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  • Centre For Ear Nose Throat Allergy & Snoring
    cumbersome probes has been eliminated Patients put the measuring device on their arm and this does not interfere with sleep Patients can sleep comfortably in their own bed while the test is being done The next day the device is returned back to the doctor s office for analysis The device has been validated with over 90 accuracy and is FDA approved Sleep Study in Progress Book an appointment with

    Original URL path: http://www.entdoctor.com.sg/articles/sleep-study-test-in-the-comfort-of-your-bed.html (2012-12-22)
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  • Prosedur Mengatasi Mendengkur dan Tidur Tidak Bernafas (OSA)| Dokter Spesialis THT
    langit langit mulut dengan menggunakan radiofrequency Radiofrequensi untuk mengurangi masalah pada tulang turbinate hidung Ini adalah cara yang efektif bagi pesakit yang mempunyai masalah kesumbatan hidung yang kerkaitan dengan pembesaran tulang turbinate yang mana ia tidak respon dengan perawatan pengobatan Setelah suntikkan bius lokal sebuah selang radiofrequensi yang dapat dibuang kapan saja itu digunakan untuk mengikat turbinate tersebut dengan cara ini penyembuhan yang maximal bagi saluran pernafasan akan tercapai dalam masa 2 4 minngu Malah ini adalah prosedur yang dapat ditoleransikan oleh pesakit dan pesakit dapat kembali berkerja pada hari berikutnya Pengurangan turbinate dengan cara radiofrequensi Pengurangan dengan menggunakan radiofrequensi untuk dasar lidah dan amandel Teknik ini menggunakan radiofrequensi untuk mengurangi bengkak pada amandel dan dasar lidah Cara kerjanya selalu menggunakan bius lokal Pillar Implant Cara kerja daripada pillar implant juga harus menggunakan bius lokal Pillar implant meliputi dari 3jarum yang kecil yang mengkakukan susunan langit langit yang lunak untuk menolong mengurangi kedua dari getaran yang penyebabnya adalah dengkuran kemampuan dari pada langit langit yang lunak bagi pernafasan Daripada melakukan pembedahan dengan membuang ini jaringan cara kerja pillar ini dibentuk untuk membuat kaku langit langit yang lunak tadi Pada satu tempat ada sisipan yang bertambah dalam membantu lapisan otot otot pada langit langit yang lunak dan menyebabkan kebiasaan pada jaringan yang mana dapat mempertahankan dari langit langit mulut Selama 8 12minggu fibrosis memiliki daya cipta yang bertambah untuk membuat kaku dan membantu susunan pada langit langit mulut yang lunak tersebut Cara kerja dari pada Pillar Sisipan Pillar Bentuk daripada langit langit dengan menggunakan laser atau radiofrequency Jaringan yang lunak dan lama telah dipindahkan dengan RF radiofrequency atau laser Ini akan memperbesar saluran pernafasan dan mengurangi pendengkuran Ini biasanya dilakukan dengan bius lokal Bentuk daripada langit langit mulut Daftarkanlah jadwal pemeriksaan anda di HEALTHSENSE SPECIALIST DR YT PANG agar dokter dapat

    Original URL path: http://www.entdoctor.com.sg/articles/prosedur-mengatasi-mendengkur-tidur-tidak-bernafas.html (2012-12-22)
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  • Centre For Ear Nose Throat Allergy & Snoring
    is not responsive to medical treatment After an injection of local anaesthesia a disposable RF probe is used to strink the turbinates This will result in maximal improvement in airway over 2 to 4 weeks This is a well tolerated procedure patient can return to work the next day Radiofrequency Reduction of the Tongue Base Tonsil This technique uses radiofrequency to reduce the bulk of the tonsils and tongue base mass The procedure is performed under local anaesthesia Pillar Implant The Pillar implant procedure is performed under local anaesthesia The Pillar Procedure involves the placement of three tiny woven polyester inserts that stiffen the structure of the soft palate to help reduce both the vibration that causes snoring and the ability of the soft palate to obstruct the airway Rather than surgically removing tissue the Pillar Procedure is designed to stiffen the soft palate Once in place the inserts add structural support in the muscular layer of the soft palate and induce a natural tissue response that secures them within the palate Over the next 8 12 weeks fibrosis creates additional stiffening and structural support of the soft palate Reshaping of the Palate using Laser or RF The redundant soft

    Original URL path: http://www.entdoctor.com.sg/articles/outpatient-procedures-for-snoring-and-sleep-apnoea.html (2012-12-22)
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  • Centre For Ear Nose Throat Allergy & Snoring
    electrode configuration of the RFITT applicator allows surgeons to be in better control of how much energy to deliver for precisely defined treatment In addition automatic dosimetry control by the CelonLab ENT power control unit ensures that coagulation auto stops to avoid excessive tissue burning and carbonization Often under diagnosed OSA affects one to 10 percent of the population Risk factors are obesity male gender age over 40 years and menopause in women Cardinal night time symptoms include loud snoring witnessed apnea restless sleep frequent toilet visits and awakenings due to gasping or choking or with a sense of anxiety In the day individuals may awake with a sore throat or dry mouth fatigue headaches and excessive daytime sleepiness Over time this may give rise to difficulty concentrating impaired memory personality changes and diminished libido More importantly unmanaged OSA poses serious health risks including hypertension heart disease stroke myocardial infarction sudden death and polycythemia and is associated with increased mortality Obese patients who present with a history of snoring enlarged tonsils swollen soft palate or a receding jaw should alert doctors to the possibility of excessive snoring and OSA advised Pang Initial management of OSA includes weight reduction in overweight persons and medication to relieve nasal congestion in those with nasal blockages Failure to improve may warrant invasive surgical interventions Increasingly RF reduction of the turbinates soft palate tonsils and tongue such as the Celon method is being employed for the management of mild to moderate OSA Other options include laser treatment and palate implants although the former has now been superceded by less costly and painful methods In Singapore Tan Tock Seng Hospital Singapore General Hospital Alexandra Hospital and some of the private ENT practitioners at HealthSense and Mount Elizabeth Medical Center are offering the RFITT Celon service The

    Original URL path: http://www.entdoctor.com.sg/articles/celon-technique-for-snoring.html (2012-12-22)
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  • Centre For Ear Nose Throat Allergy & Snoring
    Flocken puts on an air flow mask Lou has sleep apnea and because he stops breathing several times an hour during the night his doctor insists that he wear the mask to keep his airways open They said I had 35 interruptions of my sleep per hour So that meant that I was never getting fully asleep as you need to you know you need to get into that deep sleep says Flocken Not getting that deep sleep may have landed Lou in deep trouble Six months after he was diagnosed with sleep apnea Lou wound up in the emergency room with heart problems It s a connection that wouldn t surprise Dr Ulysses Magalang a sleep expert with Ohio State University Medical Center He says depriving your body of oxygen that often takes its toll Those with sleep apnea may have a higher risk of stroke or heart disease Now doctors are looking for a possible link to diabetes We do not know whether sleep apnea actually causes diabetes What we do know is that patients with sleep apnea have an increased insulin resistance which is a hallmark of patients with diabetes says Magalang Dr Magalang says obesity is a common risk factor for both diabetes and sleep apnea and fat cells seem to function similarly in both Studies have shown that wearing airflow masks at night can prevent problems with those fat cells The problem is getting patients to wear them At best about 6 out of 10 people will be compliant with this machine long term Therefore we need new treatment options says Magalang Doctors are just now looking into any possible link between diabetes and sleep apnea They won t know for some time if there is one Other than wearing a mask to treat sleep

    Original URL path: http://www.entdoctor.com.sg/articles/sleep-apnea.html (2012-12-22)
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  • Common Ear Nose & Throat Problems in Children | Centre For Ear Nose Throat Allergy & Snoring
    A skin or blood test can help us identify the source of the allergy Once it s identified management of the allergy includes Avoidance If one is allergic to food for example seafood then abstinence from that food will prevent symptoms from occurring If the allergens are dust mites pet danders or pollens then environmental avoidance will help decrease symptoms Medications If avoidance cannot eliminate the symptoms or is impractical then medications can help minimise symptoms Common medications include antihistamines nasal sprays asthma medications steroid creams and oral steroids Medications however control the symptoms but do not cure the allergy Immunotherapy Immunotherapy a targeted treatment for boosting the immunity against specific allergens can reduce or eliminate the allergic symptoms This works like a vaccine and over a period of time the individual develops a protection against the allergens This is effective against environmental allergens such as dust mites pet danders and pollens It is effective in allergies of the nose eyes allergic asthma and some eczema Preventing Food Allergies in Your Child Food allergies can be mild like eczema to life threatening allergic reactions To decrease the chances of developing a food allergy it is recommended that babies are breast fed for four to six months If this is not possible then use a hypoallergenic milk formula For weaning use single ingredient infant foods and introduce one at a time This allows the caregiver or parent to identify problem food Certain foods that are known to cause allergies such as cow s milk soy egg fish shellfish peanuts and tree nuts are best avoided till the child is one year old Maternal diet during pregnancy and lactation is not effective in minimising the child s development of allergies Preventing Environmental Allergies and Asthma Dust mites Pets Reducing exposure in early

    Original URL path: http://www.entdoctor.com.sg/articles/children_allergy.html (2012-12-22)
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  • Centre For Ear Nose Throat Allergy & Snoring
    our quality of life For those of us who suffers from allergies we can be miserable during the time when allergies affect us We can be lethargic unable to concentrate and generally feels lousy Studies have shown that allergies can affect the ability of children to perform they are not managed This is especially crucial in a competitive environment like Singapore How do we diagnose allergic rhinitis and allergic asthma For allergies to be appropriately treated and controlled it is important that the specific allergen s causing the allergic symptoms be identified The first step is a detailed history and physical examination to confirm the symptoms of allergy The methods of determining the incriminated allergen include using skin tests and blood tests I am allergic to house dust mite What can I do Avoidance If there is no exposure there will be no allergies This is ideal however we cannot avoid dust mite completely no matter how hard we try By keeping our house clean regularly changing bed sheets and covers we can minimize the exposure and hence symptoms If despite these measures we are still symptomatic medication may be needed Medication Antihistamine This blocks the reaction of histamine bring about relieve of symptoms Steroid Nasal Sprays Inhalers This suppress the allergic response Oral Steriods Oral steroids is used in more severe allergies but long term use has significant side effects Antileucotrienes This is helps in lowering the allergic response Saline nasal wash Saline sprays such as sterimar helps to remove the allergens from the nose and clear obstructing mucus This can be an adjunct to the other medication Is there a cure for allergies Medication as those listed above only blocks the symptoms of allergies but does not affect the underlying reaction Allergen immunotherapy consists of administration of gradually

    Original URL path: http://www.entdoctor.com.sg/articles/allergic-basics.html (2012-12-22)
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  • Perawatan dan Pengobatan Untuk Alergi | Dokter Spesialis THT
    itu sendiri Dibeberapa kasus pesakit tidak hanya cukup dengan pengobatan yang sistematik Kemudian tergantung pada perawatan yang lainnya Di Negara Amerika Serikat beberapa tahun yang lalu sudah dilakukan penembakan untuk untuk mencegah alergi tetapi tidak seperti Negara yang lainnya seperti Negara bagian Eropa dan Asia dimana mereka mempunyai 2alasan yang tepat yaitu pendapat dari individualnya sendiri dan selama melakukan test apakah ada dijumpai reaksi dari anapilaktis dari alergi itu sendiri dan tidaklah cukup bagi pesakit untuk mengunjungi dokter tiap minggunya selama 2tahun yangmana pengobatan yang telah dianjurkan ini adalah pengobatan yang memang harus diikuti dengan baik Pengobatan yang baru telah direkomendasikan oleh Dr Pang adalah pengobatan untuk kekebalan tubuh yang sublingual SLIT Sublingual Immunotherapy SLIT ini telah diuji dengan baik dinegara bagian Eropah dalam penanganan alergi terhadap debu dan tepung roti kedua duanya adalah alergi yang paling epidemik yang sudah termasuk didalamnya juga malah 30 dari penduduk sudah ada yang terkena Sejauh ini telah dilakukan uji untuk alergi pada debu yang sering memberi masalah tersebut Hasil yang terakhir bagi uji ini akan diulang pada tahun yang akan datang dengan jangka waktu yang panjang Dengan ini dikatakan indikasi awal bagi perawatan alergi debu bagi pesakit yang sudah ada hasilnya adalah sekitar 80 Sepertimana bagi pengobatan kekebalan tubuh SLIT akan bertindak dalam tubuh untuk reaksi yang lain dengan penjelasan yang lain dengan hitungan menit satu zat cair berupa tetesan untuk alergi ini adalah salah satu obat yang spesifik dimana diteteskan dibawah lidah dan ia di biarkan dibawah lidah selama 2menit Bagian bawah lidah digunakan karena disini terdapat banyak pembuluh darah Dengan cara ini obat tadi dapat diserap okeh pembuluh darah dengan cepat Ini adalah cara yang sama dimana ubat akan disuntik ketubuh sebagai system kekebalan tubuh Beda cara menggunakan obat ini dengan obat akan biasa tidaklah ada bedanya hanya obat in i

    Original URL path: http://www.entdoctor.com.sg/articles/pengobatan-alergi.html (2012-12-22)
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