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Nasal saline irrigation: therapeutic or homeopathic

By |2020-08-03T17:16:04+00:00August 3rd, 2020|

Irrigac¸ão nasal com soluc¸ão salina: terapêutica ou homeopática In chronic rhinosinusitis (CRS), and many chronic airway conditions, the underlying goal is to restore mucosal function with treatments focused on reducing inflammation, removing bacterial infection (or biofilm) and, critically, replacing lost mucociliary function.1 Nasal irrigations have come to play a large role in the management of chronic rhinosinusitis and to a lesser degree in allergic rhinitis (AR). While saline nasal treatments are offered in different forms, such as sprays and nebulizers, it is high-volume nasal irrigation that has found an integral part in current treatment guidelines for CRS. Nasal irrigations may appear novel, but this practice of sinus care has its origins within the Hatha Yoga Pradipika from [...]

Rhinologic Procedures in the Era of COVID-19: Health-care Provider Protection Protocol

By |2020-08-03T17:14:54+00:00August 3rd, 2020|

Introduction A cluster of viral pneumonia cases associated with a novel Coronavirus (2019-nCoV) was first identified in Wuhan, Hubei Province, China, in December 2019 and has rapidly spread around the world, causing a global health crisis.1 The disease was subsequently named Coronavirus Disease—2019 (COVID-19) by the World Health Organization (WHO) and has been designated SARS-CoV-2.2 Significant concern has arisen within the global community to the potential risks of infectious transmission of SARS-CoV-2 to the surgical team during endoscopic sinonasal and skull base surgery. As information has rapidly evolved, it has become clear that the presence of elevated viral load in the upper airway mucosa impacts not only skull base cases but also virtually all diagnostic and therapeutic [...]

Long-term outcomes in medial flap inferior turbinoplasty are superior to submucosal electrocautery and submucosal powered turbinate reduction

By |2020-08-03T17:13:45+00:00August 3rd, 2020|

Background: Techniques for inferior turbinate reduction vary from complete turbinectomy to limited cauterization. Surgical methods differ on the degree of tissue reduction and reliance on surgical tissue removal vs tissue ablation. The outcome and morbidity from 3 different turbinate techniques are compared. Methods: A randomized double-blinded study was performed. Patient nasal cavities were randomized to different interventions on each side within the same patient. One group had a combination of submucosal powered turbinate reduction (designated “submucosal”) and submucosal electrocautery (designated “electrocautery”); and the second group had a combination of submucosal powered turbinate reduction (designated “submucosal”) and medial flap turbinoplasty (designated “turbinoplasty”). Patient-scored nasal obstruction and rhinorrhoea (1 to 5) along with blindly assessed nasal airway patency ratings [...]

How I Do It: Medial Flap Inferior Turbinoplasty

By |2020-08-03T17:11:48+00:00August 3rd, 2020|

Dr. Henry Barham was involved in publishing an article for the American Journal of Rhinology & Allergy. “How I Do It: Medial Flap Inferior Turbinoplasty” is a study of the technique and surgical steps of the preferred method of turbinate reduction. The medial flap inferior turbinoplasty provided consistent, robust results with expected long-term relief of obstructive symptoms without additional risk of complication. View full article below:

Shape Up For Summer General Diet and Exercise Tips for Getting Back in Shape

By |2020-03-17T21:27:26+00:00July 20th, 2020|

Now that it's Summer and the weather is warming up, lots of people are thinking about changing their routine. Shedding pounds, reducing your cholesterol, choosing healthy habits of rest, stress management, activity and diet - call it Summer Cleaning for the mind and body!