Dr Nyoka | Ear Nose Throat

07/11/2018

https://www.youtube.com/watch?v=JDGTj9cIO2U

What are Adenoids? What do they do? What problems do they cause? What is involved in taking them out? 3:55 mark goes into detail about the post-operative rec...

07/11/2018

https://youtu.be/79Ndv-Va4NE

Tonsillectomy - Indications When do we consider taking out the tonsils? Why would we perform a tonsillectomy? Summary - we take out the tonsils when: 7 sever...

10/01/2018

https://www.youtube.com/watch?v=O_kJ192w9MU

Insertion of a grommet (tympanovstomy tube) in right ear for treatment of glue ear (otits media with effusion and eustachian tube dysfunction).

10/01/2018

https://www.youtube.com/watch?v=05iZn07Lk0o

Nasal foreign bodies (NFBs) are commonly encountered in emergency departments. Although more frequently seen in the pediatric setting, they can also affect a...

13/07/2015

https://www.youtube.com/watch?v=lztIg9EpEQ8

This video depicts endoscopic sinus surgery for a patient suffering from allergic fungal sinusitis. In addition to that, an external right frontal sinusotomy...

13/07/2015

https://www.youtube.com/watch?v=vM-TJkK6mhI

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02/03/2015

https://www.youtube.com/watch?v=n-qV_siuq84

Peritonsillar abscess (PTA), also known as a quinsy or quinsey, is a recognized complication of tonsillitis and consists of a collection of pus beside the to...

02/03/2015

https://www.youtube.com/watch?v=IyUF-FZiQnw

Dr. Melissa Arca, a.ka. Dr. Mom, explains the croup and how to treat it.

26/02/2015

https://www.youtube.com/watch?v=-nb8JkfrgLU

Whooping cough has officially been declared an epidemic in the state of California! What is it, and why are there so many more cases lately. Trace is here to...

04/02/2015

CAUSE OF ADULT SNORING CASE REPORT This is a case of excessive snoring due giant benign tonsils, each measuring about 10cms in length. The patient was brought in by his wife with snoring, sleep apnoea (absence of breathing), and hypersomnolence (excessive sleepiness). Snoring in adults is very common. I discuss briefly its diagnosis, management, more specifically the surgical management. CASE REPORT A thirty-six-year-old male presented with a history of excessive snoring. He also, according to his wife, had several episodes each night of sleep apnoea. He was also hypertensive and on treatment for 2-years. He was obese, with a broken nose and had unusually large tonsils. He was booked for a tonsillectomy and a septoplasty. The tonsils were large, and each was about 10cms in length. The uvula was also elongated and was removed-uvulo-palato-pharyngoplasty. Histology showed a benign tonsillar inflammatory response. FIGURE 2: A tonsil measuring in excess of 10cms. Such was the size of his tonsils that his snoring subsided almost immediately after the surgery. The patient has been followed up for 2 months with no recurrence of snoring. His wife informs me that he is also free of apnoea and hypersomnolence. I have strongly advised them about the importance of weight reduction. DISCUSSION Snoring is the loud and raspy sound produced during sleep as a result of upper airway obstruction. It is common, and affects, in varying degrees, about 45% of adults. It can lead to serious and even left-threatening medical conditions e.g. a heart attack. It is also a nuisance to the family and spouses. It is caused by the obstruction of the upper airway by large tonsils, tumors, skeletal deformities (deviated nasal septum), inflammatory, adenoids and cranio-facial anomalies in children,, etc.. Obesity is an important factor in both adults and children. Its complications include hypoxia (coronary and cerebral ischaemia), hyper-somnolence, hypercabnia, pulmonary hypertension and cor pulmonale, systemic hypertension. It has been reported as one of the causes of sudden infant death syndrome (SIDS). Investigations include radiology for adenoids and other anomalies. The chest X-ray may show right-sided cardiomegaly. Naso-endoscopy clearly displays the cause of obstruction in many instances. Polysomnography is a full sleep study that monitors the EEG, EMG, ECG, eye movements, oxygen saturation, chest and abdominal movements, oral and nasal airflow. Treatment is usually directed at the cause e.g. surgery of tonsils, septum, adenoids, for macroglossia, tracheostomy, and UVPPP (uvulopalatopharyngoplasty). Diet and lifestyle changes are important. Continuous Positive Airway Pressure (CPAP) is also very useful in adults with apnoea as an alternative to surgery. Medical treatment is of little value. SUMMARY Snoring in is very common and affects almost half the adult population. It can lead to serious medical complications. In adults, there is often more than one cause. As in our case, surgery is often an important therapeutic adjunct to lifestyle changes.

13/01/2015

https://www.youtube.com/watch?v=03XZT9yx4jM

Health Talk: 10 January 2015 Ear, Nose and Throat Conditions. From sore throats with difficulties in swallowing or talking that painful ear with diffculties ...