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Friday, October 19, 2007

New Sinus Surgery Operation- Sinuplasty

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A new sinus surgery procedure has emerged in recent months. It is called sinuplasty, and it is similar in concept to angioplasty. That is, a small balloon is inserted into the sinus passages of the patient, the balloon is inflated, then deflated, and then removed. It is claimed that the passage will remain open for some time because of the small malleable bones in the part of the head where the sinuses are located. The theory is that once the balloon is withdrawn, these bones have been moved slightly and will remain in place. If this in fact proves to be true by follow-up tests and studies, this would undoubtedly be an interesting option for many sinus sufferers.

It is claimed that there is little pain in the sinuplasty procedure. I personally have had two sinus operation, and the pain and discomfort involved in each was substantial. After the first operation my nose was “packed”. That is, a large amount of gauze was placed in each nostril to stop bleeding and help start the healing process. Thus, all breathing has to be done through the mouth for the week or so that the gauze stays in the nose. It is very difficult to eat like this, because one cannot swallow food and breathe at the same time. Removing the gauze was another painful experience. The ENT specialist said that “this will feel like I’m pulling your brains out”. He was right, and that is exactly what it felt like. With regard to pain, I feel that I’m willing to tolerate it if going through the pain will accomplish something. In the case of my two sinus operations, I was still coming down with infections afterwards, so all the pain was really for nothing.

There are no long-term, scientific studies yet to show how effective the operation is. Several are under way, however, and it will be interesting to see the results. One study of 100 patients is due to be released in September, and another with 80 participants should be released subsequently. I personally don’t recommend sinus surgery to people because it seems that even if there are positive results, they only last a short time. I’ve heard of people having had 4 or 5 sinus operations, and one wonders what operation number 5 might accomplish that numbers 1-4 did not. The anecdotal stories of people who had suffered from chronic sinusitis and tried sinuplasty are encouraging, however. The ABC evening news ran a story about the procedure not long ago, and they interviewed a person who said her results were immediate and excellent. In any case I would recommend trying pulsating nasal irrigation with a saline solution before any surgery procedure, but if simplasty proves to be effective in the long term, this may be an excellent option for many sinusitis sufferers. If one has polyps, however, it should be noted that sinuplasty will not be an option, as the polyps will need to be removed by invasive surgery.

The sinuplasty procedure was invented by a doctor who himself had severe sinus problems, and he had the thought that something analogous to the angioplasty balloon procedure might be applicable in the sinus cavities. He is now producing and selling the medical device which is used in the procedure, and this has recently been approved by the FDA for use in operations. Only about 100 doctors in the U.S. have been trained to do this operation so far. The results of the studies mentioned above will no doubt influence if some of the over 350,000 traditional invasive sinus surgeries performed each year in the U.S. can be changed to this non-invasive variety.

Walt Ballenberger is founder of http://www.postnasaldrip.net/, a resource web site for sinusitis sufferers. Ballenberger is not a medical professional, just a sinus sufferer for years. He found relief using pulsating nasal irrigation among other things. The site has articles and other information, including a blog where others can exchange ideas about treatments, products, etc.

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    Sunday, September 23, 2007

    Diagnosing And Treating Sinus Infections

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    If you consult a physician, he will mostly diagnose sinus diseases by a complete history of your signs and by examining your sinus area and the upper respiratory system. A simple but efficient way to diagnose sinus inflammation and infection is to exercise pressure on the forehead and cheek bones sinuses; it the area is sensitive, a positive diagnose may be established.

    Another method of diagnosis is introducing a light into the sinuses to look for inflammation; if the light doesn’t shine through, the sinuses are congested.

    Additional medical exams like CT-scan, MRI (magnetic resonance image) or an X-ray can be useful in case of an acute episode or in case of chronic symptoms. If the tests are not concluding, the doctor can ask a specialized check from the otorhinolaringologist, an ear, nose and throat specialist. He might perform a nasal endoscopy (rhynoscopy) using an optic fiber to see the sinuses and verify their anatomy and function. A sinus puncture can also help establish what kind of virus or bacteria is causing the sinus infection.

    Best methods of preventing sinus infections are avoiding all kind of flu or cold. If they have already occurred, rapid and adequate treatment must be applied. You can try the following methods to prevent apparition of colds:

    1. Annual immunization for Influenza
    2. Wash your hands after any contact with foreign objects
    3. Protect and stimulate your immune system by eating fruits and vegetables rich in vitamins, antioxidants and intensive chemicals
    4. Reduce causes of stress in your life

    Treating sinus disorders must mainly goal the eradication of signs and symptoms of inflammation and infection. Inflammation can be annihilated by using different humidifiers and also by surgical means in rebel cases of sinusitis. The sinus infection requires anti biotherapy for the certain organism affecting the sinuses.

    Some diets can prevent, treat or shorten the cold or flu. Homeopathic methods can contribute together with the antibiotics to the resolution of the inflammation and infection. Herbal compounds can also stimulate your immune system. Still, every single herbal remedy has different actions according to the specific physiology of the body. A doctor must be asked before taking a home treatment of different compounds.

    A major improvement of sinus infection symptoms can occur after homeopathic cure or after a few therapeutic sessions of acupuncture. Acupuncture is especially recommended for patients suffering from chronic sinusitis.

    The nasal and sinus congestion might be reduced by using a humidifier or a nasal spray with saline content. Inhalations of steam 2-4 times per day can also easy your air circulation through the sinuses.

    So, if you want to find out more about sinus infection symptoms or aven about antibiotics for sinus infections you should visit this link http://www.sinus-infection-guide.com/

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    Monday, September 10, 2007

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    Wednesday, August 15, 2007

    Sinus: Be Aware of Sinus Infections

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    Sinus is the dilated channel in the skull bone connecting to the nostril containing venous blood chiefly and air. The term sinus is derived from a Latin word meaning curve or hollow space in the body. In human being the sinus is the mucus lined hollow spaces in the facial bones, connected to the nose through passageways that assist in moistening and warming the inhaled air.

    In plants sinus is the indentation or notch between the lobes in the corolla of the flower or leaves. Whereas in non-chordates it is the hole between viscera and muscles through which blood flows back to the heart. The term sinus is used to signify different structure in different organisms including dilated portion of the blood vein in braincase, alternate name of the hemocoel, nostril etc. whereas sinus is different from fistula that is the connecting link between two epithelial facades.

    The pathological troubles arise in the sinus when its passageways are blocked due to certain factors like allergy or cold, and the condition is termed as sinusitis. There mucus got accumulated due to the blockage of its passage leading to the general discomforts like headache, pain, pressure etc. and this accumulated mucus becomes the breeding ground of bacteria. Sinusitis is the constant devastating sinus infection for which proper care must be taken. Nostril is an important organ for respiration and breathing in the body which get trouble due to sinus infections including the inflammation of adjoining facial cavities of the nose especially frontal, sphenoid, ethmoid, maxillary etc. The signs and symptoms of sinus infection accompanies with facial pain, headache, fever, nasal congestion, yellow or green nasal discharges, heavy feeling on the face etc. and this may also be due to certain structural problems like diverged nasal polyps, septum.

    There are different ways of treating sinus infection including preventive measures, treatment on diagnosis. Nasal irrigation, steam inhalation, drinking hot fluids like hot tea, water, coffee, chicken soup are common treating ways that can be done along with daily activities. Medication like paracetamol, aspirin like decongestants are also generally recommended for treating sinus infections. But when the symptoms are serious and last for longer than 48 hours then consulting ENT specialist is must and generally doctors prescribed for nasal steroids or antibiotics.

    People must get the sinus infections treated immediately as untreated sinusitis may lead to pneumonia, bronchitis like respiratory problems in near future. Preventive measures are the best ways of treating sinus infections than curing and must restrict smoking as it is main stimulant for sinusitis. Test for allergy must be done for preventing sinus infections from different allergic agents and maintenance of immunological consistency is a must. Surgery is another effective and common treatment of sinus infections that mainly preferred for chronic infections. Thus sinus is such a health trouble comprising of irritating and agonizing persistence and immediate diagnosis and treatment is of much importance.

    What is sinus? What are its infections and what are the causal factors for sinusitis? Log on http://www.wellbeingnew.com/ for getting your answer. Nandeshori Devi Konthoujam has been associated with various sites like http://www.aboutlivingmylife.com/ for articles on health related and various topics.

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    Tuesday, August 14, 2007

    Symptoms And Causes Of Sinusitis - Part Two

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    Bacteria such as Haemophyllus Influenza or Streptococcus Pneumonia are usual inhabitants of our upper respiratory tract causing no damages to the body. When the organism is affected by another viral infection, is weaken or the sinuses are obstructed, they lead to an acute sinus infection. Fungal organisms like Aspergillus and Curvularia cause an allergic sinusitis to persons with suppressed immune systems.

    Patients with nasal polyps or asthma can easily develop sinusitis during medication with non-steroidal anti inflammatory drugs like aspirin or Ibuprofen.

    Chronic sinusitis, as well as acute sinusitis can be especially caused by the allergic rhinitis, a nasal inflammatory disease. The condition known as vasomotor rhinitis is triggered by cold air, humidity, perfumes and alcohol also induces sinus infections.

    Most common cause of chronic sinusitis is allergic factors in the air producing sinus inflammation; such allergens are dust, pollen, mold and they set off allergic rhinitis, the primer stage to a chronic sinus condition. Pollution and damp weather are also important triggers for chronic sinusitis. Allergic fungal sinusitis is given by the body’s reaction to outer fungus by releasing chemical compounds which produce inflammation and cause sinusitis.

    Inhaled allergens make the bodies immune and defense cells to release histamine and other allergic factors on the sinus mucosa, leading to its swelling and to blocking the mucus drainage.

    Nasal polyps and septum deviation are congenital or gained anatomical abnormalities and can cause sinus infections as well by keeping the mucus inside the nasal passages. The deviated septum means the inclination of the central nose bone between the nasal passages on one side, often the left side.

    People usually treat all symptoms like the ones from a cold and ignore the possibility of sinusitis. The acute sinusitis lasts longer than a cold and doesn’t get better without treatment. Doctors set the diagnosis after a complete medical history, physical exam and radiological methods. The main concern of the treatment is to reduce pain, cure the inflammation and infection and resume the nasal drainage.

    Sinusitis caused by bacterial organisms can be easier cured with a combination of antibiotics and nasal decongestant sprays. This kind of medication can cause side-effects like swelling and congestion.

    The worst type of sinus damage is the combination between allergic condition and sinus infection; both cause congestion, discomfort, inflammation and excessive mucus secretion. Nasal sprays with steroidal components can be used for a longer time and usually have no side effects, except maybe irritation of the mucosa of the nasal passages.

    So, if you want to find out more about sinus infection or aven about home remedies for sinus infection you should visit this link http://www.sinus-infection-guide.com/

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    Monday, August 13, 2007

    Sinus Headache – A Common Sign of Chronic Sinusitis

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    By definition, a sinus headache is a headache caused by pressure inside the sinus cavities of the head, most often in connection with an infection of the sinuses. Common symptoms of a sinus headache may include pain and tenderness in the sinus area, discharge from the nose, and swelling of the face.

    Often times it can be misleading to use the term headache in this way as recent studies indicate that a 'sinus headache' is often misdiagnosed by the sufferer and may instead be a tension headache or a migraine headache. A headache may be a sign of a more serious condition such as high blood pressure, brain tumor, eye problems, nerve problems, dental problems, myalgia or allergies. To obtain a proper diagnosis, an evaluation by a trained professional is absolutely essential. Diagnosis usually requires examination, an x-ray study of the sinuses and if necessary, an MRI or CT scan.

    A sinus headache may create pain behind the eyes and in the ears as well as a constant feeling of pounding in your face and head. A sinus headache is just one of several possible symptoms of sinusitis, more commonly referred to as a sinus infection.

    Most patients with chronic sinus infections do have some degree of headache or facial pain, which needs to be addressed. It is important to try to differentiate if your headache is sinus in origin or due to another cause, since treatment for different types of headaches varies greatly. Trying to cope with a chronic sinus headache can be extremely frustrating as it can make concentration and performance of even simple tasks extremely difficult.

    As with many health conditions, the best way to deal with sinus headache is to treat its source. A sinus headache is often the result of a bacterial or fungal infection in the sinus cavities. The sinuses are connected to the nose and throat and are most often plugged by infection and congestion in the nose. Therefore, eliminating infection and maintaining the health of your nasal passages can significantly impact how often and how long you will have a sinus headache.

    In 1999, The Mayo Clinic released its findings that fungus is likely the cause of nearly all cases of chronic sinusitis. Physicians will often prescribe antibiotics in the treatment of a sinus infection. While antibiotics do not work against fungus, colloidal silver has been shown to kill both fungus and bacteria. Many people have reported positive results when using a colloidal silver mineral supplement as a part of their treatment program for Fungal Sinusitis.

    You should consult a licensed physician if you believe you have a serious health issue. You should also do a comprehensive research about colloidal silver, antibiotics and any other type of treatment before accepting anyone’s opinion about how to care for your health.

    Michael Harader is an expert author who writes on various subjects including Sinus Headache from Sinus Infection and Colloidal Silver for Chronic Sinusitis as well as other related and non-related topics.

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    Thursday, August 9, 2007

    Sinusitis and Biofilms - An Introduction - Part 2

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    Properties of Biofilms

    As mentioned, the scum layer produced by the biofilms seems to form a sort of protective barrier for the bacteria and other microorganisms it encases. The literature states that the bacteria in biofilms can be up to 500-1000 times more resistant to antibiotics than normal free-floating bacteria, and research is ongoing to determine the exact mechanisms to explain this. In addition, biofilms occasionally release a portion of their bacteria, and this discharge can migrate and cause infection at a new location. At present there are no simple methods available to test for the presence of biofilms, so it is not an easy task to determine if they are present in a patient’s nasal system. The slime or scum layer looks a great deal like normal mucus.

    Status of Biofilm Research as it Pertains to Chronic Sinusitis

    Research regarding biofilms and sinusitis is still in its early stages. Most scientific papers describing research into the subject have been attempts to prove the theory that biofilms are present in chronic sinusitis patients and that they are a factor in the condition. We are a long way from seeing studies that might test how beneficial a certain treatment might be, or even how an ENT could easily determine if a patient has biofilms in his nasal passages.

    Available Treatments

    Some people suggest that nasal irrigation can be beneficial for people with biofilms, and this is certainly a good idea for other reasons as well. In fact it may be the single best thing that people with chronic sinus problems could do for themselves in the opinion of this author. Some studies seem to indicate that the only cure at present is debridement, or physical removal of the substance by an ENT. Again, we are in the early days of research into the theory, so it will be years before it becomes main-stream and other treatment therapies are developed and tested. If I were desperate with sinus problems and had tried every known therapy with no success, (including topical fungal therapy, which is also a relatively new approach) I think I would try to contact one of the medical schools at the universities that are doing research on this topic and see what I could learn or if I might be included in one of their formal studies. Among these are the University of Pennsylvania in Philadelphia, West Virginia University in Morgantown, the University of Pittsburgh School of Medicine, the Universite of Montreal in Canada, the Naval Medical Center in San Diego, Cambridge in England, Dartmouth College, the Center for Biofilm Engineering at Montana State University, and the University of Edinburgh in Scotland, among others. I easily found extracts of papers written by all of these entities with a simple internet search on “biofilms”.

    Conclusion

    Research thus far shows a strong correlation between chronic sinusitis and the presence of biofilms in the nasal cavities of chronic sinusitis sufferers. Much more research to prove the theory definitively and to see it become a main-stream diagnosis remains to be done. At this point people are not even talking about such treatments as nasal sprays or other medications. Sinus sufferers should at least be aware of the issue and keep an eye on what research is being reported, as well as irrigating their noses with a saline solution daily. As noted above, there are a good number of research labs studying all aspects of biofilm research around the world, both medical and non-medical, so hopefully we will have some day an answer to the question posed at the beginning of this article and be able to effectively treat the group of people who continue to suffer from sinusitis despite years of treatment and multiple surgeries that do not bring permanent relief.

    Walt Ballenberger is founder of http://www.postnasaldrip.net/ a resource web site for sinusitis sufferers like himself. For a free report entitled “Sinus Treatment Success Stories”, visit http://www.postnasaldrip.net/ and click on the Free Report link. This resource can be of significant help to chronic sinus sufferers.

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