Chapter 3: Nasal and Sinus Problems and Solutions

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  • čas přidán 11. 05. 2021
  • This video describes some of the common problems encountered by the nasal cavity and sinuses including the common cold, sinusitis, sinus surgery, deviated nasal septum and septoplasty, turbinate reduction, balloon sinus surgery, and nasal packing.

Komentáře • 879

  • @panzerlion
    @panzerlion Před rokem +711

    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

    • @MK8Warrior
      @MK8Warrior Před rokem +6

      I’ve had a sinus infection for 2 weeks now

    • @chrismedina54
      @chrismedina54 Před rokem +33

      The way it blinks after the head is opened.

    • @realisticthinking3019
      @realisticthinking3019 Před rokem +9

      i agree, it was informative but easy to understand with little training medically. i enjoyed the subtle humor

    • @seancloutier2577
      @seancloutier2577 Před rokem +3

      @@MK8Warrior I hope it is gone. I will say a prayer. These are not fun.

    • @MK8Warrior
      @MK8Warrior Před rokem +2

      @@seancloutier2577 update I still have it since august 12

  • @metamodern7648
    @metamodern7648 Před 11 měsíci +32

    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 👏👏👏

  • @BardiXOfficial
    @BardiXOfficial Před rokem +58

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

  • @bepisbepi
    @bepisbepi Před rokem +30

    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!!!

  • @stoyc
    @stoyc Před 4 měsíci +23

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

  • @jeffthewhiff
    @jeffthewhiff Před rokem +117

    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!

    • @ananyagondhiaphukan4938
      @ananyagondhiaphukan4938 Před rokem +4

      Hello there .... May I know at what age did u undergo through the surgery ?

    • @jeffthewhiff
      @jeffthewhiff Před rokem +4

      @@ananyagondhiaphukan4938 Yes, I had deviated septum surgery when I was 18 years-old.

    • @jeffthewhiff
      @jeffthewhiff Před rokem +2

      @@ananyagondhiaphukan4938 Yes, Ananya, I was 18 years-old when I had the surgery.

    • @motivationalvibes-kv2ks
      @motivationalvibes-kv2ks Před 4 měsíci +1

      Bro after dns surgery you're nose was runnu for how many days? My one side nose is more runny

    • @jeffthewhiff
      @jeffthewhiff Před 4 měsíci +1

      No, I did not notice having a runny nose after the surgery, but it made breathing through my nose much easier.

  • @digitalghosts4599
    @digitalghosts4599 Před rokem +126

    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!

    • @PeterCasano
      @PeterCasano  Před rokem +42

      Thanks for noticing.... I did all that by hand using ITK Snap segmentation tool. Being a sinus surgeon helped me know what the best locations were to declare one structure vs another as there is no real difference in the signal from one sinus to the next and such... glad you liked it.

    • @joeyseabaugh6742
      @joeyseabaugh6742 Před 8 měsíci +2

      I was also impressed with the detail. Helped a simpleton like me, grasp a bit of knowledge. Thanks much

    • @ambermclaughlin3852
      @ambermclaughlin3852 Před 8 měsíci +2

      ​@@PeterCasanoPost op pain from snipping and gouging is the most painful procedure ever...

    • @PeterCasano
      @PeterCasano  Před 8 měsíci +2

      @@ambermclaughlin3852 Well, I’m sorry you apparently had an unpleasant experience. That said, there are a bunch of different types of operations for different problems and different techniques and some are more unpleasant than others. That’s for sure. Simple endoscopic sinus surgery without a septoplasty usually doesn’t have much pain. Septoplasty, when it involves the front part of the nose, can have the most unpleasant recovery of the various types of sinus and nasal surgery… in general. Cosmetic nasal surgery is unpleasant to recover from also.

    • @ambermclaughlin3852
      @ambermclaughlin3852 Před 8 měsíci

      @@PeterCasano Yes that is true with every procedure. I did have a deviated septum and a deep gouging process which included post op steroids which only inhanced the pain and bleeding.. Now my maxillary sinuses are full of snot again and I'm seriously debating on a repeat of the same torture..I have to weigh... being dizzy...to a debilitating level or another surgery..Ugg 🤦🏼‍♀️ Im trying hippie dippy facial massages... and antibiotics w/o relief...or drainage

  • @kayokk-
    @kayokk- Před 9 měsíci +4

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

  • @Nattraks
    @Nattraks Před rokem +487

    Imagine a doctor watches this video right before a surgury

  • @Tubeytime
    @Tubeytime Před rokem +19

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

  • @Modent-ir
    @Modent-ir Před 2 lety +16

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

  • @koteechka7
    @koteechka7 Před rokem +11

    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! 👍

  • @sergeyshchurko9541
    @sergeyshchurko9541 Před 2 lety +25

    Thank you for great explanation of nasal anatomy and functions!

  • @ecovoycanada
    @ecovoycanada Před 3 lety +192

    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.

    • @damned_1
      @damned_1 Před rokem +12

      Exactly. Currently experiencing this 😖

    • @teimonabrown50
      @teimonabrown50 Před rokem +3

      I've never had any sinus problems ever till now am 23....I feel as if am on my last days plus am pregnant.....first thing Monday morning am going to the doctor.....it's been bothering me for two weeks....I can manage anymore...

    • @LorenaRodriguez-zm4xz
      @LorenaRodriguez-zm4xz Před 5 měsíci

      @@teimonabrown50hi! How did it go with the doctor? Where you able to resolve it? Did the pregnancy go well?

  • @vacafuega
    @vacafuega Před 10 měsíci +3

    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!

  • @erinwaltz2188
    @erinwaltz2188 Před rokem +15

    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.

  • @Gon_Jajanken
    @Gon_Jajanken Před rokem +4

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

  • @sideeffectsstudios
    @sideeffectsstudios Před rokem +30

    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.

  • @weelianocraft
    @weelianocraft Před rokem +7

    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.

  • @henryi9738
    @henryi9738 Před rokem +4

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

  • @shashikumarjeerankalagi1246
    @shashikumarjeerankalagi1246 Před 3 lety +178

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

  • @ratatat9790
    @ratatat9790 Před rokem +91

    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 :(

    • @carolinagarcia535
      @carolinagarcia535 Před rokem +13

      How are you doing now? Did you get another revision surgery to repair the septum/ cartilage?

    • @chrisrobbie8675
      @chrisrobbie8675 Před rokem +4

      How are you today, my friend? Any further treatment taken?

    • @christinachiappette4470
      @christinachiappette4470 Před 9 měsíci +6

      Same just went in for rhinoplasty 3 days ago hoping they fixed everything the toll it takes on our quality of like is so underestimated sleep apnea constant migraines from not getting deep sleep no matter how much you sleep constant sinus and ear infections it really can be detrimental to our quality of life atleast it was for me hoping once this heals I can get back to living again❤❤❤❤

    • @chrisrobbie8675
      @chrisrobbie8675 Před 9 měsíci

      @@christinachiappette4470 hoping the best for you. Get well soon.

    • @marcz239
      @marcz239 Před 8 měsíci +6

      100% man sinus problems gotta be the worst curse on earth, shit I'd rather be slightly mentally impaired damn near 😂

  • @Theoryofcatsndogs
    @Theoryofcatsndogs Před rokem

    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.

  • @cheesypumpernickel5568
    @cheesypumpernickel5568 Před rokem +5

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

  • @rgolab3174
    @rgolab3174 Před rokem

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

  • @CrnchyToast
    @CrnchyToast Před 8 měsíci

    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 CZcams algorithms

  • @weignerg
    @weignerg Před rokem +11

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

  • @arunkumarvnair29
    @arunkumarvnair29 Před 3 lety +5

    Wonderfully created thanks.

  • @Ojb_1959
    @Ojb_1959 Před rokem +5

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

  • @CRDMerkz
    @CRDMerkz Před 2 lety +5

    This is top quality content and Information!

  • @user-yc2er6el1c
    @user-yc2er6el1c Před 8 měsíci +1

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

  • @kkkk150984
    @kkkk150984 Před 2 lety +57

    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

  • @StayCURIOUSWithUs
    @StayCURIOUSWithUs Před 2 lety +2

    Best illustration I have seen.👊🙂 Amazing.

  • @doodleesq
    @doodleesq Před rokem +1

    A great video that explains the procedures.

  • @soilmanted
    @soilmanted Před rokem +10

    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.

    • @PeterCasano
      @PeterCasano  Před rokem +3

      Maybe skillfully is a better word but sounds pretentious.

    • @soilmanted
      @soilmanted Před rokem +1

      @@PeterCasano Of course, generally surgeon do surgical procedures skillfully. That is what, naturally, everyone expects them to do, so in describing a procedure to the lay person, injecting the adverb skillfully, or carefully, or any other adjectives that implies doing it well, should be unnecessary. It is almost redundant. So it begins to sound ridiculous when _any_ such adjectives are used. It implies that normally they make a cut carelessly, but in the situation being described, here they do it skillfully. Can't we just _assume_ they cut people's body parts skillfully? Repeatedly repeating that they do it carefully, or skillfully, makes me wonder why do they think they have to repeatedly remind lay people that they do their job carefully or skillfully. Glob help us if they cut into us carelessly. It wouldn't be just a little bit less desirable than than skillfully - rather - it would be really really bad. Up until they repeatedly say "carefully,' I was assuming they they did it carefully. Now I am beginning to wonder.

    • @EMILYHERRERA
      @EMILYHERRERA Před rokem +3

      You should totally watch orthopedic surgeons go at it; nothing gentle or "careful" about so much of that.

  • @marcomill4824
    @marcomill4824 Před rokem +5

    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.

  • @sonsofevil2
    @sonsofevil2 Před měsícem

    Super clear visualization, thanks!

  • @makeupyourmindinator
    @makeupyourmindinator Před 5 měsíci +1

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

  • @user-wd1vd9du2q
    @user-wd1vd9du2q Před 8 dny

    Great informative video!

  • @jspeaksofficial
    @jspeaksofficial Před rokem

    I love the explanation and visuals.

  • @alanthierseorn
    @alanthierseorn Před 3 měsíci

    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 :)

  • @nguyentrungnguyen6924
    @nguyentrungnguyen6924 Před rokem +8

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

    • @PeterCasano
      @PeterCasano  Před rokem

      Thanks for watching

    • @mikkybozzy-my2vk
      @mikkybozzy-my2vk Před rokem

      If your an ent, what are the chances these operation fix the problem? Judging by people's experiences with them, I'd say 45%

    • @PeterCasano
      @PeterCasano  Před rokem

      @@mikkybozzy-my2vk Depends on what the problem is and how it is addressed. Well chosen patients have well over 45% of the time get the results that they desire. If you doctor operates on you with a balloon for headaches... more likely you won't get the results that you want. I depends.

    • @mikkybozzy-my2vk
      @mikkybozzy-my2vk Před rokem

      @Peter Casano I'm getting a septoplasty and turbanate reduction. I don't get headaches just pressure in the sinus area and congestion

    • @ConfusedRiver-ff6lh
      @ConfusedRiver-ff6lh Před 4 měsíci

      ​@@mikkybozzy-my2vkhow was the surgery?

  • @wypy817
    @wypy817 Před 2 lety +3

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

  • @lafielanarchy
    @lafielanarchy Před 8 měsíci +1

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

  • @mr.mustache4743
    @mr.mustache4743 Před rokem +1

    Exceptional video. Thank you.

  • @rayrocher6887
    @rayrocher6887 Před rokem +5

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

  • @jonash5320
    @jonash5320 Před 8 měsíci

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

  • @matvei8368
    @matvei8368 Před rokem +6

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

  • @curtw8827
    @curtw8827 Před 11 měsíci

    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.

  • @gene978
    @gene978 Před rokem +25

    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.

    • @msagist2004
      @msagist2004 Před rokem

      Sounds like a hopeless situation...so sad☹️

    • @vacafuega
      @vacafuega Před 10 měsíci +1

      Have you tried keeping a food diary, and looking into ways to reduce inflammation through lifestyle? Sinus rinses for example are a really valuable tool for reducing the gunk and pain. Only surgeons can change the shape of the tissue, but you're the best placed to reduce the amount of inflammation it is undergoing.

    • @xw591
      @xw591 Před 8 měsíci

      How is your blood pressure?

    • @Texa8
      @Texa8 Před 5 měsíci

      Sounds like an outdated procedure

    •  Před 4 měsíci

      So much of this is related to the immune system. Surgery treats the symptoms not the problem

  • @altered.perspectives
    @altered.perspectives Před 4 měsíci

    You're creating great educational resources!

  • @rvs1
    @rvs1 Před 7 měsíci

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

  • @polycloud1
    @polycloud1 Před 2 lety +31

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

  • @Kento_nanami_the_2nd
    @Kento_nanami_the_2nd Před 5 měsíci

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

  • @rajeshmarfatia4250
    @rajeshmarfatia4250 Před rokem +1

    Exceptional presentation!

  • @RicJG7
    @RicJG7 Před 2 lety +4

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

  • @diqohalkan572
    @diqohalkan572 Před 2 lety

    Helpful video thanks for sharing

  • @CahayaBerkahSinergi
    @CahayaBerkahSinergi Před 4 měsíci

    Very clear animation for this procedure.

  • @user-bz4ki4ut5k
    @user-bz4ki4ut5k Před 2 lety +1

    Thank you for your work!

  • @antoniojuarez4714
    @antoniojuarez4714 Před 3 měsíci

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

  • @AnhHoang-tq6ll
    @AnhHoang-tq6ll Před rokem

    Thanks so much for the video Dr Casano

  • @ginnymwong
    @ginnymwong Před 2 lety +1

    This is amazingly informative and awesome graphics

  • @AhmedNisar
    @AhmedNisar Před 2 lety

    Grateful to the doctor....

  • @alham4409
    @alham4409 Před 8 měsíci

    Thank you so much for this video - hugely informative and helpful!

  • @AbhishekK-hn4gd
    @AbhishekK-hn4gd Před rokem +1

    awesome explanation...nicely presented with video !!

  • @theworldisnotenough5185
    @theworldisnotenough5185 Před 5 měsíci

    This was very good. thank you for sharing.

  • @govinda102000
    @govinda102000 Před 2 lety +3

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

  • @kineret4030
    @kineret4030 Před 9 měsíci

    Amazing. Thank you for sharing!

  • @carlor9088
    @carlor9088 Před 2 lety +2

    Wow thank you for your work and time ✅

  • @mikaeels.6477
    @mikaeels.6477 Před 2 lety +1

    Awesome, helpful video.

  • @aintmucho5257
    @aintmucho5257 Před rokem +2

    Great information help me a lot with medical study

  • @dorotagalas869
    @dorotagalas869 Před rokem

    Amazing video! Thank you !

  • @jesusshuttlesworth2136
    @jesusshuttlesworth2136 Před 5 měsíci

    I had balloon sinusplasty done and it worked/helped tremendously

  • @free_at_last8141
    @free_at_last8141 Před 2 lety +4

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

  • @sinus90
    @sinus90 Před 4 měsíci

    amazing work and animations. i loved thwm thank you

  • @ARGENTINA5956
    @ARGENTINA5956 Před rokem +2

    So useful tutorial! Gonna try this in my home 😉☺️

  • @Maltebyte2
    @Maltebyte2 Před rokem

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

  • @jbrise7560
    @jbrise7560 Před 2 měsíci

    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.

  • @FlorenceB12
    @FlorenceB12 Před rokem

    Thank you. Well done.

  • @TRPGpilot
    @TRPGpilot Před rokem

    Thanks for uploading.

  • @ajaym6795
    @ajaym6795 Před rokem

    Amazing video.

  • @odetta6020
    @odetta6020 Před 10 měsíci

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

    • @Texa8
      @Texa8 Před 5 měsíci

      How did it go

  • @lokeshkatikireddi1924
    @lokeshkatikireddi1924 Před 2 lety

    Great work

  • @def6420
    @def6420 Před rokem +5

    Super good information - school will never teach that

  • @madnessintomagic
    @madnessintomagic Před 5 měsíci

    This was great. Thank you!

  • @Finlandiamall
    @Finlandiamall Před rokem

    Thank you so much. I always have question about this.

  • @Karan__007
    @Karan__007 Před rokem

    WOW , I am speechless after watching this

  • @stevejodoin9937
    @stevejodoin9937 Před 2 lety

    Great video

  • @shashikumarjeerankalagi1246

    Thank you soooo much..this helped me a lot❤️

  • @sezratd
    @sezratd Před rokem

    Wow great work!

  • @mihaivale7170
    @mihaivale7170 Před 7 měsíci

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

  • @bobjones9963
    @bobjones9963 Před 2 lety

    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. 🥺

    • @PeterCasano
      @PeterCasano  Před 2 lety +2

      Well, I do care but some people want you to care about things in a way that isn't medically appropriate and I don't pander well.. and of course it is much more common, in all settings, for reviews to come from the annoyed over the satisfied. Thanks for watching my videos, if you have a VR headset or TV you can view in 3D, which is especially cool. www.petercasano.com has the necessary info. :)

    • @bobjones9963
      @bobjones9963 Před 2 lety

      @@PeterCasano Oh trust me; I’ve scoured that website for a possible public download of the data, so I’m definitely aware of that, haha, but thanks for the reply

  • @haikalmiftah2529
    @haikalmiftah2529 Před rokem +1

    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).

  • @xorqwerty8276
    @xorqwerty8276 Před 2 lety +2

    What a fantastic animation

  • @lyonsailing7520
    @lyonsailing7520 Před rokem

    Nice work! Good blood graphics too!

  • @minipandora22
    @minipandora22 Před rokem

    wow!!! very well done

  • @muskanchaudhary5569
    @muskanchaudhary5569 Před 2 lety +5

    very innovative & helpful !

    • @syedalmananhaider7919
      @syedalmananhaider7919 Před 2 lety

      Slam ...kia ap Dr. Hain agr ap Dr. Hain to plz koi hal btayn muy sinusitis howa hai ... Nose 👃 blood hai ..sans me takleef hai

    • @segzyfementerprise8256
      @segzyfementerprise8256 Před rokem

      Hi..... please ...I need help on this....

  • @mtozden
    @mtozden Před 2 lety

    Good study. Thanks

  • @user-bf6bt9vi5h
    @user-bf6bt9vi5h Před rokem

    Great Show 👏😮

  • @ravindugunawardhana5761
    @ravindugunawardhana5761 Před 5 měsíci

    Very important vedio..thank you.sri lanka