ENT

1- Amygdalectomy

The Amygdalectomy, also known as surgery of the amygdalae, is the removal of the tonsils.

It is one of the most frequently undertaken general surgical procedures.

These are glands which are located in the back of the throat.

Often, the amygdalae are removed at the same time as the adenoids (faringitis of the amygdalae). These are similar glands which are located behind the nostrils. This surgical procedure is called a adenoidectomy.

An Amygdalectomy can be with or without an adenoidectomy.

These surgical procedures are usually carried out on children.

Reasons for having the procedure

The main reason is in the case of recurrant tonsilitis (an infection of the tonsils).

Other reasons for the procedure:

  • Tonsillitis associated with other illnesses
  • Cronic tonsilitis
  • Absesses or the growth of the amygdalae
  • Tumors
  • Respiratory problems, snoring and sleep aphnea

Procedure 

The surgeon introduces a specialised surgical instrument into the patient’s mouth to keep it open during the procedure.

Depending on the surgical technique being used, the surgeon cuts, cauterises or shaves the tonsils.

The wounds heal naturally without stitches.

Type of surgery and anesthesia

This procedure is carried out under general anesthesia. It is generally an out-patient procedure

Post- operative care

The recuperation should be complete in between 1 – 2 weeks.

2- Septoplasty 

The objective of this kind of surgery is to correct problems associated with the interior part of the nose seperating the two nostrils: the nasal bone or septum.

Reasons 

  • An obstruction in the nose due to excessive tension or deviation of the septum
  • An obstruction in the nose due to alterations to the cornets, and nasal valves
  • Alterations in the nasal mucas
  • Nasal bleeding
  • Nasal perforation

Procedure

The surgeon makes an incision in the side of the interior wall of the nose, and lifts the mucas membrane covering it in order to access the septum.
Depending on the individual case, the surgeon extracts, or carry’s out a resection on the cartilage or bone that is causing the blockage in that area.
Afterwards the mucas membrane is put back into place and is secured with either stitches, clips or compresses.

Type of surgery and anesthesia

This type of surgery lasts between one and one and a half hours. It is carried out under general anesthesia. Hospitalisation does not generally exceed 24 hours.

Post operative care

A check-up is recommended 10 days after surgery. This type of surgery has good results, and often improves breathing.

In spite of being different procedures, the septoplasty (functional) and the rhinoplasty (aesthetic) can often be carriedout at the same time. Surgery which includes both procedures is known as a septorhinoplasty or a functional rhinoplasty.

3- Cochlear implants

Cochlear implants are one of the greatest achievements in modern medicine, permitting children who are predestined to deaf-muteness or adults who become deaf, to acquire some auditive capacity which allows for normal development in their daily lives.

One of the questions most frequently asked by patients is: What hearing will I have with a Cochlear Implant? The implant provides similar auditive imformation to that perceived by the listener but without the same risk and complexity. Howver, this does not mean that all deaf people will achieve the same hearing with an implant. The difference between one person and another depends on many factors, such as the lesions which the patient has on their cochlear and cochlear nerve, or the state of the part of the central nervous system where the information is analysed.

A cochlear implant is a small electronic device for patients suffering from deafness or hearing difficulties. It helps people to hear, to receive and process sounds and language.

This is different from a hearing aid which increases the volume of sounds.

The cochlear implant is implanted in surgery, and works differently. It does not restore normal hearing.

After implanting the cochlear implant the patient has to learn to use the device adequately.

Facts

A cochlear implant is not suitable for everyone.

It can be implanted in adults and children who are born deaf, or become deaf after having learnt how to speak (Patients who haven’t seen much improvement with a hearing aid).

The implant

The implant consists of two parts:

  • The external part 
    The device consists of:
    A microphone – transmitter
    A language processor and an aerial.
    It’s function is to receive sound, convert it into an electrical signal and send it to the internal part of the cochlear implant.
  • The internal part
    The device consists of:
    A receptor- stimulator which is implanted into the temporal bone, behind the auricular pavilions.
    Electrodes, which are implanted in the cochlear (inner ear).
    It’s function is to decode and send an electronic signal to the brain, which recognises this as sound.

Procedure

The ENT surgeon has to firstly evaluate the patient, and carry out the following tests:

  • Audiometry
  • A magnetic resonnance of the brain, and the middle and inner ear
  • In certain cases, particularly with children, a psycological evaluation is recommended

During the surgical procedure a surgeon makes an incision behind the ear. Using surgical instruments he/she secures the external part of the implant in the bone begind the ear. Next, the electrodes are inserted into the inner ear (cochlear).

The external part of the device is usually fitted between 1 -4 weeks after the surgery. It is placed behind the scar from the stiches behind the auricular pavillion

Type of surgery and anesthesia 

This is a safe surgery. It last’s between 2 – 3 hours and is carried out under general anesthesia. Hospitalisation does not generally exceed 48 hours.

Rehabilitation

The patient needs to learn to use the device adequately.

The success of the procedure depends on the individual case.

The patient has to familarise themselves with new sound processors, and learn how to use them in order to communicate.

Post Operative Follow-up care 

It is necessary to have a check-up one month after the procedure, and then after three months and one year. An annual revisión is then recommended.

1- Information and reasons for your ENT

Within 24 hours of receiving your request for information, we will contact you by e-mail or phone to assess your needs, identify your reasons for surgery and to answer your questions directly.

2- Diagnosis and recommendations for ENT

We advise you to firstly visit our ENT Department In order to ascertain which particular ENT treatment/surgical intervention is best suited to your individual case.

  • Medical records:
    We will send you a list of examinations, medical tests results that we will need to see during your first visit to Vithas Xanit International Hospital. In the event that our doctors deem necessary an additional screening test, this could be carried out during the same visit (except in the case of tests which requiere anaesthesia, in which case they will need to be pre-booked). You may send us a copy of your medical information before planning your first visit.
  • Diagnosis:
    The professionals involved in the diagnosis and treatment of  ENT disease will study your medical records, the results of medical tests and examinations, and will establish a precise and reliable diagnosis. We will assist you in choosing the type of ENT surgery which is best suited to your particular case.

We will provide you with complete information: treatment process, programming and a detailed quote.

3- ENT surgery treatment process

  • Protocol for ENT surgery
    The process and programming of ENT treatment is different according to the type of ENT surgery being carried out and your particular case.
  • An assigned medical team
    Throughout your treatment process you will always deal with the same team of doctors

4- Your travel plans and your ENT surgery

Once your planned ENT surgery has been confirmed and accepted, our International Services Team at Vithas Xanit International Hospital will be at your disposal to assist you with the organising of your trip to Malaga and will remain in constant contact with you.

5- Your arrival

Upon your arrival in Malaga, a representative of Vithas Xanit International Hospital will be waiting to greet you. We will help you organise your transfers and accompany you to our hospital.

6- Follow-up for your ENT surgery

  • Maintaining contact with you.
    Once you have been discharged, our International Services Team will be at your disposal should you require any further medical assistance, and shall assist you with any administrative requirements that you may have.
  • Informing your referring doctor.
    We shall provide you with a you a full medical report which you can give to you own doctor back home.

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