ARE LEFT HANDED SURGEONS LEFT OUT?

Being a left-handed surgeon, more specifically a left-handed ENT surgeon, presents a unique pattern of difficulties.This article is an overview of left-handedness and a personal account of the specific difficulties a left-handed ENT surgeon faces. 

Proptosis due to otolaryngology causes a study

Proximity of orbit to nose and paranasal sinuses makes it rather vulnerable to insults due to otolaryngological causes. The medial wall of orbit (Lamina papyracea) is rather paper thin and ithappens to form the lateral wall of anterior ethmoid air cells. Infections / tumors involving paranasal sinuses can involve orbit also causing proptosis. The aim of the article is to study thecommon otolaryngological causes of proptosis in our Institution during 2009 – 2012.

LAYING THE TEARS HIGHWAY- A DRIVE THROUGH ENDO-DCR

This article is an attempt to review the technique of Dacryocystorhinostomy in the treatment of epiphora and bring to light the various modifications that have been\ud developed in recent times to refine the procedure and optimize the outcome of surgery

LAYING THE TEARS HIGHWAY- A DRIVE THROUGH ENDO-DCR

This article is an attempt to review the technique of Dacryocystorhinostomy in the treatment of epiphora and bring to light the various modifications that have been developed in recent times to refine the procedure and optimize the outcome of surgery. This record was migrated from the OpenDepot repository service in June, 2017 before shutting down

MUTATIONAL FALSETTO: A PANORAMIC CONSIDERATION

This article is intended to present everything that is known about puberphonia in a comprehensive yet concise manner. The evolution of the approach and attitude to its treatment from ancient concepts to recent trends is highlighted. This record was migrated from the OpenDepot repository service in June, 2017 before shutting down

Optimization of the Printing Parameters to Improve the Surface Roughness in Fused Deposition Modeling

A better surface finish is an essential requirement of any component in particular medical components. The recent development in additive manufacturing technology produces components with a good surface finish. However, the optimization of process parameters helps to achieve a better surface finish. This paper focuses on the optimization of printing parameters of the surface roughness of a flat object developed from an FDM printer. FDM (Fused Deposition Modeling) is a layer-by-layer deposition process to develop 3D objects. It uses solid-state material (Filament) to print the product by melting and depositing the material on the printing bed. Several factors in the FDM process can affect the product’s quality. The parameters such as printing temperature, bed temperature, printing speed, fill density, layer thickness, and air gap influence the quality of the printed products. This investigation has considered printing temperature, layer height, and printing as process parameters. In addition, the parameter affecting the printed object’s surface finish is determined using ANOVA optimization and S/N ratios. PLA (Polylactic Acid) is taken as study material which is one of the feedstocks used in polymer filament and finds its applications in implant printing and medical tools

The impact of immediate breast reconstruction on the time to delivery of adjuvant therapy: the iBRA-2 study

Background: Immediate breast reconstruction (IBR) is routinely offered to improve quality-of-life for women requiring mastectomy, but there are concerns that more complex surgery may delay adjuvant oncological treatments and compromise long-term outcomes. High-quality evidence is lacking. The iBRA-2 study aimed to investigate the impact of IBR on time to adjuvant therapy. Methods: Consecutive women undergoing mastectomy ± IBR for breast cancer July–December, 2016 were included. Patient demographics, operative, oncological and complication data were collected. Time from last definitive cancer surgery to first adjuvant treatment for patients undergoing mastectomy ± IBR were compared and risk factors associated with delays explored. Results: A total of 2540 patients were recruited from 76 centres; 1008 (39.7%) underwent IBR (implant-only [n = 675, 26.6%]; pedicled flaps [n = 105,4.1%] and free-flaps [n = 228, 8.9%]). Complications requiring re-admission or re-operation were significantly more common in patients undergoing IBR than those receiving mastectomy. Adjuvant chemotherapy or radiotherapy was required by 1235 (48.6%) patients. No clinically significant differences were seen in time to adjuvant therapy between patient groups but major complications irrespective of surgery received were significantly associated with treatment delays. Conclusions: IBR does not result in clinically significant delays to adjuvant therapy, but post-operative complications are associated with treatment delays. Strategies to minimise complications, including careful patient selection, are required to improve outcomes for patients

MUTATIONAL FALSETTO: A PANORAMIC CONSIDERATION

            This article is intended to present everything that is known about puberphonia in a comprehensive yet concise manner. The evolution of the approach and attitude to its treatment from ancient concepts to recent trends is highlighted. 

Optimization of the Printing Parameters to Improve the Surface Roughness in Fused Deposition Modeling

A better surface finish is an essential requirement of any component in particular medical components. The recent development in additive manufacturing technology produces components with a good surface finish. However, the optimization of process parameters helps to achieve a better surface finish. This paper focuses on the optimization of printing parameters of the surface roughness of a flat object developed from an FDM printer. FDM (Fused Deposition Modeling) is a layer-by-layer deposition process to develop 3D objects. It uses solid-state material (Filament) to print the product by melting and depositing the material on the printing bed. Several factors in the FDM process can affect the product’s quality. The parameters such as printing temperature, bed temperature, printing speed, fill density, layer thickness, and air gap influence the quality of the printed products. This investigation has considered printing temperature, layer height, and printing as process parameters. In addition, the parameter affecting the printed object’s surface finish is determined using ANOVA optimization and S/N ratios. PLA (Polylactic Acid) is taken as study material which is one of the feedstocks used in polymer filament and finds its applications in implant printing and medical tools

THYROID DISEASES AND SURGERY: AN AUDIT FROM THE ORL-HNS DEPARTMENT OF STANLEY MEDICAL COLLEGE AND GENERAL HOSPITAL

This article is an audit of the thyroid surgeries performed in the Otorhinolaryngology-Head and Neck Surgery (ORL-HNS) department of Stanley Medical College and General Hospital, Chennai-01, during the 2 year period from 2009 to 2011. 5O Thyroid surgeries have been performed during this period of which 12 were total thyroidectomies and the remaining 38, hemi-thyroidectomies. Adenoma of the thyroid was the most common benign disease encountered while papillary carcinoma was the only malignant disease of thyroid diagnosed.