Doc Martin's

126 Quincy Rd.
Cheyenne, WY 82009
(307) 632-9970

Adenoidectomy


Adenoidectomy is a procedure done to remove lymphoid tissue from the nasopharynx, which is generally known to cause chronic nasal infection, as well as nasal obstruction, noted by hypo nasal speech, usually mouth breathing and inability to eat without having their mouth open and breathing through their mouth while eating. This is most common in children, as well as in adolescents and adults, in a much less common fashion for those who have significant inhalant allergies.


Tonsillectomy and Adenoidectomy


This procedure is commonly done for chronic tonsillar and adenoid hypertrophy. This usually causes nasal obstruction and usually associated with recurring tonsilliar infections. This is enlargement of lymphoid tissue in the oropharnyx, which is the tonsils and the nasopharnyx, which is the adenoid tissue. An absolute indication is to remove these when a child or adolescent is having difficulty breathing or eating, and it usually associated with snoring. The relative indication is for removal if they have greater than 3 episodes of tonsillitis per year for three years, or grater than 4-5 episodes of tonsillitis in a twelve month period, in conjunction with nasal obstruction. The risks and complication are the same as for tonsillectomy, and follow up should be done at any time for any bleeding.


Typanostomy Tubes and Adenoidectomy


Tympanostomy tubes and adenoidectomy is indicated for those people who have chronic nasal obstruction due to adenoid hypertrophy., which is lymphoid tissue in the nasopharnyx. This can also cause obstruction to the Eustachian tube opening. This is commonly done in association with Tympanostomy tubes; in those people who have required at least 2 episodes of tympanostomy tube, and almost without question, at the third episode of requiring tympanostomy tubes.

This has been shown in studies by Bluestone, who is a pediatric otolaryngologist, and he has felt and found statistically significant findings for those people between 3-4 and seven years of age, who are requiring their first set of tympanostomy tubes, that removal of adenoid tissue if enlarged, decreases the incidence of requiring a second set of tympanostomy tubes.

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Doc Martin's - Augmentation
Doc Martin's

126 Quincy Rd.
Cheyenne, WY 82009
(307) 632-9970

Augmentation


Additional procedures that are done in conjunction with blepharoplasty, face lift, etc. are augmentation. Augmentation can be done for the mandibular jaw line and chin. Augmentation is also commonly done for the malar bones or submalar area. These are thing done to provide greater esthetic appearance and are usually done at the discretion of the patient upon request.

Sometimes the surgeons will make these recommendations and will not charge for anything more than the prosthesis itself if they make the suggestion that this needs to be done in order to provide maximum esthetic result.Lip Augmentation

Lip augmentation is a procedure that is not done commonly. It helps with making the lips more full appearing. Injection of collagen has not been found to be particularly helpful . Fat injection resorbs as well, and is not particularly helpful and has to be redone. The most significant, newer alternatives have to do with Aloederm. This can be done under local anesthesia in the surgeons office. This can be done in patients who have normal appearing lips who want more fullness, or in those patients who have what is commonly known as a harelip,in order to provide what would be considered a relatively normal appearance. This also helps in eliminating some of the increased wrinkles of the lips. This material is also used for the nasal labial fold, to decrease its appearance. As in any foreign material that is placed, this does have some resorption which is unpredictable. Most commonly,at least 30-50% of the material that is placed, persists for an extended period of time and reproducing the same procedure in the future, with the same type of material, can be done without consideration of significant complications.

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