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Dr. K T Maya

MS - ENT, MBBS, DNB

ENT Specialist, Bangalore

24 Years Experience  ·  300 at clinic
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Dr. K T Maya MS - ENT, MBBS, DNB ENT Specialist, Bangalore
24 Years Experience  ·  300 at clinic
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Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences....more
Our team includes experienced and caring professionals who share the belief that our care should be comprehensive and courteous - responding fully to your individual needs and preferences.
More about Dr. K T Maya
Dr. K T Maya is one of the best ENT Specialists in Rajaji Nagar, Bangalore. She has helped numerous patients in her 24 years of experience as a ENT Specialist. She has done MS - ENT, MBBS, DNB . You can consult Dr. K T Maya at Maya Ent Centre in Rajaji Nagar, Bangalore. You can book an instant appointment online with Dr. K T Maya on Lybrate.com.

Lybrate.com has a number of highly qualified ENT Specialists in India. You will find ENT Specialists with more than 30 years of experience on Lybrate.com. You can find ENT Specialists online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Education
MS - ENT - Seth G s Medical college Mumbai, - 1997
MBBS - Government Medical College, Anantapur, - 1993
DNB - - 1997
Languages spoken
English

Location

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Maya Ent Centre

#1493, (New no. 1), 5th main, 'E' block, Subramanyanagar Main Road, Rajaji Nagar, 2nd Stage. Landmark: Opp. St.Therasa Hospital, Bangalore Get Directions
300 at clinic
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Sinusitis: Management and Prevention

MBBS, Fellowship In Endocrinology
Endocrinologist, Tumkur
Sinusitis: Management and Prevention

Sinusitis: Management and Prevention

Sinusitis is infl ammation of the mucous membranes lining one or more of the paranasal sinuses. The various presentations are as folllows:
● acute sinusitis: infection lasting less than 30 days, with complete resolution of symptoms
● subacute infection: lasts from 30 to 90 days, with complete resolution of symptoms
● recurrent acute infection: episodes of acute infection lasting less than 30 days, with resolution of symptoms, which

Recur at intervals of at least 10 days apart
● chronic sinusitis: infl ammation lasting more than 90 days, with persistent upper respiratory symptoms
● acute bacterial sinusitis superimposed on chronic sinusitis:

New symptoms that occur in patients with residual symptoms from prior infection (s). With treatment, the new symptoms resolve but the residual ones do not.
Physical findings and clinical presentation
● patients often give a history of a recent upper respiratory illness with some improvement, then a relapse.
● mucopurulent secretions in the nasal passage
● purulent nasal and postnasal discharge lasting more than 7 to 10 days
● facial tightness, pressure, or pain
● nasal obstruction
● headache
● decreased sense of smell
● purulent pharyngeal secretions, brought up with cough, often worse at night
● erythema, swelling, and tenderness over the infected sinus in a small proportion of patients
● diagnosis cannot be excluded by the absence of such findings.
● these fi ndings are not common, and do not correlate with number of positive sinus aspirates.
● intermittent low-grade fever in about one half of adults with acute bacterial sinusitis
● toothache is a common complaint when the maxillary sinus is involved.
● periorbital cellulitis and excessive tearing with ethmoid sinusitis
● orbital extension of infection: chemosis, proptosis, impaired extraocular movements.

Characteristics of acute sinusitis in children with upper respiratory tract infections:
● persistence of symptoms
● cough
● bad breath
● symptoms of chronic sinusitis (may or may not be present)
● nasal or postnasal discharge
● fever
● facial pain or pressure
● headache
● nosocomial sinusitis is typically seen in patients with nasogastric tubes or nasotracheal intubation.

Cause
● each of the four paranasal sinuses is connected to the nasal cavity by narrow tubes (ostia), 1 to 3 mm in diameter; these drain directly into the nose through the turbinates. The sinuses are lined with a ciliated mucous membrane (mucoperiosteum).
● acute viral infection
● infection with the common cold or infl uenza
● mucosal edema and sinus infl ammation
● decreased drainage of thick secretions, obstruction of the sinus ostia
● subsequent entrapment of bacteria

A. Multiplication of bacteria
B. Secondary bacterial infection

Other predisposing factors
● tumors
● polyps
● foreign bodies
● congenital choanal atresia
● other entities that cause obstruction of sinus drainage
● allergies
● asthma
● dental infections lead to maxillary sinusitis.
● viruses recovered alone or in combination with bacteria (in 16% of cases):
● rhinovirus
● coronavirus
● adenovirus
● parainfluenza virus
● respiratory syncytial virus
● the principal bacterial pathogens in sinusitis are streptococcus pneumoniae, nontypeable haemophilus influenzae, and moraxella catarrhalis.
● in the remainder of cases, fi ndings include streptococcus pyogenes, staphylococcus aureus, alpha-hemolytic streptococci, and mixed anaerobic infections (peptostreptococcus, fusobacterium, bacteroides, prevotella).

Infection is polymicrobial in about one third of cases.
● anaerobic infections seen more often in cases of chronic sinusitis and in cases associated with dental infection; anaerobes are unlikely pathogens in sinusitis in children.
● fungal pathogens are isolated with increasing frequency in immunocompromised patients but remain uncommon
Pathogens in the paranasal sinuses. Fungal pathogens include aspergillus, pseudallescheria, sporothrix, phaeohyphomycoses, zygomycetes.
● nosocomial infections occur in patients with nasogastric tubes, nasotracheal intubation, cystic fi brosis, or those who are immunocompromised.
● s. Aureus
● pseudomonas aeruginosa
● klebsiella pneumoniae
● enterobacter spp.
● proteus mirabilis

Organisms typically isolated in chronic sinusitis:
● s. Aureus
● s. Pneumoniae
● h. Infl uenzae
● p. Aeruginosa
● anaerobes

Differential diagnosis
● migraine headache
● cluster headache
● dental infection
● trigeminal neuralgia

Workup
● water’s projection: sinus radiograph
● ct scan
● much more sensitive than plain radiographs in detecting acute changes and disease in the sinuses
● recommended for patients requiring surgical intervention, including sinus aspiration; it is a useful adjunct to
 

Guide therapy:
● transillumination
● used for diagnosis of frontal and maxillary sinusitis
● place transilluminator in the mouth or against cheek to assess maxillary sinuses, and under the medial aspect of the supraorbital ridge to assess frontal sinuses.
● absence of light transmission indicates that sinus is filled with fluid.
● dullness (decreased light transmission) is less helpful in diagnosing infection.
● endoscopy
● used to visualize secretions coming from the ostia of infected sinuses
● culture collection via endoscopy often contaminated by nasal flora; not nearly as good as sinus puncture
● sinus puncture
● gold standard for collecting sinus cultures
● generally reserved for treatment failures, suspected intracranial extension, nosocomial sinusitis.

Treatment Nonpharmacologic therapy
● sinus drainage
● nasal vasoconstrictors, such as phenylephrine nose drops, 0.25% or 0.5%

● topical decongestants should not be used for more than a few days because of the risk of rebound congestion.
● systemic decongestants
● nasal or systemic corticosteroids, such as nasal beclomethasone, short-course oral prednisone
● nasal irrigation, with hypertonic or normal saline (saline may act as a mild vasoconstrictor of nasal blood fl ow)
● use of antihistamines has no proved benefi t, and the drying effect on the mucous membranes may cause crusting,

Which blocks the ostia, thus interfering with sinus drainage.
● analgesics, antipyretics.

Antimicrobial therapy
● most cases of acute sinusitis have a viral cause and will resolve within 2 weeks without antibiotics.
● current treatment recommendations favor symptomatic treatment for those with mild symptoms.
● antibiotics should be reserved for those with moderate to severe symptoms who meet the criteria for diagnosis of

Bacterial sinusitis.

● antibiotic therapy is usually empirical, targeting the common pathogens.
● first-line antibiotics include amoxicillin, tmp-smz.
● second-line antibiotics include clarithromycin, azithromycin, amoxicillin-clavulanate, cefuroxime axetil, loracarbef, ciprofloxacin, levofloxacin.
● for patients with uncomplicated acute sinusitis, the less expensive first-line agents appear to be as effective as the

Costlier second-line agents.

Surgery
● surgical drainage indicated
● if intracranial or orbital complications suspected
● for many cases of frontal and sphenoid sinusitis
● for chronic sinusitis recalcitrant to medical therapy
● surgical débridement imperative for treatment of fungal sinusitis

4 people found this helpful

Doctor im suffering from sinus and not getting help from doctors they are taking me pills but they are not working so I want to know that how can I cure myself.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Hyderabad
Sinuses are paired structures around the nasal cavities. Inflammation of sinuses is called sinusitis and it causes many symptoms like heaviness of head, stuffing of nose, feverishness, congestion etc. Precaution- *. Avoid exposure. To cold * steam inhalation helps in loosening *. Drinking water frequently will reduce congestion. We have good treatment in homoeopathy for your problem without adverse effects. Take homoeopathic medicine merc sol 30 once daily in the morning for 6 days and give feedback.
1 person found this helpful
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My 11 year old son often suffers from bronchitis and tonsillitis infections and he also suffers from fruit allergy, leaving him with severe cold if he has any fruit. Do you have any recommendations for his health? Any supplements? I have read about apple cider vinegar and it's curing effects of the above mentioned aliments, but can it be given to my child safely? Also considering his allergy?

B H M S, MD
Homeopath, Thrissur
Dear Remya your sons tonsillitis may be due to multiple causes like viral,bacterial.allergic etc. first of all if you want to find a permanent cure, cause has to be ascertained, and as you know from school day studies every disease is caused by altered immunity from simple cold to virulent cancer . Homoeopathic approach is to correct the imbalance in immunity which is the route cause of disease. No supplement will correct your immunity and it will only enrich with nutrients. if interested do book a online consultation
1 person found this helpful
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How much cost for tympanoplasty surgery and how many days to take recovery and best hospital for tympanoplasty in bangalore.

MBBS
General Physician, Jalgaon
How much cost for tympanoplasty surgery and how many days to take recovery and best hospital for tympanoplasty in ban...
Please Stop masturbation totally It is not good for health It decrease your oaz and saptadhatu It exhausts your urogenital system prematurely affecting future sexual and reproductive life Please Concentrate on your studies only at this age
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I feel very weak and dizziness. At night my stomach filled with air. And I fart alot. Please help.

BHMS
Homeopath, Chennai
I feel very weak and dizziness. At night my stomach filled with air. And I fart alot. Please help.
Hello take 5 phos tonic 2 tsp 3 times a day & medc carbo veg 200 power morning evening 5-5 pills empty stomach thanks any queries pls ask.
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I am 29 year old female I have nose pain last 4 month. what should I do? Please help me.

MS - ENT
ENT Specialist, Gandhinagar
To come to diagnosis, ent exam, if required endoscopy should be done. Simple pain killer may help till you consult an ent surgeon.
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I am unable to hear proper doctor told me to do my ear operation. But what guarantee I will be cure?

MBBS, cc USG
General Physician, Gurgaon
I am unable to hear proper doctor told me to do my ear operation. But what guarantee I will be cure?
Tell me what Diagnosis doctor has told you? and name of operation doctor has told you success of treatment will depend upon what is cause of your hearing problem
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I have a temporary wheezing. I can' t sleep now. I lost my inhaler. Can I have a temporary relief?

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Astha aid drops ( bakson ) 10 drops tds in 20 ml fresh water. You can also use these drops to nebulise yourself. 10 drops in distilled water and nebulise.
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I have pain in my throat from last night which medicine should I take? Please advise.

MS - ENT
ENT Specialist, Tumkur
I have pain in my throat from last night which medicine should I take? Please advise.
Tab. Cefoprox 200mg twice daily for 5 days. Tab. Zerodol-s twice daily for 3 days. Betadine gargles twice daily.
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Hi I am not feeling well. I am not able to sleep properly I am working in night shift. Even of its sat sun week off I am not able to sleep in night. Nw I have also tonsil problem. I have habit of smoking.

Masters in Clinical Psychology
Psychologist, Lucknow
Hi I am not feeling well. I am not able to sleep properly I am working in night shift. Even of its sat sun week off I...
Hi, your body clock might not be adjusted to your work timings. You need to make a routine and stick to it. Try deep breathing.
6 people found this helpful
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My brother is having sound problem in his left ear, we had consulted many doctors they are saying that he's having nerve problem?

B H M S, MD
Homeopath, Thrissur
My brother is having sound problem in his left ear, we had consulted many doctors they are saying that he's having ne...
He has to undergo audiogram test which determines his deafness. Take the opinion of ent specialist and then the treatment modalities can be discussed and decided.
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My love 27 yrs age was diagnosed bilateral tubes are blocked no issue even after 7yrs of marriage, is there homeopathy treatment for opening the f/tubes. Thank you.

MS - ENT(Gold Medalist), MBBS
ENT Specialist, Delhi
My love 27 yrs age was diagnosed bilateral tubes are blocked no issue even after 7yrs of marriage, is there homeopath...
Steam inhalation twice a day and flomist nasal spray twice a day. This will open the eustachian tube.
1 person found this helpful
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Took Otrivin for more than 3 months daily! And now, I guess my nose remains stuffed for no reason, even when I'm fit and healthy. How do I get rid of my nose's addiction? Its quite humid here in Kolkata, so humidifiers don't work. Saline sprays don't work either.

MBBS
General Physician, Hyderabad
Took Otrivin for more than 3 months daily!
And now, I guess my nose remains stuffed for no reason, even when I'm fit ...
You cannot use Otrivin Nasal Drop's daily for 3 months. Using long-term has got Side effects. It can stop your natural Immunity of Nasal secretion s Improve your Immunity by taking Good Proteins. Without getting Offended if you Are Addicted you stop With Strong mind. Saline spray. Contain Sodium also bad for your it humidifiers your nose and Sinuses may lead to a chronic Sinusitis.
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Hi I have hole in my ear drum, I have tried to cover it but no result I have consult with many doctors. 3 to 4 year ago accidentally it happened please advise me I don't want any operation or unnatural eardrum thanks.

PG Hom, London, BHMS
Homeopath, Mumbai
Hi I have hole in my ear drum, I have tried to cover it but no result I have consult with many doctors. 3 to 4 year a...
Hello Aslam, Smaller holes in the ear drum usually cover up with antibiotics. You will have to undergo a full course of antibiotics. If however the antibiotic fails to cover the hole, surgery will be the best option.
2 people found this helpful
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Why it is feel. Like I am dieing but the doctor do worry stop worrying. But that's not the cause .the is I am feeling like I am go to die. But all my blood work are normal. CBC blood test/ kidney function test/ liver function test/thyroid function test. HDL and LDL test. Sugar test urine test. Crp blood test. CKMB test D-dimer. Chest xray / ECG /echo cardiogram / ct scan on the brain and sinus. All my test is normal no finding's. But I like I am going to die. But I have a gum abscess but I am treating it with antibiotics 625 mg. But the antibiotics will not make you feel sick yes or no. Or my doctors miss something in my test?

BHMS
Homeopath,
Why it is feel. Like I am dieing but the doctor do worry stop worrying. But that's not the cause .the is I am feeling...
You are healthy n living. If you have human body it will go through some diseases. That's why we doctor's are there for u. Stop worrying about your health. Alwyz think positive. Remember one thing in life you have to die once. And it's solely in the hands of almighty god. Soo stop worrying from now on. Think positively. Your healthy. And with this you need some trtmnt. By proper homeopathic treatment you can get rid of this situation. Soo you can contact me through lybrate. Again m saying stop worrying about your health. Otherwise it will create some diseases. Anxiety causes soo mny things. Soo let the doctor's think about your health. You jst live life with joy.
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I am having sinus problem inside my head. Please tell me some medicines regarding it.

MBBS
General Physician, Kolkata
There is no permanent medications which can resolve sinusitis. Only a surgery is helpful called fess. Anyways. You can be relieved by using steroid nasal spray and anti allergic tablets. And review to a gen physician.
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