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

Van Haesendonck NKO Lier. Arts-specialist in neus-, keel- en oor ziekten. Maak een afspraak online. 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

Algemene voorwaarden verbonden aan inplannen van afspraak. Make an appointment online - Your appointment is only booked and valid if you immediately receive a confirmation email . - Cancellation : please cancel at least 48 hours in advance by mail or telephone . Online afspraak maken: HTML Embed

Zoek en boek snel een afspraak wanneer het jou past. Make an appointment online - Your appointment is only booked and valid if you immediately receive a confirmation email . - Cancellation : please cancel at least 48 hours in advance by mail or telephone . Schedule an appointment Online afspraak maken: HTML Embed

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

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

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

Veelgestelde vragen omtrent consultaties in de praktijk in Lier - FAQ Frequently Asked Questions How do I make an appointment? You can book your appointment online via this link . It is possible to book an appointment by telephone. No appointment- or patient-related questions will be answered by email. Can I pay using Bancontact? Yes, payments are preferably made with bancontact / Payconiq . Will my health insurance cover the costs of my consultation? The rate of a consultation is always following the conventioned rate. Apart from the patient contribution, all costs are therefore covered by your Belgian health insurance. Is a referral by a GP necessary? An initial assessment by the GP is useful and is recommended but not necessary . Accessible by public transport? Yes, bus line 90 (Lier-Mortsel-Berchem Station) has a stop right in front of the door. Stop Lier Zevenbergen. Can I park my car? Yes, you can park your car in the driveway of the clinic. Bicycle parking spaces are also provided. What am I taking with me? Identity card or Kids-ID and possibly codes of performed scans.

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

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

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

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.