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There are many disorders of the ear, nose, and throat that require clinical care by a physician or other healthcare professional. Listed in the directory below are some of the conditions, for which we have provided a brief overview.
Ear, nose, and throat surgery is the the surgical treatment of diseases, injuries, or deformations of the ears, nose, throat, head, and neck areas.
Costs of Ear, Nose, and Throat Surgery
According to the American Speech-Language-Hearing Association, the cost of a cochlear implant can easily exceed $40,000. This figure does include both, the cost of the device itself, as well as hospital fees and rehabilitation sessions that are required after the initial operation.
FESS procedures are significantly cheaper at about $4,000. Because the methods used are minimally invasive and limited to a very small area of the nose, FESS avoids the complications and the potential costs incurred by more extensive sinus surgeries of old.
Physical Examination
A careful history and physical examination of the ears, nose, throat, head, and neck is a standard approach during initial consultation. Different instruments with light sources (i.e., otoscope for ear examinations) enable ENT surgeons to quickly visualize the ears, nose, and throat. Visualization of these areas can reveal the severity of the disease or deformity. The head and neck area is inspected and the neck and throat area is typically felt with the surgeon's hands (palpation).
Special technological advancements have enabled ENT surgeons to further visualize deep internal anatomical structures. Nasal endoscopy allows visualization of the upper airway to detect anatomical problems related to sinuses. Videostroboscopy can be used to visualize the vocal cords, and triple endoscopy (laryngoscopy, esophagoscopy, and bronchoscopy ) can diagnose and stage head and neck cancers. Preparation before surgery is fairly standardized and includes blood work-up and instructions to have nothing to eat or drink after midnight of the night before the procedure.
Risks
The risk of ENT surgery depends on the procedure and the health status of the patient. Some procedures do not have much risk, while complications for other procedures can carry considerable risk. For example, the risk of a complicated operation such as neck dissection could result in loss of ear sensation, since the nerve that provides the feeling of sensation is commonly severed during the procedure.
Aftercare
The aftercare for ENT surgery depends on the procedure and state of the health of the patient. The aftercare for a patient who is 60 years old with head/neck cancer is more extensive than a tonsillectomy performed in a young adolescent or child.
Generally, aftercare should be directed toward wound care and knowledge gained from the surgeon specifically detailing the expected length of average convalescence. Wound care (cleansing, dressing changes, etc.) and postoperative follow-up with the ENT surgeon is essential. Medications for pain may be prescribed. Patients stay in the hospital for eight to 10 hours (for the effects of anesthesia to subside) for same-day surgical procedures (i.e., tonsillectomy), or they may be admitted for a few days for more complicated procedures (i.e., cancer).
Aftercare and convalescence may take longer for complicated procedures such as advanced cancer and temporal-bone (two bones on both sides of the skull near the ear) surgery for nerve disorders (that can affect balance) or for tumors.
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