Showing posts from June, 2023

Simple Tympanic Membrane Hole Closure Surgery - Pre- and Postoperative 1 Year Photos

Endoscope Assisted Eardrum Hole Repairing - Before and After 1 Year In the above image, it is seen that there is a central perforation in the eardrum before the operation, and in the photo below taken one year after the operation, the hole in the eardrum is completely closed. In the patient, the eardrum was repaired by endoscopic method, through the external ear canal (transcanal). " Island Graft Technique " was used for the graft placed in the eardrum. The purplish appearance is due to the dried residue of castellani solution that was dropped a few months ago. Eardrum Hole, Causes, Symptoms, Diagnosis and Treatment An eardrum hole, also known as a tympanic membrane perforation, refers to a rupture or tear in the thin tissue that separates the outer ear from the middle ear. The eardrum, or tympanic membrane, plays a vital role in transmitting sound vibrations from the outer ear to the middle ear, where the auditory ossicles (small bones) amplify the sound and send it to the i

Shortly Before General Anesthesia, Do Not Eat Food and Drink Water in Secret From Your Doctor!

General Anesthesia With a Full Stomach May Cause Fatal Lung Damage! Today I had one of the most difficult days in my professional life and I would like to share it with you. Even if the operation is planned under a simple operation or a short-term general anesthesia; There are various guides,i and rules that include what should be done before general anesthesia. For example, the pre-operative fasting and thirst period is very important for the prevention of aspiration, which is vital. Please do not hide your hunger and thirst times from your doctor! Before a simple septoplasty operation, I visited my patient in his room and inquired whether he had taken any blood thinners and the duration of hunger and thirst 1 week ago. My patient told me that he had been hungry and thirsty for more than 8 hours, and it was written in the patient's file that he was hungry and thirsty by the nurse ladies. When the anesthesia team started to give the first drugs for general anesthesia, gastric juice

Bichectomy (Buccal Fat Removal)

Removal of Excess Fats in The Cheeks Definition of Bichectomy Bichectomy, also known as Buccal Fat Removal, is a cosmetic surgical procedure that involves the removal of the buccal fat pads from the cheeks. The buccal fat pads are located in the lower portion of the cheeks, and their primary function is to provide cushioning and support to the facial muscles. Bichectomy is often performed for aesthetic purposes to achieve a more sculpted and defined facial appearance. By reducing the size of the buccal fat pads, the procedure can create a slimmer, more contoured look to the face. It is particularly popular among individuals who desire a more prominent cheekbone structure, a narrower face, or a more angular facial profile. The procedure is typically performed by a qualified plastic surgeon or a maxillofacial surgeon under local or general anesthesia, depending on the patient's preference and the complexity of the case. During the surgery, the surgeon makes small incisions inside the

A Contentious Method Used to Address Empty Nose Syndrome: Medialisation of Remaining Part of Inferior Turbinates

Medial Repositioning of The Inferior Turbinate In the examination of the patient, who had septoplasty and turbinate reduction procedures in different clinics before, and had symptoms of empty nose syndrome and nasal hyperventilation, the remaining part of the inferior turbinate in the left nasal cavity was quite small (image "1" in the upper photo), the intranasal air passage was larger than normal, It was observed that the nasal mucosa was dry, especially in the nasal region, dry mucosa and sticky secretion. The patient was advised to try breathing in this way for a few hours a day by narrowing the nose. For this, a 1 cm diameter cotton ball impregnated with eye ointment was used. Techniques such as inferior metatus augmentation (with cartilage implantation), modified Young's operation, gel filler injection and turbinate augmentation were suggested to the patient and discussed. I would like to point out here that most patients with empty nose syndrome have a limited amou

Inferior Meatal Cartilage Implant For Treatment of Nasal Hyperventilation

Submucosal Costal Cartilage Implantation (Inferior Meatus Augmentation Procedure (IMAP)) Cartilage Implantation areas are marked with yellow arrows. In the previous photo, the endoscopic nasal cavity is predominantly seen before the operation. The patient's complaints such as the feeling of cold air contact and the feeling of sticky secretion are seen in the right nasal cavity. As seen in the photo above, the inferior Turbinate is smaller than normal, the inferior meatus is seen as wider than normal, and the nasal mucosa is dry. The patient underwent inferior meatus submucosal cartilage Implantation and the following endoscopic examination photos were taken just two days after the procedure. As seen in the photo below, it is seen that the intranasal volume has decreased, the mucosa is quite healthy, and the incision scar in the implanted area is still not healed. The patient, who had previously undergone radiofrequency turbinate reduction and septoplasty operations in a different c