All Medical Procedures

The canalith repositioning procedure can help relieve benign paroxysmal positional vertigo (BPPV), a condition in which you have brief, but intense, episodes of dizziness that occur when you move your head. Vertigo usually comes from a problem with the part of the inner ear responsible for balance (vestibular labyrinth). BPPV occurs when tiny particles called otoconia in one part of your inner ear break loose and fall into the canals of your inner ear.

The canalith repositioning procedure can move the otoconia to a part of your ear where they won't cause dizziness. Performed in your doctor's office and at home, the canalith repositioning procedure consists of several simple head maneuvers. The procedure is quite effective, relieving vertigo in 80 percent or more of individuals after one or two treatments. However, the problem may recur.

Ear tubes (tympanostomy tubes, ventilation tubes, pressure equalization tubes) are tiny cylinders, usually made of plastic or metal, that are surgically inserted into the eardrum. An ear tube creates an airway that ventilates the middle ear and prevents the accumulation of fluids behind the eardrum.

Ear tubes are often recommended for children who have persistent fluid buildup behind the eardrum, especially if the condition causes hearing loss and affects speech development. Your child's doctor may also recommend ear tubes if your child gets frequent ear infections.

Most ear tubes fall out within six to 12 months, and the holes heal shut on their own. Some tubes need to be removed, and some holes may need to be closed surgically.

Laryngotracheal (luh-ring-go-TRAY-key-ul) reconstruction surgery widens your windpipe (trachea) to make breathing easier. Laryngotracheal reconstruction involves inserting a small piece of cartilage — stiff connective tissue found in many areas of your body — into the narrowed section of the windpipe.

Children most commonly experience problems with a narrowed windpipe. It can occur for many reasons, including injury, infection, stomach acid reflux, a birth defect or the result of the insertion of a breathing tube. An adult's windpipe can become narrowed for the same reasons, but the cause may also be a disease that causes blood vessel or tissue inflammation, such as Wegener's granulomatosis or sarcoidosis.

The goal of laryngotracheal reconstruction is to provide a safe and stable airway without the use of assistance from a breathing tube.

Otoplasty — also known as cosmetic ear surgery — is a procedure to change the shape, position or size of the ears.

You might choose to have otoplasty if you're bothered by how far your ears stick out from your head. You might also consider otoplasty if your ear or ears are misshapen due to an injury or birth defect.

Otoplasty can be done at any age after the ears have reached their full size — usually after age 5 — through adulthood.

The pillar procedure is minor surgery intended to relieve habitual snoring and treat mild to moderate obstructive sleep apnea, a potentially serious disorder in which breathing is interrupted repeatedly during sleep. Both snoring and obstructive sleep apnea may result from a relaxation of muscles at the back of your throat.

The pillar procedure involves surgically placing small polyester rods in the soft palate. Each implant measures 18 millimeters (mm) in length — slightly less than an inch — and 1.5 mm in diameter. The subsequent healing of tissue around the implants stiffens the soft palate, thereby reducing relaxation and vibration of the tissue.

The pillar procedure is usually done in your doctor's office with local anesthesia.

Polysomnography is the test or the study performed on a person, who is completely asleep. Hence, It is also known as the sleep study. Polysomnography is basically done to detect sleeping disorders. Polysomnography records the following while a patient is asleep:

  • Breathing cycle (respiration)
  • Heart rate
  • Level of oxygen in the blood
  • Brain waves
  • Muscle tone
  • Leg Movements
  • Eye movements

A polysomnography test may be performed at a sleep center or in a special room in the hospital. The patient is usually asked to come in the late evening for the polysomnography test, in order to record the various sleep patterns while the patient is asleep. The entire process of polysomnography is being monitored and then analyzed by an experienced sleep specialist. Polysomnography test usually records the patient’s body shifts between 2 phases i.e. Rapid eye movement (REM) and Non-rapid eye movement (NREM). Non-rapid eye movement is further divided into 2 stages:

  • Light sleep
  • Deep sleep

While tracking the phase of rapid eye movement (REM), it is usually observed that the activity of the patient’s brain is very high and the only active parts are the breathing muscles and eyes.

While tracking the phase of non-rapid eye movement (NREM), it is observed that the activity of the patient’s brain is quite low. Hence, a person without any sleep disorders will shift between Non-REM to REM phase in every 2 hours, having 4 to 6 sleep cycles each night. The sleep specialist carefully monitors the body reactions and the sleep cycles of the patient, and hence, detect any disruptions in the sleep pattern.

Septoplasty, also known as turbinectomy or turbinoplasty, is a surgery to fix the deviated or deformed nasal septum. The nasal septum is a partly bone and partly cartilage based thin wall, which divides and is present between the two nostrils (left and right). During the surgical procedure of septoplasty, the nasal septum is repositioned and straightened to the exact center of the nose. The procedure may involve removing or cutting some parts of the nasal septum and aligning the same back into the correct position. The crooked nasal septum might be a birth defect or can happen as a result of an injury on the nose. This condition can lead to various problems in the patient e.g. difficulty in breathing or easy sinus infections (sinusitis), especially, when the nose becomes claggy i.e. there is no passing of air in and out. This can also make the growth of bacteria inside the nose, further leading to inflammation and infections.  In such cases, the septoplasty procedure helps in improving the airflow, nosebleeds and correcting sinus drainage.

Tonsillectomy is a surgical procedure to remove the tonsils present at the back of the throat. Tonsils are two oval-shaped glands or tissue pads located at the back of the throat, with each tonsil present on the either side of the throat. The procedure of tonsillectomy, has been historically performed to treat the inflammation and infection due to bacteria and viruses in the throat. This inflammation of throat due to bacteria and viruses is also known as tonsillitis. In this condition, the throat becomes sore along with fever, redness, swelling, and pain in the tonsils, felt by the patient. Tonsillectomy is often performed to treat the breathing problems associated with sleep disorders. It may also be done to treat various problems related to breathing and enlarged tonsils, along with some rare tonsil diseases. Once the surgery is done, the person cannot get tonsillitis ever. The recovery time after the surgical procedure of tonsillectomy is usually, 10 to 14 days

Tracheostomy is a surgical procedure to create a hole by making an incision in the windpipe or trachea, through the neck. The trachea is the windpipe, 4 inches in length and it starts just below the voice box, known as larynx. Tracheostomy is done when the normal airway or breathing route through the nose or mouth is obstructed. Tracheostomy is helpful in proper breathing till the patient is on a long-term ventilator or in accident cases, where the airway gets suddenly blocked after a traumatic injury to neck or face. This procedure involves the use of a tube (tracheostomy tube/Trach tube) which is put in the tracheal opening to keep the breathing undisturbed. The tracheostomy tube is placed below the vocal cords. A tracheostomy can be a permanent procedure or temporary. If a tracheostomy is not needed anymore, the hole is either closed surgically or allowed to heal.

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