Surgical otolaryngology

Otorhinolaryngology includes diagnostics and treatment of pathologies of anatomically adjacent areas - nose, throat, ear, as well as closely spaced areas of the neck, sinuses of the skull, cervical spine. Many diseases require surgery when drug therapy fails. Most of the manipulations are low-traumatic, which allows you to quickly return home. Individual procedures are performed in conjunction with other specialists, including dentists.

Before the intervention, the patient undergoes an examination - CT, less often an X-ray of the sinuses of the skull, which allow you to examine the desired area in detail. Surgeries are rarely performed with open access, in most cases they are performed using an endoscope.

Otorhinolaryngology surgeons perform operations in the following cases:

  • Hearing impairment.
  • Purulent or, in some cases, chronic sinusitis.
  • Violation of nasal breathing.
  • Changes in facial features due to trauma.
  • Curvature of the nasal septum.
  • Adenoids (enlarged pharyngeal tonsil).
  • Recurrent nosebleeds.
  • Polypoid growths are benign neoplasms.
  • Snore.
  • Persistent nasal congestion.

Note that the treatment in these cases is not always surgical - the doctor determines the method depending on the course of the disease.

The operation can be performed for aesthetic reasons, at the request of the client. The most popular services in surgical otorhinolaryngology are correction of the nasal septum, correction of the shape of the nose, removal of formations on the skin and mucous membranes of the ENT organs. Rhinoplasty is often performed as part of aesthetic surgery.

The patient himself can apply for an operation to puncture the sinuses, sinus lifting. However, any interventions are done only on the recommendation of a doctor and in the absence of contraindications.

Rinoseptoplasty

Rinoseptoplasty is a manipulation to eliminate defects in the nasal septum, which removes nasal congestion, changes its shape.

In our multidisciplinary center, rhinoseptoplasty is performed without a chisel or hammer - the correction of the nasal septum is performed with a laser under the control of HD endoscopy. Modern equipment makes it possible to control the doctor's manipulations without additional tissue trauma, which significantly reduces blood loss and postoperative complications in the form of pronounced mucosal edema, widespread hematomas, and pain.

Receptoplasty

In our clinic, you can perform receptoplasty - a repeated operation to change the nasal septum. Such interventions are carried out in the following cases:

  • Not satisfied with the result of the previous manipulation.
  • The bone or cartilaginous base of the septum is thinned, which makes it sensitive to air movement during breathing.
  • Complications after septoplasty.
  • Nose injuries.
  • Accumulation of scar tissue.

Reoperations are technically more difficult to perform, since doctors have to work with an already pathologically altered nasal septum. The team of our clinic is represented by experienced otorhinolaryngologists, who have high-tech equipment at their disposal.

Sinus lift

Sinus lift is a surgical procedure for increasing the bone tissue of the upper jaw for the installation of dental implants. During the manipulation, bone tissue is built up, which restores chewing functions.

Sinus lift is performed on the upper jaw. Operation progress:

  • Local anesthesia is given or general anesthesia is given.
  • The doctor penetrates the sinus by gently peeling off the mucous membrane and bone membrane.
  • Fills the sinus with a special substance.
  • The dentist then installs the dental implant.

In cases where there are major dental defects and it is impossible to complete the entire volume of work at one time, the second and third procedures are prescribed, the interval between which should be at least six months.

Laser surgery

A non-invasive, minimally invasive method of exposure makes it possible to carry out operations without touching the skin. The doctor adjusts the device for each case individually - the stream of rays is directed for the targeted treatment of the pathological focus. Features of laser surgery:

  • Easy to carry.
  • Does not require general anesthesia.
  • Bloodless manipulation.
  • Minimum of undesirable consequences.
  • No age limit.
  • Has almost no contraindications.

Laser surgery in otorhinolaryngology can be used in the following cases:

  • Polyps.
  • Frequent nosebleeds.
  • Adenoids.
  • Vasomotor or hypertrophic rhinitis.
  • Fusion of the nasal cavities.
  • Curvature of the nasal septum.
  • Sinus cysts.
  • Boils, carbuncles.
  • Fistulous passages with sinusitis.
  • Overgrowth of lymphoid tissue of the pharynx.
  • Snore.
  • Neoplasms of the outer part of the nose, neck.

With the help of a laser, plastic surgery of the tympanic membrane is performed, and purulent foci are opened.

Endoscopic surgery

An endoscope is a thin flexible probe equipped with a set of surgical instruments and a small video camera. The use of this technology avoids open access and, consequently, complications and blood loss. The probe is inserted through the nasal passages, so there is no need to make incisions in the skin of the neck and face.

With the help of an endoscope in our clinic, such manipulations are performed as:

  • Expansion of the sinuses to their natural size.
  • Removal of adenoids, foreign bodies, neoplasms.
  • Stopping bleeding, liquorrhea (flow of cerebrospinal fluid).
  • Cutting polyps.

Endoscopic surgery is used for a wide range of ENT diseases: choanal atresia, chronic sinusitis, adenoids, polyposis, cysts and foreign bodies of the sinuses, nosebleeds.

All operating rooms K+31 are equipped for almost any high-tech manipulation. After surgery, patients remain for the recovery period in comfortable and comfortable wards.

Service record



Specialists

All specialists
Udin
Oleg Ivanovich

Deputy chief physician for surgery, surgeon

PhD

Korolev
Sergei Vladimirovich

Deputy chief physician for medical affairs, surgeon, oncologist

PhD

Shapovalyants
Sergei Georgievich

Chief Consultant in Surgery, Surgeon

Tsvetkov
Vitaly Olegovich

Surgeon

Doctor of Sciences, PhD

Malygin
Sergey Evgenyevich

Oncologist-mammologist, surgeon

Kovylov
Aleksey Olegovich

Specialist in wounds and wound infections, diabetic foot doctor

Kim
Ilya Viktorovich

Surgeon

PhD, research fellow

Kovalenko
Yuri Alekseevich

Surgeon

Doctor of Sciences, PhD

Ivanchik
Inga Yakovlevna

Surgeon, phlebologist

PhD

Shpilevoy
Nikolay Yurievich

Cardiovascular surgeon, surgeon, ultrasound specialist

PhD

Natalinov
Ruslan Viktorovich

Surgeon, ultrasound diagnostics doctor