The diagnostic applications and operations made in our department

Ear-nose-throat examination methods and tests 
Ear-nose-throat examination
The ear-nose-throat examination is made in the examination rooms which are situated in the polyclinic while the patient is sitting on the examination chairs. Whatever the patient’s complaint is, the two ears, nose, throat, nasal cavity and neck of the patient are absolutely examined. The naval cavity examination is made within the help of a looking glass while sticking the patient’s tongue out.  By the patients, who have a higher degree of faucial reflex, a medicine is sprayed to the throat of the patient, in order to narcotize the throat and to see the naval cavity better. The taste of this medicine is bitter and there are no disadvantages to swallow it. If there were seen adverse effects before while using such a kind of medicine, please inform about it the doctor who is examining you. After sprayed this medical, do not eat or drink anything for 1 hour. 

Microscopic ear examination
In some cases, the examination of your ears under microscope may be needed. This examination is performed in the surgery room situated in the ear-nose-throat polyclinic while the patient is on the laying position.

Endoscopic nose examination
The examination with rigid endoscopes is made by the situations where the background of the nose can not be seen during the normal ear-nose-throat examination. Before this examination, cotton tamps absorbed anesthetic medicine are situated to one or two sides of the nose in order to prevent that the patient does not feel discomfort and wait for 2-3 minutes. After that while pushing the endoscope through the nose passages the intranasal examination is applied.  If there were seen adverse effects before while using such a kind of medicine, please inform about it the doctor who is examining you.

Endoscopic nasal cavity and throat examination
The examination with flexible endoscopes is made by the situations where the background of the throat and naval cavity can not be reviewed during the normal throat and naval examination. This examination is done while the patient is sitting on the examination chair. Before this examination, cotton tamps absorbed anesthetic medicine are situated to one or two sides of the nose in order to prevent that the patient does not feel discomfort and wait for 2-3 minutes and a medicine is also sprayed to the throat of the patient, in order to narcotize the throat. After that while pushing the endoscope through the nose passages the throat and naval cavity examination is applied.  If there were seen adverse effects before while using such a kind of medicine, please inform about it the doctor who is examining you.

Videolaryningostroboscopy
The patients with voice disorders may be examined with the device named videolaryningostroboscopy.  This device is providing to monitor the throat and vocal cords with the help of an endoscope and it is displaying them on the screen and it also enables to make voice analysis on these displays. This examination is made in the videolaryningostroboscopy room situated in the Ear-nose-throat Polyclinic while the patient is sitting. The examination is made with an endoscope which is put into the mouth of the patient while sticking the patient’s tongue out.  By the patients, who have a higher degree of faucial reflex, a medicine is sprayed to the throat of the patient, in order to narcotize the throat and to see the naval cavity better. The taste of this medicine is bitter and there are no disadvantages to swallow it. If there were seen adverse effects before while using such a kind of medicine, please inform about it the doctor who is examining you. After sprayed this medical, do not eat or drink anything for 1 hour. 

Acoustic rhinometer
It is a measurement made by the patients with nasal blockage and before the nose surgeries in order to specify the nose blockage level and volume. This examination is made in the acoustic rhinometer room situated in the Ear-nose-throat Polyclinic while the patient is sitting. The measurement made through a prob situated in the two sides of the nose, is repeated after the application of local decongestant to the both sides of the nose.

Allergy skin tests
The skin tests are made in the allergy room situated in the Ear-nose-throat Polyclinic while the patient is sitting.  The patient has to be examined in the Ear-nose-throat Polyclinic before the tests are applied. For the test an appointment is get from the polyclinic nurse. A form which has to be filled before coming for the test is given to the patient by the nurse. The patients have not to use antihistaminic at least one week before the test application.

Audiological tests and treatments 
Complete audiological test
Child audiometer
High frequency audiometer
Acoustic impedance
Electrocochleography
ABR
ENoG
Autoacoustic  emission
Caloric tests
Complete vestibular test
Tinnitus treatment
Vestibular rehabilitation
Hearing aid application
Cochlear implant fitting
Computerized voice analysis
Speech impediment treatment
Speech treatment of laryngectomy patients
Child speech training

Operations
All kind of surgeries in otorhinolaryngology (ear-nose-throat) field, which are implemented in the modern medicine, are carried out in our department. The most frequent implemented surgeries are mentioned below.

Ear surgeries 
Tube implant
Thympanoplasty
Stapedectomy
Mastoidectomy
Cochlear implantation
Brain stem implantation
Bone implanted hearing aid application (BAHA, Bone Bridge)
Endolymphatic sac decompression
Labyrinthectomy
Vestibular neurectomy
Acoustic neurinoma surgery
Glomus tumors surgery

Nose-sine operations
Septoplasty
Septorhinoplasty
Rhinoplasty
Endoscopic sinus surgery
Endoscopic dacryocystorhinostomy
Endoscopic optic nerve decompression
Endoscopic BOS fistula repair
Nasal and sinusitis tumors surgery

Head-neck cancer surgeries
Laryngectomy
Glossectomy
Comando
Maxillectomy
Parotidectomy
Thyroidectomy (Minimal invasive)
Submandibular gland excision
Neck dissection
Skull base surgery

Child ENT surgeries
Tonsillectomy
Adenoidectomy
Open choanal atresia
Open the external auditory stenosis
Auricularplasty
Subglottic and tracheal stenosis surgery

Snoring surgery
Voice surgery
Maxillofacial trauma surgery

Coming for operation
The patients have not to eat something at least since 6 hours and they do not have anything metal on them like ring, earring, necklace, bracelet, etc. The female patients have not to have make up and nail polish. It is recommend to not having moustache for the male patents who will have nose operation.

HACETTEPE UNIVERSITY MEDICAL FACULTY DEPARTMENT OF OTORHINOLARYNGOLOGY (Ear-Nose-Throat)
kbb@hacettepe.edu.tr