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LASER surgeries for stapedotomy, turbinoplasty, uvula palate pharyngoplasty (UPPP ), surgery for snoring

LASER surgery treatment in Hebbal, Bangalore

  1.  Laser stapedotomy

The stapes, the third middle ear bone, become trapped and unable to vibrate freely as it should carry sound into the inner ear in otosclerosis, a genetic ear disorder. This results in conductive hearing loss. Invasion of the internal ear capsule by this bony process can also cause sensorineural (nerve) hearing loss, another hearing loss. The stapes bone is intended to be replaced with a prosthesis through a process known as stapedotomy.

Procedure

  • An endaural incision, a short incision above the ear canal, is used to enter the middle ear. 

  • The middle ear is accessed and examined after the eardrum is raised. 

  • The upper portion of the bone is cut off using a laser to replace the stapes. 

  • A Teflon piston-type prosthesis is then utilised to rebuild the defect after a tiny aperture is created in the stapes footplate using a laser.

Surgical risks include

  • Hearing loss from inner ear injury

  • Infection, chemical irritation, etc.

  • Dizziness

  • Common in nearly everyone - mild for a few days; severe in those suffering inner ear damage. In those cases, dizziness could last for several weeks.

  • Taste disturbance

  • Taste disturbance is caused by manipulating the taste nerve travelling in the inner ear, which is usually temporary.

  • Inner ear fluid leak

  • Inner ear fluid leak occurs when brain fluid escapes via the fenestration due to an abnormal connection with the brain cavity; a "lumbar drain" may be needed, although this condition is very rare.

  • Facial nerve injury, which is exceedingly rare

Laser-rhinoplasty

Turbinates are tiny structures within the nose that purify and humidify the air that enters the lungs through the nostrils. They consist of a bone structure encircled by vascular tissue and a mucous membrane on the exterior. Allergies, irritation, and infections can cause them to swell and inflame, obstructing their airways and causing them to produce too much mucus, which causes congestion. The employment of lasers demonstrates good tissue contact for usage in the nasal mucosa when correctly indicated by the suitable wavelength, enabling the reduction of the turbinates through minimally invasive methods.

Treatment

In a method called laser-turbinate reduction, a tool is introduced into the turbinate and laser energy is sent to the tissue to induce controlled damage. When the healing process is complete, the turbinates will be smaller, improving airflow through the nose. Under local anaesthetic, it is an office procedure that lasts around 10 minutes. Typically, there is no discomfort throughout the healing process, no physical changes, and no long-term adverse effects, including a loss of smell sense. The patient must be advised that the crusting on their nose will last around three weeks. Doctors recommend using antibiotic ointment and repeated nasal saline irrigations throughout this time. There is just a tiny

  1. UPP

If your doctor suspects you have sleep apnea, take a polysomnogram, a sleep study that monitors you while you sleep. The goal of therapy for sleep apnea is to keep your airway open so that you can breathe more easily while you're dozing. Lifestyle changes may be beneficial. You can try to drop weight if necessary, refrain from using sedatives or alcohol, especially suitable before night, and avoid sleeping on your back. Exercise can also be beneficial even if weight reduction is not taking place. In addition, your doctor may advise you to use a machine with a tight-fitting face mask that dispenses mildly compressed air into your mouth while you breathe. By doing so, you maintain your windpipe open and avoid apnea attacks. Some people use dental appliances to strengthen their jaw forward when they sleep. Surgery may be an option if lifestyle changes and devices don't help.

Uvulopalatopharyngoplasty (UPPP) is surgery to open the upper airways by removing extra tissue in the throat. It may be done alone to treat mild obstructive sleep apnea or snoring or with other procedures to treat moderate obstructive sleep apnea. 

UPPP removes soft tissue at the back of the throat. This includes,

  • All or part of the uvula (the gentle flap of tissue that hangs down at the back of the mouth).

  • Details of the soft palate and tissue at the sides of the throat.

  • Tonsils and adenoids, if they are still there.

Post-surgery

  • You may witness a sore throat for the first two weeks following surgery, and consuming only liquids and soft foods is advisable. Eat less food that is crunchy or difficult to chew.

  • For the first seven to ten days, you must rinse your mouth with a salt-water solution after each meal.

  • For the first two weeks, refrain from hard lifting or straining. After 24 hours, you can walk and engage in mild activities.

  • You will see your doctor for a follow-up appointment two to three weeks following the procedure.

D) Laser-assisted surgery for snoring

This LASER surgery treatment in Hebbal, Bangalore is needed to reduce snoring. Before being considered for surgery, other measures such as treating any underlying nasal disease, weight reduction, and smoking cessation will usually have been advised.

Operation-This is done under a general anaesthetic. A rim of tissue, including the uvula, is removed from the edge of the soft palate with any excessive lining of the throat. The tonsils, if present, are often dismissed as well. There may be further tissue removal from the middle of the soft palate. This procedure is carried out using a laser to avoid making any cuts.

Post-surgery-There will be some pain in the postoperative period, and you will be given painkillers of sufficient strength to control the discomfort. The pain may also be felt in the ears making swallowing difficult, which can persist for up to a week but generally improves daily and ultimately settles in about one week. Consult with a team of experts to know more about treatments. 

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