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1. Sinonasal Tumors:
Understanding and Managing Nasal and Sinus Tumors
Sinonasal tumors are growths that can occur in the nose and paranasal sinuses. They can be either benign (noncancerous) or malignant (cancerous).
Common symptoms include nasal blockage, blood-stained nasal discharge, loss of smell, and facial pain, and can also be associated with mid-face and eye swelling.
Dr. (Lt Col) Ravi Roy specializes in the surgical treatment of sinonasal tumors, which is often the best approach if the tumor is resectable.
Treatment options may include surgery, radiotherapy, or a combination of both, depending on the staging of the tumor.
If you suspect a sinonasal tumor, it’s important to seek timely medical attention for proper evaluation and treatment.
2. Cerebrospinal Fluid Rhinorrhoea:
Understanding and Managing CSF Rhinorrhoea
Cerebrospinal fluid (CSF) rhinorrhoea is the leakage of CSF from the cranial cavity into the nose. It can present as a clear, watery nasal discharge, along with a salty or metallic taste in the mouth.
Causes of CSF rhinorrhoea include head injury, increased pressure in the brain, and skull base tumors.
Dr. (Lt Col) Ravi Roy specializes in endoscopic CSF fistula repairs, a surgical procedure that uses an endoscope to identify and close the site of the CSF leak.
Early identification and treatment are crucial to prevent complications such as meningitis.
If you experience persistent watery nasal discharge or other symptoms, it’s important to consult with a specialist for proper evaluation and management.
3. Chronic Rhinosinusitis:
Understanding and Managing Chronic Rhinosinusitis
Chronic Rhinosinusitis is a condition characterized by inflammation of the paranasal sinuses and nasal passages lasting for 12 weeks or more. It can be classified as chronic rhinosinusitis with nasal polyps (CRSwNP) or chronic rhinosinusitis without nasal polyps (CRSsNP). Common symptoms include nasal blockage, nasal discharge, facial pain, reduced sense of smell or taste, and fatigue.
Dr. (Lt Col) Ravi Roy offers comprehensive management for rhinosinusitis, which may involve a combination of medical and surgical approaches.
Treatment options may include topical and oral steroids, saline spray/ wash and some antiallergic drugs; endoscopic sinus surgery is an important and integral part of the management plan.
If you experience persistent or worsening symptoms of rhinosinusitis, it’s important to seek medical attention for proper evaluation and treatment.
4. Chronic Otitis Media:
Understanding and Managing Chronic Ear Infections
Chronic otitis media is a condition characterized by persistent inflammation and infection of the middle ear. Symptoms may include ear discharge, hearing loss, and ear pain.
Dr. (Lt Col) Ravi Roy focuses on the control of acute infection and ear discharge through drug therapy, as well as surgical management aimed at clearing the disease, closing tympanic membrane perforations, and improving hearing.
Diagnostic tests such as pure-tone audiometry and high-resolution computer tomography scans may be recommended to assess the severity of hearing loss and determine the extent of the disease.
If you or your child experience recurrent or persistent ear infections, it’s important to consult with an ENT specialist for proper evaluation and management.
5. Hearing Loss:
Understanding and Managing Different Types of Hearing Loss
Hearing loss is a common condition that can be caused by various factors. There are three main types of hearing loss: conductive hearing loss, sensorineural hearing loss, and mixed type.
Conductive hearing loss is often caused by issues in the outer and middle ear, such as earwax blockage or perforated eardrums and certain diseases of the outer and middle ear.
Sensorineural hearing loss is related to problems in the inner ear or auditory nerves, such as age-related hearing loss or noise or drug induced damage.
Mixed type hearing loss involves a combination of both conductive and sensorineural components.
Dr. (Lt Col) Ravi Roy can help diagnose the cause and severity of hearing loss and provide appropriate treatment options, which may include medical, surgical management, hearing aids, or other interventions.
If you or a loved one are experiencing hearing difficulties, it’s important to seek professional evaluation and guidance.
6. Nasal Polyps:
Understanding and Managing Nasal Polyps
Nasal polyps are noncancerous growths that develop in the mucosal lining of the nasal passages and sinuses. Nasal Polyps are a type of chronic rhinosinusitis.
They can cause symptoms such as nasal congestion, postnasal drip, reduced sense of smell, and facial pain or pressure.
Dr. (Lt Col) Ravi Roy specializes in the treatment of nasal polyps, which may involve a combination of medical therapies and endoscopic sinus surgery.
Medical management may include nasal corticosteroids, oral corticosteroids, or other medications to reduce inflammation and control symptoms.
In cases where medical treatment is not sufficient, endoscopic sinus surgery can help remove the polyps and improve nasal airflow. If you suspect nasal polyps, it’s important to consult with an ENT specialist for proper evaluation and management.
7. Tonsillitis:
Understanding and Managing Tonsillitis
Tonsillitis is an inflammation of the tonsils, which are located at the back of the throat.
It can be caused by viral or bacterial infections and may result in symptoms such as sore throat, difficulty swallowing, fever, and swollen tonsils.
Dr. (Lt Col) Ravi Roy offers comprehensive management for tonsillitis, which may include conservative measures such as rest, fluids, and pain relievers for viral tonsillitis.
In cases of bacterial tonsillitis, antibiotics may be prescribed. If tonsillitis becomes recurrent or chronic, surgical removal of the tonsils (tonsillectomy) may be recommended.
If you or your child experience persistent or recurrent tonsillitis, it’s important to consult with an ENT specialist for proper evaluation and management.
8. Snoring and Sleep Apnea:
Understanding and Managing Sleep-Related Breathing Disorders
Snoring and sleep apnea are common sleep-related breathing disorders that can significantly impact quality of life. Snoring is often caused by the vibration of tissues in the throat during sleep, while sleep apnea involves repeated pauses in breathing during sleep.
Symptoms may include loud snoring, daytime sleepiness, morning headaches, and difficulty concentrating. Dr. (Lt Col) Ravi Roy specializes in the diagnosis and treatment of snoring and sleep apnea.
Treatment options may include lifestyle modifications, such as weight loss and positional therapy, as well as the use of oral appliances or continuous positive airway pressure (CPAP) machines. If you or your partner experience disruptive snoring or suspect sleep apnea, it’s important to seek medical evaluation and guidance.
9. Allergic Rhinitis:
Understanding and Managing Allergic Rhinitis (Hay Fever)
Allergic rhinitis, commonly known as hay fever, is an allergic reaction that occurs when the immune system overreacts to allergens such as pollen, dust mites, or pet dander.
Symptoms may include sneezing, itching, nasal congestion, and watery eyes.
Dr. (Lt Col) Ravi Roy can help diagnose and manage allergic rhinitis through a combination of allergen avoidance strategies, medication management, and immunotherapy (allergy shots).
By identifying and addressing the underlying triggers, it is possible to reduce the frequency and severity of allergic rhinitis symptoms.
If you suspect allergic rhinitis or experience persistent allergy symptoms, it’s important to consult with an ENT specialist for proper evaluation and management.
Remember, if you or a loved one are experiencing any of these medical conditions, it’s important to consult with a qualified ENT specialist like Dr. (Lt Col) Ravi Roy for accurate diagnosis, personalized treatment plans, and ongoing care.
Juvenile Nasopharyngeal Angiofibroma (JNA):
What is Juvenile Nasopharyngeal Angiofibroma?
JNA is a noncancerous but locally aggressive vascular tumour behind the nose and paranasal sinuses. These rare tumours can grow rapidly and cause serious damage to the surrounding structures, including eye sockets, skull bones and brain. It is exclusively seen in teenage boys and adult males (mostly 10-25 years).
How do patients with JNA present?
The common complaints of the patients are progressive nasal blockage, running nose, nose bleed, in advance stages may present with cheek swelling, bulging eyes, headache, vision loss or double vision and hearing loss. These locally aggressive tumours need to be detected and treated early because they may lead to severe nasal bleeding, loss of smell, vision loss, breathing difficulty and change in mental status.
If with any of these complaints, must get an appointment with an ENT specialist & skull base surgeon who is experienced in treatment of such bleeding tumours in the nose. After a detailed ENT examination and nasal endoscopy, the patient will require Imaging in the form of CT Scan and MRI to identify the extension of tumour.
What is the treatment for the JNA?
Surgery is the treatment of choice with the aim of complete removal. Most of the tumours can be removed by minimally invasive endoscopic approach, which is cosmetically acceptable with less morbidity reduced hospital stay as compared to open approach. For large and extensive tumours multi-stage surgeries can be performed to reduce bleeding during surgery, embolization/ blocking of the feeding vessels can be done in certain cases. \
Get it done by the experienced endoscopic sinus and skull base surgeon and team with the latest state of art equipment in Delhi NCR.
For further queries, book an appointment today.
Vertigo:
It is an uncomfortable sensation of the environment spinning around the individual and may even make an individual go off balance. Vertigo is a symptom which is a manifestation of certain types of diseases of the ear, central nervous system and heart. Ear related vertigo is the most common and may be associated with one or more of the following symptoms:
# Nausea and vomiting
# Fullness in the ears
# Reduced hearing and
# Tinnitus (buzzing/ ringing sound in the ear without the external stimulus).
The ear causes of vertigo is episodic and positional, lasting for a few seconds to hours depending on the cause.
For further queries and treatment make an appointment today. Get treated by one of the best ENT specialists in Delhi NCR.
Nosebleed (Epistaxis)
The nosebleed or in medical term called Epistaxis is one of the commonest causes of ENT emergencies. Nose is a highly vascular organ which is primarily meant for humidification and regulation of temperature of the air we breathe. There are two types of nosebleeds, namely the anterior (more common) and the posterior bleed.
Anterior Bleed: occurs in the front end of the nasal septum, by the oozing from small vessels due to dislodgement of crust, nose picking or blowing of nose. It is common in children and due to dry atmospheric conditions.
Posterior Bleed: It occurs in the back of the nose and flows back in the throat. It occurs in elderly persons and causes heavy bleeding.
Causes of Nosebleed:
# Local Cause:
- Picking of nose,
- Trauma nose,
- Deviated nasal septum,
- Neoplasm
- Vascular malformations
# Systemic Cause:
- Hypertension,
- Alcoholism,
- Bleeding Disorders,
# Certain medications:
- Anticoagulants (Warfarin)
- Antiplatelet agent (Aspirin etc)
- Drug abuse (cocaine snorting)
What to do at home when the nose bleeds?
Sit up, bend forward, pinch the nose firmly with the thumb and index finger over the soft part of the nose and breathe through the mouth. Any blood coming in the throat is to be spit out. This manoeuvre has to be performed for 5-10 minutes.
Ice packs can also be applied over the bridge nose to stop the bleed. After the bleeding has stopped don’t lay down, strain or blow your nose.
If not controlled, seek medical attention.
Treatment of Nosebleed:
The goal of treatment is to stop the bleed, and find the cause.
The following treatment can be given for the nose bleed:
Nasal Packing: the nose is packed with medicated gauze, nasal foam, epistaxis balloon, which may be left in place for 24-48 hrs for control of bleeding.
Endoscopic nasal examination and cauterization: Nasal endoscopic examination is done to find the site of the bleed and cauterised (Chemical/ electric).
Modification of medication: Modification of blood thinning agents needs to be done for patients already on medication with consultation of the concerned doctor.
Surgery: Vessel ligation, repair of broken nose, correction of nasal septal deviation, may be required in certain conditions.
For further queries, book an appointment today.