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Meer informatie omtrent het wegnemen van een submandibulaire speekselklier. Home Make an appointment Nieuwe pagina About us Useful Documents FAQ Zoekresultaten More Information on removing the submandibular salivary gland (glandula submandibularis) Introduction The purpose of this information is to inform you about the progress of this procedure. We ask that you read this document carefully. Your surgeon is at your disposal to answer any further questions you may have. Of course, it may be the case that certain aspects of this document are not applicable in your individual case or that more or more additions should be discussed with your surgeon. Remember to report to your surgeon all information regarding your general health, as well as any medications you regularly take (especially aspirin and related products or other medications that may affect clotting). Do not forget to report if you have experienced any allergic reactions, especially reactions to medication. Bring any recent medical records in your possession, such as blood results, radiologic and other preoperative exams. There are 2 submaxillary glands, which together with the 2 parotid and sublingual glands form the six major salivary glands. Together with numerous smaller salivary glands, they ensure saliva production. Because of recurrent inflammation, whether or not due to salivary gland stones or a tumor in one of the submaxillary glands, it can be decided to remove the affected salivary gland. Purpose of the procedure Stones can be found in the gland or duct leading to the mouth that obstruct the flow of saliva. When these stones remain, chronic inflammation can develop. Also without salivary stones, the submaxillary gland can become chronically inflamed. If removal of the stone by mouth has no effect or is not possible or if the pain and inflammations take on serious forms, a decision can be made to treat the affected person. submandibular gland removal. A tumor of the lower jaw salivary gland is best removed, it can be seen as a malignant tumor. The technical aspects of the operation The submaxillary gland is removed under general anesthesia through a skin incision under the jawline. In this part runs a branch of the facial nerve, the tongue and the taste nerve. Every effort is made to conserve these structures. The operation ends with the placement of a wound drain and the suture of the wound. The duration of the procedure is one hour, the duration of admission is 2 to 3 days. The immediate consequences The pain after the operation is usually rather minor, swelling can occur which after a few weeks has disappeared. A significant swelling indicates inflammation or bruising. There may be bleeding from the wound. This usually happens shortly after the operation. Sometimes it is necessary to find the source of bleeding again under anesthesia and to burn the bleeding vessel shut. The wound drain usually has to be left in place for 24 hours and is then removed, which is sensitive. The incision under the jaw causes a numbness of the surgical site. This only decreases after a few months. Nerve damage can result from removal of the submaxillary gland. After the operation there may be a weakness in the mobility of the corner of the mouth. This usually improves after a few weeks. Rarely, this is permanent. The chance of damage to the nerves of the tongue is rather small. The belated consequences Nerve damage may be permanent with weakness in the movement of the corner of the mouth, or sensation, taste and movement of the tongue. Serious and/or exceptional complications Any surgical procedure, even performed under ideal conditions and in the best possible way, can entail complications. A permanent loss of the mandibular branch of the facial nerve can occur but is extremely rare. Phlegmon or abscess formation in the neck area is rare. All of these risks must be weighed against complications that may arise if surgical treatment is not initiated. The technical aspects of the operation The submandibular salivary gland is removed under general anesthesia, via a skin incision under the edge of the jaw. A branch of the facial nerve, the tongue nerve and the taste nerve runs through this section. Every effort is made to preserve these structures. The operation ends with the placement of a wound drain and the suturing of the wound. The duration of the procedure is approximately one hour. After the operation Recovery: After the operation you will usually stay in the hospital for one night. Wound care: The wound is sutured and a drain is usually placed to drain wound fluid. Eating and drinking: You may eat and drink normally again after the operation. As with any surgery, there are risks associated with submandibular gland resection, such as: Post-operative bleeding Infection Nerve damage: In rare cases, damage may occur to the facial nerve (causing temporary weakness of the corner of the mouth), the lingual nerve (causing numbness in part of the tongue), or the taste nerve. Dry mouth: Sometimes the mouth may feel a little drier after surgery, but this is usually temporary. Swelling: Swelling may occur in the surgical area. The purpose of this information is to provide you with generally applicable information about this type of surgery. It is of course possible that in your individual case certain aspects of this document do not apply or need to be discussed more or additionally with your surgeon. Do not forget to tell your surgeon all information about your general state of health, as well as all medications that you regularly take - especially aspirin and related products, or other medications that can affect clotting. General anesthesia (narcosis) should be discussed in advance with the physician-anesthetist

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.