gopesh k. sharma, md articles

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1.1 March . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

About Dr. Gopesh K. Sharma (2014-03-21 07:03) . . . . . . . . . . . . . . . . . . . . . . . . 5

Meniere’s Disease (2014-03-21 09:33) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

1.2 April . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

Balloon Sinuplasty (2014-04-26 10:57) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

1.3 May . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

Rhinoplasty: Facts and Procedure (2014-05-21 11:34) . . . . . . . . . . . . . . . . . . . . . 10

1.4 June . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

Ear Infection: Swimmer’s Ear (2014-06-18 12:49) . . . . . . . . . . . . . . . . . . . . . . . . 11

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Chapter 1

2014

1.1 March

About Dr. Gopesh K. Sharma (2014-03-21 07:03)

Dr. Gopesh K. Sharma, MD

Education Section (Dr. Gopesh K. Sharma)

Gopesh K. Sharma, MD, MBA, FACS, FRCS(Edin.), FRCS(Canada), FICSBoard Certified Otolaryngologist

Education and Training

Medical Degree:Assam Medical College, Assam, India

Residency:Otolaryngology -All India Institute of Medical Sciences (1973)

Residency:Otolaryngology -All India Institute of Medical Sciences (1973)Otolaryngology Residency various hospitals in UK 1973-75General Surgery Internship- Albert Einstein College of Medicine, Yeshiva University, Bronx, New York (1975)Otolaryngology Johns Hopkins Hospitals, Baltimore (1979)

Fellowships:Fellow American Academy of Otolaryngology -Head and Neck SurgeryFellow American Academy of Facial Plastic and Reconstructive SurgeryFellow Royal College of Surgeons, Edinburgh, ScotlandFellow Royal College of physician & Surgeons, CanadaFellow International College of Surgeons

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MBA:Johns Hopkins Hospital, Baltimore, Maryland

Certifications:

Otolaryngology Board Certifications:Royal College of Surgeons, U.K. (1975)American Board of Otolaryngology (1979)Royal College of Physicians and Surgeons of Canada(1979)

Licensure:Virginia, Maryland and District of Columbia

Professional Membership:

Member:American College of SurgeonsInternational College of SurgeonsRoyal College of Surgeons of Edinburgh

Meniere’s Disease (2014-03-21 09:33)

Meniere’s Disease: Causes, Symptom and Treatment

[1]Meniere’s disease is a disorder affecting the inner ear. Severity and frequency of attacks experienced bythe patients with [2]Meniere’s disease may vary from patient to patient.

What do we mean by Meniere’s Disease?

[3]Meniere’s disease is related with abnormal flow of fluids in the inner ear which causes sudden attacks ofvertigo (spinning motion), dizziness, a roaring or ringing sound in your ear (tinnitus), feeling of pressure orfullness and [4]pain in the ear. This disease usually affects one ear only. It is more common in the people ofthe age group of 40 to 60 years.

What are the causes of Meniere’s disease?

The exact cause of [5]Meniere’s disease is still not known. But abnormal volume or mixing of fluids isthe largely accepted cause of this disease. Apart from this, many other factors are also considered responsible

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for triggering this disease:

• Circulation Problems

• Viral Infection

• Allergies

• Irregular Fluid Drainage

• Genetic Predisposition

• Head Injury or Trauma

• Migraines

• An Autoimmune Reaction

What are the signs and symptoms of Meniere’s Disease?

Symptoms associated with [6]Meniere’s disease seem to occur as episodes or attacks. Following are thepotential signs and symptoms of Meniere’s disease:

• Episodes of vertigo (spinning sensation) followed by off balanced sensation, nausea and at times vomiting

• Sweating due to severe vertigo

• Tinnitus; perception or feeling of ringing, buzzing, roaring, whistling or hissing sound in the affected ear

• Loss of hearing in the affected ear

• Drop attacks; severe attacks of dizziness where loss of balance leads to fall

• Aural fullness or increased pressure in the ear

• Headaches

• Sensitivity to loud noises or sounds

What are the treatment options available to treat Meniere’s Disease?

Researches show that most of the patients respond to [7]treatments forwarded for Meniere’s disease. [8]Doctorsadopt number of strategies including the following to treat and manage the symptoms following this disease:

• Medications: [9]Doctors may prescribe certain motion sickness and anti-nausea medications tominimize and relieve the symptoms of vertigo and nausea. Medications to treat dizziness are alsoprescribed.

• Injections: Doctors may also inject antibiotics and steroids into your inner ear through the middleear to minimize the vertigo and imbalance symptoms.

• Hearing Aids: Hearing aids may be advised to improve hearing. Other than this, to improvise thefluid exchange; a device delivering air pulses to middle ear may be fitted into the [10]outer ear.

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• Surgery: When all these treatment techniques do not prove helpful to improve the condition thento treat severe, recurring and disabling vertigo; surgery is advised as a treatment option. One of thefollowing procedures may be adopted:

1. Endolymphatic Sac Procedure is performed to reduce the production of fluid and to increase the fluiddrainage.

2. Vestibular Nerve Section Procedure is performed; where nerve connecting the ear to brain is cut tominimize vertigo.

3. Labyrinthectomy is performed in case of total hearing loss.

[11]Contact Dr. Gopesh Sharma MD for the detailed oriented and state of art treatment of any of your ear,nose and throat related abnormalities and diseases. We make use of latest techniques and technologies todiagnose and treat your ear, nose and throat related issues.

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1.2 April

Balloon Sinuplasty (2014-04-26 10:57)

Treating Sinusitis with Balloon Sinuplasty

According to the report issued; every year 37 million Americans are getting affected with[1] Sinusitis.Though majority of the people get relieved with the help of medicines, there are still a certain number ofpeople who require additional procedures than medications.

What do you mean by Sinusitis?

The infection or inflammation of [2]Sinus lining is known as Sinusitis. This inflammation happens dueto the[3] swollen sinus openings which in turn shuts the drainage of mucus thus leading to [4]Sinusitis.

What are the symptoms associated with Sinusitis?

The potential signs and symptom of Sinusitis may include:

• Difficulty in breathing through nose

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• Yellow or green mucus

• Facial pain and Congestion

• Toothache

• Losing the sense of smell or taste

• Headache and Sore Throat

• Fatigue

• Bad Breath

What are the treatment options available to treat Sinusitis?

[5]Doctors or Otolaryngologists mainly use three types of options to treat Sinusitis:

• Medical Therapy

• FESS(Functional Endoscopic Sinus Surgery)

• Balloon Sinuplasty

What is Balloon Sinuplasty?

Balloon Sinuplasty is the latest and minimally invasive technology used by [6]Otolaryngologists to treatrecurrent, [7]acute or chronic sinusitis. Balloon Sinuplasty; unlike conventional sinus surgery does not requirecutting and removal of bone and tissues. Instead, a small and flexible balloon catheter is used to open up thecongested sinus pathways which in turn facilitate the flow of mucus.

How is the Balloon Sinuplasty performed?

[8]Balloon Sinuplasty is performed under general or local anesthesia. During the procedure, a small andflexible wire catheter equipped with a tiny balloon is inserted through your nostril by an ENT to reach theinflamed sinus. Thereafter, the balloon is gradually inflated to restructure and widen the [9]blocked nasalpassage, thus allowing the nasal cavity to drain better. The balloon is then deflated and withdrawn; leavingan open sinus passage.

What are the benefits of Balloon Sinuplasty?

• [10]Balloon Sinuplasty has been indicated to be clinically safe, effective and minimally invasive as well.

• The procedure involved is less painful and as well as there is a lower risk of swelling, bleeding, bruisingand infection.

• No bone and tissue is removed thus natural sinus openings are preserved.

• Recovery is faster than the conventional sinus surgical procedures.

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[11]Contact Dr. Gopesh Sharma MD, if your medications are not helping you to get relieve from Sinusitis andyou dread hospitalization and surgery. Dr Sharma with this breakthrough and minimally invasive techniquewill definitely help you with your ailment.

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1.3 May

Rhinoplasty: Facts and Procedure (2014-05-21 11:34)

Your face is said to be the index of your personality and your nose is one of the most appealing and aswell as the prominent features of your face. That’s why to uplift their persona; most of the people go for[1]Rhinoplasty also known as nose job to improve the shape and size of their nose. [2]Rhinoplasty is a surgicalprocedure carried out to correct the deformed or damaged nose and at times to normalize the breathingproblems.

What do we mean by Rhinoplasty?

Rhinoplasty is a kind of [3]plastic surgery process that is executed to reshape and reconstruct the form of thenose, to regain its normal functioning and above all to enhance the aesthetic appeal of the nose. This processmay also be used to eliminate and cure the deformities of nose since birth or due to some trauma and injuryas well.

How is Rhinoplasty carried out?

[4]Surgery is performed under general or local anesthesia. During the procedure, small incisions are usuallymade inside the nose to reach the bones and cartilage supporting nose. Depending upon the requirement ofthe patient, either the bone and cartilage may be removed or a tissue may be added. And thereafter, a splintis placed outside of the nose to support the new shape of the nose during the healing period.

What changes can Rhinoplasty surgery bring?

[5]Rhinoplasty surgery can help to:

• Change nose size and width

• Alter the nose profile with visible humps and depression on the bridge

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• Improve enlarged, drooping, hooked or upturned tip of the nose

• Reshape large, wide and upturned nostrils

• Modify nasal asymmetry

• Reshape nasal bones

• Elevate the tip of the nose

How well the Rhinoplasty works?

The results achieved are usually permanent but any injury or trauma can change the appearance of the nose.It should always be kept in mind that [6]Rhinoplasty should always be administered on a fully developednose; i.e. in 15 or 16 years of the age, in case of girls and 17 or 18 years, in case of males; otherwise continueddevelopment of the nose can alter results and cause complications as well. So always consult and eminentENT before going for Rhinoplasty.

[7]Contact Dr. Gopesh Sharma MD now, if you are unhappy with the shape and size of your nose andconsidering for [8]Rhinoplasty treatment. [9]Dr. Gopesh Sharma through his extensive years of experiencewill help you in every possible way to boost your self-image and confidence as well.










1.4 June

Ear Infection: Swimmer’s Ear (2014-06-18 12:49)

One does not need to be a swimmer to get the painful and pathological ear condition like [1]Swimmer’s Ear.But the condition usually occurs when excess water enters into the ear canal and to individuals who swim alot, so the condition is named as [2]Swimmer’s Ear. It is a common disease affecting 1 out of every 10 people.

What do you understand by Swimmer’s Ear?

Infection or inflammation of outer ear canal is known as Swimmer’s Ear or Otitis Externa. Either thebacteria or fungus can cause this condition as the water trapped in the ear canal provides a breeding groundfor bacteria or fungi.

What are the potential causes of Swimmer’s Ear or Otitis Externa?

As the name itself suggests, the most common reason of [3]Swimmer’s Ear is the increased or excessive

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moisture in the ear canal due to bathing, showering or swimming. When the water gets trapped into theear canal, the growth of bacteria or fungi multiplies which eventually leads to Otitis Externa. Other factorsleading to Swimmer’s Ear may include:

• Allergies, bony overgrowths in the ear canal and sweating• Abrasive cleaning of the ear canal or cleaning ear canal with a sharp object• Scraping the ear canal with cotton swabs, fingernails or bobby pins• Skin infections like; psoriasis, eczema or seborrhoea• Ear plugs, hearing aids or headphones inserted into the ears• Chemicals in the hair dyes, shampoos, bleaches and soaps• Living in warm and humid temperatures• Trauma to ear canal• Dry ear canal skin, lack of ear wax and damaged ear canal skin

How can Swimmer’s Ear be treated?

Swimmer’s Ear is not a dangerous condition if treated properly by an [4]eminent otolaryngologist. You usuallyget well within seven to ten days after starting your treatment. [5]Otolaryngologist will determine your courseof treatment after considering your age, overall health and medical history. The treatment options extendedby an otolaryngologist may include:• Professional cleaning of your ear canal using a cotton-tipped probe or a suction device. This would furtherhelp to keep ear canal open, to remove debris and to decrease bacterial count as well.• Either of the antibiotic or corticosteroid ear drops may be prescribed to relieve itching or to fight infection• If your ear canal is swollen shut; your doctor may place a sponge or wick in to the ear canal to makeantibiotics work more effectively• Non oto-toxic topical treatment is prescribed if you have tubes in your ear drums• Topical antibiotics may be prescribed to treat infected ear canal and oral antibiotics will be prescribed totreat the infection beyond the ear canal• Follow-up [6]appointments are scheduled to repeat ear cleaning, replace ear wicks and to monitor yourprogress• Pain medications may also be prescribed and you are instructed to keep your ear dry during the treatment

At the clinical practice of [7]Dr. Gopesh Sharma MD, we offer a full range of diagnostic and preventa-tive otolarynngological healthcare services. Our acknowledged physician is dedicated to keep himself abreastwith latest improvements and advancements in [8]otolaryngology and is determined to provide his patientswith the best healthcare services.









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