Dr Arasa Raj Sinnathuray

Current Place of Practice

Gleneagles Hospital Kuala Lumpur
Suite 108, Medical Office Block
282 Jalan Ampang
50450 Kuala Lumpur
Phone: 603-4141 3501
Tropicana Medical Centre
Suite No: S13
11, Jalan Teknologi,
PJU 5, Kota Damansara,
47810 Petaling Jaya,
Selangor Darul Ehsan, Malaysia
Phone: 603-6287 1111

Certifications

Undergraduate Medical Degree
M.B., B.Ch., B.A.O.,  L.R.C.P. & S.I. 
Royal College Of Surgeons in Ireland 
(National University of Ireland), Republic of Ireland
Awarded and Graduated 3rd June 1994 
 
Postgraduate Research Degree
Doctor of Medicine (MD) 
by Thesis Queen’s University, Belfast, UK 
Awarded and Graduated 14th December 2007
 
Postgraduate Surgical Diplomas
Fellowship of the Royal College of Surgeons in Ireland (FRCSI), Section A (basic science)
- passed in Dublin, February 1996 (1st attempt)
 
FRCSI (General Surgery)
Fellowship of the Royal College of Surgeons in Ireland, FRCSI (General Surgery)
Section B (clinical)
- passed in Dublin, February (1st attempt)
- awarded 12th July 1999
 
FRCSI (Otolaryngology)
Fellowship of the Royal College of Surgeons in Ireland, FRCSI (Otolaryngology)
Section B (clinical)
- passed in Belfast, November 1999 (1st attempt)
- awarded 6th December 1999
 
FRCS (ORL-HNS)
‘End of Training’ Intercollegiate (UK/Ireland) Sub-Speciality Exit Examination (Part III),
Fellowship of the Royal Colleges of Surgeons 
in Otolaryngology & Head & Neck Surgery:
FRCS (ORL-HNS) Section 1 (theory)
- passed in London, July 2008 (1st attempt)
FRCS (ORL-HNS) Section 2 (final part) - passed in Birmingham, November 2008 (1st attempt)
- awarded 13th July 2009
 
OTOLARYNGOLOGY SPECIALIST HIGHER SURGICAL TRAINING
Appointed to Northern Ireland (UK) Specialist Registrar Rotation in Otolaryngology in April 2002.  Commenced Specialist Registrar training in August 2003 (VTN NIR/023/009/V).  Completed the 6-year Type I programme on 4th August 2009.
 
Postgraduate Specialisation
UK Certificate of Completion of Specialist
 
Training Certification
Training in Otolaryngology (CCT) Awarded 9th November 2009.
 

Experience

Achievements

RESEARCH GRANTS AWARDED

“Connexin 26 (GJB2) Gene-Related Sensorineural Deafness and Outcomes after Cochlear Implantation“ [seeAppendix 2]

Cochlear Europe Ltd: £80,000 approx. (2001-2003)           Sinnathuray/ Toner/ Hughes

Mason Medical Research Foundation:£5,000 (2002)        Sinnathuray/Toner/ Hughes

 

POSTGRADUATE PRIZE

3rd Prize, June 1999, Sperrin Lakeland Trust Audit Competition

Northern Ireland, United Kingdom

Interests

I was a School Prefect and Athletics Captain, representing it in cross-country running and rugby.

I now enjoy swimming, skiing, hill walking and the opera.  

About Me

SPECIALIST REGISTRAR CLINICAL AND OPERATIVE EXPERIENCE SUMMARY

Following a basic General Surgical rotation, I spent 2 1/2 years as a Senior House Officer in Otolaryngology learning to deal with emergencies like secondary haemorrhages post-tonsillectomy, and epistaxis using local anaesthesia, as well as the use of the operating microscope, and endoscopy.  I have now completed the full 6 year Specialist Registrar/Resident programme in Otolaryngology in the UK, and have learnt how to safely and efficiently manage an ENT ward, an average ENT outpatient clinic, deal with ENT emergencies and master ‘all’ baseline ENT surgical procedures as well as many major procedures.  I am also familiar with the concepts of risk management, and working in multidisciplinary teams.  I have been the Head & Neck Specialist Registrar for 9 months (1/8/07 – 5/2/08 & 6/5/09 – 4/8/09), and the Otology & Neurotology Specialist Registrar for 9 months (6/8/08 – 5/5/09), both at the Royal Victoria Hospital, Belfast, UK.

I average 12 minutes per patient in the outpatient clinic.  In the operating theatre from 'skin to skin' I average 14 minutes for paediatric Tonsillectomy using bipolar diathermy scissors, 20 minutes for adult Tonsillectomy using bipolar diathermy scissors, 5 minutes for Myringotomy and vent/grommet insertion per side, 35 minutes for Septoplasty, 40 minutes for Tonsillectomy + Uvulo-palatopharyngoplasty, 25 minutes for ‘standard nasal bone’ Rhinoplasty, 50 minutes for ‘standard’ FESS middle meatal antrostomy + ethmoidectomy, 90 minutes for Postaural Approach Type I Tympanoplasty, and 30 minutes for Tracheostomy.

At completion of the Specialist Registrar programme, in Otology I was competent as an independent surgeon in Pinnaplasty/Otoplasty, Meatoplasty, Meniere’s Disease surgery (Gentamycin infusion), Tympanotomy, Myringoplasty/Type I Tympanoplasty, Canal Wall Up/Cortical Mastoidectomy, Atticotomy, and Cochlear Implantation, as well as Emergency Incision & Drainage of Subperiosteal Mastoiditis Abscess with Cortical Mastoidectomy.

At completion of the Specialist Registrar programme, in Rhinology I was competent as an independent surgeon in Revision Septoplasty, Rhinoplasty, Septorhinoplasty, Functional Endoscopic Sinus surgery (FESS) of the maxillary, ethmoid and sphenoid sinuses, Frontal Sinus Trephine, External Ethmoidectomy, as well as Emergency Epistaxis Endoscopic Sphenopalatine Artery Ligation, Emergency Incision & External Drainage of Orbital Abscess.

At completion of the Specialist Registrar programme, in Head & Neck I was competent as an independent surgeon in Uvulo-palatopharyngoplasty, Coblation Assisted Uvuloplasty (CAUP), Endoscopic Pharyngeal Pouch Clipping, Submandibular Gland Excision, Superficial Parotidectomy, Branchial Cyst Excision, Thyroglossal Cyst Excision, Hemi-Thyroidectomy,  Laryngectomy, Neck Dissection, as well as Emergency GA Arrest of Tonsillar Haemorrhage, Emergency Oesophagoscopy/Laryngoscopy/Bronchoscopy removal of food boluses/foreign bodies, Emergency Incision & Drainage of Neck Abscess, and Emergency Tracheostomy.

OTOLOGY FELLOWSHIP CLINICAL AND OPERATIVE EXPERIENCE SUMMARY

In the 6 months of my post-CCT Otology Fellowship in Marseille (France), I observed a number of advanced Otological and Neurotological (mainly retrosigmoid approach) skull base procedures in the Operating Theatre, and occasionally assisted.  With regards Vibrant Soundbridge and Otologics Middle Ear Implant surgery, I observed several of these procedures, and using the devices provided by the Implant companies, I practised the steps under supervision in the Temporal Bone Laboratory.  In addition I completed a research project on Auditory Brainstem Implants and Cochlear Implants which I presented at the IV Consensus in Auditory Implants & V EAONO Instructional Workshop in Parma (Italy) in June 2010.  This project has been submitted for publication.

In Gloucester (United Kingdom), where I was based for 9 months in the second part of my post-CCT Otology Fellowship, I performed live supervised advanced otological procedures in the Operating Theatre.  This included Canal Wall Up and Canal Wall Down Cholesteatoma (Primary and Revision) surgery with assistance using a 532-diode Laser (thus preserving the ear canal (reducing life-long cleaning and better for swimming in children) and preserving the ossicles (with resultant better hearing)), Stapes surgery, Ossiculoplasty surgery, Bone Anchored Hearing Aid (BAHA) surgery, and Type I Tympanoplasty surgery.  I also maintained my skills in Functional Endoscopic Sinus surgery (FESS), and baseline procedures (unsupervised) such as grommet/vent insertion, septoplasty, nasal polypectomy, nasal fracture reduction, adenotonsillectomy, microlaryngoscopy and oesophagoscopy.  In addition I attended a Temporal Bone Course in Parma (Italy) in June 2010, and a Laser certification course in Middlesbrough Cleveland (UK) in October 2010.  I also completed an audit project on Ossiculoplasty which I presented at the Combined ENT UK Annual Conference and Otorhinolaryngological Research Society Autumn Meetingin Coventry (UK) in September 2010.  This project is being submitted for publication.

At completion of the Otology Fellowship, I was competent as an independent surgeon in Pinnaplasty/Otoplasty, Meatoplasty, Canalplasty, Meniere’s Disease surgery (Gentamycin infusion), Tympanotomy, Myringoplasty/Type I Tympanoplasty, Cortical Mastoidectomy, Canal Wall Up/Combined Approach Tympanoplasty, Canal Wall Down/Atticoantrostomy/Modified Radical Mastoidectomy, Cochlear Implantation, Facial Nerve Skeletonisation, Ossiculoplasty (TORP- Total Ossicular Reconstruction Prosthesis and PORP- Partial Ossicular Reconstruction Prosthesis), Stapes surgery, and use of the 532-diode Laser in the Middle Ear and Mastoid, as well as Emergency Incision & Drainage of Subperiosteal Mastoiditis Abscess with Cortical Mastoidectomy.

Regarding Middle Ear Implants (Vibrant Soundbridge & Otologics devices) I have successfully inserted both devices several times in cadaveric temporal bones, after observing and assisting in live surgery in the OT.  Regarding the Vibrant Soundbridge device, there are different approaches to insert the device into the middle ear: a transcanal or posterior tympanotomy approach, which are part of canalplasty and cochlear implantation respectively, which I am already competent in.  There are also different attachment methods for the Vibrant Soundbridge device: incus / stapes clipping and round window coupling, which are part of stapes surgery / ossiculoplasty and cochlear implantation / middle ear work respectively, which I am already competent in.  Regarding the Otologics device, the approach is via a posterior atticotomy, which is part of combined approach tympanoplasty which I am already competent in.  The attachment of the Otologics device involves placement of the transducer on the body of the incus which is novel but I have performed this in the cadaver, and there is software provided by the company together with technical support in the OT, to verify correct coupling of the device to the incus.  In both devices, securing the receiver / stimulator device to a drilled out well in the squamous temporal bone is identical to cochlear implantation.

As a Consultant ENT Surgeon and Associate Professor in Otorhinolaryngology at University Malaya I have successfully inserted a Vibrant Soundbridge Middle Ear Implant in a live patient.

Visit my website at : http://otologypro.com.my/

 

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