John P. Cunha, DO, is a U.S. board-certified Emergency Medicine Physician. Dr. Cunha's educational background includes a BS in Biology from Rutgers, the State University of New Jersey, and a DO from the Kansas City University of Medicine and Biosciences in Kansas City, MO. He completed residency training in Emergency Medicine at Newark Beth Israel Medical Center in Newark, New Jersey.
Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.
In most situations, the surgery is performed as an outpatient (no overnight stay usually required), at either the hospital or an outpatient surgery center. An anesthesiologist will monitor your child throughout the procedure. Usually, the anesthesiologist reviews the medical history before surgery. If your doctor has ordered preoperative laboratory studies, arrange to have these done several days in advance.
If your child is old enough to understand what surgery is, be honest and up front as you explain the upcoming surgery. A calming and reassuring attitude will greatly ease your child's anxiety. Most children will feel better having had the pressure relieved in their ears.
Your child must not eat or drink anything 6 to 12 hours prior to their time of surgery;
this includes even water or chewing gum. Anything in the stomach increases the chances of an anesthetic complication.
If your child is sick or has a fever the day before
surgery, call the office. If your child wakes up sick the day
of surgery, still proceed to the surgical facility as planned.
Your doctor will decide if it is safe to proceed with surgery.
However, if your child has chickenpox, do not bring your child
to the office or to the surgical facility.
What to do the day of surgery?
It is important that you know precisely what time
you are to check-in with the surgical facility, and that you allow
sufficient preparation time. Bring the required papers and
forms with you, including the preoperative orders and history
sheets. Your child should wear comfortable loose fitting clothes
(pajamas are permissible). Leave all jewelry and valuables at
home. They may bring a favorite toy, stuffed animal, or blanket.
The Eustachian tube is a membrane lined tube that connects the middle ear space to the back of the nose. Problems include partial or complete blockage which can cause popping, clicking, and ear fullness. Allergies, sinus and ear infections, or the common cold can cause this blockage, while altitude changes can cause symptoms in those persons with Eustachian tube problems. Treatment includes several maneuvers (swallowing, chewing gum, yawning etc.), which can be done to improve Eustachian tube function.
Ear was is a natural substance secreted by special glands in the skin on the outer part of the ear canal. It repels water, and traps dust and sand particles. Usually a small amount of wax accumulates, dries up, and then falls out of the ear canal carrying with it unwanted particles. Under ideal circumstances, you should never have to clean your ear canals. The absence of ear wax may result in dry, itchy ears, and even infection. Ear wax may accumulate in the ear for a variety of reasons including; narrowing of the ear canal, production of less ear wax due to aging, or an overproduction of ear wax in response to trauma or blockage within the ear canal.
A common form of short stature, achondroplasia (dwarfism) is a genetic condition causing a disorder of bone growth. Complications of achondroplasia that need monitoring include (this is not all inclusive) stenosis and compression of the spinal cord, a large opening under the skull, lordosis, kyphosis, spinal stenosis, hydrocephalus, middle ear infections, obesity, and dental crowning. Achondroplasia is caused by mutations of the FGFR3 gene.
Cleft palate and cleft lip are facial and oral defects that occur early in pregnancy. A cleft lip is a split of the two sides of the upper lip, and a cleft palate is a split in the roof of the mouth. Cleft lip the fourth most common birth defect in the U.S. Repair of a cleft palate or cleft lip may require multiple surgeries.
Noise-induced hearing loss may be an acoustic trauma (temporary hearing loss), or permanent due to an acute acoustic trauma. Experts agree that continual exposure to more then 85 dBs (decibels) is dangerous to the ears. Ear plugs and ear muffs can help prevent noise-induced hearing loss as well as decreasing exposure to loud noises.
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