Clinical Attachments: In 1992, I joined Professor W.Draf at Fulda where I spent there 3 months training on sinuscopic and nasal surgery. In 1993, I was attached to the Royal infirmary at Edinburgh under the supervision of Professor A.G. Maran and Mr. Dale where I was trained on head and neck surgery. In 1995, I joined DR.Jean Bernard Causse at Colombier France where I was trained on ear operations especially stapes surgery. In 2004 I joined The Cleveland Ohio Rhino logy team for upgrading in Rhino logy field.