Endoscopic surgery of the ENT organs is a branch of clinical medicine that deals with the operative treatment of pathologies of the ear, throat and nose with the help of a special endoscopic equipment that allows the surgeon to see everything from the inside of the surgical instrument – and through natural and, if necessary, additional openings to perform a gentle operation.
Treatment of diseases of the nose, throat and ear with the use of an endoscope. This technique allows surgeons to perform operations through a minimal invasive approach, which reduces the risks of complications and shortens the duration of recovery after surgery.
In endoscopic ENT surgery, a surgeon inserts an endoscope — a long, thin tube with a built-in video camera and instruments — into the nose, throat, or ear to perform surgery. The image from the video camera is displayed on the screen, which allows the surgeon to see all the details of the procedure.
Endoscopic surgery of the ENT organs allows operations to be performed for the treatment of various diseases, such as polyps in the nose, narrowing of the respiratory tract, pathologies of the esophagus and throat, as well as chronic sinusitis and ear pathologies. This technique has several advantages, including less risk of blood loss and infection, less pain, faster recovery time, and more precise and efficient work.
neoplasm of the oropharynx (more specifically – place on the border of oral cavity and pharynx)
neoplasm of the soft palate (the back part of the palate, which hangs over the base of the tongue and separates the oral cavity from the pharynx)
atheroma behind the ear, on earlobe (swollen sebaceous gland)
choanal polyp (neoplasm in the area of the internal nasal openings)
cyst of the larynx (neoplasm in a form of capsule filled with mucus, dead cells)
preauricular fistula (a canal (hole) located in front of auricle, a congenital defect)
fistula of nasal dorsum (a canal located on the bridge of the nose, a congenital defect)
pustular diseases of the nose (furuncle, carbuncle, sycosis, folliculitis)
pustular diseases of the external auditory canal (furuncle);
hematoma of the nasal septum or auricle (accumulation of blood between tissue layers)
exostosis (non-neoplastic bone or bone-cartilaginous growth on the bone surface), osteoma (tumor from bone tissue)
osteoma (tumor of bone tissue)
If necessary, the doctors consult people not only in Ukraine, but also in any country in the world, both in the clinic itself in Kyiv and online by prior appointment.
Years of experience
A modern clinic in the center
Unique surgical techniques
Branch of surgery
Units of the latest equipment
Charitable surgical assistance
It is worth contacting specialists about diseases of the ENT organs as early as possible.
The consultation includes:
bulging in case of scleroma of the upper respiratory tract (expansion of the lumen of the respiratory tract with the help of a special tool in patients with scleroma – dense formations in the walls of the respiratory tract that interfere with breathing)
vasotomy of the lower nasal conchas by hardware-intensive method (the operation, thanks to which the vessels between the mucous membrane and the periosteum are dissected, the thickness of the lower nasal conchas decreases – and breathing becomes easier, is carried out with the help of special hardware equipment)
vasotomy of the lower nasal concha by a surgical method (the operation, thanks to which the vessels between the mucous membrane and the periosteum are dissected, the thickness of the lower nasal conchas decreases – and breathing becomes easier, is carried out by a classic surgical method)
removal (extirpation) of the auricle (complete removal)
removal of benign neoplasms of the pharynx and soft palate of 2nd complexity category
removal of benign neoplasms of the pharynx and soft palate of 3rd complexity category
removal of behind-the-ear atheroma in the acute stage (exacerbated formation in the skin due to blockage of the duct of the sebaceous gland, filled with a pasty substance or own secretions, which is located in the behind-the-ear area)
removal of atheroma of the earlobe in the acute stage (aggravated formation in the skin due to blockage of the duct of the sebaceous gland, filled with a pasty substance or own secretions, which is located in the area of the earlobe)
removal of atheroma behind the ear, atheroma of the earlobe, outside the exacerbation stage (a non-aggravated formation in the skin due to blockage of the sebaceous gland duct, filled with a pasty substance or own secretions, which is located in the area of the earlobe or in the area behind the ear)
removal of a choanal polyp (neoplasm located in the area of the internal nostrils)
removal of a choanal polyp with a maxillary sinusectomy (removal of a neoplasm located in the area of the internal internal openings of the nose, with simultaneous surgery on the maxillary sinus)
removal of a larynx cyst (rounded cavity with thin walls, filled with liquid or semi-liquid contents)
excision of a preauricular fistula (a canal (hole, fistula) located in front of the auricle – a congenital defect)
excision of a fistula of the dorsum of the nose (a chanal (bare, fistula) located on the dorsum of the nose, a tsongenital defect)
maxillary sinusectomy according to Caldwell-Luс (operation during which an instrument is introduced into the maxillary sinus from the oral cavity below the upper lip)
bilateral tonsillectomy by the classic method (removal of both tonsils by the classic surgical method)
bilateral tonsillectomy by hardware-intensive method (removal of both tonsils using special hardware equipment)
bilateral tonsillotomy by hardware-intensive method (partial removal of both tonsils, using special hardware equipment)
bilateral tonsillotomy by the classical method (partial removal of both tonsils by the classical surgical method)
bilateral submucosal vasotomy of the middle nasal conchas (operation, due to which the vessels between the mucous membrane and the periosteum are cut, the thickness of the middle nasal conchas decreases – and breathing becomes easier)
excisional biopsy of ENT organs (with complete removal of the pathological focus and its study)
endoscopic endonasal ethmoidotomy using the classical method (similar to the previous variant, but the operation is performed classically)
endoscopic endonasal microparasitotomy (a gentle operation on the maxillary sinus, which is performed through the nose, using special video endoscopic equipment)
endoscopic endonasal microparastomy with removal of a foreign body (a gentle operation on the maxillary sinus, performed through the nose, using special video endoscopic equipment, removing a foreign body)
endoscopic endonasal polypoethmoidotomy using the shaver method (removal of tissue growths (polyps) from the sinus of the ethmoid bone with endoscopic access through the nose using the method of surface cutting, for which a special microtome tool is used, a microdebrider that has a cutter, a small tip that rotates
endoscopic resection of middle turbinates for their bullous changes
endoscopic microsinusotomy for chronic sinusitis
endoscopic cristotomy (spines, septum ridges)
endoscopic plasty of the uncinate process of ethmoid bone, revision of the frontal sinus (chronic sinusitis, frontitis, sinusitis with polyps)
endoscopic shaver conchotomy for hypertrophy, hyperplasia of the lower and middle nasal concha
endoscopic pansinusotomy for a combination of chronic polypous frontitis, sinusitis, ethmoiditis
endoscopic removal of choanal polyp
endoscopic rhinodacryocystomy with installation of a prosthesis
endoscopic partial resection of the nasal septum
endoscopic removal of purulent Tornwaldt cyst
endoscopic surgery on the sinus
conchotomy of the lower nasal concha
operations for congenital abnormalities of the respiratory organs (choan atresia, etc.)
Denker's operation for angiofibroma of the nasal part of the pharynx
operations for angiofibromas of the nasal part of the pharynx
operations for bone atresia of the external auditory canal and traumatic atresia of the external auditory canal with hearing impairment
lateral pharyngotomy (the so-called Trotter's procedure)
palatopharyngoplasty in case of snoring, sleep apnea
polypotomy of nose by the classic method
polypotomy of nose by the shaver method
revision of purulent wound of ENT organs
reconstructive surgery for congenital and acquired defects of the nasopharynx using the autoplasty method of own fascia and stem cells isolated from adipose tissue
correction of the bones of the nose after a fracture
dissection of a nose abscess
dissection of the furuncle of nose
dissection and drainage of a hematoma of the nasal septum or auricle
septoplasty with partial or total vasotomy
in the case of taking any drugs, inform the doctor about it and agree with him (it may be necessary to limit them or change the dose, regimen)
for a few days before the operation, follow a gentle diet, water-drinking regime; if there is constipation, take laxatives, use enemas and do not drink alcoholic beverages – so that the body reacts more adequately and predictably to anesthesia and other drugs
refrain from eating for 6–12 hours before the operation, and for 2–4 hours also do not drink, do not use chewing gum, do not smoke – to prevent stomach contents from entering the respiratory organs during anesthesia
on the day of the operation, take a shower, cleanse the intestines with an enema – so that during anesthesia, due to the relaxation of the sphincters, feces do not come out involuntarily
immediately before the operation :
removable objects (piercing jewelry, prostheses) should be removed from the oral cavity and face – so that during the operation they do not accidentally enter the respiratory organs or interfere with the surgical intervention; remove other items (contact lenses, hearing aids, jewelry, etc.) – so that they do not accidentally injure the body and do not get spoiled; cosmetic products (makeup, nail polish, artificial nails) should be removed from the body – to facilitate visual assessment of the body's condition and automated registration using medical equipment; empty the bladder and, if necessary, the intestine – so that this does not happen involuntarily during anesthesia; changing into special clothes, which are given in the clinic
addition, other preparatory measures may be carried out taking into account the individual characteristics of the organism and the specifics of the surgical intervention
The main stages:
to the operating room on a gurney or escorted on foot. In the airlock room, a medical cap and shoe covers are put on (to prevent microorganisms from entering the air of the operating room).
are performed by an operational team of a certain composition, taking into account the specifics of each operation.
(depending on the specifics of the operation, the position of the body may differ), fixed to it with special straps.
a vein puncture on the hand, installs a catheter to administer the necessary drugs, installs electrodes on the body to monitor the electrical activity of the heart, puts a tonometer cuff on the shoulder and a sensor to determine the oxygen level in the blood. All this is necessary for continuous monitoring of the body's condition during anesthesia and surgery.
depends on the specific task, the part of the body on which the intervention is carried out, corresponds to the features of the selected surgical tactics, technique, etc.
After surgery, the patient wakes up in the ward for postoperative observation. If necessary, oxygen can be supplied through a thin tube to provide the body with a sufficient amount of oxygen. The nurse will carefully monitor the condition of the body and, if necessary, apply drugs agreed with the doctor.
Before patient’s return home, the doctor will examine the areas where the intervention was performed, agree on the tactics of further rehabilitation, give additional advice.
The only clinic in Ukraine (to date), and one of the few clinics in Eastern Europe, which performs the entire sector of ENT surgical operations using the most modern equipment of the endoscopic company LEMKE (Germany).
We perform surgical intervention in the shortest time (compared to competitors), which leads to the least trauma, and as a result – quick rehabilitation.
We perform all surgical interventions in strict accordance with the protocols and standards of the European Rhinosurgery Association.
Ukrainian producer, author and songwriter, director, screenwriter, composer, TV presenter, water polo master, coach of the vocal show "Voice of the Country", and founder of the Mozgi ENT production center. Honored Artist of Ukraine
Journalist, radio presenter, TV presenter. Host of the talk show "Ukraine Speaks" on the "UKRAINE" TV channel.
Journalist, presenter of the programs "Applies to everyone", "Coolest of all" on the "INTER" TV channel.
A pediatrician and anesthesiologist, he works at the Shriners Hospitals for Children Boston clinic, which belongs to Harvard University. Is a leader in the field of children's medicine.
ENT-endosurgery (or surgical endoscopic otorhinolaryngology) allows to surgically treat the same or even a greater range of diseases as classical surgery of the ENT organs, and to do it gently, with minimal tissue damage, a lower probability of many complications, etc.
Symptoms from the ENT organs due to their surgical pathology are diverse and depend on the characteristics of a particular disease. To generalize, they are manifested by discomfort or pain in the corresponding organ, a violation of the main function, a change in structure and shape, etc.
The guarantee for surgical treatment of ENT organs concerns proper performance of services, high-tech diagnostics, treatment, high qualification of specialists, implants and other medical consumables and equipment. Regarding the treatment of ENT organs, there is a guarantee in terms of financial and legal issues. Regarding medical aspects, the Valikhnovski Surgery Institute clinic strictly follows all aspects of ethics and bioethics. Any additional guarantees can be negotiated individually.
The principles of preparing a patient for an endoscopic operation on a nose are exactly the same as for a classical one: a preliminary examination, agreeing with the doctor on all the nuances of the tactics, observing dietary measures, safety rules, etc.
After surgery on ENT organs, typical complications are: bleeding and thrombosis, dysfunction of the ENT and adjacent organs, infectious and inflammatory processes, etc. With the endoscopic method of surgical intervention on the ENT organs, the probability and severity of complications are fundamentally lower than with the classical method.
There are no absolute contraindications to such a medical intervention as endoscopy of the ENT organs. In general, it should be avoided if the risk of using it exceeds the risk of using alternative approaches.