ENT treatments

Adenotomy - removal of the pharyngeal tonsil (third tonsil)

The procedure involves the removal of hypertrophied adenoid tissue from the nasopharynx via a transoral approach. For the safety of the patient, the procedure is performed under general anaesthesia, which also ensures the precision of the procedure. Qualification is based on endoscopic examination of the nasopharynx and assessment of the degree of obstruction. The procedure is mostly performed in children, with the occasional need to remove a persistent tonsillectomy in adult patients. After the procedure, it is necessary to abstain from physical exertion for up to three weeks. A non-irritating diet is recommended for a period of several days. The adenotomy procedure involves the removal of the hypertrophied tissue of the pharyngeal tonsil and is not a complete procedure, so occasionally the lymphatic tissue in the nasopharynx may regrow, especially as a result of frequent upper respiratory infections.

Tonsillotomy/tonsillectomy - clipping or excision of the palatine tonsils.

During the procedure, the hypertrophied tissue of the palatine tonsils is reduced (tonsillotomy) or the tonsils are removed entirely externally (tonsillectomy). The procedure is performed under general anaesthesia. In adults, in case of contraindications to general anaesthesia, the procedure can be performed under local anaesthesia. In younger children (4-5 years old), where the problem is mainly the size of the palatine tonsils, a tonsillotomy procedure is performed. In older children and adults, when the indication for the procedure is frequent tonsillitis, abscesses or periglottal infiltration, tonsillectomy is performed. The procedure is carried out using the classic method. After the procedure, it is necessary to refrain from physical exertion, lifting, avoiding hot baths for three weeks and avoiding hot, acidic or spicy food.

Adenotonsillotomy / adenotonsillectomy - removal of the pharyngeal tonsil and trimming or excision of the palatine tonsils. Hypertrophy of the lateral tonsils very often coexists with hypertrophy of the pharyngeal tonsil.

During the procedure, the hypertrophied tissue of the pharyngeal tonsil is removed and the palatine tonsils are trimmed or excised under general anaesthesia.

Septoplasty - corrective surgery for a crooked nasal septum.

The aim of the procedure is to improve nasal patency by removing crooked cartilaginous fragments of the nasal septum. The procedure is performed under general anaesthesia, less commonly under local anaesthesia. It uses an intranasal technique, i.e. the incision is made at the border between the skin and the mucosa in the nasal cavity, and the scar is not visible afterwards. At the end of the procedure, sutures are placed over the incision made and separators are placed over the nasal septum. After the procedure, dressings are placed in the nasal passages, which make nasal breathing much more difficult. The dressings are removed 2 days after the procedure. The recovery period lasts about three weeks, during which time you should refrain from physical exertion, lifting or hot baths, and avoid eating hot food.

Conchoplasty - plasty of the inferior nasal auricles.

It is a simple, minimally invasive ENT procedure that involves reducing the volume of the mucous membrane of the nasal auricles, primarily the lower ones. The procedure is mainly performed under local anaesthesia, rarely under general anaesthesia. The method used is submucosal thermoablation. This procedure is performed, among other things, in chronic inflammatory conditions, both allergic and infectious, the consequence of which is the hypertrophy of the nasal auricles. The lasting effects of the procedure can be felt after only two weeks, while the patient should avoid exhaustion, hot baths and working in dusty and cold environments.

Septoplasty with conchoplasty - corrective surgery of the nasal septum with plasty of the inferior nasal auricles.

Indicated when nasal patency impairment is caused by both nasal septal curvature and inferior nasal auricle hypertrophy.