Georgi Kukushev
Dr. Georgi Kukushev was born in 1983 in Sofia.
He graduated the Medical University of Sofia in December 2008.
In 2007, under the Erasmus program at the Charite Medical University in Berlin, Germany successfully passed the exams in internal medicine, surgery, and anesthesiology.
In 2009, he began working at the Ear, Nose, and Throat Clinic at the Military Medical Academy in Sofia.
One year of his specialization, he practiced at the military hospital in Ulm, Germany, under the supervision of Prof. H. Mayer. During this period, he acquired the right to work on the territory of Germany from the medical chamber in Stuttgart.
Since 2012, Dr. Georgi Kukushev has been a recognized specialist in Ear, Nose, and Throat.
In 2014, he obtained a teaching and scientific degree "Doctor" on the topic "Functional Endoscopic Septoplasty and Turbinoplasty - Comparative Studies with Conventional Surgical Techniques".
He is an active member of the German Society for Ear, Nose and Throat Diseases - Head and Neck Surgery.
In 2020, he was elected as a member of the working group of the Bulgarian Society for Ear, Nose and Throat Diseases in the field of "Rhinology, Functional and Aesthetic Surgery and Skull-Based Surgery".
He is fluent in written and spoken English and German.
Sessions
Innovations and Technology in diagnosis and management of Vestibular Disorders
Introduction.
The digitalization and computerization in medicine are increasingly entering in daily clinical practice. The process is feasible only after standardization of medical procedures.
Neurotology is a subspecialty practiced by ENT specialists and neurologists. The different main clinical specialty (ENT or neurology) determines the different focus of the examination.
Materials and methods.
In this presentation, we would like to propose a model of standardized neurotological examination. Discussion and adoption of an exemplary version would be important to give direction for the subsequent AI automation of the process.
Standard neurotological package (statokinetic, coordination tests, Head Impulse Test, vestibulometry (caloric test and rotatory tests), as well as original tests for determining the function of the otolith apparatus) would be presented.
Results.
This presentation is based on the author's dissertation work, comparing conventional methods and equipment for examining the vestibular analyzer.The results from the different studies would be summarized.
Discussion.
Digitalization is the future direction in which medicine is developing. Standardization is the fundamental first step.
Introduction
The vestibular analyzer varies in different vertebrates, both in terms of size and shape. The differences in shape are dictated by the specificity of the movement of the respective animal.
In this presentation, we will make a literature review and show our clinical experience in a patient with a totally obliterated lateral semicircular canal (changed shape) and still functioning vestibular perception.
Materials and methods.
A patient who, after a traffic accident, suffered a head injury with subsequent stenosis of the external auditory canal. The secondary iatrogenic cholesteatoma that developed led to vertigo attacks during pressure (fistula test). The patient was referred for surgical treatment - mastoidectomy. Intraoperatively after removal of the cholesteatoma, the lateral semicircular canal was totally obliterated.
Results.
Postoperatively, the patient had preserved vestibular function (hypofunction) during a rotatory test for the lateral semicircular canal and preserved (normal) function of the remaining semicircular canals.
Discussion.
The author of the presentation will present his theory about this phenomenon, illustrate the process of functioning of the receptor cells in the membranous ampulla of the lateral semicircular canal in a totally obliterated lateral semicircular canal and explain the hypofunction during the rotatory test of the lateral semicircular canal.