This document discusses nasal allergy treatment using laser surgery. It begins with an introduction to lasers and the CO2 laser specifically. It then covers the medical management of nasal allergies, anatomy of the nose, and indications for laser surgery to treat conditions like nasal polyps, deviated septum, and rhinitis. The benefits of laser surgery like minimal bleeding and scarring are presented. Images of laser treatments and postoperative results are also included. The document emphasizes that laser surgery provides an effective treatment for nasal allergy symptoms with quick recovery.
Presented by Dr Paulose at the International Live Surgical Workshop, held in Hyderabad, India at the Taj Deccan. For more information visit:
http://DrPaulose.com
http://SnoreFreeSleep.com
From Jubilee Hospital, Trivandrum, Kerala, South India.
Here I present few of my Rhinoplasty (Pre and Post Op Pictures) done in Jubilee Hospital Trivandrum, Kerala in South India. The Jubilee Hospital is a Christian Mission Hospital in the city of Trivandrum giving affordable treatment to everyone. Please note, the pictures are taken after the sutures are removed after 7 days and long term follow up is not practical in this part of the world.
Coblator and laser surgery in ENT:Jubilee Hospital, Trivandrum, south IndiaDr. Paulose
Coblator Surgery Started in Jubilee Hospital, Trivandrum, South India by Dr.K.O.Paulose, FRCS DLO,ENT Surgeon.
23-06-2012
OSA And Snoring Surgery, Tonsil Adenoid Surgery,Nasal Turbinoplasty for Sneezing and blockage,Sinus Surgery
We offer the best surgical and non surgical cosmetic treatments for breast, body and skin. Checkout our packages which keep you confident and socialized.
La especialidad de Cirugía Plástica y Estética Facial ocupa un sitio muy importante dentro de la práctica quirúrgica de excelencia médica a nivel Internacional, de ahí la necesidad de confiar su rostro sólo a aquellos especialistas que han cursado estudios y recibido entrenamiento especializado en la cara.
Más información en: http://www.clinicabenarroch.com/rinoplastia.html
Presented by Dr Paulose at the International Live Surgical Workshop, held in Hyderabad, India at the Taj Deccan. For more information visit:
http://DrPaulose.com
http://SnoreFreeSleep.com
From Jubilee Hospital, Trivandrum, Kerala, South India.
Here I present few of my Rhinoplasty (Pre and Post Op Pictures) done in Jubilee Hospital Trivandrum, Kerala in South India. The Jubilee Hospital is a Christian Mission Hospital in the city of Trivandrum giving affordable treatment to everyone. Please note, the pictures are taken after the sutures are removed after 7 days and long term follow up is not practical in this part of the world.
Coblator and laser surgery in ENT:Jubilee Hospital, Trivandrum, south IndiaDr. Paulose
Coblator Surgery Started in Jubilee Hospital, Trivandrum, South India by Dr.K.O.Paulose, FRCS DLO,ENT Surgeon.
23-06-2012
OSA And Snoring Surgery, Tonsil Adenoid Surgery,Nasal Turbinoplasty for Sneezing and blockage,Sinus Surgery
We offer the best surgical and non surgical cosmetic treatments for breast, body and skin. Checkout our packages which keep you confident and socialized.
La especialidad de Cirugía Plástica y Estética Facial ocupa un sitio muy importante dentro de la práctica quirúrgica de excelencia médica a nivel Internacional, de ahí la necesidad de confiar su rostro sólo a aquellos especialistas que han cursado estudios y recibido entrenamiento especializado en la cara.
Más información en: http://www.clinicabenarroch.com/rinoplastia.html
Dr. Mohamed Ahmed Sayed Mostafa El-Rouby
Professor of Plastic and Reconstructive Surgery, Maxillofacial Surgery and Burn management - Faculty of Medicine - Ain Shams University
Nationality: Egyptian
Location: Cairo - EGYPT.
Address: Heliopolis, Cairo, Egypt.
Language: Arabic, mother language and English.
Telephone: +2-01001556023 or +2-01226531265
Fax: (+2)(02)(27716563)
Clinic Address: 107 El Hegaz Street, Heliopolis, Cairo, EGYPT
E-mail: DR.MOHAMED_ELROUBY@MED.ASU.EDU.EG ELROUBYEGYPT@ELROYBYEGYPT.COM
Website: www.elrouby-clinic.com
A plastic surgery to reconstruct form, shape of nose tip, narrow the nostril spans, aesthetic enhancement of the nose.Reconstructive rhinoplasty allows a surgeon to correct congenital deformity,collapsed dorsum, intranasal drug abuse, trauma and also failed primary rhinoplasty-which require restoration of form and nasal appearance.
Otorhinolaryngology ( ENT ) Instruments for Final MBBS Part 1 Sauradeep Dey
This is a list of otorhinolatyngology ( ENT ) instruments and their uses, commonly asked as a part of Final MBBS Part 1 (3rd year) practical examination.
You can freely use this ppt. provided you give proper credits to the owner. Thanks.
Tongue Release by Co2 Laser under Local or General Anesthesia is the easiest way to correct this problem.It is painless, no bleeding, no sutures and can be done as Day case procedure.
Presented By Dr.K.O.Paulose FRCS DLO Consultant ENT Surgeon Jubilee Hospital, Trivandrum, South India. www.drpaulose.com, www.snorefreesleep.com
Dr. Mohamed Ahmed Sayed Mostafa El-Rouby
Professor of Plastic and Reconstructive Surgery, Maxillofacial Surgery and Burn management - Faculty of Medicine - Ain Shams University
Nationality: Egyptian
Location: Cairo - EGYPT.
Address: Heliopolis, Cairo, Egypt.
Language: Arabic, mother language and English.
Telephone: +2-01001556023 or +2-01226531265
Fax: (+2)(02)(27716563)
Clinic Address: 107 El Hegaz Street, Heliopolis, Cairo, EGYPT
E-mail: DR.MOHAMED_ELROUBY@MED.ASU.EDU.EG ELROUBYEGYPT@ELROYBYEGYPT.COM
Website: www.elrouby-clinic.com
A plastic surgery to reconstruct form, shape of nose tip, narrow the nostril spans, aesthetic enhancement of the nose.Reconstructive rhinoplasty allows a surgeon to correct congenital deformity,collapsed dorsum, intranasal drug abuse, trauma and also failed primary rhinoplasty-which require restoration of form and nasal appearance.
Otorhinolaryngology ( ENT ) Instruments for Final MBBS Part 1 Sauradeep Dey
This is a list of otorhinolatyngology ( ENT ) instruments and their uses, commonly asked as a part of Final MBBS Part 1 (3rd year) practical examination.
You can freely use this ppt. provided you give proper credits to the owner. Thanks.
Tongue Release by Co2 Laser under Local or General Anesthesia is the easiest way to correct this problem.It is painless, no bleeding, no sutures and can be done as Day case procedure.
Presented By Dr.K.O.Paulose FRCS DLO Consultant ENT Surgeon Jubilee Hospital, Trivandrum, South India. www.drpaulose.com, www.snorefreesleep.com
Role for Turbinectomy In the Crowded Nasal Airway, Is Empty Nose Syndrome A R...Rex Moulton-Barrett
Does Empty Nose Syndrome Occur following turninectomy in patients with a crowded nasal airway? Hoe successful is turbinectomy in relieving nasal obstruction and chronis sinus headaches
Snoring and Obstructive Sleep Apnea:ManagementDr. Paulose
By Dr.K.O.Paulose FRCS DLO
Consultant ENT Surgeon, Jubilee Hospital, Trivandrum, South India.www.drpaulose.com
www.snorefreesleep.com
Presentation in Indian Medical Association meeting on 07102011, Trivandrum Chapter.
Laser Surgery Facial Mole:By Dr.K.O.Paulose FRCS DLODr. Paulose
Laser Excision of Moles in Face, Head and Neck:By Dr.K.O.Paulose.FRCS DLO, Consultant ENT Surgeon, Jubilee Hospital. Trivandrum.South India.
www.drpaulose.com
www.snorefreesleep.com
Ablation of Diffuse Keratosis and Resection of Thick Ulcerated Lesion on Late...Lumenis
Ablation of Diffuse Keratosis and Resection of Thick Ulcerated
Lesion on Lateral and Posterior Portion of Tongue Using
AcuPulse™ 40WG CO2 Laser System with FiberLase™ CO2 Fiber
Case by Marc Remacle, M.D. | CHU Mont-Godinne, University of Louvain, Belgium
Those who administer ionizing radiation must become familiar with the magnitude of exposure encountered in medicine, dentistry and every day life; the possible risks associated with such exposure; and the methods used to affect exposure.
Practitioners should remain informed about safety updates to further improve diagnostic quality of radiographs and decrease radiation exposure.
Similar to Nasal Allergy:Laser Treatment in India (20)
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
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8. What is Laser?
INTRODUCTION OF
LASER
Laser is an acronym that
stands for Light
Amplification by
Stimulated Emission of
Radiation.
The first concept of the
laser was initiated by
Albert Einstein in 1917.
9. Types of Lasers
CO2 Laser
Argon laser
The Nd:YAG (Neodymium:Yttrium-
aluminum-Garnet)
The Potassium-Titanyl-Phosphate (KTP)
10. CO2 Laser
The CO2 laser is the most versatile laser in
otolaryngology.
The carbon dioxide (CO2) laser emits a colorless,
infrared light
wavelength 10,600 nano microns
Principle: The radiant energy produced by the CO2
laser is strongly absorbed by pure, homogeneous
water and by all biological tissues high in water
content.
coaxial helium neon laser as aiming beam- red in
colour
11. How does a CO2 Laser work?
Ability to coagulate, cut,
vaporize
The main constituent of
cells-water, readily absorbs
the wavelength of light
produced by the CO2
surgical laser.
The surgeon can control the
extent by which the laser
beam is absorbed into
surrounding tissue,
resulting in an extremely
precise tissue incision.
12. Indications of Co2 Laser in ENT
Operations for snoring and sleep apnea
Operations for Allergic Rhinitis,Correcting deviated
Nasal septum, Partial turbinectomy (LAPT), Choanal
atresia, excision of Rhinophyma
Operations for voice disorders, the addition of the
microspot micromanipulator to the operating
microscope allows-arytenoidectomy, vocal nodules,
early ca lesions
Operations for nose bleeds, nasal polyps,
Rhinosporidiosis, Haemangiomas
Excision of Facial Moles, Keloid, Scars
13. Indications of Co2 Laser_contd
Ulcers on tongue, check, multiple areas of leukoplakia
can be precisely excised
Skin lesions on head, Face and Neck
Tonsillectomy
Tympanotomy, Myringotomy,Stapedectomy
(Bronchoscopic indications -management of recurrent
respiratory papillomatosis or granulation tissue within the
tracheobronchial tree, excision of selected subglottic or
tracheal strictures, excisions of bronchial adenomas.).
14. How It Works?
• The excitability of anterior
ethmoidal nerve is decreased, and
thereby vascular permeability and
nasal secretion are also decreased.
• Some of sensory nerves have
been cut, the sensory-
parasympathetic nerve reflex is
weakened, and at the meantime
release of vascular-origin intestinal
peptide as well as substance P is
also decreased.
• Scar formation of nasal mucosa
will prevent hypersensitivity.
15.
16. Advantages of Laser Surgery
Minimal operative bleeding due to coagulation of
blood vessels minor to 2 mm of diameter.
Reduced post operative pain due to minimal thermal
effect.
Increased accuracy of the surgical wound
Possibility of ambulatory surgery
Quick post op. healing
Better plastic result of surgical wounds due to
minimal scarring (that effect is very obvious in the
post tonsillectomy preservation of the tonsillar
pillars).
17. Disadvantages of Laser
Cost of equipment and maintenance .
(around USD 4000=Rs 4Lakh)
Special surgical skills
Increased setup time of equipment
Need of safety eyewear
Increased care for patient safety - explosion
or fire hazard.
Smoke
18. How Laser work?
Laser surgery is the most preferred
technique in removing moles. Laser removal
of moles is by far the most simple for
eliminating moles on the skin. In most cases
of laser removal anesthesia may not be
necessary.
The laser beam will also burn away the mole.
Depending on the size of your mole, you may
need multiple sessions to completely remove
it. No scarring , no bleeding, no pain and can
be done in OPD set up with surface
anesthesia.
19. How LAPT Done?
Patient is kept semi sitting in
an ENT chair (as seen in
picture) and Co2 CW at 6
watts setting, the turbinates
are cauterized. The procedure
takes 10-15 mnts on each
side. There is hardly any
bleeding and patient goes
home after few hours. This
gives very good results
22. LOCAL ANESTHESIA
The anesthesia parameters used in all patients
were for premedication , diazepam 5mg +
atropine 0,5 mg .For local superficial anesthesia
xylocaine spray 10 % + For infiltration
anesthesia xylocaine 2 % + 1: 100.000 adrenaline
solution.
23. General Anesthesia
These include wrapping aluminum tape around the
tube, placing wet cottonoids around the endotracheal
tube cuff, placing saline within the cuff using a metal or
xomed endotracheal tube.
Flexible stainless steel corrugated tubes are available
The most morbid complication of laryngeal laser
surgery is airway fire.Various methods have been
suggested for protecting the endotracheal tube and
larynx.
24. Advantages of LAPT
Fast
Painless
In Office
No Sutures
No Bleeding
Fast Recovery
No Hospitalization
No General Anesthesia
Immediate Return To Work
27. Allergic Rhintis
Allergic Rhinitis is an inflammation
of the nasal passages, usually
associated with watery nasal
discharge and itching of the nose
and eyes.
Allergic Rhinitis affects about
20-30 percent of the population.
The symptoms occur in the nose
and eyes and usually occur after
exposure to dust, danders, or
certain seasonal pollens in people
that are allergic to these substances.
28. Causes of Nasal Allergy
House Dust mites,
cockroaches, molds and
animal dander, are examples
of year-around allergens.
Tree, grass and ragweed
pollens are primarily seasonal
outdoor allergens.
Animal allergens are also
important indoor allergens.
The major cat allergen is
secreted through the
sebaceous glands of the
animal's skin.
29. Symptoms of Nasal Allergy
Repetitive sneezing; runny
nose, post-nasal drip; nasal
congestion, itchy eyes, ears,
nose or throat; and
generalized fatigue.
wheezing, eye tearing, sore
throat, and impaired smell.
chronic cough may be
secondary to postnasal drip
Sinus headaches and ear
ache, and itching are also
common
62. Post Op after 6 months
CT Scan of a patient who
underwent Laser surgery
to the Turbinates
The turbinates are
reduced in size
Patient symptom free
92. All Healing Comes From God
All healing comes from
God whether it is
supernatural or
through a surgeon or a
physician. He is still
the source of our
healing.
I am the LORD who
heals you, says God
93. THANK YOU
Dr.K.O.Paulose FRCS DLO
Consultant ENT Surgeon
Jubilee Hospital,
Trivandrum, kerala, South India
www.drpaulose.com www.snorefreesleep.com