Meer informatie betreffende ingreep voor flaporen. 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.

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

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

Overzicht van nuttige documenten, betreffende ingrepen en hospitalisatie. Home Make an appointment Nieuwe pagina About us Useful Documents FAQ Zoekresultaten More - General information about hospitalization Preoperative questionnaire Laryngo-pharyngeale reflux Placing eardrum tubes / diabolos Correction of protruding ears / otoplasty Removal of tonsils and adenoids / tonsillectomy Post-operative after tonsillectomy Ear surgeries Correction of nasal septum / septoplasty Parotidectomy / Removal of parotid gland - Thyroidectomy Sinus surgery - Removal of the submandibular salivary gland - Somnoplasty Vocal cord surgery / direct laryngoscopy

Wegname van keel- of neusamandelen: wanneer nodig, hoe verloopt de ingreep en wat zijn de mogelijke gevolgen. Van Haesendonck NKO in Lier. 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.

Een overactieve bijschildklier laten verwijderen bij hyperparathyreoïdie: doel, verloop en herstel van de ingreep. Van Haesendonck NKO in Lier. Information on removal of the parotid sinus / parotidectomy Introduction The purpose of this information is to provide you with generally applicable information about this type of operation. Of course, certain aspects of this document are not applicable in your individual case or should be discussed more or additionally with your surgeon. Remember to report to your surgeon all information regarding your general health, as well as any medications you regularly take (especially aspirin and related products, or other medications that may affect clotting). Do not forget to report if you have experienced any allergic reactions, especially reactions to medication. Bring any recent medical records in your possession, such as blood results, radiologic and other preoperative exams. The parotid gland (parotid gland) is located in front of and below the ear. There are 2 parotid glands, 2 under the jaw and 2 under the tongue. Together with numerous smaller salivary glands, they ensure saliva production. The parotid gland has a superficial and a deep lobe, between which runs the facial nerve (facial nerve). This ensures the mimicry of the face, the closing of lips and eyelids. When a tumor is found, it is best removed surgically. Most growths are benign. Purpose of the procedure When a tumor of the parotid gland needs to be removed, it is safe to do so after carefully locating the facial nerve to try to avoid facial paralysis. The technical aspects of the operation The operation is done under general anaesthetic. Through an incision, which runs in front of the ear and further into the neck, the parotid gland, the facial nerve and the tumor are searched for and the tumor is removed. Depending on the location and extent of the injury, the operation can take up to 4 hours. When you wake up, there is a drain at the bottom of the wound, through which excess wound fluid and saliva can drain. The drain is removed after 3 days, when no more fluid drains. By incising the skin and removing the tumor, the sensory nerve that supplies the earlobe and neck cannot be spared. After the operation, there is a numbness of the earlobe and the area of operation. The numb area gradually becomes smaller and smaller. The immediate consequences Swelling usually occurs in the wound area for several weeks. There may be bleeding from the wound. This usually happens shortly after the operation. Sometimes it is necessary to find the source of bleeding again under anesthesia and to burn the bleeding vessel shut. A crooked face may occur after surgery due to manipulation of the nerve during the procedure with (temporary) paralysis of the facial nerve. The paralysis usually recovers after some time (weeks to months). The belated consequences There may be a collection of saliva previously visible at the bottom of the wound, which may need to be punctured. Frey's syndrome can develop after a few months. Then there is redness and perspiration of the skin of the operating area during eating. Serious and/or late complications Any surgical procedure, even performed under ideal conditions and in the best possible way, can entail complications. Permanent facial nerve failure can occur but is extremely rare. Phlegmon or abscess formation in the neck area is rare. All of these risks must be weighed against complications that may arise if surgical treatment is not initiated. The purpose of this information is to provide you with generally applicable information about this type of surgery. It is of course possible that in your individual case certain aspects of this document do not apply or need to be discussed more or additionally with your surgeon. Do not forget to tell your surgeon all information about your general state of health, as well as all medications that you regularly take - especially aspirin and related products, or other medications that can affect clotting. General anesthesia (narcosis) should be discussed in advance with the physician-anesthetist

Praktische info over uw opname voor een NKO-ingreep: wat meenemen, verloop van uw ziekenhuisverblijf en nazorg. Van Haesendonck NKO in Lier. 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.

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

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

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

Dr. Cathérine Jorissen is KNO-arts in Lier voor neus-, keel- en oorklachten, met bijzondere aandacht voor sinuschirurgie. Maak online een afspraak. 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

Minder snurken dankzij somnoplastie: hoe de ingreep verloopt, wat u kan verwachten en het herstel nadien. Van Haesendonck NKO in Lier. Home Make an appointment Nieuwe pagina About us Useful Documents FAQ Zoekresultaten More Information on 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.