WELCOME TO GARDEN CITY

BANGALORE
2nd Announcement

ENT MILAN

AOI KARNATAKA CHAPTER

& AOI BANGALORE in association with
AOI SOUTHZONE
th

10 south zone &

32nd karnataka state
ANNUAL ENT CONFERENCE 2014
To.
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......................................................

Nearest Hotel Accommodations

It is our proud privilege to invite all otolaryngologists, Head and Neck surgeons to this 10th AOI South Zone conference and 32nd
Karnataka State conference at garden city & silicon city, Bangalore From 10-12Oct, 2014. The South Zone conference celebrates
the spirit of academic unity and surgical excellence amongst the 4 states Karnataka, Tamilnadu, Andhra Pradesh Kerala and
Union Territory Pondicherry. We are fortunate to have established leaders such as Dr. A. Mahadevaiah, Dr Mohan kameswaran
and Dr Dwarkanath Reddy guiding us in our endeavor to conduct a fruitful and effective meeting of minds and surgical hands.
To Storm your brain with recent advancement, we have invited eminent international masters like Prof Paul F. Castellanos, MD Director UAB
Voice & Aero Digestive Center University of Alabama, USA, James Phillip Thomas, M.D., Oregon Health Sciences University, Prof Ashok.R.Shaha
MD, FACS, Jatin Shah Chair in Head & neck Surgery and Oncology, MSKCC New York. Dr Kenny Pang, National University of Singapore,
Dr. Cesare Piazza, MD University of Brescia, Italy
The three days of academic extravaganza involves surgical / cadaver demonstration by international faculty and national faculties,
instructional sessions have been introduced in the newer domains of otolaryngology for the benefit of postgraduates and consultants
alike. Exciting panel discussions have been combined with oration lectures by experienced guest faculty to cover wide ranging topics
from Phonosurgery to navigational surgery. Postgraduate and consultant award papers are also the highlight along with vidio presen-tations. We have also planned a relaxing gala banquet and welcome dinner at salubrious venues for your evening enjoyment. Many
day activities have been planned for the family while you indulge on the academic feast at the convention centre.
We hope and wish, you shall grace us by your esteemed presence in the conference and make it a grand event with your
valuable contribution, suggestions and active participation.

Hotel Name

Contact no

Distance from
venue (in Kms)

Distance from
majestic (in Kms)

Fairfield
mariott
(Rajajinagar)

9945552105
08049470000

17

Eagleton
resorts

9845137411
08022632222

14

30

The Club

080 28600665
9845830506

Kadamba
guest line
(kengeri)

9880093264

15

Ph.08023359278
23108052

16

4.9

Hotel Madhu.
(Rajajinagar)

Dear Colleagues ,
A new dawn has risen in the field of Otolaryngology, Head and Neck surgery with newer subspecialities being explored and
mastered. Time has now come to grow out of the shadows and equip ourselves with new found knowledge and ever evolving
surgical repertoire. The South zone committee has taken a stand to make this conference an opening ground for the field of

Avail discounted price at above mentioned Hotels by mentioning our conference

details and registration number.

Phonosurgery and Airway science. With this intention , we have given special focus to laryngology, airway and voice patholo-gies in this conference and hope to strengthen the practice of phonosurgery amongst all of you. We welcome you wholehear-tedly to master the art of diagnosis of voice pathologies and phonosurgery in this conference involving 5 international
faculty and several national faculty. Let this October be the month where we evolve our knowledge better and make the lives
of our patients better.

Kind regards
Dr. T.M. Nagaraj
Organizing chairman, South zone conference
Conference web site - www.southzonebangalore2014.com

Theme Of The Conference

phonosurgery & Airway Sciences

For further details please contact

Dr. Praveen Kumar,
Organizing Secratry
Associate Prof Dept of ENT - HNS
Rajarajeswari Medical College & Hospital
Kambipura, Mysore Road, Bangalore
Mob : No. 9611108008
Email : praveendrkumar@gmail.com

Lal Bagh or Lal Bagh Botanical Gardens, meaning The Red Garden in English, is a well known botanical
garden in southern Bangalore, India
It has a famous glass house which hosts an annual flower show. Lal Bagh houses India's largest
collection of tropical plants, has an aquarium and a lake, and is one of the main tourist attractions
in Bangalore

Vidhana Soudha is the seat of the state legislature of

Karnataka.
It is an imposing granite building, built in 1956 in the 'Neo
-Dravidian' style, incorporates elements of Indo-Saracenic,
Rajasthani Jharokha and Dravidian styles.

EKALAVYA GOLD MEDAL FOR PG QUIZ COMPETITION

CHIEF PATRON
Sri A.C. Shanmugam

To,
Dr.Prashanth V
# 33, 3rd Floor, Staff Quaters,
RajaRajeshwari Medical College & Hospital Campus
Kambipura, Mysore Road,
Bangalore - 560 074.
Mob. No: 9164055760
Mail Id: prashanthenthns@gmail.com

CO PATRON
Mr. Arun kumar

EXECUTIVE DIRECTOR
Mr. S. Vijayanand

HONORABLE PATRONS

Sir,
We wish to participate as following teams in the Ekalavya PG Quiz competition to be held during South Zone AOIKCON
2014.

Dr.Prabhudeva Special Officer

Dr.Ramachandra Medical Director

Dr.Rangappa

Maj Gen Dr.S C.Godara Dean

Dr.Govindaraju Medical Superintend

Dr. Usha Ramachandra Principal

Dr.Naveen

ORGANIZING. CHAIRMAN

Team A

Team B

Names 1.___________________________________

Names 1.___________________________________

2.___________________________________

2.___________________________________

College ____________________________________

Additional Medical Director

Vice Dean

ORGANIZING SECRETARY HONORARY SECRETARY

Dr.Praveen Kumar

Dr.T.M.Nagaraj

Dr.Deepak.Haldipur

ORGANIZING CO-CHAIRMAN

JT ORGANIZING SECRETARY

TREASURER

Dr.V.Srinivas

Dr.Prashanth V, Dr vijay Kumar

Dr.Vishwas K V

Address____________________________________

ADVISORS

We declare that we are postgraduate students in the above mentioned college.We also agree to abide by the rules and

Dr.A.Mahadevaiah

Dr.Shankar Madikeri

Dr.Vijayendra H

regulations framed by the scientific committee.

Signatures

Dr. Dwarakanath Reddy

Dr. Mohan Kameswaran

Dr. P.S.N Murthy

AOI KARNATAKA BRANCH

Team A

Team B

1.________________________________

1.__________________________________

2.________________________________

2.___________________________________

AOI BANGALORE BRANCH

Dr. Satish. H.S
President
Date:

Signature and Seal of HOD

Dr. Srinivas Murthy

Hon. secretary

Dr. Dhanraj
Treasurer

AOI SOUTH ZONE

Last date for receiving the hard copy of this form is 30 August 2014 .Only two teams with two students in each can
participate from a college.

AOI ANDHRA PRADESH STATE BRANCH

Instructions to paper presenters
(Competitive and free paper sessions)
Powerpoint presentations :should be in Windows 7 format
Case series /Research paper: 7 min + 1 min for Q & A
Case report and innovations: 4 min + 1 min for Q & A
SK Mondal best video presentation:5 min+1 min for Q & A
Poster presentation:size of poster should be maximum 3'x4' Ft.

Adhesive tapes and pins should be brought by the presenter

Poster should be put up only in the designated area.
Please note:competitive paper/poster presentation should not
disclose the name and place of the institution ,co-authors ,HOD
or any other identity except the name of the presenter.
Scientific committee reserves to accept or reject the paper on
the basis of merit of the paper.

AOI KERALA BRANCH

AOI TAMILNADU STATE BRANCH

SCIENTIFIC CONTRIBUTION

SCIENTIFIC COMMITTEE
Dr.T.M.Nagaraj
Dr.Shankar Medikeri
Dr.Vijayendra H
Dr.Deepak Haldipur
Dr.Vishal Rao

Dr. Prashanth
Dr. A M .Shivakumar
Dr.Ashok Shenoy
Dr.Nanjundappa

Dr.Ravi Nayyar
Dr.Satish Bhandary
Dr.Raman.E.V
Dr.Raghu
Dr.Srinivas D R

Dr. Sahajanand(HOD Anaesthesia Dept.)

Dr.Srinivas Prasad
Dr.Mudhol
Dr.Ravi M
Dr.Harihara Murthy

ENTERTAINMENT COMMITTEE
Dr Praveen kumar, Dr Jyothi Swaroop,

Dr G.K Hebbar, Dr Sathyamurthy (HOD Anatomy Dept.)

RECEPTION & REGISTRATION

Dr.Vishwas K V
Dr.Channakeshava T A
Dr.Lakshmi.S
Dr.Bharathi

Dr.Mohan.G
Dr. Prabhakar
Dr.Chadda
Dr.Samba Murthy
Dr.Chandre Gowda

Ms.Savitha Shastri( Audiologist)

Dr.Prakash.V
Dr.Gopal Gowda
Dr.Bhattacharjee J P

SOUVENIR COMMITTEE
Dr. Prashanth. V
Dr.Satish.H.S
Dr.Dhanraj
Dr.Rajendra Metgudmath

Sir,
I am a

Dr.Sunil n dutt
Dr.Harindra MN
Dr.Chandrakiran
Dr.R.P.Deo

Dr.Arshaad Hussain
Dr.Pradeep Kumar
Dr.Natesh
Dr.Umesh Nagalothimutt

To,
Dr.Prashanth V
# 33, 3rd Floor, Staff Quaters,
RajaRajeshwari Medical College & Hospital Campus
Kambipura, Mysore Road,
Bangalore - 560 074.
Mob. No: 9164055760
Mail Id: prashanthenthns@gmail.com

Dr.Kumaresh krishnamurthy
Dr.Mallikarjun Tegnur

Postgraduate student

Practicing ENT Surgeon

I would like to present following scientific paper /case series case report/surgical video /scientific poster during DABANG
2014 at RRMCH Bangalore. ( Tick any one of the following .Use separate forms for different category.)

Karnataka State AOI Comptitions

TRANSPORT AND ACCOMMODATION

Dr.Prashanth V

Dr.Muniraju

Dr.Satish

Dr.Satish

Dr. A.Mahadevaiah Gold medal for best PG presentation (case series)?

Dr.Naveen Krishnamurthy

Dr. Sri ranga Dange

Dr.Subramaniam singh

Dr.Sampigethaya

Dr.Dinesh Valse

Dr.Datta

Dr.Panduranga Kamath ,

Dr.H.Vijayendra Gold medal for best paper presentation by practicing ENT Surgeon

Dr.Manjunath Reddy (Audiologist)

Dr.Jagadish

Dr.Srirangaprasad

Dr.Pradeep Kumar. M.V( Forensic Med.)

Mr.Paramesh (Audiologist)

Dr.Srinivas C.V

Dr.Krishnamurthy Dr.Jyothi Swaroop

Dr.N.D Purushotham Gold medal for best innovation in ENT for consultants
Dr.Gurumurthy C.M Gold medal for best paper presentation by teaching faculty

AUDIOVISUAL COMMITTEE
Dr.Vishwas K V

Teaching Faculty

Dr.Mohan kumar

Dr.Shivaram Shetty

Dr.Narayan

Dr.Thomas Prasanna

Dr.Gangadhar Somayaji

Dr.Stanley John

Dr.Kishore Chandra Prasad for best PG presentation (case report)?

Dr.M.V.Venkateshmurthy Gold medal for best poster presentation?
Ekalavya Gold medal for PG Quiz sponsored by Dr. A.M Shivakumar?

LADIES & CULTURAL COMMITTEE

Dr.Rangalakshmi

Dr.Lakshmi Satish

Dr. Gayathri

Dr.Sowmya

Dr.Sheelu Srinivas

Dr Bhavana

Dr.Bharathi

Dr Bindu

Dr Vanishree

Dr.Geethachari

Dr.Vijayalaxmi Dr.Vijayalaxmi

Dr.S.K.Mondal prize medal for best video presentation

Free paper session

South Zone Competitions

CATERING COMMITTEE
Dr.Vijay Kumar
Mr.Paramesh(Audiologist)
Dr.Prashanth V
Dr.Anil.H.T
Dr.Chandrashekharaiah

Dr.Vijay Kumar (Prathm ENT care)

Dr.Azeem Moinuddin

Dr.Mahesh Chandra Hegde

Dr.Khaza Nasiruddin
Dr.Somashekar

STALLS COMMITTEE

( HOD Forensic Dept.)

Dr.Praveen Kumar

Dr. T.M. Nagaraj

Dr Chennakeshava TA

Dr Anil kumar

Dr.Vikram Bhat

MEDAL, MEMONTOS CERTIFICATES

Dr.Praveen Kumar
Dr.C.V.Srinivas
Dr.Stanley John
Dr.Kailash

Dr.Hanumanth Prasad
Dr.Vijayendra Simha
Dr.EK Reddy
Dr.Deepak Ranjan Naik

Dr.Vishwanath
Dr.Puttamadaiah

Dr.Govindaraju
Dr.Kumarswamy

Dr.D.K.Ramesh
Dr.Chidananda

Dr.V.Prakash
Dr.Sankarshana

An ABSTRACT of the above paper /poster /video presentation containing not more than 200 words and under the following
headings:Title,Presenting Author,Aim ,Methodology ,Results and Conclusions has been attached herewith.

I do not have any objection for publishing/video screening of the scientific material submitted/presented in this
conference.I agree to abide by all the rules and regulations laid down by the scientific committee of South Zone
AOIKCON 2014

Date:

Dr. T.M. Nagraj

Dr.Deepak.Haldipur

Dr.Praveen Kumar

Dr.Vishwas K V

Dr.Prashanth V

Signature:

Submit this form and abstract in both soft and hard copies.Last day for receiving the hard copy is 30th August 2014
Use different forms for different categories.Soft copy should be sent to:
prashanthenthns@gmail.com
All postgraduate should submit the Bonafide certificate from HOD, without which abstracts will not be accepted.

Scientific Sessions & Highlights

Orations
Dr.Suryanarayana Rao oration sponsored by AOI Mysore branch
Dr.Manikam's oration sponsored by Bangalore ENT trust
Dr.P.V Datti oration sponsored by Belgaum AOI
Dr. K.P Raman Pillai oration
Dr.P Jayaram Acharya Memorial oration
BENT (Bangalore ENT) association Oration
MERF Oration sponsored by Madras ENT Research foundation
AOI South Zone oration
AOI Karnataka oration
AOI Belgaum oration

Award Papers and Competitions

Dr. A.Mahadevaiah Gold medal for best PG presentation (case series)
Dr.H.Vijayendra Gold medal for best paper presentation by practicing ENT Surgeon
Dr.N.D Purushotham Gold medal for best innovation in ENT for consultants
Dr.Gurumurthy C.M Gold medal for best paper presentation by teaching faculty
Dr.Kishore Chandra Prasad for best PG presentation (case report)
Dr.M.V.Venkateshmurthy Gold medal for best poster presentation
Ekalavya Gold medal for PG Quiz sponsored by Dr. A.M Shivakumar
AOI South Zone and Dr.S.K.Mondal prize medal for best video presentation
AOI AP Prize Medal For best Senior Consultant Paper Presentation
Dr. D.Dwaraknatha Reddy PG Medal for paper / Case Series Presentation
Prof, K,K, Ramalingam PG Medal for Best Case Presentation
Prof. H. Kishore Chandra Prasad PG Medal for Quiz Competition

Entertainment
Welcome Dinner
Gala Banquet Dinner
Bangalore Local Sight Seeing
Cultural Programs in the Evenings

INTERNATIONAL FACULTY
Paul F. Castellanos, MD
BOARD CERTIFICATION: General Board Certification FLEX June, 1988
American Board of Otolaryngology
(Diplomat) May 9, 1995 # 4235
POSITIONS HELD
Present Director- University of Alabama at Birmingham,UAB Voice and AeroDigestive Centre
Present Associate Professor of Surgery -Division of otolaryngology,University of Alabama , Birmingham
Past Assistant Professor -University of Maryland
Past Director-University Hospital -The AeroDigestive Center-University of Maryland Medical System
Past Director-University of Maryland ,Voice & Swallowing Disorders Center

James Phillip Thomas, M.D.

Dr James spent his early life in Michigan, the son of an anesthesiologist. . After 8 years, B.S and M.D. degree in hand
from Pennsylvania State University, he studied otolaryngology at Southern Illinois University. He continued his
migration westward to Portland, Oregon, opening a general laryngology practice for a brief time before further
specializing. Traveling in Europe and the US, visiting established laryngologists, he designed his own fellowship in
laryngology before embarking on his present career of teaching and practicing laryngology.
He has taught at the university level and continues to offer preceptorships to medical students from Oregon Health Sciences
University. Speech therapists, voice teachers and post graduate fellows from around the world study the subspecialty of laryngology
with him. He frequently travels around the globe in order to teach surgical and diagnostic skills to established otolaryngologists.
His website, voicedoctor.net reaches a global audience of consumers and physicians with information about the voice.

Ashok R. Shaha,
M.D., F.A.C.S., PROFESSOR OF SURGERY
JATIN P. SHAH CHAIR IN HEAD AND NECK SURGERY,
MEMORIAL SLOAN-KETTERING CANCER CENTER

Dr. Shaha is an Attending Surgeon on the Head and Neck Service at Memorial Sloan-Kettering Cancer Center,
Jatin P. Shah Chair in Head and Neck Surgery, and Professor of Surgery at Cornell University Medical College,
New York. Dr. Shaha completed his surgical training in Baroda, India and worked as a House Surgeon at Tata Memorial Hospital,
where he developed an interest in head and neck surgical oncology. After his arrival at Memorial Sloan-Kettering Cancer Center
in 1975, Dr. Shaha did a surgical oncology fellowship and subsequently completed his surgical training at Downstate Medical Center
in Brooklyn, New York. During his post-graduate training, Dr. Shaha secured several gold medals and was given the Golden Apple
Teaching Award at Downstate Medical Center. Other awards Dr. Shaha received include: Faculty Member of the AOA Honor
Medical Society, the Outstanding Teacher Award at Memorial Sloan-Kettering Cancer Center in 1996, the Honor Award from the
American Academy of Otolaryngology/Head and Neck Surgery, and he was named Visiting Professor of the Society of Head and
Neck Surgeons in 1997 and 1998. He has been honored by visiting professorships at University of Santa Tomas, Manila, and Sun
Yat-Sen University Guang Zhou, China. Recently Dr. Shaha was the recipient of the Distinguished Service Award by the American
Academy of Otolaryngology Head and Neck Surgery; he was President of the American Association of Endocrine Surgeons.
Dr. Shaha has been academically active at national and international meetings, with approximately 610 papers, 462 of which are
peer-reviewed (Pubmed and Scopus). He was Chairman of ATCHNO Fellowships in the USA for ten years and recipient of the
Distinguished Service Award by the Head and Neck Society twice.

NATIONAL FACULTY
Kenny Pang
Dr Kenny Pang, an ENT specialist graduated in 1994 from the Faculty of Medicine, National University of
Singapore. He attained his Fellowship exams from both the Royal College of Surgeons in Edinburgh and
Ireland in 1999 and 2002 respectively.He also passed his Masters of Medicine (Otorhinolaryngology) in 2001
He is well trained ENT doctor in treating all forms of sleep disorders, including snoring, obstructive sleep apnoea, insomnia,
narcolepsy, sleep walking, night terrors, bed wetting, and parasomnias.Dr Pang is a fellow of the American Academy of Sleep
Medicine and the American Surgical Modification Task Force. He has published over 25 articles in international peer-reviewed
journals and written over 10 chapters in the various American textbooks. He is a reviewer for the prestigious ENT journal, the
Laryngoscope, the Singapore Medical Journal and the Canadian Medical Journal.In 1993, Dr Pang was awarded the Pathology
Distinction and Margaret Ling Ming Yee Award. He was the first prize recipient of the Young ENT Investigator's Award at the
Annual ENT Society Meeting in 2002.In 2003, he received the Dr Lily Neo/People's Association Appreciation Award.The following
year, Dr Pang received the Ministry of Health, Overseas Specialty Training Program Award. In May 2006, he was awarded the Service
Excellence, Star Award, in Tan Tock Seng Hospital.

Cesare Piazza is an Assistant Professor of the Department of Otorhinolaryngology Head and Neck Surgery at the
University of Brescia, Italy. He received his MD degree at the University of Pavia and he completed his residency
programme in Otolaryngology in Brescia. His clinical and research activities
are focused on head and neck oncology, with special emphasis to laryngeal, tracheal, oral, and reconstructive surgery. Dr. Piazza is
an active member of the European Laryngological Society since 2000 and part of its Scientific Council since September 2010. He is
member of the European Board of Examination for Otorhinolaryngology Head and Neck Surgery since November 2011. He
authored or co-authored 66 papers in peer-reviewed journals as well as 63 book chapters. He delivered 382 proffered papers and
invited lectures in national and international Congresses and Courses. He serves as Editor of the Current Opinion in Otolaryngology
& Head and Neck Surgery journal for the Head and Neck Oncology issue since 2010 and board member since 2013.

Dr Sachin Gandhi S
Dr Sachin Gandhi S is a consultant ENT surgeon, Phonosurgeon and coordinator, dept of ENT,Deenanath Mangeshkar
Hospital and Research Center, since 2002. He is the founder director, Voice and swallowing disorder Clinic Smt
Vimalbai Mutha National Institute & Lazer Science . He is the founder and vice president, Laryngology and Voice
Association and visiting professor , Tri Service General Hospital, Taiwan since 2005.
He has published about 38 papers in different journals and authored books and chapters on lasers in laryngology and Laryngeal trauma
in international publications. He has Organized 13 International Conferences on voice, Airway & Laser Surgeryies Deenanath Mangeshkar
Hospital and Research Center Pune

Dr. Vikas K Agrawal M.S. FCPS, DORL, USMLE, MBBS

President, Indian Association of Surgeons for Sleep Apnea (IASSA) Robotic Sleep Apnea surgeon, Asian Heart Institute,
Mumbai Director, Specialty ENT Hospital, Satyam Tower, Thakur Complex, Kandivali East, Mumbai, 400101. Visiting ENT
con- sultant, Seven Hills hospital, BSES MG Hosp, Mumbai. Special interests snoring and obstructive sleep apnea
professional voice, coblation technology, and functional endoscopic sinus surgery

Dr. M.Mohan Reddy, MBBS, DNB, DLO, MS

Founder,Director and Chief ENT Consultant Nova ENT Hospital & Research Centre,Hyderabad, India. Special
interests -Primarily Focussed in Minimally Invasive Endoscopic ENT Surgical techniques and Laser surgical
techniques in ENT

Dr Bajendra Baser,MBBS,MS
Dr Bajendra baser is an international renowned Rhinoplasty surgeon based in Indore. He is the professor and chief of
ENT Head and neck surgery at Shri Aurobindo Medical College , Indore and Director of Akash Superspeciality Hospital,
Indore. He is very well known across the country for his zeal in teaching and helping the branch of facial plastic surgery
grow in the ENT speciality. He has delivered various key orations and invited talks at national and international forums.
He is a member of board of directors for the Pan Asia Academy of Facial Plastic and Reconstructive Surgery and is currently
incharge in India.
He has written several Research papers on the subject of Rhinoplasty and has authored a widely sold book on Rhinoplasty and is
a chapter author in various publications

Dr Manoj Aggarwal,
Dr Manoj Agarwal is a Consultant ENT Surgeon, based in Kolkata. He is the Director of The Malleus Co, Speciality ENT Clinic.
His special areas of interest include Otology, Neurotology and Lateral Skull Base Surgery and is particularly fond of Imaging
of the Temporal Bone. He was privileged to receive his training in Lateral Skull Base Surgery from Prof Mario Sanna, Italy.
He has a number of International and National Publications and is regularly invited as a guest faculty for talks on imaging
and dissection of the temporal bone.

Pyramid valley is the biggest pyramid shaped meditation hall in the

world, along with being the largest pyramid in Asia
It stands at above 101 feet (31 m). Its base measures 160 ft (49 m) by
160 ft (49 m) with the main meditation area spanning 25,600 sq ft
2
(2,380 m ) It is located 30 km from Banashankari Temple.

Dr. Manoj Manikoth Puthiyaparambil

Dr. Manoj is a Senior ENT Consultant Surgen Based in Kerla He received advanced training at Melbourne Bionic ear
institute Cochlear implantation, Causse Clinic, Beziere France in middle ear surgery, Wurzburg University Hospital
in middle ear implants, Kidwai Institute Bangalore in Head and Neck Surgery.Pioneered as the First cochlear implant
surgeon, Kerala running India's largest pediatric cochlear implant program and most successful in term of outcomes.
Being the owner of MESIARC, India's best equipped ENT Hospital, he runs One of the largest otologic surgery centers in India. He
has to his credit of opening the First Sialendoscopy center in Kerala and performing theFirst Bone bridge implant in India. His
special Interests are in - middle and inner ear surgery, implantation Otology, Sialendoscopy, Head and neck surgery.

REGISTRATION FORM

State / Indian Medical Council

Veg

Non-Veg

Drawn in favor of RRMCH ENT HNS CONFERENCE Payable at Bangalore

Bank Details
DD & Cheque In Favor of RRMCH ENT HNS Conference, State Bank Mysore, Kumbalgodu Bangalore
Account No. 64127388481, IFSC Code : SBMY0040844, MICR Code : 56000 6145
Email : info@southzonebangalore2014.com
Dr. Vishwas K.V Ph : 9902330516
Please send the registration
form along with
D/D or cheque to following

Dr. Vishwas K.V 288, 7thcross,

6th Block, 2nd Stage , Nagarabhavi, Bangalore -72
Email : info@southzonebangalore2014.com
Note : Cancellation Policy
After Sept 1st 50% Refund
After Sept 15th 25 % Refund
After Oct 1st No Refund

For further details please contact

Dr. Praveen Kumar,
Organizing Secratry
Associate Prof Dept of ENT - HNS
Rajarajeswari Medical College & Hospital
Kambipura, Mysore Road, Bangalore
Mob : No. 9611108008
Email : praveendrkumar@gmail.com