihistamines on Chronic Persistent Rhinitis Cochrane Collaboration, ENT Group, Oxford (από Απρ. 2002- Απρ 2003) Ολοκλήρωσα µετανάλυση των µελετών των αντιισταµινικών στη χρόνια αλλεργική ρινίτιδα. (βλέπε δηµοσιέυσεις) Εχω πάρει µέρος σε δεκάδες ερευνητικά προγράµµατα, στα πλαίσια πολυκεντρικής συνεργασία µε δεκάδες κλινικές από το Ηνωµένο Βασίλειο, την Ολλανδία, την Ελλάδα, την Ισπανία και το Βέλγιο τα οποία έχουν οδηγήσει στις 88 δηµοσιεύσεις που παρουσιάζονται αναλυτικά στο τµήµα ΔΗΜΟΣΙΕΥΣΕΙΣ.

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10. ΒΡΑΒΕΙΑ-ΔΙΑΚΡΙΣΕΙΣ-ΥΠΟΤΡΟΦΙΕΣ

1. Τρίτο Βραβείο, Πανελλήνιος Διαγωνισµός Χηµείας, 1987

2. Υποτροφία Ιδρύµατος Κρίτσκη (ως αριστούχος φοιτητής Ιατρικής), 1989 – 1994

3. Υποτροφία Ωνασείου Ιδρύµατος, 1998

4. Πρώτο Βραβείο για αναρτηµένη ανακοίνωση, ( Geubert Poster Scientific Award)

European Society of Paediatric Radiology Annual Meeting, Ιούνιος 2002,

Bergen, Νορβηγία για την εργασία The utility of MRI in the assessment of

symptomatic adenoidal hypertrophy and rhinosinusitis in children - pre and post

medical therapy.

5. Υποτροφία της Βρετανικής Εταιρίας Αλλεργιολογίας (British Allergy Society /

Schering travelling fellowship) (Δεκέµβρης 2002)

6. Υποτροφία De Jode Fund, Whipps Cross Hospital, για τη µελέτη των

διαταραχών ύπνου και αποφρακτικής υπνικής άπνοιας (Ιούνιος 2004)

7. Υποτροφία του Βασιλικού Κολεγίου Χειρουργών (Ethicon travelling fellowship)

, για το συνολικό ερευνητικό έργο (Δεκέµβρης 2004)

8. Υποτροφία του Ωνασείου ιδρύµατος για µετεκπαίδευση σε ρινολογία –

χειρουργική βάσης κρανίου στο Academic Medical Center, Amsterdam και στο

Lariboisiere Hospital, Paris.

9. Βραβειο Nan-Blofeld Prize (9000 βρεττανικές λίρες)– από το Royal National

Throat and Nose Hospital για µετεκπαίδευση σε ρινολογία – χειρουργική βάσης

κρανίου στο Academic Medical Center, Amsterdam και στο Lariboisiere

Hospital, Paris.

10. Clinical Excellence and Innovation Award (100.000 euros) από κοινού µε τον

dr Wouter van Furtth, απο το Academic Medical Centre, University of

Amsterdam για την δηµιουργία του πρώτου multidisciplinary Endoscopic Skull

Base Center στην Ολλανδία. (2011)

11. Υποτροφία - Βραβείο παρουσίασης στο 1st European Combined Academic

Otolaryngology – Head And Neck surgery meeting, Barcelona, 2011 (Ιουλιος

2011)

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12. Πρώτο Βραβείο απο την Royal Society of Medicine και το περιοδικό Journal of

Laryngology and Otology για καλύτερη επισκόπηση της χρονιάς (best review

award) – 3000 βρετανικές λίρες - London, United Kingdom (Μάιος 2011)

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11. ΜΕΛΟΣ ΕΠΙΣΤΗΜΟΝΙΚΩΝ ΕΤΑΙΡΕΙΩΝ

1. Ελληνικές 2. Ιατρικός Σύλλογος Λασιθίου 1994

3. Ιατρικός Σύλλογος Αθηνών 1995

4. Πανελλήνια Ρινολογική Εταιρία

5. Πανελλήνια Εταιρία Ωτορινολαρυγγολογίας

6. Ελληνικη Εταιρεία Ογκολογίας Κεφαλής και Τραχήλου

Διεθνείς

7. British General Medical Council ( GMC) – 1999

8. British Medical Association 2005

9. British Association of Otolaryngologists – Head and Neck Surgeons 2002

10. European Academy of Facial Plastic Surgery 2004

11. European Rhinology Society 2004

12. Dutch Medical Association 2007

13. Dutch ENT society 2007

14. French Medical Association 2007

15. Ιατρικό Συµβούλιο Κύπρου (Cyprus Medical Council) 2011

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12. ΣΥΝΤΑΚΤΙΚΟ ΕΡΓΟ

1. Εκδότης και Μέλος συντακτικής επιτροπής (Assistant Editor and member of Editorial Board) Rhinology journal, Official Organ of the International Rhinologic Society Impact Factor (2012) 1.720

2. Member of International Editorial Board, Journal of Clinical

Otolaryngology and Allied Sciences, Impact factor 2.1)

3. Member of Editorial Board, Sinusitis Journal, Switzerland

4. Member of Editorial Board,, Edorium Journal of Otolaryngology , Germany

Μέλος συντακτικής επιτροπής ( International Editorial Board) Ελληνική

Ωτορινολαρυγγολογία - Otolaryngologia – Head and Neck surgery, official

journal of the Panhellenic Society of Otolaryngology – Head and Neck surgery

5. Μέλος της συντακτικής επιτροπής και συγγραφή διεθνών οδηγιών (international guidelines) για την παραρινοκολπίτιδα (International Consensus Statement on Allergy and Rhinology: Rhinosinusitis Executive Summary ) -International Forum of Allergy and Rhinology, Vol. 6, No. S1, February 2016

6. Μέλος της συντακτικής επιτροπής και συγγραφή διεθνών οδηγιών (international guidelines) για την παραρινοκολπίτιδα ( European Position Document of Rhinosinusitis - EPOS document 2012) - Rhinology, Suppl 23

7. Μέλος της συντακτικής επιτροπής και συγγραφή διεθνών οδηγιών (international guidelines) για την ενδοσκοπική ανατοµία και ορολογία της χειρουργικής παραρινίων ( European Position Document on Anatomical Terminology on Sinusitis – 2013) - Rhinology, Suppl.24

8. Μέλος συντακτικής επιτροπής ( International Editorial Board) Ελληνική Ωτορινολαρυγγολογία - Otolaryngologia – Head and Neck surgery, επίσηµο όργανο της Πανελλήνιας Εταιρίας ΩΡΛ - official journal of the Panhellenic Society of Otolaryngology – Head and Neck surgery

9. Journal Reviewer – Editorial Board ( συντακτικής επιτροπής για άρθρα σχετικά

µε την Πλαστική Χειρουργική Προσώπου (Journal Reviewer, Archives of Facial Plastic Surgery), ENT News

Σύµβουλος συντακτικής επιτροπής

(Reviewer) 1. Clinical Otolaryngology 2. British Medical Journal 3. International Journal of Pediatric Otolaryngology

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4. Allergy 5. Laryngoscope 6. Allergy and Clinical Immunology 7. American Journal of Rhinology 8. ORL Journal 9. Journal of Allergy And Clinical Immunology 10. B-ENT 11. International Archives of Allergy and Immunology 12. Case reports in Medicine 13. Current Allergy and Asthma Reports

.

Συντάκτης σε διεθνή πολυσυγγραφικά βιβλία 1. Recurrent Throat Infections (Tonsillitis)

Clinical Evidence – BMJ Publications , London, United Kingdom 2007

2. Surgical management of Thyroid Cancer In: Practical Manual of Thyroid and Parathyroid disease Arora, Tolley and Tuttle (Editors), Wiley Publications, London, United Kingdom (December 2009)

3. Medial Maxillectomy In: ΕΝΤ And Head and Neck Procedures - an Operative Guide Book Mochloulis, Seymour et al (Editors), CRC Press, London, United Kingdom (2014)

4. Pathophysiology of inflammation in the surgically failed sinus cavity In: Revision Sinus Surgery, Kountakis, Jacobs, Gosepath (Editors) Springer publications, New York, 2008

5. Evidence – based surgery in nasal polyposis In:

Nasal Polyposis, Onerci – Ferguson, Springer, Heidelberg, Germany 2010 6. Medial Maxillectomy for inverted papilloma of the maxillary sinus

In: The maxillary sinus Duncavage, Becker (Eds) Thieme, New York, USA 2010

7. Primary approaches to the frontal sinus: How I do it in : ATLAS OF SURGERY ON THE NOSE, PARANASAL SINUSES, AND SKULL BASE Castelnuovo, Baker (Eds) USA

8. Medial Maxillectomy

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In Sprekelsen, Alobid – Atlas of Otolaryngolgy procedures, Thieme Publishers (In press)

9. Evidence – Based Surgery for CRS – in Ioanna Agache et all– Global Atlas of Allergic Rhinitis and Chronic

Rhinosinusitis , EAACI publications

Συγγραφή βιβλίου

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Thieme Publishers – The Frontal sinus (Georgalas/ Sama) – 300 pages, 600 images

Rhinology and Skull Base surgery

From the laboratory to the operating room: An evidence based-approach

900 pages, 100 authors from 17 countries

DVD with 80 procedures

Christos Georgalas , Wytske Fokkens (Editors) Thieme publishers, Stuttgart, Germany 2013 This major new reference offers the most complete and balanced coverage of modern rhinology and skull base surgery available today by integrating key advances in the basic sciences with modern clinical developments. From the role of genetics, allergy, and immunology in rhinologic disorders to new, evidence-based medical and surgical approaches, the book covers all aspects of this dynamic, multidisciplinary specialty. A DVD with more than 80 videos—including full patient cases with imaging, endoscopic examinations, and step-by-step surgical techniques— complements the book. Special Features: • Highlights basic science developments in anatomy, embryology, nasal patho physiology, immunology, genetics, and investigative rhinology • Includes more than 900 full-color photographs and 120 drawings illustrating state-of-the-art sinus surgery and endoscopic skull base and rhinoplasty surgical techniques • Structured on evidence-based medicine principles and based on current, evidence-based guidelines (including the EPOS 2012 and Endoscopic Skull Base Tumors consensus document) • Shares the medical and surgical expertise of a truly international team of more than 100 clinicians from 17 countries • A learning-focused textbook, with structured chapters, each one including tips and tricks, important notes, key points, summary, and self-assessment questions • The only textbook tailored to the curriculum of the British Intercollegiate, FRCS(ORL-HNS), American Board of Otolaryngology, and European Academy exams • The only textbook where the clinical descriptions come alive through new interactive videos A world-class clinical reference as well as a comprehensive review book, Rhinology and Skull Base Surgery: From the Lab to the Operating Room is unrivalled for its breadth of coverage— from basic science breakthroughs to the newest diagnostic tools to the most advanced endoscopic treatment techniques. A book that all practicing rhinologists, otolaryngologists, skull base surgeons, as well as fellows and residents in otolaryngology will find indispensable for expanding their surgical and medical expertise—as well as for gaining a full understanding of the basic science framework of their multifaceted specialty.

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– in progress Thieme publishers – Colour Atlas of Otolaryngology - Head and Neck Surgery – Hambek,. Georgalas, Adunka (In progress)

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13. ΟΡΓΑΝΩΤΙΚΟ-ΔΙΟΙΚΗΤΙΚΟ ΕΡΓΟ

• Σχετικά µε εκπαίδευση ειδικευοµένων – ειδικών - φοιτητων/ οργάνωση εκπαιδευτικών σεµιναρίων, συνεδρίων και ηµερίδων – ιδε: ΔΙΔΑΚΤΙΚΟ ΕΡΓΟ

• Σχετικά µε οργάνωση – ίδρυση τµηµάτων κλινικών και πειραµατικών – ιδε- ΚΛΙΝΙΚΟ ΕΡΓΟ

ΜΕΛΕΤΗ ΚΑΙ ΚΡΙΣΗ ΓΙΑ ΕΡΕΥΝΗΤΙΚΑ ΚΟΝΔΥΛΙΑ Διεθνής κριτής για Croatian Agency for Science and Higher Education: Evaluation of applications for the establishment of Centres of Excellence in Science in the Republic of Croatia. – Centre of excellence in Allergy and Rhinology. Grant of 110.000 euros Διεθνής Κριτής για of National Medical Research Council of Singapore (NMRC) research grant application Trend in prevalence of allergic rhinitis and its causative factors: a 10-year follow-up – 442.000 SGD ΜΕΛΕΤΕΣ ΚΛΙΝΙΚΟΥ ΕΛΕΓΧΟΥ (CLINICAL AUDIT) Εξωτερικό Ιατρείο Τραχηλικών διογκώσεων (One Stop Neck Lump Clinic) Αξιολόγηση λειτουργίας ιατρείου / ταχύτητας διάγνωσης: Ανάλυση του πρώτου έτους St Bartholomew Hospital, Απρίλιος 2003 Κλινικός έλεγχος της βιωσιµότητας και αποτελεσµατικότητας της πλαστικής διαφράγµατος ως χειρουργείο ηµέρας (day – case surgery) Royal National Throat Nose and Ear Hospital, Grays Inn Road, Λονδίνο Σεπτέµβριος 2004 Εθνική µελέτη των βασικών προδιαγραφών ποιότητας των Τµηµάτων Ωτορινολαρυγγολογίας της Μεγάλης Βρετανίας (A national audit on baseline standards in ENT Departments in UK) Σε συνεργασία µε τον οργανισµό NHS Modernization Agency του Βρετανικού Υπουργείου Υγείας – Ιούλιος 2004- Σεπ 2005 Κλινικός έλεγχος πλαστικής διαφράγµατος (The Conquest Hospital, Hastings, Ιούλιος 1999 Κλινικός έλεγχος και ανάλυση περιστατικών αιµορραγιών µετά από αµυγδαλεκτοµή µετά από εισαγωγή εργαλείων µίας χρήσης Royal National Throat Nose and Ear Hospital, Λονδίνο, Ιούλιος 2002 ΟΡΓΑΝΩΣΗ ΚΙΝΗΤΩΝ ΙΑΤΡΙΚΩΝ ΜΟΝΑΔΩΝ – ΓΙΑΤΡΟΙ ΤΟΥ ΚΟΣΜΟΥ (ΓΑΛΛΙΚΟ ΤΜΗΜΑ) – ΚΟΣΟΒΟ - 1999 Με το Γαλλικό τµήµα των Γιατρών του Κόσµου (Medecins du Monde, Section Française) εργάσθηκα στην αποστολή στο Κόσοβο, Πρώην Γιουγκοσλαβική Δηµοκρατία, τον Δεκέµβρη και Γενάρη 1999, λίγους µήνες πριν τον Βοµβαρδισµό. Η

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οργάνωση και συντονισµός των κινητών µονάδων περίθαλψης σε συνθήκες εµφυλίου πολέµου ήταν πολύτιµη διοικητική / οργανωτική εµπειρία. ΟΡΓΑΝΩΣΗ ΣΕΜΙΝΑΡΙΩΝ ΚΑΙ ΕΞΕΙΔΙΚΕΥΜΕΝΩΝ ΚΛΙΝΙΚΩΝ ΚΑΙ ΧΕΙΡΟΥΡΓΕΙΩΝ ΣΤΗΝ ΛΩΡΙΔΑ ΤΗΣ ΓΑΖΑΣ ΜΕ ΤΟΝ ΕΡΥΘΡΟ ΣΤΑΥΡΟ Οργάνωση µετεκπαιδευτικών σεµιναρίων, εξειδικευµένων κλινικών και χειρουργείων στον Νοσοκοµείο Al-Quds (Παλαιστινιακός Ερυθρός Σταυρός) στην πόλη της Γάζας, Λωρίδα της Γάζας, (Σεπτέµβρης – Οκτώβρης 2012)

ΣΥΜΜΕΤΟΧΗ ΣΕ ΕΘΕΛΟΝΤΙΚΗ ΑΠΟΣΤΟΛΗ ΣΤΗΝ ΟΥΓΚΑΝΤΑ Συµµετοχή σε εθελοντική αποστολή και χειρουργεία στην Καµπάλα, Ουγκάντα µε οµάδα ειδικών από τον Καναδά και το Ηνωµένο Βασίλειο ( Professor Brian Westerberg, Professor Anshul Sama - Φεβρουάριος 2013)

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14. ΣΥΜΜΕΤΟΧΗ ΣΕ ΕΠΙΣΤΗΜΟΝΙΚΕΣ ΣΥΝΑΝΤΗΣΕΙΣ A. Πρακτικά σεµινάρια χειρουργικής µε εκπαίδευση σε ανατοµικά παρασκευάσµατα 1. The 55th Glasgow Temporal Bone Course, ENT Department, Stirling Royal

Infirmary, Stirling. Οκτώβριος 99

2. An Endoscopic Approach to rhinosinusitis, Royal National Throat Nose and Ear Hospital, London Οκτώβριος 01

3. St Bartholomew course on Anterior and Lateral neck dissection, St Barts, London Ιανουάριος 03

4. St Barts Rhinoplasty Course, ENT Department, St Barts and The London NHS Trust Ιούνιος 03

5. Practical dissection Endoscopic Sinus Surgery course, Institute Garcia – Ibanez, Barcelona, Spain Δεκέµβριος 04

6. Course on microsurgery of the Middle Ear/Temporal Bone, Societe d’ Otologie Pratique, Paris France Ιανουάριος 04

7. Combined British University Advanced Surgical Otology Dissection Course, Manchester, Οκτώβριος 05

8. Advanced Sinus Surgery Course, Academic Medical Centre, Amsterdam, Holland, Απρίλιος 07

9. Pittsburg minimally invasive endoscopic surgery of the skull base and pituitary fossa, Pittsburg, USA Ιανουάριος 2009

B. Μετεκπαιδευτικά σεµινάρια – συνέδρια – µεταπτυχιακά προγράµµατα 1. Congres de la société française d’Oto- Rhino Laryngologie, Paris, Γαλλία Οκτώβρης

2006

2. International Congress of Otology , Rhinology, Skull Base surgery, Σεπτέµβριος

2006 Αθήνα Ελλάδα

3. BACO conference, Birmingham, Ιούνιος 2006

4. Spring Organisation for Research in Otolaryngology meeting, Bristol, Απρίλιος 2005

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5. International Federation of Otolaryngological societies (IFOS) congress, Rome,

Ιούνιος 2005

6. 9th International Congress of Paediatric Otolaryngology, Αθήνα, Μάιος 2004

7. 8th International Congress of Paediatric Otolaryngology, Οξφόρδη, Σεπτέµβριος

2002

8. 5th Extraordinary International Symposium on Recent Advances in Otitis Media

(OM2005) Απρίλιος 05, Άµστερνταµ

9. National CME Update on Otolaryngology, RSM, London Οκτώβριος 04

10. National CME Update on Otolaryngology, RSM, London Οκτώβριος 04

11. 2nd course on Advances in Otolaryngology – Head and Neck surgery, by

Massachusetts Eye and Ear Infirmary, Μύκονος, Ελλάδα, Μάιος 2002

12. DLO course, St Mary’s Hospital, London Αύγουστος 2000.

13. IFOS (International Federation of Otolaryngology Societies) Congress, Ρώµη,

Ιούνιος 2005

14. Spring Otolaryngology Research Society meeting, Bristol Απρίλιος 2005

15. European Congress of Otolaryngology – Head and Neck Surgery, Rhodes, Greece

Σεπ 2004

16. British Academic Otolarygology conference (BACO), Birmingham UK Ιούλιος 2003

17. Educating towards Clinical Governance, St Barts and the Royal London NHS Trust,

London Απρίλιος 2003

18. American Academy of Allergy, Asthma and Immunology Congress, Denver CO

Μάρτιος 2003

19. International Workshop in Meta-analysis and Meta-regression methods,

Πανεπιστήµιο Αθηνών, Τµήµα Βιοστατιστικής. Οκτώβριος 2000

20. Oral surgery and Pathology for the ENT surgeon, St Mary’s Hospital, London.

Ιούνιος 2000

21. MRCS part II course, Lister postgraduate institute, Edinburgh Απρίλιος 2000.

22. Advanced Trauma Life Support (ATLS) course, St Mary’s Hospital, London.

Μάρτιος 2000

23. Emergency Otorhinolaryngology-Head and Neck Surgery, The Institute of

Laryngology & Otology, London Δεκέµβριος 1999.

24. Cochrane Reviewers Protocol Workshop, Cochrane Ear, Nose and Throat Disorders

Group, Oxford. Οκτώβριος 1999

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25. Basic Surgical Skills Course, West Middlesex University Hospital NHS Trust.

Ιούλιος 1999

26. Paediatric Emergency Trauma Advanced Life Support, (PETALS) course,

Resuscitation Training Centre, The Conquest Hospital Ιούλιος 1999

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15. ΕΡΕΥΝΗΤΙΚΟ ΣΥΓΓΡΑΦΙΚΟ ΕΡΓΟ Α. ΔΙΑΤΡΙΒΗ Διδακτορική ερευνητική διατριβή (Εθνικό και Καποδιστριακό Πανεπιστήµιο Αθηνών – 2005 «Οι Ωτοακουστικές Εκποµπές στον προληπτικό έλεγχο βαρηκοΐας και µέσης εκκριτικής ωτίτιδας σε παιδιά σχολικής ηλικίας»

Τα χαρακτηριστικά των ωτοακουστικών εκποµπών που τις καθιστούν άριστο µέσο προληπτικού

ελέγχου σε νεογνά θα µπορούσαν να ήταν χρήσιµα και για τον έλεγχο παιδιών µεγαλύτερης

ηλικίας. Η µέση εκκριτική ωτίτιδα είναι η συχνότερη αιτία βαρηκοΐας σε παιδιά σχολικής

ηλικίας . Η έγκαιρη διάγνωση της στα πλαίσια ενός προγράµµατος προληπτικού ελέγχου είναι

σηµαντική, αντίστοιχα µε αυτή της ανακάλυψης προβληµάτων ακοής σε νεογνά. Η µελέτη αυτή

έγινε µε σκοπό να ελέγξει το ρόλο τους στα πλαίσια ενός προγράµµατος προληπτικού ελέγχου

σε σχολεία. Από το έλεγχο 196 παιδιών, σε 20 % δεν καταγράφθησαν ωτοακουστικές εκποµπές

αµφοτερόπλευρα και σε 32% σε ένα τουλάχιστον ους. Τα πιο µικρά σε ηλικία παιδιά είχαν

µεγαλύτερη συχνότητα µη καταγραφής ωτοακουστικών εκποµπών. Η απουσία αυτών συνδεόταν

µε ορατές ωτοσκοπικά ανωµαλίες της τυµπανικής µεµβράνης καθώς και µε τυµπανόγραµµα

τύπου Β και (λιγότερο) C.

Σαν µοναδικό µέσο ελέγχου, οι ωτοακουστικές εκποµπές είχαν ευαισθησία 90% και 64%

ειδικότητα στην διάγνωση βαρηκοΐας πάνω από 25dB στον πληθυσµό αυτό, στοιχεία που δεν

βελτιώνονται µε την προσθήκη της τυµπανοµετρίας. Αυτά τα χαρακτηριστικά τους τις

καθιστούν δυνητικά χρήσιµες για τον µαζικό προληπτικό έλεγχο (screening) παιδιών σε σχολεία

και δηµιουργούν τις προϋποθέσεις για νέες µελέτες.

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Β. ΔΗΜΟΣΙΕΥΣΕΙΣ ΣΕ ΠΕΡΙΟΔΙΚΑ ME SCIENCE CITATION INDEX ( ISI extended – Scopus) Σύνολο δηµοσιεύσεων: 109 Ήδη δηµοσιευθείσες: 109 Σειρά υποψηφίου µεταξύ συγγραφέων 1ος σε 33 2ος σε: 24 Τελευταίος σε 7 Βιβλιογραφικες αναφορες (Citations)

Σύνολο (Scopus/ISI-WOS/ Pubmed) : 1656– H-Index 19

Google scholar : 3279 – H – Index 26 ΑΝΑΦΟΡΕΣ ΤΟΥ ΕΠΙΣΤΗΜΟΝΙΚΟΥ ΜΟΥ ΕΡΓΟΥ ΣΤΗ ΔΙΕΘΝΗ ΒΙΒΛΙΟΓΡΑΦΙΑ (Citations) Συνολικά έχουν γίνει 1656 (scopus) – 3279 (Google scholar) βιβλιογραφικές αναφορές στο επιστηµονικό συγγραφικό µου έργο. Εξ αυτών όλες είναι σε περιοδικά που ευρετηριάζονται στο ISI-WOS και Scopus. Το Η Ιndex ειναι 19 ( Scopus) / 26 (Google scholar) Ο αθροιστικός συντελεστής απήχησης (Impact Factor) των περιοδικών που έχουν δηµοσιευθεί ή έχουν γίνει αποδεκτές για δηµοσίευση οι 101 εργασίες που ευρετηριάζονται στο ISI-WOS, Scopus και PUB MED, είναι 189. Ο µέσος όρος του συντελεστή απήχησης είναι M.O=1,9 µε µέσο όρος του συνόλου των περιοδικών(ISI-PubMed-Scopus) της Ωτορινολαρυγγολογίας 1,32. 1. Role of tranexamic acid in endoscopic sinus surgery - A systematic review and meta-analysis. By: Pundir, V; Pundir, J; Georgalas, C; et al. Rhinology Volume: 51 Issue: 4 Pages: 291-7 Published: 2013-Dec Times Cited: 0 Impact Factor: 3.720 2. Long-term results of functional endoscopic sinus surgery in children with chronic rhinosinusitis with nasal polyps. By: Cornet, M E; Georgalas, C; Reinartz, S M; et al. Rhinology Volume: 51 Issue: 4 Pages: 328-34 Published: 2013-Dec Times Cited: 0 Impact Factor: 3.720 3. Endoscopic closure of a frontocutaneous fistula. By: Tsikoudas, Alexandros; Georgalas, Christos Ear, nose, & throat journal Volume: 92 Issue: 10-11 Pages: E29 Published: 2013 Oct-Nov Times Cited: 0 Impact Factor: 1.030

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4. Allergic fungal rhinosinusitis infiltrating anterior skull base and clivus By: Meccariello, Giuseppe; Deganello, Alberto; Mannelli, Giuditta; et al. AURIS NASUS LARYNX Volume: 40 Issue: 4 Pages: 405-408 Published: AUG 2013 Times Cited: 0 Impact Factor: 0.938 5. The pathophysiology of the hygiene hypothesis By: Prokopakis, Emmanuel; Vardouniotis, Alexios; Kawauchi, Hideyuki; et al. INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY Volume: 77 Issue: 7 Pages: 1065-1071 Published: JUL 2013 Times Cited: 0 Impact Factor: 1.350 6. Osteitis and paranasal sinus inflammation: what we know and what we do not By: Georgalas, Christos CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY Volume: 21 Issue: 1 Pages: 45-49 Published: FEB 2013 Times Cited: 0 Impact Factor: 1.731 7. Endoscopic management of Ewing's sarcoma of ethmoid sinus within the AMORE framework: A new paradigm By: Meccariello, Giuseppe; Merks, Johannes H. M.; Pieters, Bradley R.; et al. INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY Volume: 77 Issue: 1 Pages: 139-143 Published: JAN 2013 Times Cited: 0 Impact Factor: 1.350 8. Evaluation of Swallowing by Sydney Swallow Questionnaire (SSQ) in Oral and Oropharyngeal Cancer Patients Treated with Primary Surgery By: Dwivedi, Raghav C.; St Rose, Suzanne; Chisholm, Edward J.; et al. DYSPHAGIA Volume: 27 Issue: 4 Pages: 491-497 Published: DEC 2012 Times Cited: 1 Impact Factor: 1.938 9. Quality of life in extended endonasal approaches for skull base tumours

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By: Georgalas, C.; Badloe, R.; van Furth, W.; et al. RHINOLOGY Volume: 50 Issue: 3 Pages: 255-261 Published: SEP 2012 Times Cited: 6 Impact Factor: 3.720 10. The microdebrider, a step forward or an expensive gadget? By: Cornet, Marjolein E.; Reinartz, Susanne M.; Georgalas, Christos; et al. RHINOLOGY Volume: 50 Issue: 2 Pages: 191-198 Published: JUN 2012 Times Cited: 4 Impact Factor: 3.720 11. Adjuvant adenoidectomy in persistent bilateral otitis media with effusion: hearing and revision surgery outcomes through 2 years in the TARGET randomised trial By: Haggard, M. P.; Gannon, M. M.; Birkin, J. A.; et al. Group Author(s): MRC Multictr Otitis Media Study CLINICAL OTOLARYNGOLOGY Volume: 37 Issue: 2 Pages: 107-116 Published: APR 2012 Times Cited: 7 Impact Factor: 2.11 12. Complications of acute rhinosinusitis in The Netherlands By: Hansen, F. S.; Hoffmans, R.; Georgalas, C.; et al. FAMILY PRACTICE Volume: 29 Issue: 2 Pages: 147-153 Published: APR 2012 Times Cited: 4 Impact Factor: 1.828 13. Adjuvant adenoidectomy in persistent bilateral otitis media with effusion: hearing and revision surgery outcomes through 2 years in the TARGET randomised trial. Corporate Author(s): MRC Multicentre Otitis Media Study Group Clinical otolaryngology : official journal of ENT-UK ; official journal of Netherlands Society for Oto-Rhino-Laryngology & Cervico-Facial Surgery Volume: 37 Issue: 2 Pages: 107-16 Published: 2012-Apr Times Cited: 0 Impact Factor: 2.11 14. European Position Paper on Rhinosinusitis and Nasal Polyps 2012. By: Fokkens, Wytske J; Lund, Valerie J; Mullol, Joachim; et al. Rhinology. Supplement Issue: 23 Pages: 3 p preceding table of contents, 1-298 Published: 2012-Mar

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Times Cited: 0 Impact Factor: 3.7 15. Long-term low-dose antibiotics in recalcitrant chronic rhinosinusitis: a retrospective analysis By: Videler, W. J. M.; van Hee, K.; Reinartz, S. M.; et al. RHINOLOGY Volume: 50 Issue: 1 Pages: 45-55 Published: MAR 2012 Times Cited: 6 Impact Factor: 3.720 16. Extended endoscopic endonasal skull base surgery: from the sella to the anterior and posterior cranial fossa By: Oostra, Amanda; van Furth, Wouter; Georgalas, Christos ANZ JOURNAL OF SURGERY Volume: 82 Issue: 3 Pages: 122-130 Published: MAR 2012 Times Cited: 1 Impact Factor: 1.500 17. European position paper on rhinosinusitis and nasal polyps 2012 By: Fokkens, W. J.; Lund, V. J.; Mullol, J.; et al. RHINOLOGY Volume: 50 Supplement: 23 Pages: 1-298 Published: MAR 2012 Times Cited: 105 Impact Factor: 3.720 18. EPOS 2012: European position paper on rhinosinusitis and nasal polyps 2012. A summary for otorhinolaryngologists By: Fokkens, Wytske J.; Lund, Valerie J.; Mullol, Joachim; et al. RHINOLOGY Volume: 50 Issue: 1 Pages: 1-12 Published: MAR 2012 Times Cited: 55 Impact Factor: 3.720 19 Gustatory rhinitis By: Georgalas, Christos; Jovancevic, Ljiljana CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY Volume: 20 Issue: 1 Pages: 9-14 Published: FEB 2012 Times Cited: 0 Impact Factor: 1.731 20.

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Role of fungi in pathogenesis of chronic rhinosinusitis: the hypothesis rejected By: Fokkens, Wytske J.; van Drunen, Cornelis; Georgalas, Christos; et al. CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY Volume: 20 Issue: 1 Pages: 19-23 Published: FEB 2012 Times Cited: 2 Impact Factor: 1.731 21. Lack of efficacy of long-term, low-dose azithromycin in chronic rhinosinusitis: a randomized controlled trial By: Videler, W. J.; Badia, L.; Harvey, R. J.; et al. ALLERGY Volume: 66 Issue: 11 Pages: 1457-1468 Published: NOV 2011 Times Cited: 28 Impact Factor: 5.883 22. Long-term quality-of-life outcomes in children undergoing adenotonsillectomy for obstructive sleep apnoea: a longitudinal study By: Randhawa, P. S.; Cetto, R.; Chilvers, G.; et al. CLINICAL OTOLARYNGOLOGY Volume: 36 Issue: 5 Pages: 475-481 Published: OCT 2011 Times Cited: 1 Impact Factor: 2.11 23. The role of the nose in snoring and obstructive sleep apnoea: an update By: Georgalas, Christos EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY Volume: 268 Issue: 9 Pages: 1365-1373 Published: SEP 2011 Times Cited: 12 Impact Factor: 1.458 24. Osteoma of the Skull Base and Sinuses By: Georgalas, Christos; Goudakos, John; Fokkens, Wytske J. OTOLARYNGOLOGIC CLINICS OF NORTH AMERICA Volume: 44 Issue: 4 Pages: 875-+ Published: AUG 2011 Times Cited: 3 Impact Factor: 1.457 25. Endoscopic versus microscopic trans-sphenoidal pituitary surgery: a systematic review and meta-analysis By: Goudakos, J. K.; Markou, K. D.; Georgalas, C.

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CLINICAL OTOLARYNGOLOGY Volume: 36 Issue: 3 Pages: 212-220 Published: JUN 2011 Times Cited: 17 Impact Factor: 2.11 26. Nasal hyperreactivity in allergic and non-allergic patients By: Segboer, C.; Holland, C.; Georgalas, C.; et al. ALLERGY Volume: 66 Special Issue: SI Supplement: 94 Pages: 691-691 Meeting Abstract: 1828 Published: JUN 2011 Times Cited: 0 Impact Factor: 5.883 27. Osteitic bone in recalcitrant chronic rhinosinusitis By: Videler, W. J. M.; Georgalas, C.; Menger, D. J.; et al. RHINOLOGY Volume: 49 Issue: 2 Pages: 139-147 Published: JUN 2011 Times Cited: 9 Impact Factor: 3.720 28. Long term results of Draf type III (modified endoscopic Lothrop) frontal sinus drainage procedure in 122 patients: a single centre experience By: Georgalas, C.; Hansen, F.; Videler, W. M. J.; et al. RHINOLOGY Volume: 49 Issue: 2 Pages: 195-201 Published: JUN 2011 Times Cited: 11 Impact Factor: 3.720 29. Prevalence Of Sino-Nasal Diseases In New Onset Asthma In Adults By: de Nijs, S.; Amelink, M.; van den Bergh, J.; Georgalas C et al. AMERICAN JOURNAL OF RESPIRATORY AND CRITICAL CARE MEDICINE Volume: 183 A4303 Published: 2011 Times Cited: 0 Impact Factor: 11.041 30. Global Osteitis Scoring Scale and chronic rhinosinusitis: a marker of revision surgery By: Georgalas, C.; Videler, W.; Freling, N.; et al. CLINICAL OTOLARYNGOLOGY Volume: 35 Issue: 6 Pages: 455-461 Published: DEC 2010 Times Cited: 15 Impact Factor: 2.11

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31. Gustatory rhinitis By: Jovancevic, Ljiljana; Georgalas, Christos; Savovic, Slobodan; et al. RHINOLOGY Volume: 48 Issue: 1 Pages: 7-10 Published: MAR 2010 Times Cited: 5 Impact Factor: 3.720 32. Current management of allergic rhinitis in children By: Georgalas, Christos; Terreehorst, Ingrid; Fokkens, Wytske PEDIATRIC ALLERGY AND IMMUNOLOGY Volume: 21 Issue: 1 Pages: E119-E126 Part: 2 Published: FEB 2010 Times Cited: 2 Impact Factor: 3.376 33. Assessment of obstruction level and selection of patients for obstructive sleep apnoea surgery: an evidence-based approach By: Georgalas, C.; Garas, G.; Hadjihannas, E.; et al. JOURNAL OF LARYNGOLOGY AND OTOLOGY Volume: 124 Issue: 1 Pages: 1-9 Published: JAN 2010 Times Cited: 6 Impact Factor: 0.820 34. In Response to the Effect of Topical Amphotericin B on Inflammatory Markers in Patients with Chronic Rhinosinusitis: a Multicenter Randomized Controlled Study By: Ebbens, Fenna A.; Georgalas, Christos; Fokkens, Wytske J. LARYNGOSCOPE Volume: 120 Issue: 1 Pages: 213-214 Published: JAN 2010 Times Cited: 0 Impact Factor: 2.14 35. Assessment of clinical improvement and quality of life before and after tonsillectomy By: Rennie, C.; Georgalas, C.; Narula, A. A. JOURNAL OF LARYNGOLOGY AND OTOLOGY Volume: 123 Issue: 11 Pages: 1292-1292 Published: NOV 2009 Times Cited: 0 Impact Factor: 0.820 36. The mold conundrum in chronic hyperplastic sinusitis By: Ebbens, Fenna A.; Georgalas, Christos; Fokkens, Wytske J. CURRENT ALLERGY AND ASTHMA REPORTS Volume: 9 Issue: 2 Pages: 114-120 Published: MAR 2009

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Times Cited: 8 Impact Factor: 2.746 37. Fungus as the cause of chronic rhinosinusitis: the case remains unproven By: Ebbens, Fenna A.; Georgalas, Christos; Fokkens, Wytske J. CURRENT OPINION IN OTOLARYNGOLOGY & HEAD AND NECK SURGERY Volume: 17 Issue: 1 Pages: 43-49 Published: FEB 2009 Times Cited: 17 Impact Factor: 1.731 38. The Effect of Topical Amphotericin B on Inflammatory Markers in Patients With Chronic Rhinosinusitis: A Multicenter Randomized Controlled Study By: Ebbens, Fenna A.; Georgalas, Christos; Luiten, Silvia; et al. LARYNGOSCOPE Volume: 119 Issue: 2 Pages: 401-408 Published: FEB 2009 Times Cited: 32 Impact Factor 2.14 39. Tonsillitis. By: Georgalas, Christos C; Tolley, Neil S; Narula, Anthony BMJ - Clinical evidence Volume: 2009 Published: 2009 Oct 26 Times Cited: 0 40. Air-conduction estimated from tympanometry (ACET) 1: relationship to measured hearing in OME. Corporate Author(s): MRC Multi-centre Otitis Media Study Group INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY Volume: 73 Issue: 1 Pages: 21-42 Published: 2009-Jan (Epub 2008 Oct 28) Times Cited: 0 Impact Factor: 1.350 41. Air-conduction estimated from tympanometry (ACET): 2. The use of hearing level-ACET discrepancy (HAD) to determine appropriate use of bone-conduction tests in identifying permanent and mixed impairments By: Haggard, Mark Group Author(s): MRC Multi-Ctr Otitis Media Study G INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY Volume: 73 Issue: 1 Pages: 43-55 Published: JAN 2009 Times Cited: 1 Impact Factor: 1.350

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42. Maxillary Mucosal Cyst Is Not a Manifestation of Rhinosinusitis: Results of a Prospective Three-Dimensional CT Study of Ophthalmic Patients By: Kanagalingam, Jeeve; Bhatia, Kunwar; Georgalas, Christos; et al. LARYNGOSCOPE Volume: 119 Issue: 1 Pages: 8-12 Published: JAN 2009 Times Cited: 14 Impact Factor: 2.14 43. Prospective cohort comparison of bioactive glass implants and conchal cartilage in reconstruction of the posterior canal wall during tympanomastoidectomy By: Abramovich, S.; Hannan, S. A.; Huins, C. T.; et al. CLINICAL OTOLARYNGOLOGY Volume: 33 Issue: 6 Pages: 553-559 Published: DEC 2008 Times Cited: 3 Impact Factor: 2.11 44. An extension of the Jerger classification of tympanograms for ventilation tube patency--specification and evaluation of equivalent ear-canal volume criteria. Corporate Author(s): MRC Multicentre Otitis Media Study Group EAR AND HEARING Volume: 29 Issue: 6 Pages: 894-906 Published: 2008-Dec Times Cited: 0 Impact Factor: 3.262 45. Screening for hearing loss and middle-ear effusion in school-age children, using transient evoked otoacoustic emissions: a feasibility study By: Georgalas, C.; Xenellis, J.; Davilis, D.; et al. JOURNAL OF LARYNGOLOGY AND OTOLOGY Volume: 122 Issue: 12 Pages: 1299-1304 Published: DEC 2008 Times Cited: 4 Impact Factor: 0.820 46. Morbidity after adenotonsillectomy for paediatric obstructive sleep apnoea syndrome: waking up to a pragmatic approach By: Persaud, R.; Awad, Z.; Georgalas, C. JOURNAL OF LARYNGOLOGY AND OTOLOGY Volume: 122 Issue: 10 Pages: 1133-1133 Published: OCT 2008 Times Cited: 0 Impact Factor: 0.820

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47. Response to Georgalas on 'Health outcome measurements in children with sleep disordered breathing' - Response to Jaiswal and Murrant By: Georgalas, C.; Narula, T.; Babar-Craig, H.; et al. CLINICAL OTOLARYNGOLOGY Volume: 33 Issue: 3 Pages: 291-291 Published: JUN 2008 Times Cited: 0 Impact Factor: 2.11 48. Re: Health outcome measurements in children with sleep disordered breathing - Response By: Georgalas, C. CLINICAL OTOLARYNGOLOGY Volume: 33 Issue: 2 Pages: 154-155 Published: APR 2008 Times Cited: 1 Impact Factor: 2.11 49. Is bacterial colonisation of the tonsillar fossa a factor in post-tonsillectomy haemorrhage? By: Stephens, J. C.; Georgalas, C.; Kyi, M.; et al. JOURNAL OF LARYNGOLOGY AND OTOLOGY Volume: 122 Issue: 4 Pages: 383-387 Published: APR 2008 Times Cited: 8 Impact Factor: 0.820 50. Endoscopic transsphenoidal surgery for cholesterol granulomas involving the petrous apex By: Georgalas, C.; Kania, R.; Guichard, J. -P.; et al. CLINICAL OTOLARYNGOLOGY Volume: 33 Issue: 1 Pages: 38-42 Published: FEB 2008 Times Cited: 17 Impact Factor: 2.11 51. A new classification system for retrosternal goitre based on a systematic review of its complications and management. By: Huins, Charles T; Georgalas, Christos; Mehrzad, Homoyoon; et al. INTERNATIONAL JOURNAL OF SURGERY (London, England) Volume: 6 Issue: 1 Pages: 71-6 Published: 2008-Feb (Epub 2007 Feb 16) Times Cited: 19 Impact Factor: 1.436 52.

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The information and consent process in patients undergoing elective ENT surgery: A cross-sectional survey. By: Georgalas, Christos; Ganesh, Kulandaivelu; Papesch, Eva BMC EAR, NOSE, AND THROAT DISORDERS Volume: 8 Pages: 5 Published: 2008 Sep 17 Times Cited: 0 53. Sleep nasendoscopy: a 10-year retrospective audit study By: Kotecha, Bhik T.; Hannan, S. Alam; Khalil, Hesham M. B.; et al. EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY Volume: 264 Issue: 11 Pages: 1361-1367 Published: NOV 2007 Times Cited: 21 Impact Factor: 1.458 54. Analysis of formant frequencies in patients with oral or oropharyngeal cancers treated by glossectomy By: Kazi, Rehan; Prasad, Vyas M. N.; Kanagalingam, Jeeve; et al. INTERNATIONAL JOURNAL OF LANGUAGE & COMMUNICATION DISORDERS Volume: 42 Issue: 5 Pages: 521-532 Published: 2007 Times Cited: 10 Impact Factor: 1.441 55. High-rising epiglottis in children: Should it cause concern? By: Petkar, Nadeem; Georgalas, Christos; Bhattacharyya, Abir JOURNAL OF THE AMERICAN BOARD OF FAMILY MEDICINE Volume: 20 Issue: 5 Pages: 495-496 Published: SEP-OCT 2007 Times Cited: 3 Impact Factor : 1.758 56. The fungal debate: Where do we stand today? By: Ebbens, F. A.; Georgalas, C.; Rinia, A. B.; et al. RHINOLOGY Volume: 45 Issue: 3 Pages: 178-189 Published: SEP 2007 Times Cited: 26 Impact Factor: 3.7 57. Health outcome measurements in children with sleep disordered breathing By: Georgalas, C.; Babar-Craig, H.; Arora, A.; et al. CLINICAL OTOLARYNGOLOGY Volume: 32 Issue: 4 Pages: 268-274 Published: AUG 2007

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Times Cited: 10 Impact Factor 2.11 58. Is secondary haemorrhage after tonsillectomy in adults an infective condition? By: Georgalas, C.; Stephens, J.; Ghufoor, K. CLINICAL OTOLARYNGOLOGY Volume: 32 Issue: 4 Pages: 306-307 Published: AUG 2007 Times Cited: 2 Impact Factor: 2.11 59. A combined third and fourth branchial arch anomaly: clinical and embryological implications By: Mehrzad, H.; Georgalas, C.; Huins, C.; et al. EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY Volume: 264 Issue: 8 Pages: 913-916 Published: AUG 2007 Times Cited: 0 Impact Factor: 1.458 60. Conservative management of a major post-intubation tracheal injury and review of current management By: Mullan, Geoffrey P. J.; Georgalas, Christos; Arora, Asit; et al. EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY Volume: 264 Issue: 6 Pages: 685-688 Published: JUN 2007 Times Cited: 6 Impact Factor: 1.458 61. Recurrent throat infections (tonsillitis). By: Georgalas, Christos C; Tolley, Neil S; Narula, Anthony BMJ - CLINICAL EVIDENCE Volume: 2007 Published: 2007 Jun 01 Times Cited: 0 62. Water precautions and ear surgery: evidence and practice in the UK By: Basu, S.; Georgalas, C.; Sen, P.; et al. JOURNAL OF LARYNGOLOGY AND OTOLOGY Volume: 121 Issue: 1 Pages: 9-14 Published: JAN 2007 Times Cited: 2 Impact Factor: 0.820 63.

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Management of patients with epistaxis by general practitioners: impact of otolaryngology experience on their practice By: Tassone, Peter; Georgalas, Christos; Appleby, Esther; et al. EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY Volume: 263 Issue: 12 Pages: 1109-1114 Published: DEC 2006 Times Cited: 0 Impact Factor: 1.458 64. Long-term outcomes of laser-assisted uvulopalatoplasty in 168 patients with snoring By: Iyngkaran, T.; Kanagalingam, J.; Rajeswaran, R.; et al. JOURNAL OF LARYNGOLOGY AND OTOLOGY Volume: 120 Issue: 11 Pages: 932-938 Published: NOV 2006 Times Cited: 5 Impact Factor: 0.820 65. How we do it: An audit of Action on ENT baseline standards in otolaryngology departments in England, UK By: Persaud, R.; Hajioff, D.; Georgalas, C.; et al. CLINICAL OTOLARYNGOLOGY Volume: 31 Issue: 4 Pages: 334-338 Published: AUG 2006 Times Cited: 1 Impact Factor: 2.11 66. A new case of synchronous primary external ear canal cholesteatoma By: Persaud, R; Singh, A; Georgalas, C; et al. OTOLARYNGOLOGY-HEAD AND NECK SURGERY Volume: 134 Issue: 6 Pages: 1055-1056 Published: JUN 2006 Times Cited: 3 Impact Factor: 1.625 67. Day-case septoplasty and unexpected re-admissions at a dedicated day-case unit: a 4-year audit By: Georgalas, Christos; Obholzer, Rupert; Martinez-Devesa, P.; et al. ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND Volume: 88 Issue: 2 Pages: 202-206 Published: MAR 2006 Times Cited: 6 Impact Factor: 1.329 68. A systematic review of the role of proton pump inhibitors for symptoms of laryngopharyngeal reflux

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By: Sen, P; Georgalas, C; Bhattacharyya, AK CLINICAL OTOLARYNGOLOGY Volume: 31 Issue: 1 Pages: 20-24 Published: FEB 2006 Times Cited: 15 Impact Factor: 2.11 69 A randomized trial of Rapid Rhino Riemann and Telfa nasal packs following endoscopic sinus surgery By: Cruise, AS; Amonoo-Kuofi, K; Srouji, I; et al. CLINICAL OTOLARYNGOLOGY Volume: 31 Issue: 1 Pages: 25-32 Published: FEB 2006 Times Cited: 15 Impact Factor: 2.11 70. Inflammatory focal myositis of the sternomastoid muscle: is there an absolute indication for biopsy? A case report and review of the literature By: Georgalas, C; Kapoor, L; Chau, H; et al. EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY Volume: 263 Issue: 2 Pages: 149-151 Published: FEB 2006 Times Cited: 1 Impact Factor: 1.458 71. Factors influencing the presence of otitis media with effusion 16 months after initial diagnosis in a cohort of school-age children in rural Greece: A prospective study By: Xenellis, J; Paschalidis, J; Georgalas, C; et al. INTERNATIONAL JOURNAL OF PEDIATRIC OTORHINOLARYNGOLOGY Volume: 69 Issue: 12 Pages: 1641-1647 Published: DEC 2005 Times Cited: 8 Impact Factor: 1.350 72. Variability in nomenclature of benign laryngeal pathology based on video laryngoscopy with and without stroboscopy By: Chau, HN; Desai, K; Georgalas, C; et al. CLINICAL OTOLARYNGOLOGY Volume: 30 Issue: 5 Pages: 424-427 Published: OCT 2005 Times Cited: 5 Impact Factor: 2.11 73. Life-threatening necrotizing fascitis of the neck: an unusual consequence of a sore throat. Response

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By: Persaud, R; Krahe, D; Georgalas, C; et al. ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND Volume: 87 Issue: 5 Pages: 403-403 Published: SEP 2005 Times Cited: 0 Impact Factor: 1.329 74. Medical treatment for rhinosinusitis associated with adenoidal hypertrophy in children: An evaluation of clinical response and changes on magnetic resonance imaging By: Georgalas, C; Thomas, K; Owens, C; et al. ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY Volume: 114 Issue: 8 Pages: 638-644 Published: AUG 2005 Times Cited: 9 Impact Factor: 1.212 75. Correlation between symptoms and radiological findings in patients with chronic rhinosinusitis: an evaluation study using the Sinonasal Assessment Questionnaire and Lund-Mackay grading system By: Basu, S; Georgalas, C; Kumar, BN; et al. EUROPEAN ARCHIVES OF OTO-RHINO-LARYNGOLOGY Volume: 262 Issue: 9 Pages: 751-754 Published: SEP 2005 Times Cited: 23 Impact Factor: 1.458 76. Co-morbidity of migraine and Meniere's disease - is allergy the link? By: Sen, P; Georgalas, C; Papesch, M JOURNAL OF LARYNGOLOGY AND OTOLOGY Volume: 119 Issue: 6 Pages: 455-460 Published: JUN 2005 Times Cited: 9 Impact Factor: 0.820 77. Operative training in otolaryngology in the United Kingdom: A specialist registrar survey By: Georgalas, C; Hadjihannas, E; Ghufoor, K; et al. JOURNAL OF LARYNGOLOGY AND OTOLOGY Volume: 119 Issue: 5 Pages: 356-361 Published: MAY 2005 Times Cited: 2 Impact Factor: 0.820 78. Oral antihistamines for the symptom of nasal obstruction in persistent allergic rhinitis - a systematic review of randomized controlled trials (vol 35, pg 207, 2005) By: Hore, I; Georgalas, C; Scadding, G CLINICAL AND EXPERIMENTAL ALLERGY Volume: 35 Issue: 4 Pages: 547-547 Published: APR 2005

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Times Cited: 0 Impact Factor: 4.789 79. Cricothyroid approximation and subluxation in 21 male-to-female transsexuals By: Kanagalingam, J; Georgalas, C; Wood, GR; et al. LARYNGOSCOPE Volume: 115 Issue: 4 Pages: 611-618 Published: APR 2005 Times Cited: 9 Impact Factor: 2.14 80. Oral antihistamines for the symptom of nasal obstruction in persistent allergic rhinitis - a systematic review of randomized controlled trials By: Hore, I; Georgalas, C; Scadding, G CLINICAL AND EXPERIMENTAL ALLERGY Volume: 35 Issue: 2 Pages: 207-212 Published: FEB 2005 Times Cited: 11 Impact Factor: 4.789 81. Interobserver perceptual analysis of smokers voice By: Georgalas, C CLINICAL OTOLARYNGOLOGY Volume: 30 Issue: 1 Pages: 74-75 Published: FEB 2005 Times Cited: 0 Impact Factor: 2.11 82. Cophenylcaine spray vs. placebo in flexible nasendoscopy: a prospective double-blind randomised controlled trial By: Georgalas, C; Sandhu, G; Frosh, A; et al. INTERNATIONAL JOURNAL OF CLINICAL PRACTICE Volume: 59 Issue: 2 Pages: 130-133 Published: FEB 2005 Times Cited: 14 Impact Factor: 2.427 83. Measuring quality of life in children with adenotonsillar disease with the Child Health Questionnaire: A first UK study By: Georgalas, C; Tolley, N; Kanagalingam, J LARYNGOSCOPE Volume: 114 Issue: 10 Pages: 1849-1855 Published: OCT 2004 Times Cited: 17 Impact Factor: 2.14

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84. Life-threatening necrotizing fasciitis of the neck: an unusual consequence of a sore throat By: Persaud, R; Krahe, D; Georgalas, C; et al. ANNALS OF THE ROYAL COLLEGE OF SURGEONS OF ENGLAND Volume: 86 Issue: 4 Pages: 253-257 Published: JUL 2004 Times Cited: 4 Impact Factor: 1.329 85. Letter to the Editor – The value of sleep nasendoscopy By: Georgalas, C; Kotecha, B ANNALS OF OTOLOGY RHINOLOGY AND LARYNGOLOGY Volume: 113 Issue: 5 Pages: 420-420 Part: 1 Published: MAY 2004 Times Cited: 3 Impact Factor: 1.212 86. Follicular dendritic cell sarcoma arising from the hypopharynx By: Georgalas, C; Kanagalingam, J; Gallimore, A; et al. JOURNAL OF LARYNGOLOGY AND OTOLOGY Volume: 118 Issue: 4 Pages: 317-318 Published: APR 2004 Times Cited: 9 Impact Factor: 0.820 87. Do otolaryngology out-patients use the internet prior to attending their appointment? By: Tassone, P; Georgalas, C; Patel, NN; et al. JOURNAL OF LARYNGOLOGY AND OTOLOGY Volume: 118 Issue: 1 Pages: 34-38 Published: JAN 2004 Times Cited: 15 Impact Factor: 0.820 88. ENT presentations in children with HIV infection By: Singh, A; Georgalas, C; Patel, N; et al. CLINICAL OTOLARYNGOLOGY Volume: 28 Issue: 3 Pages: 240-243 Published: JUN 2003 Times Cited: 8 Impact Factor: 2.11 89. Re: "Swimmers view: a diagnostic adjunct for oesophageal foreign bodies" by Kanagalingam et al J R Coll Edinb 2002; 47 : 4; 641-42 - Reply By: Kanagalingam, J; Georgalas, C

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SURGEON JOURNAL OF THE ROYAL COLLEGES OF SURGEONS OF EDINBURGH AND IRELAND Volume: 1 Issue: 3 Pages: 184-184 Published: JUN 2003 Times Cited: 0 90. Does receiving a copy of correspondence improve patients' satisfaction with their out-patient consultation? By: Saunders, NC; Georgalas, C; Blaney, SPA; et al. JOURNAL OF LARYNGOLOGY AND OTOLOGY Volume: 117 Issue: 2 Pages: 126-129 Published: FEB 2003 Times Cited: 10 Impact Factor: 0.820 91. The disinfection of flexible fibre-optic nasendoscopes out-of-hours: confidential telephone survey of ENT units in England By: Kanagalingam, J; Zainal, A; Georgalas, C; et al. JOURNAL OF LARYNGOLOGY AND OTOLOGY Volume: 116 Issue: 10 Pages: 817-822 Published: OCT 2002 Times Cited: 7 Impact Factor: 0.820 92. Assessing day-case septorhinoplasty: prospective audit study using patient-based indices By: Georgalas, C; Paun, S; Zainal, A; et al. JOURNAL OF LARYNGOLOGY AND OTOLOGY Volume: 116 Issue: 9 Pages: 707-710 Published: SEP 2002 Times Cited: 4 Impact Factor: 0.820 93. Swimmer's view: a diagnostic adjunct for oesophageal foreign bodies By: Kanagalingam, J; Georgalas, C; Zainal, A; et al. JOURNAL OF THE ROYAL COLLEGE OF SURGEONS OF EDINBURGH Volume: 47 Issue: 4 Pages: 641-642 Published: AUG 2002 Times Cited: 2 94. The association between periodontal disease and peritonsillar infection: A prospective study By: Georgalas, C; Kanagalingam, J; Zainal, A; et al.

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OTOLARYNGOLOGY-HEAD AND NECK SURGERY Volume: 126 Issue: 1 Pages: 91-94 Published: JAN 2002 Times Cited: 4 Impact Factor: 1.625 95. Medical treatment for adenoidal hypertrophy (AH) and rhinosinusitis in children: A evaluation of clinical response and changes on magnetic resonance imaging By: Georgalas, C; Thomas, K; Owens, CM; et al. JOURNAL OF ALLERGY AND CLINICAL IMMUNOLOGY Volume: 107 Issue: 2 Supplement: S Pages: S166-S166 Meeting Abstract: 545 Published: FEB 2001 Times Cited: 1 Impact Factor: 12.047 96. Pharyngeal pouch and polymyositis: association and implications for aetiology of Zenker's diverticulum By: Georgalas, C; Baer, ST JOURNAL OF LARYNGOLOGY AND OTOLOGY Volume: 114 Issue: 10 Pages: 805-807 Published: OCT 2000 Times Cited: 6 Impact Factor: 0.820 97 Georgalas C, Drunen K, Garas G, Prokopakis E Allergy the chronic Rhinosinusitis: Applying criteria for casuality ALLERGY 2014 (In press) Impact Factor: 5.883 98 Lund V, Stammberger H, Fokkens W, Georgalas C et al: Anatomical Terminology of nose and paranasal sinuses – an update. In RHINOLOGY, 2014(1) Impact Factor: 3.720 99 Role of corticosteroids in Functional Endoscopic Sinus Surgery--a systematic review and meta-analysis. Pundir V, Pundir J, Lancaster G, Baer S, Kirkland P, Cornet M, Lourijsen ES, Georgalas C, Fokkens WJ. Rhinology. 2016 Mar;54(1):3-19. doi: 10.4193/Rhin15.079. Review. 100 International Consensus Statement on Allergy and Rhinology: Rhinosinusitis. Orlandi RR, Kingdom TT, Hwang PH, Smith TL, Alt JA, Baroody FM, Batra PS, Bernal-Sprekelsen M, Bhattacharyya N, Chandra RK, Chiu A, Citardi MJ, Cohen NA, DelGaudio J, Desrosiers M, Dhong HJ, Douglas R, Ferguson B, Fokkens WJ, Georgalas C, Goldberg A, Gosepath J, Hamilos DL, Han JK, Harvey R, Hellings P, Hopkins C, Jankowski R, Javer AR, Kern R, Kountakis S, Kowalski ML, Lane A, Lanza DC, Lebowitz R, Lee HM, Lin SY, Lund V, Luong A, Mann W, Marple BF, McMains KC, Metson R, Naclerio R, Nayak JV, Otori N, Palmer JN, Parikh SR, Passali D, Peters A,

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Piccirillo J, Poetker DM, Psaltis AJ, Ramadan HH, Ramakrishnan VR, Riechelmann H, Roh HJ, Rudmik L, Sacks R, Schlosser RJ, Senior BA, Sindwani R, Stankiewicz JA, Stewart M, Tan BK, Toskala E, Voegels R, Wang de Y, Weitzel EK, Wise S, Woodworth BA, Wormald PJ, Wright ED, Zhou B, Kennedy DW. Int Forum Allergy Rhinol. 2016 Feb;6 Suppl 1:S22-S209. doi: 10.1002/alr.21695. 101 Minimally invasive treatment of patients with Pott's puffy tumour with or without endocranial extension - a case series of six patients. van der Poel NA, Hansen FS, Georgalas C, Fokkens WJ. Clin Otolaryngol. 2015 Sep 17. doi: 10.1111/coa.12538. [Epub ahead of print] 102 Endoscopic treatment of inverted papilloma attached in the frontal sinus/recess. Adriaensen GF, van der Hout MW, Reinartz SM, Georgalas C, Fokkens WJ. Rhinology. 2015 Dec;53(4):317-24. doi: 10.4193/Rhin14.177. 103 Challenges in the Management of Inverted Papilloma: A Review of 72 Revision Cases. Adriaensen GF, Lim KH, Georgalas C, Reinartz SM, Fokkens WJ. Laryngoscope. 2016 Feb;126(2):322-8. doi: 10.1002/lary.25522. Epub 2015 Sep 7. 104 Endoscopic nasal versus open approach for the management of sinonasal adenocarcinoma: A pooled-analysis of 1826 patients. Meccariello G, Deganello A, Choussy O, Gallo O, Vitali D, De Raucourt D, Georgalas C. Head Neck. 2016 Apr;38 Suppl 1:E2267-74. doi: 10.1002/hed.24182. Epub 2015 Sep 3. Review. 105 Long-term quality of life after endoscopic removal of sinonasal inverted papillomas: a 6-year cohort analysis in a tertiary academic hospital. van Samkar A, Georgalas C. Eur Arch Otorhinolaryngol. 2016 Jun;273(6):1433-7. doi: 10.1007/s00405-015-3751-1. Epub 2015 Aug 18. 106 The clinical value of peak nasal inspiratory flow, peak oral inspiratory flow, and the nasal patency index. Tsounis M, Swart KM, Georgalas C, Markou K, Menger DJ. Laryngoscope. 2014 Dec;124(12):2665-9. doi: 10.1002/lary.24810. Epub 2014 Jul 30. 107 Tonsillitis. Georgalas CC, Tolley NS, Narula PA. BMJ Clin Evid. 2014 Jul 22;2014. pii: 0503. 108

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Is chronic rhinosinusitis related to allergic rhinitis in adults and children? Applying epidemiological guidelines for causation. Georgalas C, Vlastos I, Picavet V, van Drunen C, Garas G, Prokopakis E. Allergy. 2014 Jul;69(7):828-33. doi: 10.1111/all.12413. Epub 2014 May 12. Review. 109 Surgery of the external nasal valve: the correlation between subjective and objective measurements. Menger DJ, Swart KM, Nolst Trenité GJ, Georgalas C, Grolman W. Clin Otolaryngol. 2014 Jun;39(3):150-5. doi: 10.1111/coa.12243. Γ. ΔΗΜΟΣΙΕΥΣΕΣ ΑΠΟ ΠΕΡΙΟΔΙΚΑ ΧΩΡΙΣ ISIS (SCIENCE CITATION INDEX) 1. BMJ Publications – BMJ point of care (Commissioned) Review: Tonsillitis / Sore throat 2. ENT News: Setting up a rhinology service 3. ΕΝΤ News: A fellowship report 4. Nederlands Tijdschrift voor Geneeskunde: Complications of Rhinosinusitis in Netherlands 5. Rhinology journal: Report from the lowlands: National delegate for Netherlands (2011) ΔΗΜΟΣΙΕΥΣΕΙΣ ΣΕ ΕΛΛΗΝΙΚΑ ΠΕΡΙΟΔΙΚΑ Hellenic Otolaryngology – Head and Neck Surgery: Τοµος 31, Τευχος 2 45-47 Άρθρο Συνταξης- Η οργάνωση ενος ρινολογικοί κέντρου – κέντρου ενδοσκοπικής χειρουργικής βάσης κρανίου- από την έρευνα στην κλινική εφαρµογή Δ. ΔΗΜΟΣΙΕΥΣΕΙΣ ΑΠΟ ΣΥΝΕΔΡΙΑ (CITED ABSTRACTS) 1. Philpott J, Paun S, Patel S, Singh A , Georgalas C, Rajan P, Tolley NS The effect of a dedicated cytologist on thyroid fine needle aspiration-ENT comparative audit meeting The Journal of Laryngology and Otology; Nov 2000; 114( 11) 894-902 (Abstract) Thyroid nodules are common, with prevalence quoted as being between four and seven percent (Vander et al 1968). Accurate diagnostic assessment is essential in planning appropriate surgical management of these patients. A retrospective analysis was undertaken of preoperative Fine Needle Aspirations with final histology before and after appointment of a dedicated cytologist. Cytological diagnosis has been shown to be the most sensitive test for assessment of the thyroid nodule (Boyd et al 1998). We evaluate here the effect of the appointment of a dedicated cytologist to our hospital upon the sensitivity, specificity and accuracy of thyroid Fine needle aspiration 2. Singh A, Georgalas C, Patel N, Papesch M Otolaryngology presentations in the paediatric HIV population in a central London teaching Hospital The Journal of Laryngology and Otology, Mar 2002; Vol 115; 241 (Abstract)

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Illnesses of the Ear, Nose and Throat (ENT) are common in children with Human Immunodeficiency Virus (HIV) infection. We reviewed the case files of 107 HIV seropositive children in the paediatric HIV unit at St Mary’s Hospital. The prevalence, age of onset and type of ENT disease were reviewed. We also determined sex distribution, maternal country of origin and mode of transmission of HIV. Fifty percent of the HIV children had ENT illnesses. Fifty-five percent of the children presented with their first ENT symptom before age three with 98% of the children having ENT manifestations by age 9. The commonest ENT diseases were cervical lymphadenopathy (70%), otitis media (46%), oral candidiasis (35%) and adenotonsillar disease (31%). HIV transmission was vertical in 90%. Maternal country of origin was Africa in 70% and the UK in 13%. 3. J Kanagalingam, C Georgalas, G Wood and AD Cheeesman Pitch Elevation Surgery in Male-to-Female Transsexuals Medical Journal of Malaysia 2004; Vol 59 (Suppl A): 101 (Abstract) Objectives: To evaluate the medium-term outcome of cricothyroid approximation and subluxation (CTAS) with post-operative speech therapy for pitch elevation in male-to-female transsexuals. Study design: Retrospective study of male-to-female transsexuals who underwent pitch-raising surgery between November 1996 and August 2001. Methods: 21 Male-to-female transsexuals who opted for surgical feminisation of their voices after inadequate improvements with speech therapy alone. Electrolaryngographic measurements were obtained by a single speech therapist of modal fundamental frequencies and the percentage of irregularities before, and at two weeks and six months following surgery. All 21 patients underwent cricothyroid approximation and subluxation (CTAS) and 20 underwent simultaneous cosmetic thyroid chondroplasty by a single surgeon. In 15 patients, electrolaryngographic measures were obtained after 6 sessions of speech therapy. Results: Electrolaryngographic results 2 weeks following surgery showed an average post-operative gain in modal frequency of free speech of 67.2 Hz (95% confidence interval, +/- 26.7). There was a concomitant average rise in irregularities of 9.9 % (SD, +/- 19.5%). At median follow-up of 6 months following 6 sessions of speech therapy (n=15), there was an improvement in irregularities to pre-operative levels. The overall gain at 6 months in modal frequency of free speech was 56.9 Hz (95% confidence interval, +/- 16.4). Smoking and age did not predict a worse outcome. Conclusions: Cricothyroid approximation effectively raises pitch in male-to-female transsexuals. There is a concomitant rise in voice irregularities which is effectively improved by speech therapy 4. Georgalas C, Thomas K, Owens C, Abramovich A, Lack G MRI evaluation for adenoid hypertrophy and sinusitis Otolaryngology – Head and Neck surgery, 2002; 127(2),: 201 (Abstract) Objectives: To assess the efficacy of a combined antimicrobial and anti-inflammatory regimen for adenoid hypertrophy (AH) and/or sinusitis, by using clinical symptom scores and MRI changes. Methods: Thirteen children referred to a tertiary allergy clinic with symptoms of AH had their nasopharynx and sinuses evaluated by MRI scanning. All children were treated with a 6-week course of co-amoxiclav, 5 days of oral prednisolone (2 mg/kg) and 3 months of intranasal mometasone and oral loratadine. All MRI measurements were repeated after medical treatment. The main clinical symptoms were graded before and after treatment, by using a scale from 0 to 5 (maximum overall clinical score, 20). The size of adenoids, airway, and nasopharynx were measured from T1-weighted midsagittal and axial images. A 0 to 3 grading scale was used for sinusitis signs and turbinate mucosal thickening. Results: Treatment resulted in a greater than 60% improvement in overall clinical symptom score and marked improvement in assessment on MRI findings. Pretreatment, MRI demonstrated enlarged adenoids in 10 out of 13 children and

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sinusitis in 12 out of 13 children (5 had severe sinusitis: score 2-3). Following treatment, there was a significant reduction in adenoidal size and sinus involvement associated with a greater than 50% increase in airway diameter. Conclusion: (1) Children with AH have evidence of upper airway inflammation, sinusitis, and nasal mucosal thickening. (2) Prolonged treatment with anti-inflammatory and antimicrobial medication results in marked clinical improvement. (3) Clinical response to treatment is accompanied by improvement in MRI findings: decrease in sinus involvement, reduction in adenoid size, and increase in airway diameter. 5. Georgalas C, Kanagalingham J, Tolley N Quality of life in children with adenotonsillar disease Otolaryngology – Head and Neck surgery, 2002, 127(2) : 55 (Abstract) Objectives: The ultimate judge of the need for and the efficacy of any medical or surgical intervention is the patient, especially when indications for the intervention fall in the category of “relative.” Although (adeno)tonsillectomy is among the most common procedures performed in the United Kingdom, the actual impact of adenotonsillar (AT) disease on children’s lives has not yet been fully explored. This is the first study to look at the quality of life of children referred with adenotonsillar disease in the United Kingdom with the use of a generic, recently validated questionnaire Methods: The primary caregivers of a consecutive series of 43 patients referred for adenotonsillar disease to a pediatric specialty clinic completed the Child Health Questionnaire–PF 28 (CHQ PF 28). This is a generic questionnaire measuring 14 different aspects of a child’s well-being. The questionnaires were analyzed for data quality and completeness, items’ internal consistency, and discriminant validity and reliability estimates. External validity was assessed by comparing our sample with healthy children and children with rheumatoid arthritis. Results: The CHQ PF 28 demonstrated excellent measuring characteristics in this population. Compared with measures for healthy children, 11 of 14 measures of quality of life were significantly depressed in our sample. Most prominent were the differences in global health (P < 0.001); general health perception (P < 0.001); bodily pain and discomfort experienced (P < 0.001); and emotional impact of the child’s problems on the parents (P = 0.001), on family activities (P = 0.0003), and on parents’ time (P = 0.001). In quality-of-life terms, these children were better off than British children with systemic and polyarticular juvenile rheumatoid arthritis but worse off than children with the persistent oligoarticular form of the disease. Conclusion: The CHQ PF 28 is an accurate and reliable way of assessing the impact of adenotonsillar disease on the quality of life in children in Britain. This appears to be quite significant in most aspects of a child’s life. 6. Wood G, Kanagaligham J, Ahluwalia S, Georgalas C, Cheesman A Cricothyroid approximation and subluxation for transsexual pitch elevation Otolaryngology – Head and Neck surgery, 2002; 127(2) : 185 (Abstract) Objectives: Transsexualism is a disorder in which people believe themselves to be born into the “wrong” gender body. Male-to-female transsexuals predominate, and various medical and surgical interventions are employed to give these transsexuals a female appearance. Voice characteristics, however, often remain masculine. Speech training can improve the perception of femininity, but pitch elevation surgery necessary. The most popular method is cricothyroid approximation as described by Isshiki, but approximation per elevates modal but not mean frequency. We sought to evaluate cricothyroid approximation and subluxation (CTAS) phonosurgical means of achieving sustained pitch elevation. Methods: 10 patients who underwent CTAS had laryngographic measurements of speech frequencies preoperatively, to 4 weeks postoperatively, and 4 to 6 months postoperatively. All procedures were carried out by the same surgeon (A.D.C.), and all patients received 6 sessions of speech therapy

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after surgery by the same therapist (G.W.). Results: Laryngography showed a rise in mean, modal, median frequencies soon after surgery. The magnitude pitch elevation was highest in free speech with increases 55% in mean frequency, 57% in modal frequency, and median frequency. There was a large rise in irregularity free speech, 105% singing, and 129% reading), which attenuated after speech therapy. Pitch elevation was maintained for the length of postoperative follow-up, with therapy contributing to a further increment. Conclusion: Cricothyroid approximation and subluxation (CTAS) satisfactorily elevates and sustains pitch in male-to-female transsexuals. There is a significant rise in vocal instability,” which can be moderated by speech therapy. 7. Purusothaman S, Georgalas C, Papesch M Co-morbidity of migraine and meniere’s disease: Is allergy the link? Otolaryngology – Head and Neck surgery, 2005; 131(2) : 153 (Abstract) Problem: The prevalence of migraine in Meniere’s disease (MD) has been reported. However, the factor(s) that link the two is yet to be established. The aim of this study was to assess the association between allergy and migraine in patients with MD. We tested the hypothesis that if migraine and Meniere’s disease are linked by allergy, allergy should be more prevalent in patients with MD and migraine than in the MD-without-migraine group. Methods: A Web-based questionnaire was used to recruit patients with MD (n _ 108). The questionnaire was posted at many Meniere’s support Web sites. The control group consisted of patients who attended the ENT clinic for non-MD problems (n _ 100). Age was matched in blocks of 5. Analysis included chi-square or Fisher t test for comparison of proportions and 2 ¨ C tailed t test as appropriate for continuous normally distributed variables. The criterion for statistical significance was taken as P _ 0.005, two-tailed. Results: Of the 108 respondents with MD, 39% (42/108) reported a history of migraine. This prevalence was significantly higher than that found in the age and sex-matched control group, of which 18% reported to suffer from migraine (18/100, P _ 0.001). Fifty-six of 108 (52%) patients with MD reported allergy. This was significantly higher than allergy in the control group (23/100, P _ 0.001). Allergy was almost ubiquitous in Meniere’s patients who suffered from migraine (prevalence 71%, compared to 39% in nonmigraine sufferers, P _ 0.0002). However, there was no link with any specific allergy types. Conclusion: History of allergy was more significant in patients who suffered from both migraine and MD than MD patients with no migraine. However, there was no susceptibility for a specific type of allergy. Significance: This study suggests the presence of an underlying immunological determinant that links migraine and Meniere’s disease. 8. Georgalas C (For the MRC-ESS study group) Capturing the multifacetted presentation in OME with only two scores Clinical Otolaryngology; Oct 2005; 30(5) , 488 (Abstract) Background. Hearing level (HL) has long been seen as a surrogate index of OME impact. Systematic studies to validate this or efficiently summarise the diversity of OME impacts were never undertaken. Objectives. To produce the smallest adequate set of descriptors, underpinning item choice for clinical use and short-form questionnaires. Methods. In the two TARGET baseline visits, parents of children aged 3.5-7 years (N=464) received 75 questionnaire items on known relevant facets. These were developed into 11 parent-reported measures of OME facets: ear and respiratory infections, global health, sleep pattern, balance, speech/language, reported hearing difficulties (RHD), 3 behaviour areas and specifically related parent quality of life. We used structural equation modelling (SEM) to summarise variation. Results. The SEM grouping physical facets (the first 4 listed) separately from developmental facets (the rest) gave excellent fit (AGFI 0.94). Summary with one dimension gave significantly

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worse fit (AGFI 0.91), and having more than two did not improve fit. Fitting the discrepancy between HL and RHD greatly reduced the error in reported physical and developmental scores, justifying its use in bias-reduction. Physical and developmental impacts co-varied (Standardised Regression Coefficient, SRC 0.71), but their relationships to bias, HL and age differed substantially. HL influenced developmental outcomes moderately (SRC 0.23), and physical health marginally (0.12), but only when the HL range was widened by including children < 20dB HL. Conclusions. A simple 2-score summary of OME impact is both necessary and excellent. HL complements physical health and developmental impact, but is an inadequate surrogate. 9. Georgalas C, Basu S Water Precautions after Ear surgery: Current Status in the UK Skull Base , 2006, 16(3) 10 Georgalas C, Xenellis J, Davilis A, Tzangaroulakis A, Ferekidis E Otoacoustic Emissions as a screening tool in school age children with OME Skull Base , 2006, 16(3) 11 Georgalas C Focal Myositis of the sternocleidomastoid muscle: Is biopsy always indicated? Skull Base , 2006, 16(3) 12. Georgalas C, Babar H, Arora A, Narula T Quality of life in pediatric OSA: A first study in the UK using CHQ Skull Base , 2006, 16(3) 13. Georgalas C To Tube or Not To Tube: What's Our Position Today?

Skull Base 2009; 19 The assessment of OME in children should focus primarily on the persistence and width as well of depth of its impact rather than on the presence or absence of fluid per se. In the recent TARGET trial that was performed in the UK, 2300 children, ages 3.5-7 years, with OME completed questionnaires during their first outpatient visit . From these, 432 took part in the study and 376 were randomized to ventilation tubes with or without adenoidectomy versus watchful waiting. Some of the conclusions from this study are presented.

14.Georgalas C, Videler W, Fokkens W

Bone remodeling and disease in chronic rhinosinusitis

Skull Base 2009, 19

There is increasing interest in the bony framework of the paranasal sinuses as an important factor in recalcitrant CRS. This hypothesis is based mainly on the radiological changes, including areas of increased bone density and irregular thickening whose prevalence may be as high as 64 HU. We think that these bony changes are signs of bone inflammation or remodeling and markers of chronicity of disease, and they could at least partly explain why improved sinus ventilation and even removal of diseased sinus

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mucosa alone are sometimes insufficient for the treatment of CRS. We conducted this review to explore the role of paranasal bone tissue in CRS. The main aims were: to get better insight of the available data, to identify potential therapeutic implications, and to put forward suggestions for future research.

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Ε. ΑΝΑΚΟΙΝΩΣΕΙΣ ΣΕ ΣΥΝΕΔΡΙΑ

1) Een granulomateuze onsteking (A granulomatous inflammation) – C Jolink, C Georgalas 27 April 2012, KNO Vergadering, (National Dutch Society of Otolaryngology meeting) Nieuwegein, Netherlands

2) Closure of CSF leaks – our experience G Adriaansen, S Reinartz, W Fokkens, C Georgalas 27 April 2012, KNO Vergadering, (National Dutch Society of Otolaryngology meeting) Nieuwegein, Netherlands

3) Osteomata of the paranasal sinuses: what are the limits of the endoscopic approach? B Rinia, C Georgalas, November 2011, KNO Vergadering, (National Dutch Society of Otolaryngology meeting) Nieuwegein, Netherlands

4) A complicated sphenoiditis, B Muller, C Georgalas, November 2011, KNO Vergadering, (National Dutch Society of Otolaryngology meeting) Nieuwegein, Netherlands

5) Endoscopische chirurgie van neusbijholten en schedelbasis bij kinderen W.J.Fokkens, C. Georgalas, S. Reinartz, April 2011, KNO Vergadering, (National Dutch Society of Otolaryngology meeting) Nieuwegein, Netherlands

6) Operative training in otolaryngology in the United Kingdom: A specialist registrar survey Georgalas C, Hadjihannas E, Ghufoor K, Pracy P, Papesch M

International Federation of Otolaryngology Societies Congress, Rome, June 2005 OBJECTIVE: To assess the current status of operative training for otolaryngology specialist registrars in the United Kingdom. DESIGN: Web-based questionnaire survey. PARTICIPANTS: All otolaryngology specialist registrars in the United Kingdom. MAIN OUTCOME MEASURES: The overall satisfaction with operative training was assessed as well as the number of operations performed and level of competency in stage-specific procedures, as defined by the Joint Committee for Higher Specialist Training. RESULTS: Otolaryngology specialist registrars are generally satisfied with the quality of their operative training. The most important predictive factor of satisfaction with operative training was the number of theatre sessions per week. The vast majority of registrars (92 per cent by the end of year one, 73 per cent at the end of years two to four) appear to attain all the stage-appropriate surgical competencies during the first four years. However, with respect to the last two years of registrar training, only 26 per cent can perform all the designated (complex) procedures. There are no significant differences between deaneries or geographic regions in the overall satisfaction rates, number of operative sessions, number of operations performed or operative competencies attained. CONCLUSION: It appears that the Specialist Advisory Committee (SAC) is generally successful in maintaining common operative training standards and providing a homogenous training environment. During the first four years registrars attain an appropriate level of general training while the last two years are mainly devoted to subspecialty interests.

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7) Capturing the multifacetted presentation in OME with only two scores Georgalas C (For the MRC-ESS study group) Spring ORS meeting, 8th April 2005, Bristol

(Η περίληψη στα δηµοσιευµένα άρθρα) 8) Summary of impact and outcomes for the multiple facets of OME – reconciling

scientific aggregation with a clinical symptom-based approach Georgalas C, Nicholls E, Smith S, Haggard M 5th Extraordinary International Symposium on Recent Advances in Otitis Media (OM2005), 27th April 2005, Amsterdam Background. Taking hearing level (HL) as the single objective surrogate measure for overall OME impact has long informed practice and policy. We previously showed this to be unjustified for some important impacts. Objectives. To evaluate HL surrogacy more comprehensively, we optimised a structural equation model (SEM) summarising two objective domains of OME impact and 11 reported measures. Data were from trial (TARGET) baselines. This also advanced the second objective: to determine whether three non-focal impact measures were appropriate outcomes, by strength of their co-variation expressing severity of impact. Methods. The 11 parent-reported measures were documented as important (Dataset A: counts of concerns of 1103 parents). Parents of referred children aged 3.5-7 years prior to recruitment (Dataset B1, N=538) received all questionnaire items. To explore restriction of HL variance, the subset (B2, N=432) having persistent OME and HL >=20dB were distinguished. Controls (C: unselected school or nursery population 3-9 years, N=711) received a subset of questionnaires. Results. In nearly all domains having control data, mean (B2-C) differences were “worse” for OME children. For dataset B1, bodyweight, and scores for reported balance and social confidence problems all joined the SEM (P < 0.001), justifying use as outcomes, although adjusting for age displaced bodyweight . Summaries distinguishing physical from developmental domains including parent quality of life gave excellent SEM fit (AGFI > 0.92), although physical health strongly influenced developmental outcomes. Only if HL variance was unrestricted (B1), did HL influence physical health (only marginally), or developmental outcomes. Conclusions. (1) Bodyweight, balance, school worries and social development justify inclusion in a reliable aggregate or in causal modeling. (2) Any adequate summary of OME impact measures requires two connected underlying factors: physical health and developmental/quality of life. (3) HL provides an inadequate surrogate measure for physical health or developmental impact.

9) Factors Influencing the Resolution of Otitis Media With Effusion in a Cohort of

School Age Children in A Rural Area: A Prospective Study Xennelis J, Georgalas C, Kandiloros J Triological society Meeting, Southern Section, Miami,FL, January 13, 2005

Objective Otitis media with effusion (OME) is primarily a disease of young children, with its peak incidence at roughly age 1 year. Many studies have investigated its aetiology and natural course in that age group, however, studies of factors for persistence of OME are much less common. We did the study in order to assess reasons for persistence of OME in a cohort of school age children, a group with a much lower incidence of OME and in which many of the generally accepted etiological factors for OME may not apply. Methods A cohort of 250 school age children with unilateral or bilateral OME, identified through screening of 5121 asymptomatic children was examined 16 months following their original diagnosis. All children were assessed for a variety of demographic, paternal and medical factors that could be associated

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with OME persistence. Examination included tympanometry, acoustic reflexes and a full otolaryngology examination. Results There were no significant differences between children with persistent unilateral or bilateral disease. Gender, blood group, gestational age and weight, history of breast feeding, paternal education level and smoking history, history of allergy and previous use of antibiotics or surgery during the study period (myringotomy, instertion of ventilation tubes or adeno tonsillectomy) were not associated with persistence of OME. On multivariate logistic regression, the only factors identified as being associated with OME persistence were an episode of AOM during the study period (odds ratio 2.75 (95% CI: 1.13 – 8.17), p=0.04) and younger age (odds ratio 0.53 (95% CI: 0.32 – 0.79), p = 0.002 for each 2 years of increase in age). Conclusion The vast majority of school age children diagnosed with OME through screening will be free of disease 16 months later. It appears that most factors associated with persistence of OME in younger children do not apply any more to children of school age. The threshold for intervention however should be lower in (relatively) younger children and children with superimposed episodes of acute otitis media.

10) Selection of patients for OSA surgery C Georgalas

European Federation of Otolaryngology Societies Congress Rhodes, Greece, 24th September 2004 Otolaryngologists have become increasingly involved in the diagnosis, assessment and management of Sleep disordered breathing (SDB) over the past two decades. However, unlike the robust evidence being generated on the complications of OSA and reversal of these complications by CPAP, the evidence behind OSA surgery remains scant. A recent meta analysis (1) highlighted the importance of patient selection in surgery. At the Royal National Throat Nose and Ear Hospital, Gray’s Inn Road, Sleep nasendoscopy, a dynamic method for assessing the level of upper airway obstruction in patients with SDB was developed in 1991(2).Patients attending the specialist sleep clinic, both at the RNTNE and at Whipps Cross Hospital were evaluated with a detailed physical examination including Mueller manoeuvre, polysomnography or home sleep stydies as well Sleep Nasendoscopy. Treatment modalities included CPAP, Mandibular advancement devices and nasal or oropharyngeal surgery, including modified LAUP technique (3). Detailed data from each patient were coded in a database containing more than 750 patients. In this review we will present different methods proposed for the upper airway assessment in patients with OSA, including dynamic, state dependent and static imaging, followed by the evidence base for each method. Results from the Royal National Throat Nose and Ear Hospital / Whipps Cross university hospital database will be presented, with a special focus on the use of sleep nasendoscopy

11) Cricothyroid Approximation and Subluxation for Pitch Elevation in Male-to-

Female Transsexuals .J Kanagalingam, C Georgalas, G Wood and AD Cheeesman Asian Conference of Otolaryngology, Kuala – Lampor, Malaysia 23 Feb 2004 (Η περίληψη στα δηµοσιευµένα άρθρα)

12) Variability in nomenclature of benign laryngeal pathology based on visual evaluation Chau HN, Desai K, Georgalas C, Harries M Section of Laryngology meeting, Royal Society of Medicine, 7th May 2004

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Objectives: To assess the extent of interobserver variability in the nomenclature of benign laryngeal pathology based on evaluation of video-endoscopies with and without stroboscopy Design: Eight video clips of benign laryngeal conditions were viewed by 35 non-voice specialist ENT surgeons. The surgeons viewed the clips in groups of varying sizes with no discussion between them and were asked to make only one diagnosis for each lesion. Setting: Specialist voice clinic in the department of ENT at The Royal Sussex County Hospital in Brighton, UK. Participants: Participating ENT surgeons were all either registrars or consultants working at different centers in UK, recruited by the author. None were voice specialists. Main outcome measure: Interobserver agreement was measured using kappa statistics. Results: Variation was widespread with only two of the eight cases (25%) showing agreement of over 75%. Agreement could be analyzed statistically as moderate at best (j Ό 0.5 with a 95% confidence interval from 0.5 to 0.6). The seniority of the laryngologist was also analyzed with consultants and senior trainees (specialist registrar years 4–6) having better agreement than junior trainees (specialist registrar years 1–3) Conclusions: The generally accepted optimum treatment for different benign laryngeal pathologies varies substantially. However, our results shows a significant high-level interobserver variability in their diagnosis by non-voice specialists, thus reducing the reliability of outcome data and treatment recommendations. It is therefore important to try and lower this interobserver variability, possibly by widespread use of improved diagnostic technology, stricter/ more universally accepted definitions and supervised training of junior doctors in a voice clinic environment.

13) A survey of Action on ENT baseline standards in ENT Departments in the UK Persaud R, Hajioff D, Bentley M, Georgalas C, Narula A. Presentation at the Joint ENT UK, Action on ENT and RSM summer meeting, July 2004, Liverpool

Background:Since 2000, Action on ENT has spent over £43 million improving the infrastructure of ENT services. The steering board recommended a set of baseline clinical and administrative standards which may help plan future improvements. Aim: To determine how well ENT Departments in England and Wales complied with the baseline standards recommended in the Action on ENT Good Practice Guide.Method: An email, linked to a Web based questionnaire (http://snurl.com/actiononent), was sent to every ENT Registrar and Consultant in the BAO-HNS database. The questionnaire assessed compliance with 10 clinical and 13 administrative standards. The questions were posed in a binary yes/no format and took under two minutes to complete electronically. Missing data and discrepant responses were corrected by telephone enquires. Results: We received 133 replies from 86 departments. Only 8% of departments met all the recommended baseline standards and 35% met at least 21 out of 23of the standards. The only clinical standard with universal compliance was the availability of microsuction. Twenty two percent of hospitals did not have dedicated day surgery facilities. The recommended inclusion of a treatment plan in the clinical notes had the poorest compliance rate (36%). Of the administrative standards, triaging of referral letters was nearly universal (95%) but relatively few departments had common waiting lists for common conditions (44%). Other areas of deficiency include the absence of facilities to elicit feedback from patients and carers (35%); failure of all staff (including locum) taking part in induction programmes (35%); absence of dedicated facilities to treat children (31%); lack of a lead clinician for paediatric audiology (28%); lack of weekly monitoring of referrals (23%); lack of direct referral to specialized clinic during triaging (25%); lack of direct access to hearing aid provision in over 60-year-old patients (17%) and absence of patient information leaflets for common conditions (14%). Conclusions: Our audit shows that, while there is considerable room for improvement in administrative standards, ENT departments in the UK meet the majority of the clinical standards recommended by Action on ENT.

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14) Management of Epistaxis by General Practitioners and previous otolaryngology training: What is the connection? Tassone P, Georgalas C, Appleby E, Kotecha B. Presentation at the Joint ENT UK, Action on ENT and RSM summer meeting, July 2004, Liverpool

The questionnaire used had been modified from a previous study and included questions on the number of patients with epistaxis treated, , referred for specialist management,; actual mangement and investigations performed, advice given to the patients as well as duration and location of previous ENT experience. This questionnaire was sent a random sample of 1000 GP’s in North London together with self-addressed reply envelopes. A total of 428 questionnaires were returned. 98% of GP’s see less than 5 nose bleeds per week. 73% refer about one fourth of their patients to ENT specialists. Only 15% of GP’s had previous ENT experience (mainly as a junior doctor) and for a mean period of 5.5 months. There was a significant correlation between ENT experience work and use of cautery (p=0.002) but previous experience did not have an impact on referral rates or other managemnt or investigations performed. First aid advice was not standard, with only 15% GP’s recommending the 3 basic measures of pressure, cold compress and head forward. There was no significant difference in the quality of advice between GP’s with prior ENT training or not. There was a total of 37 different permutations of advice recommended by GP’s while there were 25 different combinations of investigations. This study has shown that there is a major variation in the way GP's treat a common ENT condition such as epistaxis. It also shows that there was no significant reduction in referral rates, correct first aid advice, appropriate investigations or rates of using packs as a result of previous ENT experience. GP’s however are significantly more likely to perform cautery, one in three using cautery versus one in ten with no ENT training. It appears that limited experience as an SHO fails to provide a significant impact on the day to day management of epistaxis by GP’s. The development of GPsiENT and distance learning courses such as the PGDipENT aimed at GP’s, should provide a standard knowledge base for the management of many common ENT conditions including epistaxis. This paper also provides insight to GP trainers and tutors highlighting areas of lack of standardization or incorrect practice thereby directing their teaching programs more towards addressing these issues.

15) Co-Morbidity of Migraine and Mιniere's Disease: Is Allergy the Link?

Sen P, Georgalas C, Papesch M. Presentation at the Annual Meeting of the American Academy of Otolaryngology-Head and Neck Surgery Foundation in New York, September 19-22, 2004

(Η περίληψη στα δηµοσιευµένα άρθρα)

16) The use of the internet in an otolaryngology clinic population Tassone P, Georgalas C, Appleby E, Worley G, Kotecha B British Academic Conference in Otolaryngology, Birmingham, July 2003

CONTEXT: Internet has become a very important source of health information. However, the actual use of internet among patients attending otolaryngology clinics is not known. OBJECTIVES: To determine otolaryngology patient’s access to and use of the Web as a medical information resource, to identify factors that make patients more likely to use the net, and to determine how useful they think this information is. DESIGN, SETTING, AND PARTICIPANTS: Cross-sectional survey of 535 otolaryngology outpatients attending the Royal National Throat Nose and Ear Hospital clinics, in London, UK, conducted in July 2002. MAIN OUTCOME MEASURES: Patient characteristics and education level, access to the Web, use of

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the Web as a medical information resource, search methods, and plans for future Web use. RESULTS:. The median age group was 40-65 years, 46% were men, and the median education level was having taken some A levels. Sixty four percent (344/535) reported having access to the Web. Of the 344 with access, 62 (18%) had searched the Web for medical information prior to their consultation. Higher education (p<0.001) and age between 18 and 40 years (p=0.001) correlated significantly with higher internet use. The median grading of the information gathered through the internet was “moderate quality” and of “moderate usefulness”. However over 95% planned to use the internet again. CONCLUSIONS: In this clinic setting, almost one out of five otolaryngology outpatients with internet access reported having obtained medical information from the Web before their consultation. The majority found it helpful to some degree and were planning to use it again

17) Evaluation of the Efficacy of Medical Treatment for Adenoidal Hypertrophy in

Allergic Children using Magnetic Resonance Imaging: A pilot study Georgalas C, Abramovich S, Karen T, Owens CM, Lack G. Poster presentation at the ESPO congress, Oxford, 13 September 2002 Objective: To assess the efficacy of a combined antimicrobial and anti-inflammatory regimen for AH and/or sinusitis, using clinical symptom scores and magnetic resonance imaging (MRI) changesMethods : Thirteen children referred to a tertiary allergy clinic with symptoms of AH had their upper airways and sinuses evaluated by MRI scanning. Their mean age was 8.4 years (range 3 to 11). All children had symptoms of mouth breathing with or without snoring. Other associated symptoms included hyponasal speech, cough, rhinorrhea and reduced appetite. All children were treated with a 6-week course of co-amoxiclav, 5 days of oral prednisolone (2mg/kg) and 3 months of intranasal mometasone and oral loratadine. All MRI measurements were repeated after medical treatment (mean 82, range 42 to 169 days).Images were acquired on a 0.5 Tesla open magnet MRI (GE Medical systems). The size of adenoids, airway and nasopharynx was measured from T1-weighted midsagittal and axial images. A 0 to 3 grading scale was used for sinusitis signs and turbinate mucosal thickening. Non-parametric statistical analysis (Wilcoxon matched-pairs signed rank test) was performed.Results. Treatment resulted in a greater than 60% improvement in overall symptom score and marked improvement in assessment on MRI findings. Pre treatment, MRI demonstrated enlarged adenoids in 10 out of 13 children and sinusitis in 12 out of 13 children (5 had severe sinusitis: score 2 - 3). Following treatment there was a significant reduction in adenoidal size and sinus involvement associated with a greater than 50% increase in airway diameter.Conclusions 1)MRI scanning of the sinuses and upper airway is a useful way of assessing children who present with symptoms of AH 2) Children with AH have evidence of upper airway inflammation: sinusitis and nasal mucosal thickening 3) Prolonged treatment with anti-inflammatory and antimicrobial medication results in marked clinical improvement 4) Clinical response to treatment is accompanied by improvement in MRI findings: decrease in sinus involvement, reduction in adenoid size and increase in airway diameter. 5) The increase in airway diameter is the likely explanation for the significant decrease in obstructive symptoms

18) Haemorrhage Following Paediatric Tonsillectomy Using Reusable And Disposal

Instruments – A Comparative Study Dasgupta S, Georgalas C, Kanagalingham J, Joseph T. Poster presentation at the ESPO congress, Oxford, 13 September 2002

Objective : to examine whether the hemorrhage rate following tonsillectomy using disposable instruments is different from that following the use of traditional instruments

Rationale of study : the doh issued guidelines in 2001 dictating the cessation of the use of traditional instruments in tonsillectomy following the theoretical risk of variant cjd transmission

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through prions in reusable instruments. Concern was raised since the inception of disposable instruments about a perceived increased post-operative morbidity, mainly hemorrhage. At the moment due to some adverse incidents traditional instruments have been reinstated. This audit in one of the largest ent hospitals in the country compares hemorrhage rates following surgery with these two modalities. Study design : retrospective audit. Period of study : 02.07.2000 - 31.10.2000 and 02.07.2001 - 31.10.2001 Patients and methods : children under age group 1 - 15 undergoing tonsillectomy at the royal national throat, nose and ear hospital, london with traditional, reusable instruments in 2000 and with disposable instruments in 2001. Data obtained from morbidity database, cross checked by ward admission books and case notes. Results : 5 out of 132 patients in 2000 ( the traditional instrument group) and 5 out of 131 patients ( the disposable instrument group) had post tonsillectomy hemorrhage. 3 patients in 2000 went back to theatre for re-haemostasis as compared to none in 2001. 3 out of 5 in 2000 were reactionary bleeds whereas 2 out of 5 in 2001 were reactionery bleeds. Discussion: there is no statistical difference in the bleeding rate whilst using traditional and disposable instruments in the paediatric age group . The grade of the surgeon does not have a bearing on the possibility of hemorrhage, neither has the age of the child. Conclusion : children are at an increased risk following an infection with cjd prion due to their increased life expectancy. Pending further studies comparing the post – tonsillectomy bleeding rates in children, this study does not support the existence of an increased bleeding rate associated with the use of disposable instruments. The risk/benefit ratio of the decision to resinstate the use of traditional instrument in children may need to be re-examined

19) Medical treatment for adenoidal hypertrophy (AH) and rhinosinusitis in

children: A evaluation of clinical response and changes on magnetic resonance imaging Georgalas C, Thomas K, Owens CM, Abramovich S, Lack G Oral presentation at the American Academy of Otolaryngology – Head and Neck Surgery congress, San Diego, USA 22 September 2002 (Η περίληψη στα δηµοσιευµένα άρθρα)

20) Quality of life in Children with Adenotonsillar disease: A first UK study

Georgalas C, Kanagalingham J, Tolley N Oral presentation at the American Academy of Otolaryngology – Head and Neck Surgery congress, San Diego, USA 22 September 2002 (Η περιληψη στα δηµοσιευµένα άρθρα)

21) Cricothyroid approximation and subluxation for transsexual pitch elevation Kanagalingham J, Wood G, Ahluwalia S, Georgalas C, Cheesman A. Oral presentation at the American Academy of Otolaryngology – Head and Neck Surgery congress, San Diego, USA October 2002

(Η περίληψη στα δηµοσιευµένα άρθρα) 22) Does Receiving A Copy Of Correspondence Improve Patients’ Satisfaction With

Their Out-Patient Consultation?

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Saunders N, Georgalas C S.P.A. Blaney, H. Dixon J.H. Topham . Irish Otolaryngological Society Congress, Galway, 12th-13th October 2001 It is standard practice to write to a patient’s General Practitioner following an out-patients consultation. This study set out to assess whether sending a copy of this letter to the patient improves their satisfaction with the consultation. 200 patients were randomised either to receive or not to receive a copy of their GP letter. Their satisfaction was then assessed by means of a postal questionnaire. The two groups were compared to ensure that there was no significant difference between them with regard to any other aspect of their consultation. Those who did not receive a copy letter had a mean overall satisfaction score of 7.5 whilst those who did had a mean score of 8.25 (p=0.014). Overall satisfaction was also influenced by feeling adequately listened to and examined, receiving an explanation of the problem and spending sufficient time with the doctor. Sending patients a copy of correspondence to their GP is one means of aiding communication and improving overall satisfaction

23) The utility of MRI in the assessment of symptomatic adenoidal hypertrophy and rhinosinusitis in children - pre and post medical therapy. Owens C, Georgalas C, Owens C, Lack G European Society of Paediatric Radiology Annual Meeting, Ιούνιος 2002 , Bergen

24) Otolaryngology presentations in the paediatric HIV population in a central

London teaching Hospital A Singh, C Georgalas, NN Patel, M Papesch,. British Association for Paediatric Otolaryngology Academic Meeting, Glasgow, UK, 14th September 2001

(Η περίληψη στα δηµοσιευµένα άρθρα)

25) Assessing day case Septorhinoplasty: a prospective outcome study using patient

based indices C Georgalas, N N Patel, A Zainal, G Mochloulis, NS Tolley Joint meeting of American Academy of ORL – HNS and Greek Association of Otolaryngologists, Athens, 21st June 2001 Introduction Day surgery has changed the nature of healthcare provision. In assessing any intervention for its suitability for day surgery a measure of outcome using patient orientated measures is essential. The Glasgow Benefit Inventory (GBI) is a validated patient-centred, ORL specific tool for measuring improvement in health status following therapeutic intervention. The Day Surgery Questionnaire (DSQ) is a validated tool for assessing patients’ experiences of the process and outcome of day surgery itself. As day case septorhinoplasty was introduced in our hospital, we aimed to evaluate it prospectively using these two outcome measures. Method 29 patients undergoing elective septorhinoplasty as a day case were asked to complete GBI and DSQ at 6 weeks postoperatively. Details of surgery performed, demographic data, readmission rates and complications were also collected prospectively. The data was analysed and compared to other, well-established ambulatory ENT procedures. Results The mean age of patients was 27.8 (range: 17 - 48). The trainees, under supervision by the consultant and senior author (GM), performed 21 out of all 29 operations while the senior author himself performed the

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remaining. No major complications were recorded. One patient had to be admitted overnight for observations because of bleeding. No further interventions were required in this patient. Two patients had minor oozing immediately postoperatively, while one had a vaso-vagal episode, which settled with conservative measures. All 28 patients were discharged 4 to 6 hours after the procedure. At follow-up (2- 12 months) one patient was found to have a residual hump and was offered revision surgery while two had persistent nasal septum deformity with minor nasal obstruction, which was acceptable to the patients. One was noted to have vestibulitis at the first follow – up appointment that responded to oral antibiotics. The response rate for the GBI and DSQ questionnaires was 70%. The mean intervention benefit score, as measured by the GBI questionnaire was 18.75, with 71% of patients expressing an improvement in their health status resulting from the operation, with the biggest improvement in general and psychosocial health status subscales. The DSQ -showed that the great majority of patients were satisfied from the day case setting (satisfaction score 81), 2 stating that they would prefer the operation in an inpatient setting while 2 were undecided. Re-admission, dissatisfaction with results and insufficient information preoperatively were all factors associated with low DSQ scores signifying poor satisfaction rates. Conclusion This preliminary study, showed that day surgery septorhinoplasty was acceptable to the patient and was associated with a very low readmission rate. We believe that in carefully selected young healthy patients it is an acceptable alternative to an inpatient procedure. A large prospective trial is in progress that will allow us to draw more valid conclusions about the suitability of this procedure in a day-case setting.

26) An analysis of otolaryngologic disease in the paediatric HIV population in a

central London hospital C Georgalas, A Singh, M Papesch, NN Patel, NS Tolley. Joint meeting of American Academy of ORL – HNS and Greek Association of Otolaryngologists, Athens, 21st June 2001

Introduction and Objectives Published case series have shown a high incidence of

otolaryngologic disease in children that are HIV positive. In the last 5 years there have been significant changes in the way in which HIV disease is managed. We aimed to determine the otolaryngologic presentations in the paediatric HIV positive population of a central London teaching hospital. In addition, we wished to examine patterns of presentation and management of these conditions, in the light of modern treatment of the HIV positive child Methods We studied the HIV seropositive children under the care of the Paediatric Infectious Disease Department at St. Mary's Hospital, London. A retrospective review of 107 case records was made looking at otolaryngologic presentation and their management. The literature was reviewed and comparisons made to previously published series. Results 54 out of the 107 HIV positive children had ear, nose and throat symptoms. The sex distribution was 24 males and 30 females. 73% of these children were from Africa, 14% from the UK, 10% from Europe, 1 from Canada, 1 from Thailand and 2 were of uncertain origin. The mode of transmission was vertical in 48 children, horizontal in 4 and unclear in 2. The commonest ENT manifestations included cervical lymphadenopathy (70%), otitis media (46%), oral candidiasis (35%), adenotonsillar disease (33%), salivary gland hypertrophy (26%), rhinosinusitis (24%) and epistaxis (7%). The mean age of children presenting with these conditions was 4.7 years. The majority of these conditions were successfully treated conservatively. Discussion This is the largest UK based study looking at the ENT presentations of HIV positive children. When compared to previous series, it would seem that the proportion of HIV positive children being referred with ENT symptoms has decreased. The nature of the conditions has not changed markedly, however the mean age of presentation of these conditions has risen. In our series there appeared a trend towards more conservative management of these conditions. It is possible that these results signify a new

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pattern of HIV infection associated with earlier diagnosis and modern anti-retroviral treatment. Conclusion We describe our series of ENT conditions afflicting HIV seropositive children. There appears to be a change in the pattern of these disease presentations as compared with previously published series.

27) Medical treatment for adenoidal hypertrophy and rhinosinusitis in children: A

evaluation of clinical response and changes on magnetic response imaging Georgalas C, Thomas K, Owens CM, Burnett C, Roberts G, Abramovich SA, Patel KS, Tolley NS, Lack G. 57th Annual meeting of the American Academy of Allergy, Asthma and Immunology, New Orleans, USA March 19th 2001 (Η περίληψη στα δηµοσιευµένα άρθρα)

28) The effect of a dedicated cytologist on thyroid fine needle aspiration – an audit : Philpott J, Paun S, Singh A, Georgalas C, Raja S, Tolley N. Presented at the BAO – HNS Millennium meeting, Nottingham, September 2000

(Η περίληψη στα δηµοσιευµένα άρθρα) 29) Διαδερµική Τραχειοστοµία Mία νέα µορφή τραχειοστοµίας Παπαγόρας Δ, Γεωργάλας Χ, Δουρίδας Γ, Αντσακλής Γ 24ο Πανελλήνιο Ιατρικό Συνέδριο, Αθήνα , 9 Μαίου 1998

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