Big Bang Theory TV Star Kaley Cuoco Undergoes Sinus Surgery

On Dec 26, 2014, Kaley Cuoco of Big Bang Theory fame posted on instagram pictures of herself after undergoing sinus surgery . Apparently the need for sinus surgery was present for over one year. Given Kaley has been suffering from some kind of sinus problem for over one year, what could those possibly be? She may have suffered from recurrent sinus infections or even nasal polyps which would lead to persistent nasal congestion , sino-nasal pain/pressure, and/or need for repeated cours…

1/04/2015 0

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How a Tracheostomy Hole Heals Closed (Time Lapse)

When a patient undergoes a tracheostomy , it is not a permanent thing. Once a patient is healthy enough, the tracheostomy tube can be removed and the existing hole in the throat will spontaneously start to heal closed. In a process called healing by secondary intention, the body creates granulation tissue along with scarring that slowly but surely closes the trach opening shut. In the rare situation it does not completely close, a surgical procedure can be performed. Here are some pictures…

12/18/2014 5

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Acupuncture Helps with Ear Surgery Pain

Researchers at Boston Children's Hospital has found that acupuncture may be effective in diminishing both pain and post-anesthesia agitation in children after ear tube placement determined thru a prospective randomized controlled trial . Typically, children are placed under general anesthesia in order to have this procedure performed and upon waking, are often tearful and agitated. In this study, acupuncture needles were placed at LI-4 and HT-7 immediately after anesthesia, but prior to …

12/18/2013 0

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Lawsuit for Botched Laser Vocal Cord Surgery

In February 2012, an ENT surgeon removed vocal cord polyps using a laser while the patient was asleep with a Medtronic Laser-Shield II endotracheal tube. Unfortunately, the laser perforated the endotracheal tube, ignited the 100% oxygen being used at the time resulting in catastrophic burns to the patient. [ link ] Subsequent lawsuit resulted in favor of the patient who received an award totaling $30 million on 12/5/13. What Happened? Even though an endotracheal tube meant for use with…

12/11/2013 0

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Does Removing the Adenoids Decrease Risk of Ear Infections? Yes...

A recent meta-analysis has determined that risk of recurrent ear infections is significantly reduced if adenoidectomy is performed in combination with ear tube placement as opposed to ear tube placement alone. When stratified by age, removing the adenoids was found particularly helpful in children older than 4 years of age. Combining results from over 15 studies containing over 71,000 children, the estimated rate of repeat ear tube placement for recurrent ear infections in children who…

12/03/2013 0

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Ear Tube Placement in Kids WITHOUT Sedation (Starting at 12 Months of Age)

A recent report describes how using a relatively old technology, ear tube placement can now be performed in children starting at 12 months of age with chronic ear infections or hearing loss due to fluid buildup without the need for sedation of any kind nor aggressive restraints (ie papoose). Historically,  ear tube placement in the office without sedation is typically performed starting at around 12 years of age using standard local anesthesia techniques. Any younger, a child could not …

10/05/2013 0

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Life-Saving Emergency Trach Performed in Restaurant

On Sept 23, 2013, a physician performed a life-saving emergency tracheotomy in a restaurant on a patron who was choking on a piece of meat. [ link ] While eating dinner at The Mark Restaurant in California,  Dr. Royce Johnson , an infectious disease doctor affiliated with UCLA, performed this procedure on Pauline Larwood, a female supervisor and a community college trustee. Dr. Johnson saved this woman's life using a pocket knife and the hollow cylinder of a pen after a Heimlich maneu…

9/25/2013 1

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When Your Child Has a Draining Ear

Guest Blog Post by Dr. Julie Wei, MD, FAAP One of the most common and simple procedures that Otolaryngologists (ear, nose, and throat specialists) perform is that of putting “tubes” in children’s ears. General and pediatric otolaryngologists alike perform thousands of these simple and quick procedures every year, often several times in a single hour! Most children who need and get “tubes” in their ears are toddlers and those in preschool age. What continues to surprise me is how often pare…

4/11/2013 16

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Negative Ear Pressure Causing Inability to Pop a Clogged Ear

Have you ever closed the lid on an air-tight container containing a left-over hot meal and stuck it in the refrigerator? And than when you try to open the lid the next day once that hot meal cools down, it is REALLY hard to open the lid because of the accumulated negative pressure? In essence, the negative pressure has "locked" the lid down. Well, something similar can also potentially happen inside the ear with eustachian tube dysfunction , especially with negative pressure (rather…

2/05/2013 4

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How Can Nasal Obstruction CAUSE Clogged Ears?

It is not uncommon that patients who suffer from a clogged nose also develop  clogged ears . Why??? There are 2 major and 1 minor reasons. First a little anatomy lesson. In the back of the nose, there is an opening that leads into a tunnel (eustachian tube) that goes up into the ear. When the ears get clogged, a person can get the pressure out by " popping the ears ." This can be accomplished by yawn, swallow, or trying to blow out the nose that is pinched shut. When the ea…

7/24/2012 1

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Video of Eustachian Tube Popping Open with Valsalva

Ever wonder what the eustachian tube looks like when the ear pops open with valsalva maneuver? Valsalva is accomplished by trying to blow air out a nose that is pinched closed. The eustachian tube is a tunnel that goes from the back of the nose to the ear. Well, here you go! Video provided courtesy of Dr. Vijay Anand . Watch this video to see where this eustachian tube is exactly located. Read more about ear popping and when one is NOT able to pop the ears, a condition called eu…

4/23/2012 0

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Intranasal Treatment for Clogged Ears

A common cause of clogged ears with inability to pop them easily is due to eustachian tube dysfunction . There are a number of ways to address this annoying problem, but one of the first steps to try is intranasal medications whether in nasal spray form or nasal drop form. The whole idea behind intranasal treatment is the fact that the ears are connected to the back of the nose via a tunnel called the eustachian tube. Watch video explanation . Normally, when the ears are popped (also kno…

9/07/2011 12

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