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Cysts Removal Procedure
Treatment of Tonsils (Tonsillitis)
Hearing Aid Fitting
Treatment of Throat and Voice Problems
Earlobe Repair Procedure
Treatment of Sleep Disturbance
Nose Reshaping Procedure
Hearing Testing Techniques
Nasal And Sinus Allergy Care
Cochlear Implant Procedure
Ear Micro Surgery
Treatment Of Hearing Deficiency
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I want to remove my wisdom tooth as there is cavity. I want to know that is there any hearing will be effected aftr making it removed. I have heard it effects ear.
I am 22 years old. I had acne on my face so I have taken the medicine AZITHROMYCIN 500mg, ACNE STAR 20 and VITAKIND I from taking this medicine pimples reduces but by taking overdoses I suffered from redness on my face, mostly on facial position some time it feels like heat comes out my ears also get red. So please guide me the medicine which helps in reducing redness from my face and in how many days I will be fine.
I am 23 years old male, having problem of sinus. Due to which I suffer from blocked nose every now and then. Please advise.
I am jishan and I am 23 years old right now, but I have a problem that my throat is always paining also my voice is n9t so clear now I am very much disturb due to this and I am addicted to cold drinks so please help me out regarding this I want to speak clearly but whenever I tried I can not do this because when 8 push my throat to speak the air with my voice is came out and no 9ne can understand or listen what I am saying or what I want to say?
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?
Hello doctor. I have found problem in speaking from some months and I have also problem in eustachian tube my age is 22 and it is from 2 months it happens when I am trying to say long sentence some other words are replaced in place of original words just like small kids trying to speak give me tips to regain my original position before it I had taken anti-histamines and nasivion nasals drops.
I am 24, I have strep throat infection please tell me the precaution to get cure from infection? Tell me the antibiotic by which I get cure from this.
I am 26 years old and snore while sleeping and main problem is snoring sound which is very high as per feedback of my family. I was feel very sleepy even though I take 8-9 hrs sleep but sleep late and wakeup late. Please need your advice to cope with snoring and sleep as am not able to concentrate on my studies.
I am 56 yr old male having DM2 and HTN taking allopathic medicine for BP since last 3 years and for DM2 from last 2 months and hv enlarged prostate. Also feeling presence of mucus (chipkane wala balgam) in my throat and trying to swallow time and again. Since last 2 years. What should Ido?
In winter season my nose was always blocked and frequently I am getting headache what may be the problem?
Why do I keep hearing the beep sound in my ears after I listen to very loud music? The beep sound continues for about 15-20 minutes after I take offmy headphones.
Hello doc, I am chiyan krishnan, male 28 years old (lab manager come dty quality manager in a iso certified lab in trivandrum, kerala, india, having eosinophil count- 17%, aec - 1100, ige -810, also having allergic rhinitis and difficult to breath in colder conditions, please suggest valuable precautions or medications sir.
I am 19 years old. I am male. I have sinus. I am also some fat. I am non-veg how can I reduce the effect of sinus on my body. My blood group is A+ and weight is 75 Kg. I Don't have any smoking or drinking habits. Is there a chance that I will get any other diseases.Please suggest.
What is the reason for running nose few hours after listening to music sometimes the next day.Please tell.
Hi, my wife had an accident in 2012 I which her left side of head was hit. I have done all types of test i. E. Curvical, mri but nothing came out. I am living in delhi and have consulted almost all the good doctors / hospitals who are here like vimhans, pgi, ibhas the results are absolutely clean. The current problems are vertigo, headache and she has became very weak. Please suggest.
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
● 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
● bad breath
● symptoms of chronic sinusitis (may or may not be present)
● nasal or postnasal discharge
● facial pain or pressure
● nosocomial sinusitis is typically seen in patients with nasogastric tubes or nasotracheal intubation.
● 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
● foreign bodies
● congenital choanal atresia
● other entities that cause obstruction of sinus drainage
● dental infections lead to maxillary sinusitis.
● viruses recovered alone or in combination with bacteria (in 16% of cases):
● 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
● migraine headache
● cluster headache
● dental infection
● trigeminal neuralgia
● 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
● 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.
● 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.
● 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
● 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.
● 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