Med First ENT Centre

Comprehensive Guide to Septoplasty for Nasal Septum Deviation Deviated Nasal Septum (DNS) occurs when the nasal septum, the structure that divides the nasal passage into left and right sides, is not centrally aligned. In most cases, there is a mild deviation in one direction, but when the deviation becomes severe, it is diagnosed as DNS. The symptoms associated with DNS include nasal blockage, occasional nasal bleeding, and nasal pain if the septum abuts a sensitive structure. Addressing a deviated nasal septum typically requires surgical intervention, as medications are not effective in correcting the issue. The nasal septum is composed of a malleable anterior cartilage and a bony rear portion. DNS can manifest in various forms, such as being to one side, C-shaped, S-shaped, anterior, or posterior. Sharp bony projections are often referred to as spurs. The surgical procedure to correct a deviated septum is known as Septoplasty, and it is now performed in a minimally invasive manner us

Functional Endoscopic Sinus Surgery, commonly known as FESS, is a minimally invasive surgical procedure used to treat various sinus-related conditions. This technique allows a surgeon to treat sinus issues without the need for external incisions. Instead, they use an endoscope, a thin, flexible tube with a camera, to access and treat sinus passages. FESS is primarily designed to improve sinus drainage and alleviate chronic sinus problems. FESS is typically recommended for individuals who suffer from chronic or recurrent sinus issues that do not respond well to other forms of medical treatment. Common conditions that may warrant FESS include chronic sinusitis, nasal polyps, sinus blockages, and certain sinus-related complications. It is often considered when symptoms significantly impact a person’s quality of life. Process of Functional Endoscopic Sinus Surgery : The process of FESS involves several key steps, including considerations for insurance coverage: Consultation with a FESS Sur

  Understanding Myringotomy: Relieving Ear Troubles Safely Myringotomy is a surgical procedure aimed at relieving the eardrum from the presence of pus, sticky glue-like substances, or accumulated fluids. In certain cases, tiny tubes known as ‘Grommets’ are delicately inserted into the eardrum to facilitate optimal ventilation of the middle ear. Occasionally, slender tubes known as ‘Grommets’ are introduced into the eardrum to facilitate ventilation of the middle ear. Myringotomy stands as a widely practiced procedure for managing a range of middle ear conditions, encompassing middle ear infections, chronic fluid retention, and barotrauma. During this surgical maneuver, a small incision is meticulously crafted within the eardrum, permitting the orderly drainage of any accumulated fluids. To aid in the drainage process and stave off future fluid build-up, a diminutive conduit, often referred to as a tympanostomy tube or grommet, may be thoughtfully positioned within the incision. Myringo

  What Myringoplasty Entails Myringoplasty, a surgical intervention designed to mend perforations in the eardrum, is a crucial step toward improved ear health. This intricate procedure addresses issues stemming from infections, trauma, or other ear-related conditions, promoting better hearing and preventing potential complications. For Whom is  Myringoplasty  Recommended? Myringoplasty is typically advised for individuals grappling with persistent ear infections, hearing impairment, or recurrent middle ear challenges. Those with traumatic injuries to the eardrum or chronic otitis media may find relief through this surgical solution, especially when other non-surgical interventions prove ineffective. Choosing the Right Surgeon and Facility Selecting a proficient and seasoned surgeon is pivotal for a successful Myringoplasty. Opt for professionals with a proven track record in otologic surgeries. Assess the facilities and technologies available at the surgical centre, ensuring they align

Intratympanic Steroid Injection An intratympanic steroid injection is an operation /procedure  in which a small amount of steroid is injected directly into the middle ear.  It is done under Local Anaesthesia in a separate procedure room. It is used in patients suffering with  sudden onset hearing loss or  severe vertigo, such as caused by Meniere’s disease or a sudden vestibular failure which has not responded to vestibular sedative medications or rehabilitation exercises. Your specialist will have taken a detailed history and carried out a thorough examination, and on the basis of this will have decided that you are likely to benefit from an intratympanic steroid injection. The assessment will have included a full hearing test. This is important as it gives your specialist a clue as to which ear is affected, and indicates the amount of useful hearing left. The procedure itself is straightforward and can be carried out either under local or general anaesthetic. The ear is numbed with a

Myringoplasty - Perforation of the ear drum can occur due to trauma or infection. Middle ear infection (Otitis Media) quite often leads to a perforated ear drum. A perforated ear drum causes hearing loss and is an open access for infections to travel to the middle ear from the external ear. Frequent colds, ingress of water in the ear are two of the commonest causes for discharge from the ear. Every time there is discharge from the ear the toxins released by the bacteria can enter the inner ear through permeable membranes and cause a sensorineural hearing loss which is a permanent kind of hearing loss. It is therefore advised that a persistent perforation of the ear drum must be repaired surgically – a procedure called Myringoplasty (Myringo-eardrum, Plasty- repair). Approaches for Myringoplasty Per Meatal – for very small perforations, wide ear canal, or if done Endoscopically Post Aural – the most common approach- from behind the ear – in the groove where the pinna is attached. Endaur

Introduction: Nasal polyps , those grape-like clusters that develop within the nasal passage, can be a source of significant discomfort and frustration for individuals dealing with chronic allergies or frequent colds. These benign growths can obstruct the airways, leading to breathing difficulties, reduced sense of smell, and other related symptoms. Moreover, the recurrent nature of nasal polyps poses challenges for both patients and treating surgeons, making effective management crucial. Understanding Nasal Polyps : Individuals prone to chronic allergies or frequent nasal infections are more likely to develop nasal polyps. These growths gradually accumulate within the nasal passages, often leading to breathing difficulties and other discomforts. Despite efforts to manage them through various treatments like steroid nasal sprays and saline rinses, some cases may eventually require surgical intervention. The Role of Surgery : Surgery becomes necessary when nasal polyps lead to seriou

  Vocal Cord Surgery Vocal Cord surgery is performed when the vocal cords have growths, such as, polyps, tumors, or other masses that need to be removed for biopsy or to improve function. The child will usually exhibit a hoarse or raspy voice. Vocal Cord surgery is also indicated to normalize vocal cord functioning when the vocal cords are scarred from various causes, paralyzed, or are otherwise abnormal. These conditions may interfere with the complete opening and/or closing of the vocal cords, which is necessary for normal speech and breathing. Surgery on the vocal cords can be performed either directly in an open surgical approach (making an incision in the neck) or indirectly through an endoscopic approach (through a tube inserted into the mouth and throat). Either procedure is performed under general anesthesia (the patient is fully asleep). Recovery after either an open or endoscopic approach includes minimizing damage to the larynx during surgery, as well as reducing inflammatio

Palatal Injection for Snoring Injection snoreplasty is a nonsurgical treatment for snoring that involves the injection of a hardening agent into the upper palate. Army researchers from Walter Reed Army Medical Center introduced this procedure at the 2000 Annual Meeting of the American Academy of Otolaryngology – Head and Neck Surgery Foundation. Those seeking injection snoreplasty to reduce snoring should first be screened for obstructive sleep apnea or OSA (frequent cessation of breathing due to upper airway obstruction) by undergoing a sleep test. If sleep apnea is confirmed, other treatment may be recommended. Injection snoreplasty is performed on an outpatient basis under local anesthesia. After numbing the upper palate with topical anesthetic, a hardening agent is injected just under the skin on the top of the mouth in front of the uvula (upper palate), creating a small blister. Within a couple of days, the blister hardens, forms scar tissue, and pulls the floppy uvula forward to