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Types of Nose Surgery to Breathe Better

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Nose Surgery

Rhinoplasty surgery can help correct an unattractive nose or provide breathing relief, and is generally conducted as outpatient procedures under general or local anesthesia.

Medication may help alleviate swelling and pain during the healing process. Swelling may take four to six weeks to diminish; in this timeframe it is important to keep the head elevated and avoid strenuous activity.

Rhinoplasty

Rhinoplasty, also referred to as “nose jobs”, is a surgical procedure designed to alter the shape or proportions of your nose and improve breathing. A crooked nose can create breathing issues as well as aesthetic concerns; correcting these problems through rhinoplasty may improve both aspects of your appearance, and boost self-confidence, helping secure better jobs or attract greater social recognition.

Rhinoplasties are usually performed outpatient under general anesthesia; however, some patients prefer local anesthetic with sedation (numbing shots). Once you’re under, your surgeon will make cuts inside or between your nostrils before reshaping bone and cartilage structures as necessary; larger changes may involve extra cartilage being grafted from ears or ribs for added support; once they have finished they close incisions to complete this procedure.

If you suffer from septum deviation, an issue with the cartilage that separates your nostrils, rhinoplasty surgery can improve airflow through your nose and reduce congestion. Furthermore, this surgery may fix broken noses caused by accidents or birth defects as well.

As with any surgery, rhinoplasty requires time for your body to recover from. While initial results might appear instantly, swelling and bruising will persist for some time afterward – external sutures must also be removed one week post-op if applicable.

The surgeon will ask about your medical history, such as any prior surgeries or nasal blockages, before conducting a physical exam of both sides of your nose – including taking photos from various angles for before-and-after comparisons and to help assess what changes might need to be made; they may use computer software to show you what your nose may look like after surgery.

This procedure is an effective way to achieve the look you want, and if you’re considering it, you should learn more about rhinoplasty and consult with a qualified surgeon to understand what’s involved and how it can benefit you. Rhinoplasty explained can help you make an informed decision and feel confident in your choice.

Sinus Surgery

Sinus surgery can help alleviate recurrent sinus infections and improve breathing, with its aim being to correct anatomic abnormalities which promote inflammation within the sinuses, leading to chronic sinusitis. Surgery can address deviated septums, nasal polyps and any other causes of blocked or inflamed sinuses.

As part of this minimally invasive procedure, the surgeon inserts an endoscope – a thin tube equipped with lights and cameras at its tip — into one of your nostrils in order to visually magnify and visualize tissues inside of your nose and sinus cavity. With this information available to them, the surgeon can then identify diseased tissue such as enlarged turbinates before extracting them and restoring normal sinus passageways and drainage pathways.

Caldwell-Luc surgery is an uncommon but more invasive option used to address growths or relieve pressure on frontal sinuses by creating an opening between the maxillary sinus and roof of mouth (maxillary osteotomy), thus increasing drainage and improving ventilation.

Balloon sinus dilation, also referred to as sinus ostial dilation or balloon ostial dilation, is another minimally invasive surgical option available to treat sinus inflammation and congestion. To do so, this surgery involves making a small cut in the upper jaw above the second molar, inserting a thin catheter with an inflatable balloon inside a blocked sinus, inflating it and stretching open its affected portion for improved drainage and airflow.

Although rarely experienced, complications from sinus surgery may include excessive bleeding that requires a trip to the operating room for control, or spinal fluid leakage from beneath the skull which could lead to meningitis. Preoperative medications designed to optimize sinus conditions may help decrease risks associated with surgery.

Most patients experience mild to moderate discomfort after sinus surgery, which can be controlled with either narcotic or non-narcotic pain medication. Bleeding may occur initially but should be managed effectively with proper care. Your physician may also suggest antibiotics in order to avoid infection or complications like scar tissue formation.

Balloon Sinuplasty

Balloon sinuplasty (BSP) is a minimally invasive procedure performed in our office under local anesthesia and provides an alternative to more traditional sinus surgery, helping relieve chronic sinus infections, nosebleeds, thick post nasal drip and painful headaches. Furthermore, BSP may even be suitable for individuals living with certain medical conditions.

Start off by applying nasal spray to numb your nose & mouth before inserting an endoscope – a thin tube equipped with a camera – into both nostrils in order to view inside of sinus passages. When your doctor can identify where your blocked sinus begins, he then introduces balloon catheter over endoscope wire which gradually inflates gradually expanding & widening opening of sinus opening as you do so; once wide enough he/she can flush it with saline solution to flush it all away

In most cases, the new sinus opening is permanent. Furthermore, no cutting or removal of bone or tissue takes place; thus reducing pain, risk of infection, bleeding & swelling compared to traditional surgery techniques and helping most patients return to their daily activities more quickly than with traditional sinus surgery.

Since 2012, thousands of ear, nose and throat doctors worldwide have utilized this non-invasive procedure to successfully treat frontal, sphenoid, ethmoid & maxillary sinuses in adults over 18 years of age. It has FDA approval.

Dr. Cohen has been performing this in-office procedure under local anesthetic for 10 years, taking less than 30 minutes and providing effective results in decreasing sinus blockage.

While BSP may help address chronic sinus issues, it doesn’t address structural causes behind them; as such, more traditional surgeries are often combined with it for best results. Therefore, it is wise to discuss your symptoms and treatment options with an ENT prior to opting for any surgery; your ENT may suggest BSP or another sinus procedure instead. Most insurance policies cover this procedure; for more information regarding your coverage contact your insurance provider who will be happy to provide more details and confirm whether or not it fits within your benefits package.

Laser Turbinate Reduction

Inside your nose are three pairs of long, thin bones covered with tissue that can expand or contract to change their shape, called nasal turbinates. When these become enlarged or inflamed, airflow is restricted, and congestion develops; in these instances turbinate reduction can help improve breathing while relieving symptoms for many patients.

Surgery to unblock airways involves extracting all or part of the lower turbinate. The procedure may be conducted either under local anesthesia or general anesthesia with sedation to ensure your comfort during the operation. A small, high-speed device may be used to shave away extra tissue; alternatively it may be done through an endoscope that’s placed into each nostril to make this easier for surgeons.

Coblation-assisted turbinate reduction is an increasingly popular and effective technique used for turbinate reduction. To perform the procedure, a needle-sized tool is inserted into the nose and laser light or radiofrequency energy is used to heat the tissue of the turbinates until they shrink, which allows bones to be reduced without negatively impacting functional mucosa on top. The procedure can usually be completed under local anesthesia within 15 minutes – making for quick and pain-free results that can even be performed quickly in office environments under local anesthesia for maximum results!

Your symptoms of stuffiness will subside with time as your turbinates heal. In this timeframe, aspirin and other nonsteroidal anti-inflammatories should be avoided to decrease bleeding risk. As your turbinate will swell slightly with yellow or bloody crusting around its edges; most patients can resume normal activity within a few weeks.

If allergy medicines or nasal sprays do not improve your breathing, turbinate reduction surgery could be the answer to improving quality of life. Turbinate reduction surgery can also be combined with other nose surgeries like rhinoplasty or balloon sinuplasty to address issues like deviated septum deviation. For more information on its advantages and to see if it’s right for you, reach out to our office. Dr. Rubinstein would be more than happy to schedule a consultation session and discuss all of the available solutions tailored specifically towards your situation.

 

Health

What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season

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Give the gift of great skin this holiday season

Skinstitut Holiday Gift Kits take the stress out of gifting

Toronto, October 31, 2024 – Beauty gifts are at the top of holiday wish lists this year, and Laser Clinics Canada, a leader in advanced beauty treatments and skincare, is taking the pressure out of seasonal shopping. Today, Laser Clincs Canada announces the arrival of its 2024 Holiday Gift Kits, courtesy of Skinstitut, the exclusive skincare line of Laser Clinics Group.

In time for the busy shopping season, the limited-edition Holiday Gifts Kits are available in Laser Clinics locations in the GTA and Ottawa. Clinics are conveniently located in popular shopping centers, including Hillcrest Mall, Square One, CF Sherway Gardens, Scarborough Town Centre, Rideau Centre, Union Station and CF Markville. These limited-edition Kits are available on a first come, first served basis.

“These kits combine our best-selling products, bundled to address the most relevant skin concerns we’re seeing among our clients,” says Christina Ho, Senior Brand & LAM Manager at Laser Clinics Canada. “With several price points available, the kits offer excellent value and suit a variety of gift-giving needs, from those new to cosmeceuticals to those looking to level up their skincare routine. What’s more, these kits are priced with a savings of up to 33 per cent so gift givers can save during the holiday season.

There are two kits to select from, each designed to address key skin concerns and each with a unique theme — Brightening Basics and Hydration Heroes.

Brightening Basics is a mix of everyday essentials for glowing skin for all skin types. The bundle comes in a sleek pink, reusable case and includes three full-sized products: 200ml gentle cleanser, 50ml Moisture Defence (normal skin) and 30ml1% Hyaluronic Complex Serum. The Brightening Basics kit is available at $129, a saving of 33 per cent.

Hydration Heroes is a mix of hydration essentials and active heroes that cater to a wide variety of clients. A perfect stocking stuffer, this bundle includes four deluxe products: Moisture 15 15 ml Defence for normal skin, 10 ml 1% Hyaluronic Complex Serum, 10 ml Retinol Serum and 50 ml Expert Squalane Cleansing Oil. The kit retails at $59.

In addition to the 2024 Holiday Gifts Kits, gift givers can easily add a Laser Clinic Canada gift card to the mix. Offering flexibility, recipients can choose from a wide range of treatments offered by Laser Clinics Canada, or they can expand their collection of exclusive Skinstitut products.

 

Brightening Basics 2024 Holiday Gift Kit by Skinstitut, available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Hydration Heroes 2024 Holiday Gift Kit by Skinstitut – available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

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Here is how to prepare your online accounts for when you die

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LONDON (AP) — Most people have accumulated a pile of data — selfies, emails, videos and more — on their social media and digital accounts over their lifetimes. What happens to it when we die?

It’s wise to draft a will spelling out who inherits your physical assets after you’re gone, but don’t forget to take care of your digital estate too. Friends and family might treasure files and posts you’ve left behind, but they could get lost in digital purgatory after you pass away unless you take some simple steps.

Here’s how you can prepare your digital life for your survivors:

Apple

The iPhone maker lets you nominate a “ legacy contact ” who can access your Apple account’s data after you die. The company says it’s a secure way to give trusted people access to photos, files and messages. To set it up you’ll need an Apple device with a fairly recent operating system — iPhones and iPads need iOS or iPadOS 15.2 and MacBooks needs macOS Monterey 12.1.

For iPhones, go to settings, tap Sign-in & Security and then Legacy Contact. You can name one or more people, and they don’t need an Apple ID or device.

You’ll have to share an access key with your contact. It can be a digital version sent electronically, or you can print a copy or save it as a screenshot or PDF.

Take note that there are some types of files you won’t be able to pass on — including digital rights-protected music, movies and passwords stored in Apple’s password manager. Legacy contacts can only access a deceased user’s account for three years before Apple deletes the account.

Google

Google takes a different approach with its Inactive Account Manager, which allows you to share your data with someone if it notices that you’ve stopped using your account.

When setting it up, you need to decide how long Google should wait — from three to 18 months — before considering your account inactive. Once that time is up, Google can notify up to 10 people.

You can write a message informing them you’ve stopped using the account, and, optionally, include a link to download your data. You can choose what types of data they can access — including emails, photos, calendar entries and YouTube videos.

There’s also an option to automatically delete your account after three months of inactivity, so your contacts will have to download any data before that deadline.

Facebook and Instagram

Some social media platforms can preserve accounts for people who have died so that friends and family can honor their memories.

When users of Facebook or Instagram die, parent company Meta says it can memorialize the account if it gets a “valid request” from a friend or family member. Requests can be submitted through an online form.

The social media company strongly recommends Facebook users add a legacy contact to look after their memorial accounts. Legacy contacts can do things like respond to new friend requests and update pinned posts, but they can’t read private messages or remove or alter previous posts. You can only choose one person, who also has to have a Facebook account.

You can also ask Facebook or Instagram to delete a deceased user’s account if you’re a close family member or an executor. You’ll need to send in documents like a death certificate.

TikTok

The video-sharing platform says that if a user has died, people can submit a request to memorialize the account through the settings menu. Go to the Report a Problem section, then Account and profile, then Manage account, where you can report a deceased user.

Once an account has been memorialized, it will be labeled “Remembering.” No one will be able to log into the account, which prevents anyone from editing the profile or using the account to post new content or send messages.

X

It’s not possible to nominate a legacy contact on Elon Musk’s social media site. But family members or an authorized person can submit a request to deactivate a deceased user’s account.

Passwords

Besides the major online services, you’ll probably have dozens if not hundreds of other digital accounts that your survivors might need to access. You could just write all your login credentials down in a notebook and put it somewhere safe. But making a physical copy presents its own vulnerabilities. What if you lose track of it? What if someone finds it?

Instead, consider a password manager that has an emergency access feature. Password managers are digital vaults that you can use to store all your credentials. Some, like Keeper,Bitwarden and NordPass, allow users to nominate one or more trusted contacts who can access their keys in case of an emergency such as a death.

But there are a few catches: Those contacts also need to use the same password manager and you might have to pay for the service.

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Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.

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Pediatric group says doctors should regularly screen kids for reading difficulties

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The Canadian Paediatric Society says doctors should regularly screen children for reading difficulties and dyslexia, calling low literacy a “serious public health concern” that can increase the risk of other problems including anxiety, low self-esteem and behavioural issues, with lifelong consequences.

New guidance issued Wednesday says family doctors, nurses, pediatricians and other medical professionals who care for school-aged kids are in a unique position to help struggling readers access educational and specialty supports, noting that identifying problems early couldhelp kids sooner — when it’s more effective — as well as reveal other possible learning or developmental issues.

The 10 recommendations include regular screening for kids aged four to seven, especially if they belong to groups at higher risk of low literacy, including newcomers to Canada, racialized Canadians and Indigenous Peoples. The society says this can be done in a two-to-three-minute office-based assessment.

Other tips encourage doctors to look for conditions often seen among poor readers such as attention-deficit hyperactivity disorder; to advocate for early literacy training for pediatric and family medicine residents; to liaise with schools on behalf of families seeking help; and to push provincial and territorial education ministries to integrate evidence-based phonics instruction into curriculums, starting in kindergarten.

Dr. Scott McLeod, one of the authors and chair of the society’s mental health and developmental disabilities committee, said a key goal is to catch kids who may be falling through the cracks and to better connect families to resources, including quicker targeted help from schools.

“Collaboration in this area is so key because we need to move away from the silos of: everything educational must exist within the educational portfolio,” McLeod said in an interview from Calgary, where he is a developmental pediatrician at Alberta Children’s Hospital.

“Reading, yes, it’s education, but it’s also health because we know that literacy impacts health. So I think that a statement like this opens the window to say: Yes, parents can come to their health-care provider to get advice, get recommendations, hopefully start a collaboration with school teachers.”

McLeod noted that pediatricians already look for signs of low literacy in young children by way of a commonly used tool known as the Rourke Baby Record, which offers a checklist of key topics, such as nutrition and developmental benchmarks, to cover in a well-child appointment.

But he said questions about reading could be “a standing item” in checkups and he hoped the society’s statement to medical professionals who care for children “enhances their confidence in being a strong advocate for the child” while spurring partnerships with others involved in a child’s life such as teachers and psychologists.

The guidance said pediatricians also play a key role in detecting and monitoring conditions that often coexist with difficulty reading such as attention-deficit hyperactivity disorder, but McLeod noted that getting such specific diagnoses typically involves a referral to a specialist, during which time a child continues to struggle.

He also acknowledged that some schools can be slow to act without a specific diagnosis from a specialist, and even then a child may end up on a wait list for school interventions.

“Evidence-based reading instruction shouldn’t have to wait for some of that access to specialized assessments to occur,” he said.

“My hope is that (by) having an existing statement or document written by the Canadian Paediatric Society … we’re able to skip a few steps or have some of the early interventions present,” he said.

McLeod added that obtaining specific assessments from medical specialists is “definitely beneficial and advantageous” to know where a child is at, “but having that sort of clear, thorough assessment shouldn’t be a barrier to intervention starting.”

McLeod said the society was partly spurred to act by 2022’s “Right to Read Inquiry Report” from the Ontario Human Rights Commission, which made 157 recommendations to address inequities related to reading instruction in that province.

He called the new guidelines “a big reminder” to pediatric providers, family doctors, school teachers and psychologists of the importance of literacy.

“Early identification of reading difficulty can truly change the trajectory of a child’s life.”

This report by The Canadian Press was first published Oct. 23, 2024.

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