Wednesday, June 5, 2013

“Tubes” in your child’s ear?

Monday, November 26, 2012

Do you suffer from Sleep Apnea?


Don’t worry, you’re not alone.
A lot a people suffer from Sleep apnea and don’t even know it!
Check out this article written by Dr Christopher Chang by Fauquir ENT, where he explains why people suffer from this and how they can treat it.

Sleep endoscopy is a special procedure to determine exactly where an upper airway obstruction is localized causing obstructive sleep apnea or snoring while a person is sleeping.

There are two distinct components to this procedure:

1) Endoscopy is when a thin flexible camera is inserted through the nose in order to examine the entire upper airway from the tip of the nose to the voice box.
2) Sleep (or sedated) endoscopy is when the endoscopy is performed while a patient is sleeping instead of wide-awake as traditionally performed.

Given most patients will immediately wake up if a doctor is inserting something into the nose, an anesthesiologist uses IV medications to sedate the patient.
What are some of these areas of obstruction?
Areas that will be specifically examined during sleep endoscopy include:
Behind the palate
Uvula
Back of Tongue
Walls of the Throat
Epiglottis
Voice box

There is definitely a lot of great information in this article, click on the link below to finish reading it:

Here is another interesting video showing “Where” Snoring Comes From (Sleep Endoscopy):http://www.youtube.com/watch?v=iNmSexAKTsM<!--EndFragment-->

Monday, November 19, 2012

Ever wondered about your Tonsils?


I know I have… Well check out this article written by Dr. Christopher Chang from Fauquir ENT
Where he explains the importance of your Tonsils and what happens when they are enlarged or swollen.

 The tonsils are located in the back of the mouth flanking the uvula along the sides of the throat. The adenoids are located above and behind the uvula and can only be seen on endoscopy. The tonsils and adenoids are basically lymph nodes just like in your neck, but rather than being hidden under the skin, they are on the surface of your throat where you can see them. As such, removal of the tonsils and adenoids have minimal, impact on a patient’s immune system as there are thousands of other lymph nodes that can pick up the slack.

The tonsils and adenoids generally regress in size with age to the point they can be quite small in adults. However, it is not unusual for children to have enormous tonsils the size of walnuts and even ping pong balls. Adenoids may be similarly enlarged.

Sometimes the tonsils can be so large that a patient may have trouble swallowing and even affecting taste such that eating becomes a chore. Not only that, they may impact sleep as there is not much room for air to pass resulting in obstructive sleep apnea which is a serious medical condition.

Symptoms of obstructive sleep apnea include:
loud snoring
restless sleep
daytime sleepiness
irritable daytime behavior
difficulty waking
witnessed apneas and/or struggling to breath at night
head bent backwards while sleeping
mouth-breathing while sleeping

Want to read more?
Click on the link below to finish reading it:

Check out this video that shows How a Tonsillectomy is Performed (GRAPHIC):

Monday, November 12, 2012

Sinus problem? We’ve got you covered with a Balloon!


That’s right! There is a NEW technic that Doctors use that helps with sinus problems.
Check out this article written by Dr. Christopher Chang from FAUquier ENT, where he explains this amazing procedure.
In a human being, there are 4 sinus cavities that come in pairs (1: frontal, 2: ethmoid, 3: sphenoid, 4: maxillary). Each of these sinus cavities drain through a small opening into the nose. However, problems occur when the openings clog shut resulting in recurrent and even chronic sinus infections.
Balloon sinuplasty is a relatively new, minimally invasive technique to open up the openings into the sinus cavities without the need for any tissue cutting or bony removal. When compared to the more traditional endoscopic sinus surgery, which does involve tissue cutting and removal, balloon sinuplasty causes less trauma to surrounding sinus and nasal tissues thereby:
  • Minimizing risk of CSF leak as well as damage to surrounding important structures including the eye, artery, optic nerve
  • Decreased pain
  • Faster recovery
  • Decreased risk of post-operative nosebleeds (thereby minimizing need for nasal packing)
  • Decreased chance of scar formation which may require repeated sinus surgery in the future
The balloon sinuplasty technique uses a balloon catheter system similar to that used in coronary artery angioplasty whereby a deflated balloon is inserted into the opening of the sinus cavity and inflated. When the balloon inflates, it opens up the sinus opening into a much larger diameter which than allows for drainage.
Click on the link below and check out the video about this procedure,
Don’t forget to check out the article, clicking on the link below…

Monday, November 5, 2012

Sinusitis


Unfortunately, Millions of people suffer from sinusitis. However, we don’t have to suffer with this problem anymore.
Check out this article we found written by Dr. Christopher Chang from FAUquier ENT. In this article he explains a simple surgery, which allows your sinuses to function more effectively.

Simply put, sinusitis is an infection of the sinus cavities creating pus. Symptoms include facial pain/pressure, purulent drainage from the nose, fevers, etc. When the sinuses are functioning well, the infection gets cleared rapidly with antibiotics and the pus gets cleared easily through the nose. In this scenario, the openings of the sinus cavities into the nose are not blocked so things flow easily. No difficult concepts in this particular scenario.

Scenario #1 - Sinusitis IS Due to Infection
Scenario #2 - Pain/Pressure NOT Due to Infection
Scenario #3 – Tumors
Scenario #4 - Nasal Polyps
The goal of sinus surgery whether it is performed endoscopically or via balloon sinuplasty is to make the small drainage openings of the sinuses into the nose larger. That’s it! By making the sinus openings big enough, the sinuses can’t get obstructed as easily and therefore allow for good sinus drainage no matter how much swelling or inflammation may be present. Good sinus drainage prevents/minimizes sinus infections. Paradoxically however, sinus surgery may make your allergy symptoms worse (easier for allergens to gain access into your nose and sinuses since things are opened up), so it’s very important to get your allergies under good control before sinus surgery is performed. For those with asthma, having sinus surgery has been shown to markedly improve lung function resulting in decreased number of asthma attacks and use of inhalers overall.

This is quit an interesting article…
Click on the link below to check out the video on Sinusitis:
Of course as always here is the link to the article…