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Showing posts from May, 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...

Tonsil Stones or Tonsilloliths

Where do Tonsil Stones come from? Tonsil stones or tonsillolith are formed in the tiny crevices on the tonsil surface. Tonsils are present at the back of the throat. Two large tonsils on each side can catch food particles when we eat. This food debris can accumulate bacteria and give a bad smell. This mixture of bacteria and food debris can become solid to form tonsil stones. Can Tonsil Stones go away on their own? Tonsil stones form due to food particle and bacteria. You can prevent stone formation by regularly rinsing mouth after every meal, good oral hygiene and dental care. Gargling with salt water and gentle use of bud to deliver the stones can help in some cases. Soft water floss can help keep tonsil surface clean. If you have, post nasal drip due to sinusitis, seeking treatment advice from ENT surgeon can help. You should not use sharp objects to clean tonsil stones or make tonsil surface bleed. What symptoms do tonsil stones cause? Tonsil ston...

Cholesteatoma Ear Surgery

What is a Cholesteatoma? The ear has three parts outer ear (ear lobe and ear canal), the middle ear ( eardrum and bones of hearing) and inner ear. Cholesteatoma is skin from ear canal migrating into the middle ear. Like the skin on head keeps shedding and can cause dandruff. Similarly, skin in the middle ear can cause cholesteatoma, which can form a gradually expanding sac and can damage structures in the middle ear to give deafness, inner ear to give permanent deafness, nerve to the face to give a facial weakness or rarely give infection of the lining of the brain to cause meningitis Is cholesteatoma surgery or mastoidectomy done under general anaesthetic? Cholesteatoma is a surgical problem. Unfortunately, no medications work on it. Cholesteatoma surgery is called mastoidectomy, i.e. clearing cholesteatoma infection from the mastoid bone (the hard bone behind your ear). The procedure is done under general, i.e. you will be sleeping while the procedure is don...