ENT Specialist | Dr Chee with patient

hearing loss | ear

sinusitis | medical operation in progress

allergy | nose

Snoring | Services

Diagnosis and Management of Ear and Hearing Disorders

Condition	Procedure	Duration	Location	Local / General Anaesthesia	Degree of Discomfort/ Pain
Outer Ear Infection	Microscope Ear Suction	1 to 10 mins	Clinic	None	None to mild
Middle Ear Fluid - Adults (Otitis Media)	Myringotomy/ +/- tube insertion	5 mins	Clinic	Local	Minimal (only when giving LA)
Middle Ear Fluid - Children	Myringotomy/ +/- tube insertion	5 mins	Day Surgery	General	Minimal (only when giving LA)
Pinna Cysts/ Keloids	Excision	15 to 20 mins	Clinic	Local	Minimal
Chronic Eardrum Perforations	Myringoplasty (Eardrum Patching)	45 to 60 mins	Day Surgery	General	None to Minimal
Cholesteatoma	Mastoidectomy	120 to 150 mins	Day Surgery	General	Mild to Moderate
Otosclerosis	Stapedotomy	45 to 60 mins	Day Surgery	General	None to Minimal
Congenital Deafness	Cochlear Implant Surgery	150 to 180 mins	Hospital (1 night stay)	General	Minimal
Conductive Hearing Loss	Bone Anchored Hearing Aid (BAHA)	45 to 60 mins	Day Surgery	Local or General	Minimal
Acoustic Neuroma	Excision	6 to 8 hours	Hospital (5 to 7 days)	General	Moderate
Facial Nerve Injury	Facial nerve decompression	4 to 6 hours	Hospital (1 day stay)	General	Minimal to Moderate
Meniere's Disease	Intratympanic Gentamicin injection	15 mins	Clinic	Local	Minimal (only when giving LA)
Benign Paroxysmal Positional Vertigo (BPPV)	Particle Repositioning Maneuver	3 mins	Clinic	None	None
Intractable Dizziness	Labyrinthectomy	45 to 60 mins	Hospital (2 to 3 days)	General	Moderate (from dizziness after surgery)

Diagnosis and Management of Nasal Conditions

Condition	Procedure	Duration	Location	Local / General Anaesthesia	Degree of Discomfort/ Pain
Nasal Allergy	Skin Prick Test	15 mins	Clinic	None	None
Nasal Discharge	Suction Nasal Toilet	1 to 5 mins	Clinic	None	None
Epistaxis (Bleeding)	Silver Nitrate Cautery	1 mins	Clinic	Local	None
Nasal Obstruction - Adults & Children (>8 yrs)	Radio Frequency Turbinate Reduction	5 to 10 mins	Clinic	Local	None
Nasal Obstruction - Children (<7yrs)	Radio Frequency Turbinate Reduction	5 to 10 mins	Day Surgery	General	None
Nasal Obstruction	Septoplasty/ +/- Turbinectomy	30 to 40 mins	Day Surgery	General	Minimal
Sinusitis - Adults	Sinus Washout	10 to 15 mins	Clinic/ Day Surgery for Children	Local/ General for children	None to Minimal
Nose Cancer	Postnasal Space Biopsy	5 to 10 mins	Clinic	Local	None
Chronic Sinusitis/ Nasal Polyps	Functional Endoscopic Sinus Surgery	120 to 180 mins (depending on severity)	Day Surgery	General	Minimal

Diagnosis and Management of Snoring and Obstructive Sleep Apnea (OSA)

Condition	Procedure	Duration	Location	Local / General Anaesthesia	Degree of Discomfort/ Pain
Snoring	Pillar Procedure	10 to 15 mins	Clinic	Local	Minimal
Snoring	Radiofrequency Soft Palate	10 to 15 mins	Clinic	Local	Minimal
Snoring/ OSA	Coblation Assisted Upper-airway Procedure (CAUP)	20 mins	Clinic/ Day Surgery	Local/ General	Moderate
Snoring	Laser Palatoplasty	20 to 30 mins	Day Surgery	General	Moderate to Significant
Snoring/ OSA	Uvulopalatopharyngoplasty	30 to 40 mins	Day Surgery	General	Significant
Snoring - Children	Tonsillectomy +/- Adenoidectomy	30 to 40 mins	Day Surgery	General	Moderate to Significant

Diagnosis and Management of Head & Neck Lumps

Condition	Procedure	Duration	Location	Local / General Anaesthesia	Degree of Discomfort/ Pain
Neck Lump	Fine Needle Aspiration Cytology (FNAC)	1 min	Clinic	None	None
Neck Lump/(s)	Excision Biopsy	20 to 30 mins	Clinic	Local	None to Minimal
Thyroid Nodule	Hemithyroidectomy	90 to 120 mins	Day Surgery	General	Minimal to Moderate
Salivary Gland Mass (Parotid/ Submandibular)	Excision	45 mins to 3 hrs (depending on site)	Day Surgery	General	Minimal to Moderate

Diagnosis and Management of Other Conditions

Condition	Procedure	Duration	Location	Local / General Anaesthesia	Degree of Discomfort/ Pain
Recurrent Tonsillitis	Tonsillectomy	30 mins	Day Surgery	General	Moderate to Significant
Vocal Cord nodules	Microlaryngeal Excision	10 mins	Day Surgery	General	None to minimal
Foreign Body Throat	Removal	1 to 2 mins	Clinic	Local	None
Foreign Body Esophagus	Removal	5 to 10 mins	Day Surgery	General	Minimal
Foreign Body Nose	Removal	1 to 2 mins	Clinic	Local	None
Foreign Body Ear	Removal	1 to 2 mins	Clinic	None	None

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