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Continue reading →: Echoes of Choice: Patient Reflections Post-Surgery for Laryngeal CancerPatients’ reflections on laryngeal cancer surgery reveal the impact of counseling and shared decision-making on attitude. Those with university degrees showed less positivity after total laryngectomy. Regret was highest for those wishing for shared decision-making but not experiencing it.
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Continue reading →: Slide TracheoplastySummary: Slide tracheoplasty is a complex surgery widening the tracheal airway by cutting and suturing. In Malaysia, it’s mainly done by experienced pediatric surgeons like Dr. Zakaria at Thomson Hospital Kota Damansara. For detailed explanations, refer to the systematic review paper and a YouTube video demonstrating the procedure.
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Continue reading →: Microtia Reconstruction – Nagata TechniqueDear all, Today, I would like to discuss a specialized topic in otology, specifically focusing on the plastic reconstructive surgery of microtia. This condition affects many patients, characterized by the presence of a deformed unilateral ear often accompanied by conductive hearing loss. In some cases, individuals may experience delayed speech,…
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Continue reading →: New role at Columbia SetapakI am pleased to announce my recent appointment as a visiting consultant in Ear, Nose, and Throat (ENT) at Columbia Setapak. I continue to fulfill my responsibilities as a visiting ENT consultant at Klinik ANDA Wangsa Melawati every Saturday from 10 am to 2 pm.
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Continue reading →: I’m back :)
Dear readers, I regret not keeping this health blog updated over the last two months due to health and work-related reasons. As we enter the new year of 2024, I am committed to making an effort to share more valuable ENT-related content with all of you. Regards
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Continue reading →: PITA (Partial intracapsular tonsillectomy and adenoidectomy)/TonsillotomyToday, we will discuss the risks associated with PITA and its suitability as a daycare procedure. What is partial tonsillectomy, and what are its indications? Partial tonsillectomy (PT) is one of the most common operations in pediatric otolaryngology. It is variously described as tonsillotomy, intra-capsular tonsillectomy and subcapsular tonsillectomy. All…
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Continue reading →: Ear-splitting Symphony: Unraveling the Damaging Effects of Loud Music on Your EarsIntroduction Music has the incredible power to move our souls, uplift our spirits, and create an immersive experience. However, the excessive exposure to loud music can have detrimental effects on our auditory system. In this article, we will explore the ear-splitting symphony and delve into the various ways in which…
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Continue reading →: Visiting ENT specialist at primary healthcentreHello everyone I I am excited to share that I have begun my role as a visiting ENT specialist at Klinik ANDA Wangsa Melawati (every Saturday from 10am to 2pm). As I mentioned earlier here, having an accessible ENT specialist is invaluable to the Wangsa Maju community, and I look…
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Continue reading →: Oroantral Fistula Closure Using Double-Layered Flap: Greater Palatine Artery Flap and Buccal Fat PadGood morning, everyone. In today’s session, we’ll delve into a challenging case from last year’s edition of The Laryngoscope. It’s about an oroantral fistula, and we’ll explore the surgical approach for managing it. What is fistula? A fistula is an abnormal connection between an organ, vessel, or intestine and another…
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Continue reading →: Pediatric Subglottic/Tracheal Stenosis Treatment Using Balloon DilatationBalloon dilation (BD) was first introduced as a treatment option in 1984 for tracheal and bronchial stenoses. This procedure is suitable when the cartilaginous framework of the airway remains intact. Utilizing direct endoscopic guidance, a balloon is employed to exert radial pressure on the narrowed airway, aiming to minimize the…
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Continue reading →: Perioperative and Long-Term Outcomes in Infants Undergoing a Tracheostomy from a Neonatal Intensive Care UnitToday’s discussion revolves around the risk factors for perioperative complications in NICU infants requiring tracheostomy. This recently published paper, featured in the renowned Laryngoscope journal, explores the incidence of severe perioperative complications related to tracheostomy and identifies the associated risk factors. In summary, this data holds significant importance, particularly for…
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Continue reading →: Amoxicillin-Clavulanate (Augmentin) vs Amoxicillin for Pediatric Acute SinusitisAcute sinusitis in the pediatric population is not rare, and orbital complications can arise if it is not treated early. The paper that I am sharing today discusses antibiotic selection for outpatient treatment of pediatric acute sinusitis. The conclusion is a bit surprising to me, but I genuinely believe that…
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Continue reading →: Enhancing Hearing: Intratympanic Steroid Injections for Sudden Sensorineural Hearing Loss (SSNHL)Sudden sensorineural hearing loss (SSNHL) is characterized by a rapid hearing decline of 30 dB or more across at least three consecutive frequencies within a 72-hour timeframe. Its causes are believed to originate from neurological, vascular, infectious, oxidative, immuno-mediated, or degenerative factors, including rupture of the cochlear membrane. Typically, treatment…
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Continue reading →: Hearing the Future: Discovering the Latest Advancements in Cochlear Implant (CI) TechnologyIn recent years, the field of cochlear implant (CI) technology has witnessed remarkable advancements, revolutionizing the way individuals with hearing loss experience the world around them. These cutting-edge devices have transformed the lives of millions, offering renewed hope and opportunities for those who were once limited by their hearing impairments.…
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Continue reading →: Comparison of Hemodynamics in Jet Ventilation vs. Intermittent Apnea for Airway Stenosis SurgeryDear readers, Today I’ll be sharing insights on ventilation methods during laryngotracheal surgery. During my training at HUKM, I had the privilege of learning from renowned laryngologists (Prof Dato Abdullah Sani, Prof Marina, and Prof Mawaddah). It was at HUKM that I was introduced to jet ventilation, a technique for…
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Arytenoid reduction in paediatric patient?
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Continue reading →: Arytenoid reduction in paediatric patient?Hello guys, good day 🙂 Today, we’re preparing for a revision supraglottoplasty case. During a flexible scope examination, we observed that the patient’s left arytenoid isn’t functioning properly. This could be attributed to either unilateral vocal cord palsy or arytenoid subluxation, considering the patient’s history of intubation and prior endolaryngeal…
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Continue reading →: Coblator adenoidectomy in pediatric patients: a state-of-the-art reviewToday, I’d like to discuss a paper on coblator adenoidectomy, a commonly performed procedure at Hospital Tunku Azizah. I genuinely believe it’s a highly effective tool for removing large adenoids in children. Moreover, the coblator device is both safe and user-friendly. Coblation (a word derived from “controlled ablation”) involves using…
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Bone Anchored Hearing Aid
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Continue reading →: Bone Anchored Hearing AidWe received a presentation yesterday from MEDEL about bone conduction hearing aids, specifically focusing on the BONEBRIDGE System and ADHEAR system. While these systems have been available in Malaysia for some time, their utilization has been limited, especially within the healthcare facilities of Kementerian Kesihatan Malaysia in Kuala Lumpur. One…
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Continue reading →: Unheard Whispers: Shedding Light on the Early Signs of Head and Neck Cancer and How to Manage ItIntroduction Head and neck cancer is a complex disease that can have a significant impact on an individual’s health and quality of life. Detecting the early signs of this condition is crucial for timely diagnosis and effective treatment. In this article, we will explore the unheard whispers of head and…
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Continue reading →: Happy Malaysia Day 2023I extend my warm wishes for a joyful Malaysia Day 2023 to all Malaysians, spanning from Perlis to Sabah. As a proud Malaysian, I cherish the safety, comfort, and freedom to pursue my dreams. I’m equally excited about the plethora of opportunities available here for personal growth. Let’s celebrate tomorrow…




























