Laser surgeries in Ent Head Neck, malaysia: Ent laser surgeries - 3 D reconstruction: ENT Laser surgeries , may sound new but has been around for very long. The question is,how much do we know about it. It is a very beautif...
LASER SURGERIES FOR THE NOSE
THIS TECHNIQUE WITH CO2 LASER IS A NON TOUCH TECHNIQUE
THE LASER PROBES HAVE SIDE PORTS AND STRAIGHT PORTS TO ENABLE THE LASER FIBRE TO FIRE THE LASER FORM A DISTANCE.
THIS TECHNIQUE ENABLES THE SURGEON TO WORK FROM A DISTANCE TO AVOID TRAUMA TO SURROUNDING TISSUE AND TO HELP GUIDE TO A FAR AWAY TISSUE WHICH NEEDS TO BE OPERATED UPON ( ADENOID, POSTERIOR PHARYNGEAL WALL OR EUSTACHIAN TUBE OPENINGS )
IT REDUCES ANY DIRECT INFECTION DUE TO PROBE CONTACT WITH THE NASAL MUCOSA
COMMON PROCEDURES PERFORMED BY ME IN TROPICANA MEDICAL CENTRE
1) LASER TURBINOPLASTY ( INFERIOR and MIDDLE Turbinates)
WHO NEEDS LASER ASSISTED TURBINOPLATY?
• CHILDREN
• ADULTS
WHY DO WE DO TURBINOPLASTY?
• RECURRENT NASAL BLOCK NOT RESPONDING TO NASAL SPRAY OR ORAL MEDICATION
• NASAL BLOCK LEADING TO SINUSITIS / RHINOSINUSITIS
• NASAL BLOK CAUSING RECURRENT EAR BLOCKAGE (EUSTACHIAN TUBE DYSFUNCTION)
• YOUNG CHILDREN WITH BAD NASAL SEPTAL DEVIATION, NOT ABLE TO BREATHE WELL, AWAITING FOR PERMANENT SEPTAL SURGERY AT LATER DATE ( AFTER AGE OF 18 YEARS)
-PEOPLE WHO DEVELOP FREQUENT BAROTRAUMA DURING FLIGHT OR DEEP SEA DIVING
-NASAL OBSTRUCTION CAUSING SNORING AND SLEEP APNOEA
WHAT BENEFITS DOES LASER ASSISTED TURBINOPALSTY HAVE?
• LESS PAIN
• FASTER RECOVERY
• SAFER THAN THE CONVENTIONAL METHODS
• WELL DEFINED SHAPING OF THE TURBINATES (3'D' RECONSTRUCTION )
• LESS BLEEDING COMPARED TO CONVENTIONAL METHODS
• PRESERVING THE FUNCTION OF THE MUCOSA
• MINIMAL TRAUMA TO THE MUCOSA STRUCTURE
• NO EXTENSIVE NASAL PACKING NEEDED POST SURGERY
• LOW INCIDENCE OF EXTREME NASAL PASSAGE DRYING (ATROPHIC RHINITIS) OR EMPTY NOSE SYNDROME )
• REDUCE SIGNIFICANT NASAL ALLERGY SYMPTOMS
-LESS USAGE OF ANTIHISTAMINE OR NASAL SPRAYS POST SURGERY
WHAT ARE THE RISKS INVOLVED?
• MINIMAL RISK
• LESS THAN THE CONVENTIONAL (OLDER) METHOD
WHAT IS A GOOD AGE?
-NO AGE LIMIT
PROCEDURE:
• DISCUSS WITH THE DOCTOR
- UNDERSTAND THE PROCEDURES IN DETAIL.
• DAY CARE PROCEDURE / ADMIT OVER NIGHT
• SURGERY DONE UNDER LOCAL OR GENERAL ANAESTHESIA
• PATIENT IS INTUBATED DURING SURGERY (AIR WAY TUBE PLACED FOR BREATHING)
• ALL LASER PRECAUTION TAKEN DURING THE PROCEDURES
• TIME TAKEN IS ABOUT 20 TO 30 MINUTES PER TURBINATE (TOTAL TIME NEEDED IS ABOUT 1 HOUR)
• POST SURGERY
• ONCE THE PATIENT IS CONSCIOUS, PATIENT CAN EAT NORMAL DIET
• FOLLOW UP IS AFTER 5 DAYS TO 1 WEEK DEPENDING ON THE TYPE OF COMBINATION SURGERY DONE.
• PATIENT HAS TO SPRAY NASAL DECONGESTANT AND NASAL DOUCHING WITH SALINE TO CLEAR THE NASAL PASSAGE FOR ABOUT 1 WEEK TO 2
- RHINOWASH IS A GOOD NASAL CLEANSING DEVICE
• BACK TO NORMAL DUTY ( SCHOOL OR WORK ) IN 1 WEEK
WHAT TYPE OF LASER IS USED?
CO2 LASER
FUTURE PLANS
TO START LASER TURBINOPLASTY AS A LOCAL ANAESTHESIA PROCEDURE
if you put up some photos can make story clear . . . my 5 cents opinion.
ReplyDeleteI wonder if I can consider this surgery? I have done my nasal surgery with an ENT who trimmed off my bones- I could see two small long soft bones. It was effective after 2 months-half year, but two years later, I am having nasal block again daily basis especially during sleep
ReplyDeleteThe end result has been life changing. Dr Bala has managed to drastically improve both the appearance and functionality of my nose. I'm finally able to breathe freely, have a positive outlook towards my appearance and greater zest for life. Thank you Dr Bala.
ReplyDeleteHye Dr Bala,
ReplyDeleteNantheni here, it has been 4 months and i have made significant recovery from the surgery. In term of my sleep and appearance I've also received wonderful result.
Dr.Bala gave me confidence by explaining the procedure technically & medically before I went thorough this surgery and his consistence post- follow up does put me at ease- NO regrets. He is certainly the right man with right skills for this surgery
Thank you for everything.