March 2018 - dr salehmohebi

Skull Base Surgery

Skull base consists of different parts such as brain, eyes and ears. Skull base in the lowest part that important parts such as brain, is placed there. 12 nerves including, smelling, taste, eyes movement, hearing, larynx, spinal cord and main vessels are connected with the brain. Any damages to this area can result in dead and paralysis.

Skull base surgery, is a non- invasive surgery which is used in examining, diagnosis and treatment of the benign tumors of the brain, spinal cord or skull base. This surgery also removes any congenital disorders.

Cysts from the birth
Tumors due to infection
Hypophysis tumors
Pain in Trigeminal nerve

Are some problems that removes by skull base surgery, which is done in 2 ways:

Endoscopic surgery with less invasive

In this surgery, small incisions are created inside the nose and tumors are removed

Open skull base surgery

In this surgery, incisions are created on the face and skull base and some parts of the bone may be removed.

Facial pain
Headache
Dizziness
Hearing loss
Nasal congestion
Repeated sinus infection

Sinusitis

Sinuses are empty cavities that are placed in the head, face and around the nose. Sinuses are full of mucus and leakage is exited, if these secretions become infected, or increased, there may be risk of sinusitis. Keep in mind that, in allergy, amount of the secretion will be increased and patient feel it in dorsal and anterior part of the nose.

Causes of sinusitis

Dental infection
Viral infection
Entering damages to the nose
Nasal fracture
Doing procedures on the nose

Cold, is one of the most common causes of sinusitis.

Symptoms of sinusitis

Nasal congestion
Increasing secretion of the nose
Fullness of the nose
Pressure on the nose
Headache

Generally, there are 2 types of chronic and acute sinusitis.

After a cold, secretion will be increased and lack of treatment, can results in sinusitis or bacterial sinusitis, which has pain or other symptoms.

Sinusitis is improved after a while by considering some cares. To treat the acute form of the sinusitis, patients should use antibiotics or anti- inflammatory drugs.

Having nasal congestion, nasal leakages and fullness more than 3 months, means that chronic sinusitis. This type of sinusitis, doesn’t have any pain.

In some patients, endoscopic surgery is done. In this surgery, inside the nose will be considered, to examine mucus and leakage of the nose, and then is used for confirmation, diagnosis and treatment.

Ear surgery (Otoplasty)

Having big and imbalance of the ears, decreases self- confidence. Some of these problems are congenital, such as:

Lack of auricle
Double ears
Gap in the auricle
Knotted ears

Cosmetic ear surgery also known as otoplasty, removes such problems and done under anesthesia. During surgery, incisions are created in ear cartilage, and surgeons remove excess skin and then create sutures. This surgery always takes 2 hours.

If a patient has prominent on the ears, reconstructive surgery is done. In this surgery, skin is removed, combined behind the ear and the cartilage will be reduced. There are various types of techniques for this surgery. These techniques depend on the surgeon and procedures. Reducing the cartilage and cartilage scoring are the most common procedures.

Benefits of reducing cartilage are as follows:

Sutures are used to form the ear
Suitable for removing bending the ear
Suitable for damaged ears and removing defects of the auricle
Recovery of damaged ear due to burning and tearing
Suitable for those who have congenital ear problems

Benefits of otoplasty

Those who seek this surgery, should know:

This is a safe and harmless surgery
This surgery removes any ear defects
This surgery increases self confidence
Patients will heal after 1 week
This surgery improves mental conditions of the patients
Incisions are minimal
This surgery reconstructs natural appearance of the ear

Pre- operative cares

Patients should avoid smoking, 5 weeks before surgery

Using medications such as aspirin and anti- inflammatory should be avoided, because they can increase risk of bleeding

Patients should care about their skin

Cosmetic Nose Surgery

Cosmetic nose surgery is one of the most popular surgeries which is done to make harmony between your nose with other parts of the face.

Choosing the best and skilled surgeon is so important.

Bony nose surgery

Noses with hump and less skin are called bony noses. These noses always will have better result, and less cartilage is needed.

Fleshy nose surgery

Noses with less cartilage and thick skin are called fleshy noses are more sensitive than bony noses. During nose surgery, excess skin is removed and cartilage will be improved. But by choosing the best surgeon, best result will be gained.

Pre- operative cares

Before surgery, you should have consultation with your surgeon, he or she explains necessary things and also does tests and photos. Patients should avoid alcohol and smoking, 2 weeks before surgery.

You should not eat food and drink water before surgery, and go to clinic or hospital, 1 hour before surgery.

Those who are under 18, should have their parent’s satisfaction.

Post- op cares

Avoid entering damages to the nose
Use pillows while sleeping
Apply ice pack on the nose to prevent swelling and bruising
Eat more liquids and soft foods, to prevent pressure to the nose
Use prescribed drugs and medications
Wash your nose with a sterile serum
Taping is the most post- operative cares to reduce the swelling and also shapes the nose.
Tampon is removed 3 days after surgery.