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Laryngo-pharyngeale reflux, ook wel bekend als LPR, is een aandoening waarbij maagzuur of andere maaginhoud in de keel en het strottenhoofd (de larynx) terechtkomt. Dit verschilt van de meer bekende gastro-oesofageale refluxziekte (GERD), waarbij zuur terugstroomt in de slokdarm. Bij LPR gebeurt dit direct in de keel, wat tot verschillende klachten kan leiden, die vaak niet gepaard gaan met de typische branderigheid die bij GERD wordt ervaren. 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.

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

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.

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

Informatie betreffende operaties aan de parotis speekselklier, ook wel parotidectomie 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 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.

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.

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 algemene informatie betreffende verschillende ooringrepen. Home Make an appointment Nieuwe pagina About us Useful Documents FAQ Zoekresultaten More Information on ear operations Introduction The purpose of this information is to inform you about the course of this procedure, we ask you to do so read the 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 they need to 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. Questions regarding the general anaesthetic – if applicable – are best discussed in advance with the physician-anaesthetist. Before going into the technical aspects and purpose of the procedure, it is useful to explain how the ear works. Sound consists of air vibrations. These vibrations come through the ear canal to the eardrum. The eardrum and the ossicles amplify and conduct the vibrations to the cochlea. The cochlea contains the sensory (nerve) cells, which convert the vibrations into nerve impulses. These nerve impulses are carried via the auditory nerve to the brain, where they are translated into “hearing”. Under normal circumstances, the middle ear is filled with air, which has the same pressure and composition as outside air. The Eustachian tube allows for exchange so that the air pressure in front of and behind the eardrum is the same. The ear can be roughly divided into: the external auditory canal; the eardrum with the middle ear behind it. It contains three ossicles, which together form the ossicle chain: the malleus (malleus), the anvil (incus) and the stirrup (stapes). The middle ear is connected to the nasopharynx via the Eustachian tube. the actual organ of hearing, also called the cochlea or inner ear. Schematic ear with: ear canal eardrum hammer anvil stirrup middle ear vestibular system Eustachian tube snail shell vestibular nerve facial nerve auditory nerve Hearing loss can be due to an inner ear loss (sensorineural hearing loss) or a conductive hearing loss (transmission loss). Sensorineural hearing loss involves damage to the nerve part. With a conduction loss, there is insufficient transmission of sound from the ear canal to the cochlea. The cause of the hearing loss is usually in the middle ear. For example, due to permanent damage to the eardrum or the ossicles after an ear infection. In this section only those operations where conduction loss is present are discussed. Purpose of the procedure If there is hearing loss due to a defect in the middle ear, surgery can usually improve hearing. This is the case with a hole (perforation) in the eardrum, or with an interruption or fixation of the ossicles. Sometimes, in addition to the hearing loss, there is a chronic inflammation in the middle ear (cholesteatoma) and the aim of the surgery is initially to heal the ear of the inflammation . The surgeon will also try to restore hearing as well as possible in that situation, but depending on the seriousness of the situation, this is not always possible. Your doctor will discuss this with you beforehand. The technical aspects of the operation Tympanoplasty (repair of the eardrum) This operation is performed to close a hole in the eardrum. Your own tissue or an allograft (donor) eardrum can be used for this. Own tissue can be fascia, this is the thin membrane that surrounds a muscle behind the ear or cartilage tissue originating from the pinna. The procedure can be done through the external auditory canal or through an incision behind the ear. After the procedure, a bandage is placed in the ear consisting of synthetic sponges in ear ointment and a bandage behind the ear in case of incision and stitches. A large bandage is placed around the head during the first 24 hours after the procedure. The bandage in the ear remains in place for seven days. Ossiculoplasty (repair ossicles) When there is hearing loss due to reduced sound transmission via the ossicles, this may be due to an interruption of the ossicles (after inflammation) or by a fixation (otosclerosis or tympanosclerosis). Fixation by otosclerosis is discussed in a separate chapter. The procedure is usually performed through the external auditory canal, whereby the eardrum is detached and lifted. The repair can be done with your own tissue, plastic or donor material. Your doctor will discuss this with you in advance, depending on the situation. The goal is to improve hearing. This procedure can also be combined with the repair of the eardrum. A bandage is placed in the ear consisting of synthetic sponges in ear ointment. The bandage remains in place for several days. Otosclerosis Otosclerosis is a progressive disease that slowly makes a person hard of hearing. The hearing loss can occur in one or both ears in otosclerosis. The cause is an abnormal overgrowth of the bone, causing a progressive fixation of the stapes. By sticking the stirrup, there is a less good transfer of the sound vibrations and a conduction loss occurs. The process can also occur in the cochlea, causing sensorineural hearing loss. When there is mainly a conduction loss, surgery can improve hearing. The procedure is performed along the external auditory canal, lifting the eardrum. The stirrup is partially replaced by a plastic leg. After the procedure, a bandage is placed in the ear canal, consisting of sponges in ear ointment. The bandage remains in place for several days. cholesteatoma A cholesteatoma is a chronic inflammatory process in which skin grows through the eardrum into the middle ear and forms a cyst. This cyst has a destructive effect due to its growth character and can affect the ossicles, the vestibular system, the facial nerve and even grow into the inner ear. Hence the importance of a surgical procedure to remove the cyst. Sometimes multiple operations may even be required to remove the cholesteatoma permanently. During the procedure, an incision is always made behind the ear. The mastoid cavity (air-containing cells behind the ear) is drilled open in this way to allow complete removal of the cyst. The aim of the operation is initially to remediate the ear and to free it from the chronic inflammatory process. In the second instance, the surgeon will try to restore hearing, but depending on the situation, this will not always be possible. The surgeon will discuss this with you in advance as well as possible. After the procedure, a bandage is placed in the ear consisting of sponges in ear ointment. There are stitches behind the ear. A large bandage is placed around the head for the first 24 hours. The stitches and bandage in the ear are removed after one week. The immediate consequences You may experience mild pain after ear surgery. If there is a large bandage, this can cause pressure and tension. This feeling of pressure disappears when the bandage is will be removed. You may take painkillers if necessary. The sensitivity of the pinna may be reduced; there may be a temporary numbness that disappears after a few weeks or months. Temporary dizziness may occur after ear surgery, as the ear and balance organs are close together. Report this to your doctor. Temporary taste disturbances may occur. There may be a slight temperature increase in the first 24 hours after the procedure. There may be some bloody fluid from the ear canal for the first few days; this is normal. If one of the sponges falls out of the ear canal, don't worry; DO NOT try to put it back in. Your hearing will not improve for the first few days, given the presence of the bandage. A popping sound and ringing in the ears after the procedure is normal. The belated consequences If the aim of the surgery is to improve your hearing, such as with a tympanoplasty, a ossiculoplasty or otosclerosis, this will only be assessed a few weeks after the procedure. It healing process happens rather slowly and progressively. You will have to apply local care in the form of ear ointment or ear drops every day for the first weeks after the procedure. Serious and/or exceptional complications. Any surgical procedure, even performed under ideal conditions and in the best possible manner, 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 intervene” can sometimes also have serious consequences. You should report any sudden onset or worsening dizziness or pain to your doctor. Heavy or bad smelling ear canal or fluid from the wound behind the ear is rare, but you should report it to your doctor. Likewise, the occurrence of facial paralysis.

Meer informatie betreffende post-operatieve verloop na tonsillectomie. Home Make an appointment Nieuwe pagina About us Useful Documents FAQ Zoekresultaten More 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.

Meer informatie omtrent wegnemen van de keelamandelen - tonsillectomie Home Make an appointment Nieuwe pagina About us Useful Documents FAQ Zoekresultaten More 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.

Meer informatie betreffende septumcorrectie of septoplastie. 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.

Meer informatie betreffende ingrepen aan de sinussen. Home Make an appointment Nieuwe pagina About us Useful Documents FAQ Zoekresultaten More regarding endoscopic operations for inflammatory sinus conditions Introduction The sinuses or paranasal sinuses are located in the facial skull and are connected to the nasal passages. A distinction is made between the anterior (frontal), mandibular (maxillary), ethmoid (ethmoidal) and sphenoidal (sphenoidal) sinuses. In the case of inflammatory conditions of the sinuses (sinusitis) it may be necessary to surgically treat one, several or all sinuses, the ethmoidal sinus usually plays a central role in this. 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). The purpose of the operation The main goal of the surgery is to create a good connection between the sinuses and the nasal passages. For this purpose, certain bone or mucous membrane structures in the nasal or sinus cavities are removed, sometimes it is also necessary to remove polyps that have arisen as a result of the chronic inflammation. In most cases, your doctor will not decide on surgery until drug treatment proves insufficient to cure your sinusitis. Even after surgery, however, at least temporary treatment with medication is usually also required, and it is also not absolutely certain – even after surgery – that the sinusitis will be completely controlled. The technical aspects of the operation The operation is performed along the nostrils, whereby the surgeon uses optical instruments – possibly video equipment. So there is no need for an external incision in the face. To minimize blood loss and optimize visibility, the surgeon uses medication that is placed in the nose (Adrenaline, Nafazoline, Cocaine). The boundaries of the sinuses are formed by the cranial cavities and meninges, as well as by the eye sockets. At the end of the procedure it is usually not necessary to place a bandage in the nasal passages. An intravenous line will remain in the arm until you can and may drink normally again after surgery. Immediate Effects Nasal congestion, crusting in the nose, and loss of mucus and blood from the nose are normal. Eye tears or mild headaches are also possible. Additional or ongoing infection of the nose is possible. Each of these effects can be controlled or prevented with medication. Late Effects Healing after endoscopic sinus surgery is usually slow. Scabs and deformities are avoided by regular nasal rinses and topical care in the nose. Serious and/or exceptional complications Any surgical procedure, even performed under ideal conditions and in the best possible way, can entail complications. A bruise in the eye socket may necessitate urgent reoperation. Loss of cerebrospinal fluid from the nose is a complication that usually results from variations in sinus anatomy and may also require reoperation. Finally, there is a very small risk of damage to the optic nerve resulting in blindness, damage to the muscles of the eye or the lacrimal ducts. Massive, life-threatening nosebleeds are very rare, if they occur they usually happen during or within the first 24 hours after surgery. The degree of difficulty of an endoscopic sinus surgery depends, among other things, on the severity of the sinusitis, on any previous sinus surgery and on the extent of surgery required, so that the risk is not the same in all cases. In addition, these risks must be weighed against the complications that can occur if the sinusitis is not treated or only treated with medication.