Insomnia

Insomnia

1. GENERAL. 40% of adults, at some stage, suffer from insomnia and it occurs more in females than males, usually older than 40. This leads to significant daytime consequences, including decreased concentration, memory etc. A Sleep Study is contraindicated and is best...
SLEEP PHYSIOLOGY

SLEEP PHYSIOLOGY

1. Recommended Sleep Duration Newborns: Up to 17 hours per day. Adults: Up to 9 hours of uninterrupted sleep per day. Adults (65+ years): More than 7 hours per day. Note: There are 4 stages of sleep (N1, N2, N3, and REM). These will be discussed in a later blog. 2....
ODONTOGENIC SINUSITIS

ODONTOGENIC SINUSITIS

DEFINITION Sinusitis that originates from dental origin usually originates from the upper molar teeth extending into the maxillary sinus.  It is unilateral and accounts for more than 10% for all sinusitis cases.  It usually occurs in patients in the 50’s and accounts...
REFERRED OTALGIA

REFERRED OTALGIA

DEFINITION: Pain in the ear that originates outside the ear. WHY IT HAPPENS: Different parts of the head and neck send pain signals to the same nerves that supply the ear.  The brain can’t tell where the signal started and often projects the pain into the ear....
BENIGN POSITIONAL PAROXYSMAL VERTIGO (BPPV)

BENIGN POSITIONAL PAROXYSMAL VERTIGO (BPPV)

ANATOMY AND PHYSIOLOGY The inner ear has three semi-circular canals at right angles to each other.  They detect rotational acceleration in all plains.  Via nerve reflexes, they keep your eyes fixed on a target despite head movements. HISTORY The patients wake up...