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Clinical & Surgical Fellowship in Phonomicrosurgery

Assiut University Faculty of Medicine

Advanced Fellowship in Phonomicrosurgery & Voice Disorders
Phonomicrosurgery refers to surgical interventions primarily directed toward the improvement of voice quality. It encompasses a wide range of diagnostic, medical, behavioral, interventional, and surgical procedures aimed at restoring optimal vocal function through precise microsurgical techniques. This advanced clinical and surgical fellowship provides comprehensive training in the diagnosis, medical management, behavioral therapy, and microsurgical treatment of voice disorders. Through hands-on mentorship, structured surgical exposure, and academic engagement, fellows develop the expertise required to independently manage complex laryngeal conditions and establish academic phonomicrosurgery programs.

Main Areas of Interest

1. Diagnostic Assessment of Vocal Function

In-office laryngoscopy:

Rigid transoral techniques

Flexible fiberoptic techniques

Laryngeal videostroboscopy

Acoustic and aerodynamic voice assessment

Correlation of histopathological findings with clinical presentation

2. Medical & Behavioral Management

Chronic laryngeal pathologies:

Reflux-related disorders

Allergy-related laryngeal disease

Infection-related laryngeal pathology

Immune-mediated laryngeal disorders

Behavioral voice therapy principles

Multidisciplinary management of voice disorders

3. Principles of Phonomicrosurgery

Surgical decision-making and preoperative evaluation

Indications and contraindications

Surgical planning

Anesthesia considerations for phonomicrosurgery

Instrumentation and operating room setup

Techniques of optimal laryngeal exposure

4. Interventional & Surgical Techniques

Phonosurgery for non-neoplastic vocal fold lesions of the lamina propria

Injection laryngoplasty

Medialization laryngoplasty via open approaches

Botulinum toxin (Botox®) injection for spasmodic dysphonia

Surgical management of neoplastic laryngeal diseases

Office-based laryngeal procedures

Specialties

Otolaryngology

Microsurgery

Techniques You Will Learn

1. Diagnostic & Evaluation Techniques

Rigid transoral laryngoscopy

Flexible fiberoptic laryngoscopy

Laryngeal videostroboscopy

High-definition video documentation

Acoustic voice analysis

Perceptual voice assessment

Histopathological correlation and interpretation

2. Office-Based Interventional Techniques

Injection laryngoplasty (transoral, transcutaneous)

Botulinum toxin (Botox®) injection for spasmodic dysphonia

Office-based vocal fold augmentation

Endoscopic biopsy techniques

3. Operative Phonomicrosurgical Techniques

Microlaryngeal surgery using cold instruments

Microflap techniques for benign vocal fold lesions

Subepithelial dissection of the lamina propria

Precise lesion excision and tissue preservation techniques

Endoscopic management of Reinke’s edema

Phonomicrosurgical scar revision

Curriculum

Program Duration

6–12 months (flexible, depending on trainee background and institutional policy)

Weekly Time Allocation

Clinical activities: 40–50%

Operative training: 30–40%

Academic & research activities: 10–20%

Curriculum Phases

Phase 1: Foundation & Orientation (Month 1)

Objectives:

Understand fundamentals of voice anatomy, physiology, and pathology

Master diagnostic techniques

Become familiar with equipment and OR setup

Activities:

Voice clinic observation and supervised practice

Laryngoscopy & videostroboscopy training

OR observation

Didactic lectures and journal clubs

Phase 2: Supervised Clinical & Surgical Training (Months 2–4)

Objectives:

Develop diagnostic confidence

Perform supervised office-based procedures

Begin surgical exposure

Activities:

Independent voice clinic sessions (supervised)

Injection laryngoplasty (supervised)

Botox® clinics

Supervised microlaryngeal surgeries

Multidisciplinary voice team meetings

Phase 3: Advanced Surgical Training (Months 5–8)

Objectives:

Achieve advanced surgical competency

Perform complex cases with graduated autonomy

Activities:

Lead microlaryngeal surgeries

Perform medialization laryngoplasty

Advanced phonomicrosurgical procedures

Accommodation

1. University Guest House

The university provides a well-equipped guest house offering:

Comfortable furnished rooms

Secure and quiet environment

Proximity to clinical and academic facilities

Reasonable and subsidized rates for trainees

This option is ideal for short-term stays and newly arriving fellows.

2. Private Apartments in Assiut

Assiut offers a wide range of furnished and unfurnished rental apartments located close to the university campus, providing flexible accommodation choices at reasonable and affordable prices.

Fees and Program Logistics

This program has the following durations available:

Duration	Fee
2 weeks	$625.00
4 weeks	$1,000.00

This program allows Merit Applications. This program allows merit-based applications for virtual and onsite clinical and research programs. If you are successfully awarded under this category, Trialect or the host mentor will cover the tuition fee only. All applications will be evaluated based on merit. Due to the high level of competition, the chances of being selected under the merit category are quite limited.

Who Can Apply

Early-career professionals seeking to advance their skills in phonomicrosurgery

Strong academic background

A relevant degree in Otolaryngology or Phoniatrics from an accredited institution

Successful completion of an accredited residency training program

Valid medical license or eligibility for clinical practice (according to institutional and national regulations)

No age restriction

Host Details

Host Name: Reham AbdelWakil Ibrahim

Affiliation: Assiut University Faculty of Medicine

Address: Kornish Al Ibrahimeya, Asyut 1

Website URL:

Disclaimer:It is mandatory that all applicants carry workplace liability insurance, e.g., https://www.protrip-world-liability.com (Erasmus students use this package and typically costs around 5 € per month - please check) in addition to health insurance when you join any of the onsite Trialect partnered fellowships.

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