https://drakbarabbas.com/professional-video-on-cochlear-implantation-advance-bionics-slim-j-electrode/
Wednesday 31 January 2024
Tuesday 30 January 2024
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/
Monday 29 January 2024
Sunday 28 January 2024
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/
Saturday 27 January 2024
A 2.5 Years Old's Journey to Sound In AKUH Operating Room (Cochlear Implant Success Story)
A 2.5 Years Old's Journey to Sound In AKUH Operating Room (Cochlear Implant Success Story)
Little Mohammad, a 2.5 years old, arrived at the operating theater with his father, his big brown eyes filled with a mix of curiosity and apprehension. Today was the day he would receive a cochlear implant in his right ear, a chance to unlock a world of sound previously shrouded in silence.
Dr. Akbar Abbas, along with his seasoned ENT surgery team and the capable hands of Dr. Shabbir's anesthesia crew, awaited. Assisting Dr. Abbas was his Chief Resident, Abdul Basit, whose passion for ear surgery and cochlear implantation radiated through his focused demeanor. Ghiyas, the senior operating room technician, ensured everything was prepped with meticulous precision.
https://youtu.be/EdN32z30Sxc
OR Tales: A 2.5Years Old's Journey to Sound
Our state-of-the-art tools – a high-definition Leica microscope and a high-speed NSK drill machine – hummed softly, ready to play their part in this delicate dance. With a gentle incision behind Mohammad's ear, the journey began. Dr. Abbas, with practiced expertise, performed a soft cochlear implantation through the round window, minimizing tissue disruption. A Cochlear Nucleus 522 electrode, carefully chosen, was meticulously inserted, its full placement confirmed by audiologist Shumaila's precise neural response telemetry and impedance measurements.
Within an hour, the symphony of surgical precision concluded. A protective bandage graced Mohammad's head, a temporary shield for the newly-implanted conductor of sound within his ear. Two hours later, Mohammad, bright-eyed and a little braver, was on his way home, the promise of a sound-filled world unfolding before him.
Alhamdulillah - A New Beginning
Mohammad's journey is just beginning. With the cochlear implant, he will have the opportunity to experience the world of sound for the first time. His laughter, his first words, the joy of music - all of these await him.
This is a story of hope for 2.5 years old Muhammad, of dedication, and of the life-changing power of medical technology. It is a story that Dr. Akbar Abbas and his team are proud to be a part of.
Please share this story and join our cause in raising awareness and educating about cochlear implants can change lives of children who are born with partial to zero hearing.
#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 hospitalhttps://drakbarabbas.com/a-2-5-years-old-s-journey-to-sound-in-akuh-operating-room-cochlear-implant-success-story/
Friday 26 January 2024
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/
Thursday 25 January 2024
Wednesday 24 January 2024
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/
Tuesday 23 January 2024
Monday 22 January 2024
Malignancy Rate in Thyroid Nodules With Atypia
Malignancy Rate in Thyroid Nodules With Atypia or follicular lesion of undetermined significance
Risk of malignancy in BethIII_ainulakbar_peshawar#thyroidnodules
https://drakbarabbas.com/malignancy-rate-in-thyroid-nodules-with-atypia/
Sunday 21 January 2024
Reasons for Delayed Presentation of Oral Cancer Patients in Pakistan
Oral cancer patients account for nearly one-fifth of all cancers in males and one-tenth in females globally. Squamous cell carcinoma accounts for 90% of the oral cancer. The occurrence rate of oral cancer is higher in Sri Lanka, Bangladesh, Pakistan and India. In South Asia oral cancer constitutes 25% of all new cancer reported among males. The estimated incidence of oral cancer in Pakistan is 14.7%.
A cross-sectional observational study was carried out at a tertiary care hospital in Karachi with a sample of 145 patients with pathological diagnosis of squamous cell carcinoma of oral cavity. Oral Cancer Patients were characterized into early stage (I and II) and advanced stage (III and IV), according to AJCC classification of tumors (2010).
The mean age was recorded 47.87 ± 12.50 years. Oral Cancer Male participants were 63.4% and 36.6% females were incorporated in our study. More than half came with the Stage IV. 35.2% of participants became aware of their initial symptom before 6 months before pursuing any doctor. 83% patients presented with noteworthy habit of Tobacco or Chalia chewing. Bulk of the participants stated that they would have presented before if they had knowledge about the disease. 85% thought that increasing awareness of oral cancer through media may decrease the time in seeking help from qualified doctor.
Conclusion- Oral Cancer Patients' Late Presentation
The study concludes that most of the participants presented late to the professional because of lack of
knowledge about signs and symptoms of oral malignancy.
DELAYED PRESENTATION PJPHARTICLE#oralcancer #OralSquamousCellCarcinoma #patientswithoralcancer
https://drakbarabbas.com/reasons-for-delayed-presentation-of-oral-cancer-patients-in-pakistan/
Saturday 20 January 2024
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/
Friday 19 January 2024
3D Printing Lab At AKUH: Where Bones Come Alive
3D Printing Lab At AKUH: Where Bones Come Alive
3D Printing Lab At AKUH Prints a Future in Healthcare: Prosthetic Innovation and Medical Education
Imagine a lab where bones are born, not from nature, but from a 3D printer. This isn't science fiction, but the reality at Aga Khan University's 3D Printing Lab in Karachi, Pakistan. This cutting-edge facility is revolutionizing healthcare, one printed bone at a time.
This incredible facility is pushing the boundaries of healthcare, not only by creating customized prosthetics for surgical use, but also by transforming medical education with its 3D printed tools.
Imagine this: surgeons preparing for complex procedures using precise replicas of a patient's bones, or medical students honing their skills on lifelike 3D printed models of teeth, skulls, and even entire limbs. This is the reality at Aga Khan University's 3D printing lab, and it's truly revolutionizing the way healthcare is taught and practiced.
The lab is part of the Technology Innovation Support Center (TISC) at Stadium Road in Karachi, a hub for bringing groundbreaking ideas to life. Under the leadership of Dr. Saleem Sayani, Director of TISC and the Development Network Digital Health Resource Centre Karachi, and his dedicated team – Dr Yasmeen Rashid, Dr Akbar Abbas, Dr Nasir Ali, and Dr Abdul Qadir Jangda – they're making a real difference in the lives of patients and future medical professionals.
Beyond Bones: Customized Prostheses for Real Needs
The lab's expertise goes beyond mere bone printing. They're pioneers in creating customized prostheses, tailored to individual patients' needs. This means improved comfort, function, and ultimately, a better quality of life for those who rely on these artificial limbs.
https://youtube.com/shorts/wRTfQcqtk-U
The latest video from the lab showcases the printing of lower limb bones for an upcoming orthopedic course at AKUH. This is just one example of how they're using 3D printing to create realistic training materials, ensuring future doctors and surgeons are equipped with the best possible preparation.
Training the Future: 3D Printed Cadavers for Doctors in the Making
But the lab's impact extends beyond individual patients. They're also supporting medical education by providing students with 3D printed models for orthopedic, dental, and neurosurgery courses. Imagine practicing surgery on a life-sized, anatomically accurate replica of a human skull – that's the power of this technology.
A Glimpse into the Future: Lower Limb Bones Take Shape
The lab's latest project is a testament to their commitment to pushing boundaries. They're currently printing lower limb bones for an upcoming orthopedic course at AKUH. This video (link here) offers a fascinating glimpse into the printing process, showcasing the intricate details and precision that go into creating these lifelike models.
Aga Khan University's 3D Printing Laboratory is more than just a lab; it's a beacon of hope and innovation. By blending cutting-edge technology with a dedication to patient care and education, they're shaping the future of healthcare, one printed bone at a time.
So, what does the future hold for Aga Khan University's 3D printing lab? The possibilities are endless! We can expect to see even more personalized prosthetics, advanced surgical planning tools, and innovative educational materials emerge from this remarkable facility. It's clear that Aga Khan University is at the forefront of 3D printing in healthcare, and we can't wait to see what they achieve next!
Want to learn more? Be sure to visit the Aga Khan University website or follow Dr Akbar Abbas on social media for the latest updates on their groundbreaking work.
#3Dprinting #healthcare #AgaKhanUniversity #prostheses #medicaleducation #innovation #Pakistan
https://drakbarabbas.com/3d-printing-lab-at-akuh-where-bones-come-alive/
3--What's the right age for cochlear implant surgery? کوکلیئر امپلانٹ سرجری کے لیے صحیح عمر کیا ہے?
3--What's the right age for cochlear implant surgery? کوکلیئر امپلانٹ سرجری کے لیے صحیح عمر کیا ہے?
کوکلیئر امپلانٹ سرجری کے لیے صحیح عمر کیا ہے? عوامی آگاہی ویڈیو
پیدائشی طور پر سماعت سے محروم بچوں کے لیے کوکلیئر امپلانٹیشن کی بہترین عمر زندگی کے پہلے دو سال ہیں
میرا نام ڈاکٹر سید اکبر عباس صاحب اور میں ایک ای این ٹی سرجن ہوں
https://youtu.be/6Hzg1ZkGMrU
What's the right age for cochlear implant surgery? کوکلیئر امپلانٹ سرجری کے لیے صحیح عمر کیا ہے?
.اج یہ جاننے کی کوشش کرتے ہیں کہ یہ کیوں ضروری ہے اپ کو یہ جان کر شاید خوشگوار حیرت ہوگی کہ بچہ جب ماں کے پیٹ میں ہوتا ہے تو وہ اپنےاس پاس کی اوازیں سن سکتا ہے اور ان اوازوں پر ری ایکٹ بھی کرتا ہے.
دماغ کے مختلف حصے مختلف فنکشنز کے لیے مختص ہیں اسی طرح سماعت کا حصہ جو ہے وہ سماعت کے فنکشن کے لیے مختص ہے جسے ہم ورنکیزیریہ کہتے ہیں اس تک انپٹ بہت ضروری ہے
یعنی اوازیں اس ایریا تک پہنچیں گی تو یہ حصہ گرو کرتا ہے اور اپنا کام اچھے طریقے سے انجام دیتا ہے اگر اس ایریا تک کان کے ذریعے اوازیں نہ پہنچے اور یہ عمل شروع کے چند سالوں میں اگر نہ شروع ہو تو یہ ایریا اپنی کارکردگی کھو دیتا ہے اور اپنی افادیت بھی کھو دیتا ہے اس چیز کو ہم نیوروپلاسٹسٹی بھی کہتے ہیں یعنی کہ دماغ کی وہ صلاحیت جو وہ اپنی اس پاس کی اوازوں سے اپنے اپ کو بہتر کرتا ہے اور اگر یہ اوازیں نہ پہنچے تو وہ اپنی کارکردگی کھو دیتا ہے
دماغ میں یہ حیران کن صلاحیت موجود ہے کہ وہ اپنی صلاحیتوں کو بڑھا بھی سکتا ہے اور گھٹا بھی سکتا ہے یہی نیوروپلاسٹیسٹی بچوں کے لیے کوکلیئر امپلانٹیشن میں بہت ضروری ہے
پہلے دو سال میں جب بچہ اپنےاس پاس گھر میں رشتہ داروں دوستوں عزیزوں کی اوازیں سنتا ہےاور ان سے زبان سیکھتا ہے یہ عمل انتہائی ضروری ہوتا ہے اگر شروع کے دو یا تین سال تک یہ اوازیں ان کے کان تک نہ پہنچے اور وہ اپنے اپ کو زبان سیکھنے سے محروم رکھے تو اس کے بعد کوکلیئر امپلانٹیشن کے نتائج اتنے خاطرخواه نہیں رہتےتو ہم سٹرونگلی ریکمنڈ کرتے ہیں کہ شروع کے دو سالوں میں کوکلیئرایمپلانٹیشن کر لینی چاہیےاور اگر نہ ہو پائے تو شروع کے تین چار یا پانچ سال تک بھی ہم کرتے ہیں لیکن اس کے نتائج اس طریقے سے نہیں اتے جس طرح شروع کے دو سال میں اتے ہیں
بہت سارے ملکوں میں کرائٹیریاز ہوتے ہیں جسے ہم ون تھری سکس کرائٹیریا (1-3-6 ) بھی کہتے ہیں یعنی کہ پہلے مہینے میں بچے کی نیو نیٹل ہیرنگ سکریننگ ہو جانی چاہیے یعنی کہ وہ سکریننگ جو پیدائشی طور پر جاننے کی کوشش کرتی ہے کہ بچہ سنتا ہے یا نہیں سن پاتا اور اگر بچہ نہیں سن پاتا تو پھر تین سے چھ مہینے کے درمیان تمام تشخیص کر کے اس کو کوکلیئر امپلانٹیشن کے لیے لائن اپ کر لینا چاہیے
اپ کا بہت بہت شکریہ
#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 hospitalhttps://drakbarabbas.com/3-whats-the-right-age-for-cochlear-implant-surgery-%da%a9%d9%88%da%a9%d9%84%db%8c%d8%a6%d8%b1-%d8%a7%d9%85%d9%be%d9%84%d8%a7%d9%86%d9%b9-%d8%b3%d8%b1%d8%ac%d8%b1%db%8c-%da%a9%db%92-%d9%84%db%8c/
Thursday 18 January 2024
Leiomyosarcoma of The Larynx
Leiomyosarcoma of The Larynx : A Case Report.
Leiomyosarcoma of The Larynx is a very rare malignancy that originates from blood vessel, smooth muscle or from the heterotopic mesenchymal tissue in the larynx
Leiomyosarcoma_of_the_Larynx_A_Case_Report#LeiomyosarcomaofTheLarynx #raremalignancyinlarynx
https://drakbarabbas.com/leiomyosarcoma-of-the-larynx/
2--What is Cochlear Implant? کوکلیر امپلانٹ کیا ہے؟
2--What is Cochlear Implant? کوکلیر امپلانٹ کیا ہے؟
کوکلیر امپلانٹ کیا ہے? کو کلیر امپلانٹ ایک ایسا الہ ہےجو سماعت سے محروم بچوں یا بڑوں کے کان میں ایک مختصر اپریشن کے ذریعےنصب کر دیا جاتا ہے
میرا نام ڈاکٹر اکبر عباس ہے اور میں ایک ہی این ٹی سرجن ہوں
https://youtu.be/hkSRInDCUwI
کوکلیر امپلانٹ کیا ہے؟ Cochlear Implant
کوکلیر امپلانٹ کے دو حصے ہوتے ہیں جیسے کہ یہ ہاتھ میں موجود ایک اعلی نظر ا رہا ہے یہ امپلانٹ میں موجود اندرونی حصہ ہےاسے ہم کوکلیر امپلانٹ بھی کہتے ہیں اور یہ اپریشن کے درمیان کان میں نصب کر دیا جاتا ہے
جیسے کہ اپ دیکھ رہے ہیں کہ اس کے ساتھ ایک باریک سی تار اٹیچڈ ہے یہ تار کان کے اندرونی حصے کوکلیئر میں نصب کر دی جاتی ہےاور اس کے ذریعے اواز کے جو سگنل ہیں وہ کان کے اندرونی حصے میں پہنچنا شروع ہو جاتے ہیں جو کہ پہلے نہیں پہنچ رہے ہوتے
بائیں جانب اپ دیکھ رہے ہیں یہ امپلانٹ کا باہر کا حصہ ہے اسے ہم پروسیسر بھی کہتے ہیں یہ اپریشن کے چند دن بعد کان کے بیرون حصے پہ مقناطیس کے ذریعے باسانی لگایا جا سکتا ہےاس کو نہاتے وقت اور رات کو سوتے وقت باسانی اتار کے رکھا جا سکتا ہےاس کے اندر اس کی ریچارجیبل بیٹری بھی فکسڈ ہے
اس ڈائیگرام میں اپ دیکھ رہے ہیں کہ جو نیلے رنگ کا حصہ ہے جو کہ کوکلیا ہےاس کے اندر یہ باریک تار نصب کر دی گئی ہےاور اب یہ کام کرنے کے لیے تیار ہے
اور جو کان کے اوپر کالے رنگ کا اعلی اپ دیکھ رہے ہیں جوکاکیئر کا باہری حصہ ہےاسے سپیچ پروسیسر کہتے ہیں یہ باسانی اتارا بھی جا سکتا ہے
یہ جو بچے کی تصویر اپ کو نظر ارہی ہے یہ اپریشن کے چار دن بعد لے گئی ہےاور کان کے اوپر والے حصے پہ اپ کو سپیچ پروسیسر نظر ارہا ہےاور یہ جو سر کے اوپر اپ کو نظر ارہا ہے یہ حصہ مقناطیس کے ذریعے لگایا جاتا ہے اور وقت ضرورت اتارا بھی جا سکتا ہے اب یہ بچہ اپنی زندگی کی پہلی اواز سننے کے لیے بالکل ریڈی ہے
کوکلیر امپلانٹ ان تمام بچوں اور بڑوں کے لیےمفید ہے جن کو انتہائی شدید نوعیت کی سماعت سے محرومی ہےیعنی وہ بچے یا بڑے جو ہیئرنگ ایڈ سے فائدہ نہیں اٹھا پاتےکوکلیر امپلانٹ ان بچوں اور بڑوں میں سماعت کی بحالی کی امید ہے
#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 hospitalhttps://drakbarabbas.com/2-what-is-cochlear-implant-%da%a9%d9%88%da%a9%d9%84%db%8c%d8%b1-%d8%a7%d9%85%d9%be%d9%84%d8%a7%d9%86%d9%b9-%da%a9%db%8c%d8%a7-%db%81%db%92%d8%9f/
After Successful Bone Cyst Removal: Exhausted Heroes, Elated Victory
After Successful Bone Cyst Removal: Exhausted Heroes, Elated Victory
The sterile air hangs heavy, yet the operating room (OR) pulses with a subdued energy. The photographic reel paints a stark yet stirring portrait: exhaustion etched on faces, yet eyes sparkling with unbridled joy, tell the story without words of a battle won. This is Dr. Akbar Abbas's surgical team, the heroes behind a monumental victory – moments after the vanquishing of a giant neurysmal bone cyst, a formidable foe occupying the neck and mediastinum.
But the true stories lie in the expressions of these frontline heroes. These photos are not mere snapshots; they are windows into a medical battlefield won, a testament to dedication, skill, and the undeniable triumph of the human spirit in the face of adversity.
Resident Year 1 Zubia Ali, her eyes sparkling with exhilaration, holds aloft the vanquished enemy - the giant tumor (neurysmal bone cyst), once a menacing threat, now a grotesque trophy of their collective victory. Her jubilant victory pose speaks volumes of the team's resilience and the shared joy of a life saved.
Young and eager, Junior Fellow Derpak Rai, eyes wide with newfound confidence, soaks in the scene, a silent promise to carry the torch forward.
Senior Fellow Huzaifa Moiz, his brow furrowed in concentration, echoes the leader's quiet resolve, the shared burden of responsibility easing with victory.
But it's Chief Resident Basit Shah Vardag who truly embodies the toll of victory. After 24 hours of relentless duty, he sprawls on a chair, exhaustion etched into every line of his face. Yet, even in the depths of fatigue, a hint of a smile plays on his lips, the echo of success resonating in his tired eyes. His dedication, a testament to the team's unwavering spirit.
And the ever-reliable Technician Raheem, whose expertise behind the scenes played a crucial role in the operation's smooth execution. His steady hands and keen eye ensured the smooth flow of instruments and equipment throughout the four-hour surgery, contributing silently but substantially to the successful removal of the tumor.
Dr. Akbar Abbas, the seasoned captain, standing at the left, his calm demeanor a testament to countless battles fought and won. Years of experience radiate from him, a silent assurance to his younger colleagues. His gaze steady and sure, though betraying fatigue, reflects a quiet pride in his team's accomplishment.
https://youtu.be/ig376WYAnVs?list=TLPQMTcwMTIwMjQIkp-pazXIjw
Faces of Triumph in a Grueling Medical Victory- Giant Bone Cyst Removal
The cyst itself, a monstrous mass, lies inert, a stark reminder of the battle fought and won. Its removal, a feat of surgical prowess by the AKUH team, stands as a monument to their collective expertise and unwavering dedication.
The tumor, removed in one piece by the AKUH surgical team, stands as a silent testament to their precision and prowess. Four hours of meticulous battle, fought with unwavering teamwork, have culminated in a resounding victory. But beyond the sterile walls of the operating room, these photos reveal the human cost of such triumphs.
These photographs are more than just images; they are a window into the soul of medicine. They capture the resilience of the human spirit, the unwavering camaraderie forged in the crucible of surgery, the unbridled joy of a battle hard-won and the unyielding pursuit of healing that drives these warriors in scrubs. They are a testament to the power of teamwork, where exhaustion finds solace in shared triumph, and where the joy of victory erases the memory of grueling hours.
Dr. Akbar Abbas's team, in their exhaustion and joyous triumph, embodies the very essence of the medical profession. They are the warriors who wage war against illness, the guardians of life, and the champions of hope. And in their conquest of the giant bone cyst, they have not only saved a life but also inspired a generation of future heroes to take up the scalpel and write their own chapters in the saga of human resilience.
#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 hospitalhttps://drakbarabbas.com/successful-bone-cyst-removal/
Wednesday 17 January 2024
1--Deafness in Newborns نو زائدہ بچوں میں بہراپن
السلام علیکم نو زائدہ بچوں میں بہراپن - ہم اج جاننا چاہیں گے کہ بچوں میں ثقل سماعت یا بہرا پن کیوں ہوتا ہے اس کی کیا وجوہات ہیں اس کو ٹیسٹ کیسے کیا جاتا ہے اور اس کے حوالے سے کیا علاج ممکن ہے
نو زائدہ بچوں میں بہراپن جو ہے وہ پیدائشی طور پہ ہو سکتا ہے یا پیدائش کے فورا بعد بھی ہو سکتا ہےاس کو عام طور پر ہم اپنی اصطلاح میں پریلنگول ڈیفنس کہتے ہیںیہ اپ پوسٹ لنگول ڈیفنس بھی کہا جاتا ہے
پریلنگول ڈیفنس وہ ہوتی ہے جو بچہ زبان سیکھنے سے پہلے ہی بہرا ہو جائے جبکہ پوسٹ لینگویل ڈیفنس وہ ہے جو بچہ زبان سیکھ جائےبولنا شروع کر دے اور اس کے بعد کسی انفیکشن یا خسرہ یا کسی وائرل بیماری کی وجہ سے اپنی سماعت کھو دے
زیادہ تر جو بچے بہرے پیدا ہوتے ہیں ان کے ماں باپ نارمل ہوتے ہیں یعنی ان کے ماں باپ دونوں کو کوئی سننے کا پرابلم نہیں ہوتاعام طور پہ بچے بالکل ٹھیک سماعت والے ماں باپ کے گھر پیدا ہوتے ہیں
اب ہم ہیرنگ لاس کی ٹائپس کے بارے میں بات کرتے ہیں ہیرنگ لاس کی چار ٹائپس ہوتی ہیں
مائلڈ ماڈریٹ سویر اور پروفاؤنڈ
https://youtu.be/K4D4zj78Gg0
مائلڈ یعنی کہ معمولی ہیرنگ لاس ماڈریٹ یعنی کہ درمیانے درجے کا ہیرنگ لاس سویر یعنی کہ شدید ہیرنگ لاس اور پروفاؤنڈ کا مطلب بالکل ہی بہرا جس کو ذرا سی بھی اواز نہ سنائی دے
اب یہ دیکھتے ہیں کہ یہ ہیرنگ لاس ہوتا کیوں ہے
اپ کے سامنے ایک تصویر ہے جو کان کا اندرونی منظر اپ کو دکھا رہا ہےاس میں جو ہرے رنگ کا حصہ ہے یہ کوکلیئر کہلاتا ہے کان کے اس حصے سے ہم سنتے ہیں اس کے ساتھ جو پیلے رنگ کی نروز نظر ارہی ہیں یہ دماغ تک جاتی ہیں
اس ہرے رنگ کے حصے میں جو کہ کوکلیئر کہلاتا ہے ہیرنگ سیلز ہوتے ہیں اور 99 فیصد کیسز میں پیدائشی طور پہ یا کسی انفیکشن یا بیماری کی وجہ سے اس کو کلیئر کے اندر جو ہیرنگ سیلز ہیں ان کی تعداد کم ہو جاتی ہے اس کم ہو جانے کی وجہ سے بچے کی سننے کی صلاحیت کم ہو جاتی ہے یا ختم ہو جاتی ہےاس کو میڈیکل ٹرم میں ہیر سیل لاس کہتے ہیں
میجورٹی بچوں میں یہ ہیر سیل لاس ہوتا ہے جس کی وجہ سے وہ سن نہیں پاتےاب چونکہ وہ سن نہیں پاتے تو بول بھی نہیں پاتے یہ سارا مسئلہ اندرونی کان جسے ہم کوکلیئر کہتے ہیں وہاں ہوتا ہے
اب یہ دوسری تصویر دیکھیں اس کے اندر یہ جو لمبے سیلز نظر ارہے ہیں ہر انسان میں یہ 30 ہزار ہوتے ہیں اگر ان کی تعداد ایک مخصوص مقدار سے کم ہو جائے توسماعت یعنی سننے کی حس متاثر ہوتی ہے
اب مختصرطور پر ہم یہ دیکھتے ہیں کہ اس کی تشخیص کیسے کی جا سکتی ہے
جن ہسپتالوں میں نیو نیٹل سکریننگ موجود ہے وہاں تو اس کی تشخیص بچے کی پیدائش کے وقت ہو جاتی ہے لیکن المیہ یہ ہے کہ پاکستان میں ایسے ہسپتالوں کی تعداد اٹے میں نمک کے برابر ہے
اس کے بعد ہم بچے کی پیدائش کے پانچ سے چھ مہینے میں ایک ٹیسٹ کرتے ہیں جسے بیرا کہتے ہیں یہ ٹیسٹ بہت ساری جگہوں پہ کرایا جا سکتا ہے اور بہت کام کا ٹیسٹ ہے اس سے ہمیں یہ پتہ چل جاتا ہے کہ بچہ سن رہا ہے یا نہیں سن رہا اور اگر سن رہا ہے تو کتنا سن رہا ہےاس کے علاوہ ایک اور ٹیسٹ ہم کرتے ہیں اس سے ملتا جلتا ہی ہے اس کو ہم اے ایس ایس ار کہتے ہیں یہ بھی خاصہ مددگار ہوتا ہے تشخیص کے سلسلے میں
تھوڑے بڑے بچوں میں ہم بیہیویرل اڈیو میٹری بھی کر سکتے ہیں اور پانچ سال یا اس سے بڑے بچوں میں پیور ٹون اڈیو میٹری بھی کرتے ہیں جس کو سماعت کا ٹیسٹ کہا جاتا ہے
اگر تو بچے میں مائلڈ ہیئرنگ لاس ہے یعنی معمولی ہیرنگ لاس یا درمیانے درجے کا ہیرنگ لاس ہے تو ہیرنگ ایڈ اور سپیچ تھیراپی بچے کو سننے میں بہت معاون ثابت ہوتی ہے اور بچہ نارمل طریقے سے بولنے کے قابل ہو جاتا ہےاگر سویر یا شدید ہیئرنگ لاس ہے تو پھر بچہ ہیرنگ ایڈ سے نہیں سنے گا اس کے لیے اسے کو کلیر امپلانٹ کا اپشن ہمارے پاس ہے اگلی جو ہماری گفتگو ہوگی اپ کے ساتھ اس میں ہم ڈسکس کریں گے کہ کوکلیرامپلانٹ کیسے کام کرتے ہیں اور کن بچوں کو لگایا جا سکتا ہے
بہت شکریہ
#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 hospitalhttps://drakbarabbas.com/%d9%86%d9%88-%d8%b2%d8%a7%d8%a6%d8%af%db%81-%d8%a8%da%86%d9%88%da%ba-%d9%85%db%8c%da%ba-%d8%a8%db%81%d8%b1%d8%a7%d9%be%d9%86-deafness-in-newborns/
Tuesday 16 January 2024
Aggressiveness of Oral Squamous Cell Carcinoma in Youth
Oral Squamous Cell Carcinoma in Youth: To assess the aggressiveness of oral squamous cell carcinoma in young population.
The paper aims to assess the recurrence and disease-free survival in oral squamous cell carcinoma patients, and to compare them between two age groups.
To assess the aggressiveness of oral squamous cell carcinoma in the young population#OralSquamousCellCarcinoma
https://drakbarabbas.com/aggressiveness-of-oral-squamous-cell-carcinoma-in-youth/
Monday 15 January 2024
Sunday 14 January 2024
AKUH Residents' FCPS Dissertations Journal Impact over 15 Years
To see the rate of publication of postgraduate residents' FCPS dissertations. The single-centre retrospective cross-sectional study was conducted at the Aga Khan University Hospital, Karachi, and comprised research publications from the residents of the departments of Surgery and Medicine who graduated between 2005 and 2020. The surgical subspecialties included Otolaryngology, Ophthalmology, Dentistry, General Surgery, Orthopaedics, Paediatric Surgery, Urology, Plastic Surgery and Cardiovascular Surgery.
FCPS dissertation#FCPSdissertation #paperpublication
https://drakbarabbas.com/akuh-residents-fcps-dissertations-journal-impact-over-15-years/
Assessment of Pediatric Surgical Needs In Rural Areas
Assessment of pediatric surgical needs, health seeking behaviors and health systems in the
rural district of Tando Mohammad Khan Sindh, Pakistan.
pediatric surgical needs#AssessmentofPediatricSurgicalNeeds #PediatricSurgicalNeedsInRuralAreas
https://drakbarabbas.com/pediatric-surgical-needs/
Saturday 13 January 2024
Friday 12 January 2024
Is Selective Neck Dissection Adequate Treatment For Lymph Node OCSCC?
Is Selective Neck Dissection An Adequate Treatment For Node Positive Oral Cavity Squamous Cell Carcinoma? A Retrospective Cohort Study
Selective Neck Dissection (SND) and Comprehensive Neck Dissection (CND) are both surgical procedures used to treat lymph node metastases in oral cavity squamous cell carcinoma (OCSCC).
cpo001485#LymphNodeOCSCC #SelectiveNeckDissection
https://drakbarabbas.com/is-selective-neck-dissection-adequate-treatment-for-node-positive-oral-cavity-squamous-cell-carcinoma/
Thursday 11 January 2024
Wednesday 10 January 2024
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.
#PostHeadandNeckCancerTreatmenthttps://drakbarabbas.com/what-to-expect-post-head-and-neck-cancer-treatment/
Tuesday 9 January 2024
Monday 8 January 2024
AKUH's Four Innovative Operating Rooms Redefine Healthcare Delivery
AKUH's Four Innovative Operating Rooms Redefine Healthcare Delivery
AKU Unveils 4 Cutting-Edge Operating Rooms: Revolutionizing Surgical Care in Karachi
The Aga Khan University Hospital (AKU) has taken a groundbreaking step in enhancing its surgical capabilities with the unveiling of four brand new, state-of-the-art operating rooms. These cutting-edge facilities promise a new era of surgical precision, patient comfort, and infection control in Karachi.
https://youtu.be/BF4vN8397Wo?t=3
Features that Push the Boundaries:
- Advanced Air Handling and Lighting: Each operating room boasts an isolated room air handling system equipped with HEPA filters. This ensures optimal cleanliness and minimizes the risk of airborne infections, creating a safer environment for both patients and medical staff.
- Cutting-Edge Technology: The rooms are equipped with the latest surgical technology, including advanced lighting systems for optimal visibility during procedures. This allows surgeons to operate with unparalleled precision and accuracy, leading to better outcomes for patients.
- Enhanced Anesthesia Facilities: The upgraded anesthesia facilities within the operating rooms provide unmatched patient comfort and safety. This ensures a smoother and more controlled surgical experience, minimizing stress and potential complications.
A New Chapter in Surgical Excellence:
AKU's commitment to providing world-class healthcare is evident in these new operating rooms. They represent a significant investment in surgical infrastructure and technology, poised to elevate the level of care available to patients. The advanced features not only address patient safety and comfort but also offer surgeons a platform to perform complex procedures with greater precision and confidence.
Investing in the Future:
The opening of these operating rooms marks a significant milestone for AKU and underscores its dedication to continuous improvement and innovation. This investment in healthcare infrastructure will undoubtedly benefit countless patients in the years to come, solidifying AKU's position as a leading provider of medical care in the region.
#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 hospitalhttps://drakbarabbas.com/akuhs-four-innovative-operating-rooms-redefine-healthcare-delivery/
Sunday 7 January 2024
Assessing The Factors Impacting COVID-19 Vaccine Uptake and Immunization
The coverage of coronavirus disease 2019 (COVID-19) immunization uptake has been impacted by the
acceptance of regular vaccine uptake and, like many other vaccination attempts in the past, it also faces
issues of COVID-19 vaccine hesitancy. Through this study, we hoped to assess the conspiracy theories and beliefs attached to the COVID-19 vaccination efforts in Pakistan.
Methods
This study was conducted among the general population of Pakistan, aged 16 and above, from April 29 to May 29, 2021. The data was collected through English and Urdu questionnaires by a method of convenient sampling. A total of 600 participants were asked to fill in 34 questions pertaining to vaccine hesitancy and conspiracies. We used the Modified Kuppuswamy Socioeconomic Scale, Kuppuswamy Socioeconomic Scale, Conspiracy Mentality Questionnaire (CMQ), and Vaccine Conspiracy Belief Scale (VCBS) as our questions. Results A total of 591 participants responded to our questionnaire. The majority were females (56.7%), had an undergraduate degree (41.5%), and belonged to the upper middle socioeconomic class (40%). Factors like occupation (p=0.001), education (p=0.001), socioeconomic status (p#covid19vaccinehesitancy
https://drakbarabbas.com/assessing-the-factors-impacting-covid-19-vaccine-uptake-and-immunization/
Saturday 6 January 2024
Friday 5 January 2024
Thursday 4 January 2024
3--What's the right age for cochlear implant surgery? کوکلیئر امپلانٹ سرجری کے لیے صحیح عمر کیا ہے?
3--What's the right age for cochlear implant surgery? کوکلیئر امپلانٹ سرجری کے لیے صحیح عمر کیا ہے?
کوکلیئر امپلانٹ سرجری کے لیے صحیح عمر کیا ہے? عوامی آگاہی ویڈیو
پیدائشی طور پر سماعت سے محروم بچوں کے لیے کوکلیئر امپلانٹیشن کی بہترین عمر زندگی کے پہلے دو سال ہیں
میرا نام ڈاکٹر سید اکبر عباس صاحب اور میں ایک ای این ٹی سرجن ہوں
https://youtu.be/6Hzg1ZkGMrU
What's the right age for cochlear implant surgery? کوکلیئر امپلانٹ سرجری کے لیے صحیح عمر کیا ہے?
.اج یہ جاننے کی کوشش کرتے ہیں کہ یہ کیوں ضروری ہے اپ کو یہ جان کر شاید خوشگوار حیرت ہوگی کہ بچہ جب ماں کے پیٹ میں ہوتا ہے تو وہ اپنےاس پاس کی اوازیں سن سکتا ہے اور ان اوازوں پر ری ایکٹ بھی کرتا ہے.
دماغ کے مختلف حصے مختلف فنکشنز کے لیے مختص ہیں اسی طرح سماعت کا حصہ جو ہے وہ سماعت کے فنکشن کے لیے مختص ہے جسے ہم ورنکیزیریہ کہتے ہیں اس تک انپٹ بہت ضروری ہے
یعنی اوازیں اس ایریا تک پہنچیں گی تو یہ حصہ گرو کرتا ہے اور اپنا کام اچھے طریقے سے انجام دیتا ہے اگر اس ایریا تک کان کے ذریعے اوازیں نہ پہنچے اور یہ عمل شروع کے چند سالوں میں اگر نہ شروع ہو تو یہ ایریا اپنی کارکردگی کھو دیتا ہے اور اپنی افادیت بھی کھو دیتا ہے اس چیز کو ہم نیوروپلاسٹسٹی بھی کہتے ہیں یعنی کہ دماغ کی وہ صلاحیت جو وہ اپنی اس پاس کی اوازوں سے اپنے اپ کو بہتر کرتا ہے اور اگر یہ اوازیں نہ پہنچے تو وہ اپنی کارکردگی کھو دیتا ہے
دماغ میں یہ حیران کن صلاحیت موجود ہے کہ وہ اپنی صلاحیتوں کو بڑھا بھی سکتا ہے اور گھٹا بھی سکتا ہے یہی نیوروپلاسٹیسٹی بچوں کے لیے کوکلیئر امپلانٹیشن میں بہت ضروری ہے
پہلے دو سال میں جب بچہ اپنےاس پاس گھر میں رشتہ داروں دوستوں عزیزوں کی اوازیں سنتا ہےاور ان سے زبان سیکھتا ہے یہ عمل انتہائی ضروری ہوتا ہے اگر شروع کے دو یا تین سال تک یہ اوازیں ان کے کان تک نہ پہنچے اور وہ اپنے اپ کو زبان سیکھنے سے محروم رکھے تو اس کے بعد کوکلیئر امپلانٹیشن کے نتائج اتنے خاطرخواه نہیں رہتےتو ہم سٹرونگلی ریکمنڈ کرتے ہیں کہ شروع کے دو سالوں میں کوکلیئرایمپلانٹیشن کر لینی چاہیےاور اگر نہ ہو پائے تو شروع کے تین چار یا پانچ سال تک بھی ہم کرتے ہیں لیکن اس کے نتائج اس طریقے سے نہیں اتے جس طرح شروع کے دو سال میں اتے ہیں
بہت سارے ملکوں میں کرائٹیریاز ہوتے ہیں جسے ہم ون تھری سکس کرائٹیریا (1-3-6 ) بھی کہتے ہیں یعنی کہ پہلے مہینے میں بچے کی نیو نیٹل ہیرنگ سکریننگ ہو جانی چاہیے یعنی کہ وہ سکریننگ جو پیدائشی طور پر جاننے کی کوشش کرتی ہے کہ بچہ سنتا ہے یا نہیں سن پاتا اور اگر بچہ نہیں سن پاتا تو پھر تین سے چھ مہینے کے درمیان تمام تشخیص کر کے اس کو کوکلیئر امپلانٹیشن کے لیے لائن اپ کر لینا چاہیے
اپ کا بہت بہت شکریہ
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