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Principal Organizer
Department of Otolaryngology – Head & Neck Surgery, Chinese PLA General Hospital
Co-Organizers
Biochip National Engineering Research Center
Aomaier Genetic Technology Limited Company
Contact Us
For enquiries, please contact the Conference Secretariat:
Conference Secretariat of ISDGM2009
Genetic Testing Center for Deafness,
Inst. of Otolaryngology,
Tel: (86) 10-6815 7998 (Mandarin and English)
Fax: (86) 10-6815 7998
Email:
daisy9716@yahoo.com.cn
(Dr. Bing Han)
wjcmu@163.com
(Dr. Guo-Jian Wang)
| Department of Otolaryngology - Head & Neck Surgery |
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Department of Otolaryngology – Head & Neck Surgery of PLA General Hospital, one of the national key disciplines, was established in 1953 by Prof. Si-Chang Jiang, the late academician of China engineering academy. Through decades of hard and persevering work of numerous specialists, under the guidance of academic leaders, Prof. Wei-Yan Young and Prof. Dong-Yi Han, it has developed to be an all-around clinical department, which includes divisions of Otology, Rhinology, Head Neck / Skull Base Surgery, Oncology, Throat Wards, and Audiological Medicine. The department has total 136 sickbeds in wards, and conducts more than 4000 operations per year, above 30% of which are major operations. More than one hundred thousands outpatients visit our clinic per year.
Division of Otology
Division of Otology is one of the national key subjects in China. We are characterized by specializing in advanced technologies, among which the micro-otology, neurotology and lateral skull base surgery are prominently featured. We carried out the earliest micro-otology surgery in China, and presently rank high in the national field of otolaryngology. During the half century since 1959, Division of Otology has performed a variety of operations in the middle ear and inner ear numbering more than 15,000 and 4,000, respectively. The rate of effectiveness in total is above 90%, recognized to be the highest in the nation and to reach the advanced level internationally. Our surgical specialties are introduced as below.
 Stapes Surgery: Chinese Academician Sichang Jiang diagnosed the first national otosclerosis in 1954 and successfully carried out the inner ear fenestration aiming to treating otosclerosis. He also carried out the earliest stapes surgeries in China, including stapedotomy and stapedectomy. Up to now, we have completed more than 3000 stapes operations, with the hearing improvement rate being 94.8%. Acoustic Neuroma Surgey: We have conducted 180 cases of acoustic neuroma surgery via middle cranial fossa, translaby- rinth, retrolabyrinth and retrosigmoid approaches. All the tumors were successfully removed. The post-surgery function of facial nerves remained to be Grade I or II in 80% of the patients.
Cochlear Implantation: We have completed 700 cases for cochlea implantations with respect to the severe sensorineural deafness, including under complicated cases such as inner ear malformation. All the recipients obtained an excellent hearing recovery after surgery.
 Facial Nerve Surgery: We use the facial nerve decompression, facial nerve anastomosis and transplantation to treat peripheral facial paralysis. We also use cerebellopontine angle facial nerve microvascular decompression via retro-sigmoid approach and facial nerve grooming to treat hemifacial spasm.Lateral Skull Base Surgery: We commonly carried out a variety of difficult and high-risk operations involving the anterior, middle and posterior cranial fossa, such as glomus jugular tumor excision via fossa subtemporalis approach and ear-temporal united approach. 95% of the tumors were completely removed. The defects of the skull base and dural were reconstruction in 98% of the patients. We also carried out temporal bone excisions to treat temporal benign and malignant tumors. The other operations include excisions with respect to petrous apex cholesteatomas and petrous bone tumors, and endolymphatic sac decompression and vestibular nerve amputation via middle cranial fossa approach and retrosigmoid approach with respect to Méniére Disease.
Division of Rhinology
Division of Rhinology has 32 beds in surgical budding with 6 faculties serving and treating patients with diseases of nose, sinus, skull base and adjacent structures. There are over 40,000 outpatient visits and more than 1,200 inpatient operations annually. Routine rhinologic tests and procedures including rhinommanometry, acoustic rhinometry, skin prick for allergen selection and olfactometry.
 The division head, Prof. Chen lei, is a famous rhinologist domesticly. All doctors of the team have solid background in career education with doctoral degree and some of them have post doctor research experience. With accumulation of long term and thousands cases treatment experience, they are good at treatment of chronic rhinitis, chronic rhino-sinusitis with or without polyp, fungus sinusitis, nasal septum deviation, CSF rhinorea, benign tumors such as inverted papilloma, and even malignant ones in sinuses and skull base. Endoscopic Sinus Surgery (ESS) without involving facial incisions has greater advantage over the traditional cranial-facial approaches to treat the disease of the sinonasal area and anterior cranial fossa. ESS is a routine choice for above diseases which meat criteria of surgical intervention. Minimally invasive endoscopic surgery for sinus and skull base tumor resection and reconstruction of skull base is a glaring achievement of the team. With aid of computer aided navigation system, microdebrider, cobalation system, microwave ablation system, angiographic and thrombosis technique, endoscopic minimally invasive operation become more easy and safe. Optical nerve decompression, dacryocystorhinostomy, foreign body remove within orbital fossa, pituitary tumor, tumor within sellar region had been removed through nasal cavity endoscopically. Huge and extensive tumor within sinuses and cranial fossa are operated successfully cooperated with neurosurgeons. Their experiences have been sheared with colleagues through different conference, CCTV education program, published video educational materials and annul national endoscopic technique training course. Over 50 doctors from hospitals all over the country finish their post-graduate training annually.  Skin test and immunotherapy for allergic rhinitis carried out routinely in the out-patient clinic adds up to 5,000 and 300 respectively with satisfied clinical results. The research work as National science and technology research project on allergic rhinitis, national “863” research project on enhanced reality navigation system for endoscopic sinus and skull base surgery and medicine clinical trials are carrying out. Division of Head Neck / Skull Base Surgery and Oncology
As a subdivision of the Department of Otolaryngology, Head Neck Surgery, the mission of the Head Neck / Skull Base Surgery and Oncology are dealing with both the benign and the malignant tumors in head neck and skull base. The common tumors treat in our subdivision include oropharyngeal cancer, hypopharyngeal cancer, laryngeal cancer, nasopharyngeal cancer, paranasal sinus and nasal cavity cancer, salivary gland cancer, soft tissue sarcoma, thyroid cancer and tumors arise from the skull base or tumors arise from the ear and temporal bone, the nasal cavity and paranasal sinus, the nasopharynx, the parapharyngeal space or the infratemporal fossa, invading the skull base even the brain.
 We are a multidisciplinary cooperating team. Patients at the Head and Neck/Skull Base Surgery and Oncology Subdivision benefit from access to top experts in all areas of cancer treatment. A team of specialists including head and neck surgeons, head neck oncologists, radiation oncologists, review each patient’s test results and records to determine the best treatment plan. Each patient’s care is coordinated by our multidisciplinary team to achieve the most comprehensive care possible. Treatments are recommended based on the location, size and type of cancer – may include surgery, radiation and/or chemotherapy. Any recommended reconstructive techniques are planned before treatment begins to optimize restoration of the patient’s face, and speech and swallowing abilities. The procedures using to remove tumors in our subdivision include laser surgery, laryngeal preservation surgery for select laryngeal cancer or hypopharygeal cancer patients. We have adopted different approach for the skull base tumor. For access to the infratemporal fossa and the jugular foramen, the infratemporal fossa approach is available. For the tumors involving the cribriform plate or fovea ethmoidalis, especially when the tumor is of meningeal or cranial origin, the cranial-facial combined approach is used. Mandibulotomy approach is more suitable for large tumours that occupy both the middle and inferior portions of the parapharyngeal space, as demonstrated on coronal CT and/or MRI views. We use pre-auricle infratemporal fossa approach to manage the tumor involves both infratemporal fossa and middle cranial base.
 We have adopted different methods for head and neck reconstruction after tumor resection. The pedicle regional flaps used in our subdivision include pectoralis major myocutaneous flap, deltopectoral flap, temporalis muscle flap, and platysma myocutaneous flap. The microvascular free flaps used in head and neck reconstruction include radial forearm flap, lateral thigh flap, and free vascularized jejunal flap.
The radiation therapy used in head neck cancer includes the intensity-modulated radiation therapy (IMRT) and image-guided radiation therapy (IGRT). We also use chemotherapy for select cancers. The modality includes neoadjuvant chemotherapy and concurrent chemoradiation. We have got good effects in treatment and local disease control.
 “Free jejunal autograft for hypopharyngeal and esophageal reconstruction ” won the First Class Award of the Medical Achievement Award of Chinese PLA General Hospital(2006)
Division of Throat wards
 The department of Otolarygology Head and neck surgery is responsible for the diagnosis and treatment of ear diseases,nose diseases,throat diseases and head and neck diseases. As its name suggests, the throat wards is responsible for the diagnosis and treatment of throat diseases, including sleep and voice diseases. Throat is part of upper aerodigestive tract, very important to the human beings.In this area, there are various kinds of diseases, the most common diseases are chronic pharyngitis and chronic laryngitis. In recent years, snoring and obstructive sleep apnea syndrome has been known to both patients and doctors.With the improvement of the living level, as well as the knowledgement of the importence of the communication, voive diseases, such as polyp of vocal fold,cyst of the vocal fold, sulcus of the vocal fold, etc, are becoming common diseases. Besides, nasopharyngeal carcinoma,laryngeal carcinoma, tonsil malignant tumours are often seen in clinical practice. In a word,we ,doctors and patients, must pay attention to throat diseases.
 In the department of pharyngolaryngology, there are doctors with rich experience in throat diseases. Doctors Wang Rong_Guang, Yu Ping and Huang Dong-Yan are well kwnon in China for their contributions in voice medicine.Doctors Li Wei-Min and Wang Rong_Guang are kwnon for their work in sleep medicine . As early as in the year of 2005, the center for the diagnosis and treatment of voice-speech diseases had been established in our department. In the year of 2005 and 2009, we had published 2 books, “voice diseases and phonosurgery” and “106 questions in throat diseases”.
The doctors and nurses in throat wards have rich experience in the diagnosis, treatment and nursing of the throat diseases, many patients come from different parts of China. We will do our best to serve the patients.The health of the patients is the happiness of the doctors.
Division of Audiological Medicine
 Established in June 2008, the Division of Audiological Medicine in the Chines PLA General Hospital ranked the first leading ward for treatment ear diseases of internal medicine which is consisting of clinical audiological medicine center, vestibular medicine center, hearing diagnostic center for children, Beijing, hearing rehabilitation center, as well as the in-patients wards for the treatment of senserineural hearing loss, tinnitus and vertigo. We have organized a team of medicine treatment cored by Professor Wang Qiuju and associate Professor Wu Ziming, which is primarily focused on the diagnosis and systematic medical treatment for deafness, tinnitus, vertigo and other such diseases. Besides, it is specialized on the diagnosis, counseling and treatment for newborn hearing; specialized on the diagnosis, treatment, rehabilitation and genetic counseling of congenital deafness, sudden deafness, auditory neuropathy, enlarged Vestibular Aquduct Syndrome, as well as drug-induced hearing loss. For vestibular vertigo, we have systematic treatment and guiding programs for insufficient blood supply to the inner ear, vestibular neuritis, positional vertigo, children dizziness and other aspects, Clinical Audiological Medicine Center is major part of the Department of Audiological Medicine which is equipped with a number of qualified and professional technicians and advanced diagnostic equipments, including pure tone audiometry, acoustic immittance audiometry, auditory brainstem evoked potentials, otoacoustic emissions and behavior audiometry as well as advanced equipment of sound field audiometry. Through various subjective and objective examination, we can fast and accurately conduct the inspection and assessment on patients hearing loss. Hearing Center has formed an expert advisory group composed of experts engaging in the diagnosis, treatment and research for deafness diseases for many years to conduct consultations on complicated cases; the young and middle-aged experts working in the first-line clinic to meet the patients; the experienced clinical audiologists and rehabilitation experts give an personerlized guidance for the deafness children for further rehabilitation. The information assistants in the Center will classified and preserved the hearing examination records for all the patients and be responsible for conducting follow-up and consulting services.
 Hearing Diagnosis Center for children in Beijing: Beijing Municipal Health Bureau launched the Management Measures on the Screening and Diagnosis of 0 to 6 Years Old Children’s Hearing in Beijing on September 1, 2003. On December 19, 2003, Beijing Municipal Health Bureau announced the first qualified hospitals of designated medical institutions in Beijing for the diagnosis the hearing of 0 to 6 yrs. The Chinese PLA General Hospital is one of the first-group medical institutions for the hearing diagnosis and established the Hearing Diagnosis Center for Children in the year of 2003. It located on the first floor of the institute of Otolaryngology which is equipped with acoustic examination rooms and audiological inspection equipments according to international standards to carry out a series of tests such as newborn hearing screening, diagnosis of children hearing and medical diagnosis. The center is major responsible for the hearing screening for newborns within 72 hours after birth; and for the further comprehensive audiological medical diagnosis for children who “fail” the screening among the 60,000 newborns and 0 to 6 years old children in Beijing. Vestibular medicine center: As an important component of Department of Audiological Medicine, the center for vertigo diagnosis and treatment in the General Hospital is now capable of standard diagnosis and treatment for various types of vestibular system diseases. It has first carried out a comprehensive examination for vestibular function and rehabilitation in China. Vestibular function examinations include as follows: caloric test, optokinetic function examination, positional nystagmus examination, shift nystagmus examination, head shaking nystagmus examination, balancing stand examination, subjective and vertical visual examination, and vestibular-evoked myogenic electric potential examination. Diagnosis for vertigo diseases includes peripheral acute and chronic vertigo diseases, central vertigo diseases, balance disorder and dumping, motion sickness (car sickness and seasickness), migraine and dizziness, psychological-induced vertigo.
The treatment of vertigo diseases includes the vertigo caused by acute and chronic otitis media, Meniere's disease and delayed labyrinthine hydrops, vestibular neuritis and ear zoster herpes, benign paroxysmal positional vertigo and post-traumatic vertigo, vertigo caused by post-cycle ischemia, vertigo with sudden deafness, peripheral and central balance barrier, acoustic neuroma and postoperative dizziness and balance barrier, and bilateral vestibular lesion.
The rehabilitation therapy of dizziness and balance disorders includes the followings: the vestibular habituation training, adaptive training, optokinetic training, otolith reset, balance training as well as carsick and seasick rehabilitation.
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