Enlarged Kissing Tonsil causing Snoring:Dr.K.O.Paulose FRCS

(30 year old obese lady doctor with very large “kissing tonsils” causing severe snoring and obstructive sleep apnea.She selected the surgical option rather than CPAP option and undergoes RF Tonsillectomy, CAUP, Soft palate stiffening procedure under general anesthesia in Jubilee Hospital Trivandrum, Kerala, India.) Enlarged “kissing Tonsils” that meet in midline when you look at [...]

Bad breath-Chronic Pharyngitis: Laser Treatment

Halitosis or Bad breath is a very common and disturbing complaint to lot of patients coming to see me. They come after trying several on the shelf and OTC medications, been to many doctors, but to no avail. These patients are mainly youngsters otherwise in good health. It affects their job and self confidence to [...]

Snoring And Sleep Apnea:Is it Hereditary?

(Patient who is a familial snorer is being treated by surgery in Jubilee Hospital Trivandrum Kerala India. All his immediate family members are loud snorers. His father probably died of complications from OSA, ie, high BP,heart failure and stroke at the age of 40.) Snoring can be hereditary issue that is a result of narrow [...]

Use of Haemostatic agent Feracrylum in ENT Surgery

(Sepgard Solution and gel containing 1% feracrylum, is marketed by Themis Medicare in India) Feracrylum is an incomplete iron salt of polyacrylic acid with a molecular weight of more than 100000 Daltons. It is a biocompatible, biodegradable polymer. This polymer is hygroscopic in nature, soluble in water, non absorbable in the system and forms complexes [...]