5th announcement circulation: 50,000 copies · and berenice ramos 3. (3:30 - 3:45 pm) paul, 12...

4. (8:45 - 9 AM) United airways. Rhinosinusitis and a “squeaky” sound in the chest. Glenis Scadding and Ricardo de Hoyos

5. (9 - 9:15 AM) Updating in Rinosinusitis. Glenis Scadding

6. (9:15 - 9:30 AM) 4. Evaluation and management of chronic rhinosinusitis: the Colorado perspective. Kenny H. Chan and Joselina Cardieri

7. (9:30 - 9:45 AM) Clinical and surgical difficulties in cases with rhinosinus pathologies in children. Maria Beatriz R. Pereira and Francini Pádua

8. (9:45 - 10 AM) Hot topic: Vitamin D has pro-allergic effects? Matthias Wjst

9. (10 - 10:15 AM) Tim, 5 years old, has an episode of acute rhinitis: sneezing, tearing, nasal obstruction and intense nasal itching, with coryza. Allergic rhinitis: updating. James Reilly

10. (10:15 - 10:30 AM) Thomas, 5 years, develops an acute rhinitis episode: sneezing, nasal obstruction and itching. Allergic Rhinitis updating. Nelson A. Rosário Filho

Coffee break: 30 minutes

11. (11 - 11:15 AM) Child with a constant running nose. Is it virus or allergy? João Ferreira de Mello Jr.

12. (11:15 - 11:30 AM) Immunotherapy: What is the best current practice? Subcutaneous, sublingual? Ralph Mösges

13. (11:30 - 11:45 PM) Armand, 3 years old. According to his mother, “he puts his finger in his nose all the time: his nose is always stuffy”. “Sometimes there is blood, he sneezes and the nose is usually more wet than dry”. Physicians decided to give him corticoids His mother read on the Internet that this is a “dangerous” drug: the child could swell up and not grow”. Myths, dilemmas and truths about the use of corticoids in pediatric airways. Javier Dibildox

14. (11:45 - 12 PM) After a car accident resulting in facial trauma, Robin, 4 years old, has cerebrospinal fluid (CSF) “running” from his nose. Endoscopic repair of CSF leak in children. Abhilash Balakrishnan

15. (12 - 12:15 AM) Pre-clinical development and animal studies of treatments with plant-derived drugs. Pontus Stierna

16. (12:15 - 12:45 AM) According to her mother, Barbara, 3 years old, always has a “stuffy” nose. Some physicians say it is rhinitis, others that it is adenoiditis, and some others that it is sinusitis. The mother wants a diagnostic definition that will lead to adequate management. Sinusitis: diagnostic difficulties and differential diagnosis. Multidisciplinary debate. Moderator: Eulália Sakano. Participants ENTs (Marcos Mocellin, José A. Patrocinio, Richard Voegels), pediatrician (Joaquim Rodrigues), radiologist, (Rainer Haetinger).

17. (12:45 - 1:15 PM) Guest of Honor. Sybill Storz

Lunch (1:15-2:15 PM) (not a box lunch), is included in the registration fee and will be served at tables in the area next to the meeting.

Section: HEARING / COMMUNICATION DISORDERS / QUALITY OF LIFE(Sunday, 11/15/09, afternoon)

1. (2:15 - 2:30 PM) Aphthae - what should be done? Luc Weckx

2. (2:30 - 2:45 PM) A peanut caused Vera, 2 years old, to suffocate. She almost died. Foreign bodies. The European Experience with the Suzy Project. Dario Gregori and Marcio Fortini

3. (2:45 - 3 PM) Smoking as a risk factor for acquiring respiratory diseases. João Paulo B. Lotufo

4. (3 - 3:15 PM) Universal neonatal screening of hearing in Ireland. Ivan Keogh

5- (3:15 - 3:30 PM) Charles, 1 year old, failed two acoustic oto-emission tests. The auditory evoked potentials are compatible with those for severe/profound deafness. Auditory screening: the need for an early diagnosis of hearing impairment. Marcelo Toledo Piza

6. (3:30 - 3:45 PM) Genetic hearing loss: a long journey towards a new beginning Ivan Keogh and José Lubianca

7. (3:45 - 4 PM) Evaluation and management of pediatric sensorineural hearing loss. The Colorado perspective. Kenny H. Chan

8. (4 - 4:15 PM) Long term effects of otitis media on development of language. Anne Zumach 9. (4:15 - 4:30 PM) Infection by cytomegalovirus causing hearing loss. What has to be known from the viewpoint of the obstetrician, the neonatologist and the ENT clinician. Natacha Teissier and Sonia Ramos


10. (5 - 5:15 PM) Kinetosis, labyrinthopathy? David’s mother is confused. The boy is six years old. He is loud when he speaks, finds it difficult to ride a bicycle, vomits in the car. Balance/hearing disorders in pediatrics. Robert Carlos O’Reilly

11. (5:15 - 5:30 PM) Bilateral cochlear implant. A new reality? Blake Papsin

12- (5:30 - 6 PM) Round Table. How various countries put into practice their cochlear implant program. Moderator: Blake Papsin (Canada). Participants: Arthur Castilho (Brazil), Augusto Peñaranda (Colombia), Luis Lavinski (Brazil), and Rubens de Brito Neto (Brazil).

13. (6 - 6:15 PM) Microtia: Might the cause be genetic? Roland Eavey

14. (6:15 - 6:30 PM) Optimizing learning: the vital role of the otolaryngologist!Robert Ruben

6:30 - 6:35 PM. Closing. Tania Sih

14. (1:15 - 1:30 PM) Paola, 3 years old, has had common colds since she was 1 year old, most often with high fever, inflamed throat, small aphthae in the mouth and enlarged cervical lymph nodes. The pediatrician says she is growing well and has a normal immune system, so blame for the constant common colds is attributed to the child’s starting school. Her mother went to see an ear, nose and throat specialist, and he raised the hypothesis that Paola might have the PFAPA Syndrome (periodic fever, adenitis, pharyngitis, aphthous stomatitis). Is this the diagnosis? Getting to know the autoinflammatory diseases. Marcelo Silber and Evians Gomez

15. (1:30 - 2 PM) Round table: Tonsillitis, different points of view, multidisciplinarity. Moderator: Jayme Murahovshi. Participants: Giuliana Durigon, Debora Cardoso (pediatricians), Edigar R. de Almeida and Otávio Piltcher (ENTs).

Lunch (2 - 3 PM) (not a box lunch), is inclu-ded in the registration fee and will be served at tables in the area next to the meeting.

Section: EAR (Saturday, 11/14/09, afternoon)

1. (3 - 3:15 PM) Summer, beach, swimming pool, a lot of water in the ear. At night, when the mother of Maureen’s (3 years old) takes off her T-shirt she screams in pain when her right ear is touched. External otitis. Peggy Kelley and Homero Fuertes

2. (3:15 - 3:30 PM) Peter, 18 months old, has already had eight acute episodes of otitis media in a few months’ time. Is there a genetic explanation that favours recurrent otitis? Margaretha Casselbrant and Berenice Ramos

3. (3:30 - 3:45 PM) Paul, 12 months old, cries a lot, is constantly putting his hand to his ear. Has a high temperature (38.5º C). Otoscopy: opacity and bulging of the tympanic membrane. Acute otitis media: current management. Richard Rosenfeld and Luiz Bellizia

4. (3:45 - 4 PM) Sarah, 28 months old. Irritable, distracted, altered mood. According to her mother, Vera, “the girl has been annoying lately” and “it all started after she had an ear infection (treated)”. Otitis media with effusion. Richard Rosenfeld

5. (4 - 4:15 PM) Streptococcus pneumoniae is a microbial pathogen always involved in acute otitis media and sinusitis. What is the antimicrobial sensitivity profile of pneumococci in Brazil? Eitan Berezin

6. (4:15 - 4:30 PM) Sandra, 18 months old, has a history of recurrent otitis. New challenges in the management of recurrent otitis media. Eugene Leibovitz

7. (4:30 - 4:45 PM) Tools to prevent otitis media. Eugene Leibovitz

8. (4:45 - 5 PM) William, 5 years old, low weight, “dirty” nose, right ear is constantly “smeared” with pus. Chronic otitis media. New therapeutic approach for otorrhea caused by methicillin-resistant Staphylococcus aureus (MRSA). Peggy Kelley and Oscar Terraza

9. (5 - 5:15 PM) Linda, 10 years old, presents a fetid otorrhea in her left ear since she was 7 years old. After the pediatrician prescribed several treatments, she was seen by an otorrhinolaryngologist who diagnosed chronic otitis media with cholesteatoma. During surgery, erosion of the incus was found to be the cause of discontinuity in the ossicular chain. Is this the time to think about ossiculoplasty? Blake Papsin


10. (5:45 - 6 PM) Since he started school, Henry, 2 years old, has had frequent colds. In the last two days he has had fever and thick secretions in the nose. His mother thinks he has earache. In relation to otitis media, the otolaryngologist and the pediatrician have two different views about the same problem. Moacyr Saffer and Andrés Sibbald

11- (6 - 6:15 PM) How to recognize, in some of the simpler signals and symptoms of common pathologic conditions of the ear, nose and throat, that it may be a problem with oncological origins? Vicente Odone

12. (6:15 - 6:30 PM) Complications of otitis media. Fernando Silva

13. (6:30 - 6:45 PM) Mathew, 3 years old, received bilateral ventilation tubes six months ago due to recurrent otitis. The tubes fell out. The otitis returned. The otolaryngologist is considering the possibility of placing a second set of tubes and performing an adenoidectomy. Ventilation tubes: Updating. Sílvio Caldas

14. (6:45 - 7 PM) Victor and Stephanie: one underwent surgery in a governmental hospital, the other in a private hospital. The reason was the same: pathologic conditions in the middle ear.Complications, follow-up. Study comparing patients in public and private hospitals in relation to surgical demand. Alberto Chinski

15. (7 - 7:30 PM) Round Table. Chronic Otitis Media. Moderator: Nelson Caldas. Participants: Humberto Guimarães, Helio Lessa, Ney P. de Castro, Shiro Tomita and Sady S. da Costa.

Section: NOSE AND SINUS(Sunday, 11/15/09, morning)

1. (8 - 8:15 AM) Infant with noisy nasal breathing. According to his mother, Derek sounds like a piglet making the sound roc, roc. Rhinitis in infants. Olavo Mion

2. (8:15 - 8:30 AM) Sydney asks the pediatrician what she can give to her daughter Maria, 3 years old, as she has constant respiratory infections: she either has a cold, or otitis or tonsillitis. Sydney can’t take it anymore. She wants something “mira-culous” for Maria. She has heard about Complementary and Alternative Medicine (homeopathy, propolis, echinacea, etc) for infections of the airway in children. Paola Marchisio and Alessandro Danesi 3. (8:30 - 8:45 AM) Irrigation or nasal saline douche. How and when should it be prescribed? Paola Marchisio

Pre-Symposium Courses (1 hour each). Limited number of participants. (Friday, 11/13/09 morning and afternoon)

Course 1 (9 - 10 AM). Otorhinolaryngologic manifestations of eosinophilic esophagitis. Dana Thompson

Course 2 (10 - 11AM). Computer-assisted modeling of nasal air flow for optimal surgery (with live 3D videos)Ralph Mösges

Course 3 (11 - 12 AM). The European Position Paper on Rhinosinusitis Guidelines: chronic rhinosinusitis in pediatric patients. Update on rhinosinusitis. Glenis Scadding

Course 4 (1 - 2 PM). Balance disorders in children. Children with difficulties using skateboards, rollerblades and bicycles because of poor balance. Robert Carlos O’Reilly

Course 5 (2 - 3 PM). Mechanism of the relationship between chronic cough and rhinitis. Posterior rhinorrhea: why do some people cough and others not? Kaiser Lim

Course 6 (3 - 4 PM). Dysphonias in childhood. Peak Woo

Course 7 (4 - 5 PM). Otitis media. Acute otitis media, recurrent otitis, otitis media with effusion: updating. Richard Rosenfeld

Course 8 (5 - 6 PM). Otitis media refractory to treatment. Recurrent, recalcitrant otitis media. Approach and prevention. The role played by vaccines in preventing otitis media. Eugene Leibovitz

Saturday, 11/14/2009, Morning 8 to 9 AM: The Symposium Secretariat will be open to distribute materials and for new enrollments.

OFFICIAL OPENING OF THE VI IAPO SYMPOSIUM

9 AM (sharp) with Presidents of the Symposium, IAPO, SPSP, SBP, ABOL-CCF and SBF and the Symposium’s Treasurer Tania Sih, Teolinda Morales, José Hugo L. Pessoa, Dioclécio Campos Jr, Ricardo Bento, Fernanda Dreux Miranda and Edigar R. Almeida.

National Anthem Soprano Eloísa Baldim

Ecumenical Blessing: Priest, Rabbi and Minister

Section: MOUTH, HEAD & NECK (Saturday, 11/14/09, morning).

1. (9:15 - 9:30 AM) What informations is provided by facial expression of children? Teolinda Morales

2. (9:30 - 9:45 AM) Sheila, 15 days old. Constantly noisy breathing. According to the mother, “the neck seems to sink in”. The parents are scared. Laryngeal stridor: causes and management. Ellen Deutsch and Cesar Franco

3. (9:45 - 10 AM) Endoscopic evaluation in children with breathing difficulty: case presentation.Ellen Deutsch and Liliana Palma

4. (10 - 10:15 AM) Lucy, 5 years old, with chronic sialopathy. Alterations of the head and neck in pediatrics. Agricio Crespo and José Nélio Cavinatto

5. (10:15 - 10:30 AM) Endoscopic assessment of the airways and failed extubation. What should be done? Gavin Morrison

6. (10:30 - 10:45 AM) Diagnosis of obstruction of the airway in fetuses, resulting from cervical teratoma and lymphatic malformation of the neck, can be made on the basis of pre-natal imaging. Surgical treatment (EXIT – ex utero intrapartum treatment) was successful. The EXIT surgical procedure can ensure fetal hemodynamics and uteroplacental circulation, as well as the gas-exchange, the result being a free and safe fetal airway. Antenatal diagnosis and EXIT procedures. Gavin Morrison and Jair de Castro

7. (10:45 - 11 AM) Why treat iron deficiency in sleep-disordered breathing (SDB)? A British study shows that undergoing adenotonsillectomy to correct SDB produces a higher incidence of low serum concentration of iron when compared to those in the general pediatric population. Iron Deficiency and Sleep Disorders Breathing.Ryan Kerstein and Lauro L. Alcântara

8. (11 - 11:30 AM) Phillip, 9 years old. When he comes back from school, late afternoon, he runs to the court to play soccer with his friends. He screams a lot. He’s always hoarse. Peak Woo, Paulo Pontes and Mara Behlau

9. (11:30 - 11:45 AM) Eric was born with a labial palatine cleft. The parents were frightened and hurried to the pediatrician. How should this family be oriented, now and during their son’s childhood? Ricardo Godinho and Amarilis Melendez


10. (12:15 - 12:30 AM ) Importance of the HPV vaccine for girls. Are the viruses for HPV (Human Papilloma Virus), sexually transmitted diseases, and laryngeal papillomas the same? Dysphonia and dyspnea are important symptoms of recurrent laryngeal papillomatosis. Laryngeal papillo-matosis. Hugo Rodriguez and Ana Escobar

11- (12:30 - 12:45 AM) Francis, 6 years old, has very agitated sleep. She is small for her age and has had difficulties in learning to read and write. Repercussions of obstruction of the upper airways. Renata Di Francesco and Rubens Feferbaum

12- (12:45 - 1 PM) Helen, 28 months old, prefers foods with a pasty consistency. Her mouth is always half-open. She snores and has respiratory pauses during the night, so her parents take turns to watch over her. Obstructive Sleep Apnea. Ximena Fonseca and Federico Murillo

13. (1 - 1:15 PM) Esophageal “asthma”. Eosinophilic esophagitis. Dana Thompson

Notes:• Rates (per person) include break-

fast served but no local taxes. Rates are given in Brazilian Real and are subject to changes

• Check-in time: 2h00pm / Check-out time: 12h00

• U$ 1 = R$ 1.8 (as for October 2009)

HOW TO COMPLETE THE REGISTRATION FORM:• Please fill out the form and send it together with the credit card informations to IAPO - Rua Mato Grosso, 306, suite 1511 CEP: 01239 - 040 - Sao Paulo, SP. E-mail: [email protected] and adriana [email protected]

• Cancelled registrations shall not be reimbursed in case of no show or failure to participate.

Important: To benefit from a substantial discount in the registration fee of VI Symposium, become a member of IAPO now. Contact us by FAX:(55-11) 2114-6512 • Rua Mato Grosso, 306 cj. 1510 Sao Paulo - SP • 01239-040 Brazil TEL: (55-11) 2114-6510 / 2114-6511 INTERNET: www.iapo.org.br. The annual membership fee is R$100 (U$50) and you will get the following items for free in your office/home:

• a brand new 300-page Otorhinopediatric Manual, completely different from the 7 previous ones, wrote by internationally renowned specialists that are experts in their area of work;

• discounts in scientific events sponsored or supported by IAPO;

• access, through IAPO website www.iapo.org.br, to recently published scientific papers such as those featured on the International Journal of Pediatric Oto Rhino Laryngology, plus discounts in subscription.

Place where theSymposium will be heldAmerican Chamber of Commerce: Rua da Paz, 1431. Bairro: Chácara Santo Antônio - São Paulo - SP

REGISTRATION FORM Please read the form bellow and follow the instructionsParticipant:

MAC Passagens e Turismo Ltda. Rua da Consolação, 359 - Conj. 64 Consolação 01302-000 - São Paulo - SP - BrasilTelefax: (55 11) 3151-2775 [email protected] - www.macviagens.com.br

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Foreigners (not from Brazil), IAPO members (in order with the annual fee of U$ 50 for the year 2009): U$ 200

Amount: U$ Signature:

Foreigners could pay with credit card expiration date:

❒ MASTER ❒ VISA

Hotels and prices • Distance (in meters) from the Simposium´s place

BLUE TREE TOWERS TRYP ESTANPLAZA NAÇÕES UNIDAS NAÇÕES UNIDAS INTERNATIONAL 700 meters from the Symposium 600 meters from the Symposium 700 meters from the Symposium Single Double Single Double Single Double R$ 324,00 R$ 162,00 R$ 356,00 R$ 194,00 R$ 408,00 R$ 240,00

R$ 162,00 R$ 81,00 R$ 178,00 R$ 97,00 R$ 204,00 R$ 120,00

Extra nights hotel dayly rates

Pre-Symposium Courses: U$ 20 each

Course 1 ❑ | Course 2 ❑ | Course 3 ❑ | Course 4 ❑

Course 5 ❑ | Course 6 ❑ | Course 7 ❑ | Course 8 ❑

Tania SihPresident of VI Symposium

Professor, Medical School, University of Sao PauloGeneral Secretary, IAPO

Edigar Rezende de AlmeidaTreasurer of VI Symposium

Assistant Professor, Medical School, University of Sao Paulo

Teolinda MoralesVice-President of VI Symposium

President of IAPO

Support and PartnershipSociedade de Pediatria de São Paulo (SPSP)

SponsorshipINTERAMERICAN ASSOCIATION OF PEDIATRIC OTORHINOLARYNGOLOGY - IAPO

www.iapo.org.br

Official LanguagePortuguese with simultaneous translation English - Spanish - Portuguese

SupportSociedade Brasileira de Pediatria (SBP)

Associação Brasileira de Otorrinolaringologia - Cirurgia Cérvico Facial (ABORL-CCF)Fundação Otorrinolaringologia (FO)

Sociedade Brasileira de Fonoaudiologia (SBF)European Society of Pediatric Otorhinolaryngology (ESPO)

American Society of Pediatric Otolaryngology (ASPO)Comitê de Pediatria da International Federation of ORL Societies (IFOS)

Information and RegistrationSPSP Tel: (55-11) 3284 - 0308 • 3284 - 9809 • 3289 - 5320

FAX: (55-11) 3284 - 9809 E-mail: [email protected] (SPSP) • [email protected] (IAPO)

DEFINITIVE SCIENTIFIC PROGRAMALSO ACCESSED FROM IAPO’s WEBSITE: www.iapo.org.br

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