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July 04, 2018

Video of Nasal Packing for Severe Nosebleed Control

Although the vast majority of nosebleeds are more annoying than life-threatening, some are so severe that an ER visit is required. At other times, nosebleeds occur not unexpectedly after sinus surgery, rhinoplasty, or some other type of nasal surgery. The video above demonstrates how such severe nosebleeds are typically controlled with nasal packing. This procedure is most commonly performed in the ER, operating room, or ENT office.

Special shout-out to Nick Gallo of Physical Therapy 101 who m…

June 30, 2018

Possible Solution to Excessive Facial Sweating?

Every once in awhile, I see a patient with a chief complaint of excessive facial sweating. Treatment for this condition is quite limited with options that have unfortunate downsides. But one new recently FDA approved treatment may change the landscape for this particular complaint.

But first, let's go over current treatment options:

• Botox injections. It helps not only wrinkles, but also helps prevent sweating from skin wherever botox injection is performed. Downside is that in order to g…

June 23, 2018

New Video Showing When and How to Use Ear Drops

Given antibiotic ear drops are one of the more common prescriptions ENT doctors prescribe, this video explains how to properly use ear drops both in kids in adults in 5 steps to treat mild swimmer's ear infections (otitis externa) as well as middle ear infections with or without drainage (assuming hole or tube is present in the eardrum).

Step 1: Lean the head over such that the affected ear is pointed straight up.

Step 2: Pull the ear gently towards the top and back part of the head. This…

June 09, 2018

Potential Increased Long-Term Risk of Diseases with Tonsillectomy and Adenoidectomy

The New York Times published a story on June 7, 2018 publicizing a Danish 2018 study that suggested that children under 9 years old undergoing tonsillectomy and/or adenoidectomy are at increased long-term risk of respiratory, infectious, and allergic diseases. (Adults undergoing this surgery were not investigated.)

All prior studies evaluating for any adverse affects from surgical intervention looked more at any unusual immunological changes after surgery; these studies did not show any obvious…

Turn Apple AirPods Into Hearing Aids with iOS12 using iPhone

Given how pervasive iPhones and AirPods are, Apple has taken a committed step to helping those who have difficulty with hearing things clearly. With its new upcoming iOS12 software update later this year, individuals who own both an iPhone and AirPods will be able to turn the AirPods into a hearing amplification device through its new Live Listen feature.

Please note that the title of this blog article is a bit of a misnomer. Technically, this would not be a hearing aid, but an amplification de…

June 05, 2018

Tonsillectomy WITHOUT General Anesthesia Using Only Local Anesthesia

I always thought that tonsillectomy can only be performed under general anesthesia. I was wrong... In some countries even now, awake tonsillectomy is routinely performed using only local anesthesia. There has even been some papers written on this topic which I was not aware of until now.

According to one 2018 paper, a local anesthetic tonsillectomy without general anesthesia is performed the following way:
...cold steel method of dissection, using tonsillar snare at the inferior tonsillar pole…

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VIDEO: What Causes a Clogged Ear?

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