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Posts: 523
Sep 23 14 8:27 PM
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Sep 23 14 8:29 PM
MaryS wrote:The general "rule" with Dr. Houser was to wait a year. I don'tknow what Dr. Das' opinion is. But, there is some reasonable period after surgery that anyone should wait to recover and heal from the surgical insult before further intervention. So, I don't think your mucosa is "dead". Think positively.
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Sep 23 14 8:30 PM
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Sep 23 14 8:31 PM
hearthurts wrote:nose1 wrote:Hearthurts, I think you are still confused about what the treatments are. Let me try to give a brief history, summarize and explain. Initially, ENS sufferers were offered implants by Dr. Houser. These implants were with Alloderm (sheets made from cadaver skin) and is a surgical procedure. Eventually, Dr. Houser began to perform injections of Cymetra (which is just a liquid form of Alloderm) and then later he gave some Acell injections (this is really called Matristem and is of porcine origin but is somewhat similar to Cymetra). Later on some doctors began providing PRP treatments. The PRP has been available for a little more than a couple of years now. PRP takes multiple treatments to really getting the healing effect. Recently, Dr Das has been providing injections of combined PRP and Acell Matristem. So although Acell is being used by Dr Das, it is in a liquified form and thus is still an injection in the office and not a surgery. An important point to understand is that surgical implants are better at adding volume in cases where the turbinate has been significantly reduced. The intent of the PRP+Acell injection is to heal the existing mucosa but is unlikely to add a significant amount of volume. judging by this sounds like implant in my right is good idea. but nose1 seems to think implants are bad idea s to do quite a few others, I'm torn. I want o feel relief if i have to drive for 8hours and spent $1500. want to get trhe job done right.
nose1 wrote:Hearthurts, I think you are still confused about what the treatments are. Let me try to give a brief history, summarize and explain. Initially, ENS sufferers were offered implants by Dr. Houser. These implants were with Alloderm (sheets made from cadaver skin) and is a surgical procedure. Eventually, Dr. Houser began to perform injections of Cymetra (which is just a liquid form of Alloderm) and then later he gave some Acell injections (this is really called Matristem and is of porcine origin but is somewhat similar to Cymetra). Later on some doctors began providing PRP treatments. The PRP has been available for a little more than a couple of years now. PRP takes multiple treatments to really getting the healing effect. Recently, Dr Das has been providing injections of combined PRP and Acell Matristem. So although Acell is being used by Dr Das, it is in a liquified form and thus is still an injection in the office and not a surgery. An important point to understand is that surgical implants are better at adding volume in cases where the turbinate has been significantly reduced. The intent of the PRP+Acell injection is to heal the existing mucosa but is unlikely to add a significant amount of volume.
Posts: 631
Sep 23 14 8:33 PM
Sep 23 14 8:38 PM
hearthurts wrote:MaryS wrote:The general "rule" with Dr. Houser was to wait a year. I don'tknow what Dr. Das' opinion is. But, there is some reasonable period after surgery that anyone should wait to recover and heal from the surgical insult before further intervention. So, I don't think your mucosa is "dead". Think positively. really mary? my intuition tells me prp would b best right away
Sep 23 14 8:39 PM
Posts: 713
Sep 23 14 8:41 PM
MaryS wrote:hearthurts wrote:MaryS wrote:The general "rule" with Dr. Houser was to wait a year. I don'tknow what Dr. Das' opinion is. But, there is some reasonable period after surgery that anyone should wait to recover and heal from the surgical insult before further intervention. So, I don't think your mucosa is "dead". Think positively. really mary? my intuition tells me prp would b best right awayIt might be with Dr. Das that sooner is good with PRP. I am saying that to PRP, with only Dr. Houser providing treatment many waited a year and many improved and moved on from here.Just go see Dr. Das. You can only work from where you are now, you didn't know any earlier. Right?
hearthurts wrote:so wait. if I'm out in cold all day is that making things worse and causing more damage? if i sat in shower all day would that be better for my nose recovery? did i wait too long to start injections? will nasal moucosa improve with first month
Sep 23 14 8:44 PM
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Sep 23 14 9:44 PM
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Sep 23 14 10:37 PM
Sep 23 14 10:41 PM
Sep 23 14 10:52 PM
Ryan wrote:every case is different. there are people which say implant help and people which would deny. The same for PRP.
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