Mouth breathing in children is not an uncommon
condition. Parents and clinicians have not giving
the importance it deserves to correct the same. If
not corrected early these children from habitual
mouth breathing become compulsive mouth breather.
Nose breathing is difficult than mouth breathing.
Hence once a child becomes compulsive mouth
breather, reversal is a difficult process needing
lots of effort and time.
The immediate harm of mouth breathing is foul smell
in mouth which leads to personal and psychological
handicap. Long term effect is on the lungs as the
air reaches the lung by bypassing the nasal air
Correction of the nasal airway compromise if any is
the first step in the management. For success the
long term cooperation of the child and parents is a
must. Parents should always ensure they do not hurt
the child in public in their enthusiasm to help the
child revert to nose breathing.
The best option to cure cancer is by early
detection. ENT cancer is the commonest form of
cancer seen in India. It includes, Lips, Cheeks,
Tongue, Mouth /oral cavity, Throat [Hypopharynx],
Nose, Nasopharynx and larynx [Voice box].
It is also the easiest to detect early, by a simple
OPD procedure with proper protocol. Awareness is
poor hence most of these cancers are detected late
with poor prognosis. Symptoms are late hence the
best option to detect early is by regular routine
ENT check up. Some symptoms of ENT [Head and Neck]
The above mentioned symptoms can be sign of less
Avoid Smoking, Alcohol, chewing betel, paan or
guthka as they can cause Cancers.
This subject has evoked lots of interest in the last
two decades. Sleep deficiency to heart attacks are
blamed. The concern seems to be exaggerated,
nevertheless when suspect it is wise to get an
examination and evaluation by an ENT specialist.
Commonest cause is Obstructive sleep apnea. The
priority in management hence should be to identify
the nature of obstruction and correction of the
same. CPAP in obstructive sleep apnea should be
considered only if surgery does not give adequate
World Health Organisation [WHO] defines health as
physical, mental, emotional and Social well being.
Hearing handicap and giddiness are two ENT
conditions which has a direct bearing on the health
of the senior citizens.
Hearing Handicap will vary, depending on the
attitude and perception of the affected individual,
as well as the demands placed on one’s ability to
hear and understand speech in everyday life.
Deafness affects the person, his family, social
circle, and his employment situation. Frequent,
erratic, and misunderstood communication breakdowns
results in psychosocial problems, stress, anxiety,
and conflicts. A feeling of inadequacy sets in
resulting in self isolation and withdrawal from
family and society. We call this DEAF sentence.
There are many senior citizens who sentence
themselves to this DEAF sentence and lead a life of
Hearing loss is a silent / invisible disability
hence we more importance to this hidden handicap in
geriatric care. Due to the hidden nature care givers
/ society too are not sensitized. We need to help
these individuals. Shravan gives top priority to
identify the hard of hearing and rehabilitate them
to lead a healthy life.