Head and Neck, Otorhinolaryngology and Airway Fellowship

Overview
As one of the prominent teaching hospitals and tertiary referral and trauma centres in Hong Kong, The Department of Anaesthesia and Intensive Care at Prince of Wales Hospital, in affiliation with the Chinese University of Hong Kong, performs a wide range of head and neck, otorhinolaryngological and airway surgeries. In collaboration with the otorhinolaryngology and dental surgical team, we provide anaesthesia and quality care for state-of-art procedures for a wide variety of operations, amongst a population with a range of challenging airway anatomies – where nasopharyngeal cancer and head and neck tumors are prevalent.

Our wide range of surgical procedures include:

  • Complex laryngeal surgery
  • Reconstructive Surgery for head and neck tumors
  • Maxillofacial reconstruction
  • Craniofacial Surgery
  • Obstructive sleep apnea surgery including hypoglossal nerve stimulation
  • Endoscopic skull base surgery
  • Functional Endoscopic Surgery
  • Cochlear implants
  • Auditory brainstem implants
  • Transoral robotic surgery (TORS)
  • Emergency airway surgery for acute airway obstruction secondary to a range of pathologies

Fellowship opportunities
During the 12-24 month fellowship, fellows will take part in providing anaesthesia for the above procedures under the guidance of a passionate team of airway specialists. Our fellows will not only gain experience in perioperative management of such cases, including administration of total intravenous anaesthesia, deliberate hypotension, goal-directed fluid therapy, enhanced recovery after surgery (ERAS); but also have opportunities to perform awake intubation procedures, as well as advanced oxygenation techniques such as THRIVE (transnasal humidified rapid-insufflation ventilatory exchange) to facilitate intubation and laryngeal surgeries. 
Furthermore, our fellows will have the opportunity to collaborate with a multidisciplinary team throughout the training and leave the program with the skills required to develop or lead such a service. 
The fellow will be provided with the opportunity to take part in weekly continuous medical education activities, present at academic meetings, as well as embark on a quality improvement/audit or research project.

What to expect
Successful candidates can expect on average 2 days of elective head and neck/dental surgeries each week with other days being rostered to general surgical lists and on-call duties. Fellows are also expected to provide 3-4 calls per month.  Local medical and nursing staff are fluent in English and are able to help with translation and interpretation if needed.  Our fellows will be provided with protected time to participate in quality improvement and research projects, and to provide teaching for anaesthesia trainees. All fellows are allocated mentors throughout the program.

Team
Dr Henry Wong
Dr Alex Wan