Chapter 3: Nasal and Sinus Problems and Solutions

[@panzerlion]

I am a general surgeon and this animation is just amazing, not only in patient sided information, but in the anatomy and little details too! Very well done

[@MK8Warrior]

I’ve had a sinus infection for 2 weeks now

[@chrismedina54]

The way it blinks after the head is opened.

[@realisticthinking3019]

i agree, it was informative but easy to understand with little training medically. i enjoyed the subtle humor

[@seancloutier2577]

@@MK8Warrior I hope it is gone. I will say a prayer. These are not fun.

[@MK8Warrior]

@@seancloutier2577 update I still have it since august 12

[@kayokk-]

One of the best nasal, sinus videos on the Internet.

[@jeffthewhiff]

I had deviated septum surgery several years ago and it made a world of difference in my life. Prior to the surgery, I always had sinusitis during the winter months and there were times when I had very serere sinus headaches. I am grateful to Dr. Schwartz of the Pittsburgh Children's Hospital for changing my life!

[@ananyagondhiaphukan4938]

Hello there .... May I know at what age did u undergo through the surgery ?

[@jeffthewhiff]

@@ananyagondhiaphukan4938 Yes, I had deviated septum surgery when I was 18 years-old.

[@jeffthewhiff]

@@ananyagondhiaphukan4938 Yes, Ananya, I was 18 years-old when I had the surgery.

[@motivationalvibes-kv2ks]

Bro after dns surgery you're nose was runnu for how many days? My one side nose is more runny

[@jeffthewhiff]

No, I did not notice having a runny nose after the surgery, but it made breathing through my nose much easier.

[@digitalghosts4599]

Damn, whoever segmented all those anatomic structures in such great detail is a pro! I worked as a programmer (computer vision specialist) on brain CT and MRI and nasal turbinates and sinuses were for some reason always fascinating to me and also really hard to segment, since they're made of pretty thin and delicate tissue that barely shows up. Thanks to this video I could finally see what I was struggling to understand years ago! Thank you!

[@PeterCasano]

Thanks for noticing.... I did all that by hand using ITK Snap segmentation tool. Being a sinus surgeon helped me know what the best locations were to declare one structure vs another as there is no real difference in the signal from one sinus to the next and such... glad you liked it.

[@joeyseabaugh6742]

I was also impressed with the detail. Helped a simpleton like me, grasp a bit of knowledge. Thanks much

[@ambermclaughlin3852]

​@@PeterCasanoPost op pain from snipping and gouging is the most painful procedure ever...

[@PeterCasano]

@@ambermclaughlin3852 Well, I’m sorry you apparently had an unpleasant experience. That said, there are a bunch of different types of operations for different problems and different techniques and some are more unpleasant than others. That’s for sure. Simple endoscopic sinus surgery without a septoplasty usually doesn’t have much pain. Septoplasty, when it involves the front part of the nose, can have the most unpleasant recovery of the various types of sinus and nasal surgery… in general. Cosmetic nasal surgery is unpleasant to recover from also.

[@ambermclaughlin3852]

@@PeterCasano Yes that is true with every procedure. I did have a deviated septum and a deep gouging process which included post op steroids which only inhanced the pain and bleeding.. Now my maxillary sinuses are full of snot again and I'm seriously debating on a repeat of the same torture..I have to weigh... being dizzy...to a debilitating level or another surgery..Ugg 🤦🏼‍♀️ Im trying hippie dippy facial massages... and antibiotics w/o relief...or drainage

[@stoyc]

No idea why KZbin would recommend this to me randomly, but damn I now feel so informed! What a great video.

[@metamodern7648]

Let us all pay some respect to the fellow participant who volunteered his face to be cut off and glued back multiple times so that we could see his sinuses. Bravo, senior 👏👏👏

[@psykoj]

he's going to need a lifetime of therapy ... he looks traumatized!

[@mellow_track12]

😂😂😂😂 ​@@psykoj

[@Hazeraiser]

It is CGI... Because in real life you won't need that much glue, only tape.

[@koteechka7]

THANK YOU SO MUCH!!!!! I TRYED TO FIND SUCH ANIMATED VIDEO FOR A LONG TIME!!! ALL MY DOCTORS EXPLAINED THIS DISEASE ONLY BY WORDS. YOUR VIDEO IS A MUST HAVE FOR EVERY HOSPITAL!!!! CHEERS FROM RUSSIA! 👍

[@CrnchyToast]

Don't know why this was suggested to me or why I clicked on it. But it actually answered some questions I didn't realized that I had about my own sinus issues. Thanks KZbin algorithms

[@BardiXOfficial]

I would like to thank the patient for volunteering to have his face opened like a door

[@souravbose123]

😜😜

[@t00cute1]

😅

[@Gon_Jajanken]

Seeing this animation brings me to notice the fact the our bodies are a huge complicated system. Truly fascinating

[@bepisbepi]

Perhaps the scariest part during surgery is when they cut your head in half an pry your face open, but i'm sure anesthesia can work around that too!!!

[@DuchessMina25]

Are you joking?😂😂😂

[@ratatat9790]

This was great seeing the insides in context using the face as a mask. I had a septoplasty with turbinate reduction and SMD ( sub mucosal diathermy) but unfortunately my septum collapsed almost straight away post op and i ended up worse off. Sinus issues are not fun when they impact your quality of life greatly :(

[@carolinagarcia535]

How are you doing now? Did you get another revision surgery to repair the septum/ cartilage?

[@chrisrobbie8675]

How are you today, my friend? Any further treatment taken?

[@christinachiappette4470]

Same just went in for rhinoplasty 3 days ago hoping they fixed everything the toll it takes on our quality of like is so underestimated sleep apnea constant migraines from not getting deep sleep no matter how much you sleep constant sinus and ear infections it really can be detrimental to our quality of life atleast it was for me hoping once this heals I can get back to living again❤❤❤❤

[@chrisrobbie8675]

@@christinachiappette4470 hoping the best for you. Get well soon.

[@marcz239]

100% man sinus problems gotta be the worst curse on earth, shit I'd rather be slightly mentally impaired damn near 😂

[@nguyentrungnguyen6924]

I’m ENT doctor and I’m still fascinated while watching your educational videos. It’s excellent

[@PeterCasano]

Thanks for watching

[@mikkybozzy-my2vk]

If your an ent, what are the chances these operation fix the problem? Judging by people's experiences with them, I'd say 45%

[@PeterCasano]

@@mikkybozzy-my2vk Depends on what the problem is and how it is addressed. Well chosen patients have well over 45% of the time get the results that they desire. If you doctor operates on you with a balloon for headaches... more likely you won't get the results that you want. I depends.

[@mikkybozzy-my2vk]

@Peter Casano I'm getting a septoplasty and turbanate reduction. I don't get headaches just pressure in the sinus area and congestion

[@mikkybozzy-my2vk]

@ConfusedRiver-ff6lh havent had it yet. Still waiting. Been waiting over year and a half nearly , but I am fine now. I’m contemplating whether I should do it.

[@Nattraks]

Imagine a doctor watches this video right before a surgury

[@wujciowariatuncio5702]

never to late for learning

[@someonespecial1234]

Before surgery, they go to toilet

[@user-yn7ld2et8n]

So what

[@ederufrgs1]

Better than after

[@spacesuitor]

Imagine a doctor who watches this video right before EVERY surgery.

[@gene978]

I had my Deviated Septum surgery at age 28 and was told I would no longer have Chronic daily Sinus headaches that would make my eyes close and water. After Surgery both Nostrils were packed with it seemed like MILES of string all tightly stuffed so tight and not being able to sleep with the packing try falling asleep with both nostrils blocked. The 3rd day when the packing came out in the office the Surgeon placed a pail for me to hold and when he gave the word after spending 15 minutes unraveling the string from each nostril I said “now, you’re going to feel like a Million Dollars” “Breathe deep when I say NOW and Keep Swallowing” I did feel like I was inhaling the world when he pulled the last of it out but I was swallowing the most disgusting grossest felt like Gallons of Mucus and clots going down my throat. Then the nostrils get scabbing up with tiny scabs many of them I had to keep going back to have them trimmed back. The sinus headaches returned by day 7 after the unpacking. I was so very discouraged. The ENT Promised me that was my Sinus issues. That was over 30 years ago and I still deal with the daily pain, and pressure.

[@msagist2004]

Sounds like a hopeless situation...so sad☹️

[@vacafuega]

Have you tried keeping a food diary, and looking into ways to reduce inflammation through lifestyle? Sinus rinses for example are a really valuable tool for reducing the gunk and pain. Only surgeons can change the shape of the tissue, but you're the best placed to reduce the amount of inflammation it is undergoing.

[@xw591]

How is your blood pressure?

[@Texa8]

Sounds like an outdated procedure

So much of this is related to the immune system. Surgery treats the symptoms not the problem

[@ecovoycanada]

Very informative and well made, thanks! ...it would be nice to see in the next one the connection with the ear to better understand why sinus problems sometimes lead to earache.

[@damned_1]

Exactly. Currently experiencing this 😖

[@teimonabrown50]

I've never had any sinus problems ever till now am 23....I feel as if am on my last days plus am pregnant.....first thing Monday morning am going to the doctor.....it's been bothering me for two weeks....I can manage anymore...

[@LorenaRodriguez-zm4xz]

@@teimonabrown50hi! How did it go with the doctor? Where you able to resolve it? Did the pregnancy go well?

[@vacafuega]

Absolutely stunning in how much information is conveyed, and with what clarity... and also unforgettably horrifying - the disembodied head and shoulders sitting on the table, blinking... The head opening up like a cuckoo clock... With different music and narration this would make a great cinematic for a horror game!

[@shashikumarjeerankalagi1246]

Please make a video on connection of ear with nasal cavity 3D view..❤️❤️

[@christineryan2711]

I second this!

[@leonitasacang-soliva4238]

Is the nasal cavity connected with the eyes too?

[@majjumazhar9840]

Please

[@hobbesip1]

I vote +1. I'd like to see a video about common procedures involving the eustachian tubes a related systems

[@Medicoboi]

@@leonitasacang-soliva4238 yes Through nasolacrimal duct

[@Tubeytime]

Amazing work, this deserves more recognition. These types of explanations are not only hard to come by, but hard to present as well.

[@Theoryofcatsndogs]

this is the most unsettling medical video I ever seen, even more than real surgical video. Especially I had 3 nasal surgeries before. Bit it is informative.

[@Modent-ir]

I’ve been waiting for this video for almost 3 years… awesome work. Thank you

[@kkkk150984]

Very nice and informative video. Please add the connection of throat infection along with lungs mucus and cough. It will help to understand complete respiratory system. Thanks

[@tabuilder]

Please!

[@soilmanted]

Nice animated medical illustrations. I love how surgeons always "carefully" cut or "carefully" debride or "carefully" remove. Usually no-one says just cut, debride, or remove without prefixing it with carefully. Only only rarely to we hear of surgeons "carelessly" cutting, debriding, or removing something, but I'm reasonably certian they do that much more often than we hear about it.

[@PeterCasano]

Maybe skillfully is a better word but sounds pretentious.

[@soilmanted]

@@PeterCasano Of course, generally surgeon do surgical procedures skillfully. That is what, naturally, everyone expects them to do, so in describing a procedure to the lay person, injecting the adverb skillfully, or carefully, or any other adjectives that implies doing it well, should be unnecessary. It is almost redundant. So it begins to sound ridiculous when _any_ such adjectives are used. It implies that normally they make a cut carelessly, but in the situation being described, here they do it skillfully. Can't we just _assume_ they cut people's body parts skillfully? Repeatedly repeating that they do it carefully, or skillfully, makes me wonder why do they think they have to repeatedly remind lay people that they do their job carefully or skillfully. Glob help us if they cut into us carelessly. It wouldn't be just a little bit less desirable than than skillfully - rather - it would be really really bad. Up until they repeatedly say "carefully,' I was assuming they they did it carefully. Now I am beginning to wonder.

[@EMILY4DAYS]

You should totally watch orthopedic surgeons go at it; nothing gentle or "careful" about so much of that.

[@weelianocraft]

Amazing 3D animation and modeling! Now I understand why these nasal cavities can get infected. I find nasal flushes will help alleviate blockages for me.

[@sideeffectsstudios]

Well detailed explanation. It’s not that easy to do these kind of videos And i appreciate the effort you have put on this video.

[@erinwaltz2188]

We found this video to be informative. Also, I loved that you invented a sinus drainage move. You went right into the stance! I hope you and your family are also having a very good day.

[@danielbishop7187]

Excellent. This consolidates all of the pertinent information regarding sinusitis and is presented very well; especially the complications from a basic cold that can ultimately lead to surgery.

[@matvei8368]

I must’ve cleared my nose about 50 times watching this. Happy to say, both my nostrils are working fine.

[@ranjittyagi9354]

Did well 👏

[@X-Gen-001]

Ever since I can remember I've had sinus problems with colds and infections, it was exhausting sometimes. But after having a septoplasty and turbinate reduction I haven't had any sinus problems or colds since. That was nearly 4 years ago now so for me it worked out really well. I remember how weird it felt when they removed the packing. It was like someone pulling out a wet towel from underneath my brain and out my nose lol. It wasn't too unpleasant, it just felt really weird.

[@poppybean7807]

Really happy it worked for you 🇬🇧

[@X-Gen-001]

@@poppybean7807 Thank you, yeah it's like I got my life back. Apparently some people who get the same procedure done end up worse than what they were before. Something called "empty nose syndrome". I didn't know about that risk before, but I think I still would've gone ahead with it.

[@invictuz4803]

@@X-Gen-001 Thank you for sharing your experience and the risks associated with turbinate reduction. I feel like once you do surgery, there's no going back, so you better exhaust every other possible option first. Empty nose syndrome doesn't sound fun, but I feel like being able to breathe better might still be worth it.

[@X-Gen-001]

@@invictuz4803 No worries. Yes it was definitely worth the risk because I was in a pretty bad way before my surgery. Mountains of blood soaked tissues next to my bed, constant exhaustion just trying to breathe properly, sleep deprivation, something had to give. It was either surgery or continue deteriorating, eventually death via heart attack or suicide.

[@invictuz4803]

@@X-Gen-001 I feel you, trying to be something in life while having daily sleep deprivation, fatigue and brain fog is absolutely depressing.

[@Ojb_1959]

Very interesting video! I have a retracted eardrum and would love to see how my sinuses effect that.

[@cheesypumpernickel5568]

Thank you very much for such detailed 3D animation and explanation.

[@kpzcbttp]

Had this and it burst through my upper gum making a channel. Took ages to diagnose it, had an operation and debridement and a 4 inch cut along upper gum. Would not wish that pain on my worst enemy.

[@PeterCasano]

What you had sounds like a Caldwell Luc operation. I don’t know your situation of course but that’s nothing like the minor maxillary antrostomy demonstrated in this video. Hope it turned out well.

[@daniacosta6682]

@@PeterCasano hola como estas te escribo desde Argentina

[@Mychellechic]

@@PeterCasanowhat do you mean nothing like? I have trapped fluid in my maxillary and it’s so painful - antibiotics didn’t work - they want to balloon I just wish it would open up. I have no drainage nor congestion . It’s weird and awful all at once taking ibuprofen for pain

[@PeterCasano]

⁠​⁠@@MychellechicI mean the type of operation that the original comment describes (Caldwell-luc) is nothing like the operation that I show in the animation (endoscopic maxillary sinus antrostomy).

[@makeupyourmindinator]

I had sinus surgery and this is exactly how they did it, as an outpatient and home the same day.

[@sergeyshchurko9541]

Thank you for great explanation of nasal anatomy and functions!

[@rgolab3174]

This video provides so much detail I'm gonna quit my job and open my own practice.

[@chancepeterson6346]

I’ve had a chronic cough for 8 months now and while this gave immense insight I still don’t know the cause of my cough.

[@vacafuega]

Post-nasal drip from sinus inflammation? For immediate relief, try sinus rinses using a neti pot of some kind. For long term relief, look at reducing inflammation generally, seeing if you might be reacting to foods or allergens, pollen, mould, etc. And beyond that, ENTs :)

[@RebeccaSRogers]

I had a chronic cough for over 6 months, was told it was probably allergies, and spent months trying to determine what I was allergic to. Turns out it was heartburn, even though I did not feel it. The ENT I saw told me heartburn is one of the most common causes of a chronic cough.

[@lunam7249]

go see a MD before you die.😢

[@chancepeterson6346]

@@lunam7249 had it for 2 years now ain’t gonna kill me

[@alanthierseorn]

I had a septoplasty with a partial reduction of the inferior tubinate, and had no packing. Doctor said he didn't like to use packing if he didn't need to, and for me the only issue was some excess clotting over the sutures, which was easily taken care of by him suctioning the excess clots out. Even during surgery I only lost 10cc's of blood, which makes that the smallest bloody nose I've ever had(i've literally lost well over a pint before when I was younger bc a severe nose bleed that wasn't caused by an injury). This video was pretty insightful, but I have no idea why it was recommended, but glad it did :)

[@polycloud1]

I finally understand what's going on inside my nose! Thanks for a terrific video.

[@DraKuLa_]

З

[@raghubharadwaj7122]

I agree now i am terrified

[@TheXangelus]

I had a procedure where they basically pushed a small hole through my cartilage from my nose into my sinuses when I was 11. They then used water to flush out my sinuses. It was honestly absolutely horrible because they did it with just local anesthesia they put super long cotton balls soaked with a numbing agent that went and dripped all the way back into my throat and made me want to puke. I still wasn’t fully numb so it hurt and the pressure of the flushing was awful. The worst part was that they did nothing to stop the bleeding my nose kept bleeding for 3 days straight. My mom was ready to take me to the hospital because I was losing to much blood. Luckily for others they don’t do that procedure anymore these days because I wouldn’t wish that on anyone.

[@OfficialtrueGabriel22]

Am doing the same next week been trying to get a comment like this am a little scared tho

[@jessewrites17792]

I have a diverted septum.ive suffered with it since someone hit me with a knickle duster when i was 16. Im 29 now. And have to sleep on one side to breath during the night, occasionally my nose opens and i get to experience what its like to breath through it.

[@TB-xg9gz]

Had mine corrected a few years ago. It's wonderful to breathe but allergies are worse than before, which can lead to again, not breathing clearly. 😪

[@mezmerizer0266]

Some for me, but if I push up on the front of my nose I can breathe through both nostrils again.

[@iannordin5250]

IF you can I would highly suggest going for septum surgery. I had a really mess up septum that developed weird after I broke my nose as a little kid. It caused me about 15 years of poor sleep, difficulty in exercising, and mouth breathing. Finally bit the bullet and got the surgery done a couple of years ago and have never looked back. Recovery is a bit of a bitch as your face will be tender for a couple of months and your nasal passages filled with packing and stitches, it's like carrying around a months long sinus infection, but once it's healed and everything is removed the feeling of just being able to breath normally more than makes up for all of it. What's more my insurance covered it all as my doctor and I convinced them it was a necessary and potentially life saving procedure. In hindsight, with all of the times I would wake up in the middle of the night unable to breath due to blocked passages, it likely was...

[@invictuz4803]

Holy cow, having to suffer from the inability to breathe properly, especially while sleeping, is such an overlooked issue. I believe it's the cause for all my issues with sports coordination, speech, energy, concentration and just overall brain health which cascades into a whole bunch of other issues. As an adult, I can barely get through the day without wanting to fall asleep every other hour because of my sleep apnea. I envy the people that can operate on six hours of sleep while I sleep 8-9 hours and feel like I barely slept. Thankfully, I'm finally taking the right meds and nasal steroids to decrease my congestion and having a bit more oxygen when I'm sleeping makes a huge difference on my ability to think. Just being a little smarter can improve life by so much. I wish I had solved this issue in my early 20s though.

[@jdoe3974]

@@TB-xg9gz fr

[@RicJG7]

Very good and nice visuals, I would have liked to see some solutions for the oversized inferior turbinate though

[@def6420]

Super good information - school will never teach that

[@jetw9522]

Very well done 3D modeling and animation. So informative, and I love all the details. I would love to make animations like this myself. Thank you Dr. Casano for sharing this amazing piece of work and spreading the knowledge! 🙏❤😊

[@rayrocher6887]

Thanks for trying , to cure the ill, Nasal and mouth - trouble. Everything connected to everything else. Great job Doctors. amen.

[@petrecesoto3243]

I am going to have septoplasty, bilateral endoscopic inferior turbinoplasty, right endoscopic concha bullosa resection, and this video was just the thing that answered all of my questions and lessen all of my fears. Thank you very much for doing this. Signed Scaredy Cat

[@PeterCasano]

Hope things go well with your procedure.

[@Texa8]

How did it go

[@vitamin365-82]

It is very easy to understand and very helpful for the viewers.

[@jenaywilliams]

I get a cold/flu EVERY SINGLE DAY. I can’t believe no doctor has told me this over all these years. I’m gonna call and ENT office to get this done myself.

[@alejandroperez5368]

So, you want to risk it and have empty nose syndrome?

[@EMILY4DAYS]

Daily influenza is impressive. I agree that seeing an ENT is an excellent option. Perhaps lose the hyperbole and consider not demanding a surgical procedure straight away. An evaluation and imaging/testing/treatments should be considered before a surgical escalation. Maybe an oral history. Introductions? 😆 Excellent example of a common interaction that involves an internet-trained expert demanding specific treatments and procedures before triage has started. Though in all seriousness, if you have chronic nasal issues, an ENT is exactly who you want to see! Infectious disease may be a better fit for the chronic influenza.

[@vacuumboy6.0]

That's because most doctors these days are quacks.

[@ExploringworldwithSWAT]

I've been facing the same problem for 8 years . Still i have no idea how to deal with it. Instead i have started to live with it 🙂

[@ofthedifference]

> Jenay Williams Four years ago, I was renting a room in an old home and during the time I lived there I developed a sinus infection that kept returning, and I felt lousy pretty much every day. After I moved to another place, my sinus infections cleared up and haven't returned. I subsequently learned that the old house was ridden with mold throughout the house, and that the mold in the air in that environment was what caused my sinus problems. I share this info with you because it may not be your own body causing you to be ill, but rather the air in the environment you are breathing that is the culprit. Most of the mold in the old house I spoke of was not readily visible but was growing in the walls and underneath the bathtub and behind the tiles in the walls. Apply some critical thinking and look into what things could be causing your illness in the environment you're in most of the time instead of jumping to such an extreme conclusion that you need surgery.

[@jbrise7560]

I’m getting ready to have Deviated Septum surgery and I can finally see and understand exactly what will happen and exactly where the septum is, as it is very thin.

[@sierraco7315]

I have had a chronic stuffy nose for almost 30 years now, difficulties in breathing especially during sleeping. I had a couple of doctors diagnose the problem as nasal polyps. I noticed that my breathing greatly improves when I have to take antibiotics for another illness, antibiotics like Zithromax. I would sleep much better and improved focus. But the issue would return a couple of days after I stop taking antibiotics. I'd appreciate your feedback.

[@hoffer_moment]

dunno if it helps but i get this whenever i leave the house for multiple hours or breathe a lot of pollen or allergens. what always fixes it for me is to break the end off a qtip and gently tickle my nose hairs with the stick itself, sneeze, and do it for each nostril at least twice, and then immediately lay on my back for maybe 30 minutes, sniffling down my throat. don't over irritate it though otherwise i will not be able to breathe through my nose at night. saline nasal irrigation doesn't work for me, meds don't work, and corticosteroid addiction was one of the worst things to happen to me sometimes a quick fix for a mild blockage is to exhale really hard through one nostril (plugging the other) so that the air kind of pushes stuff out of the way, it works for me when it's mild

[@sonjastarr1364]

The experts say NEVER blow through one nostril while plugging the other. Too much pressure plus the possibility of some of the stuff being forced the wrong way. Stay safe.

[@chrisrobbie8675]

Do you have sinus surgery too, by now?

[@brentonyancheck4861]

My cousin said that the NAVAGE nasal irrigation system works for him!! Be worth a try!? Supposedly helps with sinusitis and polyps!?

[@bobjones9963]

I read a negative comment about you online from a patient that said you don’t care, but maybe you were just having a bad day if they really felt that way. You would be the coolest Dr. to have. 🥺

[@PeterCasano]

Well, I do care but some people want you to care about things in a way that isn't medically appropriate and I don't pander well.. and of course it is much more common, in all settings, for reviews to come from the annoyed over the satisfied. Thanks for watching my videos, if you have a VR headset or TV you can view in 3D, which is especially cool. www.petercasano.com has the necessary info. :)

[@bobjones9963]

@@PeterCasano Oh trust me; I’ve scoured that website for a possible public download of the data, so I’m definitely aware of that, haha, but thanks for the reply

[@marcomill4824]

It's saturday 11pm, all people my age are outside drinking and enjoying the summer. Me, I'm on my bed seeing sinus problems and solutions. I am not complaining.

[@majorsaunders]

This is very informative.Thank you so much for educating us all!. Thank you for great explanation of nasal anatomy and functions!.

[@camilarodrigues7490]

Okay, let’s address the elephant in the room-or should I say, the torso in the OR? At 0:30, we’ve got a nurse’s upper half chilling on the table like it’s waiting for its lower half to return from the war. Is that why it looks so sad? And what’s with the dual bed set up in the background? Is this an OR or a buy-one-get-one-free skinny mattress sale? Is this animation sponsored by Siemens? Do I need to point out that we're seeing a knee joint displayed on the monitors, but we're talking about nasal and sinus anatomy? I need answers, people!!! 😂

[@PeterCasano]

I know, right? 😊

[@camilarodrigues7490]

As someone who works with medical animations, I'm bound to notice every little detail. Thanks for being a good sport about it and for the great content. Even after having a septoplasty and turbinate reduction, I still struggled to understand some of the nasal cavity's details. This animation was quite informative!

[@AirdropZone1]

I suffered from nasal problems one of nose is blocked i have been wondering if it is only one nostril mean for airways but by watching this video i understand how this problem it is and i hope now that my other nostril will be back to active. Thanks alot.

[@henryi9738]

Thank you Dr Casano, this video has proven to be very helpful to me.

[@antoniojuarez4714]

THIS VIDEO IS PERFECT, USEFUL, 100% APPLICABLE AND... GREAT!!

[@govinda102000]

A must know for anyone as the sinus is so vulnerable as a gateway to the internals.

[@lafielanarchy]

Well done, great video for me as a hobby layman who just likes to learn things and be able understand health

[@Yetipfote]

1:23 me looking at my bank account balance

[@muralamanikanta548]

No problem bro go to aims hospital only 2000

[@muralamanikanta548]

Now iam perfect😊

[@bobjones9963]

Sorry m-my lord for posting so much like that, but you probably understand my excitement…This is content I can and will fall asleep to every night…I can now die in peace…

[@CRDMerkz]

This is top quality content and Information!

[@aintmucho5257]

Great information help me a lot with medical study

[@alvi78]

Can we do it at home or do we need special kind of training?. Is this material availble on amazon so I can fix my sinus problem?

[@mikekaraoke]

Is that really a serious question, please tell me you are just joking??????????

[@kashmalaanwar5101]

keep doing the great great work! its a pure pleasure to watch this while starting ent.♤

[@weignerg]

This is very informative. Thank you so much for educating us all!

[@nlrpm]

Excellent video and narration.

[@Kostja81]

I had my septum created and just want to say one thing about packing. Hold your nose with your fingers and try to drink, eat, sleep swallow add a bit of pain and do this for 2 days. This is how it feels. And I have a high pain tolerance 🙃 So just don't sell me the story of "all is well" . Other dan this this simulation is amazing 👏 😍

[@haikalmiftah2529]

Seems I finally understand why I sneezing so much for a few week half a year ago, right after my body drops due to caught a cold and overwhelmingly tired. Though I don't consume any antibiotics since I recovered. Since then when the environment is little dusty, I often sneezing 2-3 times in a row (eventually back to normal though).

[@tinaruan38]

I had nasal surgery a number of years ago which would not stop bleeding so they packed it and left it in for 2 weeks. It was horrible. I could not breathe out of my nose at all so my lips got cracked and my throat hurt so bad I was drinking fluids all the time but nothing helped.

[@Vex916T]

I threw up blood for two weeks after my sinus infection surgery because blood kept dipping down my throat and into my stomach which made me nausea. Also I stopped taking my antibiotic medicine too early and I lived in black mold house so the infection eventually returned in a year. However I have finally cured my sinus infection using hydrogen peroxide via spray bottle or nebulizer.

[@Lmiller201]

@@Vex916T interesting, how does the hydrogen peroxide work with congestion? I wouldn't say i have a sinus infection, I'm constantly congested. They want to do surgery but I have to be off nasal spray for a month but they won't give me anything to relieve the congestion in the mean time

[@pauletteschoen2290]

Totally try the nebulizer with peroxide diluted or colloidal silver. It’s the best. Silver kills viruses bacteria and fungus

[@curtw8827]

Great video, I had some of these procedures, when the packing was pulled out several days later it was the size of a tennis ball it seemed.

[@GospelOfTimothy]

In 1986 I had septum surgery, it was very barbaric. They use a hammer and chisel to get out the scar tissue and straighten the septum. I almost died so they stopped the procedure halfway through. I still can't breathe through my nose at night and get very dry mouth. When I stand up my nasal passages drain but when I lay down mucous closes them. Hard for me to find a doctor to understand this. I'm glad to see this video, surgery seems to advanced a little since 1986.

[@GospelOfTimothy]

@King K. Rool I'm thinking about getting the treatment again because they have Advanced it. I told my doctor I couldn't breathe through my nose wake up every hour with extremely dry mouth and it takes me another hour to go back to sleep. My doctor said there was nothing that could be done so I went to an ENT. I got the same results with the ENT. They just tell you nothing can be done and they hope that you go away. Now I think my lack of sleep is starting to cause me memory loss and dementia. I've tried all these different bands you can buy to wrap around your head to keep your mouth closed but all they do is cause me headaches. I had a deviated septum when I was younger and had surgery. But my nasal passages are very narrow. I'm not even able to sneeze through my nose. I've seen they made some advances in nasal surgery. When I had my done they chiseled the bone out of my nose, now I hear they have a grinder sort of device. All the doctors I've seen are so mentally incompetent I don't even want to go to another one. Any suggestions?

What is your diet and lifestyle like? Any allergies? Are you eating inflammatory foods?

[@GospelOfTimothy]

I changed my diet several times. I became a vegetarian for 2 years but now I'm back to eating meat. I still can't sneeze through my nose. My sister gave me a CPAP machine and it came with a white velcro strechy strap for keeping your mouth closed. That has helped a lot. But I don't know the name of it I'd like to get a replacement room. It looks like one of the old fashioned things people use to wrap around their heads when they had a toothache

[@odetta6020]

I’m due to have this surgery very soon and was scared. But after watching this video I’m ready to go ahead 🙏🏽🙏🏽🙏🏽 #Thankyou

[@Texa8]

How did it go

[@arunkumarvnair29]

Wonderfully created thanks.

[@senji8583]

I had sinuses blocked and was recommended surgical operation. But what what cleared it was natural sea/ocean water spray in a can. It's especially effective if if you hold water in for 5 minutes and tilt your head to let water go into 2 side sinuses and 2 upper parallel sinuses. A bit pricey for simple sea water though.

[@wypy817]

You dont how happy i m right now watching this video thank you sooo much 😁

[@doodleesq]

A great video that explains the procedures.

[@horizon319]

Was the word balloon misspelled in the video? This was amazingly informative and I wholeheartedly support others’ idea of a video to explain the connection between nasal and ear canals/cavities. I also think there could be an additional dialogue regarding the effects of these procedures especially with regards to smell. It can be severely affected by some of these procedures. What is done to mitigate these and other issues?

[@PeterCasano]

Yes there are a couple of typos. Once you post a KZbin video you can’t edit it. Thanks for watching

[@horizon319]

@@PeterCasano The fact that youtube wouldn’t let you change the typos is information I did not know. Thank you for sharing.

[@Maltebyte2]

I dont know why but this entire Sinus system in our faces Fascinates me!

[@musuboo]

very innovative & helpful !

[@syedalmananhaider7919]

Slam ...kia ap Dr. Hain agr ap Dr. Hain to plz koi hal btayn muy sinusitis howa hai ... Nose 👃 blood hai ..sans me takleef hai

[@segzyfementerprise8256]

Hi..... please ...I need help on this....

[@mattp4079]

Carefully consider this surgery. I had Septoplasty and turbinate reduction. All was well until 3 years post-op, wherein I lost 90% of my sense of smell and taste. I can smell awful perfume but little else. Taste is limited to salty, sour and bitters.

[@PeterCasano]

While damage to smell is a known relatively rare complication of nasal surgery, delayed loss (3 years) is not a known problem. Spontaneous loss of smell is surprisingly common and of course even mildly symptomatic cases of the first strain of Covid were notorious for causing smell loss. Of course I don’t know your story but the cause and effect that you suggest may not be quite as it seems.

[@free_at_last8141]

Well done, thank you for the informative videos with excellent graphics.

[@Kento_nanami_the_2nd]

knowing what is happening at this level is such a fkn amazing thing.

[@Lloyd.B]

Disclaimer: This is not medical advise but my personal experience. If you suffer from rhinosinusitis, consider using a nose spray called ‘Dymista’ (after consulting your doctor of course). This personally helped me solve my rhinosinusitis, I was really desperate and I was so happy when it worked.

[@PeterCasano]

Its great stuff but for much less cost simply use Flonase (OTC) and Astepro (OTC), Dymista is simply those ingredients in one bottle..

[@ExploringworldwithSWAT]

How many days or weeks on months or years did it took?

[@Lloyd.B]

@@ExploringworldwithSWAT It took me several months, I visited a specialist who examined me, did a CT scan even considered an operation. I didn't want to go down that route and took a range of antibiotics and nose sprays. I tried clearing my sinuses with warm water and salt, I swam in the sea but nothing helped. I was unable to work during these months. After a second opinion another specialist prescribed me Dymista (I do believe you can buy it without a prescription but I am not 100% sure) and I slowly got better until it was completely resolved. It took a couple of weeks, I don't exactly remember how long it took but surely noticed improvement after a few days. After it was completely resolved I stopped using it and I have been fine ever since. Never reoccured neither until this day. Hope this helps.

[@jhonniyauri6758]

@@Lloyd.B Did you have clicking in the ear when swallowing?

[@Lloyd.B]

@@jhonniyauri6758 yes I believe so, at least it affected my ears aswell as the mucus got thickened (and the mucus membrane inflamed) and I could feel that in my ears as they're connected through the eustachian tube. One day it was open and the next it was closed again. It really drove me crazy.

[@rickyyu598]

this is the reason why I love youtube

[@عمرالطاءي-خ8ب]

well i used to suffer from nasal problems where my nose would just keep making mucus that i needed to use a tissue like every 15 minutes every doctor i went to gave me nasal flushings basically salt water it would cure it but after a week after i finished the medication it would come back until i went to a doctor who gave me a shot and nasal wash and some pills i got cured and can breath from my nose its nice to see what a sinus look like and how it gets infected i had sinusitis by the way

[@moniquedonnerson8417]

What did the shot consist of? I have been dealing with sinus issues going on three months now and have seen several doctors (ENT's) and everything that they are giving me seems to either not be effective or temporary relief. I have lost over thirty pounds because when I eat or drink the congestion gets worse. I feel so helpless and all I want is some type of normacy.

[@rvs1]

great anatomy details. exactly what i was looking for after just reading anatomy.

[@khalid6050ify]

Excelent 3D to understand nasal passage.

[@luke_675]

Thank you for this! I've just had a sinus surgery and now I'm educating myself. I should have done it before, though. :D

[@flynn312]

I should probably go to sleep now.

[@CahayaBerkahSinergi]

Very clear animation for this procedure.

[@kavishkakavishka8117]

Sir, um suffering from a long time ailment caused by my nose. Its a sluggish feeling that causes me to give a sleepy feeling even during the daytime. My nose was broken severely by hard fist blows,roughly before 10 years back during a fight in school. Few years there after i had a nasal obstruction and i used decongestants for abt 5 years. Then there was no actual effect by decongestants and i consulted an ent surgeon and underwent a septoplasty surgery. Now that my breathing problems are fine. But a sleepy feeling with some pain has affected my quality of life. According to my research by various practices of applying topical medicine, i hve come to a conclusion that the cause is to be somewhere around my middle turbinate(right side). And my problem is basically in the right side of nose whr the septum was deviated. So Doctor, can u please give me a suggestion what can be the possible reasons for this? Ahh I forgot to mention that i was refered to a psychiatrist whr i was prescribed some medicine, the pain i was suffering was greatly reduced bt still there's some pain with sluggish feeling throughout the day which makes my life of less quality.

[@ericstandefer9138]

You may have sleep apnea, and need a cpap machine, afternoon sleepuness is a sign of apnea.

[@davead6578]

I’m always on the lookout for sinus issues. One of my main weapons was the saline flush to clear out the gunk. I use the NeilMed saline packets combined with the squeeze bottle. Flushing my sinuses during my 2 bouts of COVID worked extremely well. I get the big pack of salt packets from costco before cold/flu season.

[@liviemillie6455]

I had covid a couple weeks ago- it wasn't bad and went away, but then I got chills and weird aches (no fever) and it felt flulike, and now I'm having awful cold symptoms like congestion, a bad cough, tickly throat, headache, mild difficulty breathing, and lungs feeling a little full. Does covid mess with your immune system? I am feeling totally run down 😢

[@ofthedifference]

> Livie Millie I have read a lot of posts by people elsewhere online that they suffered from the same symptoms you described after they received the inoculation, so that's another thing to consider if you indeed received it - particularly since you said the disease itself went away. I'm not saying that's the cause; I'm just conveying what other folks have said to consider.

[@munawarali733]

After covid, i contracted sinus issue somehow, may be as a side effect. Since then, i experience excessive sneezing with mucus flow. This situation prevails everytime I use tap water for washing face or nose for bathing and ablution purposes. I would be glad to have any remedial or preventive measures suggested.

[@poopoofart.]

POV: you slept first in the sleepover

[@Jakepearl13]

Informative and well made,but I have no idea what this is doing on my feed

[@fasicatube9733]

I had chronic sinusitis,i wash with salin water,but problem still with me,i spit thick yellow mucus 3 or times a day, ct scan indicate in right maxillary collected some fluid,which medicine is can cure me,

[@infinitebeing1119]

Watch motivationaldoc video he has many techniques to clear sinus. It may help you.

[@abdulsalamaa6385]

Please add a video regarding fungal ball in sinus

[@FockewulfAz]

Incredible video! Thank you very much! And it might sound unreal but once I accepted Islam and started praying many of my problems were gone. I stopped snoring, it became easier to breathe, I don't get flu and throat infection as I used to get, my back pain is gone, and the most important - headache is also gone. Yes, many of you will say that is not possible but let me tell you what I found after I had done my own research and why it worked. Nasal area is a natural filter, like the filter that each car has. Car's filter we have to replace every 6 months, because it becomes dirty, and not replacing it obviously can damage an engine. Same for human, but we cannot replace it, but we can rinse it. That is what all Muslim people do 5 times a day before praying to God. We rinse our mouth, nasal area, face, clear our hairs, hands(till elbow) and feet. So we rinse our nasal area and it removes most of bacteria from there. And as a proof, according to many researches(you can google it), rinsing nasal area removes bacteria from that area. And as we all know, when we get sick, we get a running nose. Why? Because our body wants to clean up nasal area from bacteria and viruses. Regarding the back pain, it was gone because during belt-low bowing(during praying) the pressure in the back gets released. And the last part, headache. That one I assume was gone because of the prostration when blood pressure increases in the head. That is incredible, how easy and in a simple way all of those problems were gone. And that is another proof that Islam is the truth. I am not doing propaganda, I am telling the true story about myself. Do your own research. Stay healthy!

[@matios6013]

It is true...rinse ...nasal cavitis is very important

[@internaldimensions301]

Props to the patient for having their face cut open so many times to make this video.