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Dr. Swathi Appachi, MD is a pediatric otolaryngologist in Lorain, OH specializing in pediatric otolaryngology (ear, nose & throat). Dr. Swathi Appachi, MD is affiliated with Lorain Family Health and Surgery Center, Cleveland Clinic and Cleveland Clinic Main Campus.
5700 Cooper Foster Park Road
Lorain, OH 44053
9500 Euclid Avenue Mail Code A71
Cleveland, OH 44195
Bronchoscopy
Bronchoscopy is a procedure in which a thin tube with a camera, called a bronchoscope, is inserted in the mouth or nose and slowly advanced to the lungs. This allows doctors to see the respiratory tract, which includes the throat, larynx (voice box), trachea (windpipe), bronchi (airways), and lungs. Doctors may recommend those who have or show signs of lung problems - for example, lung cancer or difficulty breathing - to undergo a bronchoscopy.
In performing a diagnostic bronchoscopy, doctors may only wish to visualize the respiratory tract, or doctors may also collect samples of tissue or fluid. The samples can help diagnose patients' conditions or, if patients have cancer, they can be used for staging purposes. One method for sample collection is bronchoalveolar lavage. In a bronchoalveolar lavage, doctors inject saline (salt water) through the bronchoscope and then suction it out of the airways. The washout collected is tested for lung disorders. Doctors can also insert a biopsy tool to collect tissue or mucus samples. The following are biopsies that can be performed by bronchoscopy:
For visualization, bronchoscopy can be done alone, or it can be combined with ultrasound. Endobronchial ultrasound (EBUS) allows real-time imaging of the airway and is used for diagnosing and staging lung cancer, as well as for determining where the cancer has spread. EBUS can be performed with TBNA, a procedure known as endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA).
Doctors can also use bronchoscopy as a treatment for lung problems. For example, if a foreign body is trapped in the airway, doctors can insert forceps through the bronchoscope to remove it. If the airway has become narrowed - which may occur if patients have an infection, cancer, or some other inflammatory issue - bronchoscopy can be used to place a device called a stent in the area of constriction. The stent will keep the airway open, allowing the patient to breathe properly.
During a bronchoscopy, patients will be given medication (sedative) to help them relax. If it is only a diagnostic bronchoscopy, patients will be kept awake, but if the bronchoscopy is for therapeutic purposes, patients will be put to sleep by general anesthesia. After the procedure, patients will need to stay in the hospital for a few hours. They will not be able to eat or drink for about 2 hours. Some patients may experience discomfort, such as a sore throat or pain while swallowing. Throat lozenges and gargling may help alleviate these symptoms, which should go away after a few days. Patients will need to have someone drive them home once their doctor determines that they are ready.
Facial Paralysis
Facial paralysis is an inability to move the muscles in the face. It often affects only one side, and it can happen quite suddenly. Facial paralysis may make one's face feel frozen or numb.
Facial paralysis can happen when there is inflammation or damage to either the part of the brain that controls the facial muscles or the nerve that carries signals from the brain to the face. Some common causes include:
Facial paralysis is a frustrating and frightening experience, but many cases are temporary and go away on their own. Even with more difficult cases, there are treatment options available, including rehabilitation, pain management, and surgery.
Nasal Endoscopy
Nasal endoscopy is the use of a thin, flexible tube (called a 'scope') that is inserted into the nostril to examine the structures of the nose. The scope contains a fiber optic light and a camera that allow a physician to see much more of the nasal passages, airways, and sinuses than is possible with a standard nasal exam.
A nasal endoscopy is typically performed by an otolaryngologist (or ENT) in their office. It may be performed for a variety of reasons, but some common ones include:
In most cases, a medication containing a decongestant and anesthetic is sprayed into the nose before the scope is inserted. The doctor uses the scope to examine any problem areas. If necessary, most scopes allow for tiny tools to be inserted and used to removed tissue or take samples. Nasal endoscopy is a very safe and relatively easy procedure.
She completed residency at Cleveland Clinic. She is certified by the Otolaryngology - Head and Neck Surgery - Complex Pediatric Otolaryngology Otolaryngology - Head and Neck Surgery and has a state license in Ohio.
Residency: Cleveland Clinic (2019)
Board Certification: Otolaryngology - Head and Neck Surgery - Complex Pediatric Otolaryngology Otolaryngology - Head and Neck Surgery
Licensed In: Ohio
Dr. Swathi Appachi, MD is associated with these hospitals and organizations:
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These charts describe general payments received by Dr. Swathi Appachi, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$150
ACUSEAL Vascular Graft $150 |
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$92
BiZact $92 |
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$34
$34 |
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$11
NATPARA $11 |
| $286 |
Dr. Swathi Appachi is a specialist in pediatric otolaryngology (ear, nose & throat). Her areas of expertise include foreign body ingestion, nasal congestion (stuffy nose), and benign soft tissue tumor. Her residency was performed at Cleveland Clinic. Dr. Appachi's hospital/clinic affiliations include Cleveland Clinic Main Campus and Lorain Family Health and Surgery Center.
