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Medical Diary Official Publication for the Federation of Medical Societies of Hong Kong VOL.12 NO.7 JULY 2007 ॷġ෫ġᚂġଉ THE HONG KONG MEDICAL DIARY OFFICIAL PUBLICATION FOR THE FEDERATION OF MEDICAL SOCIETIES OF HONG KONG www.fmshk.org Editorial Seminar on: Head and Neck Surgery Prof. William I. Wei Medical Bulletin Molecular Biology Developments in Head and Neck Cancer Prof. Po-wing Yuen Head and Neck Surgery in a General Surgery Department ,Q.E.H. ─ Dr. Lap-chiu Tang How the Service Started ? The Role of ENT Surgeons in Head & Neck Surgery Dr. Kai-bun Fung The Contribution of Plastic and Reconstructive Surgeons to Head and Dr. Chiu-ming Ho Neck Surgery Reconstructive Options in Head and Neck Surgery Dr. Wai-man Ng Current Results of Treatment of Head and Neck Surgery Dr. Yu-wai Chan Special Feature New Childhood Immunisation Programme in Hong Kong Dr. Daniel KL Cheuk A Pilot Study on the Prevalence of Domestic Violence Against Male Dr. WC Leung Partners of Pregnant Women in Hong Kong Lifestyle Doctors' Associations in Community Services Dr. Ben YF Fong Clinical Quiz Clinical Quiz Dr. Helen KS Tung Society News Medical Diary of July Calendar of Events ISSN 1812 - 1691 ᚂᖒԙষΙড়ᒑȅᩧҕ୊ஶቆᜰЖ VOL.12 NO.7 JULY 2007 Contents The Federation of Medical Societies of Hong Kong 4/F Duke of Windsor Social Service Building, Contents 15 Hennessy Road, Wanchai, Hong Kong Tel: 2527 8898 Fax: 2865 0345 Editorial President Dr. FONG To-sang, Dawson 方道生醫生 1st Vice- President Seminar on: Head and Neck Surgery 2 Dr. CHAN Chi-kuen 陳志權醫生 2nd Vice- President Prof. William I. Wei Dr. LO Sze-ching, Susanna 盧時楨醫生 Hon. Secretary Medical Bulletin Dr. LO See-kit, Raymond 勞思傑醫生 Deputy Hon. Secretary Dr. CHAN Sai-kwing 陳世炯醫生 Molecular Biology Developments in Head and 5 Hon. Treasurer Neck Cancer Mr. LAM Lop-chi, Nelson 林立志先生 Deputy Hon. Treasurer Prof. Po-wing Yuen Mr. LEE Cheung-mei, Benjamin 李祥美先生 Executive Committee Members Head and Neck Surgery in a General Surgery 8 Dr. CHAN Chi-fung, Godfrey 陳志峰醫生 Department ,Q.E.H. ─ How the Service Started ? Dr. CHIM Chor-sang, James 詹楚生醫生 Dr. HO Chung-ping 何仲平醫生 Dr. Lap-chiu Tang Dr. HUNG Kwan-ngai 洪君毅醫生 Dr. KING Wing-keung, Walter 金永強醫生 Dr. LEE Man-piu, Albert 李文彪醫生 The Role of ENT Surgeons in Head & 9 Dr. LI Fuk-him, Dominic 李福謙醫生 Neck Surgery Ms. MAN Bo-lin, Manbo 文保蓮女士 Dr. MAN Chi-wai 文志衛醫生 Dr. Kai-bun Fung Dr. MOK Chun-on 莫鎮安醫生 Mr. TO Yuen-yuk, Peter 杜元郁先生 The Contribution of Plastic and Reconstructive Executive Manager 11 Ms. CHENG Shu-yue, Sue 鄭淑儀小姐 Surgeons to Head and Neck Surgery Dr. Chiu-ming Ho Reconstructive Options in Head and 14 ġ ġ ġ ġ Neck Surgery President Dr. CHOI Kin 蔡 堅醫生 Dr. Wai-man Ng Vice- Presidents Dr. CHU Kin-wah 朱建華醫生 Dr. SHIH Tai-cho 史泰袓醫生 Current Results of Treatment of Head and 18 Hon. Secretary Neck Surgery Dr. LEUNG Chi-chiu 梁子超醫生 Hon. Treasurer Dr. Yu-wai Chan Dr. CHOW Pak-Chin 周伯展醫生 Council Rep. MCHK CME Programme Self-assessment Questions Dr. CHAN Yee-shing 陳以誠醫生 20 Dr. HO Chung-ping 何仲平醫生 Chief Executive Special Feature Mrs. Yvonne LEUNG 梁周月美女士 Tel: 2527 8285 (General Office) 2527 8324 / 2536 9388 (Club House in Wanchai / Central) New Childhood Immunisation Programme 22 Fax: 2865 0943 (Wanchai), 2536 9398 (Central) in Hong Kong Email: [email protected] Website: http://www.hkma.org Dr. Daniel KL Cheuk ġ ġ ġ ġ ġ ġ ġ A Pilot Study on the Prevalence of Domestic 25 President Violence Against Male Partners of Pregnant Dr. Jason BROCKWELL Women in Hong Kong Vice-President Prof. David ANDERSON Dr. WC Leung Hon. Secretary Dr. LO See-kit, Raymond 勞思傑醫生 Hon. Treasurer Lifestyle Dr. Alex YIP Council Rep. Doctors' Associations in Community Services 28 Dr. Jason BROCKWELL Dr. Ben YF Fong Dr. CHEUNG Tse-ming 張子明醫生 Tel: 2527 8898 Fax: 2865 0345 Clinical Quiz ġ ġ ġ ġ ġ ġ ġ ġ ġ Clinical Quiz 29 Board of Directors President Dr. Helen KS Tung Dr. FONG To-sang, Dawson 方道生醫生 1st Vice- President Society News 30 Dr. CHAN Chi-kuen 陳志權醫生 2nd Vice- President Dr. LO Sze-ching, Susanna 盧時楨醫生 News from Member Societies 30 Hon. Secretary Dr. LO See-kit, Raymond 勞思傑醫生 Hon. Treasurer Medical Diary of July 31 Mr. LAM Lop-chi, Nelson 林立志先生 Directors Calendar of Events Dr. CHIM Chor-sang, James 詹楚生醫生 Dr. KING Wing-keung, Walter 金永強醫生 Dr. LI Fuk-him, Dominic 李福謙醫生 Meetings 33 Mr. CHAN Yan-chi, Samuel 陳恩賜先生 Ms. MAN Bo-lin, Manbo 文保蓮女士 Courses 33 VOL.12 NO.7 JULY 2007 Editorial Published by Seminar on: The Federation of Medical Societies of Hong Kong Head and Neck Surgery EDITOR-IN-CHIEF Dr. KING Wing-keung, Walter 金永強醫生 Prof. William I. Wei EDITORS MBBS, MS, FRCS, FRCS(Ed), FRACS(Hon.) FACS Dr. CHAN Chi-fung, Godfrey FHKAM(Surg), FHKAM(ORL) 陳志峰 醫生 (Paediatrics) Dr. CHAN Chun-hon, Edmond W. Mong chair in Otorhinolaryngology, Chief, Division of Head and Neck Surgery, Department of Surgery 陳振漢醫生 (General Practice) University of Hong Kong Medical Centre, Queen Mary Hospital, Hong Kong Dr. MOK Chun-on Editor 莫鎮安醫生 (Plastic Surgery) EDITORIAL BOARD Dr.Prof. P William I. Wei Dr. AU-YEUNG Cheuk-lun, Henry 區陽卓倫 醫生 (Paediatrics) In the last two decades, Head and Neck Surgery as a surgical Dr. CHAN Chi-wai, Angus subspecialty has made significant progresses. The developments are 陳志偉 醫生 (General Surgery) in many facets, from diagnosis to treatment and then to rehabilitation. Dr. Norman CHAN 陳諾 醫生 (Diabetes, Endocrinology & Metabolism) Diseases are diagnosed in their earlier stages and thus the outcome is Dr. CHIANG Chung-seung better. The preparation of the patients for surgery has also improved, 蔣忠想 醫生 (Cardiology) making the necessary surgical procedures more safe for the patient, Dr. CHONG Lai-yin despite the increased incidence of co-morbidities in these patients 莊禮賢 醫生 (Dermatology & Venereolgy) Dr. CHUH An-tung, Antonio suffering from head and neck cancer and their increasing age on 許晏冬 醫生 (Family Medicine) presentation. Dr. FAN Yiu-wah 范耀華 醫生 (Neurosurgery) The concept of surgical technique has also evolved, aiming at Dr. FONG Ka-yeung 方嘉揚 醫生 (Neurology) reducing the surgical trauma, while removing the pathology Dr. FUNG Ho-chuen, Alec completely. Surgical resection is guided with different preoperative 馮浩泉 醫生 (Dermatology & Venereolgy) imaging studies and sometimes intraoperative computed tomography Dr. FUNG Yee-pong, Adrian 馮貽邦 醫生 (Dermatology & Venereolgy) navigation. Thus precise extirpation of the lesion is possible without Dr. HO Pak-leung damaging the surrounding normal tissue, achieving optimal results. 何 良 醫生 (Clinical Microbiology and Infections) Even for advanced tumours in the head and neck region, successful Dr. KWOK Kwan-ho, Alvin curative treatment results are frequently seen. Through concomitant 郭坤豪 醫生 (Ophthalmology) Dr. KWOK Po-yin, Samuel chemoradiation organ function is possible in some patients and 郭寶賢 醫生 (General Surgery) surgical salvage is only performed for residual and recurrent tumour. Dr. LAI Cheuk Seen, Edward 黎卓先 醫生 (General Surgery) This series of articles starts with the development of molecular Dr. LAI Kei-wai, Christopher 賴奇偉 醫生 (Respiratory Medicine) biology in head and neck cancer. The significant advance in this field Dr. LAI Sik-to, Thomas has been the identification of molecular markers so that early 黎錫滔 醫生 (Gastroenterology & Hepatology) detection of cancer becomes possible. Through these studies, we Dr. LAM Tat-chung, Paul increase our understanding of the carcinogenesis of the malignant 林達聰 醫生 (Psychiatry) Dr. LAM Wai-man, Wendy tumours and thus have opportunities to design options for their 林慧文 醫生 (Radiology) eradication such as the targeted therapies. All these are summarised Dr. LAO Tzu-his, Terence by Professor Yuen in his article. 勞子僖 醫生 (Obstetrics & Gynaecology) Dr. LEE Man-piu, Albert 李文彪 醫生 (Dentistry) The development of the Head and Neck Surgery subspecialty in Hong Dr. LEUNG Wai-tong, Thomas Kong over the years has its share of difficulties. This is particularly so 梁惠棠 醫生 (Clinical Oncology) in a general hospital and all these are summarised by Dr. Tang in his Dr. LO See-kit, Raymond article We are delighted to see that he has done so well and has 勞思傑 醫生 (Geriatrics) Dr. MAN Chi-wai successfully integrated Head and Neck Surgery through collegiality 文志衛 醫生 (Urology) with other specialties. Dr. MOK Mo-yin 莫慕賢 醫生 (Rheumatology) Dr. MONG Hoi-Keung Dr. Fung, president of the Hong Kong College of 蒙海強 醫生 (Forensic Pathology) Otorhinolaryngologists, has given a comprehensive background on Dr. TEO Man-lung, Peter how the specialty of Head and Neck Surgery started in the 張文龍 醫生 (Clinical Oncology) international arena. The achievements and the interactions with other Dr. TSANG Wai-kay 曾偉基 醫生 (Nephrology) surgical disciplines have accompanied the growth of the specialty. Dr. TSE Tak-fu Taking into account all the developments in diagnostic and 謝德富 醫生 (Cardiology) therapeutic measures over the years, he has defined the scope of the Prof. William I WEI contemporary Head and Neck Surgery. A multiple discipline 韋霖 教授 (Otorhinolaryngology) Dr. WONG Bun-lap, Bernard approach is essential to provide the best care for the patient suffering 黃品立 醫生 (Cardiology) from head and neck lesions. Dr. WU Wing-cheung, Stephen 胡永祥 醫生 (Orthopaedics & Traumatology) One of the major advances in Head and Neck Surgery is the ability to reconstruct these complex defects after curative resection of the EXECUTIVE MANAGER disease in the head and neck region. Dr. Ho in his article detailed the Ms. CHENG Shu-yue, Sue 鄭淑儀 小姐 contribution of plastic and reconstructive surgeons towards the 2 VOL.12VOL.11 NO.5 NO.7 MAY JULY 2006 2007 Editorial management of patients suffering from head and neck to use which method of reconstruction and why, was pathologies.
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