ENT (EARS, NOSE, THROAT)

Adenoids whether to remove or not?

Adenoids Adenoids whether to remove or not?

Adenoids glands help protect the body from viruses and bacteria. However, sometimes the adenoid glands become swollen or enlarged due to an infection or allergies. This can cause breathing problems, ear infections, or other complications.

What is this?

Adenoids are a patch of tissue that is high up in the throat, just behind the nose. Adenoids may look like small jumps of tissue, but these glands serve an important purpose in Young children. They are part of the immune system and help protect the body from viruses and bacteria. however, removing them has not been shown to affect a child’s ability to fight infections.

Adenoid begins to shrink around age 5 to 7 in children and will be almost completely gone by the teenage years. Adenoids are not visible in most adults.

Adenoids What are the reasons for an adenoidectomy?

Sometimes, a child’s adenoid may become swollen or enlarged due to an infection or allergies. Some children may also be born with abnormally large adenoids.

When a child’s adenoid become enlarged, they can cause problems by partially blocking his or her airway. This can result in difficulty breathing through the nose that can lead to snoring or more serious conditions such as sleep apnea (stopping breathing) at night chronic (long-term) nasal drainage can else be seen.

 Enlarged adenoid can also contribute to chronic ear infections and lead to fluid in the ear that can cause temporary hearing loss.

 Adenoid problems can also contribute to chronic tonsillitis (swelling of the tonsils, which are soft tissues located near the back of the mouth)

 How does a doctor determine if a child needs an adenoidectomy?

If you suspect your child may have enlarged adenoids because of problems with their breathing or ears, you should Consult an ENT specialist. After taking a health history, he or she will examine your child’s adenoids using a small light and reflecting device.

based on your child symptoms, if his or her adenoids appear enlarged, your doctor may recommend surgery of adenoid.

By Dr. Mamatarani Rout 
ENT Consultant. (Otolaryngologist) MBBS, DLO (ENT)
Harsh ENT Hospital

Can the flu permanently damage your sense of smell :

Can the flu permanently damage your sense of smell :

Can the flu permanently damage your sense of smell :

The flu can damage your sense of smell. Fortunately, this is usually not permanent, though it may take it a while to return. Often, whether or not you regain your sense of smell depends upon the underlying cause. If extensive damage is done to your nasal nerves, it is more likely that the condition will be permanent.

The medical term for a complete loss of smell is anosmia, while a partial loss of smell is called hyposmia. 

Typically, anosmia is not an indicator of a serious condition. However, because the sense of taste and sense of smell are closely related, anosmia may mean that you lose interest in eating, and as a result, lose too much weight. Therefore, you fail to get the important nutrients your body needs.  Anosmia affects 3 percent of the adult population over the age of 40, and the incidence increases with age. For those over 60 years of age, the rate rises to as much as 22 percent.

Reasons for loss of smell:

Any condition that obstructs your nasal passage or flow of air through your nose can cause you to lose your sense of smell. 

These conditions include:

Common cold
Sinusitis
Chronic congestion
Nasal polyps

There are also neurological conditions that can cause anosmia. Although uncommon, the olfactory center of the brain the part used for processing the sense of smell can be damaged by:

Alzheimer’s disease
A brain tumor
Head injury
Diabetes
Exposure to harmful chemicals such as insecticides
Certain medications
Zinc-containing nasal sprays (these have been taken off the market) 

How can we help you :

Ent surgeons who have extensive expertise and can implement a plan to help you. The course of care depends upon the underlying cause. For example, if your problem is caused by chronic sinus infections, then we will create a treatment plan to help you. In cases like this, your sense of smell should return at some point after the underlying problem is resolved.

If your anosmia is due to an underlying neurological condition, the good news is that your olfactory (sense of smell) nerves can regenerate, although it cannot be predicted when or to what extent. There’s also a large difference in the rate of regeneration among different individuals—for some it may take days, while for others, it may take years. There are some treatments available, and we’ll be happy to discuss if one of them is right for you.

Dr. Mamatarani Rout

ENT Consultant. (Otolaryngologist MBBS, DLO (ENT).

HARSH ENT HOSPITAL,C-43,RDC,GHAZIABAD,DR.B.P.TYAGI

HARSH ENT HOSPITAL,C-43,RDC,GHAZIABAD,DR.B.P.TYAGI

1-New facilities -laser hair removal(unwanted hairs).
2—Scarless tympanoplasty(repair of ear drum).
3—Free all endoscopies in OPD.
4–post op free hearing screening.
5–Charitable OPD every Sunday.
6–Vertigo & tinnitus clinics.
7-All revision surgery free.
8-Free treatment for poor patients.
9-Free camps for deaf & cancer patients in association with AWAKENING INDIA FOUNDATION.

H1N1(SWINE FLU), FEVER, COUGHING, SNEEZING, FATIGUE, SORE THROAT HEADACHE, MUSCLE ACHE,

H1N1(SWINE FLU), FEVER, COUGHING, SNEEZING, FATIGUE, SORE THROAT HEADACHE, MUSCLE ACHE,

PREVENTION OF SWINE FLU.
1-HIGH PERSONAL HYGIENE.
2-REGULAR EXERCISE .
3-HEALTHY DIET.
4-CHECK TEMP REGULARLY.
5-DO NOT SHAKE HANDS-IT SPEED WITH SKIN CONTACT.
6-COVER YOUR NOSE & MOUTH WHILE COUGHING & SNEEZING.
7-DEPOSE THE USED TISSUE JUST AFTER USE.
8-IF YOU HAVE SWINE FLU-LIKE SYMPTOMS, CHECK WITH NASOPHARYNGEAL SWAB IMMEDIATELY/CONTACT A GOOD ENT SURGEON FOR NASOPHARYNGEAL SWAB.
9-IF YOU HAVE FLU MAINTAIN 1 METER DISTANCE FROM OTHER PERSON.
10-IF YOU HAVE FLU LIKE SYMPTOMS THAN STAY HOME.
11-AVOID HUGGING KISSING & SHAKING HANDS.
12-AVOID TOUCHING ,NOSE,MOUTH,WITH UNWASHED HANDS.

NOISE-INDUCED HEARING LOSS(NIHL), DIWALI, CRACKERS

NOISE-INDUCED HEARING LOSS(NIHL), DIWALI, CRACKERS

NOISE-INDUCED HEARING LOSS(NIHL), DIWALI, CRACKERS

NIHL Near Diwali we should avoid firecrackers, to prevent the NIHL. There is a formula to calculate the time of exposure to noise.
At-85 dbs—-8hrs.
90dbs-4hrs.
95dbs–2hrs.
100dbs–1hr.
105dbs–1/2 hr.
110dbs–15 minutes.
115dbs–71/2 minutes.
120dbs–3minutes
125dbs–1/2 minutes.
130dbs– 00, perforation of eardrum & complete hearing loss
crackers noise ranges from 1oo–120 DBS(exposure time is 3minutes to 1 hr.more than this is always hazardous to HEARING system.

WORLD DEAF DAY 2017

WORLD DEAF DAY 2017

Deafness-deafness is a loss of hearing in any frequency >20 db.
I found this category of patient in my pod is > 50%
A conductive hearing loss is caused by anything that interferes with the transmission of sound from the outer to the inner ear. Below are some possible causes of conductive hearing loss.
1. Middle ear infections (otitis media).
2. Collection of fluid in the middle ear (“glue ear” in children).
3. Blockage of the outer ear, most commonly by wax.
4. Otosclerosis.
5. Damage to the ossicles.
The sensorineural hearing loss is due to damage to the pathway that sound impulses take from the hair cells of the inner ear to the auditory nerve and the brain. Below are some possible causes.
1. Age-related hearing loss (presbyacusis).
2. Acoustic trauma (injury caused by loud noise) can damage hair cells.
3. Meningitis can lead to loss of hair cells or other damage to the auditory nerve.
4. Meniere’s disease.
5. Acoustic neuroma. This is a benign tumor affecting the auditory nerve.
PREVENTION-
1-Avoid bottle feeding in children
2-check the family members with the help of tv volume, group talk, voice of family member whether it is loud/not.
3-check the child hearing by clapping (reflexes of a baby )
4-avoid sounds >70 db for a long time.
5-Avoid ototoxic drugs.
6-Avoid vigorous yoga.
7-Avoid excessive use of cell phone & microwave.
8-Do did not put any substance in an ear without consultation with the specialist.
9-Avoid trauma to ear in any form.
10-Avoid unnecessary parceling.
11-Health check-up is mandatory every ear or so to pick up the other diseases which affect hearing Like-DIABETES etc.
Conclusion
Hearing loss and deafness are serious disabilities that can impose a heavy social and economic burden on individuals, families, communities, and countries. Children with hearing impairment often experience delayed development of speech, language, and cognitive skills, which may result in slow learning and difficulty progressing in school. In adults, hearing impairment and deafness often make it difficult to obtain, perform, and keep employment. Its big challenge to our society is to help and support the deaf people who are unable to afford and are incapable to take of own health.