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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 am 23 years old. I am suffering from tonsil from last 2 days and I am in medication of antibiotics.In tonsil what type of precaution I should take and eat?
I am male of age 38 yrs . I am suffering smell identify problem from last one year, I am not felling light smell also.
My baby age is nine years, she is suffering from ear pain ,not swelling any type, not etching, any drop or medicine who solve this problem. please tell me drop name.
I have a sinus problem. I am always Suffered from cold. Some times there is a itching problem in the nostrils and my throat. Please give some home remedies if possible.
While sleeping I snoring a lot with very loudly and very big sound I disturbed my family give me right solution to control.
Rhinoplasty, more commonly known as Nose-Job, is a cosmetic procedure designed to change the shape and size of the nose.
A Rhinoplasty can effectively change the size and shape of the nose to complement the facial balance. It also helps improve nasal symmetry efficiently enhancing your facial features.
How is the surgery performed?
We prefer General Anaesthesia for the surgery to make patient pain free and most comfortable. It’s a Day-care procedure or may need overnight stay.
The operation involves an incision which is made for easy access to the cartilage and bones of the nose. These incisions are generally placed inside the nose, so that they do not appear as scar marks after the surgery is done. Moulding, removal or replacement of the bone or cartilage depends on the demands of the restructuring of the nose. Once the reshaping of the nose is done, the nose tissue is put back into place and a splint is temporarily placed to support the new structure of the nose. The splint is removed at 5-7 days.
Precautions to take after a nose surgery
After a nose surgery, the area around your nose will stay swollen and bruised for around 10-15 days. Thus you have to ensure that-
You get adequate period of rest.
Use cold compresses over the swollen face, this will reduce the swelling and ease the pain.
Do not indulge in relatively vigorous physical activity for 15 days.
Take you medicines regularly.
Risks of nose surgery
Every surgery or medical procedure involves certain risks, and so does Rhinoplasty. Along with some puffiness and ` around the eye and nose region, you may also experience-
Some amount of bleeding
Injury to the septum area
Irritation of the skin and skin problems
Nasal blockage due to swelling in the inner nasal area
Complications resulting from anaesthesia
Although there are certain risks to Rhinoplasty, the surgery is considerably safe if done by a qualified expert plastic surgeon and the results are quite permanent.
I am 30 years old and am suffering from cough from last 10 days. Its paining in my throat and its itching while I do cough and twice when I cough, blood comes with saliva. Earlier I was doing smoke now I have quit it. Please suggest some best treatment. Is there any serious problem or its just throat infection?
I have been suffering from acute throat pain with cough. Bile is the problem. Yellow bile comes out of throat. This was there for the past 12 days, i have used benedril green and tus q sugar free chewing tablet but no relief. Please suggest good remedy.
I am feeling a ringing sound in my left ear for one year. I want to ask whether ginkgo biloba is helpful or not. It started when I take antidepressants for 1 month last year.
I'm having a dry throat since last 10 days. No other symptoms, no pain, just dry throat. Dryness eases whenever I have water and arises after 30 min-1 hour of last water intake.
I am suffering from tonsillitis right now having pain and feeling feverish i do garages, have turmeric milk also but this problem i face every 2nd or 3rd month means very frequently i dont know y even i dont eat or drink any clod dish or drink but i face this problem very frequently please help me.
I suddenly feel dizzy even while sitting. I was diagnosed with marginal low blood pressure n doc said to take medicine only for 10 days. Should I continue taking the medicine if my dizziness persists?
I suffer from dryness of mouth during the night and early morning too, inspite of drinking adequate amount of water
I am suffering from snoring. Is there any treatment for stop snoring? Or reduce snoring? Please help me. If you have 80-90% solution than I will come to you.
Is non surgical rhinoplasty not good. I have seen many videos and they said that it will again gain that shape of nose that we have before. Is it true?
I am sourav mondal, height is 5ft 5 inches. I have a problem in my length and back. Nowadays I can't run quickly as much as I could. Actually in my nose a small defect I have observed. That is one side of nose is slightly curve so that I can't take breath properly by one whole. So what kind of treatment can I apply? I want to perfect solution for my problem.
I am having a listening problem in winter season only and also my eyes got red when I wash my face. Please help me.
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
● 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