Diagnosis and Treatment of ENT Conditions

 

Diagnosis & Treatment 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
ClinicNoneNone
to mild
Middle
Ear Fluid – Adults (Otitis Media)
Myringotomy/
+/- tube insertion
5 minsClinicLocalMinimal to Moderate
(only when giving LA)
Middle Ear
Fluid – Children
Myringotomy/
+/- tube insertion
5 mins*Day SurgeryGeneralNot Applicable
Pinna Cysts/ KeloidsExcision15 to 20
mins
ClinicLocalMinimal
Chronic Eardrum PerforationsMyringoplasty (Eardrum Patching)45 to 60 mins*Day SurgeryGeneralNone to Minimal
CholesteatomaMastoidectomy180 to 210 mins*Day SurgeryGeneralMild to Moderate
OtosclerosisStapedotomy45 to 60 mins*Day SurgeryGeneralNone to Minimal
Congenital DeafnessCochlear Implant Surgery150 to 180 minsHospital (1 night stay)GeneralMinimal
Conductive Hearing LossBone Anchored Hearing Aid (BAHA)45 to 60 mins*Day SurgeryLocal or GeneralMinimal
Meniere’s DiseaseInstallation of¬†vestibulotoxic medication15 minsClinicLocalMinimal (only
when giving LA)
Benign Paroxysmal Positional Vertigo (BPPV)Particle Repositioning Maneuver3 minsClinicNoneNone

* – Depending on patients’ physical condition

Diagnosis & Treatment of Nasal Conditions

Condition

Procedure

Duration

Location

Local / General
Anaesthesia

Degree of Discomfort/ Pain

Nasal AllergySkin Prick Test15 minsClinicNoneNone
Nasal DischargeSuction Nasal Toilet1 to 5 minsClinicNoneNone
Epistaxis (Bleeding)Silver Nitrate Cautery1 minsClinicLocalNone to Mild
Nasal Obstruction – Adults & Children (>8 yrs)Radio Frequency
Turbinate Reduction
5 to 10
mins
ClinicLocalMild
Nasal Obstruction – Children (<7yrs)Radio Frequency
Turbinate Reduction
5 to 10 mins*Day SurgeryGeneralNot Applicable
Nasal ObstructionSeptoplasty/ +/- Turbinectomy30 to 40 mins*Day SurgeryGeneralMinimal
Sinusitis – AdultsSinus Washout10 to 15 minsClinic/ Day Surgery for ChildrenLocal/ General for childrenNone to Minimal
Nose CancerPostnasal Space Biopsy5 to 10 minsClinicLocalNone
Chronic Sinusitis/ Nasal PolypsFunctional Endoscopic Sinus Surgery120 to 180 mins (depending on severity)*Day SurgeryGeneralMinimal
  • – Depending on patients’ physical condition

Diagnosis & Treatment of Snoring and Obstructive Sleep Apnea (OSA)

Condition

Procedure

Duration

Location

Local / General
Anaesthesia

Degree of Discomfort/ Pain

SnoringRadiofrequency Soft Palate10 to 15 minsClinicLocalMinimal
Snoring/
OSA
Coblation
Assisted Upper-airway Procedure (CAUP)
 20
mins
Clinic/
Day Surgery
Local/ GeneralModerate
SnoringLaser Palatoplasty20 to 30 mins*Day SurgeryGeneralModerate to Significant
Snoring/ OSAUvulopalatopharyngoplasty30 to 40 mins*Day SurgeryGeneralSignificant
Snoring – ChildrenTonsillectomy +/- Adenoidectomy30 to 40 mins*Day SurgeryGeneralModerate
to Significant
  • – Depending on patients’ physical condition

Diagnosis & Treatment of Head & Neck Lumps

Condition

Procedure

Duration

Location

LOCAL / General Anaesthesia

DEGREE OF DISCOMFORT / PAIN

Neck LumpFine Needle Aspiration Cytology (FNAC)1 minClinicNoneNone to Mild
Neck Lump/(s)Excision Biopsy20 to 30 minsClinicLocalNone to Minimal
Thyroid NoduleHemithyroidectomy90 to 120 mins*Day SurgeryGeneralMinimal to Moderate
Salivary Gland Mass (Parotid/ Submandibular)Excision45 mins to 3 hrs (depending on site)*Day SurgeryGeneralMinimal to Moderate

* – Depending on patients’ physical condition

Diagnosis & Treatment of Other ENT Conditions

Condition

Procedure

Duration

Location

Local / General Anaesthesia

Degree of Discomfort/ Pain

Recurrent TonsillitisTonsillectomy30 minsDay SurgeryGeneralModerate to Significant
Vocal Cord nodulesMicrolaryngeal Excision10 minsDay SurgeryGeneralNone to minimal
Foreign Body ThroatRemoval1 to 2 minsClinicLocalNone
Foreign Body EsophagusRemoval5 to 10 minsDay SurgeryGeneralMinimal
Foreign Body NoseRemoval1 to 2 minsClinicLocalNone
Foreign Body
Ear
Removal1 to 2 minsClinicNoneNone
Dr Gerard Chee

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

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