09-10, 10:45–11:45 (Europe/Istanbul), Rhinology 2 (Hilton - Grace II)
Management of recalcitrant chronic rhinosinusitis
In recalcitrant chronic rhinosinusitis:
Consider if it is really CRS?
Consider other respiratory disease, e.g. asthma, AERD
Consider other systemic conditions, e.g. Auto-immune diseases and vasculitis, immune deficiency, cystic fibrosis, primary ciliary dyskinesia
Share the problem – manage collaboratively with physicians.
If this is not your way of thinking, probable you will miss the correct diagnosis.
In this presentation we’ll show few problematic cases of CRS and how they were managed.
Jivianne T. Lee MD is Professor of Rhinology and Endoscopic Skull Base Surgery in the Department of Head and Neck Surgery at the UCLA David Geffen School of Medicine.
She obtained her Doctorate of Medicine degree from the University of California, Los Angeles School of Medicine where she was inducted into the Alpha Omega Alpha Honor Medical Society. Subsequently, she completed her Otolaryngology - Head & Neck Surgery residency at UCLA Medical Center. Because of her special interest in sinonasal disorders, she proceeded to do a Rhinology & Endoscopic Skull Base Surgery Fellowship at the University of Pennsylvania in 2005.
On a national level, Dr. Lee was appointed to the Board of Directors of the American Rhinologic Society in 2014 and Associate Editor of Sinonasal Disorders for Otolaryngology-Head & Neck Surgery, the official journal of the American Academy of Otolaryngology-Head & Neck Surgery Foundation in 2015. In addition, Dr. Lee serves on the Editorial Boards for the American Journal of Rhinology & Allergy and the International Forum of Allergy & Rhinology, the official journal of the American Rhinologic Society and American Academy of Otolaryngic Allergy. In 2018, Dr. Lee was elected Inaugural Chair of the Women in Rhinology Section of the American Rhinologic Society.
Dr. Lee has been invited to lecture both nationally and internationally on endoscopic surgical approaches to sinonasal/skull base pathology and novel therapies for chronic rhinosinusitis. She has given over 500 instructional course lectures, panels, and scientific presentations, as well as authored over 150 peer-reviewed articles and textbook chapters. In 2020, Dr. Lee was appointed International Chair of the American Rhinologic Society (ARS), and in 2021 was appointed to the Executive Cabinet as Treasurer of the ARS. In addition, Dr. Lee was bestowed an Honor Award by the American Academy of Otolaryngology-Head & Neck Surgery Foundation (AAO-HNSF) in 2014, an AAO-HNSF Excellence Award for Outstanding Service in Rhinology & Allergy Education in 2016, and an AAO-HNSF Distinguished Service Award in 2023. In 2021, Dr. Lee also received the American Rhinologic Society Presidential Citation Award for meritorious service to the ARS and outstanding contributions to the field of rhinology and endoscopic skull base surgery.
She also serves as Co-Director of the ARS International Humanitarian Initiative and was Co-Editor of the first international rhinology video textbook entitled Rhinology Worldwide, which was released globally in 2023. For her achievements, Dr. Lee was bestowed a Distinguished Leadership Award from the American Rhinologic Society for outstanding service, dedication, and leadership as International Committee Chair. In 2024, Dr. Lee was selected as Vice-President of the ARS.
Claire Hopkins is a Consultant ENT Surgeon at Guy’s Hospital and Professor of Rhinology at King’s College London. She has a large tertiary practice, and combines clinical work with an extensive research program, focused on improving outcomes in the management of chronic rhinosinusitis. She has held a number of leadership roles within ENT including the President of the British Rhinological Society, President of Rhinology Section of the Royal Society of Medicine, and is the current Secretary General of the European Rhinological Society.
Dr. Javer completed his undergraduate education at Simon Fraser University, earning a Bachelor of Science Degree in Molecular Biology achieving 1st class honors. Dr. Javer proceeded to UBC where he earned his medical degree, graduating in 1991. After a one-year internship at the University of Saskatchewan at the Regina General Hospital, Dr. Javer returned to Vancouver and UBC to continue his studies. Dr. Javer completed an additional five-year otolaryngology (one year research and one year core general surgery training), earning his royal college specialist credentials. In 1998, Dr. Javer proceeded to complete a two-year fellowship at the Georgia Nasal and Sinus Institute in Savannah, Georgia, specializing in Advanced Rhinology and Sinus/Skull Base Surgery under the directorship of Dr. Frederick A Kuhn.
Dr. Javer has varied research interests with over 150 research publications and over 15 book chapters. Dr. Javer has a special interest in advanced FESS (functional endoscopic sinus surgery), frontal sinus surgery, fungal sinus disease and recalcitrant chronic sinusitis. Dr. Javer has been awarded several awards and honors in research and in surgical teaching during his career at UBC including the prestigious ‘Richard Finlay Senor Scholar Award’ in 2017. He started the sinus fellowship-training program at the St. Paul’s Sinus Centre in 2001, which has graduated 29 subspecialized surgeons from thirteen different countries. He conducts courses and presents internationally and is fluent in five languages. He is currently a full clinical professor in the department of surgery at the University of British Columbia, fellowship training director at UBC, co-director of research in the division of Otolaryngology at UBC, and director of the St. Paul’s Sinus Centre.
Dr. Nesil Keleş Türel is a Professor of Otorhinolaryngology at the University of Istanbul
Faculty of Medicine, and currently serves as the Chair of the Department , where she
coordinates surgical, medical and research activities . She has previously held the
positions of President of the Turkish Rhinology Society and Vice President of the
Turkish Otorhinolaryngology–Head and Neck Surgery Association. Her principal fields
of expertise encompass rhinology, allergy, and endoscopic sinus surgery.
Prof. Dr. Nesil Keleş Türel, MD, is a Professor and Chair of the Department of
Otorhinolaryngology – Head and Neck Surgery at Istanbul Faculty of Medicine, Istanbul
University, with more than 30 years of clinical and academic experience. Her primary
expertise lies in rhinology, particularly chronic rhinosinusitis with nasal polyps and
tumors of the paranasal sinuses, and she has served as a national coordinator in
several Phase III clinical trials on monoclonal antibody therapies for CRSwNP.
She has held key leadership roles, including President of the Turkish Rhinologic Society
(2011–2013) and Executive Committee Member and Vice President of the Turkish
Society of Otorhinolaryngology – Head and Neck Surgery. She also served as General
Coordinator of five ENT Schools between 2021 and 2023 and has organized the
Istanbul Masterclass Endoscopic Sinus Surgery Cadaver Dissection Courses since
1997.
Prof. Keleş Türel has authored over 100 scientific articles and book chapters and serves
on the editorial or advisory boards of several national and international journals,
contributing significantly to research, education, and clinical advancement in rhinology.
Hussam El-Din Mahmoud Mohammed El-Bosraty, M.D.
Professor of otorhinolaryngology & Head& Neck Surgery. Faculty of Medicine, Cairo University.
Consultant of ENT, Pediatric Cancer Hospital, Egypt
Field of the interest: Rhinology and Endoscopic skull base surgery