Not on the operating table or in the outpatient clinic, Sun Yan, director of the Department of Otolaryngology, Head and Neck Surgery of Yantai Yuhuangding Hospital, is busy with the naked eye. But the patient always occupies the most important position in his heart. "Patients can be diagnosed and treated early, and they can get healthy one day earlier!" This was the most sincere thought in his heart.
As a doctor, such as walking on thin ice, he uses practical actions to practice not forgetting the original intention of practicing medicine; to the subtlest, Boji medical source, he always thinks about how to use the most accurate diagnosis and treatment to relieve patients of illness as soon as possible; practicing medicine for 21 years, with rich clinical experience and exquisite medical skills, Sun Yan does not forget the heart of benevolence, does not live up to the trust of life, and leads the team to see the true chapter in the subtleties. Facing a sense of responsibility in the treatment of patients, he has continuously overcome many problems in the field of ear, nose and throat, and has gone farther and farther on the road to the peak of rock climbing medicine.
<b>Precise diagnosis and treatment, magic hands rejuvenation to treat girls with cerebral palsy</b>
At the end of last year, 16-year-old Lingling (pseudonym) was in a wheelchair and was pushed by her mother to director Sun Yan's outpatient clinic. According to the description of the girl's mother, Lingling has been bleeding pus in her right ear for many years, and just a while ago, her right ear suddenly stopped flowing pus, but she appeared to be paralyzed at the right corner of the mouth, high fever, headache and vomiting.
With rich clinical experience, Director Sun Yan preliminarily concluded that it was an intracranial and extracranial complication caused by acute otitis media on the right side. In the subsequent CT examination, Lingling was also officially diagnosed with the disease. "The ear does not flow pus because the external auditory canal that excretes the normal outlet for inflammation is blocked, and the inflammation spreads widely in the middle ear cavity and there are intracranial and extracranial complications, and we performed a double-mirror combination of mastoid radical resection surgery for the patient." When Sun Yan recalled, although he described the operation in just a few simple words, in fact, this operation was extremely complicated.
Conventional radical papillary surgery is usually performed under a microscope, but the patient is a rock bone cholesteoma for many years, the middle ear and mastoid cavity are invaded by a large number of cholesteatoma tissue, the lesion involves the base of the skull and the rock tip, because there is a normal tissue structure obscured, the microscope can not fully expose the lesion, so the operation combined with otoscopy to observe and clean the lesion tissue obscured by the normal structure. The endoscope is like a "ballpoint refill", which is actually a metal speculum with a lens of different angles, extending into the ear through the external auditory canal, and through optical fiber illumination and lenses at different angles, you can see the deep part of the ear or the diseased tissue obscured by the normal structure, and can explore the "blind area dead corner" that cannot be seen under the traditional microscope. The patient was a teenage girl with cerebral palsy, uncoordinated limbs and limited language expression, resulting in her cholesteatoma type otitis media is already very serious. During the operation, Sun Yan spent nearly two hours to clear every lesion that remained in the bottom of the skull and the deep groove of the rock tip.
Sun Yan introduced that the traditional otological surgery is dominated by microscopes, while the ear endoscopic surgery has the characteristics of intuitive vision, strong flexibility, small trauma and fast recovery. By combining the two organically into surgery, you can complement each other and play to your respective strengths! Sun Yan said that as a new type of surgery, endoscopic surgery can be widely used in various otitis media and tympanoplasty. However, due to the fact that during surgery, doctors generally need to hold the endoscope and surgical instruments with one hand, and make fine treatment of small lesions while observing through endoscopy. The ear structure is fine, and there are complex structural organs such as nerves responsible for hearing, balance, and facial muscle movements, which require very high microscopic operations by surgeons.
Sun Yan's (second from left) team discusses the patient's condition
<b>The first case in the province, the virtual mixed reality surgery was completed</b>
As early as 2017, Director Sun Yan worked closely with the team to successfully implement a microscope inferior skull base tumor resection surgery, and successfully applied virtual reality + mixed reality + 3D printing technology in otolaryngology surgery. At that time, it was the first case in the province.
Decades of continuous improvement have tempered Sun Yan's ability to accurately judge and diagnose and treat difficult diseases of otolaryngology.
In the face of the broad and profound medical field, as the head of the department, he always uses continuous research to climb new heights in business level, and integrates into the most cutting-edge medical technology at home and abroad with new thinking and understanding of new theories, new methods and collaborative teams.
"Virtual reality + mixed reality, is through the technical means to read the patient's CT, MR and other image data, generate 3D holographic image model, doctors with the help of VR glasses, can clearly see the patient's lesion 3D image, and can zoom, rotate, move, change the transparency of the image and other operations, and can be 3D image and the patient himself integration, understand the lesion and the surrounding anatomical relationship, improve the safety of surgery." Director Sun explained to reporters that this technology is somewhat similar to the picture presented in the science fiction movie "Ready Player One", which can meet the needs of preoperative simulation drills, and doctors wear VR glasses with patients when communicating with patients, visually displaying the size and location of tumors and the anatomical relationship between tumors and important organs such as peripheral vascular nerves.
Director Sun introduced that the surgical characteristics of otolaryngology head and neck surgery are deep anatomical position, small field of vision, fine surgery and large risk. But this virtual mixed reality technology can provide a very broad vision for the practitioner. Advanced medical technology can not only accurately locate the relationship between the lesion and the inner ear, facial nerve, internal jugular artery and vein and brain tissue, but also provide a basis for smooth removal of lesions, reduce unnecessary damage, and make decisions on repair after removal, but also provide more convenient learning opportunities for young doctors.
<b>"House of Hope" that brings patients back to the world of sound</b>
In his 21 years of medical practice, Director Sun Yan specializes in the diagnosis and treatment of various ENT diseases, especially in the tympanic molding and hearing reconstruction of various otitis media, minimally invasive surgery for electronic cochlear implantation, lateral skull base ear neurosurgery for ear tumors and pontocebellar angle lesions, diagnosis and treatment of secretory otitis media and adenoid hypertrophy in children, and endoscopic minimally invasive surgery for nasal polyps and sinusitis.
On March 12 of this year, Sun Yan underwent a "special" cochlear implant surgery. Xiao Xu (pseudonym), a 26-year-old Longkou boy, lost hearing in both ears when he was 8 years old due to oral ototoxic drugs, which seriously affected his social communication skills. After the "Hope Home" adult cochlear implant free project jointly initiated by the Shandong Provincial Disabled Persons' Federation and the Shandong Provincial Health Commission settled in Jiaodong Area, Xiao Xu met the provincial disabled persons' federation cochlear implant implant standards in all aspects after inspection, becoming the first hearing impaired patient in Jiaodong to receive the help of the "Hope Home" adult cochlear implant project.
It is reported that the "Hope Home" adult cochlear implant free project was officially launched in the province on March 3, and the cochlear implant rehabilitation and rescue surgery is provided free of charge for the disabled who are assessed to be deaf and disabled after assessment, aged between 18 and 60 years old.
The doctor is kind, he only hopes that patients will have the opportunity to recover their health through treatment. When Aunt Xu, 58, came to Director Sun's clinic, it had been seven or eight years since she had binaural sensory neural deafness. The old man looked slightly sluggish and was not good at words. Her daughter said that because of her hearing impairment, her mother became less and less talkative, withdrawn, and always uneasy whenever she went out alone. When Sun Yan implemented an adult free cochlear implant for her, only 3 months later, the elderly who came to the clinic for review had a radiance in their eyes.
"The launch of the Hope House cochlear implant project is undoubtedly another hope for adults with disabilities to regain their hearing." Sun Yan said that the implantation of cochlear implants, the average ordinary people can not afford, even if it is now a domestic cochlear implant, the people to buy plus surgery and so on the cost of the cumulative cost of almost 100,000 yuan, in the face of surgery costs and postoperative effects and other unknown factors, many people may give up.
According to reports, Yantai Yuhuangding Hospital carried out the first cochlear implant surgery in Shandong Province in 2003, and is currently the only hospital in the province located outside Jinan City that has the qualification of designated implantation of electronic cochlear implants for children and adults of the Shandong Disabled Persons' Federation, and has implemented electronic cochlear implant surgery for more than 30 patients this year. Being able to obtain this qualification is also inseparable from the excellent medical technology strength of the department.
Sun Yan (second from right) teaches intern students
<b>Characteristic specialty, department diagnosis and treatment technology "high-precision"</b>
He is the academic leader of otology and auricular nerve extraterrestrial-lateral skull base, presided over and participated in many key projects such as the National Natural Science Foundation of China, Taishan Scholars Fund, provincial and municipal program projects, and published more than 30 academic papers in sci, Zhonghua and other core journals as the first author.
Behind the string of honors and achievements, sun Yan's many efforts that are difficult for ordinary people to reach are interpreted. But whenever he mentions these achievements, he always says that it is an excellent team of otolaryngology, head and neck surgery in the hospital, which has a thick history and heritage, so that he does not dare to relax in the slightest. "As the head of the department, standing on the shoulders of giants, the starting point and vision should be long-term, the responsibility and sacrifice should bear the brunt of it, and I must also lead the team to move forward courageously on the road of pursuing superb medical skills..."
Yantai Yuhuangding Hospital Otolaryngology Head and Neck Surgery is the first batch of medical and health specialties in Shandong Province, the department is currently "Taishan Scholar" post, achieving zero breakthrough of Taishan Scholar in Shandong Provincial Prefecture-level Hospital and zero breakthrough of the first prize of Shandong Provincial Science and Technology Progress Award in the field of health in Yantai City, the department is currently the Clinical Medical Research Center for ENT Diseases in Shandong Province, the Key Specialties of Medicine and Health in Shandong Province, the Key Clinical Specialties of Shandong Province, the Clinical Quality Specialties of Shandong Province, and the core member units of the National Clinical Research Center for Otolaryngology Diseases. Shandong Provincial Disabled Persons' Federation "Cochlear Implant Rescue Project" (children and adults) designated hospital, Chinese Medical Doctor Association National Endoscopic Training Base, National Navigation Surgery Training Center, National Otolaryngology Head and Neck Surgery Alliance Member Unit, National Hearing Vertigo Disease Clinical Medical Research Sub-Center, China Hearing Health Alliance Unit, National Resident Physician Standardized Training Base, National Drug Clinical Trial Base, Shandong Medical Big Data Science and Technology Innovation Alliance Lead Unit, Shandong Provincial Basic Research High-level Team, The first batch of Qilu health and health leading talent units, the Shandong Provincial Health System "two good and one satisfied" demonstration collective, the first batch of clinical medical research centers in Yantai.
In the past five years, the department has published more than 50 SCI papers in the fields of thyroid cancer pathogenesis, head and neck tumor resection and functional reconstruction, head and neck tumor pathogenesis and molecular epidemiology, pathogenesis of deafness, navigation nasal and skull base surgery, etc. The department has 10 tertiary disciplines of head and neck surgery, rhinology, pharyngology, ear surgery, vertigo deafness-ear neurosurgery, sleep disease, allergy, thyroid surgery, Taishan Scholar Laboratory and Studio, and specimen library. The annual outpatient volume of the department reaches more than 150,000 person-times, with an average annual number of more than 9,000 cases of various types of surgery, and more than 100 existing medical staff, including 10 chief physicians, 17 deputy chief physicians, 20 doctoral students and 25 master's students. Among them, there are 14 visiting scholars from MD Anderson Cancer Center in the United States, University of Pittsburgh, House Institute of Ear Science, Cardiff University in the United Kingdom, University of Munich in Germany, Medical School of Ghent University in Belgium, University Hospital of Siena in Italy, Schneider Children's Medical Center in Israel, Chinese University in Hong Kong, etc., and have established long-term scientific research cooperation with these academic institutions, regular personnel exchange visits and technical exchanges.
The high-tech diagnosis and treatment technology of the department also allows every young doctor to walk out of the "high-precision" path in their respective fields. "At the same time, it has advanced medical equipment and strong professional clinical technology in line with international standards, which makes the young doctors in the department full of vitality in their respective professional fields." Sun Yan said.
In the limited free time of a doctor, the reporter had the honor to talk with Director Sun Yan and feel his passionate enthusiasm for work and his mental state of fighting for the day. He said that as a doctor, you must not only have a pair of skillful hands to perform medical skills, but also have a compassionate heart for patients.
See the true chapter in the subtle place, and sail together in the same boat. Mastering more professional technology to relieve the pain of patients is the initial motivation for Sun Yan and his team to struggle in medical positions, and it is also the goal of eternal pursuit.
<b>【Expert Profile】</b>
Yan Sun, MD, Chief Physician, Doctoral Supervisor, Qilu Health and Wellness Leader, Winner of Huicaika in Shandong Province, Senior Visiting Scholar of HOUSE Institute of Otology, MD Anderson Cancer Center, University of Pittsburgh, USA. He is currently the director of the Operation Office of the Clinical Research Center for Entolaryngology Diseases in Shandong Province, the deputy director of the Clinical Medical Research Center for Entolaryngology Diseases in Yantai City, the academic leader of the Department of Otolaryngology and the lateral cranial base of the otolaryngology and the auricular nerve, the secretary of the Party Branch of the Department of Otorhinolaryngology and Stomatology of Yantai Yuhuangding Hospital, and the director of the Department of Otolaryngology Head and Neck Surgery. He is currently a young member of the Otolaryngology Physician Branch of the Chinese Medical Doctor Association, a professional member of the Department of Otorhinolaryngology of the Chinese Association of Integrative Traditional and Western Medicine, a member of the Hearing Rehabilitation Committee of the Chinese Rehabilitation Medicine Association, a member of the Ear Science Branch of the Chinese Geriatrics Association, a member of the Otolaryngology Drug Research Professional Committee of the Chinese Association of Chinese Medicines, a vice chairman of the ENT Special Committee of Shandong Pain Medicine, a member of the Ear, Nose and Throat Professional Committee of the Shandong Association of Integrative Traditional and Western Medicine, and a member of the Hearing and Speech Rehabilitation Branch of the Shandong Rehabilitation Medicine Association. Standing Committee Member of OTOLPH THROAT Health Management Branch of Shandong Health Management Association, Member of Medical Robot Branch of Shandong Medical Association, Member of Shandong Geriatric Health Care and Rehabilitation Committee, Hearing Disability Assessment Expert of Yantai Disability Assessment Expert Committee, Editorial Board Member of Chinese Journal of Ear Science, Corresponding Editorial Board Member of Journal of ENT and Eye of Shandong University, etc. As the first completer, he won 1 third prize of Shandong Provincial Science and Technology Progress Award, 1 third prize of Shandong Medical Science and Technology Award, 1 second prize of Yantai Natural Science Award, 1 second prize of Yantai Science and Technology Progress Award, and 3 second prizes and 1 third prize of Shandong Provincial Science and Technology Progress Award as the main completer. He was awarded by the Yantai Youth League Municipal Committee Judge Yantai Youth Post Expert and New Long March Commando, Yantai Outstanding League Cadre; the Top Ten Young Doctors, Middle-Aged and Young Technical Pacesetters and Top Ten Department Directors of the Hospital Jury for many consecutive years; the Meritorious Service Award by the Organization Department of the Yantai Municipal Committee of the Communist Party of China, and was rated as an Outstanding Communist Party Member of the Municipal Health System.
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