ahns 9th international conference on head and neck · pdf fileahns 9th international...

AHNS 9th International Conference on Head and Neck CancerTechnology Transforming Head and Neck Cancer Care

July 16 - 20, 2016Washington State Convention CenterSeattle, WashingtonHeadquarters Hotel: Sheraton Seattle Hotel1400 6th Ave, Seattle, WA

AHNS PRESIDENT: Dennis Kraus, MDCONFERENCE CHAIR: Jonathan Irish, MDPROGRAM CHAIR: Robert L. Ferris, MD, PhDPROFFERED PAPERS CHAIR: Eben Rosenthal, MDPOSTER CHAIR: Cherie-Ann Nathan, MDDEVELOPMENT CHAIR: Bert W. O’Malley Jr., MD

A d v a n c e P r o g r a m

Visit www.ahns2016.org for more information.

2 AHNS 9th International Conference on Head and Neck Cancer · July 16 - 20, 2016 · www.ahns2016.org

Dear Colleagues,

The American Head and Neck Society (AHNS) is pleased to invite you to the AHNS 9th International Conference on Head and Neck Cancer, which will be held July 16-20, 2016 in Seattle, Washington, USA.

The theme is Technology Transforming Head and Neck Cancer Care. The scientific program has been thoughtfully designed to bring together all disciplines related to the treatment of head and neck cancer. Our assembled group of renowned head and neck surgeons, radiologists and oncologists has identified key areas of interest and major topics for us to explore.

You will have a chance to participate in panels, instructional courses, professor lunches and tumor boards. We are certain you will find many topics of interest, and hope you will submit an abstract for presentation and discussion.

Of special note is our exceptional line-up of keynote speakers:

- Robert S. Bell, CM, MSc, MD, FRCSC – Deputy Minister of Health, Province of Ontario, Canada; Former CEO- University Health Network, Toronto; Orthopedic Surgical Oncologist

- Curt Cronin – Founder, Mastery Technologies; Former Leader Navy SEAL Team

- Mike Dowling, CEO – President and CEO, Northwell Health

- Ashok Shaha, MD – Jatin P Shah Chair in Head and Neck Surgery and Oncology Attending Surgeon, Head and Neck Service at Memorial Sloan-Kettering Cancer Center

- Mark Shrime, MD, MPH, PhD – Research Director, Global Surgery and Social Change, Harvard University

- Dave Williams, MD – CEO, Southlake Regional Health Centre; Former NASA/Canadian Space Agency Astronaut

Rounding out the conference is the social program that includes an International Welcome Reception with Exhibitors and an offsite event at the Experience Music Project.

The AHNS International Conference on Head and Neck Cancer has been the world’s pre-eminent meeting for head and neck cancer since its inception in 1984. Please join us along with nearly 2,000 surgeons, oncologists, scientists and allied health professionals from around the globe at our meeting in 2016.

We look forward to seeing you there!

Jonathan Irish, MD, Conference Chair Robert L. Ferris, MD, PhD, Program Chair Dennis Kraus, MD, AHNS President

General Information

Headquarters HotelSheraton Seattle Hotel 1400 6th Avenue, Seattle, WA

Make your AHNS 2016 hotel reservations now!Online Link: Visit http://www.ahns2016.org/housing/Reservations Toll Free: 1-888-627-7056Local Phone: 1-206-621-9000

Steps from Pike Place Market, the Seattle waterfront and Washington State Convention & Trade Center, Sheraton Seattle Hotel is a contemporary urban retreat in the heart of downtown Seattle, Washington. Discover a vibrant destination with innovative hospitality and warm Seattle personality that inspires you to work, play, relax, and connect in the Emerald City.

Technology Transforming Head and Neck Cancer Care · July 16 - 20, 2016 · www.ahns2016.org 3

WHO SHOULD ATTEND- Head and Neck Surgeons- Otolaryngologists- Plastic Surgeons- Surgical and Medical Oncologists- Dentists & Oral Surgeons- Radiation Oncologists- Radiologists- Pathologists- Residents and Fellows- Clinical Investigators- Molecular and Cellular Biologists- Allied Health Professionals

EDUCATIONAL OBJECTIVESThe conference is designed to facilitate discussion on “best practices” in the diagnosis, treatment, and rehabilitation of head and neck cancer patients throughout the world. The participation of Medical Oncologists, Radiation Oncologists, Radiologists, Pathol-ogists and Head and Neck Surgeons will ensure educational interaction within and between specialties that can strengthen multi-disciplinary collaborative relationships.

At the conclusion of the event, participants will be able to

A. Assess and apply therapeutic options for the head, neck and thyroid cancer patient in a multidisciplinary environment, including:• Chemoradiotherapy immunotherapy, and how these treatments impact oncologic

and functional outcomes of patients with advanced head and neck cancer• Novel radiation delivery, and the benefits and drawbacks of methods such as Image

Guided and Proton Therapy (IGRT)• Emerging molecular-targeted agents: their efficacy and role in the treatment of

cancers of the head and neck, including thyroid cancer• Surgical treatments, including the impact of technological breakthroughs

resulting in robotic surgery, image-guided treatment of skull base neoplasms, sentinel node mapping, new powered instrumentation and hemostatic devices as well as endoscopic approaches to the neck and the thyroid gland and new reconstructive approaches

B. Assess emerging research that has lead to better understanding of the pathogenesis of head and neck cancer and its treatment, including:• New imaging breakthroughs for disease detection, pre-treatment staging, and

assessment of treatment response• High throughput laboratory approaches to analyze tumors and biofluids

including whole genome sequencing, cDNA microrrays, array CGH, SNP arrays and integrative genomics

• The significance of human papillomavirus (HPV) elements and or antibodies in tumors and biofluids

• Pre-clinical evaluation of novel therapeutics• Early detection of oral pre-maligancy, cancer and chemopreventative approaches• Newly discovered biomarkers and their utility in treatment selection• In addition, attendees with research careers may also find new collaborators,

develop new research protocols (including clinical trials), participate in and improve existing protocols and trials

C. Assess and apply the process, outcomes, and quality of delivering care to head and neck cancer patients, including:• The value of treatment guidelines including the NCCN and ATA treatment

guidelines in improving patient care• How to measure patient-reported outcomes and maximize their utility• How to establish a surgical quality and performance monitoring program• The importance of examining cost effectiveness when considering novel treatments• The Physician Quality Reporting Initiative (PQRI) in head and neck cancer care • Incorporating quality measurements into trainee/medical student education• The burden of caring for H&N cancer patients in the developing and international

communityD. Recognize the vital role of nurses, speech language pathologists, audiologists,

nutritionists, social workers, pain specialists, mental health practitioners, physical therapists, and dental oncologists in achieving maximal functional outcomes leading to increased interdisciplinary cooperation

AHNS ACCREDITATIONThe American Head & Neck Society is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.The American Head & Neck Society designates this live activity for a maximum of 32.75 AMA PRA Category 1 Credit(s)TM. Physicians should claim only the credit com-mensurate with the extent of their participation in the activity.

General Information

REGISTRATIONRegister online NOW at http://www.cvent.com/d/9fqjyz.

For more information, please visit www.ahns2016.org/registration.

Early Bird Rates end June 24, 2016 at 11:59PM PST.


The American Head and Neck Society (AHNS) invites you and your colleagues to participate in the AHNS 9th International Conference on Head and Neck Cancer. You are encouraged to participate in an outstanding meeting that promises to present the newest scientific findings related to head and neck cancer biology and treatment from a multidisciplinary perspective.

All authors who wish to present papers for the AHNS 9th International Conference on Head and Neck Cancer may submit through a link on the AHNS website (www.ahns2016.org). Abstracts may be selected for either oral or poster presentations. Further details concerning abstract word length, charts/tables and other formatting instructions will be made available on our website.

Authors will be able to designate their abstract for one of the following categories:

Call for Papers

- Cancer Biology- Chemotherapy / Radiation - Education / Care Delivery- Endocrine Surgery- Functional Outcomes / Quality of Life- Health Services Research- Human Papillomavirus- Hypopharynx/Larynx

- Imaging and screening- Immunotherapy- Nasopharynx / Paranasal Sinus / Skull Base- Oral Cavity- Oropharynx- Reconstruction / Microvascular Surgery- Salivary Gland- Skin Cancers

Accepted abstracts will be published in the meeting app. Deadline for abstract submission is Friday, January 8, 2016. We encourage everyone to submit an abstract, whether or not you are a member of the AHNS. For more information, please visit our website at http://www.ahns2016.org/abstracts/.

AHNS SPONSORED AWARDSAll authors are invited to compete for one of the following:

• Robert Maxwell Byers Award in the amount of $1,000 US for the best clinical research paper submitted to the meeting.

• Best Resident Basic Science Research Paper in the amount of $500 US. Only residents in training can compete for this award and must attest that he/she performed at least 80% of the work.

• Best Resident Clinical Paper in the amount of $500 US. Only residents in training can compete for this award and must attest that he/she performed at least 80% of the work.

• Best Prevention and Early Detection Papers in the amount of $500 US for first place and $250 for second place.

Only abstracts selected for Podium Presentation will be eligible for awards. All authors who intend to compete for an award must notify AHNS of their intent at the time of their abstract submission by checking off the award for which they wish to compete. To be considered for the awards noted above, you must also submit a completed manuscript to the AHNS Office by SUNDAY, MAY 1, 2016. Only previously unpublished manuscripts will be considered for awards.

MANUSCRIPT REQUIREMENTSAll abstract submissions are encouraged to submit a manuscript to the AHNS journal, JAMA Otolaryngology – Head & Neck Surgery (formerly Archives of Otolaryngology – Head & Neck Surgery). Papers can be submitted at: http://manuscripts.jamaoto.com/cgi-bin/main.plex

All papers must be complete submissions according to the Journal’s Instructions for Authors.Instructions for JAMA Otolaryngology – Head & Neck Surgery are available at: http://manuscripts.jamaoto.com/cgi-bin/main.plex?form_type=display_auth_instructions


Saturday, July 16, 2016 – Instructional Courses8:00 am - 9:00 am Instructional Courses #1

- Thyroid Nodule Molecular Testing - Assays and Decision Making- Enhancing Roles and Collaborations of PA/Np in H&N Practice - NCI Cooperative Group Trial Portfolios - Novel Agents and Designs- Oropharynx Cancer Management 2016- Nasopharynx Cancer Management 2016- Robotics or Laser for Transoral Surgery- Immunotherapy - New Targets, Agents, and Clinical Trial Data - Skull Base Surgery: Open and Endoscopic Approaches Part 1 (2 hour session)

9:00 am - 10:00 am Instructional Courses #2- Sialoendoscopy - Mining National Databases - Identifying and Managing Alcohol and Tobacco Abuse in the Head and Neck Cancer Patient- Assessment of Treatment Response After Chemoradiotherapy - Parathyroid Disease - Preventing Dysphagia - Using ATA 2015 Guidelines- Skull Base Surgery: Open and Endoscopic Approaches Part 2 (2 hour session)

10:00 am - 10:30 am Break in Foyer10:30 am - 11:30 am Instructional Courses #3

- Robotic Surgery for Oropharyngeal and Laryngeal Cancer - Biomarkers and Signature Therapeutics: Integrating into Clinical Practice - Epidemiology, Biology and Detection of HPV in Head and Neck Cancer - Management of Pre-Malignant Lesions of the Head and Neck - Comprehensive Management of Melanoma of the Head and Neck - Innovations in Dysphagia Management - How to Establish a Surgical Quality and Performance Monitoring Program - State of the Art in Mandibular and Maxillary Reconstruction

11:30 am - 1:00 pm Lunch on Own1:00 pm - 2:00 pm Instructional Courses #4

- Transoral Laser Surgery for the Pharynx and Larynx - Immunology/Immunotherapy in Head and Neck Cancer - Using HPV Status in the Clinic - New Developments in Systemic Therapy - Thyroid Cancer: Early and Advanced - How to Establish a Survivorship Program - MOC in Head and Neck Cancer Care: the American Board of Oto perspective - State of the Art Pharyngoesophageal and Tracheal Reconstruction

2:00 pm - 3:00 pm Instructional Courses #5- New Technology for Thyroid and Parathyroid Surgery - Engaging Surgeons in Multicenter Randomized Trials - Salivary Gland Malignancy - Imaging: Current Guidelines and Standards and Future Developments - Non-Melanoma Skin Cancer: Novel Therapies, Surgery and Reconstruction - Toolbox: Measurement of Function and Patient-Reported Outcomes- Integrating Palliative Care into the Management of Patients with Recurrent or Advanced HNC - Decision Making in Larynx Cancer - Early, Intermediate and Advanced Stage Disease

3:00 pm - 3:30 pm Break in Foyer

Advance Program


3:30 pm - 4:30 pm Instructional Courses #6- Sentinel Lymph Node Biopsy: Indications, Technique and Pitfalls - “Doing Research”: Setting up a Clinical and Translational Research Program - Management of the Facial Nerve in Parotid Malignancy - Radiation Therapy Advances - Video Assisted Thyroidectomy and Parathyroidectomy - Measuring Swallowing Function - Using Social Media and the Internet in a Head and Neck Practice - New Technologies and Developments in Head and Neck Reconstruction

8:00 am - 11:45 am Thyroid and Parathyroid Resident Course (for residents & fellows only) Non-CME Activity

12:00 pm - 5:00 pm Robotics Course A Non-CME Activity

Sunday, July 17, 20168:00 am - 9:00 am Opening Ceremony

9:00 am - 9:45 am John J. Conley LectureRobert S. Bell, CM, MSc, MD, FRCSCDeputy Minister of Health, Province of Ontario, Canada; former CEO-University Health Network, Toronto; Orthopedic Surgical Oncologist

9:45 am - 10:15 am The New York Society LectureMike DowlingPresident and CEO Northwell Health

10:00 am - 4:00 pm Exhibit Hall Open

10:15 am - 10:45 am Break in Exhibit Hall

10:45 am - 12:15 pm Panels or Proffered Papers- Panel: Imaging and Head and Neck Cancer: Pretreatment Assessment and Intraoperative Technology- Panel: Genomics and Personalized Medicine Technology Guiding Head and Neck Cancer Care - Panel: Sinonasal and Skull Base Surgery: Technology Advancing the Frontiers - Proffered Papers: Best of Clinical I - Proffered Papers: Robotics- Proffered Papers: Thyroid/Parathyroid - Proffered Papers: Outcomes

12:15 pm - 1:45 pm Lunch on OwnOR 12:30 pm - 1:30 pm Lunch with the Professors or Tumor Boards A

- NCCN Guidelines- Skull Base Imaging for the Endoscopic Surgeon - Debate - Do we change treatment of HPV+ disease yet?

Or What is the ideal treatment algorithm for HPV+ OPC? - Behavioral Science in Head and Neck Cancer - Debate - Extent of Surgery in Thyroid Cancer - Tumor Board: Melanoma - Tumor Board: Oral Cavity - Tumor Board: NPC

Advance Program

A indicates separate fee


1:45 pm - 3:15 pm Panels or Proffered Papers- Panel: Technology for Assessment of the N0 Neck-Sentinel Node Lymphiscintigraphy and Ultrasound- Panel: Functional Rehabilitation of the Head and Neck Cancer Patient - Consider Case-Based - Panel: Technologies Transforming Parathyroid Surgery - Proffered Papers: Best of Basic Science - Proffered Papers: Robotics - Proffered Papers: Immunotherapy/Metastasis - Proffered Papers: Nasopharynx

3:15 pm - 3:45 pm Break in Exhibit Hall

3:45 pm - 5:15 pm Panels or Proffered Papers - Panel: Technology for Imaging Assessment after Head and Neck Cancer Treatment - Panel: Head and Neck Cancer Care: Challenges and Technological Barriers Across the World - Panel: Salivary Gland Malignancy - Proffered Papers: Oropharynx - Proffered Papers: Larynx/Hypopharynx - Proffered Papers: Tumor Immunology/Virology - Proffered Papers: Reconstruction

5:30 pm - 6:30 pm Poster Preview Session

6:30 pm - 8:30 pm International Welcome Reception with Exhibitors

Monday, July 18, 20167:30 am - 8:30 am Jatin P. Shah Symposium

8:30 am - 9:00 am AHNS Awards Ceremony

9:00 am - 9:45 am AHNS Presidential Address & Presidential CitationsDennis Kraus, MDDirector, Center for Head & Neck Oncology New York Head & Neck Institute North Shore-LIJ Cancer Institute

9:45 am - 10:30 am Keynote LectureDave Williams, MDCEO, Southlake Regional Health Centre; former NASA/Canadian Space Agency Astronaut

10:30 am -10:45 am Break in Exhibit Hall

10:00 am - 4:00 pm Exhibit Hall Open

10:45 am - 12:15 pm Panels or Proffered Papers- Video Sessions: How I Do It- Panel: Evolving Role of Induction Chemotherapy- Panel: Changing Landscape in Management of Thyroid Cancers- Panel: The Current Management of Melanoma: A Multidisciplinary Approach- Proffered Papers: Basic Science - Proffered Papers: New Therapeutic Targets - Proffered Papers: Oropharynx - Proffered Papers: Skull Base

Advance Program


12:30 pm - 1:30 pm Lunch with the Professors or Tumor Boards A- Management of Combined Modality Toxicities- Value Based Oncology and Clinical Pathways- Targeted Agents and Immunotherapies in 2016 - Functional Imaging - Prospective Trials in Head and Neck Cancer- Tumor Board: Pharynx/Larynx- Tumor Board: Thyroid- Tumor Board: Reducing Morbidity in Endoscopic Skull Base Procedures

12:15 pm - 1:45 pm Lunch on Own1:45 pm - 3:15 pm Panels or Proffered Papers

- Panel: New Targeted Therapies in Head and Neck Cancer- Panel: Concurrent Chemoradiotherapy: Controversies- Panel: HPV: Epidemiology, Behavior, Prevention and Clinical Implications - Proffered Papers: Sentinel Node/N0 Neck - Proffered Papers: Education - Proffered Papers: Risk Factors/Cancer Control - Proffered Papers: Salivary Gland

3:15 pm - 3:45 pm Lunch on Own3:45 pm - 5:15 pm Panels or Proffered Papers

- Panel: Management of Advanced Oropharyngeal Cancer in the Era of HPV and TORS- Panel: Adjuvant Postoperative Therapy - Panel: Quality Improvement in Head and Neck Cancer Care- Proffered Papers: Reconstruction - Proffered Papers: Cancer Biology - Proffered Papers: Cancer Screening/Detection - Proffered Papers: Potpourri

5:30 pm - 6:30 pm Poster Session with Wine & Cheese

Tuesday, July 19, 20167:30 am - 9:00 am Milton J. Dance Symposium: Optimizing Survivorship – Prevention Through Late Effects9:15 am - 10:00 am Hayes Martin Lecture

Ashok Shaha, MDJatin P. Shah Chair in Head and Neck Surgery and OncologyAttending Surgeon, Head and Neck Service at Memorial Sloan-Kettering Cancer Center

10:00 am - 10:30 am Break in Exhibit Hall 10:00 am - 4:00 pm Exhibit Hall Open10:30 am - 12:00 pm Panels or Proffered Papers

- Panel: Nasopharyngeal Cancer - Panel: New Approaches in Radiation Therapy - Panel: Current Management of Oral Cavity Cancer - Proffered Papers: Oropharynx/HPV - Proffered Papers: Cancer Biology and Stem Cells - Proffered Papers: Epidemiology - Proffered Papers: Best of Clinical II

12:00 pm - 1:30 pm Lunch on Own 12:15 pm - 1:15 pm AHNS Business Meeting For AHNS members only

Advance Program

A indicates separate fee


1:30 pm - 3:00 pm Panels or Proffered Papers- Panel: Genomics and Genetics in Evaluation of Thyroid Nodules - Panel: State-Of-The Art Management of Oropharyngeal Cancer - Panel: Targeted Therapeutics and Translational Research - Proffered Papers: Cancer Imaging - Proffered Papers: Oral Cavity- Proffered Papers: Thyroid - Proffered Papers: Cancer Biology of Invasion/Metastasis

10:00 am - 10:30 am Break in Exhibit Hall 3:30 pm - 5:00 pm Panels or Proffered Papers

- Panel: Systemic Therapy for Rare Head and Neck Cancers - Panel: Management of Larynx/Hypopharynx Cancer - Panel: Challenges in Head and Neck Reconstruction: Now and the Future - Proffered Papers: Radiotherapy - Proffered Papers: Oral Cavity - Proffered Papers: Quality/Outcomes - Proffered Papers: New Therapeutic Targets

7:00 pm - 9:00 pm AHNS President’s Reception at Experience Music Project

Wednesday, July 20, 20167:45 am - 8:00 am Closing Comments8:00 am - 8:45 am Keynote Lecture

Curt CroninFounder, Mastery Technologies; Former Leader Navy SEAL Team

9:15 am - 9:30 am Break in Foyer 8:45 am - 9:15 am Christopher O’Brien Lecture: “The Right to Look Human – Head and Neck Surgery in the Developing World”

Mark Shrime, MD, MPH, PhDResearch Director, Global Surgery and Social Change Harvard University

9:30 am - 11:00 am Panels or Proffered Papers- Panel: Actionable Therapy Based on TCGA Data- Panel: The Science of HPV- Panel: Management of the Neck: New and Emerging Issues - Proffered Papers: Thyroid/Parathyroid - Proffered Papers: Larynx - Proffered Papers: Reconstruction - Proffered Papers: Imaging

11:00 am - 12:30 pm Panels or Proffered Papers- Panel: Future Immunotherapeutic Developments for Head and Neck Cancer- Panel: Management of the Head and Neck Surgical Career- Panel: Robotics in Head and Neck Cancer Surgery- Proffered Papers: Outcomes/Quality of Life - Proffered Papers: Cancer Biology - Proffered Papers: Immunology/Immunotherapy - Proffered Papers: Oral Cavity

Advance Program


REGISTRATION INFORMATION: (All fields below required to process registration.)

First/Given Name: MI: Last/Family Name: Degrees:

Address:

City: State/Province:

Zip/Postal Code: Country:

Phone (country code, city/area code, phone #): Fax (country code, city/area code, phone #):

Email Address: Institution: Title:

Please indicate your type of practice:o Head & Neck Surgeon o Otolaryngologist o Plastic Surgeon o Surgical Oncologist o Medical Oncologist o Dentist o Oral Surgeon o Radiation Oncologist o Radiologist o Pathologist o Clinical Investigator o Molecular & Cellular Biologist o Allied Health Professional o Other

STEP 1: CIRCLE YOUR

REGISTRATION OPTION

P H Y S I C I A N S A L L I E D H E A L T H

AHNS MEMBER NON-MEMBER RESIDENT, FELLOW OR MEDICAL STUDENT

NURSE OR PHYSICIAN’S ASSISTANT

SCIENTIST, ENGINEER OR PhD

Early Bird Rate $795 $900 $565 $565 $665

After June 24, 2016 $890 $995 $660 $660 $760

SUBTOTAL:

Conference Registration includes: Optional Instructional Courses, continental breakfast each day, breaks, Welcome Reception, Poster Session with Wine and Cheese, President’s Reception, and Milton Dance Symposium.

STEP 2: RSVP FOR INCLUDED EVENTS

o Instructional Courses #1 Saturday, July 16, 2016 8:00 am - 9:00 am PST

Please select which course you would like to attend:o Thyroid Nodule Molecular Testing - Assays and Decision Makingo Enhancing Roles and Collaborations of PA/Np in H&N Practiceo NCI Cooperative Group Trial Portfolios - Novel Agents and Designso Oropharynx Cancer Management 2016

o Nasopharynx Cancer Management 2016o Robotics or Laser for Transoral Surgeryo Immunotherapy - New Targets, Agents, and Clinical Trial Datao Skull Base Surgery: Open and Endoscopic Approaches Part 1

(2 hour session)


Please select which course you would like to attend:o Sialoendoscopyo Mining National Databaseso Identifying and Managing Alcohol and Tobacco Abuse

in the Head and Neck Cancer Patiento Assessment of Treatment Response After Chemoradiotherapy

o Parathyroid Diseaseo Preventing Dysphagiao Using ATA 2015 Guidelineso Skull Base Surgery: Open and Endoscopic Approaches Part 2

(2 hour session)


Please select which course you would like to attend:o Robotic Surgery for Oropharyngeal and Laryngeal Cancero Biomarkers and Signature Therapeutics: Integrating into Clinical

Practiceo Epidemiology, Biology and Detection of HPV in Head and Neck Cancero Management of Pre-Malignant Lesions of the Head and Neck

o Comprehensive Management of Melanoma of the Head and Necko Innovations in Dysphagia Managemento How to Establish a Surgical Quality and Performance Monitoring

Programo State of the Art in Mandibular and Maxillary Reconstruction

o Instructional Courses #4 Saturday, July 16, 2016 1:00 pm - 2:00 pm PST

Please select which course you would like to attend:o Transoral Laser Surgery for the Pharynx and Larynxo Immunology/Immunotherapy in Head and Neck Cancero Using HPV Status in the Clinico New Developments in Systemic Therapy

o Thyroid Cancer: Early and Advancedo How to Establish a Survivorship Programo MOC in Head and Neck Cancer Care: The American Board of Oto

perspectiveo State of the Art Pharyngoesophageal and Tracheal Reconstruction


Please select which course you would like to attend:o New Technology for Thyroid and Parathyroid Surgeryo Engaging Surgeons in Multicenter Randomized Trialso Salivary Gland Malignancyo Imaging: Current Guidelines and Standards and Future Developmentso Non-Melanoma Skin Cancer: Novel Therapies, Surgery and

Reconstruction

o Toolbox: Measurement of Function and Patient-Reported Outcomeso Integrating Palliative Care into the Management of Patients with

Recurrent or Advanced HNCo Decision Making in Larynx Cancer - Early, Intermediate and

Advanced Stage Disease


Please select which course you would like to attend:o Sentinel Lymph Node Biopsy: Indications, Technique and Pitfallso “Doing Research”: Setting up a Clinical and Translational Research

Programo Management of the Facial Nerve in Parotid Malignancyo Radiation Therapy Advances

o Video Assisted Thyroidectomy and Parathyroidectomyo Measuring Swallowing Functiono Using Social Media and the Internet in a Head and Neck Practiceo New Technologies and Developments in Head and Neck Reconstruction

o Thyroid and Parathyroid Resident Course – Saturday, July 16, 2016 – 8:00 am - 11:45 am PST **For Residents and Fellows only

o I plan to attend the International Welcome Reception with Exhibitors – Sunday, July 17, 2016 (RSVP required)

o I plan to attend the AHNS President’s Reception at Experience Music Project – Monday, July 18, 2016 (RSVP required)

Registration Form – Page 1AHNS 9th International Conference on Head and Neck CancerJuly 16 - 20, 2016 · Washington State Convention Center · Seattle, WA


STEP 3: REGISTER FOR EVENTS NOT INCLUDED IN YOUR SELECTED OPTION FEE

o Transoral Surgery for Head and Neck Pathology Robotics Course – Saturday, July 16, 2016 – 12:00 pm – 5:00 pm $100

o Lunch with the Professors or Tumor Boards Sunday, July 17, 2016 12:30 pm – 1:30 pm PST

Please select the Lunch you will be attending: o NCCN Guidelineso Skull Base Imaging for the Endoscopic Surgeono Debate - Do we change treatment of HPV+ disease yet?

Or What is the ideal treatment algorithm for HPV+ OPC?

o Behavioral Science in Head and Neck Cancero Debate - Extent of Surgery in Thyroid Cancero Tumor Board: Melanomao Tumor Board: Oral Cavityo Tumor Board: NPC

$75

o Lunch with the Professors or Tumor Boards Monday, July 18, 2016 12:30 pm – 1:30 pm PST

Please select the Lunch you will be attending: o Management of Combined Modality Toxicitieso Value Based Oncology and Clinical Pathwayso Targeted Agents and Immunotherapies in 2016o Functional Imaging

o Prospective Trials in Head and Neck Cancero Tumor Board: Pharynx/Larynxo Tumor Board: Thyroido Tumor Board: Reducing Morbidity in

Endoscopic Skull Base Procedures

$75

SUBTOTAL:

STEP 4: REGISTER ANY ACCOMPANYING PERSONS FEE

Guest Registration includes: continental breakfast each day, breaks, Welcome Reception, President’s Reception, and access to the Spouse’s Lounge.

GUEST 1 NAME: _____________________________________________________ EMAIL: _______________________________________________________________________$325

o I plan to attend the International Welcome Reception with Exhibitors – Sunday, July 17, 2016 (RSVP required)o I plan to attend the AHNS President’s Reception at Experience Music Project – Monday, July 18, 2016 (RSVP required)

GUEST 1 NAME: _____________________________________________________ EMAIL: _______________________________________________________________________$325

o I plan to attend the International Welcome Reception with Exhibitors – Sunday, July 17, 2016 (RSVP required)o I plan to attend the AHNS President’s Reception at Experience Music Project – Monday, July 18, 2016 (RSVP required)

SUBTOTAL:

STEP 5: LATE REGISTRATION FEES (IF APPLICABLE) FEE

o Onsite Registration Fee: On or After July 16, 2016 $125

SUBTOTAL:

TOTAL AMOUNT DUE:

Special Services:

Payment:

o Check (Payable to the American Head and Neck Society)o Credit Card (AHNS accepts only Visa, Mastercard, and American Express)

Card #: Exp. Date: Verification Code: (Visa/MC 3 Digits on the Back of the card. Amex: 4 Digits on the Front of the card.)

Cardholder’s Name: Cardholder’s Signature:

MAIL OR FAX THIS REGISTRATION FORM WITH FULL PAYMENT TO:Meeting Registrar | The American Head and Neck Society11300 W. Olympic Blvd., Suite 600, Los Angeles, CA 90064 Phone: +1-310-437-0559, ext. 128 • Fax: +1-310-437-0585

Registration Form – Page 2AHNS 9th International Conference on Head and Neck CancerJuly 16 - 20, 2016 · Washington State Convention Center · Seattle, WA

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