Can An Anterior Approach Surgery Damage The Larynx As Per The Attached Reports?

Posted on Wed, 4 Oct 2017

Question: Hello Doctor
You have helped me out several times and I hope you remember me.
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I have a new MRI image taken of my cervical neck.>
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The MRI image is "burned" Into a CD-ROM.
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Are there general directions on how to upload such an image for your evaluation?>
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I haven't really looked on your site so I guess you can call me "somewhat lazy" please acknowledge the somewhat.
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I do have a written evaluation the MRI but I am looking for you to personally evaluate the image the written report doesn't say that much and there really isn't much to go on except to repeat what someone says
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So having said that I will try to look around to see how I might Upload an MRI image, But if you read this and don'ts in image it's obviously because I haven't figured out and would look for your guidance
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As always thank you Doctor
> XXXXXXX Cort

Answered by Dr. Bruno Mascarenhas (24 hours later)

Please contact customer care.

Hi,

Please contact YYYY@YYYY for further assistance on uploading the images.

Thank you.

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Bruno Mascarenhas (3 days later)

Hello Doctor.,
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I'm asking if You were successful in uploading my MRI images information and have had a chance to review them.
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Please let me know if you've been able to or if you're still having difficulty in getting to my images
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Thank you so very much For your time

I believe customer service has been able to obtain and VIEW my MRI images.
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Please check with them for the "working Model"
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If you encounter any problems in obtaining and/or viewing my MRI images, Please do let me know!
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Thank You

Answered by Dr. Bruno Mascarenhas (10 hours later)

Brief Answer:
Please send the images

Detailed Answer:
Hi

I have received the Report Only
Please upload the images

Regards
Bruno

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Bruno Mascarenhas (13 minutes later)

this is the link to a "zipped" file , that you download and is self extracting, that contains all the necessary items (software and images)
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https://drive.google.com/drive/folders/0B2QjpyAJZSh_SEl4ZkpFOGh2RUk?usp=sharing
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this is the link to a folder that contains many "Un-zipped" files , that you download all the necessary items (software and images)
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https://drive.google.com/drive/folders/0B2QjpyAJZSh_SEl4ZkpFOGh2RUk?usp=sharing
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Let me know if you have any problems with "download"
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THANK YOU

I HAVE SENT THE FILES AS AN ATTACHMENT TO:
YYYY@YYYY
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REQUESTED BY: Dr. XXXXXXX Mascarenhas
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PLEASE ADVISE HIM IF RECEIPT OF THIS EMAIL

Answered by Dr. Bruno Mascarenhas (39 hours later)

Brief Answer:
Received DICOM Files. Please ask your question

Detailed Answer:
Dear Sir
I have received the DICOM Files
Please ask your questions

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bruno Mascarenhas (4 days later)

1-what is your all all evaluation with specific references
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2- which levels are of primary concern
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I am 65 years old, if it was you, would you consider an anterior approach?

Answered by Dr. Bruno Mascarenhas (32 minutes later)

Brief Answer:
please see the detailed answer below

Detailed Answer:
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1-what is your all evaluation with specific references
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You have got Cervical Spondylosis

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2- which levels are of primary concern
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Cervical Spine has to be considered as one whole entity
Levels do not matter at all times

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I am 65 years old, if it was you, would you consider an anterior approach?
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Anterior Approach and Posterior Approach both are valid methods
The Choice depends on the operating surgeon.
What one surgeon does by an anterior approach, the other will do by posterior approach.

Regards

Above answer was peer-reviewed by : Dr. Arnab Banerjee

Follow up: Dr. Bruno Mascarenhas (41 hours later)

1- PLEASE REVIEW WRITTEN REPORT AND RE-ANSWER WITH YOUR PROFESSIONAL OPTION
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2-I am a 65-year-old man AND i HAVE BEEN CAUTIONED THAT having this anterior approach type surgery Will greatly increase my chance for damaging either my larynx ( speech box) and or my esophagus ( swallowing). Please give me your professional opinion regarding this comment, especially in light of the MRI report and image that Has been uploaded for your review
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Thank you

Answered by Dr. Bruno Mascarenhas (4 minutes later)

Brief Answer:
Professional Opinion has been given

Detailed Answer:
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1- PLEASE REVIEW WRITTEN REPORT AND RE-ANSWER WITH YOUR PROFESSIONAL OPTION
2-I am a 65-year-old man AND i HAVE BEEN CAUTIONED THAT having this anterior approach type surgery Will greatly increase my chance for damaging either my larynx ( speech box) and or my esophagus ( swallowing). Please give me your professional opinion regarding this comment, especially in light of the MRI report and image that Has been uploaded for your review
Thank you
//

Each and Every Approach has its own Advantages and Disadvantages
Just like how there is a chance for compression of Larynx and Esophagus in Anterior Approach
There are many other risks associated with posterior approach

As I have already told
The choice of the surgery varies from patient to patient and from surgeon to surgeon
For the same patient one surgeon may operate through anterior approach and the other surgeon may operate through posterior approach

So
Both are right
Both have risks
Both have advantages

If you want to undergo surgery
My advice would be to first choose the surgeon and then let him chose the approach

Above answer was peer-reviewed by : Dr. Kampana

Follow up: Dr. Bruno Mascarenhas (21 minutes later)

LET ME TRY THIS ANOTHER WAY

I am a 65-year-old man AND i HAVE BEEN CAUTIONED THAT having an anterior approach type surgery Will greatly increase my chance for damaging either my larynx ( speech box) and or my esophagus ( swallowing).
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Please give me your professional opinion regarding this comment.
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THANKS

Answered by Dr. Bruno Mascarenhas (5 hours later)

Brief Answer:
Professional Opinion has been given

Detailed Answer:
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LET ME TRY THIS ANOTHER WAY

I am a 65-year-old man AND I HAVE BEEN CAUTIONED THAT having an anterior approach type surgery Will greatly increase my chance of damaging either my larynx ( speech box) and or my esophagus ( swallowing).
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Please give me your professional opinion regarding this comment.

My input:
Please note that this is an incomplete comment which conveys a wrong meaning

The complete comment would be-
You are a 65-year-old man and Anterior approach will increase the chance of damaging either larynx (speech box) and or esophagus ( swallowing) while posterior approach has its sets of risk and not operating increases chances of certain risks including even paralysis.

Hope this answers your query

Regards

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee