An otolaryngologist at his best: a path from routine operations to pituitary surgery
What problems do they most often come to you with?
Ear diseases form a significant part of my practice. Here, we distinguish three large groups: the first is middle ear diseases - these can be chronic suppuration, eardrum replacements, or non-inflammatory diseases that also belong to the middle ear area, e.g. chain fixations of the auditory ossicles, or injuries or absences of the auditory ossicles.
The second large group is modern implantology. Nowadays, there are middle ear implants, inner ear implants, and bone conduction implants. Deciding which one is recommended for whom requires a lot of experience, so it is almost a separate field of expertise.
The third major area that I deal with is pituitary surgery, which is the border between neurosurgery and otolaryngology. Until now, this was considered an extremely neglected area, but today we can show significant successes.
The most common types of surgery that I perform are surgeries for chronic suppuration of the middle ear, as well as for stiffening of the chain of the auditory bone, as well as the insertion of hearing implants.
Do you only deal with ear ailments?
Despite the fact that nowadays most professionals tend to specialize in only one area, this is not really typical of me. Salivary gland surgery and thyroid surgery became one of my favorite specialties during my years in Liverpool, and I also deal a lot with operations on malignant tumors of the head and neck. In addition, I also perform many routine operations, such as tonsillectomy, nasal polyp surgery, minor lesions on the head, larynx, pharynx, and benign lesions in the throat, larynx, and root of the tongue.
What is the most common problem that we tend to neglect, even though we should have consulted an otolaryngologist?
One very important such problem is snoring, behind which very serious sleep disorders can be hidden, and if the background of snoring is a so-called sleep disorder, damage to circulation can very often occur. Many people neglect this. The snoring that occurs among obese patients should also be dealt with more seriously. Patients also tend to take throat and pharyngeal complaints lightly, even though they shouldn't: behind the complaints, there can rarely, but be, a malignant disease.
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