Why every ENT surgeon should be a CI Surgeon

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Karnataka ENT Hospital & Research Center

Why every ENT surgeon (Otorhinolaryngologist) should be a Cochlear Implant surgeon?

Health & Medicine Business

 No training courses in India !
 Temporal bone dissection courses

 1,000 babies are born with severe to
profound deafness.
 Rehabilitation Council of India suggest.
 About 63 million suffer from significant
auditory impairment,
 World Health Organisation.

 These statistics have made India a top-notch
market for hearing aid products.
 MNC are flocking to reach out to more and
more people in the market which is highly
under-penetrated.
 “Awareness amongst people here is low”.
 Vandana Pisharody, general manager, South Asia,
Cochlear Medical Device Company India
Apr 6, 2011

 63 Million / 8000 ENT Surgeons.
 7875 Cases / Surgeon.
CAN OUR PATIENTS AFFORD ?

Why every ENT surgeon should be a CI Surgeon

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Preface If not coincidence, at least it was in the same decade when endoscopic sinus surgery and computed tomography were introduced to Otolaryngologists, which have changed the approach to sinonasal problems dramatically. Probably, there are no such coincidences in the history of medicine where two new modalities of approaches appeared at the same time, to deal with the same problem and complement each other while doing so. The asset of improved visualization and magnification, available through endoscopes, has revolutionized the understanding of the pathophysiology of sinusitis, and resulted in better appreciation of the anatomy of the paranasal sinuses. However, non-invasive diagnostic endoscopy has its limits, and the deeper structures cannot be evaluated by endoscopy alone . Computed tomography, which has an ability to optimally display bone, soft tissue and air simultaneously, can not only complement endoscopic examination, it can provide a surgical road map delineating the anatomy, defining the obstructing lesions, and noting anatomic variations that may predispose to operative complications. Computed tomography has scored over plain radiographs and polytomographs as an imaging modality in this area. Even though surpassing CT's capacity to image soft tissue, MRI is less suitable as an imaging modality for evaluation of this area because of the similar signal intensities for bone and air. CT scanning has become imaging modality of choice and the cooperation required between the Radiologist and the Surgeon is mandatory for both evaluation and treatment of paranasal disorders. It is of paramount importance on the part of the Otolaryngologists to understand interpretation of CT films, Radiological anatomy of the paranasal sinuses, Anatomical variations and the pathology to complement the endoscopy findings for initial screening, surgical planning, reduce postoperative complications and to provide better results. This Presentations is prepared to help Otolaryngology colleagues to learn the Imaging/radiological aspects required for endoscopic sinus surgery.

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These are simplified slides discussing the regulation of cardiac output and venous return. Learning objectives: 1. Comprehend the determinants of cardiac output and factors affecting cardiac output 2. Comprehend the factors affecting stroke volume and heart rate and total peripheral resistance 3. Identify the factors regulating venous return 4. Discuss the causes of high and low output cardiac failure 5. Enlist the functions of veins and recognise the significance of venous reservoirs Study Resources: 1. Chapter 20, Guyton and Hall Textbook of Medical Physiology, 14th edition 2. Chapter 30 and 32, Ganong’s Review of Medical Physiology, 26th edition 3. Chapter 10, Human Physiology by Lauralee Sherwood, 9th edition 4. Physiology, Cardiac Output - StatPearls https://www.ncbi.nlm.nih.gov/books/NBK470455/

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Dr. Faiza delivers an insightful lecture on the distinguishing characteristics of skeletal, smooth, and cardiac muscles, offering a comprehensive understanding of their histology, physiological anatomy, electrophysiological properties, and contractile mechanisms. Through meticulous tabulation and comparison, she aims to equip learners with a detailed comprehension of the unique features and functionalities of each muscle type. Beginning with a detailed exploration of histological differences, Dr. Faiza outlines key distinctions such as multinucleation in skeletal muscle, mononucleation in smooth and cardiac muscles, and the presence of striations in skeletal and cardiac muscles. She meticulously elucidates the structural arrangement of each muscle type, highlighting their cellular morphology and organization within tissues. Transitioning to physiological anatomy, Dr. Faiza navigates through various aspects including innervation, level of control, initiation of contraction, and modification by hormones. By delineating the role of the somatic nervous system in skeletal muscle control, and contrasting it with the autonomic nervous system's influence on smooth and cardiac muscles, she offers a nuanced understanding of neural regulation in muscle physiology. Furthermore, Dr. Faiza delves into electrophysiological properties, elucidating the mechanisms underlying action potential generation, duration, and ionic basis in each muscle type. Through insightful analysis, she reveals how differences in action potential characteristics contribute to variations in muscle contraction speed, duration, and resistance to fatigue. Finally, Dr. Faiza meticulously examines the contractile mechanisms of skeletal, smooth, and cardiac muscles, shedding light on the sliding filament theory, mechanisms of calcium action, and speed of contraction. By comprehensively comparing these mechanisms, she provides learners with a deep understanding of the intricate processes governing muscle contraction and function. Through engaging presentation and meticulous analysis, Dr. Faiza's lecture serves as a valuable resource for students seeking a thorough understanding of the fundamental differences between skeletal, smooth, and cardiac muscles.

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Why every ENT surgeon should be a CI Surgeon

1. Dr. Prahlada N.B

6.  No training courses in India !  Temporal bone dissection courses

10.

11.

12.

13.  1,000 babies are born with severe to profound deafness.  Rehabilitation Council of India suggest.  About 63 million suffer from significant auditory impairment,  World Health Organisation.

14.  These statistics have made India a top-notch market for hearing aid products.  MNC are flocking to reach out to more and more people in the market which is highly under-penetrated.  “Awareness amongst people here is low”.  Vandana Pisharody, general manager, South Asia, Cochlear Medical Device Company India Apr 6, 2011

15.

16.

17.

18.

19.  63 Million / 8000 ENT Surgeons.  7875 Cases / Surgeon. CAN OUR PATIENTS AFFORD ?

20.  2.5% of GDP!

21.

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23.  Together everybody achieves more

Why every ENT surgeon should be a CI Surgeon

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