DIAGNOSIS & TREATMENT OF EAR AND HEARING DISORDERS

Condition

Procedure

Duration

Location

Local / General Anaesthesia

Degree of Discomfort/ Pain

Outer Ear InfectionMicroscope Ear Suction1 to 10 minsClinicNoneNone
to mild
Middle Ear Fluid – Adults (Otitis Media)Myringotomy/ +/- tube insertion5 minsClinicLocalMinimal to Moderate (only when giving LA)
Middle Ear Fluid – ChildrenMyringotomy/ +/- tube insertion5 mins*Day SurgeryGeneralNot Applicable
Pinna Cysts/ KeloidsExcision15 to 20 minsClinicLocalMinimal
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

*– Depending on patients’ physical condition