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After your Epley manoeuvre — patient information leaflet

  What this leaflet tells you This leaflet explains what to expect after the Epley (canalith repositioning) manoeuvre for posterior-canal BPPV, what you should and shouldn’t do, and when to seek help.   1. Quick summary — what the Epley did The manoeuvre moves tiny particles (otoconia) out of the balance canal of your inner ear and back into a place where they don’t cause spinning (vertigo). Most people feel much better after one or a few treatments. However BPPV can come back (recurrence is common).   2. How you may feel immediately afterwards You may feel dizzy or off-balance for a few minutes to a few hours; nausea is possible.   Some people feel better straightaway; others get gradual improvement over days.   Rarely ,you may have brief recurrences of vertigo — this does not always mean the manoeuvre failed.   3. Activity and posture — what the evidence says Good news: High-quality studies and recent guidelines show that strict he...

Deviated nasal septum...

Can a deviated septum cause sinus infections?
Sinuses are air-filled, generally empty, spaces around the nasal cavity. These sinuses drain into the nasal cavity through small doors. Our nasal cavity is divided into right and left by nasal septum. If you have deviated nasal septum, then it can block the drainage pathway of the nasal sinuses. High deviations can block the airway and hence recurrent sinusitis. Septoplasty can correct this deviation and help opening up drainage pathways along with balloon sinuplasty or endoscopic sinus surgery. 

 Can deviated nasal septum cause high blood pressure or heart problem?
Deviated nasal septum in anterior part can obstruct the airflow and can cause sleep apnoea symptoms. Some recent studies show a correlation between better control of high blood pressure with medication after septoplasty. 

 Can deviated nasal septum cause sleep apnea?
Sleep apnea can be due to obstruction at different levels of your airway. Obstruction can be at the level of the nose due to a deviated septum, enlarged turbinates or at throat level due to enlarged tonsils, tongue or tongue falling back. These can be associated with loud snoring. There is strong evidence that septoplasty with/without nasal valve surgery can help your sleep apnea symptoms. If you are using CPAP due to sleep apnea then deviated septum can cause resistance and lead to high pressure and nose bleeds. A visit to ENT surgeon and assessment with endoscopy can help with diagnosis and decision if you are a suitable candidate for septoplasty or functional rhinoplasty with nasal valve surgery.

Can deviated nasal septum cause migraines or headaches?
The deviated nasal septum is very common finding presenting to ENT clinic with headache and migraine. Septoplasty can help with symptoms of nasal obstruction but unlikely to help with headaches. A visit to ENT surgeon can help with the diagnosis with history, endoscopic and sinus scan. A logical examination of patients with facial pain, headache and migraine can assist with appropriate management and avoid unnecessary use of antibiotics. 

 Can deviated nasal septum cause nose bleeds or epistaxis?
A primary function of the nose is to filter and hydrate the air which reaches our lungs. The deviated nasal septum can cause the change in laminar airflow in the nose. This can dry nasal mucosa. Correction of nasal septum by septoplasty can help improve this symptom. 

 Mr Gaurav Kumar 
Ear Nose Throat Specialist 
To Book an appointment https://entsurgeonclinic.co.uk/ 
07494914140 
Disclaimer: For general information only, always seek medical advice from your treating consultant. 

 https://www.entsurgeon-london.co.uk/

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