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Balloon Sinuplasty Procedure
Cochlear Implant Procedure
Treatment of Endoscopic Sinus Surgery
Treatment of Foreign Body in Eyes, Ears, Nose and
Hearing Aid Fitting
Treatment of Hearing, Speech Impairment
Nosebleed (Epistaxis) Treatment
Treatment of Throat and Voice Problems
Treatment of Tonsils (Tonsillitis)
Treatment of Nasal Disorders
Canalith Repositioning (Cr) Procedure
Congenital Ear Problem Treatment
Csf Rhinorrhoea Repair Surgery
Ear Microsurgery Procedure
Functional Endoscopic Sinus Surgery
Micro Laryngeal Surgery
Reconstructive Middle Ear Surgery
Revision Ear Surgeries
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When I sleep, my left nostril gets clogged if I sleep on my left side and the right nostril if I sleep on my right side. Is this the start of the sinusitis? what should I do?
Angina is a term used for chest pain caused by reduced blood flow to the heart muscle. Angina is a symptom of coronary artery disease. Angina is typically described as squeezing, pressure, heaviness, tightness or pain in your chest.
Symptoms associated with angina include:
Chest pain or discomfort
Pain in your arms, neck, jaw, shoulder or back accompanying chest pain
Shortness of breath
The chest pain and discomfort common with angina may be described as pressure, squeezing, fullness or pain in the center of your chest. Some people with angina symptoms describe angina as feeling like a vise is squeezing their chest or feeling like a heavy weight has been placed on their chest. For others, it may feel like indigestion.
The severity, duration and type of angina can vary. It's important to recognize if you have new or changing chest discomfort. New or different symptoms may signal a more dangerous form of angina (unstable angina) or a heart attack.
Stable angina is the most common form of angina, and it typically occurs with exertion and goes away with rest. If chest discomfort is a new symptom for you, it's important to see your doctor to find out what's causing your chest pain and to get proper treatment. If your stable angina gets worse or changes, seek medical attention immediately.
Characteristics of stable angina
Develops when your heart works harder, such as when you exercise or climb stairs
Can usually be predicted and the pain is usually similar to previous types of chest pain you've had
Lasts a short time, perhaps five minutes or less
Disappears sooner if you rest or use your angina medication
Characteristics of unstable angina
Occurs even at rest
Is a change in your usual pattern of angina
Is usually more severe and lasts longer than stable angina, maybe as long as 30 minutes
May not disappear with rest or use of angina medication
Might signal a heart attack
I am suffering from ENT problem. Both of my ears are having itching and rashes and I m continuously rubbing my ears both outside and inside. What should I do?
A nose surgery (rhinoplasty) is performed to alter the structure and shape of your nose and improve its function and or appearance. Here are a few things you should know about nose surgeries:
- Consult your doctor: Before deciding on undergoing a nose surgery, speak with a doctor regarding issues with your nose. Your doctor will check your problems and judge whether or not surgery is a feasible option. It is only with your doctor's confirmation that you should go for the surgery.
- The surgery is done either with local anesthesia (your nose and surrounding areas will be numbed) or general anesthesia (you will fall asleep).
- The surgeon will make incisions in your nostrils and base of the nose and alter the shape, structure and position of the cartilages in your nose for appealing shape and better functionality. Polyp removal is also done by rhinoplasty.
- Recovery after the surgery: You will be required to wear a nose splint. You can expect swelling around the eyes, which will begin to subside after the third day. Swelling in the nose will go away after six months. Therefore, do not expect to see your results immediately, final condition of your nose will be apparent after the recovery period is over. You should avoid strenuous activity for 3 to 6 weeks. Do not smoke or drink alcohol during recovery. Smoking slows recovery time and alcohol reduces normal effects of drugs.
Type of rhinoplasty you can opt for
- Closed rhinoplasty: Incisions are made inside the nostrils and hence there is no scarring.
- Open rhinoplasty: An additional cut is made along the columella and this may result in scarring. However, the position of the scar is such that it is almost unnoticeable.
Risks associated with it
Any surgical procedure has certain risks. These risks associated with nose surgery include:
- Adverse effect to anesthesia
- Unfavorable outcomes
- Visible scarring
- Difficulty breathing
- Chronic nosebleeds
- A perforated septum
- Burst blood vessels
- Nervous damage
- Possibility of revision surgery
I Am Prateik 23, I have been continuously suffering from cold ND cough for around 20 days. Now I m having some kind of irritation in my throat. What should I do.
The answer is unfortunately. Yes!
Meningitis, sometimes referred as spinal meningitis, is an inflammation of the membranes surrounding the brain and spinal cord. Usually caused by a viral infection, but it can also be caused by a bacterial or fungal infection.
Among pediatric patients admitted for treatment of sinusitis, 3.2% were found to have an intracranial complication. Infection of the sphenoid sinuses, however, merits concern. These thin-walled sinuses develop late in childhood, and their deep location places them adjacent to the dura mater and other critical structures.
Sphenoid sinusitis is identified in approximately 3% of cases of acute sinusitis, typically in the context of pansinusitis. Significant development of the sphenoid sinuses does not begin until age 4 to 6 years, thus, sphenoid sinusitis is restricted.
Viral infection causes most cases of spinal meningitis. Viral meningitis is usually mild and heals without treatment. Bacterial meningitis is more severe and requires treatment with antibiotics. Streptococcus pneumoniae and neisseria meningitidis are strains of bacteria that cause pneumococcus and meningococcus meningitis respectively.
It can be life threatening condition owing to its proximity to brain and spinal cord and infective media is the fluid surrounding them.
• Lumbur puncture – csf examination (cell count, glucose, proteins) and culture
• Blood culture
• Chest x ray
• CT scan of head and nose – pns
• MRI brain
Symptom checker in meningitis secondary to sinusitis:
• Fever (92%)
• Headache (85%)
• Nausea, vomiting (62%)
• Altered consciousness (31%)
• Seizure (31%)
• Hemiparesis (23%)
• Visual disturbance (23%)
• Meningismus (23%)
Conclusion and quick pearls:
• Complications that are less common with antibiotics
• Orbital (cellulitis, abscess)
• Intracranial (subdural empyema, thrombosis of cavernous sinus)
• Bony osteomyelitis.
• Can result in drastic sequelae
• Drain abscess and open involved sinuses
• Ent surgical involvement – functional endoscopic sinus surgery
- Usually amenable with medical treatment
- Drain sinuses if no improvement after 48 hours
• Ophthalmology check up
• Neurosurgery intervention
A low index of suspicion is necessary for early diagnosis and treatment of sphenoid sinusitis, orbital complications and prevention of intracranial complications including meningitis.