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Showing posts from April, 2019

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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...

Having Functional or Cosmetic Rhinoplasty

The most important thing when considering Rhinoplasty surgery is to discuss with your surgeon the aim of the procedure and the outcome you will be satisfied with. It is important to discuss in detail about the procedure. Septoplasty or Rhinoplasty Septoplasty is the correction of cartilage division between left and right nostril. Rhinoplasty can be performed with septoplasty to correct the crooked nose, nasal hump and making the nose smaller. It can be performed to improve breathing by supporting the nasal valve area. Is Rhinoplasty covered by insurance? Rhinoplasty if performed for cosmetic reasons is not covered by insurance companies. Rhinoplasty can be performed to improve breathing and deformity due to trauma. It is important to check with the insurance company coverage of your insurance policy. What can be achieved in your rhinoplasty surgery? Rhinoplasty is a very complex surgery. It is very important to discuss achievable targets. ...

Glue ear

Why does glue ear happen? The ear has three main parts ear canal, the middle ear where small bones of hearing sit and the inner ear which has nerves to send the signal to the brain. The middle ear is connected to the back of the nose with a tube called the Eustachian tube. The Eustachian tube can get blocked with adenoids, allergy or sometimes due to tube dysfunction. The Eustachian tube can also dysfunction in children with a cleft palate or a genetic condition such as downs syndrome. All this can lead to a collection of thick fluid in the middle ear, and this is called glue ear. Glue ear in babies? Babies have smaller and straighter eustachian tube making them more vulnerable to glue ears. The good news is this is intermittent most of the time. Breastfeeding in a sitting position helps and also passes on natural immunity from mother to children. Evidence show children growing up in a smoky environment tend to get more frequent glue ear. Children who have an allergy to...

Tonsillectomy

What do tonsil and adenoid do in the body? In our body, we have lumps of tissue which are related to our immune system called lymph nodes. In our throat and back of the nose, these tissues form a ring called Waldeyer's ring. Tonsil and adenoid form part of this ring and have large clefts which increase the surface area of these tissues and help fight infections and forming our immune bank in the early years of our life. These soldiers or antibodies fight against infection. Tonsils can become enlarged from the age of two and can give symptoms of snoring and sleep apnea or tonsillitis if infected. Enlarged adenoids can give symptoms of nasal obstruction, sinusitis and mouth breathing as they are present at the back of the nose with glue ear and recurrent ear infections.  What is tonsillectomy and adenoidectomy? Tonsillectomy is a procedure to remove tonsils if they are infected, cause sleep apnea or get frequent stones. It can be done by cold steel instruments,  d...