FACIAL PARESIS POST MASTOIDECTOMY

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

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

LASER IN POST-RADIATION DERMATITIS

Radio therapy is one modality treatment given to a patient with head and neck cancer.However, due to the complicated anatomical structures of the head and neck, you may find side effects of this particular treatment. Hyperpigmentation and dryness of the skin is frequently seen with redness ulceration and inflammatory reactions.

Low power laser will sooth and the healing of these lesions is quick with regeneration of the skin lesions.Please find picture of my patient with neck dermatitis following radiotherapy for metastasis of nasopharyngeal cancer.

My experiences showed that low power laser have beneficial effects to post-radiation dermatitis. Biostimulation of these skin lesions improves the skin's condition very fast, shortly after laser illumination. Delivery technique using scanner will distribute laser energy evenly on the lesion.