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 Installation of┬ávestibulotoxic medication 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
Dr Gerard Chee

MBBS (S'pore), FRCS (Edin), FRCS (Glasg) Fellow, Otology / Neurotology (Can)

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