Channel Title: Vincent ENT, Thyroid, Head and Neck Biopsy & Surgery Specialist Clinic Channel Description: Welcome and thank you very much for visiting our Dr. Vincent Tan’s Ear, Nose and Throat (ENT), Head and Neck Surgery Clinic YouTube channel. We provide comprehensive ear, nose, throat, head and neck services to both adult and children. We hope to be of help to you and your loved ones. Website: www.vincentENTHNS.com Address : KPJ Klang Specialist Hospital, No.102,Persiaran Rajawali/KU 1, Bandar Baru Klang, 41150 Klang, Selangor Darul Ehsan. GPS : 3.062578,101.46332 Google Maps: Vincent ENT, KPJ Klang Waze: Vincent ENT, KPJ Klang Phone: +603-33777 864 <video> Nip It in the Bud ! Description: There is an English proverb “Nip It in the Bud” – it means to stop something so it does not worsen in time to come MNG is a common thyroid disorder. M = multi = many N = nodular, meaning there are many small units of swelling G = Goitre = enlargement of the thyroid gland Conclusion in simple language : Many small swelling in the thyroid gland causing enlargement of the whole thyroid gland The thyroid gland nodules maybe solid or cystic (fluid-filled) or a mixture of both. They are commonly non-cancerous though they can be cancerous on rare occasions. Nodule must be confirmed via ultrasound-guided FNAC/biopsy to be definitely/unequivocally non-cancerous first (at least once or even twice in some doubtful cases). Using a minimally-invasive approach (through 1mm incision over the skin), using low-temperature energy delivered via a wand/probe directed under ‘live’ ultrasound-guidance to the thyroid nodule, causing cell death and shrinkage. This is called thermal ablation using either radiofrequency (RF) or microwave (MW) technology. We can treat the nodules at an early stage before it grows too big and too many. Therefore avoiding a gland that is too big in later stage. And avoiding the conventionally-recommended total thyroid gland removal thus also preserving your thyroid gland. Treatment while it is small at an earlier stage has a better outcome to reduce the size. For those that already present with bilateral swelling, in select cases, we can combine this minimally-invasive approaches with open surgery to optimize outcome, avoiding long-term thyroid replacement therapy. As we handle many different treatment methods for different thyroid diseases, we shall be able to also suggest alternative treatment options for you, from conservative, watch-and-wait option, shrinkage to total removal/resection of the lesions. We will assess each patient on a unique case-to-case basis for diagnosis and treatment, hoping for the best outcome in each case. COMMITTED TO YOUR WELL-BEING. #PYT #preserveyourthyroid #saveyourthyroid #SPUS #surgeonperformedultrasound #thyroid #Thyroidnodule #Thyroidcancer #Thyroidpreservation #Thyroidradiofrequencyablation #ThyroidRFA #Thyroidmicrowaveablation #ThyroidMWA #thyroidablation #thyroidsurgeon #thyroidspecialist #thyroidbiopsy #thyroidcyst #PEI #thyroidethanolablation Disclaimer: Please see your personal doctor for advice. This information does not substitute a formal consultation with your doctor who will assess, examine, diagnose and advise you on the treatment based on your unique medical condition, preferences and choices. http://www.biopsy-thyroid-ent.com/disclaimer.html The Vincent Ear, Nose, Throat (ENT), Thyroid, Head & Neck Biopsy & Surgery Specialist Clinic is based in KPJ Klang, Selangor You can check out our webpage www.biopsy-thyroid-ent.com for more details. Have a nice day ! </video> <video> Radiofrequency Thyroid Ablation (StarMed) - English Description: Introducing a fairly new treatment for thyroid nodules – Radiofrequency Ablation (RFA) 甲状腺结节 射频消融 Some explanation on thyroid nodules and its implications, role of ultrasound-guided Fine Needle Aspiration Cytology (FNAC)/biopsy, the usages, advantages and disadvantages of RFA of the thyroid nodule procedures. The thyroid gland is an important organ over the neck that produces hormones that control many bodily functions However, the thyroid gland commonly has nodules within that can enlarge. The nodules maybe solid or cystic (fluid-filled) or a mixture of both. They are commonly non-cancerous though they can be cancerous on rare occasions. Problems with the nodules: 1. Enlarge and may be obvious on appearance, causing cosmetic concern 2. Compress on surrounding structures causing difficulty with breathing and/or swallowing 3. Produce excessive hormone causing thyroid hormonal imbalance (commonly hyperthyroidism, rarely hypothyroidism) Radiofrequency ablation is a minimally-invasive approach (through 1mm incision over the skin), using low-temperature energy delivered via a wand/probe directed under ‘live’ ultrasound-guidance to the thyroid nodule, causing cell death and shrinkage. Nodule must be confirmed via ultrasound-guided FNAC/biopsy to be definitely/unequivocally non-cancerous first (at least once or even twice in some doubtful cases). Main usages are for large visible benign (may or may not cause compressive symptoms) or hyperfunctioning nodules causing hyperthyroidism. Usage in thyroid cancer or metastatic lymph node cases not recommended as first-line treatment but subject to case-to-case review and discussion. Advantage of thyroid nodule RFA : • Can be done under local anesthesia, reducing risk of general anesthesia (maybe a safer option especially for patients with multiple medical illness who cannot tolerate surgery like diabetes, severe heart failure) • Usually done as a daycare (6-hours admission) procedure • Much lesser side effects like vocal cord nerve injury, and no risk of hypocalcemia as compared to resection surgery • Can be repeated few months later for additional shrinkage effect. • Can effectively shrink down the nodule to a smaller less obvious size • Does not take away the opportunity for future resection surgery (if patient eventually requires/requests for total nodule resection) • Coverage available for medical insurance policyholders • May be cheaper than the resection surgery Disadvantage of thyroid nodule RFA : • All thyroid surgeries come with risk of bleeding, vocal cord nerve injury, neighbouring structures injury though RFA comes with much less of that • The nodule remains hence RFA is not an actual removal of the nodule but rather to shrink down a large visible nodule or to reduce its hyperfunctioning. Hence large thyroid or those with compressive effects already may not be suitable candidates. Our other RFA thyroid Youtube link: https://youtu.be/-Sfd5Qvhfsw As we handle many different treatment methods for different thyroid diseases, we shall be able to also suggest alternative treatment options for you, from conservative, watch-and-wait option, shrinkage to total removal/resection of the lesions. We will assess each patient on a unique case-to-case basis for diagnosis and treatment, hoping for the best outcome in each case. COMMITTED TO YOUR WELL-BEING. #PYT #preserveyourthyroid #saveyourthyroid #SPUS #surgeonperformedultrasound #thyroid #Thyroidnodule #Thyroidcancer #Thyroidpreservation #Thyroidradiofrequencyablation #ThyroidRFA #Thyroidmicrowaveablation #ThyroidMWA #thyroidablation #thyroidsurgeon #thyroidspecialist #thyroidbiopsy #thyroidcyst #PEI #thyroidethanolablation COPYRIGHT OF ORIGINAL UNEDITED VIDEO BELONGS TO RESPECTIVE COMPANIES. Disclaimer: Please see your personal doctor for advice. This information does not substitute a formal consultation with your doctor who will assess, examine, diagnose and advise you on the treatment based on your unique medical condition, preferences and choices. http://www.biopsy-thyroid-ent.com/disclaimer.html The Vincent Ear, Nose, Throat (ENT), Thyroid, Head & Neck Biopsy & Surgery Specialist Clinic is based in KPJ Klang, Selangor You can check out our webpage www.biopsy-thyroid-ent.com for more details. Have a nice day ! </video> <video> PEI thyroid 2 good response 2 Description: ULTRASOUND-GUIDED DRAINAGE & PERCUTANEOUS ETHANOL INJECTION OF THYROID CYSTIC NODULES This technique has great treatment outcome. Treatment options for symptomatic benign cystic or predominately cystic thyroid nodules include needle aspiration, minimally invasive techniques like percutaneous ethanol (alcohol) injection (PEI) besides surgical resection. A prior biopsy or cytology study is mandatory to prove the benign nature of the nodule. With PEI under ultrasound guidance, generally should be considered, the ethanol results in permanent tissue damage with subsequent necrosis, fibrosis and thrombosis of cyst wall blood vessels. Here we present the advantages and disadvantages of the PEI techniques with our real-world results. This is part 2, a follow-up video to the first part here: https://youtu.be/73NFytDL6rM Disclaimer: Please see your personal doctor for advice. This information does not substitute a formal consultation with your doctor who will assess, examine, diagnose and advise you on the treatment based on your unique medical condition, preferences and choices. http://www.biopsy-thyroid-ent.com/disclaimer.html The Vincent Ear, Nose, Throat (ENT), Thyroid, Head & Neck Biopsy & Surgery Specialist Clinic is based in KPJ Klang Specialist Hospital, Selangor As we handle many different treatment methods for different thyroid diseases, we shall be able to also suggest alternative treatment options for you, from conservative, watch-and-wait option, shrinkage to total removal/resection of the lesions. We will assess each patient on a unique case-to-case basis for diagnosis and treatment, hoping for the best outcome in each case. COMMITTED TO YOUR WELL-BEING. You can check out our webpage www.biopsy-thyroid-ent.com or www.thyroidKL.com for more details. Have a nice day ! </video> <video> Differences between Microwave Ablation ECO for Thyroid Nodule and traditional surgery Description: Introducing a fairly new treatment for thyroid nodules – Microwave Ablation (MWA) 微波消融 Some explanation on the usages, advantages and disadvantages of MWA of the thyroid nodule procedures. The thyroid gland is an important organ over the neck that produces hormones that control many bodily functions However, the thyroid gland commonly has nodules within that can enlarge. The nodules maybe solid or cystic (fluid-filled) or a mixture of both. They are commonly non-cancerous though they can be cancerous on rare occasions. Problems with the nodules: 1. Enlarge and may be obvious on appearance, causing cosmetic concern 2. Compress on surrounding structures causing difficulty with breathing and/or swallowing 3. Produce excessive hormone causing thyroid hormonal imbalance (commonly hyperthyroidism, rarely hypothyroidism) MWA is a minimally-invasive approach (through 1mm incision over the skin), using low-temperature energy delivered via a wand/probe directed under ‘live’ ultrasound-guidance to the thyroid nodule, causing cell death and shrinkage. Nodule must be confirmed via ultrasound-guided FNAC/biopsy to be definitely/unequivocally non-cancerous first (at least once or even twice in some doubtful cases). Main usages are for large visible benign (may or may not cause compressive symptoms) or hyperfunctioning nodules causing hyperthyroidism. Usage in thyroid cancer or metastatic lymph node cases not recommended as first-line treatment but subject to case-to-case review and discussion. Advantage of thyroid nodule MWA : • Can be done under local anesthesia, reducing risk of general anesthesia (maybe a safer option especially for patients with multiple medical illness who cannot tolerate surgery like diabetes, severe heart failure) • Usually done as a daycare (6-hours admission) procedure • Much lesser side effects like vocal cord nerve injury, and no risk of hypocalcemia as compared to resection surgery • Can be repeated few months later for additional shrinkage effect. • Can effectively shrink down the nodule to a smaller less obvious size • Does not take away the opportunity for future resection surgery (if patient eventually requires/requests for total nodule resection) • Coverage available for medical insurance policyholders • May be cheaper than the resection surgery Disadvantage of thyroid nodule MWA : • All thyroid surgeries come with risk of bleeding, vocal cord nerve injury, neighbouring structures injury though MWA comes with much less of that • The nodule remains hence MWA is not an actual removal of the nodule but rather to shrink down a large visible nodule or to reduce its hyperfunctioning. Hence large thyroid or those with compressive effects already may not be suitable candidates. As we handle many different treatment methods for different thyroid diseases, we shall be able to also suggest alternative treatment options for you, from conservative, watch-and-wait option, shrinkage to total removal/resection of the lesions. We will assess each patient on a unique case-to-case basis for diagnosis and treatment, hoping for the best outcome in each case. COMMITTED TO YOUR WELL-BEING. #PYT #preserveyourthyroid #saveyourthyroid #SPUS #surgeonperformedultrasound #thyroid #Thyroidnodule #Thyroidcancer #Thyroidpreservation #Thyroidradiofrequencyablation #ThyroidRFA #Thyroidmicrowaveablation #ThyroidMWA #thyroidablation #thyroidsurgeon #thyroidspecialist #thyroidbiopsy #thyroidcyst #PEI #thyroidethanolablation COPYRIGHT OF ORIGINAL UNEDITED VIDEO BELONGS TO RESPECTIVE COMPANIES. Disclaimer: Please see your personal doctor for advice. This information does not substitute a formal consultation with your doctor who will assess, examine, diagnose and advise you on the treatment based on your unique medical condition, preferences and choices. http://www.biopsy-thyroid-ent.com/disclaimer.html The Vincent Ear, Nose, Throat (ENT), Thyroid, Head & Neck Biopsy & Surgery Specialist Clinic is based in KPJ Klang, Selangor You can check out our webpage www.biopsy-thyroid-ent.com for more details. Have a nice day ! </video> <video> Microwave Ablation (MWA) of thyroid nodule Description: Introducing a fairly new treatment for thyroid nodules – Microwave Ablation (MWA) Some explanation on the usages, advantages and disadvantages of MWA of the thyroid nodule procedures. The thyroid gland is an important organ over the neck that produces hormones that control many bodily functions However, the thyroid gland commonly has nodules within that can enlarge. The nodules maybe solid or cystic (fluid-filled) or a mixture of both. They are commonly non-cancerous though they can be cancerous on rare occasions. Problems with the nodules: 1. Enlarge and may be obvious on appearance, causing cosmetic concern 2. Compress on surrounding structures causing difficulty with breathing and/or swallowing 3. Produce excessive hormone causing thyroid hormonal imbalance (commonly hyperthyroidism, rarely hypothyroidism) MWA is a minimally-invasive approach (through 1mm incision over the skin), using low-temperature energy delivered via a wand/probe directed under ‘live’ ultrasound-guidance to the thyroid nodule, causing cell death and shrinkage. Nodule must be confirmed via ultrasound-guided FNAC/biopsy to be definitely/unequivocally non-cancerous first (at least once or even twice in some doubtful cases). Main usages are for large visible benign (may or may not cause compressive symptoms) or hyperfunctioning nodules causing hyperthyroidism. Usage in thyroid cancer or metastatic lymph node cases not recommended as first-line treatment but subject to case-to-case review and discussion. Advantage of thyroid nodule MWA : • Can be done under local anesthesia, reducing risk of general anesthesia (maybe a safer option especially for patients with multiple medical illness who cannot tolerate surgery like diabetes, severe heart failure) • Usually done as a daycare (6-hours admission) procedure • Much lesser side effects like vocal cord nerve injury, and no risk of hypocalcemia as compared to resection surgery • Can be repeated few months later for additional shrinkage effect. • Can effectively shrink down the nodule to a smaller less obvious size • Does not take away the opportunity for future resection surgery (if patient eventually requires/requests for total nodule resection) • Coverage available for medical insurance policyholders • May be cheaper than the resection surgery Disadvantage of thyroid nodule MWA : • All thyroid surgeries come with risk of bleeding, vocal cord nerve injury, neighbouring structures injury though MWA comes with much less of that • The nodule remains hence MWA is not an actual removal of the nodule but rather to shrink down a large visible nodule or to reduce its hyperfunctioning. Hence large thyroid or those with compressive effects already may not be suitable candidates. MWA bears many similarities with the RFA (radiofrequency ablation) technology except for minor technical details. U can check out my earlier RFA videos here: - RFA YOUTUBE LINK (English): https://youtu.be/-Sfd5Qvhfsw - RFA YOUTUBE LINK (Malay language): https://youtu.be/-HH83b5TT-8 - RFA YOUTUBE LINK (English) Video 2: https://youtu.be/GNvw7Pedt3I As we handle many different treatment methods for different thyroid diseases, we shall be able to also suggest alternative treatment options for you, from conservative, watch-and-wait option, shrinkage to total removal/resection of the lesions. We will assess each patient on a unique case-to-case basis for diagnosis and treatment, hoping for the best outcome in each case. COMMITTED TO YOUR WELL-BEING. Disclaimer: Please see your personal doctor for advice. This information does not substitute a formal consultation with your doctor who will assess, examine, diagnose and advise you on the treatment based on your unique medical condition, preferences and choices. http://www.biopsy-thyroid-ent.com/disclaimer.html The Vincent Ear, Nose, Throat (ENT), Thyroid, Head & Neck Biopsy & Surgery Specialist Clinic is based in KPJ Klang, Selangor You can check out our webpage www.biopsy-thyroid-ent.com for more details. Have a nice day ! </video> <video> 甲状腺结节微波消融与传统手术的区别 Differences btw Microwave Ablation for Thyroid Nodule & traditional surgery (Mand) Description: 什么是甲状腺微波消融术（Microwave Ablation MWA）? 在超声引导下细针穿刺细胞学检查 (FNAC – Fine Needle Aspiration Cytology) / 活体组织检查 (biopsy) 扮演着重要的角色，还有一些解释关于甲状腺结节的含义，治疗用法，甲状腺结节射频消融的好处和坏处。 甲状腺是颈部最重要的器官，因为它在我们的身体产生激素来控制我们的身体机能。 然而，甲状腺内通常有结节可扩大的可能性。甲状腺结节可能是实心的或囊性的（充满液体的）或两者的混合物。它们通常是非癌性的，尽管在极少数情况下可能会癌变。 结节的问题：- 1. 扩大和在外观上可能很明显，引起在外观整体上的忧虑 2. 会压缩周围的结构，导致呼吸和/或吞咽困难 3. 产生过多的激素，导致甲状腺激素失衡（通常为甲状腺功能亢进 简称“甲亢” -hyperthyroidism，很少为甲状腺功能减退 ，简称“甲减” - hypothyroidism） 微波消融术是一种微创的手术（通过在皮肤上切1mm的切口），利用低温能量通过棒/探针（wand/probe）在超声引导下传递到甲状腺结节，导致细胞坏死和萎缩。 甲状腺结节必须先通过超声引导下做细针穿刺细胞学检查 (FNAC / 活体组织检查 (biopsy) 来确认绝对/证实是无癌细胞（在某些可疑情况下至少一次或什至两次）。 主要用途是用于比较大和明显的良性肿瘤（可能会或可能不会导致压缩症状）或功能亢进的结节，导致甲状腺功能亢进。 不建议在初始治疗中用于甲状腺癌或转移性淋巴结病例，但需视具体情况而进行审查和讨论。 甲状腺结节微波消融术的优势： • 可以在局部麻醉下进行，从而降低了全身麻醉的风险（这可能是一种更安全的选择，尤其是对于患有多种疾病例如糖尿病，严重心力衰竭的且无法忍受的患者） • 通常作为当日手术（6小时入院）程序进行 （当天住院，当天手术，当天出院）。 • 比起切除手术，副作用要小得多，例如声带神经损伤和没有低血钙的风险 • 这类的手术几个月后可以再进行，以达到更好的收缩效果。 • 可以有效地将结节缩小到不太明显的大小 • 不会剥夺将来进行切除手术的机会（如果患者最终需要/要求进行全结节切除术） • 给与醫療保險保單持有人，这项手术是在受保的範圍里 • 可能比切除手术更便宜 甲状腺结节等离子射频消融的劣势： • 所有甲状腺外科手术都有出血，声带神经损伤，周围结构损伤的风险，尽管MWA的风险要小得多 • 结节仍然存在，因此MWA（微波消融术）并不是真正去除结节，而是缩小大的可见的结节或减少其机能亢进。因此，病人如果有大甲状腺或具有压缩影响的甲状腺可能已不适合使用 由于我们针对不同的甲状腺疾病采用许多不同的治疗方法，因此我们能够为您建议别的替代治疗选择，从保守的，观察的方案，缩小结节，到完全移除/切除病变。我们将根据具体情况对每个患者进行评估，以进行诊断和治疗，在每种情况下获得最佳效果。 #PYT #preserveyourthyroid #saveyourthyroid #SPUS #surgeonperformedultrasound #thyroid #Thyroidnodule #Thyroidcancer #Thyroidpreservation #Thyroidradiofrequencyablation #ThyroidRFA #Thyroidmicrowaveablation #ThyroidMWA #thyroidablation #thyroidsurgeon #thyroidspecialist #thyroidbiopsy #thyroidcyst #PEI #thyroidethanolablation COPYRIGHT OF ORIGINAL UNEDITED VIDEO BELONGS TO RESPECTIVE COMPANIES. </video> <video> 什么是甲状腺射频消融（Thyroid Radio Frequency Ablation RFA）? Description: 什么是甲状腺射频消融（Thyroid Radio Frequency Ablation RFA）? 在超声引导下细针穿刺细胞学检查 (FNAC – Fine Needle Aspiration Cytology) / 活体组织检查 (biopsy) 扮演着重要的角色，还有一些解释关于甲状腺结节的含义，治疗用法，甲状腺结节射频消融的好处和坏处。 甲状腺是颈部最重要的器官，因为它在我们的身体产生激素来控制我们的身体机能。 然而，甲状腺内通常有结节可扩大的可能性。甲状腺结节可能是实心的或囊性的（充满液体的）或两者的混合物。它们通常是非癌性的，尽管在极少数情况下可能会癌变。 结节的问题：- 1. 扩大和在外观上可能很明显，引起在外观整体上的忧虑 2. 会压缩周围的结构，导致呼吸和/或吞咽困难 3. 产生过多的激素，导致甲状腺激素失衡（通常为甲状腺功能亢进 简称“甲亢” -hyperthyroidism，很少为甲状腺功能减退 ，简称“甲减” - hypothyroidism） 等离子射频消融（Radio Frequency Plasma Ablation）是一种微创的手术（通过在皮肤上切1mm的切口），利用低温能量通过棒/探针（wand/probe）在超声引导下传递到甲状腺结节，导致细胞坏死和萎缩。 甲状腺结节必须先通过超声引导下做细针穿刺细胞学检查 (FNAC / 活体组织检查 (biopsy) 来确认绝对/证实是无癌细胞（在某些可疑情况下至少一次或什至两次）。 主要用途是用于比较大和明显的良性肿瘤（可能会或可能不会导致压缩症状）或功能亢进的结节，导致甲状腺功能亢进。 不建议在初始治疗中用于甲状腺癌或转移性淋巴结病例，但需视具体情况而进行审查和讨论。 ， 甲状腺结节等离子射频消融的优势： • 可以在局部麻醉下进行，从而降低了全身麻醉的风险（这可能是一种更安全的选择，尤其是对于患有多种疾病例如糖尿病，严重心力衰竭的且无法忍受的患者） • 通常作为当日手术（6小时入院）程序进行 （当天住院，当天手术，当天出院）。 • 比起切除手术，副作用要小得多，例如声带神经损伤和没有低血钙的风险 • 这类的手术几个月后可以再进行，以达到更好的收缩效果。 • 可以有效地将结节缩小到不太明显的大小 • 不会剥夺将来进行切除手术的机会（如果患者最终需要/要求进行全结节切除术） • 给与醫療保險保單持有人，这项手术是在受保的範圍里 • 可能比切除手术更便宜 甲状腺结节等离子射频消融的劣势： • 所有甲状腺外科手术都有出血，声带神经损伤，周围结构损伤的风险，尽管RFA（射频消融）的风险要小得多 • 结节仍然存在，因此RFA（射频消融）并不是真正去除结节，而是缩小大的可见的结节或减少其机能亢进。因此，病人如果有大甲状腺或具有压缩影响的甲状腺可能已不适合使用 由于我们针对不同的甲状腺疾病采用许多不同的治疗方法，因此我们能够为您建议别的替代治疗选择，从保守的，观察的方案，缩小结节，到完全移除/切除病变。我们将根据具体情况对每个患者进行评估，以进行诊断和治疗，在每种情况下获得最佳效果。 #PYT #preserveyourthyroid #saveyourthyroid #SPUS #surgeonperformedultrasound #thyroid #Thyroidnodule #Thyroidcancer #Thyroidpreservation #Thyroidradiofrequencyablation #ThyroidRFA #Thyroidmicrowaveablation #ThyroidMWA #thyroidablation #thyroidsurgeon #thyroidspecialist #thyroidbiopsy #thyroidcyst #PEI #thyroidethanolablation COPYRIGHT OF ORIGINAL UNEDITED VIDEO BELONGS TO RESPECTIVE COMPANIES. </video> <video> Percutaneous Ethanol Injection (PEI) 3 – Good Outcome Description: Percutaneous Ethanol Injection (PEI) 3 – Good Outcome A thyroid septated cyst with compartments will not be successfully drained without imaging guidance as seen in the video. In most cases, thyroid cyst don’t need surgical removal and responds really well to minimally-invasive interventional techniques PEI Youtube link: https://youtu.be/73NFytDL6rM PEI (2) Youtube link: https://youtu.be/OXqvyMRhYBo Many thyroid gland lumps can be cystic in nature, meaning it is filled with fluid. Under ultrasound guidance, the exact nature of the content can be studied. The cystic content can be suctioned (aspirated) out therefore causing the cyst to be smaller (i.e decompressed) though however this depends largely on the viscosity of the fluid content. If watery enough to be able to be sucked through needle, then decompression can be achieved. Treatment options for symptomatic benign cystic or predominately cystic thyroid nodules include needle aspiration, minimally invasive techniques like percutaneous ethanol (alcohol) injection (PEI) besides surgical resection. A prior biopsy or cytology study is mandatory to prove the benign nature of the nodule. With PEI under ultrasound guidance, generally should be considered, the ethanol results in permanent tissue damage with subsequent necrosis, fibrosis and thrombosis of cyst wall blood vessels. IMPORTANT CONCEPTS: - Not all thyroid nodules (whether cystic or solid) need any form of surgery. Some have no symptoms and can be placed under active surveillance ultrasound scans. -Some nodules would need biopsy to know if it is cancerous or not. -Ultrasound-guided biopsies would surely have much greater accuracy (close to 95%) as compared to non-ultrasound-guided biopies. -Not all thyroid nodules need removal surgery in the form of “lobectomy”, also known as “hemithyroidectomy” (whether remote access/endoscopic/robotic). -All thyroid cysts can have interventional procedures (Ultrasound-guided drainage with ablative techniques) done without any removal surgery. -Ultrasound-guided cyst drainage procedures would surely have much better outcome as compared to non-ultrasound-guided procedures. -All non-cancerous nodules and even early cancer have a minimally-invasive ablative treatment option before even considering removal surgery -Total thyroid removal will have its roles especially in very enlarged necks and cancer or perhaps some cases of stubborn hyperthyroidism but now lesser indications than before Please do drop by for your 2nd 3rd etc for our opinion (we even have a 7th one, by the way). As we handle many different treatment methods for different thyroid diseases, we shall be able to also suggest alternative treatment options for you, from conservative, watch-and-wait option, shrinkage to total removal/resection of the lesions. We will assess each patient on a unique case-to-case basis for diagnosis and treatment, hoping for the best outcome in each case. COMMITTED TO YOUR WELL-BEING. Disclaimer: Please see your personal doctor for advice. This information does not substitute a formal consultation with your doctor who will assess, examine, diagnose and advise you on the treatment based on your unique medical condition, preferences and choices. http://www.biopsy-thyroid-ent.com/disclaimer.html #PYT #preserveyourthyroid #saveyourthyroid #SPUS #surgeonperformedultrasound #thyroid #Thyroidnodule #Thyroidcancer #Thyroidpreservation #Thyroidradiofrequencyablation #ThyroidRFA #Thyroidmicrowaveablation #ThyroidMWA #thyroidablation #thyroidsurgeon #thyroidspecialist #thyroidbiopsy #thyroidcyst #PEI #thyroidethanolablation </video> <video> Surgeon performed ultrasound (SPUS) of the thyroid gland Description: Heard of Surgeon-performed Ultrasound (SPUS) of the thyroid gland ? It is a different concept from the traditional radiologist-performed ultrasound. It surely has the added advantage as below: -Better correlation of patient’s history and clinical findings before n during operation (instead of different doctors giving different interpretation of the scans) -Helps the surgeon make a better decision for the patient before n during operation -Can coordinate with other interventional procedures e.g. biopsy, injection at the same time -Tactile feedback during interventional procedures provide important clinical information -Can be done in the clinic setting – saves waiting time, need not go to Radiology Dept -Better rapport with the patient Please do drop by for your 2nd 3rd etc for our opinion (we even have a 7th one, by the way). As we handle many different treatment methods for different thyroid diseases, we shall be able to also suggest alternative treatment options for you, from conservative, watch-and-wait option, shrinkage to total removal/resection of the lesions. We will assess each patient on a unique case-to-case basis for diagnosis and treatment, hoping for the best outcome in each case. COMMITTED TO YOUR WELL-BEING. Disclaimer: Please see your personal doctor for advice. This information does not substitute a formal consultation with your doctor who will assess, examine, diagnose and advise you on the treatment based on your unique medical condition, preferences and choices. http://www.biopsy-thyroid-ent.com/disclaimer.html Thanks for your support #PYT #preserveyourthyroid #saveyourthyroid #SPUS #surgeonperformedultrasound #thyroid #Thyroidnodule #Thyroidcancer #Thyroidpreservation #Thyroidradiofrequencyablation #ThyroidRFA #Thyroidmicrowaveablation #ThyroidMWA #thyroidablation #thyroidsurgeon #thyroidspecialist #thyroidbiopsy #thyroidcyst #PEI #thyroidethanolablation The Vincent Ear, Nose, Throat (ENT), Thyroid, Head & Neck Biopsy & Surgery Specialist Clinic is based in KPJ Klang, Selangor </video> <video> PYT - Preserve Your Thyroid Description: To date, interventional ablation techniques represent the most promising minimally-invasive method to treat your benign thyroid nodules and early cancerous nodules. IMPORTANT CONCEPTS: - Not all thyroid nodules (whether cystic or solid) need any form of surgery. Some have no symptoms and can be placed under active surveillance ultrasound scans. -Some nodules would need biopsy to know if it is cancerous or not. -Ultrasound-guided biopsies would surely have much greater accuracy (close to 95%) as compared to non-ultrasound-guided biopies. Not all thyroid nodules need removal surgery in the form of “lobectomy”, also known as “hemithyroidectomy” (whether remote access/endoscopic/robotic). All thyroid cysts can have interventional procedures (Ultrasound-guided drainage with ablative techniques) done without any removal surgery. Ultrasound-guided cyst drainage procedures would surely have much better outcome as compared to non-ultrasound-guided procedures. All non-cancerous nodules and even early cancer have a minimally-invasive ablative treatment option before even considering removal surgery Dr Vincent Tan is a trained and accredited thyroid, head and neck surgeon for removal surgery besides an interventional thyroid specialist (using ultrasound-based minimally-invasive techniques). Ever since the pioneering work in thyroid radiofrequency ablation RFA, microwave ablation (MWA) in the local Malaysian scene, we have never looked back since and we welcome new exciting discoveries in this field. Please do drop by for your 2nd 3rd etc for our opinion (we even have a 7th one, by the way). As we handle many different treatment methods for different thyroid diseases, we shall be able to also suggest alternative treatment options for you, from conservative, watch-and-wait option, shrinkage to total removal/resection of the lesions. We will assess each patient on a unique case-to-case basis for diagnosis and treatment, hoping for the best outcome in each case. COMMITTED TO YOUR WELL-BEING. Disclaimer: Please see your personal doctor for advice. This information does not substitute a formal consultation with your doctor who will assess, examine, diagnose and advise you on the treatment based on your unique medical condition, preferences and choices. http://www.biopsy-thyroid-ent.com/disclaimer.html The Vincent Ear, Nose, Throat (ENT), Thyroid, Head & Neck Biopsy & Surgery Specialist Clinic is based in KPJ Klang, Selangor Thanks for your support #PYT #preserveyourthyroid #saveyourthyroid #SPUS #surgeonperformedultrasound #thyroid #Thyroidnodule #Thyroidcancer #Thyroidpreservation #Thyroidradiofrequencyablation #ThyroidRFA #Thyroidmicrowaveablation #ThyroidMWA #thyroidablation #thyroidsurgeon #thyroidspecialist #thyroidbiopsy </video> <video> ULTRASOUND-GUIDED DRAINAGE & PERCUTANEOUS ETHANOL INJECTION (PEI) OF THYROID CYSTS - Part 2 Description: ULTRASOUND-GUIDED DRAINAGE & PERCUTANEOUS ETHANOL INJECTION OF THYROID CYSTIC NODULES This technique has great treatment outcome. Treatment options for symptomatic benign cystic or predominately cystic thyroid nodules include needle aspiration, minimally invasive techniques like percutaneous ethanol (alcohol) injection (PEI) besides surgical resection. A prior biopsy or cytology study is mandatory to prove the benign nature of the nodule. With PEI under ultrasound guidance, generally should be considered, the ethanol results in permanent tissue damage with subsequent necrosis, fibrosis and thrombosis of cyst wall blood vessels. Here we present the advantages and disadvantages of the PEI techniques with our real-world results. This is part 2, a follow-up video to the first part here: https://youtu.be/73NFytDL6rM Disclaimer: Please see your personal doctor for advice. This information does not substitute a formal consultation with your doctor who will assess, examine, diagnose and advise you on the treatment based on your unique medical condition, preferences and choices. http://www.biopsy-thyroid-ent.com/disclaimer.html The Vincent Ear, Nose, Throat (ENT), Thyroid, Head & Neck Biopsy & Surgery Specialist Clinic is based in KPJ Klang Specialist Hospital, Selangor As we handle many different treatment methods for different thyroid diseases, we shall be able to also suggest alternative treatment options for you, from conservative, watch-and-wait option, shrinkage to total removal/resection of the lesions. We will assess each patient on a unique case-to-case basis for diagnosis and treatment, hoping for the best outcome in each case. COMMITTED TO YOUR WELL-BEING. You can check out our webpage www.biopsy-thyroid-ent.com or www.thyroidKL.com for more details. Have a nice day ! </video> <video> MWA Thyroid Animation Description: Introducing a fairly new treatment for thyroid nodules – Microwave Ablation (MWA) 微波消融 Some explanation on the usages, advantages and disadvantages of MWA of the thyroid nodule procedures. The thyroid gland is an important organ over the neck that produces hormones that control many bodily functions However, the thyroid gland commonly has nodules within that can enlarge. The nodules maybe solid or cystic (fluid-filled) or a mixture of both. They are commonly non-cancerous though they can be cancerous on rare occasions. Problems with the nodules: 1. Enlarge and may be obvious on appearance, causing cosmetic concern 2. Compress on surrounding structures causing difficulty with breathing and/or swallowing 3. Produce excessive hormone causing thyroid hormonal imbalance (commonly hyperthyroidism, rarely hypothyroidism) MWA is a minimally-invasive approach (through 1mm incision over the skin), using low-temperature energy delivered via a wand/probe directed under ‘live’ ultrasound-guidance to the thyroid nodule, causing cell death and shrinkage. Nodule must be confirmed via ultrasound-guided FNAC/biopsy to be definitely/unequivocally non-cancerous first (at least once or even twice in some doubtful cases). Main usages are for large visible benign (may or may not cause compressive symptoms) or hyperfunctioning nodules causing hyperthyroidism. Usage in thyroid cancer or metastatic lymph node cases not recommended as first-line treatment but subject to case-to-case review and discussion. Advantage of thyroid nodule MWA : • Can be done under local anesthesia, reducing risk of general anesthesia (maybe a safer option especially for patients with multiple medical illness who cannot tolerate surgery like diabetes, severe heart failure) • Usually done as a daycare (6-hours admission) procedure • Much lesser side effects like vocal cord nerve injury, and no risk of hypocalcemia as compared to resection surgery • Can be repeated few months later for additional shrinkage effect. • Can effectively shrink down the nodule to a smaller less obvious size • Does not take away the opportunity for future resection surgery (if patient eventually requires/requests for total nodule resection) • Coverage available for medical insurance policyholders • May be cheaper than the resection surgery Disadvantage of thyroid nodule MWA : • All thyroid surgeries come with risk of bleeding, vocal cord nerve injury, neighbouring structures injury though MWA comes with much less of that • The nodule remains hence MWA is not an actual removal of the nodule but rather to shrink down a large visible nodule or to reduce its hyperfunctioning. Hence large thyroid or those with compressive effects already may not be suitable candidates. MWA bears many similarities with the RFA (radiofrequency ablation) technology except for minor technical details As we handle many different treatment methods for different thyroid diseases, we shall be able to also suggest alternative treatment options for you, from conservative, watch-and-wait option, shrinkage to total removal/resection of the lesions. We will assess each patient on a unique case-to-case basis for diagnosis and treatment, hoping for the best outcome in each case. COMMITTED TO YOUR WELL-BEING. #PYT #preserveyourthyroid #saveyourthyroid #SPUS #surgeonperformedultrasound #thyroid #Thyroidnodule #Thyroidcancer #Thyroidpreservation #Thyroidradiofrequencyablation #ThyroidRFA #Thyroidmicrowaveablation #ThyroidMWA #thyroidablation #thyroidsurgeon #thyroidspecialist #thyroidbiopsy #thyroidcyst #PEI #thyroidethanolablation COPYRIGHT OF ORIGINAL UNEDITED VIDEO BELONGS TO RESPECTIVE COMPANIES. Disclaimer: Please see your personal doctor for advice. This information does not substitute a formal consultation with your doctor who will assess, examine, diagnose and advise you on the treatment based on your unique medical condition, preferences and choices. http://www.biopsy-thyroid-ent.com/disclaimer.html The Vincent Ear, Nose, Throat (ENT), Thyroid, Head & Neck Biopsy & Surgery Specialist Clinic is based in KPJ Klang, Selangor You can check out our webpage www.biopsy-thyroid-ent.com for more details. Have a nice day ! </video> <video> Ultrasound-guided Biopsy FNAC Express Description: Ultrasound-guided biopsy – the Express version! Got a new neck or thyroid swelling? Anxious to know the type ? Biopsy using ultrasound guidance is accepted, based on international standard of good practice. It is safe and reliable if done by a trained specialist. It is so important to differentiate cancer and non- cancer conditions as the treatment can differ widely The days where one is subjected to have the thyroid removed just to diagnose cancer or not, are surely reducing. We understand your anxiety as you or your loved ones discover the new lumps, hoping for the best possible news. For select cases, we can get you the result in 24hours. (Commonly 3 4 days or longer) Please let us know ahead. Terms and conditions apply Nominal logistic fee apply We wish you a happy healthy outcome ! As we handle many different treatment methods for different thyroid diseases, we shall be able to also suggest alternative treatment options for you, from conservative, watch-and-wait option, shrinkage to total removal/resection of the lesions. We will assess each patient on a unique case-to-case basis for diagnosis and treatment, hoping for the best outcome in each case. COMMITTED TO YOUR WELL-BEING. #PYT #preserveyourthyroid #saveyourthyroid #SPUS #surgeonperformedultrasound #thyroid #Thyroidnodule #Thyroidcancer #Thyroidpreservation #Thyroidradiofrequencyablation #ThyroidRFA #Thyroidmicrowaveablation #ThyroidMWA #thyroidablation #thyroidsurgeon #thyroidspecialist #thyroidbiopsy #thyroidcyst #PEI #thyroidethanolablation Disclaimer: Please see your personal doctor for advice. This information does not substitute a formal consultation with your doctor who will assess, examine, diagnose and advise you on the treatment based on your unique medical condition, preferences and choices. http://www.biopsy-thyroid-ent.com/disclaimer.html The Vincent Ear, Nose, Throat (ENT), Thyroid, Head & Neck Biopsy & Surgery Specialist Clinic is based in KPJ Klang, Selangor You can check out our webpage www.biopsy-thyroid-ent.com for more details. Have a nice day ! </video> <video> PYT preserve your thyroid 2 Description: To date, interventional ablation techniques represent the most promising minimally-invasive method to treat your benign thyroid nodules and early cancerous nodules. Coupled with the new knowledge of genetics testing, our understanding has been further improved. IMPORTANT CONCEPTS: - Not all thyroid nodules (whether cystic or solid) need any form of surgery. Some have no symptoms and can be placed under active surveillance ultrasound scans. -Some nodules would need biopsy to know if it is cancerous or not. -Ultrasound-guided biopsies would surely have much greater accuracy (close to 95%) as compared to non-ultrasound-guided biopies. -Not all thyroid nodules need removal surgery in the form of “lobectomy”, also known as “hemithyroidectomy” (whether remote access/endoscopic/robotic). -All thyroid cysts can have interventional procedures (Ultrasound-guided drainage with ablative techniques) done without any removal surgery. -Ultrasound-guided cyst drainage procedures would surely have much better outcome as compared to non-ultrasound-guided procedures. -All non-cancerous nodules and even early cancer have a minimally-invasive ablative treatment option before even considering removal surgery Dr Vincent Tan is a trained and accredited thyroid, head and neck surgeon for removal surgery besides an interventional thyroid specialist (using ultrasound-based minimally-invasive techniques). Ever since the pioneering work in thyroid radiofrequency ablation RFA, microwave ablation (MWA) in the local Malaysian scene, we have never looked back since and we welcome new exciting discoveries in this field. Please do drop by for your 2nd 3rd etc for our opinion (we even have a 7th one, by the way) As we handle many different treatment methods for different thyroid diseases, we shall be able to also suggest alternative treatment options for you, from conservative, watch-and-wait option, shrinkage to total removal/resection of the lesions. We will assess each patient on a unique case-to-case basis for diagnosis and treatment, hoping for the best outcome in each case. COMMITTED TO YOUR WELL-BEING. Disclaimer: Please see your personal doctor for advice. This information does not substitute a formal consultation with your doctor who will assess, examine, diagnose and advise you on the treatment based on your unique medical condition, preferences and choices. http://www.biopsy-thyroid-ent.com/disclaimer.html Thanks for your support #PYT #preserveyourthyroid #saveyourthyroid #SPUS #surgeonperformedultrasound #thyroid #Thyroidnodule #Thyroidcancer #Thyroidpreservation #Thyroidradiofrequencyablation #ThyroidRFA #Thyroidmicrowaveablation #ThyroidMWA #thyroidablation #thyroidsurgeon #thyroidspecialist #thyroidbiopsy </video> <video> ear piercing complimentary service FINAL Description: Complimentary ear-piercing for our patients on the same day of consultation visit - limited to 2 per patient Now kill 2 birds with one stone – get your ENT issue settled, and get a new ear piercing during the same consultation and complimentary ! Please watch the video about the terms and conditions, the post-procedure care and what to expect. A value-added service brought to you by : The Vincent Ear, Nose, Throat (ENT), Thyroid, Head & Neck Biopsy & Surgery Specialist Clinic is based in KPJ Klang Specialist Hospita;, Selangor You can check out our webpage www.biopsy-thyroid-ent.com for other details. Have a nice day ! </video>

Contacts and Links

Description

Welcome and thank you very much for visiting our Dr. Vincent Tan’s Ear, Nose and Throat (ENT), Head and Neck Surgery Clinic YouTube channel. We provide comprehensive ear, nose, throat, head and neck services to both adult and children. We hope to be of help to you and your loved ones.

Website: www.vincentENTHNS.com

Address : KPJ Klang Specialist Hospital, No.102,Persiaran Rajawali/KU 1, Bandar Baru Klang, 41150 Klang, Selangor Darul Ehsan.
GPS : 3.062578,101.46332
Google Maps: Vincent ENT, KPJ Klang
Waze: Vincent ENT, KPJ Klang

Phone: +603-33777 864

Videos from channel