國軍臺中總醫院全球資訊網

一、耳科

1. 本科新購最新型耳顯微鏡及耳內視鏡，提供各種耳科手術，積極發展微創中耳內視鏡手術，大幅縮短手術時間及術後照顧。
2. 耳科主要設備有中耳功能檢查儀、聽性腦幹檢查儀、高階前庭光電眼振螢幕系統、複頻式中耳分析儀、聽力檢查儀、耳咽管檢測儀、及重心動搖檢測儀。

二、鼻科

1. 廣泛應用微創內視鏡影像系統進行鼻部手術，目前已引進耗資千萬之3D立體導航手術系統，更有效移除病變區域，使手術視野更精準、傷口更小，減少病人併發症的發生率。
2. 另外本科獨創新式鼻部手術，術後幾乎無痛感，且恢復更快。

鼻科主要設備有3D鼻竇內視鏡組、立體定位導航手術系統、動力旋轉刀（又稱微型吸絞器）系統、鼻用雷射系統。

三、喉及頭頸外科

1. 服務項目為口腔及咽喉頭頸相關疾患，如音聲疾患、口腔癌、口咽癌、喉癌、下咽癌、頭頸部腫瘤、睡眠呼吸中止症、及吞嚥障礙等。
2. 配合本院領先同儕之IGRT影像導引放射治療(真光刀)，讓耳鼻喉的癌症治療更加全面及完整。另外與醫學中心同步，發展細胞治療、免疫療法等最新精準醫療，讓後期之耳鼻喉頭頸癌症病患接受最先進之醫療服務。
3. 現代人常見的睡眠呼吸中止，陸續有多項睡眠生理檢查、麻醉誘導睡眠內視鏡等，治療前先進行精準評估，可依照每位病人之獨特狀況客製化個人醫療。
4. 主要設備有超脈衝雙輸出光纖二氧化碳雷射組、喉閃頻內視鏡高畫質電腦數位錄影裝置、喉部微型手術械組、自體脂肪治療聲門器械組。

未來發展：

近幾年隨著健康意識抬頭，民眾對於醫療品質益發重視，加上全球生物科技知識與技術不斷精進，本科人員也必須與時俱進，強化自我能力，未來發展目標如下：

• 持續研發與創新，發展精準醫療，提供準醫學中心等級之服務與技術。
• 發展甲狀腺射頻消融手術及耳咽管氣球擴張手術，提供更便民之醫療服務。
• 提供專業語言治療服務，進行頭頸癌患者之吞嚥及嗓音復健，以及聲帶疾病患者之音聲治療。

一、耳科

1. 本科新購最新型耳顯微鏡及耳內視鏡，提供各種耳科手術，積極發展微創中耳內視鏡手術，大幅縮短手術時間及術後照顧。
2. 耳科主要設備有1.聽力評估:聽力檢查儀、中耳分析儀(鼓室圖、聽反射、耳咽管功能)、2.電生理評估:聽性腦幹檢查儀、聽覺穩定狀態電位反應檢查儀、耳聲傳射檢查儀(DPOAE)、3.內耳前庭功能評估:前庭誘發肌電位檢查儀、高階前庭光電眼振螢幕系統及重心動搖檢測儀。

LCD眼振眼鏡

高階前庭光電眼振螢幕系統

電生理評估檢查儀

重心動搖儀

電生理評估檢查儀

高階前庭光電眼振螢幕系統-檢查椅

聽力檢查儀

二、鼻科

1. 廣泛應用微創內視鏡影像系統進行鼻部手術，目前已引進耗資千萬之3D立體導航手術系統，更有效移除病變區域，使手術視野更精準、傷口更小，減少病人併發症的發生率。
2. 另外本科獨創新式鼻部手術，術後幾乎無痛感，且恢復更快。
3. 鼻科主要設備有3D鼻竇內視鏡組、立體定位導航手術系統、動力旋轉刀（又稱微型吸絞器）系統、鼻用雷射系統。

立體定位導航輔助鼻竇內視鏡手術

三、喉及頭頸外科

1. 服務項目為口腔及咽喉頭頸相關疾患，如音聲疾患、口腔癌、口咽癌、喉癌、下咽癌、頭頸部腫瘤、睡眠呼吸中止症、及吞嚥障礙等。
2. 配合本院領先同儕之IGRT影像導引放射治療(真光刀)，讓耳鼻喉的癌症治療更加全面及完整。另外與醫學中心同步，發展細胞治療、免疫療法等最新精準醫療，讓後期之耳鼻喉頭頸癌症病患接受最先進之醫療服務。
3. 現代人常見的睡眠呼吸中止，陸續有多項睡眠生理檢查、麻醉誘導睡眠內視鏡等，治療前先進行精準評估，可依照每位病人之獨特狀況客製化個人醫療。

超脈衝雙輸出光纖二氧化碳雷射組

自體脂肪治療聲門器械組

相關訊息

一、手術及檢查介紹

1. 鼻中膈鼻道成形術（反覆性鼻塞、流鼻水）
2. 懸雍垂顎咽成形術（打呼、反覆扁桃腺發炎、扁桃腺腫大、睡眠呼吸中止）
3. 鼓室成形術（耳膜破損、傳導性聽障）
4. 中耳通氣管置入術（耳朵積水、積膿）鼻電燒灼術、鼻雷射、低溫射頻手術（流鼻血、鼻塞）
5. 喉顯微手術（聲帶結節、腫瘤、鼻息肉、鼻或鼻竇腫瘤、黴菌性鼻竇炎）
6. 功能鼻竇內視鏡手術（鼻竇炎）
7. 喉閃頻及喉鏡內視鏡：可快速診斷下咽部、喉部、聲帶之疾病進而更詳盡評估及治療，聲音沙啞病患也可進行聲音評估
8. 鼻咽纖維內視鏡：針對鼻腔、鼻咽、口咽及下咽部之病灶加以診斷
9. 純音聽力檢查儀、耳聲傳射檢查、中耳聽阻分析：聽力功能之評估及診斷
10. 聽性腦幹反應檢查儀：聽神經瘤之診斷
11. 重心動搖儀檢查：幫助眩暈病患評估內耳功能，以利治療
12. 過敏原檢驗：可幫助鼻過敏病患即早查出對何種過敏原過敏，加以預防治療
13. 鼻甲電燒灼：針對鼻塞病患快速解決鼻塞之苦

二、醫學新知學習活動

• 2023年杜拜世界耳鼻喉科醫學會(論文發表、壁報展示)
  
  

  

  

• 賴文森主任參加電台活動
  
  
• 2016年斯德哥爾摩第二十六屆歐洲鼻科研討會(論文發表)
  
• 2016年都柏林第三十屆世界語言暨音聲年會及學術研討會
  
• 2015年布拉格第三屆歐洲耳鼻喉暨頭頸外科年會及學術研討會(論文發表)
  
• 2014年阿姆斯特丹第二十五屆歐洲鼻科研討會(論文發表)
  
• 2014年新加坡中央醫院功能性鼻整形手術進修(右一賴文森右二吳昭寬)
  

三、歷年著作

周英樑醫師論文著作:

EDITORIAL COMMITTEE

• 2020- present  Reviewer, Frontiers in Pharmacology
• 2017-present   Editorial board, the Journal of Taiwan Otolaryngology- Head and Neck Surgery
• 2017-present   Reviewer, the Journal of Taiwan Otolaryngology- Head and Neck  Surgery

EDUCATION

• 2004M.S., Institute of Aerospace and Undersea Medicine, National Defense Medical Center, Taipei, Taiwan
• 2000M.D., Department of Medicine, National Defense Medical Center, Taipei, Taiwan

TRAINING AND RELEVANT EXPERIENCE

• 2014-Present  Head, Department of Otolaryngology-Head and Neck Surgery, Taichung Armed Forces General Hospital, Taichung, Taiwan
• 2015 Visiting Scientist, Otolaryngology-Head and Neck Surgery, Johns Hopkins University School of Medicine, Baltimore, U.S.A
• 2011-2013 Attending Physician of Otolaryngology-Head and Neck Surgery, Taichung Armed Forces General Hospital, Taichung, Taiwan
• 2010-present  Lecturer, School of Medicine, National Defense Medical Center,
• 2009  Postgraduate study, Clinical Skills laboratory, Postgraduate Institute,  Singapore General Hospital, Singapore
• 2004-2011  Resident, Chief Resident, Attending physician, Tri-Service General Hospital, Taipei, Taiwan

CONFERENCE PRESENTATIONS

• 2023A novel technique in sinus surgery with turbinectomy.  The International  Federation of  Oto-Rhino-Laryngology Societies World Congress 2023 (IFOS ENT World Congress 2023 Dubai) Oral Presentation 2023  Efficacy of Dymista nasal spray in isolated tracheal mucosa. The International  ederation of  Oto-Rhino-Laryngology Societies World Congress 2023 (IFOS ENT World Congress 2023 Dubai) Oral Presentation
• 2021A novel technique in sinus surgery with turbinectomy – fewer complications and better life quality. The 28th Congress of the European Rhinologic Society in conjunction with 39th International Symposium of  Infection & Allergy of the Nose and 21th Congress of the International Rhinology Society (ERS 2021 Thessaloniki) Oral Presentation
• 2019 Use of hemostatic matrix and fibrin sealant in nasal surgery – a novel technique. The 5rd European Congress of the Confederation of the European ORL and Head   & Neck Surgery (CEORL-HNS 2019 Brussels) E-poster
• 2018 The 27th Congress of the European Rhinologic Society in conjunction with 37th International Symposium of Infection & Allergy of the Nose and 19th Congress of the International Rhinology Society (ERS 2018 London)
• 2017 Measurement of objective glottal area using laser beam laryngo- stroboscopy and multi-slice spiral computed tomography. The International Federation of Oto-Rhino-Laryngology Societies World Congress 2017 (IFOS ENT World Congress 2017 Paris) Oral Presentation
• 2016 Effects of Oral Bronchodilator on Tracheal Smooth Muscle in Patients with Allergic Rhinitis and Asthma. The 26th Congress of the European          Rhinologic Society in conjunction with 35th International Symposium of  Infection & Allergy of the Nose and 17th Congress of the International Rhinology Society (ERS-ISIAN-IRS 2016 Stockholm) Oral presentation
• 2015 Measurement of Glottal Area using Laser Beam Strobo-laryngoscoy.  The 3rd Congress of the Confederation of the European ORL and Head &
• Neck Surgery (CEORL-HNS 2015 Prague) Oral presentation
• 2014Effect of Antihistamine nasal spray on Tracheal Smooth muscle. The 25th Congress of the European Rhinologic Society in conjunction with 32nd
• International Symposium of Infection & Allergy of the Nose (ERS-ISIAN 2014 Amsterdam) Oral presentation
• 2013 Azelastine Nasal Spray Inhibiting Parasympathetic Function of Tracheal Smooth Muscle. The 11th Japan-Taiwan Conference of Otolaryngology-
• Head and Neck Surgery (TJENT2013). Oral presentation.
• 2012 Application of Laser-Assisted Strobo-laryngoscope on The Measurement of Glottal Area. Australian Society of Otolaryngology Head and Neck Surgery Annual Scientific Meeting Oral presentation
• 2011 Application of Laser-Assisted Strobo-laryngoscope on The Measurement of Glottal Area. The 11th Japan-Taiwan Conference of Otolaryngology-Head  and  Neck Surgery (JTC2011) Oral presentation
• 2009 Attic Obliteration Alone or Combined with Mastoid Obliteration applied in Middle Ear Surgery. The 10th Taiwan-Japan Conference of  Otolaryngology-Head and Neck Surgery (TJENT2009) Oral presentation

EXPERTISE AND RESEARCH INTEREST

1. Allergic rhinitis and sinusitis
2. Voice and laryngology
3. Head and neck cancer

PUBLICATIONS (SCI)

1. Chou YL*, Wang HW, Effect of betahistine on isolated rats’ tracheal smooth muscles.J Med Sci. 2023 DOI: 10.4103/jmedsci.jmedsci_224_22  (SCI)
2. Lin YL , Chou YL*, Wang CH, Ultrasound Microbubbles Enhance the Efficacy of Insulin-Like Growth Factor-1 Therapy for the Treatment of Noise-Induced Hearing Loss. Molecules. 2021 Jun 13;26(12):3626 (SCI)
3. Lin YL , Chou YL*, Wang CH, Ultrasound Microbubble-Facilitated Inner Ear Delivery of Gold Nanoparticles Involves Transient Disruption of the Tight Junction Barrier in the Round Window Membrane. Front Pharmacol. 2021 Jun 28;12:689032 (SCI)
4. Chou YL*, Huang BR, Wang CH. En Bloc Surgical Removal of An Asymptomatic Glomus Tympanicum Tumor. J Chin Med Assoc. 2011 Nov;74(11):520-22. (SCI)
5. Chou YL*, Kang BH, Radiology Quiz Case: Ectopic minor salivary gland with mucocele formation. Arch Otolaryngol Head Neck Surg. 2011;137(4):404. (SCI)
6. Lee JC, Chou YL*, Antrochoanal Polyp. N Engl J Med. 2010 Jun 3;362(22):2113
7. Chou YL*, Wu CC, HW Wang, Effects of bambuterol and terbutaline on isolated rat’s tracheal smooth muscle. Eur Arch Otorhinolaryngol. Eur Arch Otorhinolaryngol. 2010 Aug;267(8):1305-11
8. Wang HW, Chou YL*, Chu YH. Azelastine nasal spray inhibiting parasympathetic function of tracheal smooth muscle. Rhinol 48(2):211-5, 2010. (SCI)

賴文森 醫師 論文著作:

A. 期刊 (2012~2019年) 論文著述:

Publications:

1. Lai WS, Lin YY, Chu YH, Lee JC. Accidental Intubation of the Soft Palate. Ear Nose Throat J. 2018 Oct (E-Pub)(SCI)
2. Lai WS, Lin YY, Chu YH, Lee JC. Bilateral intubation granulomas. Ear Nose Throat J. 2019 Feb;98(2):78. (SCI)
3. Cheng SY, Cheng LH, Liao YS, Lai WS. A rare laryngeal tumor in a patient with thyroid papillary cancer: granular cell tumor. Braz J Otorhinolaryngol. Braz J Otorhinolaryngol. 2018 Jul – Aug;84(4):519-522. (SCI)
4. Lai WS, Cheng SY, Lin YY, Yang PL, Lin HC, Cheng LH, Yang JM, Lee JC. Clinical assessment of diode laser-assisted endoscopic intrasphenoidal vidian neurectomy in the treatment of refractory rhinitis. Lasers Med Sci. 2017 Dec;32(9):2097-2104 (SCI)
5. Lai WS, Lin YY, Wang CH, Chen HC. Measles: A missed cause of acute tonsillitis. Ear Nose Throat J. 2017 Oct-Nov;96(10-11):E54-E55. (SCI)
6. Lin HC, Huang YS, Chu YH, Liu SC, Shangkuan WC, Lai WS, Yang JM, Lin YS, Ma KH, Lee JC. Vascular anatomy is a determining factor of successful submental flap raising: a retrospective study of 70 clinical cases. PeerJ. 2017 Sep 19;5:e3606. (SCI)
7. Lin YY, Chen HC, Lai WS, Wu LW, Wang CH, Lee JC, Kao TW, Chen WL. Gender Differences in the Association between Moderate Alcohol Consumption and Hearing Threshold Shifts. Sci Rep. 2017 May 19;7(1):2201. (SCI)
8. Lai WS, Lin YY, Shih CP, Chen HC, Yang PL, Chu YH, Yang JM, Lee JC. Clinical application of suction tube-assisted septal submucosal dissection for endoscopic septoplasty. Eur Arch Otorhinolaryngol. 2017 Mar;274(3):1471-1475. (SCI)
9. Lai WS, Wang HW. Nodular Torus Palatinus. The Journal of the American Osteopathic Association. 2016 Jul;116(7):491.
10. Lai WS, Lin YY, Chu YH, Lee JC. Bilateral intubation granulomas. Ear Nose Throat J. 2016 Mar;95(3):E44 (SCI)
11. Yang ML, Lai WS, Lin YY, Chu YH. Supraglottic schwannoma presenting as upper airway obstruction in an elderly man. Int J Gerontol. 2015 Dec 9(4):239-42 (SCI)
12. Tsai WC, Yang JM, Liu SC, Chu YH, Lai WS, Lin YS, Lee JC. Management of different kinds of head and neck defects with the submental flap for reconstruction. Eur Arch Otorhinolaryngol. 2015 Dec;272(12):3815-9. (SCI)
13. Lai WS, Lee JC, Chu YH, Chang YN. Giant Stensen’s Duct Calculus. Ear Nose Throat J. 2015 Apr-May;94(4-5):144. (SCI)
14. Lee JC, Lai WS, Ju DT, Chu YH, Yang JM. Diode laser assisted minimal invasive sphenoidotomy for endoscopic transphenoidal pituitary surgery: Our technique and results. Lasers Surg Med. 2015 Mar;47(3):239-42. (SCI)
15. Chang TS, Lai WS, Kuo CY, Wang CH. Osteoma of the middle ear. Ear Nose Throat J. Ear Nose Throat J. 2014 Oct-Nov;93(10-11):E43. (SCI)
16. Lai WS, Lee JC. Intranasal Ectopic Tooth. Indian J. Med. Res. 2014 Nov;140:80. (SCI)
17. Su WF, Liu SC, Cheng LH, Chang YN, Chiu FS, Lin YY, Lai WS, Feng HM, Wu CK. Revised thyroplasty: The importance of inner perichondrium dissection. J Med Sci. 2014 Sep-Oct;34(5):207-210.
18. Lai WS, Liu FC, Wang CH, Chen HC. Unusual cancer in primary Sjogren syndrome. Can Fam Physician. 2014 Oct:60(10): 912-915. (SCI)
19. Lai WS, Yang PL, Lee CH, Lin YY, Chu YH, Wang CH, Wang HW, Shih CP. The association of frontal recess anatomy and mucosal disease on the presence of chronic frontal sinusitis: A computed tomographic analysis. Rhinology. 2014 Sep:52(3) 208-214. (SCI)
20. Lai WS, Lin JC. Recurrent serotype K1 Klebsiella pneumoniae liver abscess: a single or different pathogen? J Med Sci. 2014 May-Jun:34(3):133-136
21. Lai WS, Shih CP. Triple torus palatinus. Indian J. Med. Res. 2014 May;139:788 (SCI)
22. Lee JC, Tsai KK, Chen HC, Shih CP, Lai WS, Chu YH, Wang CH, Lin YS. Clinical presentation and treatment of primary and secondary paranasal mucoceles. J Med Sci. 2014 Jan-Feb;34(1):19-22.
23. Lai WS, Lin YY, Chu YH, Wang CH, Wang HW. Efficacy of fexofenadine in isolated rat tracheas. Rhinology. 2013 Dec;51(4): 376-380. (SCI)
24. Lee JC, Lai WS, Kao CH, Hsu CH, Chu YH, MD, PhD, Lin YS. Multiple-parameter Evaluation Demonstrates Low Donor Site Morbidity After Submental Flap Harvesting. Journal of Oral and Maxillofacial Surgery. 2013 Oct;71(10):1800-8. (SCI)
25. Lai WS, Lee JC. Fibrous Dysplasia of the Craniofacial Bones. The Journal of the American Osteopathic Association. 2013 Aug;113(8):641.
26. Lai WS, Lee JC, Wang CH, Chu YH. Giant Jugular Foramen Tumor. Ear Nose Throat J. 2013 Apr-May;92(4-5):180-2. (SCI)
27. Lai WS, Wang CH, Shih CP. Bilateral auricular pseudocyst. Arthritis & Rheumatism. 2013 Apr;65(4):1084. (SCI)
28. Lai WS, Wang CH, Shih CP. T-cell lymphoma manifesting as an uvular mass. Rheumatology. 2013 Apr;52(4):608. (SCI)
29. Lai WS, Hsu CH, Lee JC, Chu YH. Extensive blue nevus of the pharynx. Indian J Dermatol Venereol Leprol. 2012 May-Jun;78(3):376-7. (SCI)

四.研究計畫(近五年)

1. 112-050 Desmopressin 噴劑對人體鼻黏膜的作用(周英樑)
2. 112-026內視鏡多竇副鼻竇手術的新方法(周英樑)
3. 112-051鐵凋亡因子FSP1-ACSL4訊號軸調控抗腫瘤機制對於甲狀腺乳突癌治療之影響(賴文森)
4. 112-027以階層式系統分析方法探討頭頸癌病人之生物機制與潛在食療以增加術後、預後之效果(賴文森)
5. 111-043含第十三因子之組織凝膠在鼻甲手術的應用(周英樑)
6. 111-044HIF1A /EMT axis在下咽鱗狀細胞癌中經由FAT1介導之DNA修復與耐輻射機轉(賴文森)
7. 110-022 erbutaline及bambuterol人體鼻黏膜的作用及臨床運用(周英樑)
8. 110-023以藥效基團分析策略探討新型冠狀病毒肺炎之舊藥新用及潛在標靶(賴文森)
9. 110-052人工智能輔助之咽喉內視鏡影像量化分析與電腦自動判讀診斷咽喉病灶(賴文森)
10. 110-142研發軍陣噪音性聽損的高效率內耳藥物輸送(1/3) (周英樑)
11. 109-E045止血粉與組織凝膠在鼻手術之運用-創新技(周英樑)
12. 109-D026以階層式系統生物分析方法探討懸浮微粒與氣喘之關聯(賴文森)
13. 108-NDMC003癌瑞格在鼻咽癌細胞株上所展現的抗癌潛力(賴文森)
14. 108-A15以系統生物方法揭示空汙顆粒物與呼吸道疾病之關聯機制與潛在藥物標靶(賴文森)
15. 108- NDMC003癌瑞格在鼻咽癌細胞株上所展現的抗癌潛力(賴文森)