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Treatment of Nerve And Muscle Disorders
Treatment of Paralysis
Cerebral Palsy Treatment
Brain Tumor Surgery
Electroconvulsive Therapy (Ect) Treatment
Surgery Of The Facial Nerve
Radiofrequency Neurotomy Procedure
Spine Surgery Treatment
Traumatic Brain Injury (Tbi) Treatment
Treatment of Traumatic Brain Injury (Tbi)
Assistive Walking Device Training
Vagus Nerve Stimulation ( Epilepsy )
Deep Brain Stimulation Procedure
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Hello friends, I am Dr Anubhav Gupta. I am a consultant of cosmetic and plastic surgeon. Today I am going to talk about a very common topic, that is Facial injuries. Now this is something which we see very common in our day to day life. Face is comprising of a lot of structures; the skin, there is the subcutaneous tissues, there are muscles, then there is bone underneath it. So when we talk about facial injuries, we can divide them broadly into two types:
- One is the simple injuries and
- The complex facial injuries.
Now the simple injuries are the one, which we see like, our kids, they fall in the house, and they have cuts, and they have continuous lacerated wounds.
The complex facial injuries are seen when there are road traffic accidents, where there are deep cuts right up to the muscle and there are fractures of these bones.
So these are the common types of injuries related to face. Now the question which next comes to our mind is, what to do?
So in case of facial injuries, what is required to be to be done is, whenever such injuries happen, we need to apply some pressure on that, so that the bleeding stops. And if you are concerned about good scars and better looking sutured wounds, then you should consult a plastic surgeon to get it sutured. And in any case, it has to repaired, it has to be stitched. This is how the management of simple injuries is done.
But in case of complex injuries, they require advanced management, wherein not only a plastic surgeon but also a neurosurgeon and many other surgeons are involved because these injuries are usually not isolated injuries. They occur with head injuries also, and many times there are injuries to other parts of the body also. So it is better to take the patient to a better hospital. So in such injuries, what we usually do is, once the patient is stabilised, such injuries, for example a fractures, requires fixation.
Fixation means, is very similar to fracture of the hand or the limb, there is plating and screws and clamps and plasters and related things. The principles are similar for all these things also. So we use very fine, titanium plates for fractures.
- One is , the patient should be able to eat, even after these injuries and fractures. Because once these bones are fractured, it becomes very difficult to eat so the main priority is that the patient should be able to eat even after these injuries.
- The second thing is, the lower part of the eye. So, there should be no problem in the vision, as well as the cosmetic outcome. So these bones are put back together anatomically by plating and fixation. So that the patient can lead a normal life, i.e, having a normal vision, and is able to eat properly.
So these are the principles required for practical fixation of complex facial injuries.
Now, to know more about these types of injuries you can get in touch with me on Lybrate. Thank You.
A migraine is considered to be one of the worst headaches of all. It causes excruciating pain along with a range of other symptoms. Notably, a migraine pain is very different in nature compared to general headache. A migraine pain is mostly felt on any one side of the brain. Since a migraine is difficult to diagnose, here is a list of 5 signs that will help you to understand, if your headache qualifies as a migraine:
- Vision splotches: It is very common among migraine patients to experience blind spots and a sudden flash of light. While this might appear to be a little unusual, it is pretty normal for migraine patients. The visual cortex of the brain is responsible for incidences like these. They often pace up and slow down to cause such unnatural feelings. For cases like this, the nerve gets activated by the optical lobe and crashes immediately resulting in such sensations. These visible auras are felt by both the eyes.
- A spinning sensation: A migraine patient often gets a swirling sensation. This requires them to immediately lie down. This is accompanied with nausea and throwing up. Certain migraine-induced changes caused in the brain causes hearing imbalance which is very similar to vertigo. These auras often serve as the onset of a migraine and can last for over one hour before the actual migraine cycle starts. If a person is suffering from these symptoms, it is a clear indication that he is suffering from a migraine.
- Light sensitivity: Migraine patients often becomes oversensitive to sound and light. This is perhaps the reason why most migraine sufferers like to spend more time in dark and solicitude. Studies have shown that sudden exposure to light activates the optic nerve fiber which in turn activates the pain receptors in the brain. A study conducted by the Nature Neuroscience journal conducted in the year 2010 showed that even blind person (with a migraine) suffers from a sudden glow of light.
- Touch sensitivity: Sensory auras often cause sharp pain from tiniest of touches. This is a condition known as the allodynia. This is a condition by which the spine and the brain get super excited by the inflamed blood vessels. This condition should be reported to a doctor since the most common medicine of a migraine does not work well if a patient is suffering from allodynia.
- Funny Face: Aura of the tongue, face and lips are known as cheiro-oral. There is a type of aura that makes even speaking and eating difficult. At time sufferers feel that they are suffering from serious diseases such as brain tumor. If this condition prevails, it makes sense to contact your doctor at the earliest and start medication.
In case you have a concern or query you can always consult an expert & get answers to your questions!
I am 26 years old, can you suggest me how to treat migraine and I also have hormone disbalance, what shall I do, suggest some Ayurvedic medicine, or homemade remedies.
Although surgery is considered to be the first step of treatment in any form of tumor but its feasibility depends upon the type, size and location of the tumor. It is not necessary that every kind of brain tumor might require surgery.
Indications of Brain Tumor Surgery
- Diagnosis of the type of tumor by taking a sample of the tumor for laboratory examination
- Complete resection of tumor
- Removal of the tumor as much as possible to slow down its growth and improve the symptoms.
- Remove the tumor in order to help other treatment
- Provide direct access for other forms of treatment like chemotherapy, radiotherapy etc.
- To relieve pressure caused by tumor on surrounding structures
Types of Brain Tumor Surgery
The different types of surgery that are performed in cases of brain tumor include the following:
Craniotomy: Craniotomy is the most commonly performed procedure to remove brain tumor along with a piece of bone. The removed bone is replaced and the tumor is sent for histopathology (biopsy). The surgery is performed using a high end microscope by any of the following techniques:
- Extended bifrontal craniotomy
- "Eyebrow" craniotomy (supra-orbital craniotomy)
- "Keyhole" craniotomy (retro-sigmoid craniotomy)
- Orbitozygomatic craniotomy
- Translabyrinthine craniotomy
Shunt: A narrow piece of flexible tube with a pressure regulated valve in between is called a shunt. This is used to relieve the intracranial pressure caused by obstruction of the natural brain fluid (CSF) pathway by tumor mass. The procedure involves insertion of a drainage system into the brain to remove or drain excess of blocked fluid into the peritoneal cavity.
Stereotactic surgery: This surgery is done by creating a three-dimensional image called stereotaxy using computers. It aims to find out the location and position of the tumor. In fact it can also be done to aid tumor removal, implant radiation pellets or for other treatments.
Embolization: It is a procedure used to reduce the amount of blood supply to a tumor by blocking the blood flow in the selected arteries. It is generally performed before the main surgery.
Endoscopy and endoscope assisted surgery: Endoscope is the tool which helps to closely visualize the tissue through small openings in difficult to reach areas. This tool can be used in various brain surgeries to precisely reach the target location without damaging the adjacent structures.
Adjuvant modalities to improve outcome: In addition to above mentioned surgeries, following surgeries may also be performed in relation to brain tumor treatment:
I am suffering from insomnia. It is difficult for me to fall asleep and I wake up tired in the morning.
Its been 2 months and I can feel my legs and arms trembling or shaking like if I am sitting on bed lean on one side with support of my hand ,i can feel it shaking and it happens sometimes and same goes with my legs too. I consulted Doc, he told me this is normal and happens due to stress in kids of your age. I am 21 years old ,kishan. Is this really normal or which doc should I consult too?
Hello doctor my husband is 31 years old no matter how early we sleep but he has the habit of waking in the middle of the night once or twice at time. He doesn't do anything but he will sitting and sleep so this a symptom of insomnia.
I have migraine problem from previous 5 years I had taken every treatment as could as possible I can. But now its still unbearable please help me sir.
A craniofacial surgery is required when there are deformities or abnormalities present in the head or face area of the patient. Depending on the type of deformity, a craniofacial surgery is done to repair or reconstruct it.
The areas that come under a craniofacial surgeon's domain are the cranium (skull), the brain, the face, skin on the face, facial bones, and the nerves. For this reason, in order to conduct craniofacial surgery, a neurosurgeon and a cosmetic surgeon may often work together.
The time taken for completing a craniofacial surgery may vary between four hours and twelve hours.
Why do you need a craniofacial surgery?
There may be multiple reasons why a patient would require craniofacial surgery. These are:
- Tumors in the head or face region are one of the most common causes behind this type of surgery. The surgeries conducted to remove these tumors may sometimes lead to the formation of deformities in the region. A craniofacial surgery is conducted in order to correct them.
- This kind of surgery can also be used to correct abnormalities formed as a result of injuries or wounds on the face, the jaw or the head.
- Some patients may also undergo a craniofacial surgery in order to correct defects that they were born with. Such defects include Apert Syndrome (a syndrome characterized by the premature fusion of certain bones in the skull), cleft palate or cleft lip and craniosynotosis (premature fusion of certain bones in the skull).
Risks related to Craniofacial Surgery:
Certain risks are associated with this type of surgery. These are:
- A craniofacial surgery is conducted after putting the patient under general anesthesia. As a result of this, the patient may suffer from breathing problems, blood clots, infections and blood loss. He or she may also react to the medicine in an unwanted way.
- As a result of the surgery, the patient may also lose their bone grafts partly or wholly. He or she may go through cranial nerve dysfunction or damage in the brain. The formation of permanent scars is another possible risk of a craniofacial surgery. Some patients, especially children who are of growing age, may need a follow up surgery later on.
- Certain patients can face more risks as compared to other patients. These include patients who are malnourished, or suffer from other illnesses like lupus. Those that have suffered nerve damage in the past are likelier to develop complications. Smoking is also another risk factor.
In case you have a concern or query you can always consult an expert & get answers to your questions!