INTRODUCTION
The Department was established in 1977 under the generous supports from the faculties at the Department of Otolaryngology, National Taiwan University Hospital. Over the years, the Department has developed into a full-service clinical unit with 15full-time staffs.
SERVICES
The Department provides comprehensive services in treating ear, nose, throat, and head/neck diseases, including:
Ear disease: children and adult middle ear infection, congenital ear anomaly, hearing impairment, balance disorder
Nose disease: nasal allergy, sinus infection, nasal deformity, facial trauma, nasal bleeding, and sinonasal cancer
Throat disease: tonsil infection/enlargement, oral ulcer, sleep-breathing disorder, hoarseness, swallowing difficulty
Head and neck disease: neck lump, salivary gland problem, oral cancer screen, throat cancer ,nasopharyngeal cancer
Facial plastic surgery: traumatic and aesthetic nasal frame work surgeries
QUALITY AND SAFETY
Patient safety is our top priority. The Department provides high quality clinical services. We maintain minimal surgical complication rates. The average hospitalization day is well below national level at less than 4 days.
PATIENT SATISFACTION
The longitudinal patient satisfaction surveys show that the Department enjoys high recognition from our patients. Patient satisfaction of 2014:
QUALITY AND SAFETY
Patient safety is our top priority. The Department provides high quality clinical services. We maintain minimal surgical complication rates. The average hospitalization day is well below national level at less than 4 days.SPECIAL SERVICES
Ear:
Microscopic and endoscopic surgeries for middle and inner ear diseases
New-born hearing screen
Implantable hearing devices, including cochlear implant, bone-anchored hearing aid, and middle ear implant
Intratympanic injection for intractable vertigo, acute hearing loss
Nose:
Endoscopic sinus surgery
Navigation surgery
Endoscopic dacryocystorhinostomy
Voice:
Microscopic laryngeal surgery
Voice rehabilitation
Head and Neck Cancer:
Major head and neck cancer surgery
Microvascular reconstruction surgery (plastic service)
Integrated cancer care with radiation and hematology oncology
Laser, radiofrequency, and plasma knife surgery:
Use laser, radiofrequency, and plasma knife extensively for nose obstruction, snoring, and lacrimal duct surgeries.
Hearing and balance evaluation:
To diagnose various hearing and vertigo problems, the complete test batteries in the Department audiology laboratory provide comprehensive evaluation for external, middle, and inner ear functions.
Sonography:
The head and neck sonography, together with sono-guided fine needle biopsy, help to identify nature of head and neck diseases.
Narrow-band Imaging:
The narrow-band imaging – based nasopharyngoscope and trans-nasal esophagoscope help to early diagnose upper aero-digestic cancerous lesions.
Da Vinci robotic surgery:
Conduct trans-oral robotic surgeries for oral, hypopharyngeal, and sleep apnea disorders.
Sleep medicine:
Provide comprehensive sleep study (polysomnogram) and a variety of surgical options for patients with obstructive sleep apnea, including: laser, radiofrequency, plasma knife, maxillo-mandibular advancement, uvulopalatopharyngoplasty, tongue base resection, and oral appliance (dental service).
Facial plastic surgery:
Provide traumatic and aesthetic rhinoplasty for patients with nasal framework deformity.
RESEARCH (2011-2014)
Quality and Safety Enhancement in Surgical and Critical Cares – Use of Data Mining and Computation for Disease Prediction and Care Improvement
99CGH-NCU-A4, January 2010-December 2011
The incidence and risk of second primary cancers in patients with head and neck verrucous carcinoma: a population-based study in Taiwan
CMRI-9914, October 2010- September 2011
Analysis of snore sound following minimal invasive surgery in sleep-disordered breathing patients
NSC99-2314-B182-046-MY2, August 2010- October 2012
Resveratrol effects of aberrant methylation level on nasopharyngeal carcinoma
100CGH-NCU-B4, January 2011-December 2011
Acoustic analysis of snoring and the site of airway obstruction in OSA
100-CGN09, July 2011- June 2012
Intergration of Information Technology into Telemedical Care
101CGH-NCU-A4, January 2012- December 2013
Intervention outcomes using acoustic analysis of snoring and dynamic MRI in OSA
101-CGN09, July 2012- June 2013
Correlation between Different Stages of Oral Carcinogenesis and Aberrant Methylation in Taiwan
101CGH-NCU-B3, January 2012- December 2012
The effects of Vaseline Gauze Strip, Merocel and Nasopore Nasal Packing on the Postoperative Complication, Patient Satisfaction and Quality of Life after Septomeatoplasty
CMRI-10106, September 2012- August 2013
The serotypes and molecular epidemiology of Streptococcus pneumoniae in suppurative acute otitis media: a prospective study
MR-10108, October 2012- September 2013
Synchronized Dynamic MRI, Acoustic Analysis, and Arterial Oxygenation Monitoring for Patients with Obstructive Sleep Apnea Undergoing Treatment
102-CGN08, July 2013- June 2014
Tricorder XPRIZE聯合研究中心前瞻研究計畫
High Tech Computer Corporation(HTC)產學合作, August 2013- July 2015
Translating Information into Health Care for Otolaryngology Conditions
103CGH-NCU-A1, January 2014- Decemebr 2016
Analysis of single nucleotide polymorphisms on Ménière's disease-related genes
CGH-MR-A10303, July 2014-June 2015
A Study on the National Healthcare Insurance Quality Indicators for Otolaryngology Care
CGH-MR-Ａ10318, November 2014- Octorber 2016
Synchronized Dynamic MRI, Acoustic Analysis, and Arterial Oxygenation Monitoring for Patients with Obstructive Sleep Apnea Undergoing Treatment
102-CGN08, July 2013- June 2014
PUBLICATION (2011-2014)
方麗娟、陳伯岳、張燕良。肝細胞癌之蝶竇轉移-病例報告 台灣耳鼻喉頭頸外科雜誌 2011;46(4):207-209
黃德種、鄭嘉惠、王拔群。醫療服務指標品質改善成果-以耳鼻喉科「健保不予支付指標」為例 醫療品質雜誌 2011;5:78-80
Ying-Ta Lai, Ting-Chuan Wang, Li-Ju Chuang, Ming-Hsu Chen, Pa-Chun Wang. Epidemiology of Vertigo: A National Survey. Otolaryngology-Head and Neck Surgery 2011;145;110-116
黃德種、吳宛庭、方德詠、王拔群。雲端運算科技應用於醫療品質核心指標監測與改善-醫院耳鼻喉科經驗分享 台灣醫界 2011;54(12):639-641.
Leh-Kiong Huon, Yen-Liang Chang, Pa-Chun Wang, Po-Yueh Chen. Head and Neck Manifestations of Spontaneous Pneumomediastinum. Otolaryngology-Head and Neck Surgery 2012;146(1):53-57.
Leh-Kiong Huon, Te-Yung Fang. Primary laryngeal tuberculosis. Journal of the Formosan Medical Association 2011:110; 792-793
方麗娟、洪朝明、黃世鴻。耳硬化症─25年鐙骨手術經驗 台灣耳鼻喉頭頸外科雜誌 2011; 46(6):304-309
Leh-Kiong Huon, Pa-Chun Wang. Letter to Editor on “Risk of Stroke in Patients Hospitalized for Isolated Vertigo – A Four-Year Follow-Up Study (Stroke DOI: 10.1161/STROKEAHA.110.597070)”. Stroke 2011;42(6):e392
Pa-Chun Wang, Chao-Ton Su, Kun-Huang Chen, Ning-Hung Chen. The Application of Rough Set and Mahalanobis Distance to Enhance the Quality of OSA Diagnosis. Expert Systems with Applications 2011;38:7828–7836
Pa-Chun Wang, Ya-Hui Chang, Li-Ju Chuang, Hui-Fang Su, Chung-Yi Li. Incidence and recurrence of acute otitis media in Taiwan's pediatric population. Clinics (Sao Paulo) 2011;66(3):395-399
Ning-Hung Chen, Min-Chi Chen, Hsueh-Yu Li, Chang-Wei Chen, Pa-Chun Wang. A Two-Tier Screening Model Using Quality-of-Life Measures and Pulse Oximetry to Screen Adults with Sleep-Disordered Breathing. Sleep and Breathing 2011; 15:447–454
Hseng-Long Yeh, Chin-Sen Lin, Chao-Ton Su, Pa-Chun Wang. Applying Lean Six Sigma to Improve Healthcare: An Empirical Study. African Journal of Business Management 2011;5(31):12356-12370
Hsueh-Yu Li, Pa-Chun Wang, Yu-Pin Chen, Li-Ang Lee, Tuan-Jen Fang, Hsin-Ching Lin. Critical Appraisal and Meta-analysis of Nasal Surgery for Obstructive Sleep Apnea. American Journal of Rhinology and Allergy 2011;25(1):45-49
Yi-Zeng Hsieh, Mu-Chun Su, Chien-Hsing Chou, Pa-Chun Wang. Detection of Line-Symmetry Clusters. International Journal of Innovative Computing Information and Control (IJICIC) 2011;7(8):1-17
Kai-Chieh Chan, Pa-Chun Wang, Chen-Ming Wu, Wan-Ling Ho, Fu-Sung Lo. Otological and Audiological Features of Ethnic Chinese Patients with Turner Syndrome in Taiwan. Journal of the Formosan Medical Association 2011; 111(2):94-100
Leh-Kiong Huon, Te-Yung Fang, Pa-Chun Wang. Outcomes of Intratympanic Gentamicin Injection to Treat Menieres Disease. Otology & Neurotology 2012;33-706-714
Leh-Kiong Huon, Ting-Chuan Wang, Te-Yung Fang, Li-Ju Chuang, Pa-Chun Wang. Vertigo and Stroke: A National Database Survey. Otology & Neurotology 2012;33(7):1131-1135
陳明勗、黃世鴻、王拔群、林俊成 舌根部骨迷芽瘤。輔仁醫學期刊 2012;10(2):107-110
張馨仁、方德詠、徐愫儀、王拔群 蛻變中的耳鼻喉科教育-系統性、結構式的住院醫師訓練計畫成效初報 台灣耳鼻喉頭頸外科雜誌 2012;47(3):206-214
Wang WH, Hwang TZ, Chang CH, Lin YC. Reconstruction of Pharyngeal Defects with a Submental Island Flap after Hypopharyngeal Carcinoma Ablation.
ORL J Otorhinolaryngol Relat Spec 2012;74(6):304-309.
CT Su, PC Wang, YC Chen, LF Chen. Data Mining Techniques for Assisting the Diagnosis of Pressure Ulcer Development in Surgical Patients. Journal of Medical Systems 2012;36(4):2387-2399
Li-Fei Chen, Chao-Ton Su, Kun-Huang Chen, Pa-Chun Wang. Particle Swarm Optimization for Feature Selection with Application in Obstructive Sleep Apnea Diagnosis. Neural Comput & Applic 2012;21(8):2087-2096
Chao-Ton Su, Kun-Huang Chen, Li-Fei Chen, Pa-ChunWang, Yu-Hsiang Hsiao. Prediagnosis of Obstructive Sleep Apnea via Multiclass MTS. Computational and Mathematical Methods in Medicine 2012;doi:10.1155/2012/212498
M. Mahadevan, G. Navarro-Locsin, H.K.K. Tan, N. Yamanaka, N. Sonsuwan, Pa-Chun Wang, Nguyen T.N. Dung, R.D. Restuti, S.S.M. Hashim, S. Vijayasekaran. A review of the burden of disease due to otitis media in the Asia-Pacific. International Journal of Pediatric Otorhinolaryngology 2012;76(5):623-635
Michael Friedman, Christian G. Samuelson,Craig Hamilton, Michelle Fisher, Kanwar Kelley, Ninos J. Joseph, Pa-Chun Wang, Hsin-Ching Lin. Effect of Continuous Positive Airway Pressure on C-reactive Protein Levels in Sleep Apnea: A Meta-analysis. Otolaryngology Head and Neck Surgery 2012;147(3):423–433
Tan-Kuai Wan, Jen-Tse Chen, Pa-Chun Wang. EMG-Guided Salpingopharyngeus Botox® Injection for Palatal Myoclonus. B-ENT 2013;9(1):67-69
張馨仁、方德詠、王拔群。「突發性耳聾」的迷思與實證 – 淺談2012年美國耳鼻喉頭頸外科醫學會「臨床治療指引」 台灣醫界 2013;56(4):23-26
Hsu SY, Wang PC, Yang TH, Lin TF, Hsu SH, Hsu CJ. Auditory Efferent Dysfunction in Normal-Hearing Chronic Idiopathic Tinnitus. B-ENT. 2013;9(2):101-9.
Te-Yung Fang, Hsin-Jen Chang, Tan-Kuai Wan, Pa-Chun Wang, Ya-Hui Chen. Validation of the Chinese Version “Satisfaction with Amplification in Daily Life (SADL)” Survey for Hearing Aid Users. International J Audiology 2013;52(7):478-84.
Hsin-Jen Chang, Pa-Chun Wang, Ying-Chieh Hsu and Shih-Hung Huang. Gout with auricular tophi following anti-tuberculosis treatment: a case report. BMC Research Notes 2013;6:480
Chih-Hsien Liu, Han-Ju Chen, Pa-Chun Wang, Huan-Sen Chen, Yen-Liang Chang. Patterns of recurrence and second primary tumors in oral squamous cell carcinoma treated with surgery alone. Kaohsiung Journal of Medical Sciences 2013;29(10):554-9
Tung-Ying Wu, Sheng-Fuu Lin, Pa-Chun Wang and Yong-Cheng Wang. A Method for Automatic Extraction of Parotid Lesions in CT Images with Feature-based Segmentation and Active Contour. International Journal of Signal Processing 2013;1(2):225-231
Chul Ho Jang , Yong Beom Cho, Cheol Hee Choi, Jae-Young Um, Pa-Chun Wang, Sok Cheon Pak. The Effect of Topically Administered Latanoprost on The Cochlear Blood Flow And Hearing. International Journal of Pediatric Otorhinolaryngology 2013;77(6):981-985
Yen-Liang Chang, Shih-Han Hung, Chih-Hsien Liu, Hsin-Te Hsu, Pin-Zhir Chao, Fei-Peng Lee, Po-Yueh Chen. Cryptococcal infection of the vocal folds. Southeast Asian J Trop Med Public Health 2013;44(6):1043-6.
Yen-Liang Chang, Shih-Han Hung, Wells Ling, Herng-Ching Lin, Hsien-Chang Li, Shiu-Dong Chung. Association between ischemic stroke and iron-deficiency anemia: a population-based study. PLoS One 2013; 8(12): e82952.
Po-Yueh Chen, Leh-Kiong Huon, Yen-Liang Chang. Isolated Unilateral Submandibular Gland Aplasia: A Rare Congenital Phenomenon. Journal of Experimental and Clinical Medicine 2013;5(5):198
蔡凱喻、王仁鵬 雙側原發性淚囊淋巴瘤 臺灣耳鼻喉頭頸外科雜誌 2013;48(4):315-318
尹丹桂、王拔群、劉勻智、陳岱靈、洪焜隆 合併有癲癇性障礙的特殊性語言發展障礙-個案報告 台灣聽力語言學會雜誌 2013;30:57-64
Wen-Hung Wang, Yu-Chang Tyan, Zong-Shiow Chen, Ching-Gong Lin, Ming-Hui Yang, Shyng-Shiou Yuan, Wan-Chi Tsai. Evaluation of the antioxidant activity and antiproliferative effect of the jaboticaba (myrciaria cauliflora) seed extracts in oral carcinoma cells. BioMed Research International 2014;
http://dx.doi.org/10.1155/2014/185946
Yen-Liang Chang, Chao-Ho Hung, Po-Yueh Chen, Wei-Chang Chen, Shih-Han Hung. Preliminary study of acoustic analysis for evaluating speech-aid oral prostheses: Characteristic dips in octave spectrum for comparison of nasality. Journal of the Formosan Medical Association 2014;doi: 10.1016/j.jfma.2014.01.013
Yen-Liang Chang, Te-Ming Tseng, Po-Yueh Chen, Chun-Ju Lin, Shih-Han Hung. Using temperature-time integration as a critical parameter in using monopolar radiofrequency ablations. Eur Arch Otorhinolaryngol 2014;271(7):1973-9
Te-Yung Fang, Pa-Chun Wang, Chih-Hsien Liu, Mu-Chun Su, Shih-Ching Yeh. Evaluation of a haptics-based virtual reality temporal bone simulator for anatomy and surgery training. Computer Methods and Programs in Biomedicine 2014;113(2):674-681
Shih-Ching Yeh, Ming-Chun Huang, Pa-Chun Wang, Te-Yung Fang, , Mu-Chun Su, Po-Yi Tsai, Albert Rizzo. Machine Learning-based Assessment Tool for Imbalance and Vestibular Dysfunction with Virtual Reality Rehabilitation System. Computer Methods and Programs in Biomedicine 2014; 116(3):311-318
許瑛倢、方德詠、王拔群、洪朝明 淺談美國2013年「急性中耳炎診療指引」 台灣醫界 2014;57(12):580-583
Jang-Jaer Lee, Chiou-Yueh Yeh, Chiau-Jing Jung, Ching-Wen Chen, Mao-Kuang Du, Hui-Ming Yu, Chia-Ju Yang, Hui-Yi Lin, Andy Sun, Jenq-Yuh Ko, Shih Jung Cheng, Yen-Liang Chang, Jean-San Chia. Skewed Distribution of IL-7 Receptor-α-Expressing Effector Memory CD8(+) T Cells with Distinct Functional Characteristics in Oral Squamous Cell Carcinoma. PLoS One 2014;9(1):e85521.
Yen-Liang Chang, Po-Yueh Chen, Shih-Han Hung. Extramedullary plasmacytoma of the nasopharynx: A case report and review of the literature. Oncol Lett 2014;7(2):458-460.
Yi-Chung Chang, Leh-Kiong Huon, Van-Truong Pham, Yunn-Jy Chen, Sun-Fen Jiang, Ting-Fang Tiffany Shih, Thi-Thao Tran, Yung-Hung Wang, Chen Lin, Jenho Tsao, Men-Tzung Lo, Pa-Chun Wang. Synchronized imaging and acoustic analysis of the upper airway in patients with sleep-disordered breathing. Physiological Measurement 2014; 35(12):2501-2012
Chi-Chih Lai, Michael Friedman, Hsin-Ching Lin, Pa-Chun Wang, Cheng-Ming Hsu, Sreeya Yalamanchali, Meng-Chih Lin and Yung-Che Chen. Objective versus Subjective Measurements of Palatine Tonsil Size in Adult Patients with Obstructive Sleep Apnea/Hypopnea Syndrome. European Archives of Oto-Rhino-Laryngology and Head & Neck 2014 doi: 10.1007/s00405-014-2944-3
Shih-Ching Yeh, Shuya Chen, Pa-Chun Wang , Mu-Chun Su, Chia-Huang Chang, Po-Yi Tsai. Interactive 3-dimensional Virtual Reality Rehabilitation for Patients with Chronic Imbalance and Vestibular Dysfunction. Technology and Health Care 2014;22(6):915-21
FUTURE
Providing specialized care to meet the population healthcare demands, including:
Hearing services for geriatric patients
Genetic diagnosis and treatment for pediatric patients
Integrated team care for patients with head and neck cancers
Improve connections and synergy among otolaryngology services within Cathay healthcare network.
Enhance globalization efforts to meet the world standard of otolaryngology care.