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Friday, April 17, 2015

Advantages of Endoscopic Coblator Assisted Adenoid Removal

Adenoids are glandular tissue and are part of the immune system. They hang from the upper part of the back of the nasal cavity. You cannot see your adenoids. An x-ray is done to determine the size of the adenoids.
Adenoids help to defend the body from infection. They trap bacteria and viruses which you breathe in through your nose; they contain cells and antibodies of the immune system to help prevent throat and lung infections.
Although adenoids may help to prevent infection, they are not considered to be very important. The body has other means of preventing infection and fighting off bacteria and viruses. In fact, the adenoids tend to shrink after early childhood, and by the teenage years they often almost disappear completely. Generally, you can have your adenoids removed without increasing your risk of infection.

Traditionally blind curetting of adenoidal tissue was times tested method but leaves behind large amounts of adenoidtissue causing air flow obstruction. Endoscopic coblation adenoidectomy ensures complete removal of adenoid tissue and reduces postoperative adenoid grade. Another benefit is the ability to use a single instrument to ablate and coagulate tissue, with significant improvement of patient recovery. It can also reach the cranial portion of the adenoid and its intranasal extension.
The advantages observed with coblation adenoidectomy, compared with the curettage technique are:
  1. the lack of bleeding (abundant bleeding with curettage);
  2. provides a direct endoscopic view of the adenoid (blind surgery or mirror view with traditional cold curettage);
  3. the ability to reach all the areas of the rhinopharynx up to the Eustachian tube opening (the cranial part of the rhinopharynx cannot be reached with curettage);
  4. lower risk of residual adenoid tissue after coblator surgery;
  5. fewer complications (no cutting blade with coblation adenoidectomy);
  6. it is suitable for patients of all ages, although the decrease of pain intensity and duration is important in paediatric patients;
  7. reduction in the use of post-operative drug and loss of working days for parents due to faster post-surgical healing.

Tuesday, March 03, 2015

Dr Kumaresh ENT Clinic Starts Online Appointment Scheduling




Advantages of online appointment system:
- Online appointment scheduling can be made at your comfortable time not necessarily during the clinic hours
- No more irritation of calls not being picked up or of engaged tones.
- Advantageous for people with impaired hearing
- Appointments can be made at any time of the day and place
- Immediate confirmation of availability.
- Easy Access.


There soon will be a Google Calendar for appointment with updated appointment availability in real time. As of now this feature is disabled

Sunday, January 11, 2015

Sudden Hearing Loss - Medical Emergency - From Deafness to Normal Hearing

I have so far have had ten patients who have had this medical emergency and have successfully treated 9 patients. It is a Medical Emergency which if not treated within the Golden Period patient loses the ability to hear!!!!
Herewith attaching a testimonial of one of my patients who had a complete loss and has regained his hearing completely. Video testimonial is found here.
The treatment process can be viewed here.

Testimonial of another patient here, he too came with complete loss and now has normal hearing:

I met an ENT specialist with some complaints of ear block which initially I thought it was some sort of wax block or some air block. I didn't take it seriously; the ENT doctor recommended me some tablets and nasal drops which didn't actually work, because the doctor thought it was some minor problem. Thank god I didn't follow his instructions or else I would've gone deaf for my entire life. Since it was troubling me I got the recommendation of my friends and met with Dr. Kumaresh.  He examined me and said that he does not agree with the first doctor and asked me to do a hearing test, I was surprised since I did not perceive any hearing loss but being a reputed and trust worthy doctor I agreed for the hearing test which showed I was having Sensorineural Hearing Loss, it was a condition called sudden hearing loss. I was shocked and when I met Doctor Kumaresh I've already crossed the golden period or maybe I was just in time which actually is two weeks from the sudden deafness. He said that it is a medical emergency and that he has got back the hearing in 9/10 patients. On the day itself he gave the steroids on my affected ear that is the left ear, from the first injection itself I could somehow feel the changes, I was able to hear mildly after the first injection from being completely deaf. The nerve started responding to the steroids slowly. After all my injections(steroids) course are over I'm able to hear properly I've got back my normal hearing level. I've come a long way through this, Sensorineural Hearing Loss. A million percent thanks to Dr. Kumaresh for this, he is truly great doctor. He is the Best.


Tuesday, January 06, 2015

Invited as Keynote Speaker for an International Conference - The Only Indian to be invited - What a Honor

It is really a great honor and privilege to be invited as a Keynote Speaker for the Second International ENT Conference to be conducted at Dubai.
To know that the Who is who are attending and that I am considered as an Authority is an unique honor
That too I am the only Indian to have this honor this year
Will also be giving a talk on Neurotology since I am an expert on the same.
I owe all this to my patients and well wishers. Thank You all for getting me this rare honor at this young age...

Wednesday, December 17, 2014

Testimonial from VIP of an African State

Name and position withheld to protect privacy and misuse for personal obligation since the person is close to one of the most profitable and important Ministry in this Jewel of the African Continent.

Hello, Dr. how are you? I am so sorry for this late, I came and the next day I had to attend a meeting outside the country to the border of xxx-xxx for customs xxxxxxx revenue collection.

Thank you very much for helping me with my nose and face swelling problem I guess the swelling has gone. this is my email address alrite.
I believe I don't have much to worry about the surgery was successful and it is a permanent one so I believe my swelling problems are all gone especially having undertaken from you. i am just really taking care of myself I do the hot water and inhale the moist as u told me.
My nose block is gone too and I now constantly have white eyes like a baby no more red watery eyes, fatigue on my face and tired look. I don't even take the antihistamine medication anymore. to be honest I don't know how to thank you. I was miserable and had 2 surgeries for this. may God bless u abundantly.


If you need any help in my country please contact me

xxx
Executive Secretary to the Minister

Ministry of xxxxxxxxxxx

Sunday, October 26, 2014

Extremely Gratifying to see the results...

For a doctor happy patients are always a feather in his cap more so if it happens to be revisions, complex surgeries, failed surgeries and patients who have been told that it is impossible to undertake/cure. This #Diwali, I had a Bonaza and am sharing the happy moments.
The link to the post: https://www.facebook.com/drkkumaresh/posts/10152804447252342

Tuesday, August 19, 2014

Cured after a life threatening Ear Disease - Thank You Dr. Kumaresh

I am Arshad Ali Baig writing on behalf of my father Habibullah Baig who had come out of the dreadful stage of skull base osteomyelitis.
This all started in May 2012 when my father complained headache. He consulted general physician and used to take general medication. As it’s a common condition to go through for a human being. We thought it will set right. But unfortunately it didn’t. It was continuous and more severe (thunders in the head as described by Dad) day by day and he used to cry like a child down on the surface at home. We were totally shocked to see this.
Then we admitted him to much known superspeciality hospital in Hyderabad and there we consulted neurologist. He advised us to go through MRI brain scan. Apart from that they conducted several tests to identify the causes. Nothing came out in report.
He was there for 3 days and during this they only kept him on pain relief injections time to time where he was feeling happy that everything is right now.
Soon after discharge, the same thing resurfaced again like thunder headaches. We consulted maxofacial surgeon as Dad was complaining severe pain right from his cheek.
He has done X-ray and said that there was one tiny tooth inside the gums which is causing this pain and upon his advice he underwent tooth removal. It was okay for one day. Then we came to Bangalore to consult other doctors as we lost faith in Hyderabad the way doctors approached and their seriousness in attending the patients. Same condition continued for Dad till we approached one renowned maxofacial surgeon in Bangalore. After listening to the history, he advised us to go for CT scan and some other infection tests. After the reports, he said that infection has made the right upper jaw bone dead (Right Maxilla) and we need to remove that. We were just getting surprised and pained at every stage of this outcome. We had one question in the mind. Why the infection tests didn’t show this? What seriousness does a hospital authority have in doing these? Then he underwent surgery for the removal of Rt. Maxilla and got discharged after 1 week. Then we left to Hyderabad with some relaxation but there was something pinching in the heart as Dad used to say it’s (headache) not gone completely. After coming back, we consulted the same Bangalore maxofacial surgeon as Dad was still complaining and he advised us to go for MRI neck and brain. After the reports were sent to him, he said that infection has gone upwards towards skull i.e. sphenoidal sinus after showing the same to his friend neurosurgeon and declared as critical.  
We were just feeling down day by day. Now it’s more than 4 months since the disease inception. He advised us to consult known ENT surgeon. So we searched and took appointment of one very famous ENT surgeon in xxxxxx placed in high profile hospital.
This is the time where I lost faith in the caring medical services. He was not just listening to the basic problem i.e. headache. I could not narrate more than this about him.
After that, pus started coming out of both ears of Dad in large chunks. In October 2012, my sister read reviews about Dr. Kumaresh asked us to come down to Bangalore to consult him. Taking a step back here I want to just say that we were very fortunate enough to come across Dr. Kumaresh. We feel this as a blessing and we stand by it. He carefully listened to the history and without touching Dad; he said that he is suffering from Skull Base Osteomyelitis. Now this is totally new to listen. MRI brain and bone scan was advised. It was in advanced stage now. Right after the reports, Dad was immediately put on aggressive IV antibiotics and we were just keeping our fingers crossed day by day as the infection got reached new heights.
Almighty showed mercy on us. Right after 20 days of medication, Dad was feeling comfortable now i.e. headaches were vanishing and was having sound sleep. At this point, he started regaining confidence in life after he was totally depressed and lost faith due to prolonged illness. Overall this medication lasted for 4 months and scans were repeated which showed progressive results. It has been more than 1.6 years and presently my dad is all active man back to his day to day activities. So many wrong diagnosis and treatments set right by one man who made the diagnosis by history alone!
Dr. Kumaresh is far and away the best doctor I have ever met and nothing I can say really does justice to the man: he is extremely intelligent, a compassionate and caring person, and a truly outstanding doctor. I count myself truly lucky to have found him.
All smiles now.
A very very big THANK YOU DOCTOR. Now my life is back on track.

Saturday, July 26, 2014

Thanks to Dr Kumaresh for introducing our kid to the “World of Sounds” - Testimonial after #CochlearImplant Surgery



My sister’s daughter was diagnosed with #hearingloss by birth. We found it very difficult as there was no one to guide us properly. All we came to know after meeting few doctors was that child needs to undergo surgery and the surgery‘ll cost 13 to 14 lakhs.
By gods grace one day I came across Dr. Kumaresh through my  friend and during my first visit I realized that he was the person I was looking for. He had a great concern towards society, guided us about “cochlear implants “ and informed about various companies providing IMPLANT devices. Believe it or not he explained pros and cons of all the Implant devices.
It’s because of his concern the Hospitalization bill was almost reduced to NIL and all we need to pay was cost of deviceOurs was the first cochlear implant surgery to be carried out at Victoria hospital, attached to #BangaloreMedicalCollege. (This itself saved us around 1.5 to 2 lakhs). I also know that he had done lot of additional responsibilities to carry the surgery at Victoria Hospital including getting permission from the Government. He is also a Honorary Teaching Faculty at Bangalore Medical College.  
 On our advise one of our friends also had their sons implant surgery done at #NovaSpecialtyHospitals and here also he ensured that the charges were much much less than in other places.
It is sad that he faced opposition from few of his colleagues who does cochlear implants as they did not want the surgery to be done at a Govt. Hospital and the charges to come down. In recent times it’s difficult to find someone like him. After meeting Dr Kumaresh all I did was   just trust him and follow him.
After 2 months of switch-on procedure (where the implant is activated and the child hears the sound for the first time) the child is doing very well and can clearly identify the sounds. The child was hyperactive and had very less concentration before and now it is very calm and relaxed. After six months I think she will be speaking like the normal child.
ALL thanks to Dr Kumaresh for introducing our kid  to the  
 “World of Sounds”                                                                                                                                                                                                                                                  
DEEPAK
Mob:xxxxxxxxxx

Thursday, July 10, 2014

Cochlear Implants

I recently started the #CochlearImplant programs at #BangaloreMedicalCollege and at #NovaSpecialtySurgery
Was surprised that in spite of so many materials available online many patients were not aware of the process or whether they are an ideal candidate.
In fact I have seen patients who have not had hearing aids at all or have not been tried on hearing aids getting an implant and not using it/benefitting from it
Also most of them are also not aware that there have been two new companies and especially the Chinese implant.
More so the criteria are changing and my mentor and Director of the fellowship program and Director of Cochlear Implant program at University of Cincinnati is spearheading the Hybrid Cochlear Implant. But in all of these patients the underlying criteria is that hearing aids SHOULD NOT BE BENEFITING THEM.
I just recently submitted an article to an International Publication about the Challenges in Starting a Program in India
My readers will probably be the first to know that the Indian Implant is almost ready. Also for the first time the entire country and the International community would come to know about the specifics of our implant, including indigenous impedance and speech processors.
I had a detailed discussion with the designer and inverter of the implant Dr. Bhujanga Rao who is the
Distinguished Scientist & Director General (Naval Systems & Materials), DRDO,(Min of Defence) regarding this and he shared his thoughts.
Thought I will give a brief about who is an ideal candidate and also about the Indian implant.

As per American Speech Language Hearing Association:


Who is best suited for a cochlear implant?
It is generally agreed that the best adult candidates are those who:
  • Have severe to profound hearing loss in both ears
  • Have had limited benefit from hearing aids
  • Have no other medical problems that would make the surgery risky
  • Have a strong desire to be part of the hearing world and communicate through listening, speaking, and speech reading
  • Have lost their hearing after speech and language development
Children can be considered for cochlear implants. Children as young as 14 months of age have received cochlear implants, and the potential exists for successful implantation at younger ages.
It is generally agreed that the best child candidates are those who:
  • Have profound hearing loss in both ears
  • Have had limited benefit from hearing aids
  • Are healthy and have no medical conditions that would make the surgery risky
  • Are involved (when able), along with their parents, in all the steps in the process
  • Understand (when able), along with their parents, their role in the successful use of cochlear implants
  • Have (when able), along with their parents, realistic expectations for cochlear implant use
  • Are willing to be actively involved in their habilitation/rehabilitation
  • Have support from their educational program to emphasize the development of auditory skills
Some Specifics of the Indian Implant:


Speech Processor: Relatively simple type of body worn 8 channel processor. The prototype weighs 200 gm but will be made more elegant and reduced weight when goes for production. To overcome the recurring cost it has rechargeable lithium batteries.
The material used for the internal electrode is Teflon coated platinum-iridium alloy. It is a monopolar implant with 12 active electrodes spaced at 0.7mm with an overall length of 23 mm achieving an insertional depth of 16mm.
Multicentric clinical trials are poised to start in late 2014 soon after clearance by the regulating authorities for Medical devices. It is likely to be priced at about 1.3-1.8 lakh, when compared to current ones which range from 5.68-11.5 lakhs, this will be a boon for all users.

The other implant which is already in the market is Chinese Nurotron, studies done have shown that speech after using this implant is comparable to that of the market leaders, this implant is priced between 6-6.5 lakhs. The specifics can be found here
The other implant which has proved its efficacy is Digisonic, information about it can be obtained here.

As you see patients have a choice to choose from. 
Herewith attaching a video of my #CochlearImplantSurgery
 



Who is best suited for a cochlear implant?
It is generally agreed that the best adult candidates are those who:
  • Have severe to profound hearing loss in both ears
  • Have had limited benefit from hearing aids
  • Have no other medical problems that would make the surgery risky
  • Have a strong desire to be part of the hearing world and communicate through listening, speaking, and speechreading
  • Have lost their hearing after speech and language development
Children can be considered for cochlear implants. Children as young as 14 months of age have received cochlear implants, and the potential exists for successful implantation at younger ages.
It is generally agreed that the best child candidates are those who:
  • Have profound hearing loss in both ears
  • Have had limited benefit from hearing aids
  • Are healthy and have no medical conditions that would make the surgery risky
  • Are involved (when able), along with their parents, in all the steps in the process
  • Understand (when able), along with their parents, their role in the successful use of cochlear implants
  • Have (when able), along with their parents, realistic expectations for cochlear implant use
  • Are willing to be actively involved in their habilitation/rehabilitation
  • Have support from their educational program to emphasize the development of auditory skills
- See more at: http://www.asha.org/public/hearing/Cochlear-Implant/#sthash.wEmQPOQN.dpuf

Who is best suited for a cochlear implant?
It is generally agreed that the best adult candidates are those who:
  • Have severe to profound hearing loss in both ears
  • Have had limited benefit from hearing aids
  • Have no other medical problems that would make the surgery risky
  • Have a strong desire to be part of the hearing world and communicate through listening, speaking, and speechreading
  • Have lost their hearing after speech and language development
Children can be considered for cochlear implants. Children as young as 14 months of age have received cochlear implants, and the potential exists for successful implantation at younger ages.
It is generally agreed that the best child candidates are those who:
  • Have profound hearing loss in both ears
  • Have had limited benefit from hearing aids
  • Are healthy and have no medical conditions that would make the surgery risky
  • Are involved (when able), along with their parents, in all the steps in the process
  • Understand (when able), along with their parents, their role in the successful use of cochlear implants
  • Have (when able), along with their parents, realistic expectations for cochlear implant use
  • Are willing to be actively involved in their habilitation/rehabilitation
  • Have support from their educational program to emphasize the development of auditory skills
- See more at: http://www.asha.org/public/hearing/Cochlear-Implant/#sthash.wEmQPOQN.dpuf
Who is best suited for a cochlear implant?
It is generally agreed that the best adult candidates are those who:
  • Have severe to profound hearing loss in both ears
  • Have had limited benefit from hearing aids
  • Have no other medical problems that would make the surgery risky
  • Have a strong desire to be part of the hearing world and communicate through listening, speaking, and speechreading
  • Have lost their hearing after speech and language development
Children can be considered for cochlear implants. Children as young as 14 months of age have received cochlear implants, and the potential exists for successful implantation at younger ages.
It is generally agreed that the best child candidates are those who:
  • Have profound hearing loss in both ears
  • Have had limited benefit from hearing aids
  • Are healthy and have no medical conditions that would make the surgery risky
  • Are involved (when able), along with their parents, in all the steps in the process
  • Understand (when able), along with their parents, their role in the successful use of cochlear implants
  • Have (when able), along with their parents, realistic expectations for cochlear implant use
  • Are willing to be actively involved in their habilitation/rehabilitation
  • Have support from their educational program to emphasize the development of auditory skills
- See more at: http://www.asha.org/public/hearing/Cochlear-Implant/#sthash.N3HJM5XT.dpuf

Who is best suited for a cochlear implant?
It is generally agreed that the best adult candidates are those who:
  • Have severe to profound hearing loss in both ears
  • Have had limited benefit from hearing aids
  • Have no other medical problems that would make the surgery risky
  • Have a strong desire to be part of the hearing world and communicate through listening, speaking, and speechreading
  • Have lost their hearing after speech and language development
Children can be considered for cochlear implants. Children as young as 14 months of age have received cochlear implants, and the potential exists for successful implantation at younger ages.
It is generally agreed that the best child candidates are those who:
  • Have profound hearing loss in both ears
  • Have had limited benefit from hearing aids
  • Are healthy and have no medical conditions that would make the surgery risky
  • Are involved (when able), along with their parents, in all the steps in the process
  • Understand (when able), along with their parents, their role in the successful use of cochlear implants
  • Have (when able), along with their parents, realistic expectations for cochlear implant use
  • Are willing to be actively involved in their habilitation/rehabilitation
  • Have support from their educational program to emphasize the development of auditory skills
- See more at: http://www.asha.org/public/hearing/Cochlear-Implant/#sthash.N3HJM5XT.dpuf