Rhinoplasty is a surgery which is performed to work on and reshape the structure and size of your nose. It is done for various reasons: correction and reconstruction of the nose, restoring functionality and aesthetic enhancement. With the help of this surgery, the size of the nose can be altered, the angle of the nose in relation to the lips can be changed, tip of the nose can be altered and bumps, indentations or other abnormalities can be corrected.

Rhinoplasty is of two types:
Open rhinoplasty: The surgeon makes the incision on the columella.
Closed rhinoplasty: The surgeon makes an incision inside the nose without touching the septum.

The Surgery

The procedure takes 1-2 hours; however, hospital stay may be mandatory, if the procedure is complex. Either general or local anesthesia is used to perform rhinoplasty.
The surgeon will either make an incision outside the nose or inside. The incisions are done to get access to the cartilage and bones supporting the nose. Depending on what the patient requires, cartilage and bone may be added or removed, or tissue could be added.
After the rearrangement and reshaping is done, and the incision is sutured, a splint is put over the nose to support it as it heals. The splint and the nose are carefully bandaged.
The surgeries are either conducted by plastic surgeons or otolaryngologists and maxillofacial surgeons.
Aftercare

You can go home the day the surgery is performed.
Your face and nose will swell up and hurt after the surgery and headaches will be common.
The nasal splint will be removed after 3-5 days. You should feel more comfortable after this.
However, full recovery takes a longer time. The healing process is gradual and slow and there might be some numbness and swelling in your nose for months to come.

Scarless Nose Job - Things You Must Consider!

What is Sinusitis?
For those of you who do not know what Sinusitis is, it is the inflammation or swelling of the sinus tissues which are hollow spaces in between the bones around the nose. The sinuses are healthy when there is constant flow in the air but when the portion gets blocked it fills with bacteria and viruses. This causes mucus and other unhealthy elements to remain blocked inside the nose.

Symptoms-
The symptoms of sinusitis are common and not critical or dangerous in nature. Over 40 million people get affected by this common disease every year.

Swelling or inflammation inside the nose because of a mild fever or common cold can cause the sinuses to get blocked and result to sinusitis.
If the drainage ducts inside, the nose gets blocked the health passage of air gets halted or disrupted.
A runny nose with a constant flow of water and the nose might also get blocked by pus inside.
Structural problems inside the nose which may lead to the narrowing of the nasal tract through which the air passes and comes back.
Deficiency in the immune system can lead to such a problem.
Allergies are also a common contributor to the cause of sinusitis because the nasal chamber gets blocked in the result.
Treatment-
Treating a condition of sinusitis is very common. Let us have a look :

The first thing which a doctor will prescribe you is an antibiotic doze of 7-8 days, which will help you to fight the blocked bacterias and viruses.
Warm compresses will help the nasal cavity to remain warm and wet, keeping it clean from pus and germs. Thus clearing the way for healthy inhaling of air.
Saline nose drops are also used to clear out the blockage in the nose and fight the germs building inside the sinuses.
Sometimes surgeries are also performed when no other medications work properly. It helps to widen the natural pathway which helps in draining between the sinuses and nose, resulting in the congested mucus to come out and again start a fresh process of taking air in. 

Sinusitis - Signs & Symptoms You Must Not Ignore!

Sore throat can have many kinds of manifestations and the extent of soreness varies as well. Homeopathy offers multiple remedies for the varying degrees of an inflamed throat. These are some of the best homeopathic drugs in accordance with their symptoms:

Aconitum: This medicine should be taken at the early onset of a sore throat. When there is redness of the throat and in addition to it swelling and burning, this can be the ideal remedy.
Apis: This medicine is advisable when children have inflamed, red throat along with tonsils which become swollen with the consumption of hot food and beverages. In such instances, the child can t swallow without experiencing recurring pain. The inflamed outer and inner throats are accompanied by a feeling of something being stuck in the throat due to an enlarged uvula.
Belladonna: Acute tonsillitis is best treated with belladonna. Preferably it should be used at the onset of a sore throat. The tonsils appear scarlet red. Even though swallowing is painful, there is a desire to do so nevertheless. The throat feels constricted. In such cases the extremities are very cold despite the head feeling hot.
Arsenicum: This is again a wonder drug for children experiencing pain in the larynx that is relieved when hot drinks and food are consumed, and worsened by any cold edibles. The right side of the throat generally experiences greater pain. This pain is accompanied by a dry mouth and an increased thirst.
Ferrum Phos: This is an effective remedy for nonviolent and acute tonsillitis. The pain is often bearable and the onset of the inflammation is gradual. Swallowing often becomes difficult and leads to pain whereas cold brings relief to the throat.
Lachesis: This drug is usually prescribed when the child has throat pain on the left side. The right gland of the throat is less swollen than the left. There is also a constant tickling sensation. The throat becomes extra sensitive to any kind of touch or pressure and these children hence dislike wearing tight clothing and collars.
Hepar Sulph: This medicine is advisable for children when they start experiencing a sore throat right after they have been out in the cold, for way too long. The tonsils swell up and there is a constant throbbing pain. This pain tends to fluctuate and it also radiates to the ears when the child swallows. Some relief is experienced when consuming hot drinks. These children tend to be highly irritable.

Sore Throat - 7 Effective Home Remedies for it!

Vertigo refers to dizziness, or spells of dizziness, or rotational dizziness, which can be short term or long term. It is a general symptom for a variety of conditions of the brain, inner ear, sensory nerve pathway, and other sensitive organs. Vertigo has the capability of hampering the day to day functioning of the person. Furthermore, due to these reasons, it has the potential to cause anxiety and depression.

Types of Vertigo & Diagnosis:

Vertigo can be categorized into two major types based on the underlying cause:

1. Peripheral Vertigo: It is said to occur if it is related to the problems of the inner ear, such as its inflammation or an infection in its tiny parts or displacement of tiny particles present in the inner ears.

2. Central Vertigo: It is said to occur if it is related to the problems of the brain (the Central Nervous System) or the sensory nerve pathways.

Vertigo can be diagnosed by physical examination, assessing the medical history followed by undergoing a CT scan or an MRI, as required.

Treatment:

It is important to essentially understand the root cause of the condition and then treat that accordingly for best results.

1. A bacterial infection can be addressed through antibiotics.

2. Nausea and motion sickness can be reduced by using anti-emetics and antihistamines.

3. Sometimes, for patients with intractable Benign Paroxysmal Positional Vertigo (BPPV), surgery is performed to block the area triggering Vertigo.

4. Exercises can also help in managing the milder symptoms of Vertigo without visiting to the doctor for the same.

5. Most of the time, in case of BPPV, physiotherapy is the recommended treatment.

6. Certain lifestyle changes and precautions can be adopted to avoid conditions that trigger Vertigo.

7. Vestibular Rehabilitation Therapy goes a long way in managing Vertigo.

Vestibular Rehabilitation Therapy (VRT) for Managing Vertigo:

Vestibular Rehabilitation Therapy, abbreviated as VRT, is a program based on exercise that promotes the retraining of the Central Nervous System and repositioning of the free flowing particles in the fluid present in the inner ear. This helps in treating the condition of the inner ear for managing Vertigo. Its application is based on scientific research and evidence. The major goal of this type of treatment is to let the brain establish coordination again with the inner ear, with eye, and with the proprioceptive system for processing information.

The proprioceptive system consists of the sensory receptors which respond to pressure and stretch. Hence, VRT is effective in improving the diminishing quality of life due to Vestibular Disorders like Vertigo, by addressing both, the primary as well as secondary consequences of the condition. Over a period of time, when the patient becomes sufficiently trained under professional guidance, VRT can then be carried out at home at prescribed intervals based on the specific requirement.

Methods for VRT-

Depending on the clinical examination, the three major methods of exercise for Vestibular Rehabilitation Therapy can be prescribed, as described below:

1. Habituation exercises are prescribed for those patients who experience dizziness by movement and by visual stimulation.

2. Gaze Stabilization exercises are prescribed for those patients who experience uncontrolled eye movements leading to unclear vision.

3. Balance Training exercises are prescribed for improving steadfastness, to prevent falling, and to restore balance during performing activities like bending, standing and turning, reaching, walking, and running for helping patients return to their daily lives confidently.

Take Away:

Vertigo is the vestibular condition of dizziness that can be managed through methods like Vestibular Rehabilitation Therapy for re-training the brain to coordinate with the affected organs. It helps in restoring the quality of life. VRT is mainly practiced through habituation exercises, gaze stabilization exercises, and balance training exercises.

Managing Vertigo Through Physiotherapy And VRT!

Doctors believe that tonsils and adenoids have a hand in helping the body fight infections. A common problem children face is enlargement of these organs.

Even though most cases of adenoid and tonsil enlargement subside naturally after a few days, in some instances of the disorder, severe symptoms may force you to seek treatment for your child. Here is a look at some complications from an enlarged adenoid and tonsils.

Complications:

  Hearing loss and chronic infection in the ear is a common complication. This occurs when the enlarged lymph tissue blocks fluid transfer in the ear.
  Sinus infections that recur over time
  Sleep apnoea is a common side effect of adenoid and tonsil disorders. This leads to difficulty in breathing while your child sleeps.
  Weight loss is an indirect consequence of enlargement in these lymph tissues. Your child may not be able to eat properly due to the pain experience while swallowing

In case of severe complications, doctors will recommend getting the adenoid and tonsils removed from your child s body. Coblation is the best option in such a case.

What is coblation surgery?

Coblation stands for controlled ablation. It is a minimally invasive surgical procedure where an electrical handpiece is used to  burn  the affected tissue in the throat of children. Extremely low temperatures rectify the problem by  burning  the affected tissue. When the coblation method is used to remove both the tonsil and the adenoid lymph tissues, the procedure is known as Coblation Adenotonsillectomy.

The coblation method has replaced the older method where metallic surgery instruments were used for the removal of these tissues. Such crude methods often resulted in post-operative complications, especially in children.

Here are some benefits of Coblation Adenotonsillectomy:

  Less bleeding during the surgical procedure, limiting dangers to the child s health
  Less pain and discomfort post the surgery for the child, which leads to faster recovery
  Decreased risk of haemorrhage post-surgery

Consult an ENT specialist to know more about Coblation Adenotonsillectomy. They will be able to clarify any doubts you have regarding your child s safety during the procedure as well.

Adenoid & Tonsil Problems In Chlidren!

A surgical procedure that is done to alter a deviated septum is called Septoplasty. When the cartilage in the middle of your nose is deviated and is out of position, it can create problems like pain in the nose, problems in breathing and nosebleeds. Septoplasty aims to correct the alignment of the septum so as to improve the airflow and rectify any breathing problem. This surgery is generally an outpatient procedure and can be done with general or local anaesthesia.

The septum is the cartilage that causes the division between the two nostrils. When the alignment of the septum falters, it is called a deviated septum. If the septum shifts to one side, then the size of one of the nostrils reduces and causes breathing troubles. Some people are born with a deviation in the septum, but often times it can be caused by an injury to the nose as well. Surgery is the only means to correct this deformity.

What are the risks associated with septoplasty?
Septoplasty is a major surgery, and just like any other surgery, it has its risks. The risks may include heavy bleeding, adverse reaction to anaesthetics used or infection of the site of surgery. The other risks that are associated with septoplasty include

Profuse bleeding
Decrease in olfactory senses
Change in the shape of your nose
A perforation in the septum
Temporary sensation of numbness of facial area due to the effects of anaesthetics
Collection of blood in the nasal space, which needs special medical attention to be drained out
Sometimes the symptoms such as blocked nose, bleeding etc. may persist even after undergoing the surgery.
How to recover from the surgery?
After the surgical procedure, your doctor may ask you to take precautions in order to reduce the chances of swelling and bleeding. Depending upon the severity of the surgery, your doctor may advice you to abide by all of the restrictions such as:

Curbing on activities such as aerobics and jogging which can put strain on your body. This precaution is practiced to maintain normal blood pressure in order to avoid nosebleeds
Do not blow your nose
Avoid wearing clothes that you have to take off by pulling over your nose to avoid brushing against it
Put your head on an elevated platform when sleeping

Septoplasty - Procedure and Recovery!

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