Vul de pre-operatieve vragenlijst in ter voorbereiding van uw anesthesie en NKO-ingreep bij Van Haesendonck NKO in Lier. Pre-operative Questionnaire When you are having surgery, it is vital that the anesthetist can do it safely. An initial screening of your general health based on this questionnaire is therefore extremely important.

Van Haesendonck NKO in Lier: drie KNO-artsen voor onderzoek, diagnose en behandeling van neus-, keel-, oor- en hoofd-halsklachten. Maak snel een online afspraak. 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

Een thyreoglossuscyste in de hals laten verwijderen via de Sistrunk-procedure: oorzaak, verloop en herstel. Van Haesendonck NKO in Lier. 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.

Onderkaakspeekselklier laten verwijderen bij ontstekingen, speekselstenen of een gezwel: verloop en mogelijke gevolgen. Van Haesendonck NKO in Lier. Information on removing the submandibular salivary gland (glandula submandibularis) Introduction The purpose of this information is to inform you about the progress of this procedure. We ask that you read this document carefully. Your surgeon is at your disposal to answer any further questions you may have. Of course, it may be the case that certain aspects of this document are not applicable in your individual case or that more or more additions should be discussed 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. There are 2 submaxillary glands, which together with the 2 parotid and sublingual glands form the six major salivary glands. Together with numerous smaller salivary glands, they ensure saliva production. Because of recurrent inflammation, whether or not due to salivary gland stones or a tumor in one of the submaxillary glands, it can be decided to remove the affected salivary gland. Purpose of the procedure Stones can be found in the gland or duct leading to the mouth that obstruct the flow of saliva. When these stones remain, chronic inflammation can develop. Also without salivary stones, the submaxillary gland can become chronically inflamed. If removal of the stone by mouth has no effect or is not possible or if the pain and inflammations take on serious forms, a decision can be made to treat the affected person. submandibular gland removal. A tumor of the lower jaw salivary gland is best removed, it can be seen as a malignant tumor. The technical aspects of the operation The submaxillary gland is removed under general anesthesia through a skin incision under the jawline. In this part runs a branch of the facial nerve, the tongue and the taste nerve. Every effort is made to conserve these structures. The operation ends with the placement of a wound drain and the suture of the wound. The duration of the procedure is one hour, the duration of admission is 2 to 3 days. The immediate consequences The pain after the operation is usually rather minor, swelling can occur which after a few weeks has disappeared. A significant swelling indicates inflammation or bruising. 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. The wound drain usually has to be left in place for 24 hours and is then removed, which is sensitive. The incision under the jaw causes a numbness of the surgical site. This only decreases after a few months. Nerve damage can result from removal of the submaxillary gland. After the operation there may be a weakness in the mobility of the corner of the mouth. This usually improves after a few weeks. Rarely, this is permanent. The chance of damage to the nerves of the tongue is rather small. The belated consequences Nerve damage may be permanent with weakness in the movement of the corner of the mouth, or sensation, taste and movement of the tongue. Serious and/or exceptional complications Any surgical procedure, even performed under ideal conditions and in the best possible way, can entail complications. A permanent loss of the mandibular branch of the facial nerve 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. The technical aspects of the operation The submandibular salivary gland is removed under general anesthesia, via a skin incision under the edge of the jaw. A branch of the facial nerve, the tongue nerve and the taste nerve runs through this section. Every effort is made to preserve these structures. The operation ends with the placement of a wound drain and the suturing of the wound. The duration of the procedure is approximately one hour. After the operation Recovery: After the operation you will usually stay in the hospital for one night. Wound care: The wound is sutured and a drain is usually placed to drain wound fluid. Eating and drinking: You may eat and drink normally again after the operation. As with any surgery, there are risks associated with submandibular gland resection, such as: Post-operative bleeding Infection Nerve damage: In rare cases, damage may occur to the facial nerve (causing temporary weakness of the corner of the mouth), the lingual nerve (causing numbness in part of the tongue), or the taste nerve. Dry mouth: Sometimes the mouth may feel a little drier after surgery, but this is usually temporary. Swelling: Swelling may occur in the surgical area. 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

Heesheid, keelpijn of een brok in de keel? Lees meer over oorzaken, symptomen en behandeling van LPR. Van Haesendonck NKO in Lier. 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. Symptomen van LPR De symptomen van LPR kunnen variëren, maar de meest voorkomende zijn: Heesheid of stemveranderingen De irritatie van het strottenhoofd kan leiden tot een schorre stem of veranderingen in de stemkwaliteit. Keelpijn of gevoel van een brok in de keel (globusgevoel) Veel mensen met LPR ervaren een continu gevoel van iets vastzitten in de keel. Chronische hoest Dit kan een gevolg zijn van irritatie van de keel en luchtpijp door maagzuur. Keelpijn of branderig gevoel in de keel Dit kan optreden na het eten of wanneer je 's nachts ligt. Wakker worden met een droge mond of een benauwd gevoel LPR kan zich verergeren wanneer je ligt, wat 's nachts tot klachten leidt. Slikproblemen Er kan sprake zijn van pijn of moeilijkheden bij het slikken van voedsel. Oorzaken van LPR LPR ontstaat wanneer de onderste slokdarmsfincter (de klep tussen de slokdarm en de maag) niet goed sluit. Hierdoor kan maaginhoud, waaronder zuur, via de slokdarm omhoog komen en in de keel terechtkomen. Factoren die LPR kunnen veroorzaken of verergeren, zijn onder andere: Overgewicht of obesitas Roken Alcoholgebruik Koffie en andere cafeïnehoudende dranken Vette of gekruide voeding Stress Hormonale veranderingen (bijvoorbeeld tijdens zwangerschap) Bepaalde medicijnen, zoals bloeddrukverlagers of pijnstillers Hoewel medicatie een belangrijke rol speelt bij de behandeling van LPR, kunnen levensstijlveranderingen een cruciale bijdrage leveren aan het verminderen van symptomen en het voorkomen van terugkerende klachten. In deze sectie leggen we de belangrijkste veranderingen in levensstijl uit die je kunnen helpen om LPR onder controle te krijgen. 1. Eet kleinere, frequentere maaltijden In plaats van drie grote maaltijden per dag, kun je proberen om kleinere maaltijden te eten die je lichaam gemakkelijker kan verteren. Dit helpt om de druk op je maag te verminderen en voorkomt dat er teveel maagzuur wordt geproduceerd, wat kan terugstromen naar je keel. 2. Vermijd eten vlak voor het slapen Probeer ten minste 3 uur te wachten tussen je laatste maaltijd en het moment waarop je gaat slapen. Dit geeft je maag voldoende tijd om de voeding te verteren en voorkomt dat er zuur omhoogkomt wanneer je horizontaal ligt. 3. Verander je dieet Er zijn bepaalde voedingsmiddelen die de symptomen van LPR kunnen verergeren. Het vermijden van deze voedingsmiddelen kan een aanzienlijke verbetering opleveren. Vermijd vette en gefrituurde voeding: Vetrijke maaltijden vertragen de spijsvertering en vergroten de kans op reflux Beperk gekruide en zure voedingsmiddelen: Tomaten, citrusvruchten, chocolade, en koffie zijn voorbeelden van voedingsmiddelen die de maag kunnen irriteren en de reflux kunnen verergeren. Vermijd alcohol en cafeïne: Zowel alcohol als cafeïne kunnen de spieren van de onderste slokdarmsfincter ontspannen, waardoor reflux waarschijnlijker wordt. Probeer een alkalisch dieet: Voedingsmiddelen die een alkalisch effect hebben op het lichaam (zoals groenten, noten, en havermout) kunnen helpen om de maag te kalmeren en refluxklachten te verminderen. 4. Stop met roken Roken is een van de belangrijkste risicofactoren voor het ontwikkelen van reflux. Het verzwakt de sluitspier van de slokdarm en verhoogt de zuurgraad van het maagzuur. Ook verstoort het de speekselproductie, die normaal gesproken helpt om de keel te beschermen tegen zuur. 5. Beperk alcoholgebruik Alcohol kan de slokdarmsfincter ontspannen en de zuurproductie verhogen, wat beide bijdraagt aan reflux. Ook kan alcohol de maagwand irriteren, wat de symptomen van LPR kan verergeren. 6. Gewichtsverlies Als je overgewicht hebt, kan het verminderen van je gewicht helpen om de druk op je maag te verlichten. Overgewicht vergroot de kans op reflux, omdat het de buikdruk verhoogt, waardoor zuur omhoog kan stromen naar de slokdarm en keel. 7. Slaap met je hoofd omhoog Probeer je bed iets te verhogen, zodat je hoofd hoger ligt dan je buik. Dit kan helpen om te voorkomen dat zuur 's nachts omhoog komt in de slokdarm en keel. Gebruik bijvoorbeeld een kussen of een speciaal kussen dat het bovenste deel van je lichaam ondersteunt. 8. Stressvermindering Stress kan een belangrijke rol spelen bij het verergeren van refluxklachten. Het kan leiden tot een verhoogde zuurproductie en het verergeren van spierspanning rondom de maag en slokdarm. Technieken zoals ademhalingsoefeningen, meditatie, yoga of regelmatige lichaamsbeweging kunnen helpen om stress te verminderen. Hoewel LPR soms moeilijk te behandelen kan zijn, kunnen de meeste mensen hun symptomen beheersen met de juiste combinatie van medicatie en veranderingen in levensstijl. Het is belangrijk om geduldig te zijn en samen te werken met je arts om een behandelplan te vinden dat voor jou werkt. Wanneer naar de arts? Als je regelmatig symptomen van LPR ervaart, zoals keelpijn, stemveranderingen, of chronische hoest, is het raadzaam om een arts te raadplegen. Vroege behandeling kan helpen om verdere schade aan de keel en het strottenhoofd te voorkomen en de kwaliteit van je leven te verbeteren. Conclusie Laryngo-pharyngeale reflux (LPR) is een aandoening die kan leiden tot ongemakkelijke symptomen zoals heesheid, keelpijn, en chronische hoest. Hoewel de diagnose vaak lastig is, zijn er effectieve behandelingsopties beschikbaar. Door veranderingen in je dieet, levensstijl en het gebruik van medicijnen kun je de symptomen onder controle krijgen en je algehele welzijn verbeteren. Neem contact op voor een gepersonaliseerd behandelplan.

Een overactieve bijschildklier laten verwijderen bij hyperparathyreoïdie: doel, verloop en herstel van de ingreep. Van Haesendonck NKO in Lier. 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

Schildklieroperatie bij struma, knobbels of schildklierkanker: wanneer nodig en hoe verloopt de ingreep. Van Haesendonck NKO in Lier. 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 purpose of the surgery depends on the reason for the procedure. It may involve removing the entire thyroid gland (total thyroidectomy), one half of the thyroid gland (hemithyroidectomy), or part of the thyroid gland. 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 in a fold of skin, which makes the thyroid gland less visible after surgery. The thyroid gland is carefully detached from the surrounding tissues, sparing the vocal cord nerves and parathyroid glands. Duration: The operation takes on average 1 to 2 hours, depending on the extent of the procedure. After the operation Recovery: After the operation you will stay in the hospital for at least one night. Wound care: The wound is sutured and sometimes a drain is placed to drain wound fluid. Medication: If the entire thyroid gland has been removed, you will need to take thyroid hormone tablets (thyroxine) for the rest of your life to take over the function of the thyroid gland. Check-ups: You will have regular check-ups to see how you are doing and whether your hormone levels are correct. 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

Minder snurken dankzij somnoplastie: hoe de ingreep verloopt, wat u kan verwachten en het herstel nadien. Van Haesendonck NKO in Lier. 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.

Richtlijnen voor thuis na het verwijderen van de amandelen bij uw kind: voeding en wanneer contact opnemen. Van Haesendonck NKO in Lier. Guidelines after tonsil removal The tonsils are large lumps at the back of the throat. If all is well, the almonds are useful. They then act as a sort of filter for the incoming microbes. Sometimes the tonsils are not able to sufficiently destroy the germs. The germs then accumulate in the tonsils, causing them to become inflamed. The tonsils then become thick and painful. This may be accompanied by a fever and feeling sick. Surgery may then be necessary. Surgery is also necessary if the tonsils are too large and cause breathing difficulties. Home Day of surgery: drink cold water (with ice). eat yogurt, pudding, sorbet or ice cream First day after surgery: thick cold liquid food. (ice cream, porridge, yogurt, lukewarm puree and plenty to drink) Second day after surgery: soft white bread without crusts, lukewarm pureed food. Then gradually eat and drink normally. If your child vomits brown, old blood once, this is not serious. If, on the other hand, he/she vomits clear, red blood, or if he/she continues to vomit, you should contact the pediatric ward or the attending physician. After the procedure, it is best for your child to stay at home for five days to a week. The first week NONE : too hot food citrus fruits or banana sparkling drinks sharp nutrients (chips, fries, ...) If you have any questions, you can always contact the pediatric ward or your doctor.

Vergrote neusschelpen laten verkleinen met een conchaplastie om de neusademhaling te verbeteren. Van Haesendonck NKO in Lier. 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.

Een gezwel van de oorspeekselklier (parotis) laten verwijderen: verloop van de operatie en mogelijke gevolgen. Van Haesendonck NKO in Lier. 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 When a parotid gland tumor has to be removed, this can only be done safely after carefully locating the facial nerve, in an attempt to avoid facial paralysis. The technical aspects of the operation The operation is performed under general anesthesia. Through an incision that runs along the ear and further into the neck, the parotid gland, the facial nerve and the tumor are located and the tumor is removed. The operation takes an average of 2 hours, but can take up to 4 hours depending on the location and extent of the injury. During the procedure, the facial nerve is electrically monitored, which helps to locate the nerve safely and reduces the chance of complications. 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 cutting 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 surgical area. The numb area gradually becomes smaller. 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. 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 may not apply or may need to be discussed more or additionally with your surgeon. Please remember to tell your surgeon all information about your general state of health and all medications you are taking regularly - especially aspirin and related products, or other medications that can affect clotting . Please mention any allergic reactions you have had in the past, especially reactions to medications. Bring any recent medical reports in your possession, such as blood tests, radiological and other preoperative examinations.

Onderzoek en kleine ingrepen aan het strottenhoofd en de stembanden via directe laryngoscopie: verloop en herstel. Van Haesendonck NKO in Lier. 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