ENT Surgeon Doctor Imran Saeed - Children Hospital Lahore
ENT Surgeon Doctor Imran Saeed - Children Hospital Lahore
info4patient - Har Rung Pakistan - Amir Akram
For Appointment Call on 0300-4738987
https://www.info4patient.com/
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info4patient - Har Rung Pakistan - Amir Akram
For Appointment Call on 0300-4738987
https://www.info4patient.com/
https://www.youtube.com/@info4patients
https://www.dailymotion.com/info4patient
https://www.instagram.com/info4patient/
https://www.tiktok.com/@info4patients
Transcript
00:00Info for patient
00:30Assalam o Alaikum
00:32How are you?
00:34My name is Dr. Imran Saeed
00:36I am a Professor of Children's Nose, Ear, and Throat
00:38at Children's Hospital and University of Child Health Sciences
00:40I am the chairman of my department
00:42and I am also a specialist
00:44in children's nose, ear, and throat
00:46What are the problems of ears?
00:48In adults and children,
00:50the problems of nose, ear, and throat
00:52are some common
00:54and some special
00:56problems of nose, ear, and throat
00:58As you just asked,
01:00there are some problems of ears
01:02in children
01:04like
01:06hearing loss
01:08or hearing loss
01:10Similarly,
01:12problems of ears in children
01:14when they are in school age group
01:16when they grow up
01:18their problems
01:20like wax formation
01:22behind the ears
01:24different types of liquids
01:26like glue ear
01:28or otitis media with effusion
01:30are very common in school age groups
01:32Similarly,
01:34in children,
01:36acute and chronic ear infections
01:38Acute infections are very common
01:40in children up to 4 years
01:42and they have to be settled
01:44with medicine and surgical treatment
01:46Children who grow up
01:48have ear problems
01:50along with chronic infections
01:52like chronic SOM
01:54We need to
01:56save time
01:58If we can
02:00diagnose and treat
02:02those problems
02:04quickly
02:06then not only
02:08problem will be solved
02:10but also
02:12the rate of problems
02:14will be reduced
02:16So, earlier the better
02:18is the choice
02:20Some people have ear bleeds
02:22so they use different
02:24remedies
02:26Yes, there are some myths
02:28in our culture
02:30especially in Indo-Pak culture
02:32that they use local remedies
02:34which are common
02:36like oil
02:38and some people
02:40use diluted
02:42herbs
02:44So, these remedies are
02:46called myths
02:48They should not be used
02:50We should consult
02:52a doctor
02:54and not an ear specialist
02:56because the problem
02:58will be solved
03:00quickly
03:02not only the problem
03:04will be solved
03:06but also the problems
03:08will be solved
03:10First of all,
03:12when a child is born
03:14we call Allah
03:16so not only
03:18our personality
03:20but also our speech
03:22will be affected
03:24along with
03:26hearing
03:28and speech
03:30will affect
03:32his personality
03:34So, proper treatment
03:36is the best
03:38especially for ear problems
03:40Sir, some people
03:42have ear bleeds
03:44What is the reason?
03:46There can be different
03:48reasons for ear bleeds
03:50sometimes due to water
03:52the wax melts
03:54and comes out
03:56so we
03:58soften it
04:00and remove the wax
04:02Sometimes
04:04a pupae
04:06or fungus
04:08comes out
04:10so we have to give
04:12antifungal treatment
04:14There can be acute infections
04:16which can be
04:18from boiled to otitis externa
04:20There can be more
04:22problems like
04:24allergies
04:26There can be infections
04:28which have been going on
04:30for a long time
04:32which have damaged
04:34the eardrum
04:36so we have to
04:38treat it
04:40properly
04:42This is a symptom
04:44of ear bleeds
04:46so we have to
04:48find the reason
04:50and treat it properly
04:52What is the age group of ear bleeds?
04:54As I said
04:56there can be
04:58different age groups
05:00like in young children
05:02there can be
05:04wax and glue
05:06in 4 to 6 year old children
05:08there can be
05:10ear bleeds
05:12In older children
05:14there can be
05:16infections like
05:18acute and chronic
05:20In Pakistan
05:22due to neglect
05:24if there is
05:26an acute problem
05:28then the treatment
05:30can be changed
05:32so chronic
05:34is basically
05:36a neglect
05:38so the treatment
05:40is necessary
05:42to restore normal life
05:44What is ear bleeds?
05:46Ear bleeds is a misnomer
05:48because
05:50there is a gland
05:52below the ear
05:54which is called
05:56parotid gland
05:58so the infection
06:00which is viral
06:02is called
06:04parotitis
06:06basically
06:08Allah
06:10gives lubrication
06:12in the mouth
06:14to dissolve
06:16the dryness
06:18not only
06:20for us
06:22it is called parotid gland
06:24so it has acute viral
06:26parotitis
06:28viral infections are
06:30mostly self-limited
06:32so we give
06:34treatment
06:36like anti-bacterial
06:38anti-bacterial
06:40anti-inflammatory
06:42anti-inflammatory
06:44so whenever there is
06:46a patient like this
06:48they should be
06:50treated
06:52because
06:54if we use
06:56utensils and water
06:58then it can
07:00go from one to another
07:02Sir,
07:04usually mothers are
07:06very worried
07:08what is your advice for them?
07:10There is no need to worry
07:12like other infections
07:14and diseases
07:16it is self-limiting
07:18and you have to
07:20treat it with practice
07:22and it will be cured
07:24there is no need to worry
07:26it takes some time
07:28people have made
07:30a lot of efforts
07:32and it will be cured
07:34what about ears?
07:36it is very sensitive
07:38and there are
07:40three ways
07:42to protect it
07:44one is
07:46it is 1.5 inches away
07:48so it is difficult
07:50to reach there
07:52and there are three
07:54angulations
07:56so it is difficult
07:582. Lubrication
08:00if it is excessive
08:02it is called wax
08:04it is protective
08:06so Allah has
08:08protected it
08:10like I always say
08:12never use cotton bud
08:14that can harm
08:16not only ears
08:18and you should not use
08:20sharp objects
08:222. Ear infection
08:24if there is ear infection
08:26if there is no treatment
08:28it can cause permanent damage
08:30so it is very important to
08:32take care of your ears
08:34can it be harmful?
08:36yes it can
08:38it is the thing
08:40that reduces immunity
08:42like diabetics
08:44or people who have
08:46transplant
08:48especially people who
08:50have uncontrolled diabetes
08:52they have a special disease
08:54and later it becomes bacterial
08:56it is called
08:58malignant otitis externa
09:00malignancy is basically cancer
09:02so it is a misnomer
09:04but it behaves so aggressively
09:06and it not only starts from skin
09:08it goes to deep bone
09:10and causes problems
09:12that is why it is called malignant otitis externa
09:14so diabetic patients
09:16who have uncontrolled diabetes
09:18they should protect their ears
09:20and if there is any problem
09:22they should consult a specialist
09:24and get it treated
09:26because in case of delay
09:28there are severe complications
09:30which are difficult to treat
09:32so my advice is
09:34diabetic patients should
09:36control their sugar
09:38they should check their periodic
09:40and in case of ear problem
09:42they should not use
09:44self remedies
09:46and consult a specialist
09:48this is best for them
09:50what are nasal polyps?
09:52nasal polyps
09:54are of different types
09:56nasal polyps are
09:58nasal polyps
10:00some are single
10:02some are solitary
10:04some are multiple
10:06multiple polyps
10:08polyps come from
10:10the place between nose and eyes
10:12there are two main reasons
10:14allergy and sneezing
10:16if allergy is not
10:18properly controlled
10:20and cured
10:22due to this
10:24the saliva inside the nose
10:26starts to drip
10:28and then
10:30it comes in the form of
10:32a pedunculated mass
10:34which is called nasal polyps
10:36so for this not only
10:38polyps have to be removed
10:40surgery is required
10:42it has to be given
10:44good antiallergy
10:46so that the salivary glands
10:48do not form again
10:50for this camera surgery is
10:52the best
10:54so it can be removed
10:56such patients should
10:58follow up
11:00after 3 to 6 months
11:02so that they do not
11:04have this problem again
11:06if follow up is not done
11:08properly
11:10will there be a chance of it
11:12forming again?
11:14what stage of surgery
11:16have you done?
11:18whenever you have
11:20nasal polyps
11:22you should go for surgery
11:24if you are in
11:26a complicated stage
11:28there are more chances
11:30of complications
11:322nd operation should be done
11:34through FAS
11:363rd operation should be done
11:38by a specialist
11:40in this field
11:424th operation should be done
11:44through follow up
11:46so that it can be treated
11:48quickly
11:50is nasal polyps only
11:52treated with surgery
11:54or can it be treated with
11:56medication?
11:58as I said
12:00if you have
12:02doubt about
12:04nasal polyps
12:06and you are seeing
12:08CT scan
12:10and STRAID
12:12it can be a relief
12:14but mostly it is
12:16to get rid of dryness
12:18which can't be cured
12:20so for cure
12:22nasal polyps
12:24you have to go for surgery
12:26so sir
12:28what are the precautions
12:30for nasal polyps?
12:32as I said
12:34nasal allergy
12:36is the main cause
12:38if nasal allergy is treated
12:40timely
12:42there is no formation of polyps
12:44so allergy is the main
12:46cause of nasal polyps
12:48so what we have to do
12:50we have to treat the cause
12:52to avoid the complications
12:54so if proper allergy
12:56is controlled
12:58there are minimum chances of polyps
13:00so sir when we do
13:02nasal surgery, is there any
13:04cut or scar?
13:06this is a very beautiful question
13:08absolutely not
13:10this whole process is done
13:12per nostril
13:14through camera system
13:16with small instruments
13:18there is no visible cut
13:20on skin or nostril
13:22it is operated with camera
13:24yes you can see
13:26with camera
13:28but there is no cut
13:30on skin
13:32which patients are advised
13:34to avoid
13:36nasal sprays are of different
13:38types
13:40some are decongestant
13:42some are steroid
13:44some are anti-allergy
13:46so they are used
13:48according to need
13:50you have to tailor the thing
13:52according to the need of the patient
13:54this is not universal
13:56we give it according to
13:58the problem
14:00allergy patients and polyps patients
14:02steroid sprays
14:041-2 puffs daily
14:06can be used for 6 months
14:08those sprays
14:10which shrink in the nose
14:12can be used for 4-6 weeks
14:14otherwise side effects
14:16rebound phenomena
14:18they are not causing
14:20like zinocine
14:22so avoid them
14:24judicious use of those
14:26sprays is also indicated
14:28for short period of time
14:30what is the reason for
14:32using cat?
14:34Allah has blessed us with
14:36the biggest blessing
14:38that's why we are called
14:40Hivane Natak
14:42we pronounce, speak
14:44communicate
14:46how is it possible
14:48that our chest produces
14:50pressure and our
14:52larynx produces voice
14:54and articulates our
14:56articulation
14:58these are vocal cords
15:00which are two
15:02which vibrate
15:04this vibration comes later
15:06in the form of speech
15:08there can be multiple problems
15:10some are related to speech
15:12some are related to infection
15:14some are related to trauma
15:16some are related to side effects
15:18infection related
15:20we call it acute laryngitis
15:22which is like infection
15:24or change of voice
15:26voice test and proper
15:28steam and remedies
15:30and treatment
15:32antibiotic and anti-inflammatory
15:34in some cases
15:36it is related to stomach
15:38treatment of stomach
15:40if other than this
15:42people who
15:44misuse voice
15:46like some
15:48teachers, hawkers
15:50and singers
15:52they have a disease
15:54vocal nodules
15:58in early stages
16:00if speech therapy
16:02and voice test
16:04with some anti-inflammatory
16:06when it is done
16:08and their coronation
16:10is confirmed
16:12then surgery is done
16:14which is called micro-laryngeal surgery
16:16or sometimes laser and coagulation
16:18is used to restore voice
16:20but in all these cases
16:22voice test is important
16:24whenever voice is not good
16:26it is very important
16:28some patients
16:30have sensitive throat
16:32so
16:34what is the reason
16:36for sensitive throat
16:38and how can they
16:40keep their throat healthy
16:42there are two types of things
16:44one is sensitive throat
16:46like small and thick
16:48sore throat
16:50these things
16:52are called pharyngitis
16:54which is sometimes viral
16:56sometimes allergic
16:58sometimes infective
17:00and local remedies
17:02gargles, saline gargles
17:04and with some medication
17:06it settles
17:08one thing is called tonsillitis
17:10that means
17:12bad throat
17:14with severe fever
17:16and difficulty in eating
17:18this is called tonsillitis
17:20if there are recurrent attacks
17:22in this case
17:24doctor should consult
17:26and in some cases
17:28if tonsillitis
17:30is not getting settled
17:32and it is in recurrent phase
17:34then surgery should be done
17:36it is different in children
17:38apart from frequent infection
17:40size of tonsils also depends
17:42if children's tonsils
17:44are more than double
17:46and there are tumors
17:48like adenites
17:50obstructive symptoms
17:52like obstructive sleep
17:54apnea in children
17:56tonsils and tumors
17:58apart from tonsils
18:00there are other tumors
18:02which are behind the nose
18:04where the nose ends
18:06and above the throat
18:08we call them adenites
18:10it is very common
18:12in our age group
18:146 year old children
18:16and because of adenites
18:18there are multiple problems
18:20adenites not only prevent
18:22breathing from the nose
18:24I would like to tell
18:26the parents
18:28that nose will be closed
18:30and mouth will be open
18:32and mouth will be open
18:34and mouth will be open
18:36and mouth will be open
18:38and mouth will be open
18:40and mouth will be open
18:42we can see the adenites
18:44on x-ray
18:46and because of this
18:48there are problems
18:50in breathing and eating
18:52and this is the structure
18:54of the face
18:56below eyes and upper jaw
18:58and this is the structure
19:00of the face
19:02and this is the structure
19:04of the face
19:06and this is the structure
19:08of the face
19:10and this is the structure
19:12of the face
19:14and this is the structure
19:16of the face
19:18and this is the structure
19:20of the face
19:22and this is the structure
19:24of the face
19:26and this is the structure
19:28of the face
19:30and this is the structure
19:32of the face
19:34and this is the structure
19:36of the face
19:38and this is the structure
19:40of the face
19:42and this is the structure
19:44of the face
19:46and this is the structure
19:48of the face
19:50and this is the structure
19:52of the face
19:54and this is the structure
19:56of the face
19:58and this is the structure
20:00of the face
20:02and this is the structure
20:04of the face
20:06Nose
20:08Nose
20:10Nose
20:12Nose
20:14Nose
20:16Nose
20:18Nose
20:20Nose
20:22Nose
20:24Nose
20:26Nose
20:28Nose
20:30Nose
20:32Nose