Day 2 :
Apollo Cosmetic Surgical centre & V-Graft Hair Transplant centre, India
Dr. M M T Vasan practices at Apollo Spectra Hospitals. Professional qualification of the Doctor is MBBS, MS, Fellowship in Plastic & Cosmetic Surgery and specializes in Plastic and Cosmetic Surgery. Dr. M M T Vasan has expertise in Cosmetic Surgery with an experience of 7 Years.
Introduction: Hair transplant is a common cosmetic surgery. Finer & newer techniques are coming up very often. Identifying and modifying the factors that affect graft survival have received a great deal of attention.
Materials & Methods: Harvesting done by Follicular Unit Transplant (FUT) and Follicular Unit Extraction (FUE). By adding good buffering solution for the graft storage and PRP application during the hair transplantation increases the graft survival. The factors affecting graft survival are discussed under the following headings: A. Follicular trauma – Mainly occurs by transection, dehydration and crushing of the grafts; B. Bio chemical factors – Lack of O2, blood, nutrients and pH shift; C. Vascular factors – Refers to immediate post-operative oxygen supply and revascularization.
Results & Analysis: Suction assisted hair transplant with good buffering storage for the graft survival and PRP application during hair transplant has be done around 350+ cases in past 5 years.
Conclusion: Graft survival can be increased to greater extend by reducing the follicular trauma, storing the grafts in good buffering solution and by PRP application.
Dr. Hans Centre for ENT, Hearing Care & Vertigo, India
Time : 10:45
Padma Shri awardee Prof. (Dr) J. M. Hans, is a topper and medalist from PGI Chandigarh. Dr. Hans has done pioneering work in the field of cochlear implant surgery and has done more than 1500 cochlear implants in his center, centers around the country and also in SAARC countries. He is the Founder Member of the Cochlear Implant Group of India. He is currently Chairman& Director of Dr. Hans Centre for ENT & Cochlear Implant and Chairman of Dept of ENT & Cochlear Implant, Venkateshwar Hospital, Dwarka, New Delhi. He is Honorary Consultant to Ex-Prime Minister of India. Dr. Hans is Government Member to the Ali Yajur Jung National Institute for Deafness, Mumbai. The Government appointed him as Executive Member of the All India Institute of Speech and Hearing, Mysore. He is appointed Member to the National Program on Prevention and Control on Deafness (NPPCD) and Advisor to UPSC and WHO. He pioneered the minimally invasive technique for Cochlear Implantation in India. He is also advisor Cochlear Implant Surgeon to Pingalwara Trust in Amritsar. He is visiting cochlear implant surgeon to the Medical Colleges of Chattisgarh, Andhra Pradesh and Madhya Pradesh, PGI Chandigarh etc., to perform CI surgery on deaf and dumb children.
Member of ADIP, Committee of Cochlear Implant, Govt. of India and Executive Council AIISH Mysore.
Aim: To understand and assess the presence of abnormal cochlear aqueduct and vestibular aqueduct and their presentation during cochlear implant surgery
Methods: The study involved 100 cases of a large cochlear aqueduct and 50 cases of large vestibular aqueduct which were identified on radiological assessment prior to surgery. The cases were operated by the same surgeon and by VERIA technique. The large cochlear aqueducts presented with CSF gushers after cochleostomy and the large vestibular aqueducts presented as pulsatile leak of perilymph. The cochleostomy in large cochlear aqueducts and the large vestibular aqueducts cases were sealed at the time of the CSF leak by the three handed technique in VERIA technique with a dumbbell shaped tissue seal or by using the specially designed electrode array.
Results: Large cochlear aqueducts presented with CSF gushers on cochleostomy which required a better preparedness during surgery to seal the cochleostomy at the time of the gusher to obtain a complete seal and the large vestibular aqueducts presented as a mild pulsatile leak of perilymph which was self-limiting and was easily sealed using tissue. All cases were sealed well at the cochleostomy and did not require any lumbar drain.
Conclusion: Better access provided by VERIA technique provides the surgeon a complete access to the cochlea which enables a three handed control of the gushers for better sealing of cochleostomy. Knowing the aqueducts radiologically prior to surgery is a must for every cochlear implant surgeon.
ASUR- AV2 Senigallia, Italy
Time : 11:00
Muhs nashik university, india
Currently working as associate professor in ent deprtment at JIIU's Indian Institute of Medical Science and Research (IIMSR). Previously worked as Senior Resident at Kem Hospital, Mumbai and DR. R. N. Cooper Hospital, Mumbai.
Background HRCT is found to be extremely useful for evaluating the ear diseases involving the external auditory canal, middle ear cavity, vertical segment of facial nerve canal, vestibular aqueduct, tegmen tympani, sigmoid sinus plate, sinodural angle, carotid canal, jugular fossa, infra and supralabrynthine air cells and temporomandibular joint . our main objective was to correlate the clinical presentation and operative findings of ear diseases with HRCTmastoid
METHODS This study is done in our institute otorhinolaryngology dept. From april 2014 to april 2016. This is prospective study involves 36 patient belonging to different age and sex groups with high suspicious of ear diseases . we have taken detail history of each patient with complete ear nose throat examination done and after that all patient were investigated with routine blood investigation , x-ray and HRCT mastoid to correlate clinical finding and subjected for operation to compare operative findings with HRCT finding.
RESULTS:, Determined using pearson chi square test indicated a statistically significant correlation between HRCT temporal bone with clinical presentation and operative findings of ear diseases [P<0.05].
CONCLUSION With the advent of modern high-resolution CT scanners, detailed demonstration of temporal bone anatomy is practically possible now. We have been able to identify many significant structures not demonstrated by any of the known imaging modalities. The improved contrast and soft tissue a definition possible with HRCT has resulted in production of excellent images of soft tissue lesions in air spaces. Hence HRCT appears to be the diagnostic modality of choice for cholesteatomas and other soft tissue lesions in middle ear