Nasal Septum Deviation

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Guy's be wary when a doctor suggests surgery for Nasal Septum Deviation. Its a pretty common problem no doubt, but a lot of doctors are recommending this surgery without enough reason to justify it and especially to those who have medial insurance. I too have trouble with frequent colds, allergies, sinusitis, nasal blockage in the morning and other Nasal and sinus problems and so does my sis and she had it a lot worse. When my sis went to a couple of ENT specialists, they promptly suggested a corrective surgery for NSD. After going to another another doctor, he laughed when he heard about the suggestion from previous doctors and told that it wasn't required for my sis. He also told that a lot of ENT specialists are making people go through this surgery just to make a quick buck. He gave some medication (sprays and other stuff) which treated her problem to a great extent even for the long term. Even I was suggested this surgery and also another one for sinusitis when I went to an ENT specialist in Mohali. So be wary and get opinions from at least two other good doctors before you decide that this surgery is necessary for you. Considering its such a common condition and people have lived with it through all these centuries, I think we can also live with it.
 
asingh said:
Not sure. I had gone to my hometown Mussoorie. Came back, and suddenly less hearing. Weird. Yes that weekend I watched (period of 4 days) like 6 movies using PL20, at moderate volume on my net book. That is it. I as it is use the headphones really really less.
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IEMS are not meant to used for long hours. I use 8 hours max in a week.
 
But I used them in breaks.

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And that to, English movies with breaks. Hope I did not cause damage.
 
asingh said:
But I used them in breaks.

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And that to, English movies with breaks. Hope I did not cause damage.
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Well looks like the damage is done .Go check with a doctor ,my personal opinion throw away the IEM's.
 
Okay guys. Just came out from the ENT's cabin. It was ear-wax buildup. Hearing is 90% normal. Should take 2-3 more hours for the drums to adjust. Wooooah thing are so so loud. :)

Thanks for the advice to all. Are IEMs really that bad, that they can cause damage. What other options I have then.....? Mainly for PC gaming.....?
 
I am going for Nasal Septum Deviation operation because it creating issues in my throat as i also have Tonsils so doctor suggested i should do this one first before thinking abt other. I check up with 2 to 3 doctors.
 
Me too have the same issue.Nose almost completely shut down in cold mornings.A bit scared to undergo surgery.
 
asingh said:
Okay guys. Just came out from the ENT's cabin. It was ear-wax buildup. Hearing is 90% normal. Should take 2-3 more hours for the drums to adjust. Wooooah thing are so so loud. :)

Thanks for the advice to all. Are IEMs really that bad, that they can cause damage. What other options I have then.....? Mainly for PC gaming.....?
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Good to hear that. Ear wax build up does affect hearing. As for IEM's, they are definitely bad if used for long periods. 60 to 90 min a day is the max you should be using them. head phones/headsets are better, but they too should be used with due moderation. Don't use such devices for playing movies or music at high volumes.
 
Guys keep your ears clean(clean em weekly), dont share your IEM'S!!! and following a hygienic and healthy lifestyle. Almost all ENT problems will go away :) . I had this problem quite a lot about 2yrs back, it's all gone now.

Basically try to exercise for at least 1 hour daily and such small problems will stop occurring completely.

For some people high altitude to low altitude acclimatization takes 2-3 months so keep that in mind too.
 
Deviated Nasal Septum occurs because the bones of Nasal septum grow faster than the outer framework of bone.

It is a physiological congenital condition, very common amongst people, most of the time incidental finding.

It does not require surgical correction unless and untill the problems are purely due to it.

As Lord Nemesis pointed out its a very common abused surgery amongst our branch. so you have to describe your problem very accurately to the doctor to rule out unnecessary surgery.

The surgery can be done under Local or general anesthesia (I prefer to do it in Local) because fast recovery, short hospitalization and economically friendly for patient.

@Gannu : damn the doc of yours is keeping the pack in nose too long, max I have to keep is 48-72 hours, bring your parents with you and we will dust the problem within your weekend and you dont have keep a leave :P (joking), seriously I need to evaluate your problem first and then only I can advise you the further course of action.
 
So an ENT in our midst. why didn't you guys ask him for advice.. seriously either your ear or your eye will give way if you guys keep gaming like this:)
 
Lord Nemesis said:
Good to hear that. Ear wax build up does affect hearing. As for IEM's, they are definitely bad if used for long periods. 60 to 90 min a day is the max you should be using them. head phones/headsets are better, but they too should be used with due moderation. Don't use such devices for playing movies or music at high volumes.
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Thanks for the advice, really appreciate it.

Now if I want to game say 2 hours / day, what head gear should I get to be safe...?
 
medpal said:
Deviated Nasal Septum occurs because the bones of Nasal septum grow faster than the outer framework of bone.

It is a physiological congenital condition, very common amongst people, most of the time incidental finding.

It does not require surgical correction unless and untill the problems are purely due to it.

As Lord Nemesis pointed out its a very common abused surgery amongst our branch. so you have to describe your problem very accurately to the doctor to rule out unnecessary surgery.

The surgery can be done under Local or general anesthesia (I prefer to do it in Local) because fast recovery, short hospitalization and economically friendly for patient.

@Gannu : damn the doc of yours is keeping the pack in nose too long, max I have to keep is 48-72 hours, bring your parents with you and we will dust the problem within your weekend and you dont have keep a leave :P (joking), seriously I need to evaluate your problem first and then only I can advise you the further course of action.
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Sir,

Sorry to ask an abrupt question but-

What nose spray do you recommend for nasal congestion? I usually have it on one side, and while I lie down.

I have Intermittent allergic rhinitis, should I get an allergy test done?

Sorry for the OT Gannu :P
 
medpal said:
@Gannu : damn the doc of yours is keeping the pack in nose too long, max I have to keep is 48-72 hours, bring your parents with you and we will dust the problem within your weekend and you dont have keep a leave :P (joking), seriously I need to evaluate your problem first and then only I can advise you the further course of action.
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Will pay you a visit soon. In which case, I'll ask my parents to come over sometime during this year end and we can have the surgery done. :)

Thanks a lot doc! <3
 
asingh said:
Now if I want to game say 2 hours / day, what head gear should I get to be safe...?
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Get a open-air design based headset like logitech precision gaming headset, since bacterias grow faster in closed ears (read somewhere).
 
medpal said:
The surgery can be done under Local or general anesthesia (I prefer to do it in Local) because fast recovery, short hospitalization and economically friendly for patient.
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Damn this is scary!

Don't you insert some surgical instrument through the nostril and chip the excess bone? And the patient can very well sense that being done! The last time I recall being given local anesthesia was for the removal of a molar tooth (which otherwise was to undergo root canal treatment!) and it sure was a scary experience though it did not pain. The dentist with his wife was pulling the tooth using some plier sorts and despite efforts, it took them a while! :fear:
 
Mephistopheles said:
Sir,

Sorry to ask an abrupt question but-
What nose spray do you recommend for nasal congestion? I usually have it on one side, and while I lie down.
I have Intermittent allergic rhinitis, should I get an allergy test done?

Sorry for the OT Gannu :P
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There are two types of sprays for nasal congestion.

1. what we call as Decongestant medicine : like you must be seeing in advertisements, Otrivin, but they can be used safely for 7 days maximum then thye must be stopped. They give you immediate relief but temporary effect, the underlying cause remains as it is. It is also habit forming and creates havoc with your nasal mucosa if you are addicted.

2. INCS (intra nasal cortico steroids), yes you read it right STEROIDS but they are only delivered on Nose mucosa and not absorbed in blood so systemic body side effects are not observe. Before starting this would like to evaluate the patient, ask a few questions and also give some strong advise (you can use the PM route to discuss your problem).
Gannu said:
Damn this is scary!

Don't you insert some surgical instrument through the nostril and chip the excess bone? And the patient can very well sense that being done! The last time I recall being given local anesthesia was for the removal of a molar tooth (which otherwise was to undergo root canal treatment!) and it sure was a scary experience though it did not pain. The dentist with his wife was pulling the tooth using some plier sorts and despite efforts, it took them a while! :fear:
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yes you can hear the instruments clanking but you will not feel anything, believe me in my 10 years of practice here and 4 years in residency Hardly 1/2 patients could not tolerate the procedure in local anesthesia. Its really easy and less scary then GA.
 
^And why would GA be any scarier? Doesn't GA make the patient go to a complete sleep mode without him/her knowing what is being done? What are the implications of both GA and LA?

Doc sorry for asking these queries but just being concerned! :ashamed:
 
Their is nothing to be ashamed of.

General anaesthesia puts you in complete sleep and your breathing is totally on ventilator and it needs anaesthetists through out surgery to monitor all vital body parameters and it has its own risks like delayed recovery out of anaesthesia .

Drugs are more involved for induction of anaesthesia. Maintainance of anaesthesia, reversal of anaesthesia,

Monitoring of your vital parameters like blood pressure, heart rate,oxygen saturation in blood and carbon dioxide in expired gases and precious ventilation. This all requires anaesthetists and fantastic team.

Whereas in local anaesthesia, nothing

Major,just area of surgery is made numb and you are given proper pain relief for surgery and put you in light sleep.

So it's far safer approach

You will be surprised to know even open heart surgery has been done under local/ regional anaesthesia.

So dont worry go ahead with local anaesthesia.
 
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