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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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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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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…
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Continue reading →: Complications after tongue-tie releaseGreetings Today, we will review a popular paper from the 2020 International Journal of Paediatric Otorhinolaryngology titled “Major Complications After Tongue-Tie Release: A Case Report and Systematic Review.” You can access the article here. Ankyloglossia, or tongue-tie, is defined as limited tongue mobility due to a shortened lingual frenulum. The…
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Continue reading →: Effects of Short-term Electronic(e)-Cigarette Aerosol Exposure in the Mouse LarynxToday, I would like to share another recent paper from the renowned journal, The Laryngoscope, regarding the short-term effects of e-cigarettes on our bodies. I firmly believe that both traditional cigarette smoking and its electronic counterpart pose significant harm to users and those in close proximity. It’s important to note…
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Continue reading →: Perfecting Communication: A Vital Handbook for SurgeonsEffective communication is the cornerstone of any successful medical practice, and this principle holds particularly true in the field of Ear, Nose, and Throat (ENT) surgery. Patients often come to ENT surgeons with concerns about their hearing, breathing, or swallowing, and it is the surgeon’s responsibility to establish a clear…
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Continue reading →: A Window into the Tumor: Exploring the Significance of PET-CT Scan in Head and Neck MalignancyWhen it comes to the diagnosis and management of head and neck malignancies, accurate imaging plays a crucial role. Among the various imaging modalities available, positron emission tomography-computed tomography (PET-CT) has emerged as a valuable tool in providing a window into the tumor. This article aims to explore the significance…
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Continue reading →: The Role of Audiology and Speech Therapy in Primary Care (Klinik Kesihatan)Good morning😁 Today, I would like to share a presentation entitled “The Role of Audiology and Speech Therapy in Primary Care (Klinik Kesihatan),” a presentation prepared by two family medicine specialist trainees at Hospital Kuala Lumpur, namely, Dr. Hashimi and Dr. Manichelvi. As you may be aware, these services are…
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Continue reading →: Scarless Neck Feminization: Chondrolaryngoplasty Through Endoscopic Transoral Vestibular ApproachToday, I am going to share an article from the Laryngoscope Journal about a feminization procedure known as chondrolaryngoplasty, which is a surgery aimed at removing the Adam’s apple. This is a cosmetic procedure that is rarely performed in Malaysia. However, for the sake of knowledge, let’s explore the article…
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Continue reading →: Stapes Surgery: A Vital Advancement in Restoring Hearing HealthThe human sense of hearing is a priceless gift that connects us to the world around us. However, for millions of individuals, hearing loss is a reality that can profoundly impact their quality of life. Among the various causes of hearing loss, otosclerosis, a condition affecting the stapes bone in…
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Continue reading →: Analysis of structured histopathology in prognosticating surgical outcomes of nasal polypsHello readers, I will share a good paper from Rhinology Journal today – a research done in Singapore. Histopathological report of polypoidal tissues from patients post functional endoscpic sinus surgery (FESS) is commonly done to see if there is any peculiar findings other than the normal inflammatory polyps such as…
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Continue reading →: Sleep Apnea Solutions: A Roadmap to Restorative SleepSleep apnea, a prevalent sleep disorder, impacts a substantial number of individuals globally, reaching millions in count. It is characterized by interrupted breathing during sleep, leading to disrupted sleep patterns and potential health consequences if left untreated. In this article, we will delve into the diagnosis and management of sleep…





























