Dr Paulose » Sleep Apnoea

Snoring and Sleep Apnea-Laser Surgery Pictures

Dr Paulose — Mon, 30 Jan 2012 15:19:17 +0000

Jubilee Hospital, Trivandrum.

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Ear Nose and Throat (ENT) Clinic in Jubilee Hospital, Trivandrum.

Dr Paulose — Sun, 29 Jan 2012 14:46:14 +0000

The ENT clinic in Jubilee Hospital is headed by Dr.K.O.Paulose FRCS DLO (Fellow of the Royal College of Surgeons England) with more than 35 years experience in this field all over the world.

The ENT clinic in Jubilee Hospital, Trivandrum, offers good quality affordable service at affordable cost to the average patients. It is a charitable, non corporate hospital and is run by the Arch Diocese of Trivandrum, under the guidance of Most Rev.Soosapakyam, the Arch Bishop of Trivandrum.

Facilities

As one can see from the pictures, the Clinic itself is well equipped with Operating microscope, ENT Examination Unit, ENT examination chair, Flexible and Rigid Endoscopy with CCD camera and Monitor, Fibre optic headlight etc..

Most of the minor ENT procedures are done in the clinic itself eg-

Full Ear Nose Throat Examination

Ear – Wax removal, Ear cleaning infected ears, Fungus infections

Ear piercing

Endoscopy procedures

Cautery for Epistaxis

Hearing Evaluation

For appointment:

For Appointment- call 0471-2334561/62/63/64, 6452020,407822 Fax-0471-2330925

Email: jubileehospital@hotmail.com , drpaulose@yahoo.com

Clinic hours: Mon-Wed-Friday -8AM-1PM

(Operation Days Tue-Thu-and Saturdays)

To reach Jubilee Hospital, Trivandrum: Map

Pictures of ENT Clinic, Jubilee Hospital:

About Jubilee Hospital Trivandrum.

Dr Paulose — Sun, 29 Jan 2012 14:13:49 +0000

Jubilee Memorial Hospital, Palayam, Trivandrum is the only Catholic Health Care Service provider in the capital city of Kerala, in south India with a mission of “Promotion of Life Though Health Care With Love”.

At present it is a 200-bedded multi-specialty hospital giving affordable quality health care for all kinds of people from in and out of Trivandrum district .

“A friendly, homely and affordable hospital” is what our patients and relatives say about Jubilee Memorial Hospital. Where as our staffs say that they feel a warm family atmosphere, and our doctors feel “Jubilee is place of ethical medical practice”.

The management is trying to make Jubilee Hospital a place of healing and comfort of Jesus. Life is the most precious gift and expression of God’s love, and Jubilee Memorial Hospital is committed to foster and promote it.

At present Jubilee is a 200-bedded multi-specialty hospital giving affordable quality health care. 24 hours casualty & ambulance service, Pharmacy,Lab, CT Scan, X-ray and ECG are available at Jubilee. Day time Jubilee has US Scan, echo and TMT services. Jubilee hospital has opend a Renal Dialysis center with the collaboration of DM foundation.

Jubilee Memorial Hospital

Meads Lane, Palayam

Thiruvananthapuram – 695034,

Kerala, India

Ph: 0471-2334561-4,6452020

Fax: 0471-2330925,

Email: jubileehospital@hotmail.com

Snoring , Sleep Apnea and Type 2 Diabetes

Dr Paulose — Fri, 27 Jan 2012 13:55:57 +0000

Patients with snoring and untreated OSA have a higher risk of both stroke and cardiovascular disease. Sleep apnea can be associated with recent weight gain. Tiredness can cause people to eat for stimulation and skip exercise. Over time, these habits result in obesity, which can worsen sleep apnea, leading to a progression in severity of both conditions.

OSA-sleep deprivation from any cause increases blood glucose, blood pressure, and triglycerides. Snoring and OSA causes higher cortisol levels resulting in resistant hypertension. The reasons for this are complex but seem to include increased sympathetic nervous system activity and adrenal cortisol and catecholamine output.

There is strong evidence to indicate that OSA and the risk of type 2 diabetes are associated which may be largely attributed to the epidemic of obesity.

There is increasing epidemiologic evidence suggesting that habitual snoring and OSA have adverse effects on glucose tolerance, insulin resistance, and the risk of diabetes mellitus, that are independent of the degree of obesity.

Intermittent hypoxia and reduced sleep duration due to sleep fragmentation, as occur in OSA, exert adverse effects on glucose metabolism. The interactions among the rising epidemics of obesity, OSA, and type 2 diabetes are likely to be complex and involve multiple pathways.

Treatment Protocol:

Treating sleep apnea with CPAP therapy or by surgery (eg.LAUP, CAUP) can improve glycemic control and blood pressure.

Snoring and OSA-Blue Uvula-Paulos Sign

Dr Paulose — Tue, 24 Jan 2012 13:17:32 +0000

Blue uvula in Snoring and Sleep apnea patients (Paulos Sign)

The uvula can also contribute to snoring or heavy breathing during sleep; having an elongated and thickened uvula can cause vibrations which lead to snoring.

The uvula has its own little muscle, the musculus uvulae, to help it stiffen and change shape, so it helps fill in the space at the back of the throat.

Blue uvula is a classical sign in patients with severe obstructive sleep apnea. The oxygen saturation is very low in these patients. A PSG-Sleep study in these patients confirms very low oxygen saturation level.

Blue uvula, large tongue base ad retrognathia are 3 bad signs of OSA. The color of the soft palate changes after OSA surgery. Most of these patients look bluish-cyanosed look on their face before surgery but after surgery they look brighter.

You may name it Paulos Sign, as no one yet described it in detail, as I know.

Surgical Treatment of Snoring and OSA

Dr Paulose — Fri, 30 Sep 2011 13:50:36 +0000

Jubilee Hospital Trivndrum India.

A number of surgical procedures are available to treat Snoring and OSA. Effective surgical management of OSA depends upon determining different levels of obstruction, which may include nasal, nasopharyngeal, oropharyngeal, and hypopharyngeal, retrolingual, or a combination of these sites.

Surgical treatment may involve various procedures that are performed in different stages depending on the patient’s sites of obstruction.

The most commonly performed procedures include nasal surgery-Septal Correction, Nasal polyp removal, Turbinoplasty, uvulopalatopharyngoplasty (UPPP), advancement genioplasty, mandibular osteotomy with genioglossus advancement, and hyoid suspension. In more severe cases, maxillomandibular advancement (MMA) with advancement genioplasty may be indicated. As a last resort Tracheostomy is considered.

Laser Assisted Uvulopalatopharyngoplasty (LAUP)

Laser assisted uvulopalatopharyngoplasty (LAUP) is commonly done for the management of obstructive sleep apnea along with other surgical procedures to remove the cause of OSA in the upper airway in Jubilee Hospital, Trivandrum, Kerala, South India. Nearly one hundred cases are performed in last one year.

Patients are given a choice of CPAP therapy or surgery. Most patients find it difficult to live on CPAP. They say they don’t want to become slaves to CPAP.

For Appointment- call 0471-2334561/62/63/64, 6452020,407822 Fax-0471-2330925

Email: jubileehospital@hotmail.com

Clinic hours: Mon-Wed-Friday (8AM -1 PM)

Operation Days: Tue-Thu-and Saturdays (8AM-4PM)

To reach Jubilee Hospital: jubileehospitaltrivandrum