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Septoplasty Surgery - Explained by Dr. Rajesh Bhardwaj (Award-Winning ENT Surgeon)

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  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...

Tonsillectomy Explained by Dr. Rajesh Bhardwaj

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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...

What Is Ppe ?

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The highly infectious nature of the Corona virus has everyone scrambling to get PPE.  PPE - Personal Protective Equipment - protects various parts of the body from catching the virus through contact. The concept of PPE is not new, nor is it related specifically to the health care worker. Many industries and workers use PPEs, including defence personnel.  NBC (Nuclear, Biological, Chemical- now NBRC, including Radiological)) warfare scare led the defence forces to prepare a comprehensive PPE. Industrial workers faced with gas leaks or nuclear accidents need to use PPEs. PPEs help to protect various parts of the body from contracting an infection or a gas or radiation. What all needs protection? Eyes -Goggles, Face Shields Face - Face Mask, Face Shields Hands- Gloves - single or double layered depending upon level of exposure Feet - Shoe covers Body- impervious body suit Head Cover/ Hood - for health care workers. Pic courtesy Times of...

'Happy Hypoxia' in Covid-19 Patients

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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...

Causes and Types of Abnormalities in Smell

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Causes and Types of Abnormalities in Smell The sense of SMELL is one of our five basic senses - apart from touch, vision, hearing, and taste. It is a higher and an aesthetic sense which, apart from helping us get the flavor out of food (Flavour is a combination of the sense of Taste and Smell) also helps us appreciate the finer things around us. It has a very strong connection with the Limbic system - because as we all know a particular smell can take us down memory lane to very specific experiences in our life. Anosmia is described as the loss of the sense of smell. Anosmia may be temporary or permanent depending on the cause of the problem and the extent of the lesion/ damage. TYPES Abnormalities in the sense of smell can be of various types -  HYPOSMIA - Reduction in the sense of smell - due to lower transmission of nerve impulses. ANOSMIA - Complete loss of sense of smell - due to a complete break in the transmission of nerve impulses. PAROSMIA - an abnorma...