My journey into ENT , Head and Neck Laser
My career began as a senior consultant ENT , Head and Neck Surgeon in year 2000 in Ipoh General Hospital , Malaysia . It was one of the busiest tertiary referral centres in northern Malaysia .
There was a great demand for head and neck cancer management as the complexity and numbers were high . This was the beginning of my journey in the management of head neck cancer . It was very challenging in the beginning . I had good support from my colleagues , however , there were times that I felt I needed more knowledge and help from the other disciplines .
This made me perform more complex and varied surgeries . The numbers increased gradually as I sharpened my skills . Head and neck cancer surgery needs combined management from many disciplines , mainly the maxillofacial . My knowledge in maxillofacial surgery was remote and I needed to improve my skills to be a complete Head and Neck surgeon .
I obtained a scholarship from the government of Malaysia , I went on to do my fellowship in Head Neck , maxillofacial trauma and oncology in Australia in 2005 .
The training in Australia was intense and it opened my eyes to various new skills , one amongst them was laser management in ENT , Head and Neck . The laser training was solely for airway and oropharyngeal surgeries .
After completion of my double fellowship , I returned to Malaysia in 2009 . I was posted as the head of departments of 2 general hospitals , Tengku Ampuan Rahimah Hospital and Sungai Buloh Hospital respectively .
In 2009 , I began my first laser surgery in the nose in Sungai
colleagues and in Malaysia . Laser in Malaysia then was mainly used in airway surgery and rarely otherwise .
The 3 ‘ D ’ technique is unique as it enables one to contour the structure in three dimensions . This helps in tissue preservation and attaining good functional outcome .
Currently , I practice in Thomson Hospital Kota Damansara where I conduct a large number of laser surgeries in ENT Head , Neck . I use laser for almost all my surgeries eg ; nasal airway surgery ( infective and non ), ear drum surgery ( myringotomy ), tumor excision of the head and neck and many others .
To date , I have conducted over 3,000 laser surgeries in the nose . This is one of the largest series around the world .
Besides ENT , I perform facial reconstruction , post trauma and part oncosurgery . The knowledge of maxillofacial surgery is vital in the management of ENT head and neck malignancy .
Over the years of practice , I realised that patients need to be treated not only with medicine but also with sound knowledge of medical illness . Hence , I routinely impart my knowledge with all my patients as much as possible .
My passion and dream is to help make a better learned society and provide the best medical service possible . My journey in laser management is just the beginning .
Laser surgery to the nose was a slow and steady path at the beginning . With time and knowledge , I managed to improve and perfect my skills . I started to expand the scope of laser management to other areas of ENT Head Neck .
In 2010 , I innovated a new technique called the 3 ’ D ’ NON TOUCH TECHNIQUE . This technique shifted the whole paradigm of laser management in the nose and other parts of the head and neck .
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