home Auditorium 7 Is it possible to fly after female removal? Air travel after sinus lift and bone grafting. Other types of eye surgery

Is it possible to fly after female removal? Air travel after sinus lift and bone grafting. Other types of eye surgery

Many people have heard that for any flight you need a compression sleeve and the same tights, however, not many know why. Let us explain to you.

During takeoff and landing, airline passengers experience heavy loads associated with sudden pressure changes. In addition, at an altitude of tens of thousands of kilometers, the air is much more rarefied than below, and in the aircraft cabin the atmospheric pressure is very low - only 600 mm Hg. Art. versus the usual 760. Add to this forced physical inactivity (inactivity) for several hours. All this leads to disruption of blood and lymph flow in the extremities. In medicine, there is even such a thing as long-distance travel syndrome, from which about 2,000 air passengers die every year in the UK alone. To prevent it during long flights – over 3 hours – doctors recommend using compression stockings. After breast surgery, it is necessary to wear not only special stockings/socks, but also a sleeve.

Is it possible to use simple tight socks or a sweater with narrow sleeves instead? Theoretically it is possible, but there will be no benefit from them. The fact is that compression sleeves and “traveler’s socks” provide the limbs with not uniform, as usual, but physiologically distributed pressure, which gradually decreases in the direction from the ankles to the knee. This is the only way to maintain the “pumping” function of the muscles, eliminate fluid stagnation, and prevent swelling and thrombosis.

How to use compression stockings? Put on the sleeve and knee socks before leaving home and keep them on throughout the flight, even if it has a connecting flight. Wear healthy knitwear for another two to three hours after arriving at your destination.

How else can you help your body during an air flight?

For the flight, choose comfortable, loose clothing and comfortable low-heeled shoes.
Take off your shoes as soon as you sit in your seat in the salon.
Don't cross your legs.
Every half hour, try to walk or do some exercises for your arms and legs. Rolling from heel to toe (at least 5 minutes), combing your hair, and clenching and unclenching your palms are very useful.
Drink as much fluid as possible.
Avoid drinking alcohol the night before and during your trip.

Valea wishes you a pleasant flight!

You can purchase compression hosiery for travel and everyday life

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When summer approaches and the holiday season begins, we wonder if Flying on an airplane can have consequences for the eyes after surgery.

After certain eye surgeries, and due to the changes in pressure we experience at certain altitudes, airplane flights can affect vision. Each surgical intervention has its own risks and therefore it is always necessary keep in mind the advice that our ophthalmologist will offer us, and, when in doubt, we should always refer to it.

Can I fly on a plane after retinal surgery?

After the eyes, the ophthalmologist may recommend performing vitrectomy. This operation consists of replacing the vitreous with a bubble, which can be gas, silicone or air.

When placement of a gas bubble, it is important not to fly until your ophthalmologist gives his consent. The gas bubble can expand due to pressure changes during flight, and this can have serious consequences for the eye. So wait until An ophthalmologist will confirm that the gas bubble has disappeared to fly.

For retinal tears, you may have to undergo laser surgery to restore the retina. This shouldn't be a problem for flying by plane. In any case, retinal tears can be treated by injecting liquid or gas into the eye. In these cases, your ophthalmologist must give you permission before you can fly.

Can I fly after a cornea transplant?

In cases where a gas or air bubble is introduced, it will not be possible to fly until the bubble is reabsorbed and the ophthalmologist confirms that everything is fine.

Can I fly after refractive surgery?

As a rule, no no contraindications for traveling by plane after this type of operation, because laser interventions are not affected by pressure changes that occur during flight. Typically, between 24 hours and 48 hours after surgery, the patient's vision is restored and he can return to normal life. If in doubt, you should consult an ophthalmologist.

Can I fly after glaucoma surgery?

Generally, No problems for flights after 24 hours after undergoing peripheral laser iridotomy (IPL), trabeculoplasty, or any other type of glaucoma surgery. In any case, you should always have permission from your ophthalmologist.

Can I fly after cataract surgery?

Basically, there are no contraindications for flying after removal surgery . However, it is important that the ophthalmologist confirms that everything is in order and the patient must follow the post-operative advice and monitoring as established by his doctor.

If the procedure was complex, you can travel by plane without any problems, unless gas or an air bubble was placed during the operation. In this case, you must wait until your ophthalmologist confirms that you are safe to fly.

Other types of eye surgery

Basically, there are no contraindications to fly on an airplane In most cases after surgery on the eyes or eyelids(, pterygium surgery or other external ophthalmic surgeries).

Of course , the instructions prescribed by the ophthalmologist must always be followed, you should practice good eye hygiene and protect your eyes and wound from drying out during flight.

If during a flight you experience symptoms such as red eyes, blurred vision, floaters, intense eye pain or photophobia, you should immediately consult an ophthalmologist.

The pressure in the cabin can affect the passenger’s well-being due to the development of hypobaric hypoxia (insufficient oxygen saturation of the blood) with existing respiratory diseases and heart failure. In addition, changes in pressure lead to the expansion of gases in various body cavities, which also causes some discomfort.

Commercial airlines fly at an altitude of 7010-12498 m above sea level, and cabin pressure is set at an altitude of 1524-2438 m, otherwise only a few healthy people would survive such a flight. Sudden ascents, even to such a height, can cause headaches, dizziness, nausea and a feeling of weakness even in healthy passengers. The fact is that at an altitude of 2438 m, the partial pressure of oxygen in arterial blood drops from 95 to 60 mm Hg. Art. In a healthy passenger, the saturation of hemoglobin with oxygen decreases by only 3-4%, but passengers with the listed pathologies develop more pronounced hypoxia.

Thus, 18% of patients with chronic obstructive pulmonary disease experience moderate respiratory distress syndrome during such flights. These passengers may require supplemental oxygen. Unfortunately, not all airlines provide it. On all Russian airlines it is prohibited to carry oxygen, even to doctors accompanying seriously ill patients. On foreign airlines, since 2005, passengers, on doctor’s orders, can independently carry cans of oxygen concentrate.

According to the Boyle-Marriott law, gas confined in closed cavities will expand as it rises to height. This is why, by the way, bottles of shampoos and creams taken on the road leak. For healthy passengers, all this physics results only in minor abdominal pain and stuffy ears. But a person with a runny nose is already at risk of developing otitis media. With colds, the Eustachian tube, which connects the pharynx with the inner ear and equalizes the pressure in it when rising to a height, is inflamed, its lumen is narrowed, or even “glued together.” When there is a sharp change in external atmospheric pressure, it is enough for a healthy person to make a yawning, chewing or sucking movement (this is why caramels are sometimes handed out on airplanes), and the lumen of the Eustachian tube into the pharynx opens, which quickly eliminates congestion in the ear. In the case of a cold, this does not always help, and then you can resort to the Valsalva maneuver: exhale with your mouth closed and your nose pinched. For the same reasons, a cold after a flight can worsen with sinusitis. Therefore, passengers with a runny nose are advised to use vasoconstrictor drops (for example, based on oxymetazoline) before takeoff and landing. Infants can be given a bottle or pacifier - this stimulates swallowing and helps equalize pressure in the ears and sinuses.

Due to the same mechanisms, bloating and abdominal pain can occur. Therefore, it is not recommended to drink a lot of carbonated drinks before a flight.

During some surgical and diagnostic procedures, air is introduced into the body cavity (surgeries on the abdomen, chest, some eye surgeries). If you plan to fly a few days after such an operation, be sure to consult with a specialist.

Deep vein thrombosis

A truly serious danger to life is deep vein thrombosis, which can develop in a passenger who has been in a sitting position for many hours. Contraction of the leg muscles ensures normal venous outflow from the legs. Prolonged immobility leads to stagnation of blood in the veins and can lead to thrombosis. Blood clots that form in the veins are usually small and do not pose a problem. Larger blood clots can lead to swelling and tenderness in the lower legs. If a fragment of a blood clot breaks off and is carried into the lungs by the bloodstream (this is called an embolism), shortness of breath, chest pain, and in severe cases can even result in death. Thromboembolism of the pulmonary arteries does not appear immediately, but several hours or days after the flight.

Studies show that eight-hour or longer flights increase the risk of thromboembolism by approximately 4 times. In general, the risk increases even with 4-hour flights.

The risk of thromboembolism increases if the following factors are present:

Repeated flight within the last 2 weeks

Thrombosis in the past

Thromboembolism in a close relative

Use of estrogen-containing contraceptives

Pregnancy

Recent injury or surgery (especially abdominal, pelvic, or lower extremity surgery)

Presence of malignant tumors

Congenital pathology of the blood coagulation system

Drink plenty

Avoid alcohol and caffeinated drinks (coffee, Coca-Cola, etc.)

Change your position in the chair, or even better, get up regularly and walk around the cabin

Do exercises that force your calf muscles to contract

space radiation

At high altitudes, the level of cosmic radiation increases, so in 1991 the International Commission on Radiological Protection (ICRP) began to consider cosmic radiation as an occupational risk factor for crew members. With annual total exposure to more than 20 mSv, the risk of developing breast or skin cancer may increase. As for passengers, even frequent fliers, to date, no significant effect of cosmic radiation on their health has been discovered.

Desynchronosis

In English, the term jet lag is very popular, which is translated into Russian as “desynchronosis,” known only to specialists. We are talking about disrupted daily biorhythms due to sudden changes in time zones. Many of us know that long flights can cause weakness, drowsiness or insomnia, constipation, decreased performance and poor health. To fit into a new time zone, on average, a healthy person needs a day for every hour of difference when flying to the west and a day and a half when flying to the east.

To alleviate the effects of desynchronosis, follow these recommendations:

Before traveling east, try going to bed an hour earlier than usual for 3 days before your flight. Before flying west, on the contrary, go to bed an hour later 3 days before.

Do not drink caffeinated drinks during the flight

In a new place, try to fall asleep for at least 4 hours at a new night time - this will speed up the resetting of the biological clock.

Melatonin-based drugs remain the gold standard in the treatment of desynchronosis. Melatonin is a hormone of the pineal gland that regulates circadian rhythms depending on the length of daylight hours. Melatonin preparations are recommended for use when crossing 5 or more time zones, and they begin to take it 2-3 days before the flight. If you have epilepsy or are taking warfarin, do not use melatonin without consulting your doctor. New, more effective drugs have also appeared that have not yet been registered in the Russian Federation, such as agomelatine (an agonist of melanin and serotonin 5-HT receptors) and ramelteon (an agonist of melatonin receptors).

If you are in a new place for less than 3 days, there is no need to try to adjust to local time.

Special groups of passengers

Each airline may have different requirements, and the captain has the right to refuse travel to any passenger, even if he has a ticket. An indicative list of contraindications for flying is as follows:

Newborns less than 7 days old

Pregnancy over 36 weeks

Coronary heart disease with painful attacks at rest

All serious and/or acute infectious diseases

Decompression sickness

Increased intracranial pressure caused by hemorrhage, trauma, or infection

Myocardial infarction or stroke 7-10 days before the flight

Recent surgery on the abdominal or thoracic cavities, on the skull, on the eyes - i.e. all operations that involve introducing air into a closed body cavity

Severe respiratory illness, shortness of breath at rest, pneumothorax (air in the chest cavity above the lung)

Sickle cell anemia

Exacerbation of mental illness

Passengers with these conditions can only fly on commercial aircraft if accompanied by medical personnel.

Regarding first aid on board, I note that in accordance with British, Canadian and American legislation, passenger doctors are not required to save passengers if they develop any life-threatening condition. In Australia and many countries in Europe, Asia and the Middle East, on the contrary, a doctor on board is required to provide medical care. In any case, during international flights, a medical professional cannot be held liable for the medical care provided on board, within the limits of his knowledge and experience, even if it was provided incorrectly.

On board any airliner there is always a first aid kit, equipped according to the standard of the country to which the aircraft belongs. All crew members are required to have first aid skills for acute abdominal pain, acute mental agitation, anaphylactic reaction, chest pain (suspicion of myocardial infarction), bronchial asthma attack, cardiac arrest, hypoglycemia, convulsive seizure, loss of consciousness. The quality of first aid training varies from country to country. Unfortunately, I have to admit that in Russia it leaves much to be desired.

In situations where a patient requires placement of implants on the sides of the upper jaw, a sinus lift procedure may most likely be required. This is due to the fact that there is often a lack of bone tissue in the places where the inserts are attached due to previous periodontal diseases, trauma to the jaw or long-term absence of teeth. Modern technologies make it possible to carry out implantation regardless of the amount of remaining bone material, which allows each patient to restore normal functioning of the oral cavity.

What is the procedure?

Sinus lifting is an artificial increase in the volume of bone on the alveolar process in the area of the upper jaw to the size necessary for attaching an implant. Due to the specific structure of the upper jaw, namely the presence of large voids (maxillary sinuses), it becomes possible to create the necessary space for prosthetics.

Practice shows that in 55-70% of cases patients have a lack of bone tissue, so bone augmentation is required. In addition, over time, bones, like muscles, can atrophy and decrease in volume. In all these cases, a sinus lift is indicated if there are no other restrictions.

Installation of dental elements can take place in two ways: open and closed. The first is carried out if the bone size is less than 7 mm in width, the second - from 7-8 mm.

Open sinus lifting involves:

Creating a lateral window.
Membrane displacement.
Filling the space with special material.
The window closes, the implant is installed and the gums are formed.

A closed operation implies:

Thinning of the bone using a special cutter.
Displacement of the mucous membrane of the periosteum.
Filling the formed gap with material.
Fastening the implant in the prepared bed.

Regardless of the type of procedure prescribed, the patient must undergo a high-quality preliminary examination and preparation.

Postoperative period

stop drinking alcohol, smoking, eating spicy and too hot foods;
eat only semi-liquid and very crushed foods;
avoid stress and heavy physical activity;
do not climb stairs to upper floors on foot;
postpone visiting steam rooms and saunas;
prohibition on spitting, sneezing, coughing and runny nose;
rinsing the mouth with medications prescribed after surgery;
proper oral hygiene;
refusal of air travel.

Compliance with these rules will prevent the augmented bone from moving and will protect it from infections and inflammation. It is believed that the recovery period lasts until the bone material has completely engrafted, and it is individual for each patient. On average it ranges from 4 to 9 months. The following complications may occur after implantation:

violation of the integrity of the maxillary sinus;
starting an infection;
light or heavy bleeding;
the appearance of an oroantral type fistula;
sinusitis;
independent movement of implants;
non-survivability of the material;
air flow obstruction.

Traveling after dental surgery

Many patients do not attach much importance to some of the attending physician’s prohibitions. Unfortunately, the consequences can be really serious. Thus, drinking alcohol can slow down the wound healing process, and solid food can dislodge the implant and destroy bone material. But few people know that it is fraught with serious complications. There are several reasons for poor health:

It is worth understanding each of them in more detail.

A flight, even a short one, quite often causes feelings of anxiety, fear and sometimes reaches the point of panic. Experiencing severe stress, a person is very harmful to his health - the capillaries begin to significantly increase in size and can burst. As a result, hematomas, blue discoloration or pallor appear. If a short time has passed after sinus surgery and the wounds have not had time to heal, then due to fear of flying, the blood supply to the tissues in the area of the maxillary sinuses may be disrupted. You may end up with severe headaches, bleeding, or misalignment of the implants.

Changes in atmospheric pressure during takeoff and landing are the second reason to avoid flying for a certain period. The maxillary sinuses are small chambers filled with air. It is precisely due to the displacement of the mucous membrane that the sinus lift procedure occurs. In normal times, the anastomosis has normal patency, so the pressure has time to change without any special consequences for the person. In our case, the patency of the anastomosis has not yet had time to recover. The patient begins to feel nasal congestion, headaches and toothaches.

The third reason is oxygen levels. On airplanes there are quite often problems with the sufficiency of oxygen in the air. If the brain lacks it, hypoxia begins. Many people do not know that high-altitude hypoxia, together with any dental surgery, can create many problems, including:

an increase in breathing rate and, as a result, an increase in load on the nasal sinuses;
a sharp jump in hemoglobin in the blood and acceleration of blood flow, which can provoke severe bleeding;
dizziness.

Dry air is another problem. Rising to altitude, the body begins to lose a lot of fluid and dry mucous membranes can provoke bleeding. To restore water balance, it is recommended to drink a lot of water, moisturize the skin and treat the nasal mucosa with special products - saline solutions or Vaseline creams. But, after a sinus lift, you cannot use such remedies without a doctor’s permission, so it is better to postpone the trip for at least a week.

A sudden change in time zones makes air travel after sinus lift and bone grafting a real test. If no surgical interventions have occurred, the person feels:

fatigue;
drowsiness or insomnia;
bad feeling;
decreased protective functions of the body.

In the case of osteoplasty, the patient’s immunity is already quite weakened due to the use of antibacterial drugs, so a sharp decrease in protective functions can cause severe pain and rejection of the material.

Low mobility in the aircraft cabin provokes congestion and the appearance of edema. Swelling in recently injured maxillary sinuses leads to difficulty breathing, bleeding, headaches and toothaches.

But the most important contraindication for air travel after surgery is the presence of stitches. If the dentist has not yet removed the stitches, then the primary healing process has not yet completed. Due to the enormous load on the body on an airplane, the patient’s stitches may come apart, which will lead to negative consequences: ranging from minor bleeding to death.

Terms of restrictions

As mentioned earlier, the healing process for each patient is strictly individual. On average it lasts 4-9 months. As for air travel, doctors recommend:

in case of emergency, fly the next day after the sutures are removed, usually this happens 7-10 days after the sinus lift and bone grafting surgery;
if there are no complications and healing occurs naturally, then aerial swimming can be performed after 3 weeks after the manipulation;
If the patient develops any complications, flights will have to be postponed for the entire period of treatment, which can be up to 1 year.

The main reason why complications occur is non-compliance with the rules established by the jaw surgeon. In situations where the patient adheres to the recommendations, but wants to implement air travel after sinus lift and bone grafting, or feels any concern, you should immediately consult a doctor. What you should pay attention to:

severe pain that is not relieved by prescribed anesthetics;
numbness in areas of the face and neck;
swelling that makes it difficult to open your mouth, lift your jaw, or breathe normally;
increase in body temperature up to 40°;
swelling that does not go away on its own after 3 days.

Such symptoms are direct contraindications for air travel and require immediate treatment.

Sinus lifting is considered a complex surgical procedure, which requires the experience of a highly qualified dentist and the patient’s consent to comply with the rules of the recovery period.

Implantation is a universal way to solve the problem of missing teeth. With its help, you can restore the area locally without grinding down adjacent teeth for dentures. In addition, implants look aesthetically pleasing. The main advantage of such an operation is its long-lasting effect. Artificial bone tissue can last for the rest of your life without ever requiring additional manipulation.

Installation of implants in the upper jaw in 90% of cases requires bone grafting, the good effect of which is impossible without following medical recommendations. But as a result, the patient will receive strong teeth and a healthy smile.