Dr Akbar Abbas: February 2024

Thursday 29 February 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/

Professional video on Endoscopic Tympanoplasty

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

Wednesday 28 February 2024

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

#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/3d-printing-lab-at-akuh-where-bones-come-alive/

The Revolutionary Significance of Cochlear Implants in Eliminating Deafness

https://drakbarabbas.com/the-revolutionary-significance-of-cochlear-implants-in-eliminating-deafness/

Tuesday 27 February 2024

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.

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

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

Sunday 25 February 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/

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/

Parotid Tumor Surgery: A Successful Team Effort

Parotid Tumor Surgery Team: Dr Basit Shah Vardag, Dr Vizra, and Dr Akbar Abbas

Case Presentation: A 62-year-old male underwent a right superficial parotidectomy led by Dr. Akbar Abbas and his skilled team, Dr. Basit Shah Vardag and Dr. Vizra, for a tumor in the superficial lobe of his right parotid gland. This case highlights the crucial role of collaboration and expertise in achieving optimal outcomes in parotid surgery.

Preoperative Considerations: As with any complex surgery, thorough pre-surgical planning was paramount. This involved a detailed history and physical examination, imaging studies, and FNA/biopsy to assess the tumor and ensure informed consent.

https://youtu.be/H84cBlYjF_Q

Surgical Technique: Under general anesthesia, the patient was positioned for optimal access to the right parotid gland. Dr. Abbas, with his extensive experience in parotid surgery, carefully chose and executed the appropriate incision based on the tumor location and patient's anatomy, prioritizing both functionality and aesthetics. Meticulous dissection followed, meticulously identifying and preserving vital structures like the facial nerve. The tumor was then meticulously removed, ensuring complete capsulectomy and minimal margin involvement. Intraoperative nerve monitoring provided real-time feedback, further minimizing the risk of nerve injury.

Successful Collaboration: Dr. Abbas's expertise was seamlessly complemented by the skilled assistance of Dr. Vardag and Dr. Vizra. Their teamwork and coordinated efforts ensured smooth execution of each surgical step, ultimately leading to a successful tumor removal.

Parotid Tumor Surgery Postoperative Care: Following surgery, the patient received comprehensive care to monitor facial nerve function, prevent infection, and manage pain. Dietary modifications and follow-up appointments ensured optimal healing and minimized the risk of recurrence.

Beyond the Procedure: This case underscores the value of collaboration and expertise in achieving successful outcomes in complex ENT surgeries like parotid tumor removal. Dr. Abbas, Dr. Vardag, and Dr. Vizra's combined experience and teamwork played a crucial role in this patient's successful recovery.

Recommended Resources: Head and Neck Surgery: Otolaryngology and Maxillofacial Surgery - Anil Lalwani Parotid Surgery: Principles and Techniques - David J. Terris, J. Regan Thomas, John Y. Terz Facial Nerve Surgery: A Textbook - Joseph B. Urban, Steven D. Morton, John R. Carrau

Disclaimer: This information is for educational purposes only and should not be taken as medical advice. Always consult with a qualified healthcare professional for diagnosis and treatment.

This is an educational photo reel/video for students and patients for making informed decisions about their own and others health. The surgery was performed by Dr Akbar Abbas who is one of the best ENT specialist in Karachi, Pakistan. Dr. Akbar Abbas, stands as a leading figure in ENT surgery within Pakistan, offering hope and expertise to countless patients facing similar challenges. 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.

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/

Saturday 24 February 2024

Professional Video on Facial Nerve Decompression for Facial Paralysis

Facial Nerve decompression

Facial nerve decompression is a surgical procedure aimed at alleviating facial paralysis by relieving pressure on the facial nerve. This procedure is often indicated for patients with Bell's palsy, facial nerve trauma, or other conditions leading to facial nerve dysfunction. As an expert ENT surgeon, I'll guide you through the steps of this intricate surgery.

Welcome to this surgical video presentation on Facial Nerve Decompression for Facial Paralysis. Today, we'll take you through the intricate steps of this specialized surgery performed by expert ENT surgeon, Dr. Akbar Abbas.

Preoperative Assessment

Before embarking on the surgical journey, a thorough preoperative assessment is crucial. This involves a detailed evaluation of the patient's medical history, facial nerve function, and diagnostic imaging such as MRI or CT scans to identify the cause and extent of facial nerve compression.

Facial Nerve Mapping

Precise planning involves mapping the facial nerve, identifying the specific site of compression. This meticulous preoperative step considers the patient's individual anatomy for optimal surgical success.

Anesthesia and Positioning

In the operating room, the patient is administered general anesthesia to ensure comfort and immobility. Dr. Akbar Abbas carefully positions the patient, typically in a supine or semi-recumbent position, to optimize surgical access.

https://youtu.be/7t_EK0b7Fes

Incision and Bone Removal

The surgical journey begins with a carefully planned incision, behind the ear or in the mastoid region. Dr. Akbar then skillfully removes a portion of the temporal bone, creating a bony corridor for accessing the facial nerve.

Nerve Exposure and Decompression

With precision and delicacy, Surgeon exposes the facial nerve, identifying and releasing any compressive elements such as vascular structures, tumors, or scar tissue. Microsurgical techniques are employed to decompress the facial nerve. Surgeon removes or repositions any structures causing compression, ensuring optimal nerve function restoration.

Facial Nerve Grafting

In cases of nerve damage, facial nerve grafting may be necessary. Dr. Akbar carefully harvests a suitable nerve graft, often from the sural nerve, and skillfully sutures it to the facial nerve.

The surgical procedure concludes with meticulous closure of the incision., ensuring minimal scarring that promotes optimal healing for the patient.

Postoperative Care and Follow-up

Following surgery, the patient is regularly monitored for any signs of complications. Adequate pain management and infection prevention are prioritized, and a rehabilitation team collaborates to initiate appropriate physical therapy and facial exercises for optimal nerve recovery.

Regular follow-up appointments are scheduled to assess the patient's progress and addresses any concerns or complications promptly to ensure the best possible outcomes.

Conclusion:

Thank you for joining us on this surgical journey of Facial Nerve Decompression for Facial Paralysis. Facial nerve decompression is a highly specialized surgical procedure that requires precision and expertise. As an experienced ENT surgeon, I prioritize patient safety, meticulous planning, and comprehensive postoperative care to ensure the best possible outcomes for individuals suffering from facial paralysis. If you or a loved one is considering facial nerve decompression surgery, consult with a qualified ENT surgeon to discuss the specific details of your case and develop a personalized treatment plan.

This is an educational video for students and patients for making informed decisions about their own and others health. The surgery was performed by Dr Akbar Abbas who 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.

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

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

Friday 23 February 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/

Early Diagnosis of Partial or Complete Deafness in Children

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

Thursday 22 February 2024

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.

Video Message - Cochlear Implants Can Help You Hear Again

https://drakbarabbas.com/cochlear-implants-can-help-you-hear-again/

Wednesday 21 February 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/

Professional Video - Endoscopic Inverted Papilloma of Nose and Paranasal sinuses

https://drakbarabbas.com/professional-video-endoscopic-inverted-papilloma-of-nose-and-paranasal-sinuses/

Tuesday 20 February 2024

Professional surgery video on Nucleus 522 Cochlear Implant on a Two Year Old

Cochlear Implant on a Two Year Old Muhammed

Hello everyone, and welcome to this Nucleus 522 Cochlear Implant surgical video. I'm Dr. Akbar Abbas, and today, I'll be guiding you through a cochlear implant procedure on a very special patient, 2-year-old Mohammad. Mohammad was born with profound hearing loss, and this surgery will offer him the exciting possibility of experiencing the world of sound.

https://youtu.be/7t_EK0b7Fes

The Challenge and the Solution:

As you know, profound hearing loss can significantly impact a child's development and communication. Cochlear implants offer a remarkable solution by bypassing damaged inner ear structures and directly stimulating the auditory nerve. In this case, we'll be using the advanced Cochlear Nucleus 522 device.

Using the advanced Cochlear Nucleus 522 device, I employed a standard post-aural approach, carefully dissecting the layers to reveal the underlying temporal bone. A meticulous dissection under the temporalis muscle created a snug pocket for the receiver stimulator, ensuring its long-term stability.

Next, a cortical mastoidectomy exposed the intricate anatomy of the middle ear. With a keen eye, I identified the short process of the incus, a crucial landmark for accessing the round window. Employing a 2mm burr, I carefully created an enlarged facial recess, granting optimal visualization and access to this delicate structure.

The stapedius tendon, responsible for fine-tuning middle ear acoustics, was meticulously preserved. Next, I meticulously drilled the upper lip of the round window, maximizing exposure of the window membrane. Utilizing a specialized pick, I atraumatically opened the membrane, creating an extended opening to minimize cochlear trauma upon electrode insertion.

With steady hands and precise movements, I gently guided the electrode into the scala tympani, ensuring full insertion and optimal neural stimulation. The ground electrode was securely placed beneath the temporalis muscle, completing the electrical circuit.

Finally, I meticulously secured the electrode within the cavity and meticulously closed the surgical site in two layers, utilizing only absorbable sutures beneath the skin to minimize infection risk. A secure head bandage was applied for 24 hours, and Mohammad was comfortably discharged just three hours post-surgery.

The following week, a course of oral antibiotics ensured a smooth recovery. More importantly, Mohammad embarked on a journey of auditory discovery, his brain awakening to the world of sound.

This young conductor now has the instruments to create his own symphony of experiences, guided by the beautiful melodies of life. Each successful cochlear implant surgery reminds me of the profound impact we can have on individuals and their families, restoring not just hearing, but opportunities, connections, and a richer tapestry of life.

This case represents more than just a technical procedure; it's a testament to the collaborative efforts of our entire team, the cutting-edge technology, and the unwavering hope we share in empowering individuals like Mohammad to reach their full potential.

The Hopeful Outcome:

This surgery represents a significant step forward for Mohammad. With successful healing and rehabilitation, he will embark on a journey of discovering the world of sound, opening doors to communication, learning, and social interaction.

Thank you for joining me on this journey. Cochlear implant surgery is a complex yet rewarding procedure, and I'm honored to be a part of Mohammad's story. Remember, this video is for educational purposes only and should not be considered a substitute for professional medical advice.

Professional Video on Tackling Meningitis/Brain Abscess in Bilateral Cholesteatoma

https://drakbarabbas.com/meningitis-brain-abscess-in-bilateral-cholesteatoma/

Professional Video on Tackling Meningitis/Brain Abscess in Bilateral Cholesteatoma

https://drakbarabbas.com/meningitis-brain-abscess-in-bilateral-cholesteatoma/

Successful Resection of Complex Glomus Jugulare Tumor

A young woman, braving the challenges of life in Kabul, found herself facing a formidable opponent - a C2 Glomus Jugulare Tumor. This intricate mass, nestled deep within the skull base near the ear, had begun to encroach on the facial nerve, robbing her of the ability to smile or express emotions effortlessly i.e., facial nerve paralysis. In this critical moment, she sought the expertise of Dr. Abdul Bari and Dr. Akbar Abbas, two accomplished surgeons at Aga Khan University Hospital in Karachi, Pakistan.

The tumor, classified as "C2" based on its location, presented a particularly challenging scenario. It nestled close to vital structures like the sigmoid sinus (a major blood vessel draining the brain) and the jugular bulb (part of the jugular vein). Any misstep during surgery could have catastrophic consequences.

https://youtube.com/shorts/KdRHTp-oFxs

Dr. Bari and Dr. Abbas embarked on a meticulously planned operation, employing the Fisch Type A approach. This highly intricate technique involved creating a wide surgical window, providing a clear view of the tumor and surrounding structures. The sigmoid sinus unfortunately had to be obliterated (blocked) due to the tumor's aggressive nature, necessitating rerouting of blood flow through an alternative pathway.

With utmost precision, the surgeons then tackled the crucial task of separating the internal carotid artery, responsible for supplying blood to the brain, from the tumor itself. This delicate dance required advanced techniques like Jugulare Tumor resection and neuro-navigation, a technology utilizing real-time imaging to guide surgical instruments with pinpoint accuracy.

The ultimate goal was maximal safe tumor removal. While complete removal wasn't always possible, maximizing tumor resection without compromising neighboring nerves and blood vessels was paramount. To promote healing and minimize complications, the surgeons employed a clever technique. They harvested autologous fat and fascia (tissue) from the patient's own abdomen and thigh, carefully filling the cavity left behind by the tumor. This not only filled the space but also promoted tissue growth and reduced the risk of infection.

The surgery, a testament to the surgeons' skill and meticulous planning, proved successful. The young woman, her facial nerve function gradually recovering, was discharged home within a week.

This case serves as a powerful reminder of the importance of:

- Interdisciplinary collaboration: The combined expertise of Dr. Bari and Dr. Abbas, each bringing their unique skillset, played a crucial role in the successful outcome.

- Meticulous surgical technique: Every step, from the initial incision to the delicate nerve dissection, required utmost precision and attention to detail.

- Advanced tools and techniques: Technologies like neuro-navigation and sophisticated microsurgical instruments enabled the surgeons to navigate the complex anatomy with confidence.

Monday 19 February 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/

Professional Video on Allergic Fungal Sinusitis and Endoscopic Sinus Surgery

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

Sunday 18 February 2024

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

Professional Video on Otosclerosis-Stapedotomy With Fluoroplastic 0.5mm Piston

https://drakbarabbas.com/otosclerosis-stapedotomy-with-flouroplastic-piston-0-5mm-diameter/

Saturday 17 February 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؟

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

Professional Video on Ear Surgery for Cholesteatoma with Canal Wall Down, Inside-out Technique

https://drakbarabbas.com/ear-surgery-for-cholesteatoma-with-canal-wall-down-inside-out-technique/

Friday 16 February 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

Thursday 15 February 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/

Professional Video on Cochlear Implantation Advance Bionics Slim J Electrode

https://drakbarabbas.com/professional-video-on-cochlear-implantation-advance-bionics-slim-j-electrode/

Carotid Body Tumor Down - A "Fast & Flawless" Success Story

Hemostasis Heroics: Minimizing Blood Loss in a "Fast and Flawless" Excision of Carotid Body Tumor

Ah, a complex case indeed! This 35-year-old gentleman presented with a Shamblin grade 2 carotid body tumor (paraganglioma), a notoriously tricky mass due to its proximity to critical vasculature. His previous embolization attempt for the tumor, where middle cerebral artery was accidentally embolized, unfortunately resulted in an infarct – a worrying complication. Understandably, his family hesitated to consent to another such procedure.

But fear not! Our "Fast and Flawless" ENT team, accustomed to high-stakes maneuvers, decided to forge a different path. We meticulously dissected, identifying and securing the tumor's feeding vessels – the superior thyroid artery and the ascending pharyngeal artery. Precision was paramount, as any misstep could compromise blood flow to vital structures.

With meticulous technique, we meticulously mobilized the tumor away from the treacherous internal jugular vein and carotid arteries. Tension hung heavy in the air, but our focus remained unwavering. And then, the moment of triumph: the entire tumor, in all its complexity, was excised in one swift yet masterful move, clocking in at an impressive 58 minutes!

https://youtube.com/shorts/oTf4SAUfiLA

Carotid Tumor Body Removal

Even more remarkable? Blood loss was minimal, a mere 50ml – a testament to our team's meticulous hemostasis. No transfusion was needed, further reducing potential complications. And the best news? Our patient emerged from surgery neurologically intact, all cranial nerves functioning flawlessly. His recovery was swift, allowing him to return home the very next day – a joyous occasion for all involved.

This case highlights the importance of collaboration, meticulous technique, and a touch of daring when tackling complex challenges. While the previous embolization attempt presented a setback, our team's expertise and swift action ensured a successful outcome. Alhamdulillah, indeed! This case serves as a reminder that even in the face of unexpected complications, innovation and teamwork can pave the way for exceptional outcomes.

DR Akbar Abbas's Team: Dr Sami Dogar, Dr Deepak Rai, Dr Zubair, Dr Wizra, Emaan MS, Samrron and Ziauddin Scrub Nurse.

https://drakbarabbas.com/saving-a-patient-from-a-carotid-body-tumor/

Wednesday 14 February 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/

Professional video on Endoscopic Tympanoplasty

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

Professional video on Endoscopic Tympanoplasty

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

Tuesday 13 February 2024

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.

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/

The Revolutionary Significance of Cochlear Implants in Eliminating Deafness

https://drakbarabbas.com/the-revolutionary-significance-of-cochlear-implants-in-eliminating-deafness/

Monday 12 February 2024

Cochlear Implantation - Professional Video

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

Sunday 11 February 2024

Oral Squamous Cell Carcinoma: Age Impact on Invasion Depth

Oral Squamous Cell Carcinoma i.e., oral malignancy is the most common tumor in Pakistan. The age of the more significant part of the patient reaches somewhere in the range of 50 and 70 years, and old age is an indirect risk factor for malignant growths. It is challenging to treat older patients with oral squamous cell carcinoma due to poor performance, adjusted physiology, and additional comorbidities that may influence the decision of surgery and adjuvant treatment whenever scheduled.

This is a retrospective study. Total 360 patients underwent surgery from 2011 to 2017, of which 260 patients fulfilled the inclusion criteria for our research. The chi-square test was applied to check the association between ages with a depth of invasion of the tumor.

Association_of_age_with_the_depth_of_invasion_and_#OralSquamousCellCarcinoma
https://drakbarabbas.com/oral-squamous-cell-carcinoma-age-impact-on-invasion-depth/

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/

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/

Saturday 10 February 2024

Are Cochlear Implants the Best Treatment for Deafness?

What are Cochlear Implants? Cochlear implants are electronic devices that provide a sense of sound to individuals who have severe or profound hearing loss. They are designed to bypass damaged parts of the ear and directly stimulate the auditory nerve, allowing sound signals to be sent to the brain.

Cochlear Implant

A typical cochlear implant system consists of two main parts: an internal component and an external component. The internal component, surgically placed beneath the skin behind the ear, includes a receiver-stimulator that converts incoming sound signals into electrical impulses. It also has an electrode array that is surgically inserted into the cochlea, which is a snail-shaped structure in the inner ear responsible for converting sound vibrations into electrical signals.

The external component, worn outside the ear, consists of a microphone that captures sounds from the environment, a speech processor that analyzes and codes the sounds into electrical signals, and a transmitter that sends these signals to the internal component via radiofrequency transmission.

When a person with a cochlear implant receives sound, the microphone picks up the sound and sends it to the speech processor, which applies specific algorithms to enhance important speech cues. The processed signals are then transmitted to the internal component, where they are converted into electrical impulses and delivered to the cochlea. From there, the impulses stimulate the auditory nerve fibers, which send signals to the brain for interpretation as sound.

Cochlear implants do not restore normal hearing, but they can provide a significant improvement in communication abilities for individuals with severe or profound hearing loss who do not benefit from traditional hearing aids.

To learn more do review presentation on Revolutionary Significance of Cochlear Implants by Dr Akbar Abbas who is an ENT surgeon, 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.

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/

Friday 9 February 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.

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

Thursday 29 February 2024

Wednesday 28 February 2024

3D Printing Lab At AKUH Prints a Future in Healthcare: Prosthetic Innovation and Medical Education

Tuesday 27 February 2024

Monday 26 February 2024

Sunday 25 February 2024

Conclusion- Oral Cancer Patients' Late Presentation

Saturday 24 February 2024

Friday 23 February 2024

Thursday 22 February 2024

AKU Unveils 4 Cutting-Edge Operating Rooms: Revolutionizing Surgical Care in Karachi

Wednesday 21 February 2024

Tuesday 20 February 2024

Cochlear Implant on a Two Year Old Muhammed

Monday 19 February 2024

Details

Sunday 18 February 2024

Saturday 17 February 2024

Friday 16 February 2024

Thursday 15 February 2024

Hemostasis Heroics: Minimizing Blood Loss in a "Fast and Flawless" Excision of Carotid Body Tumor

Wednesday 14 February 2024

Tuesday 13 February 2024

Monday 12 February 2024

Sunday 11 February 2024

Saturday 10 February 2024

Friday 9 February 2024