Chapter 3: Nasal and Sinus Problems and Solutions

This video describes some of the common problems encountered by the nasal cavity and sinuses including the common cold, sinusitis, sinus surgery, deviated nasal septum and septoplasty, turbinate reduction, balloon sinus surgery, and nasal packing.

[@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

[@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 👏👏👏

[@stoyc]

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

[@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.

[@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?😂😂😂

[@BardiXOfficial]

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

[@souravbose123]

😜😜

[@t00cute1]

😅

[@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

[@kayokk-]

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

[@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! 👍

[@Tubeytime]

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

[@Modent-ir]

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

[@sergeyshchurko9541]

Thank you for great explanation of nasal anatomy and functions!

[@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

[@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.

[@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.

[@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.

[@missdamned_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?

[@henryi9738]

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

[@cheesypumpernickel5568]

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

[@arunkumarvnair29]

Wonderfully created thanks.

[@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

[@Gon_Jajanken]

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

[@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.

[@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!

[@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 😂

[@weignerg]

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

[@CRDMerkz]

This is top quality content and Information!

[@user-yc2er6el1c]

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

[@doodleesq]

A great video that explains the procedures.

[@Ojb_1959]

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

[@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!

[@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.

[@rgolab3174]

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

[@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

[@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.

[@mr.mustache4743]

Exceptional video. Thank you.

[@rajeshmarfatia4250]

Exceptional presentation!

[@user-bz4ki4ut5k]

Thank you for your work!

[@RicJG7]

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

[@ginnymwong]

This is amazingly informative and awesome graphics

[@StayCURIOUSWithUs]

Best illustration I have seen.👊🙂 Amazing.

[@alham4409]

Thank you so much for this video - hugely informative and helpful!

[@jonash5320]

thanks for sharing such a well done series of videos. Really good.

[@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.

[@EMILYHERRERA]

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

[@mikaeels.6477]

Awesome, helpful video.

[@sonsofevil2]

Super clear visualization, thanks!

[@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

[@wypy817]

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

[@altered.perspectives]

You're creating great educational resources!

[@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

[@ConfusedRiver-ff6lh]

​@@mikkybozzy-my2vkhow was the surgery?

[@AbhishekK-hn4gd]

awesome explanation...nicely presented with video !!

[@jspeaksofficial]

I love the explanation and visuals.

[@antoniojuarez4714]

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

[@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! 🙏❤😊

[@user-wd1vd9du2q]

Great informative video!

[@diqohalkan572]

Helpful video thanks for sharing

[@lafielanarchy]

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

[@dorotagalas869]

Amazing video! Thank you !

[@free_at_last8141]

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

[@rayrocher6887]

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

[@CahayaBerkahSinergi]

Very clear animation for this procedure.

[@kineret4030]

Amazing. Thank you for sharing!

[@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.

[@rvs1]

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

[@Kento_nanami_the_2nd]

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

[@AnhHoang-tq6ll]

Thanks so much for the video Dr Casano

[@xorqwerty8276]

What a fantastic animation

[@carlor9088]

Wow thank you for your work and time ✅

[@def6420]

Super good information - school will never teach that

[@khalid6050ify]

Excelent 3D to understand nasal passage.

[@theworldisnotenough5185]

This was very good. thank you for sharing.

[@AhmedNisar]

Grateful to the doctor....

[@matvei8368]

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

[@ranjittyagi9354]

Did well 👏

[@flynn312]

I should probably go to sleep now.

[@aintmucho5257]

Great information help me a lot with medical study

[@madnessintomagic]

This was great. Thank you!

[@shashikumarjeerankalagi1246]

Thank you soooo much..this helped me a lot❤️

[@FlorenceB12]

Thank you. Well done.

[@sinus90]

amazing work and animations. i loved thwm thank you

[@ajaym6795]

Amazing video.

[@TRPGpilot]

Thanks for uploading.

[@rickyyu598]

this is the reason why I love youtube

[@lokeshkatikireddi1924]

Great work

[@govinda102000]

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

[@stevejodoin9937]

Great video

[@ARGENTINA5956]

So useful tutorial! Gonna try this in my home 😉☺️

[@lyonsailing7520]

Nice work! Good blood graphics too!

[@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 :)

[@makeupyourmindinator]

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

[@sezratd]

Wow great work!

[@mihaivale7170]

You have great 3D workers there! Very good job!

[@mtozden]

Good study. Thanks

[@Maltebyte2]

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

[@muskanchaudhary5569]

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....

[@Finlandiamall]

Thank you so much. I always have question about this.

[@jesusshuttlesworth2136]

I had balloon sinusplasty done and it worked/helped tremendously

[@user-bf6bt9vi5h]

Great Show 👏😮

[@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.

[@Karan__007]

WOW , I am speechless after watching this

[@minipandora22]

wow!!! very well done