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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

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

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

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

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

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

Meer informatie betreffende post-operatieve verloop na tonsillectomie. Home Make an appointment Nieuwe pagina About us Useful Documents FAQ Zoekresultaten More Guidelines after tonsil removal The tonsils are large lumps at the back of the throat. If all is well, the almonds are useful. They then act as a sort of filter for the incoming microbes. Sometimes the tonsils are not able to sufficiently destroy the germs. The germs then accumulate in the tonsils, causing them to become inflamed. The tonsils then become thick and painful. This may be accompanied by a fever and feeling sick. Surgery may then be necessary. Surgery is also necessary if the tonsils are too large and cause breathing difficulties. Home Day of surgery: drink cold water (with ice). eat yogurt, pudding, sorbet or ice cream First day after surgery: thick cold liquid food. (ice cream, porridge, yogurt, lukewarm puree and plenty to drink) Second day after surgery: soft white bread without crusts, lukewarm pureed food. Then gradually eat and drink normally. If your child vomits brown, old blood once, this is not serious. If, on the other hand, he/she vomits clear, red blood, or if he/she continues to vomit, you should contact the pediatric ward or the attending physician. After the procedure, it is best for your child to stay at home for five days to a week. The first week NONE : too hot food citrus fruits or banana sparkling drinks sharp nutrients (chips, fries, ...) If you have any questions, you can always contact the pediatric ward or your doctor.

Dr. Jan Van Haesendonck. Diagnostiek en behandeling van neusverstopping, neusbloeding, neusloop, reuk- en smaakverlies. functionele neuscorrecties / septoplastie. Endoscopische heelkunde van de sinussen (FESS). Amandelen en poliepen. Stem- en slikstoornissen. Heelkunde van de hals. Aandoeningen van de speekselklier. Slaapstoornissen en snurken. Gehoorverlies, Duizeligheid en evenwichtsstoornissen. Correctie van afstaande oren. Advies ivm hoorapparaten. otitis, otosclerose, cholesteatoma dr. Jan Van Haesendonck Make an appointment Graduated as a doctor from the University of Antwerp. Afterwards specialization in ear-, nose- and throat (ENT) diseases at the Antwerp University Hospital (UZA). Diagnosis and treatment of: Nasal congestion, nosebleed, runny nose, loss of smell and taste Functional Rhinoplasty / Septoplasty Endoscopic Sinus Surgery (FESS) Tonsils and polyps Voice and swallowing disorders Neck surgery Salivary Gland Disorders Sleep disorders and snoring Hearing loss Dizziness and balance disorders Correction of protruding ears Hearing aid advice Chronic otitis, otosclerosis, cholesteatoma BAHA / PONTO surgery Also working in AZ Sint Maarten.

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.