Ultimate Guide to Nasal & Sinus Surgery, Tongue Ties & More - ENT Dr. Coral Tieu | JawCast #57
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- เผยแพร่เมื่อ 31 พ.ค. 2024
- Dr. Tieu is an experienced ENT doctor who is also knowledgeable on the importance of skeletal expansion, jaw surgery & myofunctional therapy for breathing & health. She often recommends patients with a narrow palate & nasal aperture to seek out expansion before or in place of turbinectomy & other nasal surgeries (AKA she agrees with making the room bigger before removing furniture). She also has a lot to share on the surgeries & treatments she performs or recommends when there are structural & tissue abnormalities in the nose. In addition, she discusses how to go about cutting infant & adult tongue ties, and the importance of breastfeeding for a child's development, and how an uncut tongue tie can severely compromise a newborn's ability to breastfeed.
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00:00:00 Introduction
00:02:27 Official Start
00:04:07 Ron Explaining His SFOT
00:05:46 Why Is Dr. Tieu Getting Treatment W/ Dr. Yousefian?
00:07:24 Why Do ENTs Completely Miss Underdeveloped Jaws When Diagnosing
00:09:27 Is There ANY Nasal Improvement with the Vivos Expander?
00:10:25 Dr. Tieu Talking About Additional Culprits of Breathing Difficulties
00:11:38 Importance of Nitric Oxide
00:13:47 Explanation of Sinuses
00:14:40 Why Do We Even Have Sinuses?
00:17:09 The Nasal Airflow Hallway, with Side Rooms
00:18:34 Horrible Melanoma Cancer That Can Happen in the Sinuses
00:20:32 Polyps Growing in the Nose
00:22:06 Sometimes The Nose Is So Messed Up You Can't Fix It Without Surgery
00:24:47 For Some, a Minimally Invasive Nasal Surgery May Be Impossible
00:25:38 Choanal Atresia: Closure of the Back of the Nasal Airway
00:26:10 Chronic Sinusitis
00:28:05 Deviated Septums
00:30:35 Turbinates & Turbinectomy
00:32:12 Why Mouth Breathing Causes Turbinates to Swell
00:34:01 Pets Impact on Allergies?
00:35:51 Empty Nose Syndrome
00:36:22 Snorting Lots of Drugs Can Cause Septum to Fall Apart
00:37:03 You Can't Really Replace Nasal Tissue Once It's Gone
00:38:04 Be Wary of Nasal Decongestants - Addiction
00:42:03 Cleansing the Nose - Pots, Sprays etc.
00:42:50 Don't Use Tap Water for Sinus Rinse - Because of Rare Bacteria
00:44:03 The Main Surgery That Causes ENS Is Turbinate Reduction
00:46:02 Telling Patients to Go See Airway Orthodontist Before Getting Turbinate Reduction?
00:47:33 Ron's Ebook (Fix Your Face)
00:48:41 Has Dr. Tieu Seen a Patient Have Turbinates Improve Naturally with Just Nasal Breathing?
00:49:41 Flonase is a Safe Steroid That Can Help Reduce Turbinate Swelling
00:51:20 Beating Sinusitis with Nasal Rinsing?
00:52:30 How Did Ancient People Clean Their Sinuses?
00:53:51 Can MMA Jaw Surgery Make the Nasal Airway Bigger?
00:58:58 What's the Normal Patient Experience with Nasal Surgeries?
01:00:39 Analyzing Ron's Sinuses
01:07:19 Does Doing Expansion/Jaw Surgery After a Nasal Surgery Cause Problems?
01:09:04 Bad Rhinoplasty Job Worsening Nasal Breathing?
01:11:01 Hooked Noses Caused by Small Jaws & Coping with Nose Jobs
01:11:47 Does Dr. Tieu Do Tongue Tie Release? What Is the Zhagi Method?
01:13:20 What is a Posterior Tongue Tie?
01:14:04 Ron's Daughter Has Lip Tie?
01:17:30 Lip Tie Release Simpler Than a Tongue Tie Release?
01:19:06 Modern Society Not Built for Breastfeeding
01:20:26 Bottle That Best Mimics Breastfeeding? Ron's Working on a Wearable Breastfeeding Device
01:24:25 Proper Tongue Mobility is Essential for Healthy & Efficient Breastfeeding - a Tongue Tie Can Completely Screw it up - วิทยาศาสตร์และเทคโนโลยี
Love seeing more professionals from different communities coming to the same conclusions!
Thanks for the kind remarks.
Bizzare how this space is evolving. Keep it up
Glad you are enjoying the knowledge journey. Stay tuned for more.
Great video Ron on understanding craniofacial development. I can’t book a call on a website. I wish to book a call with you about the Orthognathic industry.
!
Wow thanks for the donation bro. Really appreciate that. Unfortunately I have started my seasonal tax prep job and am unable to do any calls until the end of April. Can we wait until then?
Hey Ron, I enjoyed the video a lot! I am 15 and asked for a chat with you for Christmas, and I’m really looking forward to talking to you in April when your schedule is open!!! Great Video 👍
You got it!
Really interesting content. I had septoplasty and turbinate reduction two years ago and it helped a lot, but my breathing is far from perfect. I have straight teeth thanks to Invisalign about 15 years ago, but have a narrow palate. I really can’t afford mse and ortho again, but really wish I could start all over with expansion. This kind of knowledge wasn’t really known a decade or so again.
I think a lot of us wish we could go back to the beginning and do things differently.
Ron would you release a list of Orthodontists & ENT's that you recommend to help finding a doctor nearby for people?
It’s scary to think you go to the regular doctor and will never be checked for stuff like this… I’m grateful for the video but upset how this stuff isn’t taken seriously. I’ve had a hard time breathing since 10 and have been suffering it’s gotten better but I need to get this done in the future for sure.
Thank you very much Ron.
Breathing conciously trough this whole episode
Wow, she is cute. Intelligent and knowledgeable with good values but also damn cute.
This is an amazing interview. Try to have Dr. Saroush Zaghi on. He is also an ENT and is amazing.
Super interesting. Thank you very much for this interview. I was wondering if there could be any contraindication to jaw surgery after turbinate resection. I got a turbinate resection (performed with scissors and not preserving the mucosa tissue). I was 16 at the time. Now I'm 22 and still having breathing issues. But since I have some of the ENS symptoms like nasal dryness and crusting (hopefully it's manageable ) I was wondering if there was a chance jaw surgery could worsen (or improve for that matter) my nose situation.
Good question, thanks for taking the time to formulate it. Definitely food for thought.
Dr. Tieu has an attractive personality - upbeat and magnetic personality with loads of energy (which is perhaps indicative of great nasal breathing and vasodilator gas nitric oxide (NO) being produced in the paranasal sinuses or perhaps nasal cavities, and excreted continuously into the nasal airways with a healthy nasal airway that doesn't have blockages). Nasal nitric oxide acts as a mediator of mucociliary activity and mucus secretion.
Indeed!
so are you saying NO produced in the sinuses produces more mucus or less, and is this good or bad?
Thank you for this podcast and for covering ENS. I had a submucosal reduction via coblation (a sort of radiofrequency technique) and I have developed a mild case of ENS. The reduction was minimal, but it damaged my mucosa surface and I can't feel any nasal airflow. This make sleeping very difficult, because my body wakes me up with the feeling of not breathing. Avoid this surgery at all costs.
I'm sorry to hear that but thanks for sharing your story. Wishing you well.
@@JawHacks The ENS patients I've spoken to have done horrifically bad with jaw surgery. Radio frequency scars the hell out of the nasal surface. Expanding the airway with MMA isn't gonna do anything to address the surface scars from the heat from RF nor will it address the nasal inflammation caused by these scars. save yourself some money. Dramatically improve your diet. Eat berries. eat raw broccoli. Stretch, lift weights and do cardio. I guarantee you'll feel better. Stay away from ENT and dental quacks. I guarantee you they won't understand your problems and most of them have egos that are so big they'll insist their treatment will help you. furthermore in ENS patients MMA can speed up the heartrate. Be careful.
I have a question, I had a setoplasty and turbinate reduction before marpe and then got marpe because I thought it would improve my breathing even more but after marpe I still can’t breath in one nostril. I suspect my left turbinate grew back but shouldn’t I still be able to breath well despite that because I increased my nasal cavity size with the marpe?
Your turbinate likely didn't grow back. It's probably scarred from the turbinate surgery. If the nose is scarred from a previous nasal surgery Naso-maxillary expansion is not guaranteed to help. In fact it could make matters worse by introducing more air which could increase anxiety and increase the heart rate.
The best advice I can give you is do not have any additional nasal surgery and stay away from ENT'S!
1:03:10 "It's bug huh ;)" lmao
This was an awesome interview. We need more of Dr. Coral. Her personality and her energy are what cured the most in her patients I believe.
If your wife sees this video, I am pretty damn sure she'll kill you for flirting with another woman.
All I can say is Mr. Tieu must be one happy husband.
hi ron can i contact you some how