Med First ENT Centre

  Septoplasty At ENT Delhi Septoplasty is the surgical procedure to correct a deviated nasal septum (DNS). Nasal Septum and DNS – Deviated Nasal Septum The Nasal Septum divides the nose into the right and left nostrils. It is made of Cartilage (malleable tissue – anteriorly), and Bone (Posteriorly). Though ideally the Septum should be straight there is some deviation to either side in some individuals. Causes of Deviated Nasal Septum The child may be born with a deviated Septum due to pressures in the womb. Injury- while growing up, or as a child while playing games, or sometimes after and accident. Pressure of swelling like large growth/ polyp on one side of the nose can push the septum to the other side. INDICATIONS OF SEPTOPLASTY Nasal Blockage Recurrent Nasal bleeding Snoring and sleep Apnoea As an approach or access to Nasal Surgery like FESS or skull base surgery To repair a nasal septal deviation Anaesthesia for Septoplasty Local Anaesthesia – after discussing with the patie...

Breathe Easy: Understanding Tonsillectomy for Sleep Apnea and More Tonsillectomy Tonsillectomy is a surgical procedure in which the tonsils, which are two small masses of tissue located at the back of the throat, are removed. It is usually done to treat conditions such as recurrent tonsillitis (inflammation of the tonsils) or sleep-disordered breathing due to enlarged tonsils. Tonsillectomy Procedure During a tonsillectomy, the patient is usually put under general anaesthesia, which means they are asleep and do not feel any pain. The surgeon may use a scalpel, a laser, coblator, Microdebrider  or other surgical tools to remove the tonsils. The procedure may take about 30 minutes to an hour, and the patient is typically allowed to go home on the same day. Tonsillectomy Recovery  After a tonsillectomy, the patient may experience a sore throat, pain, and discomfort, which can last for several days. Pain medication and a soft diet may be prescribed to help manage these symptoms. I...

THE AIR WE BREATHE •Molecules in the air include primarily nitrogen and oxygen as well as water, carbon dioxide, ozone, and many other compounds in trace amounts - some of these are naturally occurring while  others the result of human activity. •In addition to gases, the atmosphere contains extras such as smoke, dust, acid droplets, and pollen. •The composition of the atmosphere changes constantly and depends on the season, weather, time of day etc. WHAT CAUSES  AIR POLLUTION ? Most of the air pollution results from the burning of fossil fuels, such as coal, oil, natural gas, and petrol/ diesel to produce electricity and power our vehicles.  Carbon dioxide (CO2) is a good indicator of how much fossil fuel is burned and how much of other pollutants are emitted as a result. AIR POLLUTANTS  are of three types •Gases •Particulate Matter Bacteria and Viruses  COMMON AIR POLLUTANTS  ARE •Carbon Monoxide •Ground Level Ozone •Lead •Nitrogen Dioxide •Particulate Ma...

There has been tremendous controversy recently about the "Asymptomatic Patient" - who are they and can they spread Corona virus infection? To understand the terminology in its context, let us look at three different but closely related situations -  1.  The Mildly Symptomatic Patient - This patient of confirmed Covid-19 has mild symptoms like fever, occasional cough or mild breathlessness. They gradually recover without any specialized treatment.  2.  The Pre-Symptomatic Patient -  These patients have been recently infected, have currently no symptoms, but will gradually develop them. They can transmit infection during this incubation period. This is usually about a week from contracting the infection, but could be up to two weeks. 3.  The Asymptomatic Patient  - This is a confirmed case of Covid-19 who never develops any symptom. What makes this disease pursue a relentless and fatal path in some patients and leaves many practically untouched is still ...

Many of us live in Apartment Blocks and as the Corona virus continues to ravage our country we are rightfully concerned about the spread in our homes, specially if someone in the vicinity is diagnosed as positive. There are some facts to consider and some steps to take. For Management Be careful, not paranoid. Avoid instilling unnecessary fear among residents. Take precautions -  STAFF All guards and staff to wear  Masks  at all times - discard masks after duty if 3-ply, wash with warm water and dry in the sun if double/ triple layered cloth mask Guards to wear  Face shields  specially when interacting with outsiders, vendors etc - these can be disinfected at end of day and reused the next day Guards to wear  Gloves  which are disposed off once shift is over FACILITY Keep  hand sanitizers  at all convenient locations including Lifts, Block entrances, Floor entrances Encourage hand washing - dedicated wash basins with Soap...

One common emergency that ENT Surgeons are called upon to see is a fishbone stuck in the throat. A mishap of this kind is usually followed by an immediate sharp pain in the throat corresponding to the area in which the fishbone is lodged.  There may also be coughing, difficulty in swallowing, foreign body sensation in the throat and sometimes some blood-stained oral secretions. Realizing that they have swallowed fishbone patients usually resort to many well-tried home remedies. These are Forceful coughing or attempted vomiting Drinking dilute Vinegar with the hope of breaking down the bone Drinking aerated water/ soda Swallowing a large piece of bread soaked in water with the hope that the weight of the bread will dislodge the bone Swallowing a large morsel of rice or eating a banana Self attempts at removal of the bone - these can sometimes be dangerous and lead to serious trauma in the throat In case home remedies fail kindly visit your nearest ENT Spe...

During health human blood maintains an Oxygen saturation of about 94-99 %. This is also called SPO2 ( the amount of blood saturated with oxygen or also the percentage of Oxygenated haemoglobin in the blood). This level is measured by a simple device that is clipped on to your finger and which gives an accurate reading in a few seconds ( a Pulse Oximeter - see picture above). Hemoglobin is the Oxygen Carrier in the blood and it helps transport Oxygen to various tissues all over the body for their functioning.  Our breathing is controlled by a very complex mechanism called the Respiratory Drive - it has many components including the involvement of Neural and Peripheral Chemoreceptors. The Central Chemoreceptors in the brain are very sensitive to Carbon Dioxide (CO2) levels.  Even a minor increase in CO2 levels brings about immediate changes in our breathing - a 5mmHg change in PaCo2 can double breathing rates in healthy persons. Build up of excessive CO2 normally occurs alo...

There are three paired major  Salivary Glands  in the human body and countless minor salivary glands. The Major salivary Glands are - Parotid (in front of the ear, on the cheeks), Submandibular (high in the neck, just below the jaw bone on each side) and the Sublingual (on the floor of the mouth). Stones are sometimes formed in these glands which cause extreme discomfort, pain and swelling. Why do they occur? Salivary Gland stones can occur due to the following conditions: Poor Oro Dental hygiene Oral Injury Dehydration Post Radiotherapy treatment Being Male and Elderly - Males and the elderly are more prone What are the Symptoms? A Salivary Gland consists of a gland (which secretes the saliva) and a duct which is the channel through which saliva passes from the gland into the oral cavity.A Stone can form in the gland or in the duct and cause obstruction. Obstruction to the flow of saliva causes the saliva to build up in the gland - this causes ...

Your ENT DOCTOR IS HERE Dr.( Major ) Rajesh Bhardwaj MBBS, MS, DNB, DLO, DHA Due to the risk of transmitting infection during the COVID-19 pandemic most hospital's OPDs and Clinics are closed. Patients are also facing difficulties in traveling during the lockdown. To overcome this situation we are available ONLINE for you with Live Chat, Share your prescriptions, images, or discuss at length. Please click on the link and get E-consultation in less than an hour. Pls book prior APPOINTMENT for a medical checkup from ( 10 Am to 5 Pm; Mon-Sat) https://youtu.be/cGVs94cqCJg https://bit.ly/fill_medical_form

During health human blood maintains an Oxygen saturation of about 94-99 %. This is also called SPO2 ( the amount of blood saturated with oxygen or also the percentage of Oxygenated hemoglobin in the blood). This level is measured by a simple device that is clipped on to your finger and which gives an accurate reading in a few seconds( a Pulse Oximeter - see picture above). Hemoglobin is the Oxygen Carrier in the blood and it helps transport Oxygen to various tissues all over the body for their functioning.  Our breathing is controlled by a very complex mechanism called the Respiratory Drive - it has many components including the involvement of Neural and Peripheral Chemoreceptors. The Central Chemoreceptors in the brain are very sensitive to Carbon Dioxide (CO2) levels.  Even a minor increase in CO2 levels brings about immediate changes in our breathing - a 5mmHg change in PaCo2 can double breathing rates in healthy persons.  Build up of excessive CO2 normally...