Monday, 29 August 2011

RS passes organ transplant Bill

26 August 2011
NEW DELHI, 26 AUG: The Rajya Sabha today passed the Transplantation of Human Organs Amendment Bill, 2011, that seeks to check irregular transplantation of human organs and provides an expanded definition of “near relatives” who can donate their organs to the needy.

The law permits transplantation of organs like heart, kidneys, lung, liver, pancreas and cornea. So far, only spouse, son, daughter, father, mother, brother and sister could donate their organs. After today’s amendments, grandfather, grandmother, grandson and granddaughter have been added to the list of the relatives who can donate the organs. The Rajya Sabha members demanded that even members of the same village as that of the patient should be allowed to donate their organs

PHONOCON KMC 2011, Phonosurgery workshop, 2nd & 3rd September, Mangalore

PHONOCON KMC 2011, Phonosurgery workshop, 2nd & 3rd September,

Mangalore

Download Brochure



The Department of Otorhinolaryngology, Head & Neck Surgery will be organizing a phonosurgery

workshop on the 2nd & 3rd of September, 2011. The main emphasis would be clinical assessment and

evaluation of voice and will also include demonstration of various surgical procedures through cadaveric

and live surgical demonstrations. The faculty would include eminent voice surgeons Dr. Jayakumar, Dr.

Nupur Nerurkar and Dr. K.K Handa.



Dr. Suja Sreedharan

Coordinator

Professor & HOD, Dept of ORL & HNS

Kasturba Medical College, Mangalore

Manipal University



Contact details:

Dr. Arathi Alva

Dept of ORL & HNS,

KMC Hospital Attavar,

Mangalore

Ph no: 9845135962

Email: phonocon2011@gmail.com

Saturday, 27 August 2011

3rd International Course on "Sialendoscopy" on December 2-3, 2011 at UCMS-GTB Hospital, New Delhi, India

3rd International Course on "Sialendoscopy" on December 2-3, 2011 at UCMS-GTB Hospital, New Delhi, India

Venue: University College of Medical Sciences & GTB Hospital

Course Director: Dr P P Singh, Director-Professor & Head, Deptt of ENT, UCMS & GTBH

Guest Faculty: Dr Leon Ardekian, Director of Sialendoscopy and Minimal Invasive Surgery Service, Rambam Medical Center, Technion Faculty of Medicine, Haifa, Israel

Org Secretary: Dr Arun Goyal arungoyal150@yahoo.co.in


The details of the course will be uploaded later. Since the detail of surgeries and lectures will be almost same as in the first course, please peruse the programme of first course available on our website

for overview of the forthcoming course. www.otologyindia.blogspot.com



Registration (early bird) is open and may be availed at Rs 1000/- before September 30, 2011. Please send Demand Draft in favour of "Otology Workshop - GTBH" payable at New Delhi to:


Dr Arun Goyal

Professor, Deptt of ENT

Room No 352, OPD Block

UCMS & GTB Hospital, Dilshad Garden

New Delhi - 110 095 India


(DD for early bird registration must be issued before September 30, 2011)



The further detais will be uploaded shortly

Wednesday, 24 August 2011

Temperomandibular arthralgia-Discussion

Temperomandibular arthralgia .... Imaging of choice ,work up and management.. kindly share your experiences....
August 18 at 8:25pm · · ·
  • You, Ravi Meher and Lalit Mohan Parashar like this.
    • Lalit Mohan Parashar OPG, Dentascan, Dead Lateral View - Skull, elicit tenderness of joint by palpation lateral to joint and with a finger in EAC, treat minimum 14 days with Diclofenac
      August 18 at 8:31pm · · 3 people
    • Bharat Khatri Yes plus exclude any dental cause,faulty bite
      August 18 at 8:33pm · · 1 person
    • Anoop Agarwal OPG
      August 18 at 11:07pm ·
    • Shikha Sharma sir,what will be the findings in OPG?Is there any role of steroids n physiotherapy?
      August 18 at 11:35pm ·
    • Deepak Chauhan Habits such as teeth clenching and bruxism (apart from malocclusion and dental cause)commonly results in TMJ disorder.OPG less senstive in detecting joint inflammation. CT scan better modality can detect disc displacement (85 -90% senstivity. but the gold standard is MRI (93 - 96% senstivity) can detect minimal fluid collection in joint space and synovial tissue inflammation.
      August 19 at 12:19am · · 2 people
    • Shashidhar Tatavarty I ve been getting opg done.As a rule when there is no clicking, trismuss or dislocation of TMJ, OPG comes as norml. MRI is the only modality which shows joint inflammation or mensicitis. but threshold for getting it done is quite high.. Rheumatoid arthritis, myofascial pain, degnerative joint disorders and Dental problem are few things to exclude..any one with experience of intrarticular steroids when NSAIDS and physiotherapy are not enough...
      August 19 at 5:05am · · 1 person
    • Ravi Meher i think we mjust treat TMJ as any other synovial joint, and take some leads from orthopedicians. They start pain killers, physiotherapy. If it does not improve intraarticular streoid amy be tried. I have no experience of intrarticular steroids.
      August 19 at 5:51am · · 1 person
    • Ravi Meher ‎1. Muscle-related TMD (myogenous TMD), sometimes called TMD secondary to myofascial pain and dysfunction

      2. Joint-related (arthrogenous) TMD, or TMD secondary to true articular disease

      Of note, these 2 types often coexist in one patient, making diagnosis and treatment more challenging.



      Myogenous TMD is more common. In its pure form, it lacks apparent destructive changes of the TMJ on radiograph and can be caused by multiple etiologies such as bruxism and daytime jaw clenching.



      Arthrogenous TMD can be further specified as disk displacement disorder, chronic recurrent dislocations, degenerative joint disorders, systemic arthritic conditions, ankylosis, infections, and neoplasia.
      August 19 at 5:53am · · 2 people
    • Gautam Aggarwal Dr Lalit Mohan Parashar , could you please elaborate about dentascan ? When do you ask for this scan & what findings do you look for in it ?
      August 19 at 10:11am ·
    • Lalit Mohan Parashar Dentascan is basically a ct scan with extraction software specific to jaws and shows both TM joints in one view for better comparison.we look for joint space abnormality, signs of denuded bone/ dislocation besides surrounding structure. it is also goodto see tooth roots.
      August 19 at 11:09am · · 3 people
    • Sudipta Chandra I usually do OPG first. Exclude any Dental problems. Start Anti-Inflammatory combined with Enzymes BD x 15 days. Advice to chew equally from both the sides. Semisolid diet for 5 days. If they r not relieved after 15 days- Exclude RA etc.-Intra-articular Methyl-Prednisolone weekly for upto 6 such, if needed. It usually helps. Advised MRI in some cases, but usually they do not agree for the cost...
      August 19 at 3:22pm · · 3 people
    • DrKumaresh Krishnamoorthy Sudipta Chandra WIll do the same
      August 19 at 6:17pm · · 1 person

Sunday, 21 August 2011

Torticollis, causes and management?

Torticollis, causes and management?
Saturday at 11:33pm · · ·
  • You, Abhay Anand and Drpuneet Bhargava like this.
    • Sushmita Biswas CERVICAL LYMPHADENOPATHY/ PARA PHARYNGEAL ABSCESS/ MSL SPASM ??
      Saturday at 11:34pm ·
    • Gowri Shankar congenital.. acquired.. this guy has facial assymetry,,so congenital?
      Saturday at 11:35pm ·
    • Ravi Meher the above patient had SCM contracture on the left side.
      Saturday at 11:38pm · · 1 person
    • Sushmita Biswas y sir
      Saturday at 11:38pm ·
    • Drpuneet Bhargava Please advice regarding birth injury SCM jaw a

      Haematoma also
      Yesterday at 12:00am via ·
    • Drpuneet Bhargava What to do if you see this in a 2 month old baby?
      Yesterday at 12:05am via Facebook Mobile ·
    • Arjun Dasgupta it is congenital totticlis, probably birth injury. just divide the clavicular attachment. and some physiotherapy
      Yesterday at 12:09am ·
    • Ashraf Elzeiny Causes of Torticollis A) Congenital e.g idiopathic spasmodic torticollis (spasms SMs) , vertebral anomalies B) Acquired *Traumatic ..... Muscle spasm following trauma , Skeletal e.g vertebra , Subarachenoid Hge * Infectious & Inflammatory ....... Mastoiditis/Bezold’s abscess , Cervical adenitis , Retropharyngeal abscess , Meningitis ,CX arthritis * Neoplastic ........ CNS & CX vertebra 1ry & 2ry tumors---------------------------------------------------- * In congenital muscular torticollis, ultrasound is diagnostic * Inacquired cases CT of neck/cervical spine to exclude fracture . If CT is positive, MRI considered
      Yesterday at 12:19am · · 3 people
    • Ravi Meher this child had a contracture of the sternal head of the SCM, No history of trauma was there. The sternal head was released under GA. patient is undergping physiotheray and is doing well.
      17 hours ago ·
    • Abhay Anand Ravi Meher sir have u recorded this one?
      15 hours ago ·
    • Ravi Meher have taken pics.
      14 hours ago via Facebook Mobile ·
    • Rakesh Srivastava puneet is right is asking for birth injury. very important.
      12 hours ago ·
    • Ravi Meher absolutely right but there was no such history in the above case. may be the parents did not notice.
      11 hours ago ·
    • Rajesh Kalra Alexander the Great may have had torticollis.
      11 hours ago ·
    • Ravi Meher “Sternomastoid Tumor” - this is a fbrous mass found in the SCM at the lower end of the muscle thus effectively shortening the length of the muscle. seen after birth trauma/breech delivery.
      11 hours ago · · 2 people
    • Rajesh Kalra Management for torticollis is primarily nonoperative
      11 hours ago ·
    • Ravi Meher it is important to rule out cervical vertebrae abnormality by xray cervical spine in all cases of torticollis. the management of torticollis is initially physiotherapy and if it does not respond surgicall release of the involved head of SCM is Rx.
      11 hours ago · · 1 person