Chapter 3: Nasal and Sinus Problems and Solutions 

I am a general surgeon and this animation is just amazing, not only in patient sided information, but in the anatomy and little details too! Very well done

Let us all pay some respect to the fellow participant who volunteered his face to be cut off and glued back multiple times so that we could see his sinuses. Bravo, senior 👏👏👏

I had deviated septum surgery several years ago and it made a world of difference in my life. Prior to the surgery, I always had sinusitis during the winter months and there were times when I had very serere sinus headaches. I am grateful to Dr. Schwartz of the Pittsburgh Children's Hospital for changing my life!

Damn, whoever segmented all those anatomic structures in such great detail is a pro! I worked as a programmer (computer vision specialist) on brain CT and MRI and nasal turbinates and sinuses were for some reason always fascinating to me and also really hard to segment, since they're made of pretty thin and delicate tissue that barely shows up. Thanks to this video I could finally see what I was struggling to understand years ago! Thank you!

Perhaps the scariest part during surgery is when they cut your head in half an pry your face open, but i'm sure anesthesia can work around that too!!!

One of the best nasal, sinus videos on the Internet.

No idea why RU-vid would recommend this to me randomly, but damn I now feel so informed! What a great video.

This was great seeing the insides in context using the face as a mask. I had a septoplasty with turbinate reduction and SMD ( sub mucosal diathermy) but unfortunately my septum collapsed almost straight away post op and i ended up worse off. Sinus issues are not fun when they impact your quality of life greatly :(

Very informative and well made, thanks! ...it would be nice to see in the next one the connection with the ear to better understand why sinus problems sometimes lead to earache.

THANK YOU SO MUCH!!!!! I TRYED TO FIND SUCH ANIMATED VIDEO FOR A LONG TIME!!! ALL MY DOCTORS EXPLAINED THIS DISEASE ONLY BY WORDS. YOUR VIDEO IS A MUST HAVE FOR EVERY HOSPITAL!!!! CHEERS FROM RUSSIA! 👍

I would like to thank the patient for volunteering to have his face opened like a door

Seeing this animation brings me to notice the fact the our bodies are a huge complicated system. Truly fascinating

Amazing work, this deserves more recognition. These types of explanations are not only hard to come by, but hard to present as well.

I’m ENT doctor and I’m still fascinated while watching your educational videos. It’s excellent

I had my Deviated Septum surgery at age 28 and was told I would no longer have Chronic daily Sinus headaches that would make my eyes close and water. After Surgery both Nostrils were packed with it seemed like MILES of string all tightly stuffed so tight and not being able to sleep with the packing try falling asleep with both nostrils blocked. The 3rd day when the packing came out in the office the Surgeon placed a pail for me to hold and when he gave the word after spending 15 minutes unraveling the string from each nostril I said “now, you’re going to feel like a Million Dollars” “Breathe deep when I say NOW and Keep Swallowing” I did feel like I was inhaling the world when he pulled the last of it out but I was swallowing the most disgusting grossest felt like Gallons of Mucus and clots going down my throat. Then the nostrils get scabbing up with tiny scabs many of them I had to keep going back to have them trimmed back. The sinus headaches returned by day 7 after the unpacking. I was so very discouraged. The ENT Promised me that was my Sinus issues. That was over 30 years ago and I still deal with the daily pain, and pressure.

Don't know why this was suggested to me or why I clicked on it. But it actually answered some questions I didn't realized that I had about my own sinus issues. Thanks RU-vid algorithms

I’ve been waiting for this video for almost 3 years… awesome work. Thank you

Very nice and informative video. Please add the connection of throat infection along with lungs mucus and cough. It will help to understand complete respiratory system. Thanks

Please make a video on connection of ear with nasal cavity 3D view..❤️❤️

I had a procedure where they basically pushed a small hole through my cartilage from my nose into my sinuses when I was 11. They then used water to flush out my sinuses. It was honestly absolutely horrible because they did it with just local anesthesia they put super long cotton balls soaked with a numbing agent that went and dripped all the way back into my throat and made me want to puke. I still wasn’t fully numb so it hurt and the pressure of the flushing was awful. The worst part was that they did nothing to stop the bleeding my nose kept bleeding for 3 days straight. My mom was ready to take me to the hospital because I was losing to much blood. Luckily for others they don’t do that procedure anymore these days because I wouldn’t wish that on anyone.

Absolutely stunning in how much information is conveyed, and with what clarity... and also unforgettably horrifying - the disembodied head and shoulders sitting on the table, blinking... The head opening up like a cuckoo clock... With different music and narration this would make a great cinematic for a horror game!

We found this video to be informative. Also, I loved that you invented a sinus drainage move. You went right into the stance! I hope you and your family are also having a very good day.

Well detailed explanation. It’s not that easy to do these kind of videos And i appreciate the effort you have put on this video.

Nice animated medical illustrations. I love how surgeons always "carefully" cut or "carefully" debride or "carefully" remove. Usually no-one says just cut, debride, or remove without prefixing it with carefully. Only only rarely to we hear of surgeons "carelessly" cutting, debriding, or removing something, but I'm reasonably certian they do that much more often than we hear about it.

I finally understand what's going on inside my nose! Thanks for a terrific video.

Amazing 3D animation and modeling! Now I understand why these nasal cavities can get infected. I find nasal flushes will help alleviate blockages for me.

Imagine a doctor watches this video right before a surgury

I must’ve cleared my nose about 50 times watching this. Happy to say, both my nostrils are working fine.

Ever since I can remember I've had sinus problems with colds and infections, it was exhausting sometimes. But after having a septoplasty and turbinate reduction I haven't had any sinus problems or colds since. That was nearly 4 years ago now so for me it worked out really well. I remember how weird it felt when they removed the packing. It was like someone pulling out a wet towel from underneath my brain and out my nose lol. It wasn't too unpleasant, it just felt really weird.

Thank you very much for such detailed 3D animation and explanation.

Thank you for great explanation of nasal anatomy and functions!

Very interesting video! I have a retracted eardrum and would love to see how my sinuses effect that.

I had a septoplasty with a partial reduction of the inferior tubinate, and had no packing. Doctor said he didn't like to use packing if he didn't need to, and for me the only issue was some excess clotting over the sutures, which was easily taken care of by him suctioning the excess clots out. Even during surgery I only lost 10cc's of blood, which makes that the smallest bloody nose I've ever had(i've literally lost well over a pint before when I was younger bc a severe nose bleed that wasn't caused by an injury). This video was pretty insightful, but I have no idea why it was recommended, but glad it did :)

I am going to have septoplasty, bilateral endoscopic inferior turbinoplasty, right endoscopic concha bullosa resection, and this video was just the thing that answered all of my questions and lessen all of my fears. Thank you very much for doing this. Signed Scaredy Cat

It's saturday 11pm, all people my age are outside drinking and enjoying the summer. Me, I'm on my bed seeing sinus problems and solutions. I am not complaining.

Thank you Dr Casano, this video has proven to be very helpful to me.

Had this and it burst through my upper gum making a channel. Took ages to diagnose it, had an operation and debridement and a 4 inch cut along upper gum. Would not wish that pain on my worst enemy.

This is top quality content and Information!

this is the most unsettling medical video I ever seen, even more than real surgical video. Especially I had 3 nasal surgeries before. Bit it is informative.

Super good information - school will never teach that

This is very informative. Thank you so much for educating us all!

I had my septum created and just want to say one thing about packing. Hold your nose with your fingers and try to drink, eat, sleep swallow add a bit of pain and do this for 2 days. This is how it feels. And I have a high pain tolerance 🙃 So just don't sell me the story of "all is well" . Other dan this this simulation is amazing 👏 😍

This video provides so much detail I'm gonna quit my job and open my own practice.

I’ve had a chronic cough for 8 months now and while this gave immense insight I still don’t know the cause of my cough.

A great video that explains the procedures.

Wonderfully created thanks.

Very well done 3D modeling and animation. So informative, and I love all the details. I would love to make animations like this myself. Thank you Dr. Casano for sharing this amazing piece of work and spreading the knowledge! 🙏❤😊

Very good and nice visuals, I would have liked to see some solutions for the oversized inferior turbinate though

I had sinus surgery and this is exactly how they did it, as an outpatient and home the same day.

I get a cold/flu EVERY SINGLE DAY. I can’t believe no doctor has told me this over all these years. I’m gonna call and ENT office to get this done myself.

I read a negative comment about you online from a patient that said you don’t care, but maybe you were just having a bad day if they really felt that way. You would be the coolest Dr. to have. 🥺

I have a diverted septum.ive suffered with it since someone hit me with a knickle duster when i was 16. Im 29 now. And have to sleep on one side to breath during the night, occasionally my nose opens and i get to experience what its like to breath through it.

this is the reason why I love youtube

You dont how happy i m right now watching this video thank you sooo much 😁

Sorry m-my lord for posting so much like that, but you probably understand my excitement…This is content I can and will fall asleep to every night…I can now die in peace…

In 1986 I had septum surgery, it was very barbaric. They use a hammer and chisel to get out the scar tissue and straighten the septum. I almost died so they stopped the procedure halfway through. I still can't breathe through my nose at night and get very dry mouth. When I stand up my nasal passages drain but when I lay down mucous closes them. Hard for me to find a doctor to understand this. I'm glad to see this video, surgery seems to advanced a little since 1986.

Great information help me a lot with medical study

Thanks for trying , to cure the ill, Nasal and mouth - trouble. Everything connected to everything else. Great job Doctors. amen.

A must know for anyone as the sinus is so vulnerable as a gateway to the internals.

This is very informative.Thank you so much for educating us all!. Thank you for great explanation of nasal anatomy and functions!.

very innovative & helpful !

I’m getting ready to have Deviated Septum surgery and I can finally see and understand exactly what will happen and exactly where the septum is, as it is very thin.

I have had a chronic stuffy nose for almost 30 years now, difficulties in breathing especially during sleeping. I had a couple of doctors diagnose the problem as nasal polyps. I noticed that my breathing greatly improves when I have to take antibiotics for another illness, antibiotics like Zithromax. I would sleep much better and improved focus. But the issue would return a couple of days after I stop taking antibiotics. I'd appreciate your feedback.

Best illustration I have seen.👊🙂 Amazing.

I should probably go to sleep now.

Well done, great video for me as a hobby layman who just likes to learn things and be able understand health

I had nasal surgery a number of years ago which would not stop bleeding so they packed it and left it in for 2 weeks. It was horrible. I could not breathe out of my nose at all so my lips got cracked and my throat hurt so bad I was drinking fluids all the time but nothing helped.

POV, you fell asleep first at the party

Can we do it at home or do we need special kind of training?. Is this material availble on amazon so I can fix my sinus problem?

1:23 me looking at my bank account balance

Well done, thank you for the informative videos with excellent graphics.

knowing what is happening at this level is such a fkn amazing thing.

Excelent 3D to understand nasal passage.

I dont know why but this entire Sinus system in our faces Fascinates me!

well i used to suffer from nasal problems where my nose would just keep making mucus that i needed to use a tissue like every 15 minutes every doctor i went to gave me nasal flushings basically salt water it would cure it but after a week after i finished the medication it would come back until i went to a doctor who gave me a shot and nasal wash and some pills i got cured and can breath from my nose its nice to see what a sinus look like and how it gets infected i had sinusitis by the way

Seems I finally understand why I sneezing so much for a few week half a year ago, right after my body drops due to caught a cold and overwhelmingly tired. Though I don't consume any antibiotics since I recovered. Since then when the environment is little dusty, I often sneezing 2-3 times in a row (eventually back to normal though).

Was the word balloon misspelled in the video? This was amazingly informative and I wholeheartedly support others’ idea of a video to explain the connection between nasal and ear canals/cavities. I also think there could be an additional dialogue regarding the effects of these procedures especially with regards to smell. It can be severely affected by some of these procedures. What is done to mitigate these and other issues?

Great video, I had some of these procedures, when the packing was pulled out several days later it was the size of a tennis ball it seemed.

Disclaimer: This is not medical advise but my personal experience. If you suffer from rhinosinusitis, consider using a nose spray called ‘Dymista’ (after consulting your doctor of course). This personally helped me solve my rhinosinusitis, I was really desperate and I was so happy when it worked.

Carefully consider this surgery. I had Septoplasty and turbinate reduction. All was well until 3 years post-op, wherein I lost 90% of my sense of smell and taste. I can smell awful perfume but little else. Taste is limited to salty, sour and bitters.

POV: you slept first in the sleepover

I had covid a couple weeks ago- it wasn't bad and went away, but then I got chills and weird aches (no fever) and it felt flulike, and now I'm having awful cold symptoms like congestion, a bad cough, tickly throat, headache, mild difficulty breathing, and lungs feeling a little full. Does covid mess with your immune system? I am feeling totally run down 😢

Very clear animation for this procedure.

I had chronic sinusitis,i wash with salin water,but problem still with me,i spit thick yellow mucus 3 or times a day, ct scan indicate in right maxillary collected some fluid,which medicine is can cure me,

I had these problems of sinus since 3 years, then I did anulom vilom pranaya then my sinus problems, headache and eye sight just vanished in 2 weeks.. I continued for 3 months for complete cure. Daily do this for 10 mins in morning will get good result in a week

Sir, um suffering from a long time ailment caused by my nose. Its a sluggish feeling that causes me to give a sleepy feeling even during the daytime. My nose was broken severely by hard fist blows,roughly before 10 years back during a fight in school. Few years there after i had a nasal obstruction and i used decongestants for abt 5 years. Then there was no actual effect by decongestants and i consulted an ent surgeon and underwent a septoplasty surgery. Now that my breathing problems are fine. But a sleepy feeling with some pain has affected my quality of life. According to my research by various practices of applying topical medicine, i hve come to a conclusion that the cause is to be somewhere around my middle turbinate(right side). And my problem is basically in the right side of nose whr the septum was deviated. So Doctor, can u please give me a suggestion what can be the possible reasons for this? Ahh I forgot to mention that i was refered to a psychiatrist whr i was prescribed some medicine, the pain i was suffering was greatly reduced bt still there's some pain with sluggish feeling throughout the day which makes my life of less quality.

Props to the patient for having their face cut open so many times to make this video.

Incredible video! Thank you very much! And it might sound unreal but once I accepted Islam and started praying many of my problems were gone. I stopped snoring, it became easier to breathe, I don't get flu and throat infection as I used to get, my back pain is gone, and the most important - headache is also gone. Yes, many of you will say that is not possible but let me tell you what I found after I had done my own research and why it worked. Nasal area is a natural filter, like the filter that each car has. Car's filter we have to replace every 6 months, because it becomes dirty, and not replacing it obviously can damage an engine. Same for human, but we cannot replace it, but we can rinse it. That is what all Muslim people do 5 times a day before praying to God. We rinse our mouth, nasal area, face, clear our hairs, hands(till elbow) and feet. So we rinse our nasal area and it removes most of bacteria from there. And as a proof, according to many researches(you can google it), rinsing nasal area removes bacteria from that area. And as we all know, when we get sick, we get a running nose. Why? Because our body wants to clean up nasal area from bacteria and viruses. Regarding the back pain, it was gone because during belt-low bowing(during praying) the pressure in the back gets released. And the last part, headache. That one I assume was gone because of the prostration when blood pressure increases in the head. That is incredible, how easy and in a simple way all of those problems were gone. And that is another proof that Islam is the truth. I am not doing propaganda, I am telling the true story about myself. Do your own research. Stay healthy!

great anatomy details. exactly what i was looking for after just reading anatomy.

I had sinuses blocked and was recommended surgical operation. But what what cleared it was natural sea/ocean water spray in a can. It's especially effective if if you hold water in for 5 minutes and tilt your head to let water go into 2 side sinuses and 2 upper parallel sinuses. A bit pricey for simple sea water though.

This is amazingly informative and awesome graphics

She just took me on a trip. The graphics are impeccable 😂

I’m due to have this surgery very soon and was scared. But after watching this video I’m ready to go ahead 🙏🏽🙏🏽🙏🏽 #Thankyou

Loving the Assassins Creed: Unity Gameplay footage

THIS VIDEO IS PERFECT, USEFUL, 100% APPLICABLE AND... GREAT!!

I suffered from nasal problems one of nose is blocked i have been wondering if it is only one nostril mean for airways but by watching this video i understand how this problem it is and i hope now that my other nostril will be back to active. Thanks alot.

You're creating great educational resources!

thanks for sharing such a well done series of videos. Really good.

Завидую людям, которым доступен такой уровень медицины. Я, в Мурманске, обошел уже всех ЛОР врачей города и все прописывают капельки в нос. Мучаюсь более 10 лет с текущим носом.

You have great 3D workers there! Very good job!