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Amrita surgeons remove football-size tumor from tribal boy's jaw

 

  • The 19-year-old patient from Jharkhand, leading an isolated life for the last ten years, underwent 14-hour surgery at Amrita Institute of Medical Sciences, Kochi
  • Surgeons reconstructed his upper jaw using his leg bone
  • This is the largest ever reported upper jaw tumor of its kind
  • The hospital performed the surgery free of cost

A 19-year-old tribal boy Amar Samad, son of a farmer in Jharkhand, was the butt of ridicule and living a secluded life since the last 10 years. The reason: he got afflicted with a rare genetic abnormality that resulted in a jaw tumor so large, it has not been reported in medical literature before. Thankfully, his life changed for the better a few days ago when a team of 12 surgeons at Kochi’s Amrita Institute of Medical Sciences (Amrita Hospital) removed the external deformity in a surgery lasting 14 hours. The hospital conducted the surgery free of cost considering the poor socio-economic background of the patient.

A football-size mass of matter, weighing 4.8 kg and measuring 20 x 20 x 20 cm, started growing on Amar’s upper jaw in 2008 and protruded out to the left. The dense collection of bone and fibrous tissue was diagnosed as “ossifying fibroma” on initial biopsy examination. This led not only to a grotesque appearance, but also difficulty in swallowing and speaking, in addition to social stigma that left the patient home-bound. He also suffered from a parathyroid adenoma (a benign tumor of the parathyroid gland) which might have initiated the problem.

Said Dr. Subramania Iyer, Head, Plastic & Reconstructive Surgery, Amrita Institute of Medical Sciences (Amrita Hospital): “Amar’s medical condition belonged to a very rare disease group called Hyper-parathyroidism Jaw Tumor Syndrome, which arises due to a genetic abnormality and causes small-size tumors on the jaw. His case is unique as a tumor of this size associated with this disease has not yet been reported in medical literature. In fact, this is the largest ever reported upper jaw tumor of its kind. The humongous growth was leading towards grave complications. If the condition had persisted, Amar would have found it impossible to eat, and breathing would have become a struggle. The calcium levels in his body had risen very high due to the disease.”

The removal of the tumor as well as reconstruction of the upper jaw was a great challenge. Added Dr. Subramania Iyer: “The tumor’s removal was complicated by its huge size and the involvement of the entire upper jaw and the left eye. The amount of blood loss was a cause of worry, but this was controlled by temporarily blocking blood vessels to the upper part of the face. Reconstruction had to be meticulously planned. We used 3D printing to construct an accurate model of Amar’s face and tumor, and conducted mock surgery for practice. Micro-surgical transfer of his leg bone was carried out to construct a new upper jaw. We had initially planned to remove his left eye, but managed to save it through meticulous surgery. His nose was reconstructed with bone, with plastic tubes acting as airways.”

The patient also underwent surgical removal of the parathyroid adenoma. After the surgical procedures, Amar’s parathyroid hormone and calcium levels have returned to normal. He now needs implants placed in his reconstructed upper jaw to act as teeth. The position of his left eye has to be readjusted to make it more acceptable cosmetically, though it has limited vision left. Both the eye and dental procedures will be conducted after six months.

Amar has two younger brothers in the family. His father passed away due to malaria in his childhood, and his mother left soon thereafter, leaving the children to be raised by their uncle. Amar used to work in the fields, but since his medical condition developed, he rarely ventured out of home and led an isolated life.

Amar’s case came to the notice of Dr. Sreehari Jingla from Jharkhand. Moved by his plight, and with the help of a visiting US doctor who knew about the head-and-neck reconstructive service available at the Amrita Hospital, he facilitated Amar’s treatment after being turned away from many reputed hospitals as the doctors were not confident they could handle the case.

After the successfully surgery, patient Amar Samad said: “Because of this huge deformity on my face, I could never mingle with other children of my age, as they used to be repulsed by my appearance. It is a huge relief to get the tumor off my face – it is almost like a second birth. I am now eager to go back home, make friends again and work in the fields. I thank the doctors of Amrita Hospital from the bottom of my heart for enabling me to lead a normal life.”

 

More News

Doctors remove football size tumour from tribal boy's jaw (THE TIMES OF INDIA)

Amrita surgeons remove football-size tumor from tribal boy’s jaw (APN NEWS)

4 kg tumour removed from Jharkhand teenager’s face (THE NEW INDIAN EXPRESS)

Indian teen, 19, has football-sized tumour removed from his face that destroyed his teeth, made his eye point upwards and almost cut off his breathing and swallowing (Daily Mail Online)

Amrita Hospital Received Kerala State Pollution Control Board’s Excellence Award

Amrita Hospital, Kochi, received Kerala State Pollution Control Board’s Excellence Award {Excellence among Medical Colleges (Govt & Autonomous)} for its sustained efforts to control pollution and environmental protection. Amrita Hospital has been conferred this award for the fourth consecutive year. The award carries trophy, certificate and prize money of Rs. 1,00,000/- (Rupees one lakh only)

Chief Minister, Sri. Pinarayi Vijayan presented the award in the function held at Thiruvananthapuram on June 07, 2018. The award was received by Dr. Jaggu, Additional General Manager; Sri. Rajappan, Head of Water Treatment and Biomedical Waste Management Department and Sri. R. R. Rajesh, Senior Research Officer of Amrita Institute of Medical Sciences.

The award has been instituted by the state government in different categories of organizations for best practices in pollution control, effective management to control air and water pollution, energy and water conservation and protection of environment. The award is given by the Kerala State Government to coincide with World Environment Day.

                                                                          

World No Tobacco Day Observed at Amrita Hospital


World No Tobacco Day 2018 was celebrated by the Amrita Institute of Medical Sciences Healthcare Campus with a number of programs. A commitment was made towards “Tobacco Free Kochi” by ATMA (Anti Tobacco movement At Amrita) and the student organisations of the campus like AYUDH. The MBBS, BDS, Nursing and other college students organised various awareness and cultural programs. A walkathon was conducted as part of the World No Tobacco Day. All the students of Amrita Institute of Medical Sciences, doctors and social workers participated in the walkathon. The anti tobacco movement program was inaugurated by Sri. Venugopal G. Kurup, SP, NCB, Kerala . Anti smoking pledge was taken by Dr. Col. Vishal Marwaha, Principal, Amrita School of Medicine; Dr. Vijayakumar, Professor, Department of Cardiology and Dr. Akhilesh K., Associate Professor, Pulmonary Medicine. Pranav Nair and Azhna Nizar, MBBS students spoke on the occasion.



There were also other programs conducted in Kochi. As part of World No Tobacco Day, Department of Pulmonary Medicine, Amrita Institute of Medical Sciences, Kochi and Amrita Urban Health Center, Kaloor along with Thevara Police Station conducted several programs in Kochi. Circle Inspector Sibi Tom inaugurated the function in Thevara Police Station premises. Dr. Akhilesh K., Associate Professor, Pulmonary Medicine; Sri Thankachan; Ratheesh, Health Inspector addressed the gathering. An anti-smoking pledge was administered by Dr. Akhilesh. Free pulmonary function test, leaflets, and antitobacco badges were distributed.


Dr. P. T. James, Professor, Pulmonary Medicine, Amrita Institute of Medical Sciences, speaks in connection with World No Tobacco Day 2018

World No Tobacco Day 2018, why passive smoking is dangerous even if you don’t smoke

International Conference on Hospital and Healthcare Administration held at Amrita Hospital

International Conference on Hospital and Healthcare Administration was held at Amrita Institute of Medical Sciences and Research Centre on May 26, 2018.

The conference was inaugurated by Shri. Vinod Mathew, Chief Editor, The New Indian Express. In his inaugural address, he highlighted the rising cost of healthcare and the need to subsidise cost of treatment at the same time ensuring quality of care by partnering with centres of excellence under a PPP model.

Dr. Prem Nair, Medical Director, Amrita Institute of Medical Sciences, spoke about the challenges of cost of care, affordability and the need to optimize hospital utilisation with a commercial centre.

Dr. Sanjeev K. Singh, Medical Superintendent, welcomed the gathering. Dr. Dinesh Nair gave the vote of thanks. The conference was attended by eminent speakers viz. Dr.Arun Keepanasseril (Research and Data Operations, McMaster University), Dr.Abha Mehndiratta (Director, IHI), Dr. Narayan Pendse (Associate Vice-President, Fortis Healthcare), Dr. Clive Fernandez (Group Clinical Director, Wockhardt Hospital), Shri.Ratan Jalan (Founder, Medium Healthcare Consulting), Dr.Vivek Desai ( Managing Director, HOSMAC), Ms. Shefali Tomar (GM,HR, Max Hospital), Dr. Parag Rindani ( Centre Head, Wockhardt Hospital, Mumbai), Dr. Prem Jagyasi (President, Global Consultancy), Dr. Gaurav Thukral ( EVP AND COO, HealthCare atHome) and Dr. M.N.Menon ( Vice President IMA).

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