LASER FOR SINUSITIS

These X ray pictures (Water's position)show sinus condition before(upper) and after laser therapy(lower).

They tell the story of low power laser therapy for sinusitis.

This is one among my case studies in my private clinic.

www.cahayamasadepan.blogspot.com

I have some interesting experiences in treating sinusitis with low power laser.

1.Simptoms and signs are variables,but always dealing with ear nose and throat problems.
2.Diagnosis of sinusitis is difficult without X- ray,esp.Waters position.
3.CT scan is a necessity and adjunctive esp.if you need a surgical approach.
4.Functional Endoscopic Surgery is done for minimal invasive treatment.
5.Surgical laser to correct anatomical problems and functional endoscopic surgery is appropriate if it is needed to do surgery and biomodulation effects as a bonus.
6.Low power laser is not low if you know the apropriate dosage for the patients.

This is my personal experiences and opinion only.You can contact me at lshandik@gmail.com,if you need my personal second opinion.

NEW GENERATION OF LIGHT WARRIORS

More than 30 medical doctors from Jakarta and surroundings,Surabaya and surroundings,Bali,Lombok,Makassar,Palembang,Jambi and others got a gathering in Pelni Hospital, an old hospital situated in western part of Jakarta,the capital city of Indonesia.
Most of them are lady doctors who have a dream to get competency in aesthetic practices or attenuating pain of their patients.
Basics of laser medicine were lectured by Abraham Arimuko,a specialist doctor in skin and venereal disease,Handikin specialist in otorhinolaryngology,Santoso Cornain,a professor in immunology,Peter Hasan,medical doctor,founder of Iklasi.
The theme for live demo of laser in superficial skin lesions were coloured by a vivid demo of peripherasl blood analysis following laser therapy.
The lasers demonstrated were carbondioxide laser,Q- switch Nd:YAG,Erbrium Glass laser,Diode laser.Patient models were of verruca,naevi pigmentosus,skin tags ,tattoo.
A new generation of laser practitioners were born,however they should proceed to preceptorship programs developed by IKLASI.

LASER ACCUPUNCTURE IN TORTICOLLIS

Torticollis (inability to perform lateral, dorso or anteroflexion of the neck) is an interesting clinical sign. Patients will look for a helpful doctor to take care. I will tell you a story about an anxious lady with a very painful neck. She was brought to our clinic on a wheelchair. Both of her hands were touching her neck at all times.

I had to put her flat on the bed in order to detect the points and start injecting the laser light. Then, the painful neck was starting to fade away, her condition was gradually improved. She could flex her neck laterally to the right and left side without any meaningful pain sensation. Thanks to this lady, I learned even more lessons of this bright red light called laser.

LIST OF PATIENTS BEING TREATED WITH LASER

There are cases of interest being treated with laser.
One of the case is a woman with aphonia following typhoid fever.Laryngeal endoscopy is not remarkable.
It is an amazing event when we can hear the sound uttered just following laser irradiation,guided by a detector to find points in the neck.
Another cases being treated and/or under list:allergic rhinitis with sinusitis,anosmia and tinnitus,a child with hearing loss following head trauma etc.
May I quote Toshio Ohshiro MD DMedSci:

Pure light is the medicine of life

L.S.Handikin,MD
Jakarta,Indonesia

LASER THERAPY FOR PSORIASIS,VITILIGO ETC

I was invited by Bing Wibisono,MD,Director of Laser Skin Center,Gading Pluit Hospital,Jakarta to deliver speech on the Seminar on Phototherapy in Skin Diseases last Saturday,April 28,2007.This is a new era for laser therapy in the field of Dermatology,where doctors may find some difficult to treat lesions and diseases.
A friend of mine named Benny Wiryadi MD,PhD an expert in psoriasis talked about the story behind this autoimmun process of the disease.It is along way and of a long list of treatments of psoriasis :creams,ointments,lotions,shampoos etc.(topical) and oral psoralen,injections(systemic),phototherapies(ultraviolet).
Patients come and go to consult the doctor with a hope to have a longer remission.
A monochromatic excimer light with its 308 nm wavelength will give a rapid and effective treatment in resistance psoriasis.
Another indications for MEL@308 nm are:vitiligo,alopecia areata,atopic dermatitis.
I will tell you about this interesting excimer technology in the next posts.Keep eye on this blog.

IKLASI AWARDS 2007

THE INDONESIAN SOCIETY FOR LASER MEDICINE has awarded trophy to Tiur Farida MD,specialist in Physical Medicine and Rehabilitation for research on the laser therapy on hand rheumatoid arthritis.This is the 3rd trophy given by IKLASI(The short of Ikatan Kedokteran Lasert Indonesia=The Indonesian Society for Laser Medicine) to research in clinical application of laser.The ceremony was held in Santika Hotel,Jakarta last Saturday,April 28,2007 and the award was handed over by Mulyono Soedirman,MD,chairman of Continuing Professional Development Comission of The Indonesian Medical Association.
I posted this news to this blog with a hope that its will inspire young doctors and researchers to joint research programs in laser medicine.
You may contact me :L.S.Handikin,MD,President The Indonesian Society for Laser Medicine by email: lshandik@gmail.com
P.S.Welcome to Basic Course on Laser Medicine and Surgery will be held in Pelni Hospital,Jakarta next Sunday,May,20,2007,contact Riza by phone 62-21-5306793 office hour to check available seat!

IN HOUSE TRAINING FOR DIODE 980 nm LASER

I want to tell you about a surgical laser of 980 nm in wavelength.If you need a laser to do minimal invasive surgery with less bleeding and more convenient in a user friendly atmosphere,you can choose it.I was delighted to bring doctors at The Department of Otolaryngology,Head and Neck Surgery,Faculty of Medicine,University of Andalas/Dr.M.Djamil Hospital,Padang,West Sumatra to join in a house training for laser surgery in ENT Head and Neck last August,2006.Congratulation to you all and have a great experiences in laser surgery!