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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.

Hier kan u de pre-operatieve vragenlijst voor AZ Sint MAarten terug vinden. Home Make an appointment Nieuwe pagina About us Useful Documents FAQ Zoekresultaten More 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 Father and son, both specialized in ear, nose and throat diseases and head and neck surgery. You can contact us for expert advice, diagnosis and treatment of nose, throat and ear diseases and head and neck surgery. dr. Jan Van Haesendonck dr. Gilles Van Haesendonck dr. Gilles Van Haesendonck

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

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

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

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.

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.

Meer informatie omtrent plaatsen van buisjes / diabolo's. Home Make an appointment Nieuwe pagina About us Useful Documents FAQ Zoekresultaten More Information about placing ventilation tubes in the eardrum Introduction The purpose of this information is to provide you with generally applicable information about this type of operation. 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 recent medical records in your possession such as blood tests, radiologic and other preoperative examinations. Purpose of the procedure A malfunctioning Eustachian tube interferes with normal middle ear ventilation. Inadequate ventilation can have one or more consequences: recurring acute middle ear infection, hearing loss due to fluid in the middle ear and, at a later age, the collapse of the eardrum, which can cause a benign skin tumor (cholesteatoma) and/or permanent hearing loss. The technical aspects of the operation The placement of a transtympanic ventilation tube (also called a diabolo or tube for short) is done in children (and in some adults) under general anaesthetic. The eardrum is easily reached along the ear canal. A transtympanic ventilation tube is inserted through the eardrum under the view of a microscope after a small incision. The mucus that is usually in the middle ear can be immediately aspirated from the ear at the same time. Immediate Effects There is no pain upon awakening. There may be some (sometimes bloody) ear bleeding in the immediate aftermath. Only if this is very abundant can it cause premature shedding of the tube. Earring can also occur later on: this occurs in 1 or 2 children in 5 and often stops spontaneously after a few days. If the earring persists, this indicates an infection and it is best to consult a doctor; after all, these are ventilation pipes and not drainage pipes. Sometimes the tube can clog as a result of dried ear canal and the original problem can start again. If the hearing was impaired before, it will usually return to normal almost immediately after the procedure. However, this does not mean that “too much noise” should be avoided. The presence of the tube itself in the eardrum does not cause hearing loss. Late Effects It is normal and desirable for the tube to be expelled after a few months to over a year. How long this will last in each individual person is not predictable and can even be very different between left and right ear in the same person. Whether the problem will resume after expulsion depends on the functioning of the Eustachian tube (which in most cases in children gradually improves with age). Only very rarely does a tube fall inside; it does not necessarily have to be removed. In 1 to 2% of cases, the tube leaves a hole in the eardrum. This often happens in an eardrum that has already been damaged by inflammation. Incidentally, inflammation itself can of course also be the cause of a cavity. Serious and/or exceptional complications Any surgical procedure, even performed under ideal conditions and in the best possible way, can entail complications. Any intervention on an ear can cause irreversible hearing loss, ear murmurs, facial paralysis or (usually temporary) balance problems, but this is extremely rare when a transtympanic ventilation tube is placed. The same applies to causing a cholesteatoma (a benign skin growth), by enclosing a piece of skin behind the eardrum when it is punctured. One must weigh the (extremely rare) occurrence of serious complications against the benefits that can normally be expected from this procedure, and certainly not forget that "not intervening" can sometimes also have serious consequences.

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 ingreep voor flaporen. Home Make an appointment Nieuwe pagina About us Useful Documents FAQ Zoekresultaten More Information for performing an otoplasty Introduction An otoplasty is a surgical correction of deformities of the pinna (protruding ears). 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. 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). 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 This surgical procedure aims to improve the shape of the pinna or the position of the pinna for aesthetic reasons. The technical aspects of the operation The procedure can be performed under general anaesthetic, local anaesthetic or, usually, a combination of both. Xylocaine is injected for local anaesthesia, even if the procedure is performed under general anaesthetic. The procedure requires a skin incision at the back of the ear, making it possible to work on the cartilage of the pinna or on the bone behind the pinna using appropriate incisions. At the end of the procedure, the skin is closed again and a compression bandage is also applied. The length of hospitalization and post-operative care will be explained in detail by your surgeon. Immediate Effects The main risk is bleeding postoperatively causing a hematoma (collection of blood). If such bleeding occurs, the blood collection must be removed, which involves surgical reoperation followed by a compressive dressing for an extended period of time. Late Effects Postoperative infection is rare and manifests with pinna pain and an inflamed (infectious) appearance of the pinna (red, swelling, warmth). This infection requires appropriate antibiotic treatment to prevent infection of the cartilage. Although the appearance of the obtained result is usually very satisfactory, in some cases irregularities of the fold can be detected. It is very difficult to ensure perfect symmetry of the two auricles. If the asymmetry is too great, it can be corrected with a second surgery. Sensory disturbances can be observed at the level of the scar, which can temporarily hinder the wearing of glasses. The pinna remains sensitive for several weeks. Serious and/or exceptional complications Any surgical procedure, even performed under ideal conditions and in the best possible way, can entail complications. Bruises favor infectious complications and, in particular, a chondritis (infection of the cartilage of the auricle) which can lead to necrosis (death) with almost complete destruction of the cartilage of the ear, leaving a small and often very deformed ear . In very rare, unforeseeable cases, the scarring of the skin behind the ear can thicken and take on an unsightly, hypertrophic appearance, leading to a keloid scar. This may also require a second surgery to correct.

Meer informatie betreffende verscheidene ingrepen die uitgevoerd worden. Info Parotis / oorspeekselklier Read more about parotid salivary gland procedures - parotidectomy Thyroid Read more about thyroid surgery - thyroidectomy Parathyroid gland Read more about parathyroid surgery - parathyroidectomy Directe laryngoscopie Read more about vocal cord or larynx procedures - direct laryngoscopy Submandibular salivary gland Read more about submandibular salivary gland procedures Thyroglossal cyst Read more about thyroglossal cyst surgery Pediatric interventions placing diabolos or tubes Adenotonsillectomy - removal of tonsils and polyps (in children) Additional information regarding Tonsillectomy - removal of the tonsils Post-operative guidelines after tonsillectomy / tonsil removal Sinus surgery Septoplasty - correction of the nasal septum Conchaplasty - surgery of the nasal conchae Ear surgeries Preoperative questionnaire General information about hospitalization