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/
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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/
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https://drakbarabbas.com/stapedotomy-for-otosclerosis-by-dr-syed-akbar-abbas-ent-head-neck-and-cochlear-implant-surgeon/
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https://drakbarabbas.com/early-diagnosis-of-partial-or-complete-deafness-in-children-media-talk/
