BILATERAL TONSILLECTOMY WITH LATERAL PHARYNGOPLASTY
Patient placed in supine position with neck hyperextended under general endotracheal anesthesia.
Asepsis, antisepsis and sterile draping done.
Dingmann mouth gag then carefully applied.
Intraoperative findings: grade 3 bilateral faucial tonsils.
Right anterior tonsillar pillar was infiltrated with a 1:100,000 solution of epinephrine & 2% lidocaine, after which it was incised using electrocautery.
Plane of dissection identified.
Right tonsil was dissected from its bed using electrocautery until fully delivered.
Hemostasis assured.
Same procedure was done on the Left tonsil.
The nasopharynx was visualized through a mirror, the adenoid was unremarkable without any sign of hyperplasia. No airway obstruction noted.
Washing done, Hemostasis assured.
Posterior right and left tonsillar pillars were sutured together with the anterior tonsillar pillar resulting in further widening of oral airway.
Dingmann mouth gag carefully withdrawn.
Specimen sent for examination.
Procedure was well tolerated.
Showing posts with label sleep apnea treament. Show all posts
Showing posts with label sleep apnea treament. Show all posts
December 13, 2010
December 4, 2010
More Pre-Operation Tests at St. Luke's Medical Center
More tests prior to operation done on November 29 and 30, 2010 at St. Luke's Medical Center, Quezon City...
August 26, 2010
Hopefully, This Is The Answer To Our Prayers.
I have a conversation today with a program researcher (PR) of a TV station based in Manila. She said, they are interested with the case of my son. I am not quite sure if they will be featuring our story, but as our conversation went on, we are probably be flying to Manila very very soon.
It is not still clear at this moment if their program will shoulder everything, every expenses when we are in Manila. But she told me that they will shoulder our fares and they already have communications with St. Luke's Hospital.
So, let's cross our fingers. Hopefully, this is the fruit of our labor, the answer to all our prayers.
Thank You All!
It is not still clear at this moment if their program will shoulder everything, every expenses when we are in Manila. But she told me that they will shoulder our fares and they already have communications with St. Luke's Hospital.
So, let's cross our fingers. Hopefully, this is the fruit of our labor, the answer to all our prayers.
Thank You All!
August 13, 2010
January 24, 2010
What the laboratory tests reveal
January 6, 2010. This day revealed that according to the laboratory tests, Magiting only have thick sinusitis, that the doctor said, it a bit easy to treat, Blood tests showed that he is fine, but the x-ray results showed sinusitis at his nasal airways. Practically, causing him to breath hard, that could be the cause of choking.
His apnea is not clear this point of time, as the doctor said, we still have to attend to sinusitis, for say, six months. Until then, if the situation is still the same, we have to go for the sleep test.
So far, our little angel is doing fine, although the snoring is still there, which is the one thing that we really have to get rid of.
But anyway, medication is on going, and so as the steam inhalation regularly.
And good thing, we have no problem with him in taking the meds.
His apnea is not clear this point of time, as the doctor said, we still have to attend to sinusitis, for say, six months. Until then, if the situation is still the same, we have to go for the sleep test.
So far, our little angel is doing fine, although the snoring is still there, which is the one thing that we really have to get rid of.
But anyway, medication is on going, and so as the steam inhalation regularly.
And good thing, we have no problem with him in taking the meds.
August 11, 2009
Sleep Apnea Treatment
To be able to relieve the symptoms of sleep apnea like loud snoring, sleepiness during daytime and to restore regular breathing while asleep, the patient can be treated with some of the available procedures and instruments. Though the doctors will recommend, it is with the patient to agree which is most suitable for him.
Some specific types of treatment includes Lifestyle changes, mouthpieces, breathing devices and surgery. As I search the internet, I could not see any answer if there are already medicines to treat sleep apnea.
Lifestyle Change
This type of treatment suits patients with only mild sleep apnea. Only some of the daily activities or habits should change like taking medicines that make him sleepy. Alcohol also makes a person sleepy so it is advised to avoid drinking such.
Overweight or obese patients has to lose weight. That would be a simple diet to lose extra weight. Instead of sleeping on his back, the patient can sleep on his sides to keep his throat open. Stop smoking or prevent second-hand smoke.
Mouthpiece
A mouthpiece may help some people who have mild sleep apnea. This is also recommended by doctors to people who snores loudly but do not have sleep apnea. Dental practitioners can make mouthpiece which will adjust the airways between the lower jaw and the tongue that will keep them open while his sleep.
Continuous Positive Airway Pressure
CPAP is the most common treatment for moderate to severe sleep apnea. The machine uses a mask that fits over the mouth and nose, or just over the nose. It gently blows air into the throat that keeps it open. The air that is pressurized can be adjusted enough to stop the airways from getting blocked during sleep.
With the three types of treatment mentioned, snoring can be stopped but it doesn't mean that the patient no longer have sleep apnea. With improper use of CPAP or if the patient will stop using the machine, sleep apnea will get back.
Also, there are reported side effects in using CPAP, like stuffy nose, sore eyes, headaches and irritation of the skin.
Surgery
This type of treatment could be the most effective way to stop sleep apnea, but also the most expensive and risky as the patient will undergo a major operation.
Surgery is done to widen the airways which usually involves shrinking or stiffening excess tissue in the mouth and throat which can be done in the doctor's clinic or a hospital. Stiffening excess tissue will be done a making a small cut in the tissue and inserting a small piece of stiff plastic.
Surgery can also be done to remove excess tissue or tonsils (if this causes the blocking of airways) which can only be done in the hospital.
For some children with larger than normal tonsils, doctors may suggest to wait for some time to see whether these tissues will shrink on their own as they grow, as this is common to small children and babies.
Some specific types of treatment includes Lifestyle changes, mouthpieces, breathing devices and surgery. As I search the internet, I could not see any answer if there are already medicines to treat sleep apnea.
Lifestyle Change
This type of treatment suits patients with only mild sleep apnea. Only some of the daily activities or habits should change like taking medicines that make him sleepy. Alcohol also makes a person sleepy so it is advised to avoid drinking such.
Overweight or obese patients has to lose weight. That would be a simple diet to lose extra weight. Instead of sleeping on his back, the patient can sleep on his sides to keep his throat open. Stop smoking or prevent second-hand smoke.
Mouthpiece
A mouthpiece may help some people who have mild sleep apnea. This is also recommended by doctors to people who snores loudly but do not have sleep apnea. Dental practitioners can make mouthpiece which will adjust the airways between the lower jaw and the tongue that will keep them open while his sleep.
Continuous Positive Airway Pressure
CPAP is the most common treatment for moderate to severe sleep apnea. The machine uses a mask that fits over the mouth and nose, or just over the nose. It gently blows air into the throat that keeps it open. The air that is pressurized can be adjusted enough to stop the airways from getting blocked during sleep.
With the three types of treatment mentioned, snoring can be stopped but it doesn't mean that the patient no longer have sleep apnea. With improper use of CPAP or if the patient will stop using the machine, sleep apnea will get back.
Also, there are reported side effects in using CPAP, like stuffy nose, sore eyes, headaches and irritation of the skin.
Surgery
This type of treatment could be the most effective way to stop sleep apnea, but also the most expensive and risky as the patient will undergo a major operation.
Surgery is done to widen the airways which usually involves shrinking or stiffening excess tissue in the mouth and throat which can be done in the doctor's clinic or a hospital. Stiffening excess tissue will be done a making a small cut in the tissue and inserting a small piece of stiff plastic.
Surgery can also be done to remove excess tissue or tonsils (if this causes the blocking of airways) which can only be done in the hospital.
For some children with larger than normal tonsils, doctors may suggest to wait for some time to see whether these tissues will shrink on their own as they grow, as this is common to small children and babies.
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