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November 17, 2017

Ear Pain Due to TMJ Video

Not infrequently, a patient presents to the ENT clinic with complaints of ear pain convinced there must be an ear infection. However, on exam, the ear itself appears completely normal!

What could be going on?

Often, the ear pain is actually not because of an ear problem, but due to a disorder of the temporo-mandibular joint otherwise known as TMJ. The pain gets referred to the ear.

This video demonstrates how the TMJ can cause ear pain.

Treatment typically entails soft diet, ibuprofen, and ice packs, but if the ear pain due to TMJ does not resolve, an appointment to see a dentist or oral surgeon is recommended.

And if you are lucky, there are dentists who specialize in TMJ disorders. In my area, these are the TMJ specialists I typically recommend:

Dr. Michael Singer in Bethesda, MD
Dr. Steven Guttenberg in Washington, DC

November 16, 2017

Deviated Septum Surgery (Septoplasty) Video

A new video has been uploaded to show how a deviated septum surgery or septoplasty is performed. Both 3D as well as 2D cross-sectional animations are shown.

November 11, 2017

Dr. Chang Quoted in Article on Stuffy Noses

Dr. Christopher Chang was quoted liberally in a article published on October 18, 2017 entitled "11 Reasons You Have a Stuffy Nose–and What to Do About It".

Dr. Chang was specifically quoted in the article describing allergies, anatomic factors, and nasal polyps as factors of causing nasal obstruction.

Read the article here!

November 10, 2017

Cartoon Showing What Surgery Day is Like from a Child's Perspective

Too often, parents expressed to me that online surgery videos like tonsillectomy and ear tubes were too "violent" for them to watch with their child. What is needed is a video that they can watch safely with their child that shows what will happen from a child's perspective, but rated G. No blood, no cuts, and no grossness included.

Due to such requested demand, I finally created two videos that can be considered "kid-safe" showing what surgery day will be like for them thru their eyes. The first video used "real-life" actors and can be watched here. The other is a cartoon animation as shown above.

I deliberately made the video generic enough such that it could apply to any type of pediatric surgery whether neck mass incision, tonsillectomy, adenoidectomy, ear tubes, or even hernia repair.

Check it out!

Overall, when it comes to medicine and surgery, free video offerings geared towards children are quite limited. Our office has recently started to make attempts to correct this deficiency.

Other child-safe ENT medical videos include:

• How Allergy Vials are Made for Allergy Shots
• Pediatric Hearing Testing

November 07, 2017

Cholesteatoma Treated by Different Types of Mastoid Surgery

Canal-Wall-Up Tympanomastoidectomy with
Facial Recess Dissection
Although I personally no longer perform mastoid surgery, I often get asked by patients with cholesteatoma to please clarify what are the differences among the mastoid surgeries proposed by their ear surgeon. Ear anatomy is complex and the surgery to address such a complex area is also not easy to understand.

As such, a new webpage has been created to not so much explain what cholesteatoma is (a destructive cyst-like skin growth within the middle ear) and why it happens, but rather goes more into explaining the different types of mastoid surgeries used to remove the cholesteatoma. Hopefully the information is watered down enough to the essentials with explanatory pictures so at least a reasonably educated patient can understand the differences among:

• Basic mastoidectomy
• Canal-wall-up tympanomastoidectomy
• Canal-wall-up tympanomastoidectomy with facial recess dissection
• Canal-wall-down tympanomastoidectomy
• Radical mastoidectomy
• Endoscopic middle ear exploration
• Second stage or second look surgery
• Ossicular chain reconstruction

Check it out here!

October 29, 2017

The 4 Basic Principles That Underly a Hoarse Voice [VIDEO]

A new video has been created showing what the 4 underlying principles that lead to a hoarse voice are. Examples of the different types of hoarse voice are also shown. By understanding these principles, one can have a better understanding of what may be going on if the voice becomes raspy or hoarse.

Here are a few of the different types of vocal cord pathology shown in the video:

Vocal cord bowing
Vocal cord paralysis
Vocal cord polyp
Vocal cord pre-nodules
Vocal cord nodules
• Acute traumatic laryngitis
• Vocal cord cancer
• Fungal laryngitis
• Vocal cord hemorrhagic polyp
Muscle tension dysphonia
• Vocal cord ulceration

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VIDEO: How Does the Human Voicebox Work?