ENT surgery is a branch of clinical medicine that uses surgical operations to treat ENT organs (ear, throat, nose).
Oncological surgery of the ENT organs consists in the physical removal of tumors of the corresponding location (if there is oncology of ENT organs).
Treatment of throat, nose and ear cancer. Oncosurgical procedures include the removal of malignant neoplasms, as well as the restoration of throat, nose, and ear functions after the procedures.
Surgical treatment for throat, nose, and ear cancer may include removal of the tumor using endoscopic or microscopic surgery, laser therapy, or resection. After the procedure, the patient may need rehabilitation, such as physical therapy or speech therapy, to fully restore the functions of the throat, nose, and ear.
Oncosurgery of the throat, nose and ear allows doctors to effectively remove malignant tumors and preserve tissue functionality after the procedure. Early detection and treatment of throat, nose and ear cancer is very important for successful treatment and increasing the chances of a full recovery.
neoplasms of the pharynx (area between oral cavity and pharynx)
neoplasm of the soft palate (the back part of the palate is a soft membrane that separates the pharynx from the oral cavity and hangs over the base of the tongue)
choanal polyp (which is located in the area of the internal nostrils)
neoplasm of the ethmoid labyrinth (in the area of the sacral sinus, located at the base of the skull, inside the head)
neoplasms of soft tissues of the parapharyngeal area (around the pharynx, in the projection of the lower part of the head and the upper part of the neck)
neoplasm of the mucous membrane of pharynx
a neoplasm of auricle
benign neoplasm of maxillary sinus
neoplasms of nasal cavity
tumors of larynx
vocal cord neoplasms
neoplasm of the ear
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
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Tumors of the ENT organs can have the following symptoms:
Any of these manifestations lasting several weeks or more should raise suspicion, especially in people who have serious chronic diseases, smoke, abuse alcohol or drugs.
You should contact specialists about tumors of the ENT organs as early as possible.
Procedures included in the consultation:
survey (the doctor will ask about complaints, learn about the history of diseases, life)
external clinical evaluation (all changed areas, local lymph nodes, the state of each organ system will be carefully examined, palpated and otherwise investigated)
laboratory examination (both general clinical tests and special ones, in particular with the study of specific tumor markers - substances that allow assessing the probability of tumor development)
instrumental examination (to determine both the general condition of the body and those parts of it where changes have developed, in particular, X-ray computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography (PET))
endoscopy of the ENT organs with a biopsy of the changed tissues (taking a small piece of the neoplasm in order to find out exactly what it is and how best to treat it)
removal of neoplasms of the pharynx (area between oral cavity and pharynx)
removal of neoplasms of the soft palate (the back part of the palate – the soft membrane that separates the pharynx from the oral cavity and hangs over tongue base)
removal of choanal polyp (which is located in the area of the internal nasal openings), in particular, taking into account the maxillary sinusotomy (involving the internal nasal openings and sinuses of the upper jaw)
removal of a neoplasm of the ethmoid labyrinth (in the area of the paranasal sinus, located at the base of the skull, inside the head)
removal of neoplasms of soft tissues of the parapharyngeal area (around the pharynx, in the projection of the lower part of the head and the upper part of the neck)
removal of neoplasms of the mucous membrane of the pharynx (only in the affected area or with regional lymph nodes)
extirpation of the auricle (removal of the outer ear or its part)
endoscopic removal of a benign neoplasm of the maxillary sinus (removal with the help of special endoscopic (Greek: endon – inside, scopeo – look) equipment, which allows the surgeon to see everything from the inside of the surgical instrument – and through natural and, if necessary, additional holes, to perform a gentle operation in the cavity of the upper jaw)
endoscopic removal of neoplasms of nasal cavity (removal using endoscopic equipment with access through external nasal openings)
removal of neoplasms of ear
removal of sinus neoplasms
removal of benign formations of larynx
biopsy of ENT organs (for taking tissue samples and further diagnostics)
resection of tissues of pharynx (removal of pathologically changed tissues of pharynx)
removal of pharyngeal tumors with replacement of the postoperative defect with a skin-muscle pectoral flap on a vascular pedicle (the hole that remains in the pharynx after tumor removal is replaced with a flap from the pectoral (lat. pectus – breast) muscle with a vascular-nerve bundle, which nourishes)
removal of pharyngeal tumors with replacement of the postoperative defect with a radial flap on microvascular anastomoses (the opening in the pharynx after removal of the tumor is replaced with a free flap from the area of the radial muscle, the vessels of which are sutured with local vessels by means of a microsurgical operation and thus blood supply is restored)
resection of the auricle (truncation of the auricle)
anterior resection of the larynx (partial removal of the larynx in front)
extended laryngectomy (removal of the larynx with some surrounding tissues)
endoscopic removal of a larynx tumor (using endoscopic equipment with access through the mouth)
surgical treatment of oncological diseases of the nose
surgical treatment of oncological diseases of paranasal sinuses
surgical treatment of oncological diseases of the nasopharynx
surgical treatment of oncological diseases of the oropharynx
surgical treatment of oncological diseases of the laryngopharynx
surgical treatment of oncological diseases of the larynx
surgical treatment of oncological diseases of the hearing apparatus
surgical treatment of lymphoma of the upper respiratory tract (a tumor that originates from cells of the so-called lymphoid line, which are part of the blood and immune system of the body)
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:
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).
trauma are performed by an operational team of a certain composition, taking into account the specifics of each operation.
on the operating table (depending on the specifics of the operation, the position of the body may differ), fixed to it with special straps.The anesthetist's nurse performs 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 content 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 Valikhnovsky Institute of Surgery is the only private clinic in Ukraine that provides the specified range of services in the conditions of private medicine.
We use modern methods of cytological and histological research in a contract with the SCD laboratory. Thanks to express diagnostics, we significantly reduce the duration of the surgical intervention, and also ensure the maximum quality of the removal of tumors of the ENT zone.
The intervention is performed by an experienced oncologist surgeon with 30 years of experience.
To restore the lost parts of the ENT organs, we use modern methods of head and neck reconstruction using biopolymers, which we print on 3D printers.
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.
Symptoms of any tumors of the ENT organs, in particular cancer, strongly depend on the location, type and rate of growth, size of the tumor, etc. Mostly these are: cosmetic defect, feeling of a foreign body, discomfort (tingling, etc.), there may also be signs of concomitant inflammatory diseases.
The external causes of tumors of the ENT organs are the action of carcinogenic factors (chemical – smoking, poor ecology, physical – ionizing radiation, mechanical irritation, biological – viruses, bacteria, etc.). The internal reason is compromised heredity (genetics), and both men and women have nuances in the development and course of tumors in general, and ENT organs in particular, due to hormonal features.
To diagnose a cancer of larynx or pharynx, the ENT oncologist conducts an examination, as well as additional examinations, mainly X-ray or magnetic resonance imaging, laboratory tests for tumor markers, etc.
The guarantee for surgical treatment of ENT tumors refers to the proper performance of services, high-tech diagnostics, treatment, high qualification of specialists, implants and other medical consumables and equipment. The prognosis for the treatment of tumors of the ENT organs is better, the earlier they are diagnosed. The characteristics of the tumors themselves (their histological type, location, nature and growth rate, etc.) also play a significant role.
After surgery on the ENT organs, particularly for tumors, the main complications can be bleeding, paresis, fistulae, inflammatory pathological processes, etc.
Contraindications to surgery for tumors of the ENT organs are strictly individual and, in general, relate to the excess of risks from the operation itself compared to the risks of not doing it (and choosing other methods of treatment).