Laser surgeries in Ent Head Neck, malaysia: ENDOSCOPIC LASER ASSISTED ADENOIDECTOMY
WHO NEED...: ENDOSCOPIC LASER ASSISTED ADENOIDECTOMY , WHO NEEDS LASER ASSISTED ADENOIDECTOMY? • CHILDREN • SOME ADULTS WHY DO WE DO ADENOIDECTOMY? • RECU...
Friday, 20 April 2012
Thursday, 19 April 2012
ENDOSCOPIC LASER ASSISTED ADENOIDECTOMY
WHO NEEDS LASER ASSISTED ADENOIDECTOMY?
• CHILDREN
• SOME ADULTS
WHY DO WE DO ADENOIDECTOMY?
• RECURRENT ADENOID INFECTION
• ENLARGED ADENOID CAUSING SNORING AND SLEEP APNOEA
• ENLARGED ADENOID CAUSING RECURRRENT MIDDLE EAR INFECTION
• RECURRENT UPPER RESPIRATORY INFECTION DUE TO BLOCKAGE OF MUCOSAL DRAINAGE LEADING TO POST NASAL DRIP FROM NOSE TO THROAT
• PEOPLE WHO DEVELOP FREQUENT BAROTRAUMA DURING FLIGHT OR DEEP SEA DIVING
• CHILDREN WHO MOUTH BREATH AND HAS NOISY BREATHING (STERTOR)
- PART OF SLEEP APNOEA SURGERY TO CREATE PATENT AIRWAY
WHAT BENEFIT DOES LASER ASSISTED ADENOIDECTOMY HAVE?
• LESS PAIN
- PRECISE PROCEDURE WITH DIRECT VISION USING ENDOSCOPE AND CAMERA
• FASTER RECOVERY
• SAFER
• WELL DEFINED REMOVAL OF ADENOID WITHOUT ACCIDENTAL INJURY TO THE CERVICAL VERTEBRAE OR SURROUNDING VITAL STRUCTURES
• PARTIAL REMOVAL OF ADENOID FOR RECURRENT EUSTACHIAN TUBE OBSTRUCTION
• LESS BLEEDING
• LESS INCIDENCE OF PHARYNGEAL STENOSIS
- LESS INCIDENCE OF EUSTACHUAN TUBE INJURY
WHAT ARE THE RISKS INVOLVED?
• MINIMAL RISK
• LESSER THAN THE CONVENTIONAL (OLDER) METHOD OF REMOVIG ADENOID
WHAT IS A GOOD AGE?
• NO SPECIFIC AGE
PROCEDURE
• DISCUSS WITH THE DOCTOR
• DAY CARE PROCEDURE / ADMIT OVER NIGHT
• SURGERY DONE UNDER GENERAL ANAESTHESIA
• PATEINT IS INTUBATED DURING SURGERY (AIR WAY TUBE PLACED FOR BREATHING)
• LASER PRECAUTION TAKEN DURING ALL LASER PROCEDURES
• TIME TAKEN IS ABOUT 15 MINUTES
• POST SURGERY – ONCE THE PATIENT IS CONSCIOUS, PATIENT IS ABLE TO EAT NORMAL DIET
• FOLLOW UP IS AFTER 5 DAYS TO 1 WEEK AFTER SURGERY
• BACK TO NORMAL DUTY ( SCHOOL OR WORK ) IN 1 OR 2 DAYS
WHAT TYPE OF LASER IS USED?
CO2 LASER
FUTURE PLANS
TO START LASER ADENOIDECTOMY AS A LOCAL ANAESTHESIA PROCEDURE
WHO NEEDS LASER ASSISTED ADENOIDECTOMY?
• CHILDREN
• SOME ADULTS
WHY DO WE DO ADENOIDECTOMY?
• RECURRENT ADENOID INFECTION
• ENLARGED ADENOID CAUSING SNORING AND SLEEP APNOEA
• ENLARGED ADENOID CAUSING RECURRRENT MIDDLE EAR INFECTION
• RECURRENT UPPER RESPIRATORY INFECTION DUE TO BLOCKAGE OF MUCOSAL DRAINAGE LEADING TO POST NASAL DRIP FROM NOSE TO THROAT
• PEOPLE WHO DEVELOP FREQUENT BAROTRAUMA DURING FLIGHT OR DEEP SEA DIVING
• CHILDREN WHO MOUTH BREATH AND HAS NOISY BREATHING (STERTOR)
- PART OF SLEEP APNOEA SURGERY TO CREATE PATENT AIRWAY
WHAT BENEFIT DOES LASER ASSISTED ADENOIDECTOMY HAVE?
• LESS PAIN
- PRECISE PROCEDURE WITH DIRECT VISION USING ENDOSCOPE AND CAMERA
• FASTER RECOVERY
• SAFER
• WELL DEFINED REMOVAL OF ADENOID WITHOUT ACCIDENTAL INJURY TO THE CERVICAL VERTEBRAE OR SURROUNDING VITAL STRUCTURES
• PARTIAL REMOVAL OF ADENOID FOR RECURRENT EUSTACHIAN TUBE OBSTRUCTION
• LESS BLEEDING
• LESS INCIDENCE OF PHARYNGEAL STENOSIS
- LESS INCIDENCE OF EUSTACHUAN TUBE INJURY
WHAT ARE THE RISKS INVOLVED?
• MINIMAL RISK
• LESSER THAN THE CONVENTIONAL (OLDER) METHOD OF REMOVIG ADENOID
WHAT IS A GOOD AGE?
• NO SPECIFIC AGE
PROCEDURE
• DISCUSS WITH THE DOCTOR
• DAY CARE PROCEDURE / ADMIT OVER NIGHT
• SURGERY DONE UNDER GENERAL ANAESTHESIA
• PATEINT IS INTUBATED DURING SURGERY (AIR WAY TUBE PLACED FOR BREATHING)
• LASER PRECAUTION TAKEN DURING ALL LASER PROCEDURES
• TIME TAKEN IS ABOUT 15 MINUTES
• POST SURGERY – ONCE THE PATIENT IS CONSCIOUS, PATIENT IS ABLE TO EAT NORMAL DIET
• FOLLOW UP IS AFTER 5 DAYS TO 1 WEEK AFTER SURGERY
• BACK TO NORMAL DUTY ( SCHOOL OR WORK ) IN 1 OR 2 DAYS
WHAT TYPE OF LASER IS USED?
CO2 LASER
FUTURE PLANS
TO START LASER ADENOIDECTOMY AS A LOCAL ANAESTHESIA PROCEDURE
Surgical pictures
1) Pre operative picture: large adenoid obstructing the left eustachian tube and causing airway obstruction
Post endoscopic laser adenoidectomy: the eustachian tube are open and no airway obstruction
5 days post operation : note the left eustachian tube is open
1 month post laser
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