Sunday, 31 December 2023

Temporal Bone Surgery - Latest on Simulation Training and Current Practices

Temporal Bone Surgery - Latest on Simulation Training and Current Practices

The temporal bone consists of complex anatomy, and the presence of various vital structures in close proximity makes the surgery of temporal bone highly challenging. Such a surgery requires years of training under the direct observation of trainers. Over the course of history, different training models have been adopted by experts to help train the young surgeons in this complex procedure.



Cadaveric dissections of the temporal bone remains the gold standard in training of residents as the
cadavers present the actual anatomical details which the surgeons encounter while operating.
However, due to scarcity of available cadavers, their onetime-only usage and high costs, experts have developed newer techniques of training, including three-dimensional reconstruction models and virtual reality simulators.



Most of the literature on simulation in training of residents focuses on anatomical understanding and development of the surgical technique. There has been significant improvement in these techniques over time. With the addition of haptic feedback in the newer virtual simulation models, simulation has edged closer to basic modules of temporal bone dissection. the current review article was planned to have an overview of the different techniques in detail that are currently being in used.



Temporal bone training#cadavericdissection #temporalbonesurgery #visualstimulation
https://drakbarabbas.com/temporal-bone-surgery-latest-on-simulation-training-and-current-practices/

Professional video on Endoscopic Tympanoplasty

Professional video on Endoscopic Tympanoplasty

https://drakbarabbas.com/professional-video-on-endoscopic-tympanoplasty/

Friday, 29 December 2023

Evaluating Oral Health-Related Quality Of Life In Head And Neck Cancer Post Treatment

Evaluating Oral Health-Related Quality Of Life In Head And Neck Cancer Post Treatment

Evaluating Oral Health-Related Quality Of Life (OHRQoL ) in Head and Neck Cancer Survivors after completing their treatment is important. As they are often functionally challenged by the acute and chronic complications in the oral cavity such as oral pain, limited mouth opening, xerostomia etc. These complications are known to reduce their OHRQoL, because of restricted food intake, limited social activity and economic growth, therefore impacting their overall well-being and survival.



This study aims to assess the OHRQoL and its associated sociodemographic factors, oral hygiene related factors and oral clinical parameters such as OH status and OM grade in HNC survivors within one-year post cancer treatment. Methodology This was a cross-sectional study performed among HNC survivors at the ENT and dental clinics of Aga Khan University Hospital, Karachi. OHRQoL was assessed using EORTC QLQ H&N – 35, patients were examined for oral hygiene status using OHI- simplified and oral mucositis grade using WHO oral mucositis scale at one point in time.



One sample t- test and multiple linear regression was used to test Oral Health-Related Quality Of Life (OHRQoL) and its associations with the sociodemographic and clinical factors. Results The results of the study showed an overall higher mean score for OHRQoL of 25.02 ± 15.86 (95% CI 21.46–28.57), with difficulty in mouth opening and dry mouth because of salivary dysfunction among the most affected domains with higher symptoms scores in the study population. Significant association of OHRQoL were found with BMI, OH status, marital status, monthly income, gender and fluoride toothpaste use in HNC patients within one-year post cancer treatment (p < 0.05).



Conclusion: High mean score for OHRQoL in HNC patients suggests their QoL is negatively impacted by their poor oral health post cancer treatment, therefore it is important to evaluate and modify the current treatment modalities and involve multidisciplinary teams, to improve their OHRQoL thereby enhancing overall QoL.



Assessment_of_Oral_health_related_quality_of_life_#AssessmentofOHRQoL #headandneckcancersurvivors
https://drakbarabbas.com/evaluating-oral-health-related-quality-of-life-in-head-and-neck-cancer-survivors-after-treatment/

Cochlear Implantation - Professional Video

Cochlear Implantation - Professional Video

https://drakbarabbas.com/cochlear-implantation-surgery/

Wednesday, 27 December 2023

The Efficacy of Bethesda System for Prediction of Thyroid Malignancies

The Efficacy of Bethesda System for Prediction of Thyroid Malignancies

The best initial investigation for thyroid nodule is fine needle aspiration (FNA). Bethesda System is an international standardized system of reporting thyroid nodules and recommends subsequent management. Every institution should assess the risk of malignancy in each category to avoid unnecessary thyroid surgeries, with this aim we conducted a review at our center to calculate risk of malignancy in each category.



IJORL_Volume33_Issue4_Pages209-215#BethesdaSystem #ThyroidMalignancies
https://drakbarabbas.com/the-efficacy-of-bethesda-system-for-prediction-of-thyroid-malignancies/

Professional Surgery Video-Cholesteatoma Canal wall down tympanomastoidectomy Inside-out technique

Professional Surgery Video-Cholesteatoma Canal wall down tympanomastoidectomy Inside-out technique

https://drakbarabbas.com/professional-video-on-cholesteatoma-canal-wall-down-tympanomastoidectomy-inside-out-technique/

Tuesday, 26 December 2023

From Scrubs To Silver - Dow '96 Celebrates 25 Years

From Scrubs To Silver - Dow '96 Celebrates 25 Years
From Scrubs To Silver - Dow '96 Celebrates 25 Years

Dow Medical College Under A Canopy of Starlight



Dow Medical Class of 1996 Celebrates Silver Jubilee. As Karachi settles into a cool winter night, a luminous glow emanates from the heart of Dow Medical College (DMC). Tonight, the air vibrates with melody of reunions and reminiscence, marking the Silver Jubilee celebration of the Class of 1996. Beneath a sky studded with a million twinkling stars, the 75-year-old college architecture transforms into a canvas of nostalgia, painted with flickering lights and the echoes of live music.



Past and Present Interwine



Stepping onto the expansive grounds feels like traversing a time capsule. The imposing Gothic structures, standing stoic for decades, bear silent witness to countless dreams born and nurtured within their walls. Tonight, those dreams materialize in the faces of alumni, etched with the passage of time and yet beaming with youthful camaraderie. Laughter floats, punctuated by whispered stories of shared struggles and triumphs, of friendships forged in the medical school.



https://youtu.be/LrrrKb9GWnY

From Textbooks to Live Melodies at Dow



Where once stacks of textbooks and the rhythmic hum of fluorescent lights occupied their nights, a stage now pulsates with lively beats. The melodies weave through the ancient courtyard, among the shadows of trees and echoing off the timeworn brick-walls. It's a sensory fusion of the familiar and the unexpected, a celebration of resilience and transformation.



A Toast to Achievements and Journeys



The moon casts its silvery sheen upon the gathering, and the air is thick with a bittersweet fragrance of success and shared history. Stories of pioneering careers, personal milestones, and families built are exchanged with warmth and admiration. Tonight, they celebrate not just their individual journeys but their collective impact of stitching wounds, easing anxieties, and illuminating lives.



Beyond the Festivities, Enduring Lessons



But amidst the festivities, a deeper realization emerges. This celebration is not merely a nostalgic escape, but a potent reminder of the enduring lessons etched in the halls of DMC. It's a tribute to the unwavering dedication of teachers who ignited minds, the rigorous training that sculpted healers, and the spirit of compassion that continues to guide their paths.



Dow Legacy Illuminated



As the night deepens, and the music reaches its crescendo, the Class of 1996 gathers under the starlit sky. They are no longer students navigating through textbooks and exams, but seasoned doctors, pillars of their communities. Yet, in their eyes, beneath the flicker of celebratory lights, one can still glimpse the youthful zeal, the passion that first drew them to these hallowed halls.



The DMC Silver Jubilee celebration is not just a fleeting event. It is a testament to the enduring power of education, the unwavering spirit of the medical profession, and the legacy that continues to illuminate lives. It is a promise whispered under a canopy of stars, a pledge to continue serving, healing, and making a difference in the world, one patient, one community, at a time.

#otolaryngology #cochlearimplant #deafness #deafnessinnewborns #headndneckcancer #earsurgery #pituitarysurgery #endoscopicsiunssurgery #EARNOSETHROAT #ENT #Cochlear implants in Pakistan #Cochlear implant in Karachi, #Best cochlear implant surgeon #Cochlear implant surgeon in Aga Khan Hospital #Skull base surgeon #Thyroid surgeon #pituitary gland surgeon #Ear surgeon #parotid tumors #best cochlear implant surgeon at Aga khan hospital
https://drakbarabbas.com/dow-medical-college-silver-jubilee-celebration-class-of-1996/

Professional Video: Endoscopic Pituitary Surgery with 4-Hands Surgical Team

Professional Video: Endoscopic Pituitary Surgery with 4-Hands Surgical Team

https://drakbarabbas.com/professional-video-endoscopic-pituitary-surgery-with-4-hands-surgical-team/

Monday, 25 December 2023

Clinicopathological Prognostic Factors of OSCC

Clinicopathological Prognostic Factors of OSCC

Clinicopathological Prognostic Factors of OSCC: Locoregional recurrence accounts for majority of the treatment failures in oral cancer patients. Current study aimed to determine the predictors of recurrence and survival in patients with biopsy proven Squamous Cell Carcinoma (SCC) of the oral cavity. This study included 88 patients of squamous cell carcinoma treated at our institution from 2007 till 2013.



Primary intervention was surgery in all patients with radiation and chemotherapy in selected patients. Primary end point was locoregional recurrence, distant metastasis and death. Out of 88 patients, 23 (26.1%) patients developed locoregional recurrence and 6 (6.8%) patients developed distant metastasis. Overall survival rate was 77.3%.



Follow up ranged from 1 month to 63 months with mean of 17.8±16.2. On multivariate analysis, lymph node involvement and loco-regional recurrence were independent parameters related to decrease overall survival. Lymphovascular invasion, perineural spread, TNM stage and lymph node involvement had significant impact on recurrence.



Clinicopathological OSCC#PrognosticFactorsofOSCC
https://drakbarabbas.com/clinicopathological-prognostic-factors-of-oscc/

Early Diagnosis of Partial or Complete Deafness in Children

Early Diagnosis of Partial or Complete Deafness in Children

https://drakbarabbas.com/early-diagnosis-of-partial-or-complete-deafness-in-children-media-talk/

Thursday, 21 December 2023

AGA Khan University's Post Graduate Medical Education Ceremony 2023-preparations

AGA Khan University's Post Graduate Medical Education Ceremony 2023-preparations
AGA Khan University's Post Graduate Medical Education Ceremony 2023-preparations

#otolaryngology #cochlearimplant #deafness #deafnessinnewborns #headndneckcancer #earsurgery #pituitarysurgery #endoscopicsiunssurgery #EARNOSETHROAT #ENT #Cochlear implants in Pakistan #Cochlear implant in Karachi, #Best cochlear implant surgeon #Cochlear implant surgeon in Aga Khan Hospital #Skull base surgeon #Thyroid surgeon #pituitary gland surgeon #Ear surgeon #parotid tumors #best cochlear implant surgeon at Aga khan hospital
https://drakbarabbas.com/aga-khan-universitys-post-graduate-medical-education-ceremony-2023-preparations/

AGA Khan University's Post Graduate Medical Ceremony About to Begin

AGA Khan University's Post Graduate Medical Ceremony About to Begin
AGA Khan University's Post Graduate Medical Ceremony About to Begin #otolaryngology #cochlearimplant #deafness #deafnessinnewborns #headndneckcancer #earsurgery #pituitarysurgery #endoscopicsiunssurgery #EARNOSETHROAT #ENT #Cochlear implants in Pakistan #Cochlear implant in Karachi, #Best cochlear implant surgeon #Cochlear implant surgeon in Aga Khan Hospital #Skull base surgeon #Thyroid surgeon #pituitary gland surgeon #Ear surgeon #parotid tumors #best cochlear implant surgeon at Aga khan hospital
https://drakbarabbas.com/aga-khan-universitys-post-graduate-medical-ceremony-about-to-begin/

Thyroid Gland: Rare Case of Foreign Body Migration

Thyroid Gland: Rare Case of Foreign Body Migration

Abstract: We report an unusual case of an ingested foreign body in 26 year old female that perforated the esophagus and penetrated the thyroid gland. A neck exploration was done to remove the foreign body. In literature various cases have been described where foreign bodies ingested were lodged in the upper aero digestive tract, but only few of these foreign bodies perforate the oesophagus and an even fewer migrate extraluminally. If untreated, they may result in life threatening suppurative or vascular complications. Exploration of the neck/thyroid gland via an external approach to remove the foreign body is the recommended treatment.



Details



We present a noteworthy case involving a 26-year-old female who ingested a foreign body, resulting in a rare occurrence of esophageal perforation and subsequent penetration of the thyroid gland. Given the complexity of the situation, a thorough neck exploration was undertaken to carefully extract the foreign object.



While existing literature does document instances of foreign bodies being lodged in the upper aerodigestive tract, it is relatively uncommon for such objects to lead to esophageal perforation, and an even smaller number migrate extraluminally.



It is crucial to note that untreated cases of esophageal perforation from ingested foreign bodies may give rise to severe, life-threatening complications, including suppurative or vascular issues. Recognizing the potential gravity of such situations, prompt intervention becomes paramount. In this particular case, the recommended approach involved a meticulous exploration of the neck and thyroid gland, utilizing an external approach to ensure the safe and effective removal of the foreign body.



This case underscores the importance of vigilance in managing ingested foreign bodies, as well as the necessity for a comprehensive understanding of the potential complications that may arise. The success of the external approach in this instance reinforces its merit as a preferred method for addressing such intricate cases, emphasizing the significance of timely and appropriate medical intervention to safeguard patient well-being.



Migrating_foreign_body_in_the_thyroid_gland_an_unu#foreignbody #perforatedesophagus #thyroidgland
https://drakbarabbas.com/unusual-case-of-foreign-body-in-the-thyroid-gland/

AGA Khan University's Post Graduate Medical Education Ceremony 2023-preparations

AGA Khan University's Post Graduate Medical Education Ceremony 2023-preparations
AGA Khan University's Post Graduate Medical Education Ceremony 2023-preparations

#otolaryngology #cochlearimplant #deafness #deafnessinnewborns #headndneckcancer #earsurgery #pituitarysurgery #endoscopicsiunssurgery #EARNOSETHROAT #ENT #Cochlear implants in Pakistan #Cochlear implant in Karachi, #Best cochlear implant surgeon #Cochlear implant surgeon in Aga Khan Hospital #Skull base surgeon #Thyroid surgeon #pituitary gland surgeon #Ear surgeon #parotid tumors #best cochlear implant surgeon at Aga khan hospital
https://drakbarabbas.com/aga-khan-universitys-post-graduate-medical-education-ceremony-2023-preparations/

AGA Khan University's Post Graduate Medical Education Ceremony 2023-preparations

AGA Khan University's Post Graduate Medical Education Ceremony 2023-preparations

#otolaryngology #cochlearimplant #deafness #deafnessinnewborns #headndneckcancer #earsurgery #pituitarysurgery #endoscopicsiunssurgery #EARNOSETHROAT #ENT #Cochlear implants in Pakistan #Cochlear implant in Karachi, #Best cochlear implant surgeon #Cochlear implant surgeon in Aga Khan Hospital #Skull base surgeon #Thyroid surgeon #pituitary gland surgeon #Ear surgeon #parotid tumors #best cochlear implant surgeon at Aga khan hospital
https://drakbarabbas.com/aga-khan-universitys-post-graduate-medical-education-ceremony-2023-preparations/

Professional Video on Allergic Fungal Sinusitis and Endoscopic Sinus Surgery

Professional Video on Allergic Fungal Sinusitis and Endoscopic Sinus Surgery

https://drakbarabbas.com/endoscopic-sinus-surgery-for-allergic-fungal-sinusitis/

Monday, 11 December 2023

What to Expect Post Head and Neck Cancer Treatment?

What to Expect Post Head and Neck Cancer Treatment?

What to Expect Post Head and Neck Cancer Treatment? Assessment of Oral health related quality of life and its associated factors in head and neck cancer survivors, within one-year, post cancer treatment. A cross-sectional study.



Assessment_of_Oral_health_related_quality_of_life_ (1)

Dr Akbar Abbas is one of the best ENT specialist in Karachi, Pakistan. He specializes in otolaryngology, cochlear implants, ear surgery and is one of the few experts on pituitary and head and neck cancer surgery in Pakistan. Presently serving at Aga Khan University Hospital.

#PostHeadandNeckCancerTreatment
https://drakbarabbas.com/what-to-expect-post-head-and-neck-cancer-treatment/

Professional Video: Endoscopic Pituitary Surgery with 4-Hands Surgical Team

Professional Video: Endoscopic Pituitary Surgery with 4-Hands Surgical Team

https://drakbarabbas.com/professional-video-endoscopic-pituitary-surgery-with-4-hands-surgical-team/

Professional Video on Stapedotomy Surgery for Otosclerosis

https://drakbarabbas.com/stapedotomy-for-otosclerosis-by-dr-syed-akbar-abbas-ent-head-neck-and-cochlear-implant-surgeon/