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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

Informatie betreffende operatie van een thyreoglossus cyste, ook wel Sistrunk procedure genaamd. 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. Waarom een resectie? Een operatie om de cyste te verwijderen is nodig als: De cyste ontstoken raakt. De cyste groeit en klachten veroorzaakt, zoals slikproblemen of ademhalingsproblemen. De cyste cosmetisch storend is. Doel van de ingreep Het doel van de operatie is om de cyste volledig te verwijderen en te voorkomen dat deze terugkomt. De technische aspecten van de operatie Verdoving: De operatie vindt plaats onder algehele narcose. Procedure: De chirurg maakt een kleine incisie in de huid van de hals, meestal in een huidplooi om het litteken zo min mogelijk zichtbaar te maken. De cyste wordt voorzichtig losgemaakt van de omliggende weefsels. Om te voorkomen dat de cyste terugkomt, wordt ook een deel van het tongbeen verwijderd, evenals het weefsel tussen de cyste en de basis van de tong. Deze procedure wordt de Sistrunk-procedure genoemd. Duur: De operatie duurt gemiddeld 1 tot 2 uur. Mogelijke complicaties Zoals bij elke operatie zijn er ook bij een resectie van een thyreoglossus cyste risico's, zoals: Nabloeding Infectie Heesheid (tijdelijk of, in zeldzame gevallen, blijvend) door beschadiging van de stembandzenuw Terugkeer van de cyste: In zeldzame gevallen kan de cyste terugkomen, vooral als de Sistrunk-procedure niet volledig is uitgevoerd. 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.

Informatie betreffende operaties aan de bijschildklieren, ook wel parathyroidectomie 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 aim of the surgery is to remove the overactive parathyroid gland(s) and thus normalize the calcium level in the blood. 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 just above the breastbone. Through this incision, the parathyroid glands are located and the overactive gland(s) are removed. Sometimes it is necessary to remove all four parathyroid glands. In that case, a small piece of a parathyroid gland is replaced. Duration: The operation takes on average 1 to 2 hours. After the operation Recovery: After the operation you will usually stay in the hospital for one night. Wound care: The wound is sutured and sometimes a drain is placed to drain wound fluid. Check-ups: Your calcium levels will be checked regularly after the operation. 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 omtrent een somnoplastie - ingrepen aan het gehemelte omwille van snurken. Home Make an appointment Nieuwe pagina About us Useful Documents FAQ Zoekresultaten More Information on somnoplasty Introduction The purpose of this information is to provide you with generally applicable information about this type of operation. Of course, certain aspects of this document are not applicable in your individual case or should be discussed more or additionally with your surgeon. Don't forget to report to your surgeon all information regarding your general health, as well as any medications you regularly take (especially aspirin and related products, or other medications that may affect clotting). Indication In milder forms of snoring, a somnoplasty may be indicated. This involves removing a piece of the soft palate and a piece of the uvula. In addition, the palate is punctured with a needle at several places, using radiofrequency energy, with the aim of tightening the palate. The indication is usually made after performing a sleep endoscopy. Sometimes the sleep endoscopy and the somnoplasty are performed in combination. This was then agreed in advance with the surgeon. Purpose of the procedure The procedure shortens the soft palate and causes scarring. This tightens the palate; the palate will be able to vibrate less and so there will be less snoring sound. Sometimes there can be an increase in snoring over time. Then the procedure in which a needle is punctured into the palate to achieve tightening, can be repeated. Technical aspect of the procedure The procedure in which the soft palate is shortened is performed under general anesthesia and in a day clinic. Repeating the procedure involving punctures in the palate can be done under local anaesthesia. Immediate consequences of the procedure After the procedure, the throat will be sensitive for more than a week. To do this, your doctor will prescribe pain relievers and a topical throat rinse. You should also take into account soft food for one week. In the first weeks there is often an increase in the snoring sound. There may be some temporary reflux through the nose when drinking. You can expect improvement after four to six weeks. Sometimes a hole develops in the palate; it usually closes on its own. The belated consequences Over time, there may be an increase in snoring again. A repeat of the lancing in the palate may then be necessary. Very exceptionally, there can be a permanent hole in the palate. Usually this does not require treatment. If necessary, this can be closed surgically afterwards. Serious and/or exceptional complications Any surgical procedure, even performed under ideal conditions and in the best possible way, can entail complications. All these risks must be weighed up against the benefits that can normally be expected from an intervention, and it must not be forgotten that “not intervening” can sometimes also have serious consequences.

Meer informatie betreffende adenotonsillectomie bij kinderen, het wegnemen van neuspoliepen en amandelen bij kinderen. 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. Waarom? Bij kinderen worden de amandelen en/of neusamandelen soms verwijderd als ze problemen veroorzaken, zoals: Herhaalde keelontstekingen: Als uw kind vaak last heeft van keelontstekingen (tonsillitis), kan het verwijderen van de amandelen helpen. Ademhalingsproblemen: Vergrote amandelen en/of neusamandelen kunnen de ademhaling belemmeren, vooral tijdens de slaap. Dit kan leiden tot snurken, slaapapneu (adempauzes tijdens de slaap) en mondademhaling. Slikproblemen: Vergrote amandelen kunnen het slikken bemoeilijken. Oorontstekingen: Vergrote neusamandelen kunnen de buis van Eustachius blokkeren, wat kan leiden tot oorontstekingen en vochtophoping in het middenoor. De technische aspecten van de operatie Voorbereiding: Uw kind moet nuchter zijn voor de operatie. De arts zal u vertellen hoelang van tevoren uw kind niet meer mag eten en drinken. Verdoving: De operatie vindt plaats onder algehele narcose. Procedure: De chirurg verwijdert de amandelen en/of neusamandelen via de mond. Duur: De operatie duurt meestal 30 tot 60 minuten. Na de operatie Herstel: Uw kind kan de avond na de operatie naar huis Pijn: Uw kind kan na de operatie keelpijn hebben. De arts zal pijnstillers voorschrijven. Eten en drinken: Uw kind mag na de operatie zachte en bij voorkeur koude voeding eten en drinken. Mogelijke complicaties Complicaties bij een adenotomie/tonsillectomie zijn zeldzaam, maar kunnen wel voorkomen: Nabloeding Infectie Uitdroging: Door de keelpijn kan uw kind minder drinken. Let op tekenen van uitdroging, zoals minder plassen en een droge mond. Deze informatie heeft tot doel u algemeen geldende inlichtingen over dit soort operaties te verschaffen. Uiteraard is het mogelijk dat in uw individueel geval bepaalde aspecten van dit document niet van toepassing zijn of juist meer of bijkomend moeten besproken worden met uw chirurg. Vergeet niet om aan uw chirurg alle informatie betreffende uw algemene gezondheidstoestand te melden, alsook alle medicamenten die u regelmatig neemt -vooral Aspirine en aanverwante producten, of andere medicatie die de stolling kan beïnvloeden . De algemene verdoving (narcose) wordt best vooraf met de geneesheer-anesthesist besproken

Meer informatie over directe laryngoscopie en ingrepen aan de stembanden of strottnehoofd. 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

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

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

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

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.