Dr Pristyn Care

Chronic Suppurative Otitis Media causes recurrent or persistent discharge through a perforation in the tympanic membrane, and can lead to thickening of the middle ear mucosa and mucosal polyps. It is a common cause of hearing impairment, disability, and poor scholastic performance.

Hi,

I am Dr. Vivek Kumar Pathak, MBBS MS ENT. I am an ENT specialist. Today I am going to discuss about the medical condition which is called Adenoid tonsillitis. So what are tonsils? Tonsils are nothing but they are a connection of lymphatic tissues which are present in the palatine, they are called as Palatine tonsils. There are certain tonsils which are present in the nasopharynx, they are known as the Adenoids. So these tonsils sometimes become hypertrophic, they increase in size. So whenever they increase in size, there are certain symptoms with which the patient comes in the OPD or the casualty. The symptoms are difficulty in swallowing, fever, sleep apnea, difficulty in breathing at the bedtime and similar condition with the adenoids.

Adenoid are more common in children. Normally they regress by the age of 12 to 13 years. Sometimes the adenoids are very much hypertrophic, then they cause difficulty in breathing, recurrent sinusitis, sometimes the child sleeps with mouth open. Whenever the patient develops all these symptoms, these tonsils and the adenoids we have to remove them. First of all we go for medical treatment. If the patient doesn't get treated we go for the surgery. The surgery for these hypertrophic tonsils and adenoid is removal. Nowadays we use a precise instrument like Coblation and laser to remove these adenoid and tonsil. By this technique, the blood loss is very less so you can say one drop or two drop of blood loss is there. The post-of period is painless. Nowadays we use the coblation method. If you are having these symptoms or your child is having these symptoms of tonsillitis and chronic adenoid hypertrophy then you can come to us and get relieved.

Thank you.

Hi!

I am Dr. Vivek Kumar Pathak. Today I am going to discuss with you regarding a medical condition of your underline throat that is called as Vocal Polyp. It is a type of voice disorder. So what happens? There is a formation of a polyp over the vocal cords. So vocal cords are the structures which are responsible for speech production. So because of this polyps, the patient develops hoarseness of voice. So the main symptoms in case of vocal cord polyp is a hoarseness of voice. So, there are various types of voice disorders. So, number 1, whenever there is a structural abnormality over the vocal cord like vocal polyp, vocal nodule, Reinke's edema or there are certain functional disorder like dysphonia. So in case of, whenever a patient of hoarseness of voice comes in OPD, first of all we do certain investigations or examination. Number 1 is laryngoscopy examination.

This can be done like OPD basis or in operation theatre. So first of all we look at the movement of vocal cord or any structural abnormality or any functional abnormality of the vocal cords. So the patient is having vocal polyp, we suggest certain type of surgery that is called as microlaryngeal surgery. So basically microlaryngeal surgery is a surgery to remove the vocal polyp with minimal damage to the vocal cords. So, with fine instruments we excise the polyp and the patient can gain a normal voice after the surgery or with other disorders we can treat accordingly like if a patient is having a dysphonia, we can give certain type of speech therapy or certain medical treatment is also there, we can give proton pump inhibitors also. So basically the management of a patient of hoarseness of voice depends upon the cause which has caused hoarseness of voice. So if a patient is having vocal polyp, we can excise the polyp by microlaryngeal surgery.

If the patient is having functional disorder, we can treat it accordingly. If a patient is having the goats over the vocal cord, we can excise the tissue and send it for histopathological examination to rule out any malignancies especially for patient is above 60 years and patient is chronic smoker. So, the management is medical or surgical. That's much. So in our centre we are doing this microlaryngeal surgery. Anybody can come and go for consultation if the patient is having hoarseness of voice especially if a patient is above 60 years.

Thank you!

Hi,

I am Dr. Kundan Kharde so, today I will be discussing laser and laparoscopy in general surgery. So, both topics fall under minimal access surgery. Laparoscopy is basically surgery of the abdomen with the help of some optic fiber. In this, we make very small incisions. And through these buttonholes, we insert some cameras and optic fiber. We get a better and magnified view of internal organs on a big screen.

With the help of an instrument, we can operate many abdominal surgeries like appendix, gallbladder stones, and even hernia can be treated with laparoscopy. So, what are the advantages of laparoscopy surgery? As I said that the wound and the cut will be very small. So, there will be less pain, recovery will be faster. Hospital admission will be very less. Apart from this, we also do laser. Laser in general surgery is mostly used for varicose veins. We use laser for piles, fistula, and fissures. With the help of the laser, we can correct all those problems. The laser enables us to operate these cases in a minimal way. It gives fewer wounds, faster recovery, less pain, and lesser hospital stay.

Thank You.

Hello everyone!

I am Dr. Vivek Kumar Pathak, MBBS MS - ENT specialist. Today I am going to discuss about deviated nasal septum. So what is deviated nasal septum? First of all we have to know that what is nasal septum? Nasal septum is a partition between the nasal cavity which divides the left nasal cavity and the right nasal cavity. Nasal septum comprises of the cartilage part and the bony part. The cartilage is called as the septal cartilage or quadrilateral cartilage. Sometimes during the development of the body and face, the nasal septum becomes deviated specially at the time of 17 to 18 years and the patient develop certain symptoms. The symptoms can be nasal obstruction, there can be recurrent episodes of sinusitis, there can be bleeding from the nose. So asymptomatic deviated nasal septum has to be corrected. The treatment of deviated nasal septum can be done by operation called as septoplasty, Septoplasty is the correction of the deviated part of the nasal septum.

It can be done endoscopically or it can be done by open surgery. Nowadays we are preferring endoscopy surgery for the nasal septum deviation. Any patient who is having all these symptoms with deviated nasal septum, the septoplasty can be done. It is done in our centre. Anyone who is having the symptoms, is having deviated nasal septum can get corrected by septoplasty which is simple procedure which can be done under local anaesthesia and if the patient is apprehensive, it can be done under general anaesthesia.

Thanks!

Hi! Myself Dr. Vivek Kumar Pathak. I am ENT specialist. Today I am going to talk about nasal polyps. Nasal polyp is a condition of the polypoidal nasal mucosa or the diseased nasal mucosa. The polyps can be allergic or they can be antrochoanal polyps. The allergic polyps are ethmoidal polyps. Regarding the management of antrochoanal polyps we have to give antibiotics and following that we have to go for Polypectomy. In case of allergic polyps, first of all we need to go for medical management, we have to give anti-allergic, antihistamine nasal steroid and if the patient doesn't get improved by the medication then we have to go for a surgery that is functional endoscopic sinus surgery.

This functional endoscopic sinus surgery is basically a surgery which is done by the endoscope. We have to remove the diseased nasal sinusoidal mucosa. With that the patient get improved. The main symptom in case of polyps is the nasal obstruction, anosmia. The patient gets very much relief from these symptoms. The surgery is very much beneficial in case of patients with polyps. Regarding the surgery, there are few complications but they can be managed.

I want to conclude that polypoidal nasal mucosal is a diseased mucosa which can be managed medically or surgically. If the patient doesn't get improved by medication then we have to go for functional endoscopic sinus surgery. It is done in our centre. We have affiliated centre for the surgery and anybody can consult for the surgery and can get relief from the symptoms. Regarding the functional endoscopic sinus surgery which is done at our centre, you can consult me at my clinic. In both the centres, we have this facility for operating the patient.

Congenital Orthopedic disorders in Children

Here are some tips that will help you to manage joint injuries and disabilities

Joint Injuries and Disabilities
Hello friends! I’m Dr. Kamal Bachani. I’m practicing Orthopedic Surgeon in Delhi for the last twenty years and plus.
Joint related injuries and disabilities. In India, alone involve every one in five patients.
Now, need being the common joint involved in these joint disabilities, being the highly mobile and joint which involves in regular locomotion.

So let’s talk about the knee joint, focus on the knee joint today. Knee joint problems can be involved in any age group right from the childhood to young adult, to an elderly age group, and to very elderly age group.
We get the knee disorder problems in the form of pain, there can be stiffness, there can be arthritis of the knee joint, and there can be instability of the knee joint. Pain is one of the commonest features followed by stiffness in the knee in any form of the disease, in or around the knee.

Recent advancements have mainly focused on relieving of the pain because pain is one of the most disabling symptoms which can make patient feel incapacitated, make the patient feel depressed and dependent on others and this is the purpose of our treatment to remove pain and stiffness and make the patient mobile, active and create value in his or her own life.
We are able to treat pain by the use of modern science in the form of pharmacological therapy. We use visco supplementation. We use advanced rehabilitation techniques and wherever the anatomical factors are involved, we try to correct these anatomical factors in the form of cartilage regeneration in the form of correcting ligaments, imbalance, by reconstructing the ligament, repairing the ligament, or menisci repair, so and so on.

Now, talking about the structures, there can be involvement in front of the knee, there can be structures which can be damaged at the back of the knee, there can be structures which can be damaged inside the knee, like the ACL, the PCL, the menisci all these things can be managed now by very high precision arthroscopic surgery .
But the majority, most important in knee disorder management, the first point is correct history and correct diagnosis.
Once we are able to correctly diagnosis, half the battle is already won.

After diagnosing the knee disorder problems correctly, we can plan so that the patient can be relieved of his or her symptoms.
As we have mentioned already, pain mortality is to relieve pain followed by arthroscopic surgery which may help in correcting the knee imbalances to its normal and we use techniques which avoid the knee replacement surgeries like cartilage preservation, or cartilage regeneration surgery and wherever it is imperative to do knee joint replacement surgery, there are modern techniques of optimizing the results in the form of minimally invasive surgical techniques in knee replacement which we have been using regularly.
There are techniques like computer navigation surgery to achieve more precision, there are patient-specific implants, there is a patient’s specific equipment which also increases the precision and accuracy in order to optimize the result. In case you have a concern or query, you can always consult Famous Orthopedic Doctor in Delhi & get answers to your questions!

These are the techniques which we have been using.

I get a lot of online queries, regarding these techniques. My appointments can be booked online through librate.com and I’m practicing at Fortis Hospital, Vasant Kunj, practicing in Max Smart Hospital in Saket, New Delhi and in my clinic in Malviya Nagar.
My clinic timing appointments can be booked online through Lybrate.com.
Thank you very much!