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Intubation for surgery can, in rare cases, result in damage to the vocal cords and a change in voice. During intubation, an instrument called an endotracheal tube (ET tube) is passed through the patient’s mouth or nose into the trachea. The ET tube has a cuff which inflates slightly when inserted, to create a sealed airway. This holding of pressure on both sides of the vocal cords can lead to inflammation and swelling of them.
The incidence of significant laryngeal injury caused by intubations is estimated between 0.5-2 % as reported by multiple studies published in medical journals such as Anesthesiology and The American Journal of Surgery . Vocal cord injury results from direct trauma from the ET tube during insertion or may be due to prolonged contact with vocal cords that can impair their microcirculation leading to edema and subsequent scarring and stiffness. Most injuries are transient such as hoarseness, dysphonia or throat soreness that resolve within few weeks but sometimes permanent damage resulting in complete loss of voice is seen although this is quite rare
In conclusion it would appear that although there isn't necessarily any guaranteed risk associated with having surgery under general anesthesia involving endotracheal intubation complication where your voice could significantly change its tone or character do exist albeit rarely; so close consultation with your surgeon before undergoing intubation should always be recommended just incase any potential risks are discussed beforehand so you know what possible consequences may arise.
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Q. Hello Doctor, from past 3 weeks I have too much dandruff problem and it cause hair loss will you suggest any best solution for this?
Doctor Answer is medically reviewed by SecondMedic medical review team.
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Secondmedic Expert
Dealing with excessive dandruff leading to hair loss can be frustrating, but there are effective ways to address this issue. Here's what you can do:
1. Switch to a Gentle Shampoo: Opt for shampoos specifically designed for dandruff, containing ingredients like ketoconazole, zinc pyrithione, coal tar, or selenium sulfide. Use these shampoos regularly to reduce dandruff buildup.
2. Scalp Massage: Gently massage your scalp while shampooing to help remove flakes and improve blood circulation, which can promote healthier hair growth.
3. Avoid Hot Water: Wash your hair with lukewarm water instead of hot water, as hot water can dry out your scalp and worsen dandruff.
4. Balanced Diet: Ensure you're eating a balanced diet rich in vitamins and minerals essential for healthy hair and scalp, such as omega-3 fatty acids, zinc, and B vitamins.
5. Manage Stress: Stress can exacerbate dandruff problems. Practice stress-relief techniques like meditation, yoga, or regular exercise to help manage stress levels.
6. Apple Cider Vinegar Rinse: Consider using diluted apple cider vinegar as a rinse after shampooing. It can help restore the scalp's pH balance and reduce dandruff.
7. Consult a Dermatologist: If the issue persists despite trying home remedies or over-the-counter solutions, seek advice from a dermatologist. They can provide a personalized treatment plan tailored to your specific scalp condition.
Remember, consistency is key when dealing with dandruff. Give these remedies some time to work, as immediate results might not always occur. It's essential to find what works best for your scalp, so don't get discouraged if you don't see immediate improvements.
Taking care of your scalp health not only addresses dandruff but also aids in reducing hair loss associated with this issue. Feel free to incorporate these tips into your routine and observe how your scalp responds. If the problem persists or worsens, seeking professional guidance is always recommended.