Primary Cartilage Tympanoplasty: Our Technique And Results.(dr Mubarak Khan,pune) Am J Otolaryngol. 2010 Sep 9. [epub Ahead Of Print]primary Cartilage Tympanoplasty: Our Technique And Results.khan Mm, Parab Sr.abstractcartilage Has Shown To Be A Promising Graft Material To Close Tympanic Membrane Perforations. However, Due To Its Rigid Quality, Doubts Are Raised Regarding Its Sound Conduction Properties. It Has Been Suggested That Acoustic Benefit May Be Obtained By Thinning The Cartilage. We Describe Our Innovative Method For Harvesting Tragal Cartilage From The Same Endaural Incision And Also Describe Preparation Of The Graft By Slicing It. We Present Our 3-year Experience Of Shield Cartilage Type 1 Tympanoplasty Using Sliced Tragal Cartilage-perichondrium Composite Graft.aim: The Aim Of This Study Was To Prove The Success Rate Of Our Technique Of Shield Cartilage Tympanoplasty Using Sliced Tragal Cartilage Graft In Terms Of Functional And Anatomic Results.study Design: Retrospective Analysis Of Type 1 Cartilage Tympanoplasties Using Sliced Tragal Cartilage Was Carried Out In Mimer Medical College And Sushrut Ent Hospital During May 2005 To January 2008 With A Minimum Follow-up Of 2 Years.method And Materials: A Total Of 223 Ears Were Operated By Our Technique.results: The Overall Success Rate Of Our Technique Was 98.20% In Terms Of Perforation Closure And Air Bone Gap Closure Within 7.06 ± 3.39 Db. The Success Rates In The Various Age Group Are As Follows: 11 To 20 Years, 97.67%; 21 To 40 Years, 99.12%; And 41 To 60 Years, 96.96%.conclusion: Our Technique Of Type 1 Cartilage Tympanoplasty Achieves Good Anatomic And Functional Results.

Why Am I Feeling So Anxious About Everything? Many People Have This Thought Once In A While. Anxiety Is A Protective Phenomenon Fitted In The Brains Of People By Nature. Yes Buoyant Individuals Without Any Anxiety Whatsoever About Anything Rarely Can Perform Well In Life. This Statement Can Be A Great Reliever For Neurotic People Feeling Anxious About Anxiety Per Say! Hypochondriacal People Always Have Heightened Susceptibility To Stimuli That Lead To Excess Anxiety And Worry About The Apparently Casual Situations. In Such Cases, Anxiety Becomes Morbid At Times And Out Of Proportion To The External Circumstances. Also It May Last Long After The Threatening Situation Is Gone. This Kind Of Anxiety Needs Intervention And Good Psychological Counseling. Causative Factors Of Anxiety- (1) Psychological Illnesses Like Depression, Schizophrenia, Etc (2) Long Standing Illnesses (3) Certain Familial Traits And Genetic Contribution To Anxiety Cannot Be Denied (4) Unexpected Life Events With Poor Tolerance Level (5) Sometimes It May Be The Result Of Relatively Minor Day To Day Events (6) Some Physical Illnesses Like Hyperthyroidism, Hypoglycemia, Alcohol Withdrawal, Epilepsy, Pheochromocytoma, Arrhythmias, Etc Clinical Features Of Anxiety- (1) Fear Of Impending Disaster Is One Of The Chief Presenting Symptoms In Most Cases (2) Excessive Irritability (3) Restlessness With Fidgety Feeling All Over The Body (4) Tremors, Sweating, And Palpitations May Be There (5) Some Patients Complain Of Dizziness, Headache, Sudden Diarrheic Spells, Enhanced Frequency Of Urination, Etc (6) Breathlessness, Headache, Insomnia (typically During Initial Sleep), And Poor Concentration Are Observed Too (7) Severe Anxiety Can Result In Some Or The Other Physical (somatic) Illness Including Fever, Malaise, Dullness, Body Ache, Etc Some Peculiar Types Of Anxiety- There Are Many Types Of Anxiety; However, Mainly We Can Classify It Into Phobic Anxiety (phobia) And Panic Disorder. An Abnormal Fear Brought On By A Particular Object Or Situation Because Of Which The Person Avoids That Stimulus Is Termed As Phobia. Phobias Are Commoner In Women And Genetic Contribution Is Important To Consider. Scientists Have Attributed These Types Of Phobic Anxieties To Some Traumatic Event On The Childhood Of The Patient. This Boosts The Homeopathic Physician’s Concept Of Seeking Detailed Childhood History Of The Patient, In Which Lies The Answer To His Or Her Anxiety In Adulthood. Panic Disorder Is Sudden Onset Of Unpredictable And Severe Anxiety. They Usually Are Not Related To A Specific Situation And They Are Linked With Depressive Disorder. In This Variety, The Physical Symptoms Like Palpitations, Chest Pains Etc Are Prominent. The Patient Fears That He Is About To Die. Management Of Anxiety- Choice Of Treatment Goes A Long Way In Establishing The Normal Homeostasis In The Emotional Sphere Of Patient’s Life. Many People Deny That Anxiety Needs To Be Treated. But It Is Evident That Without Treatment, Sulking, Brooding, Irritability, And Excessive Worry Do Not Lessen But Aggravate To Take Graver Form. Therefore, Management Of Anxiety Is A Very Important Step Towards The Person’s Brighter Future. Psychological And Homeopathic Approach- Psychological Counseling Is The Most Important Pillar Of Anxiety Treatment. An Expert Psychologist Can Reassure The Patient And Can Inculcate In Him The Confidence That He Can Get Better. As Homeopathy Deals With Mind Effectively, A Homeopath Himself Is A Great Psychologist. Seeking Apt Data From The Patient Is An Art And Only That Homeopath Succeeds In Treating The Patient, Who Has In-depth Understanding Of The Patient’s Psyche. Therefore We Can Say That Psychological Counseling And Homeopathic Case Taking And Analysis Go Hand In Hand. They Cannot Be Separated. Even For Psychosomatic Anxiety, Importance Of Counseling Cannot Be Underestimated. Specific Relaxation Techniques Help A Great Deal In Patients Of Anxiety. Specific Yoga Techniques, Pranayam, And Homeopathy Together Can Work Marvelously Well In These Patients. Anxiety Is A Disorder In Which Conventionalists Have Very Limited Role. If You Do Not Want To Fall Prey To Heavy Doses Of Anti-depressants That May Leave You Dizzy All Day Long, Seek An Expert Counselor Homeopath That Can Help You Find The Best Equilibrium In Your Physical, Mental, And Emotional Realms. Talking To A Homeopath Is A Great Way To Find The Best Emotional Catharsis For Sure!

Past Life Regression By Hypnotherapist In Coimbatore Did You Ever Wonder: Who Am I....? What Am I Doing Here...? Have I Been Here Before...? Past Life Sessions Generally Take Around Two Hours. That Gives Us Time To Establish Your Goals For The Work And Enables Me To Explain Things Clearly. Once You Have A Clear Idea Of How The Process Works You Are Then Guided Into A State Of Deep Relaxation Or Light Hypnosis, Which Is A Perfectly Natural State That Everyone Experiences. Such As When Daydreaming Or Just Before You Drift Off To Sleep. In This State You Can Gain Access To Deeper Stored Memories. The Past Life Recall Is Similar To When You Recall A Holiday, You May Not Remember It All But Key Elements Will Jump Out. The Session Is Designed To Help You Gain Insights Into Your Present Life Conditions And The Reasons For Some Key Choices Or Beliefs And Enables You To Get A Sense Of Your Current Life Purpose. You Will Get The Chance To Identify Members Of Your Soul Group Who May Have Joined You In This Life And In Other Lives And Clear Any Unwanted Baggage That Comes With These Connections. We Will Look At Karmic Lessons And See What, If Anything, Needs To Be Resolved To Ensure That The Karma Is Clear. We Will Work To Heal And Release Anything That No Longer Serves You, Especially Unhelpful Vows That Might Have Been Made. Often There May Have Been Vows To Maintain States Such As Poverty, Chastity And Denial That Need To Be Cleared To Make Way For Success. One Session Is Enough For You To Get Access To Your Past Lives And It Is Possible That You May Experience More Than One Life At A Time. However, Further Sessions Are Completely At Your Discretion, It Depends On How Much Exploration You Would Like To Make Into Your Past. Re-living Past Lives In A Safe And Nurturing Way Can Heal And Release Phobias, Improve Relationships And Enhance Physical And Emotional Well-being. Through Repeated Incarnations You Gain Knowledge And Learnings, You May Also Pick Up Negative Emotions And Unhelpful Personal Beliefs As You Move Forward From Lifetime To Lifetime In Your Own Karmic Evolution. Past Life Regression Allows You To Step Into A World Of Self-discovery And Self-awareness, So That Insights Gained From The Past Can Be Applied To The Events, Situations And Relationships In Your Present Life Your Unconscious Mind Is The Storehouse Of All Your Thoughts, Feelings, Experiences And Accumulated Knowledge. Everything You Have Ever Experienced And Become Aware Of, In Every Lifetime, Is Recorded In The Memory Banks Of Your Mind. Remembering Your Past Lives Is A Natural Process That Involves Two Main Qualities; Curiosity And A Comfortable And Relaxing State Of Hypnosis. This Is All That Is Needed To Open Up Your Memories And Allow You To Remember. The Memories You Recall Will Help You Achieve A Sense Of Healing In Your Present Life. You Will Remember Everything From The Session And It Will All Be Recorded For You To Take Away And Review Later. Call 07708485038