Starting Sialendoscopy in a developing country: unique challenges and achievements!
09-11, 09:30–10:00 (Europe/Istanbul), Sialendoscopy

Background: Sialendoscopy is one of the most fascinating technical advancements introduced in the field of Otorhinolaryngology-Head & Neck Surgery in the past decades. It has enabled minimally invasive salivary gland surgical interventions that revolutionized the management of a wide variety of salivary gland ductal diseases enabling gland preservation with improved patient quality of life. Yet its widespread practice and availability are yet hindered by numerous challenges, especially in developing and underdeveloped countries.

Description: A 30-minute keynote lecture shedding light on challenges hindering widespread sialendoscopy practice by a sialendoscopist with 15-year plus experience in practicing and promoting sialendoscopy in a developing country.

Outcome objectives: To highlight different unique challenges faced in starting a successful sialendoscopy practice in developing countries and strategies employed to overcome them to enable widespread patient benefit across the world especially in areas where high tech sophisticated medical care can be difficult to achieve.

Professor Emad Ahmed Magdy received his bachelor’s degree in medicine & surgery (MBBCh ‘MD’) from the Faculty of Medicine, Alexandria University in 1992 with grades Excellent and first-degree honors. He concluded his residency at the Department of Otorhinolaryngology, Alexandria University in 1997 after finishing his Master degree in Otorhinolaryngology (MCh ‘MS’ ORL) in the same year. In 2000, he received a 2-year clinical and research fellowship in Microvascular Head & Neck reconstructive surgery from Vanderbilt University Medical Center, Nashville, TN, USA and then fulfilled his Doctorate degree in Otorhinolaryngology (PhD ORL) in the same topic in 2002.

Doctor Emad Magdy is a senior consultant in Otorhinolaryngology with special interest in Head & Neck Surgery and Laryngology. He was the first Otorhinolaryngologist to perform microvascular free flap reconstructive surgery in Egypt in 1998. He also was the first to introduce sialendoscopy “minimally invasive salivary gland ductal endoscopic surgery” in Egypt after receiving special training from the European Sialendoscopy training center in Geneva, Switzerland in 2008. Since then, he has been propagating this refined surgical technique in Egypt, Africa and the Middle East area and has been holding annual hands-on/Live surgery training courses in Alexandria and abroad since 2016. He also established an International Sialendoscopy fellowship training program since 2022 held 3 times/year in Alexandria, Egypt (with fellows from 15 different countries already trained). Other areas of surgical interest and expertise include thyroid and salivary gland surgery, Head & Neck cancer surgery and reconstructions, Microlaryngeal surgery and care for the professional voice, facial reanimation surgery in addition to the general Otorhinolaryngology practice.

Academically, Dr. Magdy has acquired his position as a full Professor at the Department of Otorhinolaryngology, Faculty of Medicine, Alexandria University since 2013 and up till now. He is a regular undergraduate and postgraduate tutor and has supervised numerous Master and Doctorate degree thesis at his institution. Research wise, he has authored over 40 International peer-reviewed article publications, review articles and book chapters. He is also a peer-reviewer and editorial board member for several International as well as national Medical Journals. He acted as an invited guest faculty and speaker in numerous International ORL-HNS congresses and courses in Africa, Asia, Europe, North & South America. He has been an Executive Committee member & key organizer of the annual Alexandria International ORL Congress (AlexORL) since 2008 and is held the position of Chief Executive Officer (CEO) of the 37<sup>th</sup> Alexandria International Combined ORL Congress (AlexORL2022).

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Jolie L. Chang, MD, is a Professor of Otolaryngology, Head and Neck Surgery and Chief of the Division of Sleep Surgery and General Otolaryngology and Director of Resident Research at the University of California, San Francisco. Dr. Chang specializes in sleep apnea surgery and minimally invasive approaches for salivary gland surgery including sialendoscopy. She also has clinical expertise in ultrasonography for head and neck disorders.

Dr. Chang performs research in health care decision making and surgical outcomes for sleep apnea therapies. She is an associate editor for the sleep section of the Laryngoscope journal. She was co-editor for the 2023 International Consensus Statement for Obstructive Sleep Apnea. She has also published research on surgical techniques and outcomes for minimally invasive sialendoscopy to treat sialolithiasis and duct stenosis.

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