Facial paresis or paralysis were complication which might be unpredictable following mastoid surgery.
Even if you are operated by an experienced surgeon,the unwanted complication might be happened.
I want to tell you of an interesting case of my own ,who was a nurse in my hospital.
The paresis was almost complete a day following the surgery for a left mastoiditis.
I give her low power laser therapy and the result was a complete recovery.
Another recovery was found in a patient with otalgia and vertigo due to right mastoiditis with choleasteatoma ,who underwent mastoidectomy.
Again,low power laser is not as low as one may think of it!
Posted by L.S.Handikin,MD
Jakarta,Indonesia
lshandik@gmail.com
June 24, 2007
A REPORT MORE THAN 25 YEARS AGO
More than 25 years ago,my work with Kurniawan(now professor of anatomic pathology) was publish in the official publication of The International Society for Preventive Oncology: CancerDetection and Prevention,volume 4 numbers 1-4,1981.
Our work was on the usage of an acidic metachromatic dye named toluidine blue for study of the in vivo technique for laryngeal lesions .
Our experience suggest that in vivo staining may be a useful method for early detection of laryngeal cancer used as an adjunct to microlaryngoscopy.
Now it progress to a technique of using toluidine blue as a photosensitizer in photodynamic therapy used in cancer therapy.
Posted by: L.S.Handikin,MD.,Otorhinolaryngologist
President,TheIndonesian Sociey for Laser Medicine
lshandik@gmail.com
Our work was on the usage of an acidic metachromatic dye named toluidine blue for study of the in vivo technique for laryngeal lesions .
Our experience suggest that in vivo staining may be a useful method for early detection of laryngeal cancer used as an adjunct to microlaryngoscopy.
Now it progress to a technique of using toluidine blue as a photosensitizer in photodynamic therapy used in cancer therapy.
Posted by: L.S.Handikin,MD.,Otorhinolaryngologist
President,TheIndonesian Sociey for Laser Medicine
lshandik@gmail.com
June 21, 2007
LASER SOFTENED KELOID
Low power laser softened the keloid scar.
It is a new fact I just find in my patient.
This should be is a good news I want to tell you ,readers of this blog.
Of course I want to meet more patients and more experiences.
Scarring is something to avoid in post operative cases,but it should be considered before any surgery.
If you have tendency of keloid, do not forget to tell your surgeon before the operation commence.
Posted by L.S.Handikin,MD
Otorhinolaryngologist,Head and Neck Surgeon
Jakarta,Indonesia
It is a new fact I just find in my patient.
This should be is a good news I want to tell you ,readers of this blog.
Of course I want to meet more patients and more experiences.
Scarring is something to avoid in post operative cases,but it should be considered before any surgery.
If you have tendency of keloid, do not forget to tell your surgeon before the operation commence.
Posted by L.S.Handikin,MD
Otorhinolaryngologist,Head and Neck Surgeon
Jakarta,Indonesia
June 19, 2007
NAMES OF LIGHT WARRIORS
I have several names to mention as persons who may represent light warriors.One of them is Freddy Kuhuwael,a medical doctor who devotes laser as a scalpel.If you know him,you should have visited Makassar one or several times .
Let me mention a lady doctor specializing in otorhinolaryngolgy,Dr.Sari.She dedicated laser as a tool in photodynamic therapy , a new important armamentarium in medicine you should know.
Interest,knowledge,dedication and last but not least:imagination are important values in laser surgery and medicine.
June 17, 2007
LASER IN NECK SCAR FOLLOWING TRACHEOSTOMY
I have an interesting case of a neck scar following tracheostomy.He had an inspiratory stridor during examination.
The past history tells a cardiac surgery,following which a respiratory distress had complicated post operatively.
The main problem is a keloid formation tendency.He has a keloid scars on the deltoid region following a smallpox vaccination,xiphoid region following incission for heart surgery.
CT scann of the neck and thorax showed a retrosternal abberant of thyroid gland.
My thorax surgeon told this patient should undergo a tracheal resection and end to end anastomosis.However the underlying problem of scar formation following surgery is a real threat for surgery.
I decided to give him a low power laser therapy following which a real thing happened : less stridorous sound and less dyspneuic sensation.Thank God The Almighty.
The past history tells a cardiac surgery,following which a respiratory distress had complicated post operatively.
The main problem is a keloid formation tendency.He has a keloid scars on the deltoid region following a smallpox vaccination,xiphoid region following incission for heart surgery.
CT scann of the neck and thorax showed a retrosternal abberant of thyroid gland.
My thorax surgeon told this patient should undergo a tracheal resection and end to end anastomosis.However the underlying problem of scar formation following surgery is a real threat for surgery.
I decided to give him a low power laser therapy following which a real thing happened : less stridorous sound and less dyspneuic sensation.Thank God The Almighty.
June 13, 2007
LASER AND TORCHS INFECTIONS
Recently I was attracted by patients with interesting infections.As an otolaryngologist I always check my patient neck forsigns and symptoms of TORCHS enlargement of lymph glands.This is maybe a late signs of nasopharyngeal carcinoma metastasis to neck glands.
My experiences teached me of non specific neck gland enlargements of banal infections or specific infection process of tuberculous origin.
I have read some experiences of how low power laser therapy can do and solve for this interesting problems.
But let me write a short notes on these cases:
1.A woman with a general inflammation and pain due to the toxoplasma,rubella,citomegalovirus and herpes simplex infections.
2.A young female with otalgia(ear pain),headache,referred to me for suspected cholesteatoma of right mastoid cavity.There is no reason to do the mastoid surgery because this patient was a case of TORCHS infections.
3.A boy with autism with mother suffering from TORCHS.
4.An adult male with headache,tinnitus,hearing loss suffered from TORCHS infections
and some other cases I think will make a long list of TORCHS infected persons.
I believe that laser therapy has a place to help these patients.If you know them,will you send them to the hands of doctors who understand laser as a medicine?
My experiences teached me of non specific neck gland enlargements of banal infections or specific infection process of tuberculous origin.
I have read some experiences of how low power laser therapy can do and solve for this interesting problems.
But let me write a short notes on these cases:
1.A woman with a general inflammation and pain due to the toxoplasma,rubella,citomegalovirus and herpes simplex infections.
2.A young female with otalgia(ear pain),headache,referred to me for suspected cholesteatoma of right mastoid cavity.There is no reason to do the mastoid surgery because this patient was a case of TORCHS infections.
3.A boy with autism with mother suffering from TORCHS.
4.An adult male with headache,tinnitus,hearing loss suffered from TORCHS infections
and some other cases I think will make a long list of TORCHS infected persons.
I believe that laser therapy has a place to help these patients.If you know them,will you send them to the hands of doctors who understand laser as a medicine?
June 6, 2007
LASER AND HEALTH INSURANCE
There is still a problem for my patients dealing with reimbursement for laser services.It is true that usually you will not be reimbursed for aesthetic laser services.
As a clinician I would say that laser has some evidence based datas of better or best outcomes only if it is in the hand of competent medical personnels.Examples of the cases are laser therapy for congenital hemangioma which is a real medical problems and not merely an aesthetic problems or laser therapy for chronic pain.
In this case I would write a letter of confirmation that laser therapy is a needed procedure to make solution for the problem.
Please check your insurance company before your laser treatment by your doctor for confirmation of reimbursement!
As a clinician I would say that laser has some evidence based datas of better or best outcomes only if it is in the hand of competent medical personnels.Examples of the cases are laser therapy for congenital hemangioma which is a real medical problems and not merely an aesthetic problems or laser therapy for chronic pain.
In this case I would write a letter of confirmation that laser therapy is a needed procedure to make solution for the problem.
Please check your insurance company before your laser treatment by your doctor for confirmation of reimbursement!
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