2011 ENT ANNUAL REPORT 2 3 4 5 8 11 15 16 19 02-23562133 02-23315565 23 25 33 36 37 39
1938 2012.03 2 2011 ENT ANNUAL REPORT
20113
4 2011 ENT ANNUAL REPORT
20115
20102011 1 2 3 4 5 6 7 8 9 10 11 12 2011 7432 6028 8605 7520 8389 7926 7873 8167 6992 7025 7890 7616 2010 6736 5561 8020 6645 7117 6951 6996 7092 7102 6752 7336 7792 2011 2010 Total 91,463 84,100 4066 4130 1944 1858 1658 1310 1162 1148 1056 994 868 780 372 350 54 52 48 42 6 6 2011 ENT ANNUAL REPORT
20117
a. b. c. 201111399( 235) a. b. c. 20111516( 265) a. b. c. 2011422 a. b. c. 2011215 8 2011 ENT ANNUAL REPORT
a. b. c. 2011915 a. b. c. 2011150 a. b. c. 20112289 a. b. c. 2011151 a. b. c. 2011103 a. b. c. 201167 20119
a. b. c. 2011620 a. b. c. 20116 a. b. c. 201197 a. b. c. 2011204 2011 2010 11399 10729 2289 2217 1516 1110 915 927 620 509 422 459 215 208 204 169 150 118 151 256 103 101 () 97 () 810 362 67 61 6 12 10 2011 ENT ANNUAL REPORT
24 2000 140 120 100 80 60 40 20 0 450 400 350 300 250 200 150 100 50 0 201111
100 90 80 70 60 50 40 30 20 10 0 stand by 140 120 100 80 60 40 20 0 5 276 100 90 80 70 60 50 40 30 20 10 0 12 2011 ENT ANNUAL REPORT
201113 160 140 120 100 80 60 40 20 0 tumor bleeding
Tumor bleeding 200 26% 11% 16% 6% 11% 19% 11% 14 2011 ENT ANNUAL REPORT
病房照會是各科醫師溝通的橋樑 目 各分科大致比例如下圖 的是給予病人個人化的照顧以及完整的評 組織架構及成員 一般病房照會服務 估 本部病房照會一年約3500筆 由於檢查 病人會送至6C 6D病房之治療室檢查並予 頭頸部腫瘤 26% 耳22% 以局部治療 若有行動不便或是不穩定之病 患住院醫師會攜帶相關器械到病房做檢查與 喉及呼吸道 35% 照會內容大約分為四大類 耳科部份常見包含中耳炎 外耳 炎 眩暈 耳出血 術前或一般聽 研究成果 情行許可下的治療 鼻17% 醫療服務 時需要耳鼻喉科之器械 因此大部分穩定之 力評估(後續安排正式聽力檢查) 等 國際交流 鼻科部份包含慢性急性鼻竇炎 鼻 出血 移植前評估 腦脊髓液鼻漏 (後續安排手術處理) 等 喉部主要以呼吸道評估為主 氣切 吸道是否阻塞 聲音沙啞等 於治療室治療情形 頭頸部腫瘤部分 目前與胸腔外科 合作密切 食道癌病患皆會檢查是 否同時存在頭頸部腫瘤 而腫瘤 內科更是長期合作夥伴 對於頸部 腫塊評估可以直接進行細針抽吸或 進一步安排超音波導引下切片或局 部 全身麻醉下切片以協助各科醫 醫學教育及學術活動 更換 氣管切開術安排 病人上呼 師診斷 攜帶型器械 台大醫院 耳鼻喉部2011年報 15
16 2011 ENT ANNUAL REPORT () () ( ) ( )
live surgery 201117
2011 219 243 38 577 77 354 79 117 230 884 22 82 326 60 386 () 67 67 135 20 80 258 3160 23 238 6 244 193 32 232 7 232 96 56 401 17 16 16 62 17 95 16 95 4 99 68 150 92 491 179 2 11 11 7 7 46 89 29 () 30 30 () 30 6 36 10 1 11 51 50 120 223 2 4 4 994 18 2011 ENT ANNUAL REPORT
6CD716C32 6D391,, 1. 2011 6CD201186.78%3919 5.754.262010 20102011 (%) () 2010 85.81 3413 7.07 3.53 2011 86.78 3919 5.75 4.26 6D 201119
700 2. (1) (2) (3) (4) (Tumor Board) (5) (time-out)( )( )() 20 2011 ENT ANNUAL REPORT
1. 6CD20102011 2010~2011 94.0 93.0 92.0 2010-2011 91.0 90.0 89.0 88.0 2010 () 2010 () 2011 () 2011 () 2. (1) 6C 2011 60%80% 201121
(2) 6D 50% 90% Fungating wound 6C6D 22 2011 ENT ANNUAL REPORT
Eur Arch Otorhinolaryngol 2011 Dec 7. [Epub ahead of print] (epithelial-mesenchymal transition, EMT) EMT 201123
EMTEMT EMT EMT (Oral Oncol 2011;47:720-4)117 EMT E - cadherin Vimentin EMT EMT EMT EMT phase II study (Erbitux, cisplatind and 5-FU neo-adjuvant chemotherapy in locally advanced squamous cell carcinoma of the oral cavity) phase III study ( Multikine (Leukocyte Interleukin, Injection) ( 24 2011 ENT ANNUAL REPORT
)) 3Head and Neck 11Journal of Cellular Physiology 1500 3000 (knock-in mouse)(plos One. 2011;6:e22150.) (pre-implantation genetic diagnosis2010/1/15) (2011/7/27PLoS One. 2011;6:e22314.) (cochlear implant)(laryngoscope. 2011;121:1287-93.) 201125
2000 (Laryngoscope. 2011;121:1303-7.) (familial head and neck paragangliomas) (Oral 2011/7/27 Oncology. 2012;48:125-9.) BOR(Laryngoscope. 2012; in press.) corss-sectional, reviewer comment: data monumental and important(neurobiology of Aging 2011, Nov. 29 Epub ahead of print) Obesity adipocytokine adiponectin (Clinical Endocrinology 2011, 75:614-620) 26 2011 ENT ANNUAL REPORT
2011-9-72011-9-9Pr. Patrice Tran Ba Huy from University of Paris and Dean of Hospital Lariboisiere, France 2011-10-19Dr. Julie Wei from University of Kansas, US April 14-17. 2011: 14 th ASEAN Pediatric Congress 2011 and 3 rd Asian Pediatric Otolaryngology Meeting (APOG), Singapore. (invited speaker, representing member of Taiwan) Obtain the sponsorship to host the 2015 APOG meeting in Taipei, Taiwan 201127
Nov. 10-11, 2011: The 3 rd World Chinese ORL Conference, Kaohsiung, Taiwan invited speaker: Annual Meeting and International Conference of Taiwan Head and Neck Society. Kaohsiung, July 9-10. Prof. Myung-Whun Sung 11 plenary speaker Nibu 28 2011 ENT ANNUAL REPORT
20111211 keynote speech(1) (2) 1 2 201129
30 2011 ENT ANNUAL REPORT
(Da Vinci Surgical System, Si) () (Transoral Robotic Surgery, TORS) 1. 2. ( ) 3. 201131
l Hôpital Lariboisière du Groupe Hospitalier Universitaire Saint-Louis Lariboisière (AP-HP) l Hôpital Lariboisière du Groupe Hospitalier Universitaire Saint-Louis Lariboisière (AP- HP)2011 2011928 104lHôpital Lariboisière du Groupe Hospitalier Universitaire Saint-Louis Lariboisière (AP-HP) l Hôpital Lariboisière Prof. Tran Ba Huy Prof. Tran Ba Huy (International Otology Symposium) (best) () () () (best) 32 2011 ENT ANNUAL REPORT
(1) (2) (3) (4) (5) CPR (6) (7) (8) (9) (10) (11) (1) (2) () (3) (4) (5) (6)(temporal bonecourse) (7) 201133
(12) (13) (basic science course of otolaryngology) (14) (8) (9) ( ) (1) CR R1 (2) (3) (4) (1) (CR) (2) (3) (4) (5) (6) (7) (8) (9) CR 34 2011 ENT ANNUAL REPORT
(5) (6) (10) (11) (1) (CR) (2) (3) (4) (5) () (6) SCI (7) (8) 201135
100121 8:00-9:00 7:30-8:30 9:20-11:00 11:00-12:00 13:30-16:00 13:30-15:00 15:00-16:30 16:00-17:00 36 2011 ENT ANNUAL REPORT
(4-6 )4851 8 7 5 4 / 10016 48 99 99 100 100 99/11/29100/2/27 100/2/28/100/5/29 100/5/30100/8/28 100/8/29100/11/27 7.46 9.21 9.31 9.31 8.23 8.87 8.27 8.42 201137
10:00-12:00 14:00-15:00 9:00-10:00 13:30-14:30 15:00-16:20 ENT 14:00-16:00 10:00-12:00 9:30-11:30 15:00-16:00 14:00-16:00 15:00-16:20 15:00-16:20 9:30-11:30 14:30-16:00 16:00-17:00 10:00-12:00 14:00-16:00 15:00-16:20 38 2011 ENT ANNUAL REPORT
Temporal Bone Course 2011/05/28-29 33( ) 5/28 Sat. 08:00 ~ 08:10 Welcome greeting 08:10 ~ 09:00 Introduction to the dissection of the human temporal bone 09:10 ~ 10:00 Neoplasms of the Ear and Lateral skull Base 10:10 ~ 11:00 Aural atresia: embryology & surgery 11:10 ~ 12:00 Surgical & non-surgical condition of facial nerve 12:00 ~ 01:00 Lunch 13:10 ~ 14:00 Image of temporal bone 14:10 ~ 15:00 Surgery of vertigo 15:10 ~16:00 A. Surgical anatomy of the temporal bone B. Temporal bone dissection 16:10 ~ 17:00 Cochlear implantation 17:10 ~ 18:00 Pediatric hearing 5/29 Sun. 08:10 ~ 10:00 Tympanoplasty & mastoidectomy 10:10 ~ 12:00 Tympanoplasty & mastoidectomy 12:00 ~ 03:00 Lunch 13:10 ~ 15:00 Tympanoplasty () 15:10 ~17:00 Middle ear anomaly/acoustic neuroma 201139
2011/11/21-26 21( ) Time Date 11/21 (Mon) 11/22 (Tue) 11/23 (Wed) 11/24 (Thu) 11/25 (Fri) 11/26(Sat) 9:00-10:00 10:10-11:00 11:10-12:00 Hearing Aid ENT 1:10-2:00pm 2:10-3:00pm 3:10-4:00pm 4:10-5:00pm Laser OSAS 40 2011 ENT ANNUAL REPORT
2011/12/03 41() 8:00-8:05 8:05-8:10 8:10-8:40 8:40-9:10 TNE 9:10-9:40 KK Henry Tan 9:40-10:00 Coffee break 10:00-10:30 10:30-11:00 11:00-11:30 11:30-12:00 Workshop 12:00-13:00 Lunch 13:00-17:00 KK Henry Tan 17:00-17:15 201141
(Pediatric Airway Course) 2011/12/04 83( ) Time Topic Speaker Modulator 8:30-8:40 WelcomeIntroduction Pr., Pr. 8:40-9:00 Pediatric Airway Diseases Evaluation and Diagnosis Pr. Henry Tan Pr. 9:00-9:15 Pediatric Anesthesia for Airway Surgery Dr. Pr. 9:15-9:30 Infectious diseases of pediatric upper airway Dr. Dr. 9:30-9:45 Laryngomalacia Dr. Dr. 9:45-10:00 Subglottic stenosis Dr. Dr. 10:00-10:15 Tea Break 10:15-10:30 Vocal palsy Dr. Dr. 10:30-10:45 Laryngeal papilloma Dr. Dr. 10:45-11:00 Tracheal stenosis Pr. Dr. 11:00-11:15 Laryngeal cleft Dr. Dr. 11:15-11:30 Subglottic hemangioma Pr. Henry Tan Dr. 11:30-11:45 Pediatric Tracheotomy Dr. Dr. 11:45-12:00 Airway Foreign Body Pr. Henry Tan Dr. 12:00-13:30 Lunch 13:00-13:15 GE reflex diseases and pediatric airway Dr. Dr. 13:15-13:30 Chronic cough Dr. Dr. 13:30-13:45 ICU care for children with airway problems Dr. Dr. 13:45-14:00 Pediatric sleep disordered breathing Pr. Dr. 14:00-16:00 Live Surgery or Video demonstration Dr. Case I~ IV Dr. Pr. Dr. 16:00-16:20 Tea Break 16:20-16:35 Tissue engineering in pediatric airway reconstruction Dr. Dr. 16:35-17:00 Panel discussion Dr. All 42 2011 ENT ANNUAL REPORT