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In Conjunction With The Art Of Head and Neck Cancer Management 23—25 March 2017 Bali International Convention Centre, Indonesia For more details, please visit : www.ashnocongress2017.com 5 th ORL Head And Neck Conference & 2 nd Congress Of Indonesian Head And Neck Oncologist Society 5 th CONGRESS OF ASIAN SOCIETY OF HEAD AND NECK ONCOLOGY (ASHNO)

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In Conjunction With

The Art Of Head and Neck Cancer Management

23—25 March 2017 Bali International Convention Centre, Indonesia

For more details, please visit : www.ashnocongress2017.com

5th ORL Head And Neck Conference &

2nd Congress Of Indonesian Head And Neck Oncologist Society

5th CONGRESS OF ASIAN SOCIETY OF

HEAD AND NECK ONCOLOGY

(ASHNO)

5th CONGRESS OF ASIAN SOCIETY OF

HEAD AND NECK ONCOLOGY

(ASHNO)

Dear Delegates, Colleagues, and Friends

Bali, known also as “the Island of Gods”, is one of more than 17.000 islands in the Indonesian archi-

pelago. A tropical paradise that feels like a fantasy, where you can soak up underneath the sun on

a fine stretch of the white sand, or commune with the tropical creatures. A blend of spectacular

mountain sceneries and beautiful beaches with warm and friendly people. For these reasons, we

would like to invite you all to explore the magical and mystical Bali where we host the 5th Congress

of Asian Society of Head Neck Oncology in conjunction with 5th Otorhinolaryngology Head and

Neck Oncology and with 2nd Indonesian Oncologist Head and Neck Society .

Bali’s cultural and natural diversity has inspired the Organizing Committee to choose the theme of

this conference as “The Arts of Head and Neck Cancer Management “. The management of Head

and Neck Cancer are multidiscipline, multimodality, yet personalized. Therefore, special tasks and

knowledge are needed to treat the patients, such as skill from physic, psychology, empathy mak-

ing our effort a special art form in its own respect.

The goal of the Conference is to bring together international groups of experts of Head and Neck

Surgeons from ENT and surgical Oncology, radiologist, histopathologist, radiation Oncologist,

medical Oncologist, nutritionist, rehabilitation and others to deepen our understanding of the

disease in order to ease the patient’s burden and at the same time improve the outcome for pa-

tients with Head and Neck Cancers.

We have accumulated interesting scientific programs that will cover a wide range of sub-themes and selected topics related to Head and

neck cancer. The Conference will be a catalyst for further interaction and collaboration among the participants. Organizing Committee will

select the best 3 from U-40 research and case report, also for poster research and case report.

We hope that you will enjoy the conference and have a memorable time

To our foreign participants, I would like to wish you “ Selamat Datang” or a warm welcome, to Indonesia and particularly to the island of

Bali, the world’s favorites destination for business, leisure and fun.

Marlinda Adham, MD., PhD

Chairman, Organizing Committee

5th Congress of Asian Society Head and Neck Oncology

5th Congress of ORL-Head and Neck Oncology

2nd Congress of Indonesian Oncologist Head and Neck Society

Welcome Message

5th CONGRESS OF ASIAN SOCIETY OF

HEAD AND NECK ONCOLOGY

(ASHNO)

Dear Friends and Colleagues,

On behalf of the International Federation of Head and Neck Oncologic Societies it is

my distinct pleasure to invite you to the “5th Congress of Asian Society of Head and

Neck Oncology (ASHNO) in conjuction with 5th Congress of ORL-Head and Neck On-

cology, and 2nd Congress of Indonesian Head and Neck Oncologist Society” at Bali

International Convention Center Indonesia from March 23-25, 2017

Distinguished International speakers will share groundbreaking research findings and

present original scientific works on the state of the art and new developments, cover-

ing a broad range of topics in Head and Neck Oncology. The format of the meeting will

encourage interaction between all health care professionals and trainees from our

specialty as well as from allied fields interested in Head and Neck Cancer, diagnosis,

treatment, outcomes and frontiers in research. This feast of scientific and educational

sessions planned during the congress will give you an excellent opportunity, to learn

and Exchange ideas and information in the frontiers of Head and Neck Oncology.

In addition our hosts have planned a wonderful social program showcasing the warm Indonesian hospitality with mouth watering cuisine,

art and culture. Bali, the most precious of the 17000 islands in the Indonesian archipelago,is truly a Paradise on earth, offering an exciting

and wonderful destination for rest and relaxation for you and your family. The Balinese art and history as well as the beauty of the beaches

on this island are second to none. We hope that you will consider not only attending the congress but bringing your family to enjoy the

amazing touristic pleasures and hospitality that Bali offers.

The International Federation of Head and Neck Oncologic Societies (IFHNOS), takes great pride in this congress of ASHNO and Indonesian

Societies, organized by our Asian colleagues for the whole world to attend, enjoy and renew our friendships. I look forward to seeing you in

Bali.

Professor Jatin Shah, MD, PhD(Hon), DSc(Hon), FACS, FRCS(Hon), FDSRCS(Hon), FRCSDS(Hon), FRACS(Hon)

Professor of Surgery, Memorial Sloan Kettering Cáncer Center, New York.

CEO, IFHNOS

Welcome Message from IFHNOS

5th CONGRESS OF ASIAN SOCIETY OF

HEAD AND NECK ONCOLOGY

(ASHNO)

Welcome to Asian Society of Head & Neck Oncology (ASHNO).

ASHNO is a multi-disciplinary society for head & neck oncology, which was initiated in 2008

by the strong leadership of Prof. Hao, the founding president & general secretary.

By the recent advances in medical sciences and technologies, now, multi-

disciplinary approaches are required to enable the personalized therapy for the individual

patients with head and neck cancers. As well known, head and neck cancers in Asian coun-

tries show different biological behaviors and characters from western countries in various

aspects. Thus, it is really an important idea that all the countries in the Asian region get gath-

er and share our experiences and knowledge, in order to boost up our clinical practice to the

next level, to promote clinical and basic researches and to raise the next generations.

Scientific meeting has been held every 2 year. First congress was held in Taipei

(Taiwan 2009), 2nd in Goa (India 2011), 3rd in Cebu (Philippines 2013) and 4th in Kobe (Japan

2015). 5th congress will be held in Bali March 23 to 25, 2017 by the host of Prof. Marlinda

Adham. I am looking forward to see many of you again in the beautiful island!

Ken-ichi Nibu, MD, PhD

President, Asian Society of Head and Neck Oncology

Professor and Chairman

Department of Otolaryngology-Head and Neck Surgery

Kobe University Graduate School of Medicine

Welcome Message from President of ASHNO

5th CONGRESS OF ASIAN SOCIETY OF

HEAD AND NECK ONCOLOGY

(ASHNO)

ASHNO COMMITTEE MEMBERS

President Prof. Ken-ichi Nibu Founding President Prof. Sheng-Po Hao Second President Prof. Anil D’Cruz Third President Prof. Alfredo Pontejos Jr President Elect Marlinda Adham, MD., Ph.D Secretary General Prof. Sheng-Po Hao Financial Committee Chair Prof. Chih-Yen Chien

Scientific Committee Chair Prof. Dan M. Fliss International affair Committee Chair Uttam K. Sinha, MD Board Members Prof. Abdullah T Al-Otieschan Prof. Anil D’Cruz Prof. Baharudin Abdullah Balwant Singh Gendeh, MD., PhD Prof. Bambang Hermani Prof. Belayat Hossain Siddiquee Choakchai Metheetrirut, MD Prof. Christopher Goh Chung Hwan Baek, MD., PhD Prof. Eun Chang Choi Jeannette MS Matsuo, MD Prof. Khee Chee Soo Prof. Kwang Hyun Kim

Liang Zhou, MD., Ph.D Marlinda Adham, MD., Ph.D Mohd Razif Mohmmad Yunus, MD., Ph.D Mu-Kuan Chen, MD., Ph.D Pankaj Chaturvedi, MD., Ph.D Phakdee Sannikorn, MD Prof. Primuharsa Putra Bin Sabir Husin Ryuichi Hayashi, MD Satoshi Fukuda, MD., Ph.D Prof. Seiji Kishimoto Shenoy Ashok, MD., Ph.D William I Wei, MD Ziv Gil, MD Observer Randal P Morton, MD

LOCAL ORGANIZING COMMITTEE

HONORARY CHAIR Soekirman Soekin, MD (President of Indonesian Otorhinolaryngology Head and Neck Society)

Dimyati Achmad, MD., Ph.D (President of The Indonesian Society of Surgical Oncology) Sonar Soni Panigoro, MD., Ph.D (President of Indonesian Head and Neck Oncologist Society)

Prof. Aru W Sudoyo (President Indonesian Oncology Society) Prof. Soehartati Gondhowiardjo (President of Indonesian Oncology Radiation Society)

Prof. I Bing Tan (Maastricht University Medical Center, Netherlands)

HONORARY PRESIDENT Prof. Bambang Hermani (Chairman of Indonesian ORL Head and Neck Collegium)

CHAIRMAN Marlinda Adham, MD., Ph.D VICE CHAIRMAN Sonar Soni Panigoro, MD., Ph.D I Gde Ardika Nuaba, MD SECRETARY Yussy Afriani Dewi, MD., Ph.D Diani kartini, MD TREASURER Ika Dewi Mayangsari, MD SCIENTIFIC Coordinator : Samuel Haryono, MD., Ph.D Achmad Chusnu Romdhoni, MD., Ph.D Achmad Kurnia, MD Denni Djoko Purwanto, MD Dindy Samiadi, MD., F.AAOHNS Djumhana Atmakusuma, MD., Ph.D Erwin Daniel, MD Farhat, MD., Ph.D Kiki Rizki, MD Lisnawati, MD Noorwati Sutandyo, MD., PhD Ramadhan Karsono, MD Samuel Haryono, MD., Ph.D Sri Mutya, MD., Ph.D Sukri Rahman, MD

Wayan Sudarsa, MD Prof. Widodo Ario Kentjono Zainal Adhim, MD., Ph.D Eka Putra Setiawan, MD Zanil Musa, MD Diani kartini, MD FLOOR MANAGER Coordinator : Ibnu Haris Fadillah, MD Nina Irawati, MD Mirta Hediyati, MD, PhD Ketut Suanda, MD Budi Setiawan, MD REGISTRATION Coordinator : Fauziah Fardizza, MD., Ph.D Ariel Anugrahani, MD Yulvina Djamil, MD Ichsan Juliansyah, MD FUNDING Coordinator : Drajat Ryanto Suardi, MD Prof. Abdul Kadir Armiyanto, MD Averdi Roezin, MD Cosphiadi Irawan, MD., Ph.D Prof. Masrin Munir

HOTEL ACCOMMODATION Coordinator : MTS Agus Rudi Astuta, MD Budi Setiawan, MD Widiana, MD PHYSICAL ARRANGEMENTS AND TRADE EXHIBITIONS Coordinator : MTS I Dewa Gde Artha, MD IGN Gunawan Wibisana, MD EQUIPMENT AND AUDIOVISUAL Agung Dinasti Permana, MD Chippy Ahwil, MD Wayan Sucipta, MD Wiranada, MD SECURITY SECTION Diah Yamini, MD DOCUMENTATION AND PUBLICATION Ionian Gentilis, MD IGN Gunawan, MD Tut Wuri Handayani, MD

SOCIAL PROGRAM Coordinator: MTS Giselle, MD Nadia, MD Putu Andatusta, MD Rizalina Asnir, MD Made Ratnawati, MD Sari Wulan, MD Nani Iriani Djufri, MD., Ph.D Sagung Rai Indrasari, MD., PhD Wawan Turtiyasa, MD Manik Yuniati Wetan, MD TRANSPORTATION Andi Dwi Saputra, MD

Abdul Kadir (Indonesia)

Ahmad C Romdoni (Indonesia)

Akihiro Shiotani (Japan)

Alfredo Pontejos (Philippine)

Andika (Indonesia)

Anil D'Cruz (India)

Ashok M. Shenoy (India)

Ashok Shaha (United State)

Avatar Singh (Malaysia)

Bachtiar (Indonesia)

Baharudin Abdullah (Malaysia)

Bambang Hermani (Indonesia)

Belayat Hossain Siddique (Bangladesh)

Birgitta M Dewayani (Indonesia)

Chen Chi Wang (Taiwan)

Chih-Yen Chien (Taiwan)

Choackchai Metheetrairut (Thailand)

Chospiadi Irawan (Indonesia)

Christopher Goh (Singapore)

Chul Ho Kim (Taiwan)

Chung Hwan Baek (South Korea)

Chwee Ming Lim (Singapore)

Dan M Fliss (Israel)

Denny Joko (Indonesia)

Desak (Indonesia)

Diani Kartini (Indonesia)

Dimyati Ahmad (Indonesia)

Dindy Samiadi (Indonesia)

Drajat Ryanto Suardi (Indonesia)

Dwi Antono (Indonesia)

Dwi Hari Susilo (Indonesia)

Eka Yudha (Indonesia)

Elvie Zulka (Indonesia)

Erik Schuurman (Netherland)

Erwin Daniel (Indonesia)

Eugene Myers (United State)

Farhat (Indonesia)

Fauziah Fardizza (Indonesia)

Fiastuti (Indonesia)

Fiza (Malaysia)

Frederik Kuhuwael (Indonesia)

Fu Ming Fang (Japan)

Harim Priyono (Indonesia)

Harold Heah Wei (Singapore)

Hashikawa (Japan)

Hiro Takashinomia (Japan)

I B Tjakra Wibawa (Indonesia)

I Bing Tan (Netherlands)

I Gde Ardika Nuaba (Indonesia)

I Wayan Sudarsa (Indonesia)

Ichiro Tateya (Japan)

Ika Dewi Mayangsari (Indonesia)

Imam Prabowo (Indonesia)

Indrati (Indonesia)

Jatin Shah (United State)

Javier Gavillan (Spain)

Jeannette Marie S Matsuo (Philippine)

Jenn Ren Hsiao (Taiwan)

Jeong Pyo Bong (Korea)

Johan Fagen (Indonesia)

Jyoti (India)

Kang Dae Lee (South Korea)

Kee Hwan Kwon (Korea)

Ken-ichi Nibu (Japan)

Khee Chee Soo (Singapore)

Kiki Rizki (Indonesia)

Ku Hao-Fang (Taiwan)

Kwang Hyun Kim (South Korea)

Kyung Tae (South Korea)

Liang Zou (Taiwan)

Maman Abdurahman (Indonesia)

Mangalpady Poornima Shenoy (India)

Marina Mat Baki (Malaysia)

Marlinda Adham (Indonesia)

Massany Mansor (Malaysia)

Min Han Kong (Malaysia)

Min Shik Kim (Korea)

Mohd. Razif M Yunus (Malaysia)

Muchlis Ramli (Indonesia)

Muhtarum Yusuf (Indonesia)

Nguyen Quang Trung (Vietnam)

Noorwati (Indonesia)

Pandji Irani (Indonesia)

Pankaj Chaturvedi (India)

Parintosa (Indonesia)

Peng Yuan Chu (Taiwan)

Phakdee Sannikorn (Thailand)

Phil Sang Chung (Korea)

Prathamesh Pai (India)

Prepageran Narayanan (Indonesia)

Raymond Tsang (Hong Kong)

Ria Trimartani (Indonesia)

Robert L Ferris (United State)

Ryuichi Hayashi (Japan)

Sagung Rai Indrasari (Indonesia)

Samuel Haryono (Indonesia)

Sarbani Ghosh Laskar (India)

Se-Heon Kim (United State)

Seiji Kishimoto (Japan)

Sheng-Po Hao (Taiwan)

Soehartati Argadikoesoema (Indonesia)

Soekirman Soekin (Indonesia)

Sofia Mubarika (Indonesia)

Sonar Soni Panigoro (Indonesia)

Sri Susilowati (Indonesia)

Sugimoto (Japan)

Sukri Rahman (Indonesia)

Sunarto Reksoprawiro (Indonesia)

Susyana Tamim (Indonesia)

Suyatno (Indonesia)

Syahrial Hutahuruk (Indonesia)

Takahiro Asakage (Japan)

Tomokazu Yoshizaki (Japan)

Umamaherwar Duvvury (United State)

Uttam K Sinha (United State)

Widodo Ario Kentjono (Indonesia)

Willy Yusmawan (Indonesia)

Yi Shing Leu (Taiwan)

Yoon Woo Koh (Korea)

Young Mo Kim (Korea)

Yussy Afriani Dewi (Indonesia)

Zanil Musa (Indonesia)

Ziv Gil (Israel)

Speakers and Chairs

Scientific Program

Wednesday, March 22nd 2017

Day 2

Friday, March 24th 2017

Day 3

Saturday, March 25th 2017

Day 1

Thursday March 23rd 2017

For more details, please visit : www.ashnocongress2017.com

CALL FOR ABSTRACTS Online Abstract Submission Open September 1st 2016

Online Abstract Submission Close

December, 31st 2016 Notification of abstract acceptance

January, 31st 2017

REGISTRATION

*) All fees are in Rupiah and United States Dollar

*) The fees will automatically change to that of late registration at 0:00 of

November 30th, 2016 and March 21st, 2017, Indonesia standard time

*) Registration fees (specialist/consultant/trainee/resident, and other related

professional) cover a program and abstract booklet, session participation,

welcome reception (March 23rd, 2017), coffee breaks, lunch, a name badge,

and a congress bag.

*) The accompanying person category includes welcoming reception (March

23rd, 2017), welcoming dinner (March 24th, 2017), and one time ladies

program.

Cancelation Policy

No refund for any payments

Early Registration

(Until November 30rd)

Mid Registration

(Until March 21st) On Site

Local

Specialist Rp 3.500.000,00 Rp 4.000.000,00 Rp 4.500.000,00

Resident Rp 2.000.000,00 Rp 2.500.000,00 Rp 3.000.000,00

Foreign

Consultant US$ 450.00 US$ 550.00 US$ 650.00

Trainee/Resident US$ 200.00 US$ 250.00 US$ 300.00

Accompanying Person

US$ 150.00 Include: One time ladies program and welcoming dinner

Rp 1.000.000

Ladies Program

HOTEL LIST

Bank Transfer:

Bank Account Type RUPIAH Account

Bank Account Asian Society of Head of Head and Neck Oncology

Bank Account No 132-00-3000012-0

Bank Name and address Bank Mandiri, RSHS branch

LADIES PROGRAM

Nusa Dua Beach Hotel & SPA Deluxe room IDR 1.600.000 net/room/night

Premiere room IDR 1.800.000 net/room/night

Inaya Putri Bali Deluxe room IDR 1.600.000 net/room/night

Melia Bali Melia Guests room IDR 1.400.000 net/room/night

Ayodya Resort Bali Deluxe room IDR 1.450.000 net/room/night

Courtyard Marriot Deluxe Garden/Pool View

IDR 1.450.000 net/room/night

Mercure Bali Nusa Dua Superior room IDR 800.000 net/room/night

Deluxe room IDR 900.000 net/room/night

The Grand Bali Nusa Dua Deluxe room IDR 900.000 net/room/night

Grand Whiz Nusa Dua Deluxe room IDR 1.000.000 net/room/night

Hotel Santika Siligita Nusa Dua Superior room IDR 650.000 net/room/night

Amaris Hotel Smart room IDR 400.000 net/room/night

Westin Hotel Deluxe Garden

IDR 2.000.000 net/room/night

SUPPORTED BY

Organized by:

Congress Secretariat of ASHNO

Email: [email protected]

Office hour: 08.00-16.00, Monday through Friday

Contact Person: - Ichsan Juliansyah, MD (082219167501)

- Syarah Rahmawati (081316977783)