21 responses

  1. comedoness
    December 29, 2012

    Dr. J. is a rock star among ENTs.

    December 29, 2012

    Dr J never fails to bring the most rare and technically challenging cases making it look the child’s play work! THANK YOU

  3. digger kahn
    December 29, 2012

    Are these people awake while this is happening?

    • Kerryn
      December 29, 2012

      I’ve had two sinus surgeries, digger kahn-one was major surgery & I was in hospital for 10 days. I had a GA & was not awake for either. I think it depends on the severity of the problem & what they have available in 3rd world countries. I don’t imagine many people would be awake for this type of ENT work in the Western world! I can’t imagine a pro like Dr J not using a GA for a major surgery like this one as well. Also it would be really difficult for the surgeon if the patient was awake & moving while he was operating, not to mention the pain it may cause to the patient.

      • Popthatpus
        December 29, 2012

        I’ve had one major sinus surgery and it was outpatient, but they used general anesthesia. I had a septoplasty (fixed a deviated septum) and had my sinuses worked on. I remember going in after the sinus surgery to have them do the professional cleaning on a weekly or biweekly basis, and even with the numbing agents they used (which taste like the worst imaginable thing running down the back of your throat), it hurt like heck. I can’t imagine any ENT in their right mind doing an invasive procedure like this without general. I think the reverberation of the tools in the sinus cavity would probably be enough to make a patient scream, even without factoring in the pain of the surgery.

      • NMGAPAOH
        January 18, 2013

        The patients are under general anethesia. Notice a tube coming out the side of their mouth? It’t the ventilator tube. Scraping bone etc… be too painful to do it with local anethesia.

  4. Kerryn
    December 29, 2012

    Dr J is one amazing ENT surgeon-as comedoness said, he’s an ENT rock star! Brilliant post Big Tull-you are the rock star of ENT posts! This one had me on the edge of my seat for the whole procedure-so many types of pus & different techniques/approaches-definitely one of your best ever posts BT-Thank you!

  5. unclelarry
    December 29, 2012

    Love the chunks of cheese. Dr. J is the master.

  6. yankeedoodlepus
    December 30, 2012

    I will stop whining about my sinus issues now-I have nothing to complain about, nothing.

  7. lovethatcreamcheese
    December 30, 2012

    Wow, that poor woman’s sinuses were a mess! I’ll bet she felt at least a million times better after that surgery.

    I also love the way Dr. J has fun with his videos — it’s serious stuff, but he always tosses in something lighthearted for our entertainment.

    As regards having ENT work done while awake, I had a deviated septum corrected and openings into my sinuses enlarged and I was WIDE awake for the whole thing. I felt zero pain — the anesthetic the doc used was, interestingly, pure cocaine; it instantly numbed everything in my sinuses, so all I felt was pressure. But I also heard the noise of bones crunching in my face. ::shudder:: Again, it was NOT painful. But between the bone crunching and the cocaine anesthesia, that was the best aversion therapy money could buy — I have never, ever even for a second contemplated using that dreadful stuff!

    So it’s quite possible to have sinus surgery while wide awake, just not entirely pleasant. Like watching the doc take 8-inch-long tools and sliding them 6 inches into my face … you guys are the only ones I’d dare describe this stuff to because everybody else I know would be too grossed out! I know you guys are grossed out, too, but at least you like being grossed out by some of this stuff. :)

    Anyway, it was not fun. But he did a wonderful job; that surgery was 35 years ago, and I’ve never had sinus trouble since beyond the occasional normal colds and such.

    • Joycee
      January 18, 2013

      I need to have surgery in my sinus, but I am not a good at my nose being stopped up, did that bother you?

  8. Jessika
    December 30, 2012

    Wow that’s awesome! Lovethatcreamcheese- cocaine is very often used in airway surgeries because it numbs the pain very well and it is also one of the few ga that doesn’t cause inflammation; making it easier to work on and for the patient.

  9. Miss Sunbeam
    December 30, 2012

    Yep, our Dr. J is DA MAN! I can’t imagine having to have something like this done–{{gag}}–but if I do, I want Dr. J to do it!
    Thanks BT!

  10. Chud Bunny
    December 30, 2012

    Attacking the snot factory -WOW! I totally loved it. Thank You So Much.

  11. pussrn
    December 30, 2012

    Wish he had added a commentary…I like the info he provides. But, definitely another classic :)

  12. 3cysterscafe
    December 30, 2012

    Yup,but hats the only part I missed was the commentary. It was definately a Dr J classic! Never seen one I didn’t like!

  13. ilovepus
    December 31, 2012

    The pain must have been awful beforehand.

  14. popfiend
    January 1, 2013

    Happy New Year, BigTull and thanks for another terrific Dr. J. post!!

  15. rahmquark
    January 1, 2013

    Holy crap, I now know why India does not import Camembert! Dr. J and his clinic do the trick!

  16. Pick_That_Puppy
    January 1, 2013

    Another good one BT!

  17. kinamay
    September 27, 2013

    It looked like there was a lot more going on in her brain than just her sinuses to me!

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