https://drakbarabbas.com/stapedotomy-for-otosclerosis-by-dr-syed-akbar-abbas-ent-head-neck-and-cochlear-implant-surgeon/
Wednesday 27 March 2024
Tuesday 26 March 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/
Monday 25 March 2024
Sunday 24 March 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/
Saturday 23 March 2024
Friday 22 March 2024
Media Talk on Options For Profoundly Deaf
Media Talk on Options For Profoundly Deaf
Dr Akbar Abbas's media talk with Shahid Akhter Rajput hosted by Dr Sadia Moeen on options for profoundly deaf and role of audiologist. Dr Akbar talks about benfits of Cochlear Implants and various tests available for new borns and toddlers who are profoundly deaf.
https://youtu.be/LQtW3Pt7zY0?si=6tcX6Jhq5n6Rue-f
Sammaat se mehroom afrad
Mr Shahid Akhter Rajput emphasised the early detection and intervention are vital for a child's development, and hearing is a critical part of that. Unfortunately, hearing loss affects 1 in 5 children under the age of 3, often without obvious signs. That's why regular hearing screenings are essential, and audiology tests play a crucial role in diagnosing and assessing hearing loss in children.
He further elaborated the common audiology tests used for children:
- Otoacoustic Emissions (OAE): This quick and painless test measures tiny sounds produced by the inner ear. It's often the first screening test for newborns and infants.
- Brainstem Evoked Response (BER): This test uses sound stimuli to measure electrical activity in the brainstem, providing valuable information about hearing nerve function.
- Auditory Steady-State Response (ASSR): This non-invasive test measures brainwaves in response to repetitive sounds, making it suitable for infants who may not respond behaviorally to traditional tests.
- Behavioral Observation Audiometry (BOA): This test observes a child's responses to sounds of different intensities and frequencies, typically through play and interaction.
Dr Akbar elaborated on why these tests are important. He emphasised that:
- Early diagnosis: Identifying hearing loss early allows for prompt intervention, minimizing its impact on speech, language, and cognitive development.
- Tailored intervention: Different types of hearing loss require different approaches. These tests help determine the severity and type of loss, leading to appropriate treatment plans like hearing aids or rehabilitation therapy.
- Monitoring progress: Audiology tests can track a child's progress over time, ensuring the effectiveness of the intervention and identifying any changes in hearing status.
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.
#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/media-talk-on-options-for-profoundly-deaf/
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/
Thursday 21 March 2024
Rhinoplasty for Improved Form and Function of Nose
Rhinoplasty for Improved Form and Function of Nose
Rhinoplasty for Form and Function-- Breathe Easy, Look Stunning! Rhinoplasty, a surgical procedure aimed at enhancing both the aesthetics and functionality of the nose, is a remarkable journey of transformation. Take a glimpse into this particular case handled by Dr. Akbar Abbas, where the patient presented with a crooked nose and a prominent dorsal nasal hump, coupled with breathing difficulties due to a severely deviated nasal septum.
https://youtube.com/shorts/oNRjgE4qE9w
The comprehensive approach involved correcting the aesthetic concerns by addressing the nasal hump and straightening the crooked nose, while simultaneously rectifying the functional impairment caused by the deviated septum. This intricate procedure typically lasts around 2 hours and 30 minutes, during which meticulous attention is given to detail.
Post-surgery, the nose undergoes a natural healing process, with initial swelling expected to persist for weeks and months. It's a gradual journey towards the final outcome, as the nose gradually assumes its refined shape and improved functionality.
The satisfaction of the patient speaks volumes about the success of the procedure. Witness the transformative power of rhinoplasty in this delighted candidate, whose newfound confidence is a testament to Dr. Akbar Abbas's expertise and dedication to surgical excellence.
This is an educational video/photo reel 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.
#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/rhinoplasty-for-improved-form-and-function-of-nose/
Wednesday 20 March 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 Parotid Surgery Video With Tips to Identify Facial Nerve
Professional Parotid Surgery Video With Tips to Identify Facial Nerve
Parotid surgery, also known as parotidectomy, involves the removal of part or all of the parotid gland, which is the largest of the salivary glands located near the ear.
The procedure begins with thorough preoperative planning, including a comprehensive evaluation of the patient's medical history and imaging studies such as MRI or CT scans to assess the anatomy of the parotid gland and surrounding structures. This allows Dr. Akbar to tailor the surgical approach to each patient's specific needs and anatomy.
On the day of surgery, the patient is positioned comfortably on the operating table under general anesthesia. A carefully planned incision is made along the natural creases of the skin near the ear to minimize scarring. This incision provides access to the parotid gland while preserving cosmetic appearance.
Once the incision is made, Dr. Akbar meticulously dissects through the layers of tissue to expose the parotid gland. Special attention is paid to preserving important structures such as the facial nerve, which runs through the gland and controls facial movements. Identifying and carefully dissecting around the facial nerve is a critical aspect of the procedure to avoid damage and prevent facial paralysis.
https://youtu.be/Sp_gWKFxmP0
Parotid Surgery With Tips to Identify Facial Nerve
Dr. Akbar emphasizes several key landmarks crucial for identifying the facial nerve during parotid surgery:
- Transparotid Plane: Initially, the team clears tissue between the tragal pointer and the anterior border of the sternocleidomastoid muscle, creating a clear workspace termed the transparotid plane.
- Posterior Belly of Digastric: Dr. Akbar highlights the importance of identifying this muscle, which lies beneath the sternocleidomastoid muscle and often runs parallel to the facial nerve.
- Palpating the Mastoid: Palpation of the mastoid process aids in gaining insight into underlying anatomy and serves as a tactile guide for locating the facial nerve.
- Tympanomastoid Suture: Dr. Akbar instructs the team to locate this suture, as the facial nerve commonly lies just below it. It marks the fusion point between the temporal bone and mastoid process.
- Facial Nerve Bifurcation: Once the Tympanomastoid Suture is identified, Dr. Akbar directs the team to follow the main trunk of the facial nerve and identify its bifurcation into major branches.
These landmarks, Dr. Akbar emphasizes, are crucial for safely and accurately identifying the facial nerve during parotid surgery, minimizing the risk of damage and ensuring successful outcomes for patients.
This detailed exploration of Dr. Abbas's surgical methodology underscores the integral role these tips play in the success of parotid surgery. Advocating for a holistic and patient-centered approach, the surgical steps conclude with Dr. Abbas expressing gratitude, marking a significant milestone in the surgical intervention led by the highly skilled and experienced Dr. Akbar Abbas. The wealth of information shared in this post serves as a valuable resource for those seeking insights into the intricate nuances of parotid surgery.
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.
#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/professional-parotid-surgery-video-with-tips-to-identify-facial-nerve/
Tuesday 19 March 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
#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/
Monday 18 March 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/
Sunday 17 March 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/
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/
Professional Video on CSF Rhinorrhea (Meningocoele) an Endoscopic Repair
Professional Video on CSF Rhinorrhea (Meningocoele) an Endoscopic Repair
Endoscopic Repair of (Cerebrospinal Fluid) CSF Rhinorrhea (Meningocele) Hadad Flap
CSF rhinorrhea is a condition where Cerebrospinal Fluid, the fluid that surrounds and protects the brain and spinal cord, leaks from the skull base into the nasal cavity. Meningocele, a protrusion of the meninges (membranes surrounding the brain and spinal cord) through the skull base defect, can sometimes accompany CSF rhinorrhea.
Endoscopic repair has become the gold standard for treating these conditions due to its minimally invasive nature and high success rates.
https://youtu.be/dAA1GGI6Pdo
Repair of CSF Rhinorrhea
This video demonstrates Dr. Akbar Abbas and Dr Ahsan Ali Khan performing an endoscopic repair of Cerebrospinal Fluid (CSF) rhinorrhea, a condition where CSF leaks from the skull base into the nasal cavity. The video highlights Dr. Abbas's preferred technique, which utilizes a vascularized Hadad flap for a successful and minimally invasive repair.
Key Steps:
- Identifying the Leak: Dr. Abbas begins by using a high-resolution endoscope to visualize the nasal cavity and pinpoint the exact location of the CSF leak.
- Meningeal Removal: The meningeal tissue (membranes surrounding the brain and spinal cord) is carefully removed to expose the underlying skull base defect, the source of the leak.
- Leak Control: The CSF leak is visualized with the aid of fluorescein dye injected pre-operatively. Dr. Abbas meticulously removes the meningocele to ensure complete control of the CSF leakage.
- Fascia Lata Graft Placement: A patch of fascia lata, a strong connective tissue from the thigh, is used as the first layer to seal the defect directly.
- Haddad Flap Harvest: A key element of Dr. Abbas's technique is the harvest of a Hadad flap. This flap of tissue, derived from the nasal septum, provides vital blood supply and promotes healing at the repair site.
- Flap Elevation: The Hadad flap is meticulously elevated using specialized instruments to ensure its viability and avoid damaging surrounding structures.
- Defect Coverage and Leak Sealing: The harvested Hadad flap is positioned and carefully rotated to cover the repaired skull base defect entirely. This creates a multi-layered closure for a secure and lasting repair.
- Dural Sealant Application: For additional reinforcement, Dr. Abbas applies a layer of Dural Seal, a biocompatible sealant, to further prevent CSF leakage.
- Packing and Closure: Absorbable materials like Surgicel and Gelfoam are strategically placed to maintain pressure on the repair site and promote optimal healing. No additional packing or pressure dressings are needed.
- Post-operative Care: The patient remains in the hospital for observation for a few days and is monitored for any signs of CSF leakage or complications.
Benefits of Dr. Abbas's Technique:
- Minimally invasive endoscopic approach reduces surgical trauma and scarring.
- Haddad flap promotes vascularity and enhances healing at the repair site.
- Multi-layered closure ensures a watertight seal and reduces the risk of CSF recurrence.
- No need for additional packing or pressure dressings for patient comfort.
Disclaimer: This information is for educational purposes only and should not be construed as medical advice. Please consult with Dr. Abbas or a qualified healthcare professional for diagnosis and treatment recommendations.
Conclusion:
Endoscopic repair of CSF rhinorrhea (meningocele) is a highly effective and minimally invasive surgical technique. This guide, along with the accompanying video, aims to provide a valuable resource for both healthcare professionals and patients seeking information about this procedure.
Dr. Akbar Abbas is a highly skilled and experienced endoscopic skull base surgeon. If you are experiencing CSF rhinorrhea or meningocele, please schedule a consultation to discuss your individual case and determine if endoscopic repair is the right treatment option for you.
This is an educational video for students and patients for making informed decisions about their own and others health. 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.
#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/professional-surgery-video-on-endoscopic-repair-of-csf-rhinorrhea-meningocoele/
Saturday 16 March 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/
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/
Friday 15 March 2024
Thursday 14 March 2024
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/
Wednesday 13 March 2024
OR Tales - Branchial Cleft Cyst Removal in Focus
OR Tales - Branchial Cleft Cyst Removal in Focus
Capturing Moments of Precision: Branchial Cleft Cyst Surgical Excision
Introduction:
Immerse yourself in the visual narrative of Branchial Cleft Cyst Removal a surgical journey led Dr Akbar Abbas with his team of surgeons—Dr. Mohammed Hammad, Dr. Rameesha Shafqat, and M. Akram. The photo reel documents the removal of Branchial Cleft Cysts, congenital anomalies that manifest as benign unilateral neck swellings. The chosen treatment modality for these anomalies is surgical excision, an outpatient procedure performed with finesse and expertise, allowing patients to return home on the same day.
https://youtu.be/gwwW5wbCjQ4
Branchial Cleft Cyst Removal
Preoperative Moments:
- A series of images capturing the surgeons engaging in preoperative discussions, reviewing the patient's medical history, and strategizing the approach for the upcoming surgical excision.
Patient Assessment:
- Candid shots reflecting the compassionate interaction between the surgical team and the patient, addressing concerns and establishing a trusting rapport.
Surgical Team Preparation:
- Behind-the-scenes glimpses of the surgical team gearing up for the procedure, showcasing professionalism and a commitment to excellence.
Incision and Exposure:
- Detailed photographs documenting the precise incision made to expose the branchial cleft cyst, ensuring optimal visibility for a meticulous and successful excision.
Identification of Anomalies:
- Close-up visuals revealing the congenital nature of the branchial cleft cysts, as the surgical team identifies and confirms the benign lesions targeted for removal.
Surgical Precision in Action:
- Action shots illustrating the step-by-step surgical excision process, showcasing the surgical finesse and expertise of Dr. Rameesha Shafqat, Dr. M. Akram, Dr. Akbar Abbas, and Dr. Mohammed Hammad.
Hemostasis and Closure:
- Freeze-framed moments capturing the meticulous achievement of hemostasis and the careful closure of incisions, ensuring optimal healing and cosmesis.
Postoperative Care and Discharge:
- Heartening images showcasing the postoperative care provided by the medical team, ensuring the patient's comfort and well-being before discharge on the same day.
Celebrating Teamwork:
- Candid shots highlighting the collaborative efforts of the surgical team, symbolizing teamwork, coordination, and expertise in providing the best possible care to the patient.
Conclusion:
This evocative photo reel provides a visual chronicle of the Branchial Cleft Cyst Removal Surgical Excision, underscoring the congenital nature of these anomalies and the adept skills of the surgical team. The patient-centric approach, marked by precision, compassion, and collaboration, ensures a successful procedure and a seamless transition for the patient from the operating room to the comfort of home on the same day.
This is an educational photo reel/video for students and patients for making informed decisions about their own and others health. 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
#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/branchial-cleft-cyst-removal-in-focus/
Tuesday 12 March 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/
Ramadan Mubarak to All
Ramadan Mubarak to All
Ramadan Mubarak to one and all
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
#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/ramadan-mubarak-to-all/
Monday 11 March 2024
Farhan's Symphony-From Silence to Classroom Maestro
Farhan's Symphony-From Silence to Classroom Maestro
Farhan's Symphony: From Silent World to Schoolroom Maestro, and Beyond
In the vibrant tapestry of Karachi, where the salty tang of the Arabian Sea mingles with the lively melody of Pushto chatter, Farhan's story unfolds. Born into a close-knit family, his arrival was met with muted joy. He came into this world as a silent observer, his ears cloaked in an impenetrable quiet, his voice trapped within. Deaf and mute, Farhan navigated a world painted in hushed tones, an outsider in the cacophony of life.
Yet, Farhan's spirit bloomed like a tenacious wildflower in the cracks of silence. His eyes, like twin pools of curiosity, reflected an unyielding thirst for connection. Then, a beacon of hope appeared in the form of Dr. Akbar Abbas, a renowned ENT surgeon in Karachi. With the touch of a skilled maestro, Dr. Abbas orchestrated a life-changing symphony for Farhan. Four years ago, a delicate cochlear implant surgery gifted him the precious gift of sound.
For the first time, the world unveiled its hidden music. Birdsong, laughter, the rustle of leaves – a kaleidoscope of melodies flooded Farhan's senses. Words, no longer elusive phantoms, became tangible building blocks with which he constructed his own language.
Fueled by an insatiable appetite for knowledge, Farhan embraced the world of regular schooling. His journey wasn't without its challenges. But, armed with unwavering determination and the unwavering support of his family and teachers, he soared above every hurdle. The once silent boy blossomed into a bright student, his thirst for learning as endless as the Arabian Sea.
Today, Farhan stands at the head of a remarkable class – a second-grade voluntary teacher in a Karachi school. The irony is not lost on anyone. The boy who once inhabited a silent world now guides young minds through the labyrinth of language, his voice a testament to the indomitable power of human spirit.
https://youtu.be/hq4nRccUD9M
From Silence to Classroom Maestro
His classroom is a symphony of discovery. His eyes, once windows to a silent world, now sparkle with the joy of shared learning. He speaks, he tells stories that paint vivid pictures in the minds of his young pupils. He is not just a teacher; he is a symbol of hope, possibilities and courage, contributing to the world he once could only dream of.
But Farhan's story is only a fragment in a larger, ongoing melody. His journey resonates with the countless newborns who arrive in this world shrouded in silence. Cochlear implants, once a distant medical marvel, are now, thanks to doctors like Dr. Akbar Abbas, transforming lives. At Aga Khan Hospital, Dr. Akbar Abbas leads a team of experts who dedicate their lives to weaving sound into the tapestry of deafness, offering hope and opportunity where silence once reigned.
For Dr. Akbar Abbas, it's a calling that transcends the technical brilliance of surgery. He sees in each tiny face the potential for a symphony unsung, a world waiting to be experienced through the prism of sound. His mission is not simply to implant a device, but to ignite a spark, to open a door to a world overflowing with laughter, music, and the comforting cadence of human connection. He witnesses firsthand the transformation, the hesitant first steps into sound, the hesitant babbles that blossom into vibrant language, the spark of curiosity igniting in previously vacant eyes.
The journey isn't always smooth. Early diagnosis and access to technology remain crucial hurdles. But Dr. Akbar Abbas and his team tirelessly break down these barriers, advocating for early screening and accessibility, working tirelessly to ensure that every child, like Farhan, gets a chance to dance to the music of life. Their efforts transcend the sterile confines of the operating room, extending into communities, raising awareness, and building a chorus of support for these silent souls.
In the years to come, Dr. Akbar Abbas hopes to expand his reach, to share his expertise and knowledge, to weave a network of hope that spans the boundaries of Pakistan and beyond, reaching out to every corner where a silent child waits to hear the world. His tireless dedication is a testament to the transformative power of medicine, a beacon of hope for those who navigate the world in shades of silence, a melody of compassion that promises a symphony of possibilities for generations to come.
So, the next time you hear the laughter of children echoing through the streets of Karachi, remember Farhan, the boy who danced from silence to song, his life a testament to the fact that even the most muted soul can compose a symphony of hope. And remember Dr. Akbar Abbas, the maestro who conducted his journey, and countless others like him, who strive to ensure that every child, born into the quietness, gets a chance to hear the beautiful music of the world.
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.
#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/farhans-symphony-from-silence-to-classroom-maestro/
Bugs Bunny in Operating Room Now!
Bugs Bunny in Operating Room Now!
Bugs Bunny was brought in Dr Akbar's operating room, as the patient wanted to be entertained before anesthesia kicks in :)
The Looney Tunes in the Operating Room:
Setting the scene: Dr. Akbar's operating room hums with quiet preparation. Instruments gleam under sterile lights, and the air carries a faint antiseptic scent. Young eyes, wide with nervous anticipation, peek from beneath a starched green cover. The boy, barely past kindergarten age, clutches a toy car, knuckles white.
Enter Bugs Bunny: Recognizing the child's apprehension, Dr. Akbar, a man with a kind smile and an even kinder heart, decides to make the pre-surgery moments a little less daunting. His eyes twinkle as he instructs the nurse, "Turn on the television. Channel 3... it's cartoon time!"
Laughter is the best medicine: As the screen flickers to life, a familiar tune fills the room - the unmistakable theme of "Looney Tunes!" The boy's eyes widen, a spark of delight replacing the fear. On the screen, Bugs Bunny, with his carrot and his trademark "Eh, what's up Doc?" demeanor, leaps into action.
The anxiety takes flight: The boy is captivated. He forgets the sterile walls, the looming machines, the impending procedure. He's transported to a world of carrot chomping, ACME rocket mishaps, and "That's all, folks!" pronouncements. With each slapstick gag, a giggle escapes his lips. The grip on his toy car loosens.
https://www.youtube.com/shorts/3gc69LkcFts?feature=share
bugs bunny in operating room
More than just a distraction: Dr. Akbar, watching the scene unfold, knows the value of this moment. Laughter isn't just a diversion; it's a physiological marvel. It relaxes muscles, lowers blood pressure, and releases endorphins - potent natural painkillers. In this operating room, Bugs Bunny isn't just a cartoon rabbit; he's a furry therapist, a stress reliever, a friend who chases away the shadows of fear.
A successful operation: As the anesthesia takes effect, the boy drifts off, a faint smile playing on his lips. The memory of Bugs Bunny's antics will linger, a comforting antidote to the anxieties of surgery.
Dr. Akbar's legacy: This is just one story among many. Over the years, Dr. Akbar has turned his operating room into a stage for cartoon magic, transforming pre-surgery jitters into giggles and grins. He understands that healing involves more than just scalpels and stitches; it requires a touch of kindness, a dash of humor, and sometimes, a rabbit with a very big appetite for carrots.
This scene, brief as it may be, paints a heartwarming picture of how the simplest acts of empathy and compassion can make a world of difference, even in the sterile environment of an operating room. It reminds us that laughter, like hope, can bloom even in the most unexpected places.
#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/bugs-bunny-in-operating-room-now/
Sunday 10 March 2024
Rural Pediatric Health Systems Assessment
Rural pediatric health systems: Assessment of pediatric surgical needs, health-seeking behaviors, and health systems in a rural district of Pakistan
Surgical conditions are responsible for up to 15% of total Disability-Adjusted Life Years (DALY) lost globally. Approximately 4.8 billion people have no access to surgical care and this studies aim is to assess the surgical disease burden in children under the age of five years. We used Surgeons OverSeas Assessment of Surgical Need (SOSAS) and Pediatric Personnel, Infrastructure, Procedures, Equipment, and Supplies (PediPIPES) survey tools in Tando Mohammad Khan (TMK).
Assessment_of_pediatric_surgical_needs_health-seek
A set of photographs of lesions were also taken for review by experts. All the data was recorded electronically via an android application. The current surgical need was defined as the caregiver’s reported surgical problems in their children. The unmet surgical need was defined as a surgical problem for which the respondent did not access care.
Descriptive analysis was performed. Information of 6,371 children was collected. The study identified 1,794 children with 3,072 surgical lesions. Categorization of the lesions by the six body regions suggested that head and neck accounted for the greatest number of lesions (55.2%). And the most significant unmet surgical need (16.6%). The chest region had the least unmet surgical need of 5.9%. A large percentage of the lesions were managed at a health care facility, but the treatment essentially consisted of mainly medical management (87%), and surgical treatment was provided for only 11% of lesions.
The pediatric health systems assessment suggested that trained personnel including surgeons, anesthetic, or trained nurses were only available at one hospital. Basic procedures such as suturing and wound debridement were only performed frequently. This study suggests a high rate of unmet surgical need and a paucity of trained health staff and resources in this rural setting of Pakistan.
#pediatrichealthsystemsinruralareasofPakistanhttps://drakbarabbas.com/assessment-of-pediatric-health-systems-in-rural-district/
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/
Saturday 9 March 2024
Friday 8 March 2024
Thursday 7 March 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/
Subscribe to:
Posts (Atom)
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/
-
https://drakbarabbas.com/early-diagnosis-of-partial-or-complete-deafness-in-children-media-talk/
-
https://drakbarabbas.com/cochlear-implants-can-help-you-hear-again/
