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Van Haesendonck NKO Lier. Arts-specialist in neus-, keel- en oor ziekten. Maak een afspraak online. Expert advice, diagnosis and treatment of problems in the nose, throat and ear area. dr. Jan Van Haesendonck - Dr. Gilles Van Haesendonck More information Home: Welkom Consultation by appointment only Make an appointment online Opening hours Monday Tuesday Wednesday Thursday Friday 14:00 - 19:00 08:30 - 19:00 08:30 - 19:00 08:30 - 19:00 08:30 - 19:00 Available by phone Monday Wednesday Thursday Friday 14:00 - 19:00 14:00 - 19:00 09:00 - 12:00 14:00 - 18:00

Bijzondere interesse in hoofdhalschirurgie: schildklier- en speekselklierpathologie, hoofd-  halstumoren, aandoeningen van aangezichtsmotoriek, behandeling en herstel van facialis verlamming. Gespecialiseerd in neusverstopping, neusbloeding, neusloop, reuk- en smaakverlies. Functionele neuscorrecties / septoplastie. Amandelen en poliepen. Stem- en slikstoornissen.Heelkunde speekselklier en schildklier. Gehoorverlies. Duizeligheid en evenwichtsstoornissen. Advies ivm hoorapparaten dr. Gilles Van Haesendonck Make an appointment Graduated as a doctor from the University of Antwerp in 2016. Afterwards specialization in ENT and head and neck surgery at Antwerp University Hospital (UZA) and ZNA Middelheim. Special interest and ability in head and neck surgery: Thyroid: Swelling, nodule, or cyst of the thyroid gland. Benign and malignant tumors of the thyroid gland. Salivary gland: Swelling, nodule, or cyst. Benign and malignant tumors (parotid and submandibular salivary gland). Vocal cord pathology: vocal cord nodules, cysts, and cancer. Benign and malignant tumors in the head and neck area (mouth, tongue, tonsil,...) Surgical treatment of facial skin cancer. Disorders of facial movemen / facial paralysis or palsy. Also diagnosis, advice and treatment of: Voice and swallowing disorders facial paralysis Nasal congestion, nosebleed, runny nose, loss of smell and taste Functional Rhinoplasty / Septoplasty Tonsils and polyps Placing ventilation tubes Snoring and sleep disorders Hearing loss Hearing aid advice Dizziness and balance disorders BAHA surgery Also working at the Antwerp University Hopital (UZA Edegem) and AZ Sint Maarten (Mechelen) . Member of: Belgian Association for ORL EORTC Head and Neck surgical group Flemish Working Group for Head and Neck Tumors (VWHHT) Editorial board B-ENT

Zoek en boek snel een afspraak wanneer het jou past. Make an appointment online - Your appointment is only booked and valid if you immediately receive a confirmation email . - Cancellation : please cancel at least 48 hours in advance by mail or telephone . Schedule an appointment Online afspraak maken: HTML Embed

Informatie betreffende operatie van een thyreoglossus cyste, ook wel Sistrunk procedure genaamd. Information on removal of the parotid sinus / parotidectomy Introduction The purpose of this information is to provide you with generally applicable information about this type of operation. Of course, certain aspects of this document are not applicable in your individual case or should be discussed more or additionally with your surgeon. Remember to report to your surgeon all information regarding your general health, as well as any medications you regularly take (especially aspirin and related products, or other medications that may affect clotting). Do not forget to report if you have experienced any allergic reactions, especially reactions to medication. Bring any recent medical records in your possession, such as blood results, radiologic and other preoperative exams. The parotid gland (parotid gland) is located in front of and below the ear. There are 2 parotid glands, 2 under the jaw and 2 under the tongue. Together with numerous smaller salivary glands, they ensure saliva production. The parotid gland has a superficial and a deep lobe, between which runs the facial nerve (facial nerve). This ensures the mimicry of the face, the closing of lips and eyelids. When a tumor is found, it is best removed surgically. Most growths are benign. Purpose of the procedure When a tumor of the parotid gland needs to be removed, it is safe to do so after carefully locating the facial nerve to try to avoid facial paralysis. The technical aspects of the operation The operation is done under general anaesthetic. Through an incision, which runs in front of the ear and further into the neck, the parotid gland, the facial nerve and the tumor are searched for and the tumor is removed. Depending on the location and extent of the injury, the operation can take up to 4 hours. When you wake up, there is a drain at the bottom of the wound, through which excess wound fluid and saliva can drain. The drain is removed after 3 days, when no more fluid drains. By incising the skin and removing the tumor, the sensory nerve that supplies the earlobe and neck cannot be spared. After the operation, there is a numbness of the earlobe and the area of operation. The numb area gradually becomes smaller and smaller. The immediate consequences Swelling usually occurs in the wound area for several weeks. There may be bleeding from the wound. This usually happens shortly after the operation. Sometimes it is necessary to find the source of bleeding again under anesthesia and to burn the bleeding vessel shut. A crooked face may occur after surgery due to manipulation of the nerve during the procedure with (temporary) paralysis of the facial nerve. The paralysis usually recovers after some time (weeks to months). The belated consequences There may be a collection of saliva previously visible at the bottom of the wound, which may need to be punctured. Frey's syndrome can develop after a few months. Then there is redness and perspiration of the skin of the operating area during eating. Serious and/or late complications Any surgical procedure, even performed under ideal conditions and in the best possible way, can entail complications. Permanent facial nerve failure can occur but is extremely rare. Phlegmon or abscess formation in the neck area is rare. All of these risks must be weighed against complications that may arise if surgical treatment is not initiated. Waarom een resectie? Een operatie om de cyste te verwijderen is nodig als: De cyste ontstoken raakt. De cyste groeit en klachten veroorzaakt, zoals slikproblemen of ademhalingsproblemen. De cyste cosmetisch storend is. Doel van de ingreep Het doel van de operatie is om de cyste volledig te verwijderen en te voorkomen dat deze terugkomt. De technische aspecten van de operatie Verdoving: De operatie vindt plaats onder algehele narcose. Procedure: De chirurg maakt een kleine incisie in de huid van de hals, meestal in een huidplooi om het litteken zo min mogelijk zichtbaar te maken. De cyste wordt voorzichtig losgemaakt van de omliggende weefsels. Om te voorkomen dat de cyste terugkomt, wordt ook een deel van het tongbeen verwijderd, evenals het weefsel tussen de cyste en de basis van de tong. Deze procedure wordt de Sistrunk-procedure genoemd. Duur: De operatie duurt gemiddeld 1 tot 2 uur. Mogelijke complicaties Zoals bij elke operatie zijn er ook bij een resectie van een thyreoglossus cyste risico's, zoals: Nabloeding Infectie Heesheid (tijdelijk of, in zeldzame gevallen, blijvend) door beschadiging van de stembandzenuw Terugkeer van de cyste: In zeldzame gevallen kan de cyste terugkomen, vooral als de Sistrunk-procedure niet volledig is uitgevoerd. The immediate consequences The wound area usually experiences swelling for a few weeks. There may be post-operative bleeding from the wound. This usually occurs shortly after the operation. Sometimes it is necessary to find the bleeding site again under anesthesia and to cauterize the bleeding vessel. After the operation, a crooked face may occur due to manipulation of the nerve during the procedure with (temporary) paralysis of the facial nerve. The paralysis usually recovers after some time (weeks to months). The late consequences There may be a collection of saliva visible at the bottom of the wound, which may need to be punctured. After a few months, Frey's syndrome may develop. Redness and perspiration of the skin of the surgical area will occur during eating. Serious and/or late complications Every surgical procedure, even in ideal circumstances and performed in the best possible way, can have complications. Permanent failure of the facial nerve can occur but is extremely rare. Phlegm or abscess formation in the neck area is rare. All these risks must be weighed against complications that can occur if surgical treatment is not resorted to.

Informatie betreffende operaties aan de bijschildklieren, ook wel parathyroidectomie genoemd. Information on removal of the parotid sinus / parotidectomy Introduction The purpose of this information is to provide you with generally applicable information about this type of operation. Of course, certain aspects of this document are not applicable in your individual case or should be discussed more or additionally with your surgeon. Remember to report to your surgeon all information regarding your general health, as well as any medications you regularly take (especially aspirin and related products, or other medications that may affect clotting). Do not forget to report if you have experienced any allergic reactions, especially reactions to medication. Bring any recent medical records in your possession, such as blood results, radiologic and other preoperative exams. The parotid gland (parotid gland) is located in front of and below the ear. There are 2 parotid glands, 2 under the jaw and 2 under the tongue. Together with numerous smaller salivary glands, they ensure saliva production. The parotid gland has a superficial and a deep lobe, between which runs the facial nerve (facial nerve). This ensures the mimicry of the face, the closing of lips and eyelids. When a tumor is found, it is best removed surgically. Most growths are benign. Purpose of the procedure When a tumor of the parotid gland needs to be removed, it is safe to do so after carefully locating the facial nerve to try to avoid facial paralysis. The technical aspects of the operation The operation is done under general anaesthetic. Through an incision, which runs in front of the ear and further into the neck, the parotid gland, the facial nerve and the tumor are searched for and the tumor is removed. Depending on the location and extent of the injury, the operation can take up to 4 hours. When you wake up, there is a drain at the bottom of the wound, through which excess wound fluid and saliva can drain. The drain is removed after 3 days, when no more fluid drains. By incising the skin and removing the tumor, the sensory nerve that supplies the earlobe and neck cannot be spared. After the operation, there is a numbness of the earlobe and the area of operation. The numb area gradually becomes smaller and smaller. The immediate consequences Swelling usually occurs in the wound area for several weeks. There may be bleeding from the wound. This usually happens shortly after the operation. Sometimes it is necessary to find the source of bleeding again under anesthesia and to burn the bleeding vessel shut. A crooked face may occur after surgery due to manipulation of the nerve during the procedure with (temporary) paralysis of the facial nerve. The paralysis usually recovers after some time (weeks to months). The belated consequences There may be a collection of saliva previously visible at the bottom of the wound, which may need to be punctured. Frey's syndrome can develop after a few months. Then there is redness and perspiration of the skin of the operating area during eating. Serious and/or late complications Any surgical procedure, even performed under ideal conditions and in the best possible way, can entail complications. Permanent facial nerve failure can occur but is extremely rare. Phlegmon or abscess formation in the neck area is rare. All of these risks must be weighed against complications that may arise if surgical treatment is not initiated. Purpose of the procedure The aim of the surgery is to remove the overactive parathyroid gland(s) and thus normalize the calcium level in the blood. The technical aspects of the operation Anesthesia: The operation is performed under general anesthesia. Procedure: The surgeon makes a small incision in the neck, usually just above the breastbone. Through this incision, the parathyroid glands are located and the overactive gland(s) are removed. Sometimes it is necessary to remove all four parathyroid glands. In that case, a small piece of a parathyroid gland is replaced. Duration: The operation takes on average 1 to 2 hours. After the operation Recovery: After the operation you will usually stay in the hospital for one night. Wound care: The wound is sutured and sometimes a drain is placed to drain wound fluid. Check-ups: Your calcium levels will be checked regularly after the operation. Possible complications As with any surgery, there are risks associated with parathyroidectomy, such as: Post-operative bleeding Infection Hoarseness (temporary or, rarely, permanent) due to damage to the vocal cord nerve Low calcium levels (hypocalcemia) This can cause tingling around the mouth and in the fingers, muscle cramps and in severe cases seizures. This is usually temporary and can be treated with calcium supplements. Damage to the parathyroid glands: In very rare cases, all of the parathyroid glands may be damaged, leading to permanent hypocalcemia. The purpose of this information is to provide you with generally applicable information about this type of surgery. It is of course possible that in your individual case certain aspects of this document do not apply or need to be discussed more or additionally with your surgeon. Do not forget to tell your surgeon all information about your general state of health, as well as all medications that you regularly take - especially aspirin and related products, or other medications that can affect clotting. General anesthesia (narcosis) should be discussed in advance with the physician-anesthetist

Algemene voorwaarden verbonden aan inplannen van afspraak. Make an appointment online - Your appointment is only booked and valid if you immediately receive a confirmation email . - Cancellation : please cancel at least 48 hours in advance by mail or telephone . Online afspraak maken: HTML Embed

Veelgestelde vragen omtrent consultaties in de praktijk in Lier - FAQ Frequently Asked Questions How do I make an appointment? You can book your appointment online via this link . It is possible to book an appointment by telephone. No appointment- or patient-related questions will be answered by email. Can I pay using Bancontact? Yes, payments are preferably made with bancontact / Payconiq . Will my health insurance cover the costs of my consultation? The rate of a consultation is always following the conventioned rate. Apart from the patient contribution, all costs are therefore covered by your Belgian health insurance. Is a referral by a GP necessary? An initial assessment by the GP is useful and is recommended but not necessary . Accessible by public transport? Yes, bus line 90 (Lier-Mortsel-Berchem Station) has a stop right in front of the door. Stop Lier Zevenbergen. Can I park my car? Yes, you can park your car in the driveway of the clinic. Bicycle parking spaces are also provided. What am I taking with me? Identity card or Kids-ID and possibly codes of performed scans.

Meer informatie over directe laryngoscopie en ingrepen aan de stembanden of strottnehoofd. Information on thyroid removal / thyroidectomy Introduction The thyroid gland is located low in the front of the neck (just above the sternum) and has two halves, located to the left and right of the trachea, which are interconnected by a narrower “intermediate piece” located in front of the trachea. At the back of each thyroid half, two other small glands are attached to the thyroid gland: the parathyroid glands, these are usually only half a cm. great, but no less important. The thyroid gland produces a hormone that regulates the metabolism of our entire body, the parathyroid glands regulate the calcium content of our body: the absorption in the intestines and distribution to the blood and to our bones. The purpose of this information is to provide you with generally applicable information about this type of operation. Of course it is possible that in your individual case certain aspects of this document do not apply or that they should be discussed more or additionally with your surgeon. Remember to report to your surgeon all information regarding your general health, as well as any medications you regularly take (especially aspirin and related products, or other medications that may affect clotting). The general anesthetic is best discussed in advance with the physician-anaesthetist Purpose of the procedure The thyroid gland is operated on for several possible reasons. Its functioning can be disrupted and can not or insufficiently be adjusted with medication. Even when it is still functioning normally according to blood tests, it can increase strongly in volume and start to exert pressure on surrounding structures, or become aesthetically disturbing. Nodules can grow in the thyroid gland, usually these are benign, sometimes malignant, the distinction between the two is not easy to make “from the outside” so that surgery may be necessary for that reason. The decision to operate is almost always made in consultation with the endocrinologist (or “thyroid specialist”), who also plays an important role in the follow-up after surgery. During thyroid surgery, either one half or both halves of the thyroid gland is removed, sometimes it is also decided to leave a small healthy part of the thyroid gland in place. In other words, what does not happen is that one or a few isolated nodules from the thyroid are surgically removed, for various technical and medical reasons. The parathyroid gland(s) are always removed when they work too strongly, several different diseases can cause this, these are never malignant diseases Technical aspect of the procedure The surgeon makes a horizontal incision in the neck, about 2 cm above the upper edge of the sternum, the incision coincides with the natural skin lines so that the later scar is hardly visible. Some superficial structures are incised or moved to the side to access the thyroid gland. This is then loosened all around and removed. There are a few special points to pay attention to: the parathyroid glands are left in place (with thyroid surgery – in the case of parathyroid surgery it is vice versa) and must therefore first be peeled off the thyroid gland; the nerves of the larynx are also close to the thyroid gland and so should also be carefully avoided. The operation ends with the placement of a “drain” in the wound, which prevents the accumulation of exudate and blood in the neck wound, and with the re-closing of the neck wound in several layers. Immediate consequences of the procedure Mild neck and/or neck pain and mild temporary hoarseness may occur. Eating, drinking, swallowing and talking can be done almost immediately (but food and drink should be limited for the first few hours after surgery to prevent nausea and vomiting as is the case after any anaesthetic), sitting up and walking around as well. An intravenous line remains in the arm for the first 24 hours, the drain usually remains in place for 48 hours. Even when the parathyroid glands were perfectly respected during thyroid surgery, their functioning can be temporarily disrupted. That is why every patient is given preventive calcium intake after surgery and the calcium level in the blood is checked several times. Discharge typically follows the third day after the procedure. The thyroid hormone in our body has a fairly long "half-life", so that deficiency of it (eg when the thyroid gland has been completely removed) is not quickly noticeable. If necessary, however, thyroid replacement medication is also started after the operation. It is best taken in the morning sober. The belated consequences Wound healing is usually fast. Sutures are removed within a week, support plasters (Steri-Strips) are best left on the wound for an extra week. The neck wound must be healed. Stay strictly dry for 2 weeks. Scars heal best if they are not exposed to bright sunlight in the first months, a scarf or "sun block" is sufficient if you have holiday plans. Long-term follow-up of the thyroid gland function and the regulation of “thyroid substitution” are done in consultation with the general practitioner and endocrinologist. With a correct substitution there are no further consequences of the operation Serious and/or exceptional complications Any surgical procedure, even performed under ideal conditions and in the best possible way, can still involve complications. A bruise in the neck may require urgent reoperation, this complication is rare and never occurs after discharge. Permanent hoarseness or even breathlessness due to limited mobility of the vocal cords is very rare and has its specific treatment options. Technical aspect of the procedure During a direct laryngoscopy, an instrument called a laryngoscope is used. This instrument is gently guided to the back of your throat, giving the doctor a good view of your larynx and vocal cords. Using a microscope or camera, the doctor can magnify the images of your larynx and view them on a monitor. If surgery is needed, the doctor can perform it using small instruments through the laryngoscope, often using a CO2 laser. Anesthesia: A direct laryngoscopy is always performed under general anesthesia. Duration: The examination usually takes 30 to 60 minutes Consequences of the procedure Mild pain in the throat and/or neck and slight temporary hoarseness may occur. Eating, drinking, swallowing and talking can be done almost immediately (but food and drink should be limited for the first few hours after surgery to prevent nausea and vomiting as is the case after any anesthesia). Serious and/or exceptional complications Every surgical procedure, even in ideal conditions and performed in the best possible way, can still lead to complications. Damage to the teeth, lips or throat tissue during insertion of the laryngoscope. Temporary voice change or hoarseness as a result of manipulation of the vocal cords. Possible reactions to anesthesia, such as allergic reactions or breathing problems are also possible, as with every procedure. The purpose of this information is to provide you with generally applicable information about this type of surgery. It is of course possible that in your individual case certain aspects of this document do not apply or need to be discussed more or additionally with your surgeon. Do not forget to tell your surgeon all information about your general state of health, as well as all medications that you regularly take - especially aspirin and related products, or other medications that can affect clotting. General anesthesia (narcosis) should be discussed in advance with the physician-anesthetist

Meer informatie betreffende adenotonsillectomie bij kinderen, het wegnemen van neuspoliepen en amandelen bij kinderen. Information when removing tonsils and tonsils Introduction The tonsils or tonsils for short consist of lymphoid tissue and are located in the oral cavity, in contrast to the adenoid (also called "polyps") which consists of the same tissue and is located at the back of the nose in the nasopharynx. The adenoid is frequently hypertrophic and chronically infected in children. The following information will provide you with generally accepted information about this type of operation. Your surgeon is at your disposal to assist you with any further questions. Remember to report to your surgeon any information regarding your general health, as well as any medications you regularly take (especially aspirin and related products or medications that may affect clotting). Do not forget to report if you have experienced any allergic reactions, especially reactions to medication. Bring recent medical records in your possession such as blood tests, radiologic and other preoperative examinations. Purpose of the procedure Removal of the tonsil is indicated in recurrent acute and chronic infections or their complications, and also if they have an impeding effect on breathing, swallowing and voice formation due to their volume. Removal of the adenoid, of course usually in children, is indicated in persistent nasal obstruction symptoms and in recurrent nose and throat infections and their complications, in particular recurrent ear infections. In most cases, your doctor will only decide on surgical intervention if drug treatment proves to be insufficient. Nasal infections and ear infections can sometimes still occur after removal of the adenoid. The technical aspects of the operation The procedure is usually performed under general anaesthetic. The procedure is performed through the mouth, for both the removal of tonsils and tonsils. The tonsils are usually dissected ("peeled") while the adenoid is curetted ("scraped"). Immediate Effects When the adenoid is removed, the postoperative course is usually without problems, sometimes there is a slightly bloody nasal secretion during the first hours. When the tonsil is removed, there is a wound in the throat on both sides, which will heal over the course of 10 to 14 days. During the first few days a white-grey, somewhat bad-smelling coating forms on the wound. Swallowing is especially difficult during the first few days with sometimes radiating ear pain. The diet has to be adjusted and sometimes painkillers are needed. The length of stay and post-operative care will be communicated to you by the surgeon. The manipulations with instruments in the oral cavity can result in small wounds of the lip, tongue or even prying of a (milk) tooth. The most important immediate risk is bleeding, which necessitates reoperation, or less frequently an infection such as an additional ear infection or throat abscess. Late Effects A late bleeding after about 10 days is rare. Sometimes this requires a new anesthetic with pen and/or stitches. Rarely occurs after healing, when speaking, air loss through the nose (nasality) for which speech therapy is indicated. Almond remains can persist or grow and give rise to infectious symptoms. Tonsils can grow back, especially when removed in children 2 years or younger (although this is certainly not the rule). Serious and/or exceptional complications Any surgical procedure, even performed under ideal conditions and in the best possible way, can entail complications. A massive bleeding, during or immediately after the procedure is exceptional, must be surgically stopped under general anesthesia (tamponing, suturing, ligation of blood vessels). Mucus and blood can be inhaled during or immediately after the procedure, responsible for respiratory infections that may require medical treatment. Phlegmon or abscess formation in the neck area is rare. High fever, pain and swelling in the neck area are the typical features that justify an emergency consultation. All of these risks must be weighed against complications that may arise if surgical treatment is not initiated. Waarom? Bij kinderen worden de amandelen en/of neusamandelen soms verwijderd als ze problemen veroorzaken, zoals: Herhaalde keelontstekingen: Als uw kind vaak last heeft van keelontstekingen (tonsillitis), kan het verwijderen van de amandelen helpen. Ademhalingsproblemen: Vergrote amandelen en/of neusamandelen kunnen de ademhaling belemmeren, vooral tijdens de slaap. Dit kan leiden tot snurken, slaapapneu (adempauzes tijdens de slaap) en mondademhaling. Slikproblemen: Vergrote amandelen kunnen het slikken bemoeilijken. Oorontstekingen: Vergrote neusamandelen kunnen de buis van Eustachius blokkeren, wat kan leiden tot oorontstekingen en vochtophoping in het middenoor. De technische aspecten van de operatie Voorbereiding: Uw kind moet nuchter zijn voor de operatie. De arts zal u vertellen hoelang van tevoren uw kind niet meer mag eten en drinken. Verdoving: De operatie vindt plaats onder algehele narcose. Procedure: De chirurg verwijdert de amandelen en/of neusamandelen via de mond. Duur: De operatie duurt meestal 30 tot 60 minuten. Na de operatie Herstel: Uw kind kan de avond na de operatie naar huis Pijn: Uw kind kan na de operatie keelpijn hebben. De arts zal pijnstillers voorschrijven. Eten en drinken: Uw kind mag na de operatie zachte en bij voorkeur koude voeding eten en drinken. Mogelijke complicaties Complicaties bij een adenotomie/tonsillectomie zijn zeldzaam, maar kunnen wel voorkomen: Nabloeding Infectie Uitdroging: Door de keelpijn kan uw kind minder drinken. Let op tekenen van uitdroging, zoals minder plassen en een droge mond. Deze informatie heeft tot doel u algemeen geldende inlichtingen over dit soort operaties te verschaffen. Uiteraard is het mogelijk dat in uw individueel geval bepaalde aspecten van dit document niet van toepassing zijn of juist meer of bijkomend moeten besproken worden met uw chirurg. Vergeet niet om aan uw chirurg alle informatie betreffende uw algemene gezondheidstoestand te melden, alsook alle medicamenten die u regelmatig neemt -vooral Aspirine en aanverwante producten, of andere medicatie die de stolling kan beïnvloeden . De algemene verdoving (narcose) wordt best vooraf met de geneesheer-anesthesist besproken

Meer informatie omtrent een somnoplastie - ingrepen aan het gehemelte omwille van snurken. Home Make an appointment Nieuwe pagina About us Useful Documents FAQ Zoekresultaten More Information on somnoplasty Introduction The purpose of this information is to provide you with generally applicable information about this type of operation. Of course, certain aspects of this document are not applicable in your individual case or should be discussed more or additionally with your surgeon. Don't forget to report to your surgeon all information regarding your general health, as well as any medications you regularly take (especially aspirin and related products, or other medications that may affect clotting). Indication In milder forms of snoring, a somnoplasty may be indicated. This involves removing a piece of the soft palate and a piece of the uvula. In addition, the palate is punctured with a needle at several places, using radiofrequency energy, with the aim of tightening the palate. The indication is usually made after performing a sleep endoscopy. Sometimes the sleep endoscopy and the somnoplasty are performed in combination. This was then agreed in advance with the surgeon. Purpose of the procedure The procedure shortens the soft palate and causes scarring. This tightens the palate; the palate will be able to vibrate less and so there will be less snoring sound. Sometimes there can be an increase in snoring over time. Then the procedure in which a needle is punctured into the palate to achieve tightening, can be repeated. Technical aspect of the procedure The procedure in which the soft palate is shortened is performed under general anesthesia and in a day clinic. Repeating the procedure involving punctures in the palate can be done under local anaesthesia. Immediate consequences of the procedure After the procedure, the throat will be sensitive for more than a week. To do this, your doctor will prescribe pain relievers and a topical throat rinse. You should also take into account soft food for one week. In the first weeks there is often an increase in the snoring sound. There may be some temporary reflux through the nose when drinking. You can expect improvement after four to six weeks. Sometimes a hole develops in the palate; it usually closes on its own. The belated consequences Over time, there may be an increase in snoring again. A repeat of the lancing in the palate may then be necessary. Very exceptionally, there can be a permanent hole in the palate. Usually this does not require treatment. If necessary, this can be closed surgically afterwards. Serious and/or exceptional complications Any surgical procedure, even performed under ideal conditions and in the best possible way, can entail complications. All these risks must be weighed up against the benefits that can normally be expected from an intervention, and it must not be forgotten that “not intervening” can sometimes also have serious consequences.

Meer informatie omtrent hospitalisatie in AZ Sint Maarten. Home Make an appointment Nieuwe pagina About us Useful Documents FAQ Zoekresultaten More Information about your hospitalization during a surgical ENT procedure. Agreements about the specific modalities of your intervention In principle, your hospitalization and the intervention that must be performed will be personally agreed with you and explained by Dr. Van Haesendonck. This implies the importance of the consultation you have with the doctor. Even if you think you have a fairly accurate picture of what your treatment entails, the discussion with the doctor is usually useful because it can highlight aspects that you may not have thought about yourself. Misunderstandings and needless anxiety are avoided in this way. The timing of surgery and hospitalization is always communicated to the hospital by the doctor. It is better not to take any action in this area yourself to avoid confusion, double booking, etc.... It is important that you are present at the hospital at the agreed time. If unforeseen circumstances prevent your admission to hospital, please inform the admission planner. What should you bring with you to the hospital? For the recording service: • your identity card • information from mutuality and/or insurance For the nursing ward: • toiletries, nightclothes, underwear, dressing gown and slippers (not for day hospitals) • blood group card if you have one • the completed anesthesia questionnaire (if general anaesthetic) • the completed medication list (if applicable) • your home medication (if possible in the original packaging) • the referral letter from the general practitioner or the attending physician • possibly research results • antithrombotic stockings (if you already have them from a previous admission) • the phone number of a person we can reach during your stay • a list of allergies Other tips: • Please do not bring any valuables, leave jewelry at home • Remove nail polish and do not wear make-up • Take a shower or bath the night before surgery • If you have problems completing the questionnaire and/or medication list, you can contact your GP. Preparing for your hospitalization and surgery Your age, your general health, the chronic medication you may be taking, any allergies, the treatment we have in mind,... Various factors influence what is concretely agreed regarding hospitalization and surgery. Together with your general practitioner and the anesthetist (if it concerns a procedure under general anaesthesia), we take these factors into account and, if necessary, we will have preliminary examinations carried out. As a general principle, preliminary examinations should always be completed on the day of hospitalization. When you are admitted for a procedure under general anaesthetic, you will almost always have to be sober at the time of admission. In concrete terms, this means that you must not eat or drink anything before the anaesthetic - not even a glass of water! In practice, this means that you usually have to fast from midnight before the admission. This is really important: if the stomach is not empty, this can lead to serious complications during anesthesia. Necessary medication may still be taken in the morning with a small sip of water. The typical course of your hospital stay An hour of hospitalization was agreed in the planning. The agreed time of admission has nothing to do with the time at which your procedure will take place. After all, at the time of planning your operation, Dr. Van Haesendonck's entire surgery program for that day is probably not yet known. It is therefore not the case that you can "claim" a time of operation or that the order depends on a "first come, first serve" principle. Several factors together determine the order of an operation program (age of the different patients in the day program, order of operation types, availability of instruments, availability of personnel, beds on the ward...etc.). After registration in the hospital's admissions service, you will be taken to your room, where you will be welcomed by a nurse from your ward who will guide you and go through the necessary practical formalities with you. Then you have to wait until it is your turn. After your operation, you will be taken to the recovery room, where specialized nurses and the anesthetist will monitor you during the first awakening, administer the first pain medication... They decide together when you are sufficiently "clear" to be allowed to return to your room where after all, you are under less supervision. dr. Van Haesendonck will certainly explain to you later in the day how the operation went and how to proceed. With day hospitalization you will be discharged the same day before 6 pm. With some procedures it is important that you remain under the supervision of a doctor and nurses for the next 24 hours (or longer) so that you are not discharged until the next day. Before you actually go home again, all forms (incapacity for work, health insurance, insurance) must be completed, the medication to be followed and the next check-up have been agreed. dr. After discharge, Van Haesendonck will inform your general practitioner in writing of the operation and hospitalization progress. A general anesthetic and the preparation for it Most ENT procedures are performed under general anesthesia or anaesthesia. The anesthetist watches over your bodily functions during this anaesthetic, he/she is specialized in this and will be able to fulfill this task optimally if all risk factors are correctly estimated in advance. To this end, the hospital's anesthesia department uses a standard questionnaire, which you probably already received from Dr. Van Haesendonck. The administrative formalities During your stay in the hospital, Dr. Van Haesendonck will provide you with the necessary papers and fill them in that are required in this context. If you have specific forms to fill in, it is useful to bring these with you when you are admitted. The incapacity for work depends on your illness and type of surgery, but also on the type of work you do and the course of your recovery. Remember to also bring the forms from your health insurance fund that are intended for a medical examiner and that, among other things. must serve to inform the health insurance fund of the starting date and the nature of your illness. Certainly for employees with a labor contract (who have a weekly wage guaranteed by the employer) it is important to send this completed form within one week after the start of illness. White-collar workers usually have a guaranteed monthly wage, so this term is less critical here. Supplementary and hospitalization insurance policies usually use their own forms and/or electronic means of communication. If you already have the appropriate forms in your possession, it is useful to bring these with you when you are admitted, but they can also be arranged later. Follow-up after dismissal You have been given an appointment for a check-up with Dr. Van Haesendonck at the time of your discharge. In the case of day hospitalization, you will usually be asked to arrange this check-up yourself by telephone or online. It is evident that the surgeon will explain to you at the time of discharge what the normal symptoms are in the first days after your operation, and which symptoms are alarming. However, not every question that arises afterwards can be foreseen. Therefore do not hesitate to contact the hospital telephone number (015/891010). You can always reach a secretary (or nurse from the emergency department) who can put you through to him or have him contact you quickly. There is also - 24/24, 7/7 - an on-call ENT doctor who can be called via the emergency service of the Sint Maarten Hospital. Even with normal postoperative progress, your condition should be followed up with consultation(s) by Dr. Van Haesendonck himself, who knows the details of your operation best. Afterwards, the follow-up can be done by the general practitioner or referring specialist. After discharge, Dr Van Haesendonck will inform your general practitioner in writing about the course of the operation and hospitalization.

Meer informlatie betreffende neusschelpcorrectie - conchaplastie. Home Make an appointment Nieuwe pagina About us Useful Documents FAQ Zoekresultaten More Information on septoplasty and conchaplasty Introduction The purpose of this information is to provide you with generally applicable information about this type of operation. Of course, certain aspects of this document are not applicable in your individual case or should be discussed more or additionally with your surgeon. Don't forget to report to your surgeon all information regarding your general health, as well as any medications you regularly take (especially aspirin and related products, or other medications that may affect clotting). What function does the nose have? The nose is certainly not only there for the smell, although this is of course an important part of the function. The nose is primarily a part of the respiratory organs. In the nose, the inhaled air is heated, moistened and cleaned. For example, more than 95% of the particles that pollute our air are filtered out through the nose and made harmless. The nose ensures the best possible breathing. In addition, the nose has an important function in voice formation and the drainage of tear fluid also runs through the nose. Finally, the external shape of the nose is also an important aspect; this determines a person's appearance to a large extent. Nasal function can be affected in many ways. For example, due to a cold as it sometimes occurs in everyone, or due to an allergy (hypersensitivity). Disorders in the function of the nose can often be made worse by an abnormal shape of the interior of the nose. The most common is a misalignment of the nasal septum (the septum), which separates the nasal halves. This abnormal shape of the nasal septum is very common and can lead to a wide range of complaints, such as a feeling of constipation, disturbed breathing or headache. This is an explanation for the fact that straightening the nasal septum (the so-called septal correction) is an operation that is common. The aim of this procedure is to improve nasal function. Septoplasty (septum correction) The purpose of the operation The aim of the operation is to correct deviations/crookedness of the nasal septum, so that it is straightened and there is therefore sufficient breathing space in the nose on both sides. The technical aspects of the operation Surgery is performed exclusively in the interior of the nose, so no visible scars are to be expected. During the operation, the cartilage and bone of the nasal septum is exposed through a small incision inside the nose, usually on the right side, a few millimeters past the entrance to the nose. After this, the partition is then straightened, ie protruding parts are removed, curved parts are straightened, etc. Immediate Effects The thus repaired nasal septum is then temporarily held in place by so-called splints inserted into the nose (silicone plates that are placed in the nose on both sides and that allow some breathing through the nose). In this way the septum is supported in the correct position on both sides, so that the mucous membrane, cartilage and bone can grow back together. The splints are removed after about 1 week. The sutures at the incision are removed after 1-2 weeks, if applicable. Late Effects The healing of the nasal mucosa takes several weeks. During this period, treatment with nasal rinses and/or vapors and/or nasal ointments may be applied. In rare cases, problems during healing can cause a misalignment of the septum or cause deformities that could negatively affect nasal breathing. Serious and/or exceptional complications Any surgical procedure, even performed under ideal conditions and in the best possible way, can entail complications. Bleeding is always more or less to be expected, there are of course cases where the doctor will have to intervene extra. Cerebrospinal fluid leakage can occur after both nasal and sinus surgery (although it is extremely rare with septoplasty). If a leak does occur, it is not very noticeable and only becomes apparent late. Confusing in this regard, of course, is that any patient undergoing surgery on the nose or sinuses will always have some watery nasal discharge. If the nasal discharge is profuse or noticeably one-sided, it is best to inform the doctor. Nasal turbinate surgeries (conchaplasty or conchacoagulation) The purpose of the operation Especially the inferior concha (the lower turbinate) is mentioned in this context as it plays the most important role in nasal breathing. The concha media can also be surgically corrected, usually in conjunction with sinus or septal surgery, so that we only focus on the inferior concha here. Most procedures on the inferior concha are intended to reduce this structure and thus improve nasal breathing. The technical aspects of the operation In order of invasiveness we distinguish the RF conchaplasty, the conchacoagulation and the conchaplasty. In the RF conchaplasty, a needle is inserted into the concha (usually under local anaesthetic), which causes a controlled heating of the concha, after which the concha scars and shrinks. In the concha coagulation, this effect is achieved by burning the concha from the surface using electric current. This can be done under local or general anaesthetic. In conchaplasty, part of the conchamucosa is cut away, almost always under general anaesthetic. Many turbinate surgeries are done in conjunction with a septal correction or sinus surgery. Immediate Effects Bleeding is to be expected to a greater or lesser extent if a conchaplasty is performed. this is why a nasal tamponade is sometimes temporarily applied, which can then be removed after 1 or a few days. Late Effects Crust formation at the inferior concha occurs in the first weeks, as long as the mucosa is still in the healing phase. Nasal rinses and/or nasal ointment are usually used for this or nasal drops. Serious and/or exceptional complications There are, apart from the already mentioned bleeding with conchaplasty, no serious or exceptional complications from these operations.