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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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I'm having a thorat pain from last 4-5 days. Took a medicine also but its not working. Can anyone help me out with this? Whenever I swallow something it pains. Please suggest a good medicine.
Hi Dr Today Blood is coming out of my nose regularly and it isn't stopped. How can I stop this nose bleeding? And I also want to know why blood comes out of nose? Does it harm our body? Is it a major problem?
I am 62-year-old male person, having phlegm in throat and am unable to take it out. I tried Alex. What's immediate remedy to resolve this problem?
I am 20 years old. I have sinus problem. Already we did two operations. But the problem would come again. What should I do to get away from this problem?
My mother is aged around 50 years she has puss coming out from her ears. And swollen throat glands please advice.
I have some dry skin issues on my ear lobe. It seems like the dry skin are coming out with itching sensation. What should I do?
I am having throat infection in within every two days, I have a allergy of dust particles, and I tried treatment but did not recover yet, so sir please will you tell the specific and effective treatment for this.
I have burning problem in throat while taking normal spicy food. Can you suggest what I do to for it.
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.
I have ear infection and some sound comes from ear. So please resolve my problem quickly and easily.
I am ishan shrivastva and I usually suffer from throat pain and throat gets dry. Please tell me some solution for that, which I can follow immediately so that later I can protect myself from fever.
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.