Overview

Facial palsy is a condition in which the muscles in your face become weakened or paralyzed due to injury or disease. It usually affects one side of your face, causing it to droop or suddenly become stiff. resulting from some kind of trauma to the seventh cranial nerve, which controls your facial muscles. it causes difficulty in blinking, smiling, eating, drinking and speaking. Facial palsy can happen to anyone, it mostly affects people aged 15-60 years. It affects men and women equally. These patients often face psychological and social challenges and being treated as unfriendly and uninterested due to their appearance which can lead to chronic anxiety, isolation, least interested in daily activities, fear of negative reaction etc…There are definitive treatments available for facial palsy, depending on the duration of the disease. facial palsy treatment requires multi disciplinary approach like – plastic surgeon, ophthalmologist, oculoplastic surgeon, physiotherapist, speech therapist and clinical psychologist. Treatment always depends on several factors with most important being the time since the injury ha s occurred, if it has been 6months to a year old injury  simple operations like nerve repair and nerve transfer are appropriate treatments  yielding good results otherwise, it may require multiple treatments with physiotherapy as a crucial aspect of treatment.

Causes

Although the exact reason facial /Bell’s palsy occurs isn’t clear, it’s often related to having a viral infection. Viruses that have been linked to Facial/Bell’s palsy include viruses that cause:

• Cold sores and genital herpes, also known as herpes simplex.
• Chickenpox and shingles, also known as herpes zoster.
• Infectious mononucleosis, caused by the Epstein-Barr virus.
• Cytomegalovirus infections.
• Respiratory illnesses, caused by adenoviruses.
• German measles, also known as rubella.
• Mumps, caused by the mumps virus.
• Flu, also known as influenza B.
• Hand-foot-and-mouth disease, caused by a coxsackievirus.

Symptoms

The onset of your symptoms may be sudden or may appear over two or three days. Alternatively your symptoms may develop slowly over time (over weeks, or even months).

• Mild weakness to total paralysis on one side of the face — occurring within hours to days.
• Facial droop and trouble making facial expressions, such as closing an eye or smiling.
• Drooling.
• Pain around the jaw or pain in or behind the ear on the affected side.
• Increased sensitivity to sound on the affected side.
• Headache.
• Loss of taste.
• Changes in the amount of tears and saliva produced.

Diagnosis

There’s no specific test for Bell’s palsy. Your healthcare professional looks at your face and asks you to move your facial muscles. You’re asked to close your eyes, lift your brow, show your teeth and frown, among making other movements.

Other conditions — such as a stroke, infections, Lyme disease, inflammatory conditions and tumors — can cause facial muscle weakness that mimics Bell’s palsy. If the cause of your symptoms isn’t clear, your healthcare professional may recommend other tests, including:

• Electromyography (EMG).
• Imaging Scans (MRI, CT scan)
• Blood tests

Treatment

If you have Facial palsy, you’re likely to make a full recovery even if you don’t get treatment. But there are some things that may help you heal faster.

• Corticosteroids (such as prednisone). These can help ease swelling of your facial nerve and help it start working normally faster. Corticosteroids work best if you take them soon after the start of your symptoms.
• Antiviral drugs. Antiviral medications  are sometimes prescribed in combination with corticosteroids, typically in severe cases of Facial palsy. They don’t seem to have much effect when they’re taken alone.
• Eye drops. If your Facial palsy affects your ability to blink and close your eye, use eye drops or an ointment to keep it moist. Wear an eye patch to keep dirt and dust out and moisture in.
• Surgery. Surgery is usually a last resort if your symptoms don’t go away, or if you have complications.

Facial palsy therapy

Physiotherapy may help strengthen your facial muscles and help you get back facial coordination. You can also try massaging your face with your fingertips or exercising your facial muscles. Try to move every part of your face gently and slowly, using your fingers to help.

Conclusion

Most people with Facial palsy completely recover, sometimes the symptoms are permanent. and you may have long-term effects, such as – lopsided face, crooked smile, tightness of facial or neck muscle, narrowed eye etc.. But it’s not serious and usually clears up with early and appropriate treatments in a few months.

So, we  GTS is always available 24/7 at your service to assist and guide you with the right speciality of doctors  and everything in case you or your loved ones unfortunately encounter any type  major disease which may require therapies and surgery.

You can connect us at query@gtsmeditour.com or WhatsApp us on +91 9880149003 for an free second opinion from major hospitals like Apollo hospitals, Manipal Hospitals, Aster Hospitals.

Thank you..!

Overview

Some people are born with a deviated septum, but it can also be caused by an injury to your nose. Most people with a deviated septum have one nasal passage that’s much smaller than the other. This can cause difficulty breathing. Other symptoms of a deviated septum may include frequent nosebleeds and facial pain. Surgery is the only way to fix a deviated septum(i.e, septoplasty)

Septoplasty is a minor, low-risk procedure inside your nose to straighten a deviated septum. It is generally performed to improve quality of life. Recovery usually takes a few days and requires an average of a week of downtime. But, as with any surgery, septoplasty carries some risks, including bleeding, infection and numbness.

Causes

• bleeding
• scarring
• perforation of your septum, which happens when a hole forms in your septum
• an altered nose shape
• a discoloration of your nose
• a decreased sense of smell

Excessive bleeding and infection are possible risks of any surgery. Keeping your nose clean and washing your hands frequently can reduce these risks.

Benefits

Overview

Rhinoplasty is the medical name for surgical procedures that some people call a “nose job,” “nose reshaping” or “nasal surgery.” It involves the surgical reconstruction and shaping of the bone and cartilage to enhance the appearance or function of the nose. The nose is the most defining characteristic of the face, and even a slight alteration in its size or shape can greatly change a person’s appearance. Many surgeons prefer to perform cosmetic nose surgery after the nasal bone has finished growing. This is around age 14 or 15 for girls and a bit later for boys. Post surgery swelling of the nose may persist for several weeks. It takes a year or more for all the swelling in the nose to resolve, but most patients see improvement in their appearance within a few weeks. however in few cases there is revision surgery required in fail rhinoplasty.

Causes for Rhinoplasty

Patients born with a defect that affects the development of the nose often benefit from rhinoplasty. These defects include:

• cleft lip
• craniosynostosis
• frontonasal dysplasia
• Tessier clefts
• Treacher Collins syndrome
• Apert syndrome
• Hemangiomas
• vascular malformations

What rhinoplasty can treat

• Nose size in relation to facial balance
• Nose width at the bridge or in the size and position of the nostrils
• Nose profile with visible humps or depressions on the bridge
• Nasal tip that is enlarged or bulbous, drooping, upturned or hooked
• Nostrils that are large, wide or upturned
• Nasal asymmetry

Overview

Breast augmentation Augmentation mammoplasty  is a cosmetic surgery technique using breast-implants and fat-graft mammoplasty techniques to increase the size, change the shape, and alter the texture of the breasts. Although in some cases augmentation mammoplasty is applied to correct congenital defects of the breasts and the chest wall. whereas in some cases it is used purely as a cosmetic surgery and post mastectomy for breast cancer.  primary breast augmentation changes the aesthetics – of size, shape, texture and fullness of breast. In some cases breast augmentation is a way to feel more confident. For others, it’s part of rebuilding the breast for various conditions.

Breast implants cost depends on the location, doctor, and type of implant used. Typically, the surgery ranges from $5,000 to $10,000/- tentatively. Because it is a cosmetic procedure and these Implants last from 7 to 12 years on  an average. If you’re considering breast augmentation, talk to a plastic surgeon. Make sure you understand what surgery involves, including possible risks, complications and follow-up care.

Reason for Augmentation Mammoplasty

• It enhances your appearance if you think your breasts are small or that one is smaller than the other and this impacts how you dress or the type of bra needed to help with the asymmetry
• It adjusts for a reduction in the size of your breasts after pregnancy or significant weight loss
• It Corrects your uneven breasts after breast surgery for other conditions
• It Improves your self-confidence
• Reconstructive breast surgery may be done as a part of the treatment for breast cancer. Cosmetic breast surgery is done for esthetic purposes.

Surgical breast augmentation

There are four types of implant:

1. Saline implants filled with sterile saline solution- the saline breast implant, filled with saline solution. The technical goal of saline-implant technique was a less-invasive surgical technique, by inserting an empty, rolled-up breast implant through a smaller surgical incision. the plastic surgeon would then fill each device with saline solution through a one-way valve and, because the required insertion incisions were short and small, the resultant incision scars would be smaller and shorter than the surgical scars typical of the pre-filled, silicone-gel implant surgical technique.
2. Silicone implants filled with viscous silicone gel-Silicone gel-filled implants are silicone shells filled with a plastic gel (silicone). Although many women say that silicone gel implants feel more like real breasts than saline, they pose more of a risk if they leak.
3. Alternative-composition implants (no longer manufactured), filled with various fillers such as soy oil or polypropylene string.
4. “Structured” implants using nested elastomer silicone shells with saline between the shells – Structured implants were approved by the FDA and Health Canada in 2014 as a fourth category of breast implant. These implants incorporate both saline and silicone gel implant technology. The filler is saline solution, in case of rupture, and has a natural feel, like silicone gel implants.his implant type uses an internal structure consisting of three nested silicone rubber “shells” that support the upper half of the breast, with the two spaces between the three shells filled with saline. The implant is inserted, empty, then filled once in place, which requires a smaller incision than a pre-filled implant.

Risks

Breast augmentation poses various risks involved  such as follows:

• Infection
• Scar tissue that distorts the shape of the breast implant (capsular contracture)
• Breast pain
• Changes in nipple and breast sensation
• Implant position changes
• Implant leakage or rupture

Correcting these complications might require more surgery, to either remove or replace the implants.

Conclusion

Breast augmentation is a way to feel more confident but, breast implants are not designed to last a lifetime. You may need to have the implants replaced if you have complications or if the size and shape of your breasts change over time.

Women who have silicone gel-filled implants need to get regular mammogram screenings yearly plus an MRI or ultrasound scan five to six years after the initial implant surgery and every two to three years after that to check for silent rupture. If you have symptoms at any time or uncertain ultrasound results for breast implant rupture, an MRI is recommended If your implants rupture, you will need to have them removed or replaced.

We at GTS meditourism  India assist the patients from various countries to get the right second opinion, diagnosis and treatment plan so that they can plan their visit abroad and  post confirmation also we assist the patient and their attenders get all the necessary arrangement suuport inregardss to the medical visa ,accomodation, best hospital guidance, post surgery follow ups and medications supply etc..

For further enquiry please email us at Query@gtsmeditour.com or whatsapp us  anytime on +91 9880149003

DISEASE OVERVIEW

Elephantiasis is a condition characterized by gross enlargement of an area of the body, especially the limbs. Other areas commonly affected include the external genitals. Elephantiasis is caused by obstruction of the lymphatic system, which results in the accumulation of a fluid called lymph in the affected areas.  Elephantiasis is a painful and profoundly disfiguring disease, caused by infection with parasites classified as nematodes (roundworms) of the family Filariodidea that are transmitted through the bites of infected mosquitos. Mosquito-transmitted larvae are deposited on the skin from where they can enter the body. The larvae then migrate to the lymphatic vessels where they develop into adult worms, thus continuing a cycle of transmission. The affected skin can thicken and harden to look something like an elephant’s skin.

It’s more common in tropical or subtropical areas. In endemic countries, lymphatic filariasis has a major social and economic impact. causing temporary or permanent disability. Lymphatic filariasis affects over 120 million people in 72 countries throughout the tropics and sub-tropics of Asia, Africa, the Western Pacific, and parts of the Caribbean and South America.

CAUSES

Elephantiasis is caused by parasitic worms that are spread by mosquitoes. It starts when mosquitoes infected with the roundworm larvae bite you. The tiny larvae survive in your bloodstream and grow. They finish maturing in your lymph system. They can live there for years and cause a lot of damage to your lymph system.

SIGNS & SYMPTOMS

• Mild Edema
• Huge swelling
• pain in affected swollen area.
• Thickened, nonelastic saggy skin
• chills and fever

Elephantiasis may also affect the male and female external genital organs. In a male, there may be enlargement of the scrotum, and the penis may be retracted under skin which has become thickened, nonelastic, hot and painful. The spermatic cords may thicken. Affected individuals may experience pain and a burning sensation.

DIAGNOSIS

A detailed patient history and identification of characteristic symptoms. They also will have blood tests done to see if roundworms are in your bloodstream. These tests need to be done at night, because that’s when these parasites are active.

TREATMENT

Treatment of elephantiasis always involves treating the underlying condition. Lymphatic filariasis is a chronic lymphedema, which should be treated in the early stages with good compression therapy and garments to prevent elephantiasis.

There are some things you can do on your own to ease them:

• Wash and dry the swollen areas daily.
• Use moisturizers.
• Check for wounds and use medicated cream on any sore spots.
• Exercise, and walk when possible.
• If your arms or legs are swollen, keep them elevated when you’re lying down or seated.

However, in the majority cases, medical therapy alone is not enough and surgery may be necessary as a last option. In cases where the male genitals have been affected, reconstructive surgery on the penis and scrotum has been successful. Anti-streptococcal antibiotics are used to relieve secondary infection. Lymphatic tissue may be removed by surgery or radiation therapy.

LIVING WITH ELEPHANTIASIS

Elephantiasis can be disabling. Sometimes it’s hard to move the affected body parts, which means it could be difficult to work. It might even be hard to get around in your home.

You might also worry about how your condition looks to other people. This can cause anxiety and depression. If you have elephantiasis and want information about support groups, ask your doctor. You can also go online to find resources that might help.