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http://www.NoseSinus.com/ https://www.google.com.sg/maps/place/Dr+Kevin+Soh,+Ear+Nose+Throat+Sinus+Head+%26+Neck+Clinic/@1.3049229,103.8331258,17z/data=!4m5!1m2!2m1!1skevin+soh+review!3m1!1s0x31da1992e3f9ff57:0x61af1e7fa8129600 3 Mount Elizabeth, #07-02, Mount Elizabeth Medical Centre, Singapore 228510 Dr Kevin Soh describes how a neck mass or lymph node excision is performed. He uses interesting graphics, animation and video to demonstrate the operation. If you have any comments, PLEASE do not be afraid to ask. Please SUBSCRIBE, SHARE, and COMMENT on this video. If you prefer to read, rather than watch the video, here’s the transcript. 0:09 – Case Presentation: A 40 year old lady has a mass on the left side of her neck, measuring 3 cm in size. The mass lies close to the external jugular vein. I can hide her scar by making my incision on the lower skin crease. 0:35 –Surgery video demo: I inject lignocaine (to reduce post-operative pain) and adrenaline (to induce vasoconstriction and reduce bleeding during surgery). I stretch the skin tight in order to facilitate neat skin incision. Because of the adrenaline, the incision is dry and bloodless. 1:11 – I have just cut through the epidermis and dermis. Next, I have to go through the platysma muscle, and search for the mass in the subcutaneous fat. The mass lies in the subcutaneous fat. 1:34 – Surgery is like painting. I use fine gentle strokes. Now I am identifying the platysma muscle. I cut through the platysma muscle. 2:18 – There are important structures in the neck that I need to look out for. Spinal accessory nerve supply motor fibers to the sternomastoid and trapezius muscles. Greater auricular nerve receives sensation from the skin below the ears. 2:44 – I dissect the subcutaneous fat to remove the mass. The mass has to be separated from all its attachments before it can be delivered. 4:41 – I close the wound in layers. I start by suturing the platysma muscle. I suture the platysma muscle in such a way that the knot is buried deep in the wound. 5:33 – Next, I suture the dermis. The needle must bite just the right amount of dermis in order to obtain perfect skin apposition. It is very important to bury the knot. The sutures used for platysma and dermis closure are absorbable sutures. They do not need to be removed. They are absorbed through the process of inflammation. 6:17 – Finally I close the epidermis. Instead of interrupted sutures, I use a continuous subcuticular suturing technique. The epidermis closes when I pull both ends of the suture. For the epidermis, I use non-absorbable sutures that need to be removed 7 days later. Non-absorbable sutures cause less inflammation and scarring. The end result is a very nice cosmetic aesthetic concealed invisible scar. 7:17 – All suture knots (especially absorbable sutures) have to be buried. Unburied absorbable suture knots will result in suture abscess, pain and redness. I also avoid interrupted sutures for the epidermis, because they cause ugly rail-road track or caterpillar marks. Steristrips are applied to provide strength to the wound. They also cover the wound and prevent contamination.
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The Keto Blast Gummies have taken Amazon by storm, quickly becoming one of the most popular keto supplements on the platform. With their convenient gummy form and powerful blend of ingredients, it’s no wonder why these gummies are flying off the shelves. In this article, we will explore why Keto Blast Gummies have become a hit on Amazon, looking at their ingredients, benefits, and customer reviews.
Ingredients
One of the key factors driving the success of Keto Blast Gummies is their carefully curated blend of ingredients. These gummies are packed with exogenous ketones, which can help your body enter a state of ketosis more quickly and easily. In addition, they contain MCT oil, a type of fat that is easily converted into ketones and can help boost energy levels. Other ingredients, such as green tea extract and caffeine, provide additional benefits such as increased metabolism and mental clarity.
Overall, the combination of ingredients in Keto Blast Gummies work synergistically to support your keto journey and help you reach your weight loss goals.
Customers rave about the effectiveness of Keto Blast Gummies, with many reporting significant weight loss and increased energy levels after incorporating these gummies into their daily routine.
Benefits
There are numerous benefits to incorporating Keto Blast Gummies into your keto lifestyle. One of the main advantages of these gummies is their convenience – no more measuring out powders or dealing with messy liquids. Simply pop a gummy in your mouth and you’re good to go. This makes it easier to stay on track with your keto diet, even when you’re on the go.
In addition to their convenience, Keto Blast Gummies are also known for their great taste. Many customers compare them to regular gummy candies, making them a delicious and enjoyable way to supplement your keto diet. This can be especially helpful for those who struggle to stick to their diet due to cravings for sweets.
Furthermore, the ingredients in Keto Blast Gummies are carefully selected to provide maximum benefits for those following a keto diet. Whether you’re looking to increase your energy levels, boost your metabolism, or enhance mental clarity, these gummies have you covered.
Customer Reviews
Customer reviews play a huge role in the success of Keto Blast Gummies on Amazon. With thousands of positive reviews from satisfied customers, it’s clear that these gummies are delivering on their promises. Many customers praise the effectiveness of the gummies, noting significant weight loss and increased energy levels after using them consistently.
Customers also appreciate the taste of Keto Blast Gummies, with many saying they look forward to taking them each day. The fact that these gummies taste like a treat rather than a supplement makes them more enjoyable to incorporate into your daily routine.
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Overall, customer feedback on Keto Blast Gummies is overwhelmingly positive, making them a top choice for anyone looking to support their keto journey.
FAQ
1. Are there any side effects of taking Keto Blast Gummies?
There are no reported side effects of taking Keto Blast Gummies. However, as with any supplement, it’s important to consult with your healthcare provider before adding them to your routine.
2. How quickly will I see results with Keto Blast Gummies?
Results may vary, but many customers report seeing noticeable changes in their energy levels and weight within a few weeks of consistent use.
3. Can I take Keto Blast Gummies if I’m not following a keto diet?
While Keto Blast Gummies are formulated to support a keto lifestyle, they can still provide benefits for those not following a strict keto diet. The ingredients in these gummies can help boost energy levels and metabolism regardless of your diet.
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