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Head and Neck Surgery and Surgical Oncology

Department of Otorhinolaryngology-Head & Neck Surgery, Universiti Sains Malaysia

Universiti Sains Malaysia

Main Areas of Interest

Introduction

Head and neck surgery and surgical oncology program aim to provide exposure to
the training fellows on the principal management of head and neck tumours, in
addition to the assessment and diagnosis of head and neck tumours. General
component of head and neck surgery and its related otorhinolaryngology diseases is
also a core of the programme.

Techniques You Will Learn

Objectives of the program

The objectives are;

To expose the fellows to the most common head and neck surgery procedures
To expose the fellows to common head and neck pathology and its relation to general otorhinolaryngology disease
To expose to the fellows and provide experience in the management of head and neck tumors, especially the surgical procedures
To facilitate the fellows to be able to perform the clinical assessment, staging the tumors and perform most head and neck surgical oncology procedures
To expose the fellow to the multidisciplinary roles of plastic reconstructive, pathologist, radiologist, oncologist, and rehabilitation team in managing head and neck oncology patients.
To produce a highly competent head and neck surgeon practicing a sound surgical oncology practice

The institution USM provides training in the listed types of surgery below:

Core procedures

Excision biopsy of neck nodes and excision of neck masses
Incisional biopsy of tonsillar/tongue/buccal mass/nasal/nasopharynx
Direct Laryngoscopy, Bronchoscopy and Esophagoscopy & targeted biopsy
Tracheostomy under LA/GA
Submandibulectomy
Superficial parotidectomy
Partial glossectomy
Sistrunk’s operation
Resection of buccal/tongue/laryngeal leukoplakia
Stomal stenosis revision & stomaplasty
Excision of branchial cyst
Tracheoesophageal puncture & voice prosthesis insertion
Cricopharyngeal myotomy
Hemithyroidectomy & lobectomy

Specialized procedures

Total conservative parotidectomy with facial nerve preservation, radical parotidectomy and extended total parotidectomy
Total thyroidectomy & subtotal thyroidectomy
Total glossectomy & hemiglossectomy
Laryngectomy, hemilaryngectomy, supracricoid laryngectomy
Selective neck dissections (supraomohyoid, lateral, anterolateral and posterolateral type)
Modified Radical Neck dissection Type 1, II, III
Radical neck dissection
Mandibulotomy – Lateral & Median mandibolotomy
Mandibulectomy – marginal and segmental mandibulectomy
Lip split and lower cheek flap
Maxillectomy – Total and subtotal maxillectomy
Local flap – sternocleidomastoid flap, frontonasal flap
Repair of pharyngocutaneos fistula
Vagal schwannoma excision
Split skin graft and full thickness skin graft
Radial Forearm free flap
Pectoralis major flap
Facial nerve grafting
Facia lata sling
Sentinel lymph node biopsy

Core knowledge

Basic principle of common head and neck surgery
Surgical anatomy of head & neck regions – triangle of the neck, salivary glands, thyroid glands, larynx, sinonasal cavity, pharynx and nasopharynx
Benign neck diseases – TB nodes, schwannoma, lipoma
Thyroid diseases
Benign salivary glands tumour
Oral cavity and oropharyngeal benign lesions
Tonsillar lymphoma
Branchiogenic carcinoma
Sialodenosis and sialolithiasis
Mandibular lesions ie benign versus malignant mass
Oncogenic viruses in head and neck oncology
Principle of laser surgery for head and neck pathology
Principle of imaging of choice in head and neck malignancy
Role of frozen section in head and neck malignancy

Advance knowledge

Metastatic carcinoma of unknown primary
Thyroid malignancy management
Salivary glands malignant tumour classification and principle of management
Principle of distant metastases of head and neck tumours
Classification of head and neck tumours and TNM staging classification
Principles of chemotherapy in head and neck malignancy
Principles of radiation in head and neck management
Principle of common types of flaps in head and neck
Salvage neck dissection
Adjuvant treatment for head and neck malignancy
Current advances in head and neck oncology
Management of recurrent head and neck tumours
Controversial and updates in head and neck surgical oncology

Curriculum

The programme duration: (2 weeks minimum, 6 months maximum)

Fellows will be supported to settle down into their new environment. A desk space
will be allocated. Full induction (safety, laboratory practices, personal welfare) will be
provided by the University’s designated staff and by myself. I will arrange an initial
meeting with the fellow to discuss the objectives of the training.

The fellow will be fully trained in all activities of the Department. They will be able to
engage with me (supervisor) and other members of the group in different surgical
procedures. They will also be engaged in clinical research and write a manuscript
during their stay depending on their interest.

The fellow will be given the opportunity to actively participate in group meetings and
other academic activities within the School and the University, including attending
workshops, conferences, etc. They will also be encouraged to present their work
orally at a group meeting at least once before they complete their visit.

Towards the end of the training, I will have a meeting with the fellow to discuss plans
to publish their clinical work (if enough data collected) or disseminate their findings at
a future conference.

Throughout the training, any particular challenges or specific requests of a fellow will
be fully considered to ensure a responsive, relevant and adequate training plan is
developed for them.

Tentative Schedule

Time/Days: 8.00-9.00am: 9.00am-12.30noon:1.00-2.00pm: 2.00-5.00pm

Sunday: Ward round: Clinic: Lunch break OT
Monday: Cases Conference:OT Lunch break: OT
Tuesday: Ward round: OT: Lunch break: Combined Oncology ORL clinic
Wednesday: Ward round Clinic :Lunch break: OT
Thursday: Grand ward round:OT Lunch break: OT

Case Conferences – Biweekly radiology and pathology combined case
discussion sessions

Accommodation

Logistic and Facilities

Language: English as main medium for teaching and surgery

Accommodation: Many apartment rooms, hotels, motel and hostel are available
within walking distance to the campus area. This accommodation is affordable since
the currency is like MYR10 is USD2 and most are fully furnished. Some examples
are.

Anjung Vista Apartment, JALAN RAJA PEREMPUAN ZAINAB 2, Kubang Kerian, 16150
Kota Bharu, Kelantan, Malaysia. Contact No; +06-016-939 6655 (Please refer website for
online reservation)

I-Residence condominium, address 15200, 1865, Jalan Abdul Kadir Adabi, Taman
Kenangan, 15200 Kota Bharu, Kelantan, Malaysia. Contact No: +06-019-590 8791 (Please
refer website for online reservation)

Avee Budget Motel, PT 1614, 1615, Persiaran KK 6, Kubang Kerian, 15200 Kota Bharu,
Kelantan, Malaysia.

Inside campus hostel DK5 and DK 6 (need to prebook early), USM Health Campus,
Kubang Kerian, Kelantan, Malaysia.

Fees and Program Logistics

This program has the following durations available:

Duration	Fee
2 weeks	$625.00
4 weeks	$1,000.00
8 weeks	$1,500.00
12 weeks	$1,875.00

This program allows Merit Applications. This program allows merit-based applications for virtual and onsite clinical and research programs. If you are successfully awarded under this category, Trialect or the host mentor will cover the tuition fee only. All applications will be evaluated based on merit. Due to the high level of competition, the chances of being selected under the merit category are quite limited.

Who Can Apply

Candidate with MBBS from a certified university Master of Otorhinolaryngology or Master of Plastic Surgery or Master of Oral Maxillofacial or equivalent degree. Experience as ENT surgeon for at least 6 -12 months

Host Details

Host Name: Dr Norhafiza Mat Lazim

Affiliation: Department of Otorhinolaryngology-Head & Neck Surgery, Universiti Sains Malaysia

Address: School of Medical Sciences; Universiti Sains Malaysia; Health Campus 16150 Kubang Kerian; Kelantan; Malaysia.

Website URL: https://www.usm.my/

Disclaimer:It is mandatory that all applicants carry workplace liability insurance, e.g., https://www.protrip-world-liability.com (Erasmus students use this package and typically costs around 5 € per month - please check) in addition to health insurance when you join any of the onsite Trialect partnered fellowships.

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