World-class medical care for your hearing, breathing, or voice problems
- Microscopic Examination
- Best visualization of the ear canal and the ear drum
- Ear Toilet under Microscope
- To remove ear wax, debris or foreign bodies
- Myringotomy and Aspiration of Middle Ear Fluid
- A tiny incision is made on the eardrum to drain out any fluid or pus in the middle ear
- Grommet Insertion
- Insertion of a ventilating tube called a grommet or T-tube placed in the ear drum
- Intratympanic Steroid Injection
- A small amount of steroid is injected directly into the middle ear. It is one of the treatment options for sudden sensorineural hearing loss.
- Eardrum Repair (Tympanoplasty)
- Eardrum Repair (Tympanoplasty) is to reconstruct a perforated tympanic membrane
- A surgical procedure to remove an infected portion of the bone behind the ear
- Endoscopic examination of the nose, with a small digital camera passed through the nostril
- Septoplasty technique is to straighten the nasal septum, the partition between the two nostrils
- A procedure that opens nasal passages by removing bone and soft tissues of the inferior turbinates. Best results are achieved when combined with Septoplasty for coexisting deviated nasal septum.
- Laser-assisted Septoplasty (LAS)
- With modern ENT Laser, mild to moderate degree of deviated nasal septum can now be corrected within 30 minutes. LAS is a simple and painless clinic procedure with proven success worldwide over the last 15 years. Most importantly, no general anaesthesia or hospitalization is required. Septoplasty is to straighten the deviated nasal septum.
- Endoscopic Polypectomy
- A surgical treatment to remove nasal polyps
- Functional endoscopic sinus surgery (FESS)
- A surgical treatment of sinusitis and nasal polyps
- Nasal Cauterization
- Dilated vessels over the nasal septum can cause troublesome nose bleeding. A medical procedure involving the deliberate localized burning of tissues within the nose, to make recurrent nose bleeding less likely
- Balloon Sinuplasty
- In severe sinusitis that has failed medical management, then surgical treatment is of choice. Balloon Sinuplasty is a new technique which is a small inflatable device for widening a congested frontal sinus. The technology is minimally invasive and safe. If there is a lot of nasal polyps and severe sinusitis, then the traditional Functional Endoscopic Sinus Surgery (FESS) is probably more appropriate.
A hybrid technique with Balloon Sinuplasty is being used for the frontal sinuses and traditional FESS for the other sinuses as this tend to give the best result with less recurrence of sinusitis and less chance of further sinus surgery.
- Rhinoplasty (Nose Job)
- A cosmetic procedure designed to improve the appearance of the nose
- Nasal Biopsy
- Whenever a nasal tumour or nasopharyngeal cancer is suspected, biopsy is a must. With the help of a nasal endoscope, this can be safely carried out under topical anaesthesia in a clinic setting
Throat & Vocal Cords
- Flexible Video-laryngoscopy
- By using a flexible telescope passed through the patient's nose to the back of the throat, a magnified view of the larynx can be seen by the doctor via a high resolution monitor. Images are usually recorded on video
- Flexible Viedo-stroboscopy
- Stroboscopy is a specialized type of laryngoscopy providing a "slow-motion" view of vocal fold vibration
- Fish Bone / Foreign Body Retrieval
- Impacted fish bone/foreign body ingestion can cause potentially lethal complications of airway obstruction and neck abscesses. Fish bones or foreign bodies can be removed with the aid of Flexible Laryngoscopy
- Tonsillectomy / Adenoidectomy
- A surgical procedure to remove the tonsils or adenoids
- For patients who have tonsil hypertrophy or recurrent tonsillitis, or the tonsils have become so swollen that the patient has trouble breathing or difficulty in swallowing, tonsillectomy is recommended.
- Tonsillectomy or Adenoidectomy is a common procedure performed on children with enlarged adenoids and tonsils. An enlarged tonsil or adenoid can also be one of the reasons causing obstructive sleep apnea.
- Microlaryngoscopy and Excision of vocal cord polyps
- Vocal cord polyps can cause a wide range of voice disturbances. Surgery can improve the quality of the voice. After surgery, speech therapy is also recommended. Since vocal cord polyps are commonly caused by inappropriate use of one's voice, training by a Speech Therapist can speed up the recovery and prevent reoccurrence.
- FNA (Fine Needle Aspiration)
- Tissue diagnosis is crucial for any head and neck mass such as lymph nodes, cancer or thyroid nodules. Fine needle aspiration is safe and reduces the need for open biopsy.
- Uvulopalatopharyngoplasty (UPPP)
- A procedure used to remove excess tissue in the throat to widen the airway. It allows air to move through the throat more easily.
Allergy Management Services
Skin prick test or blood test
- Skin prick test
- 10 allergens are tested for, including house dust mites, house dust, timothy grass, bermuda grass, aspergillus fumigates, cockroaches, dog hair, cat hair and feather mix duck & chicken.
- Blood test
- Two major areas of testing are offered. Environmental allergens including house dust mix, mould mix, tree mix, weed mix, and cat and dog dander. Food allergens including most of the common foods are tested such as egg white, egg yolk, peanuts, cheese, beef and cow’s milk.
- In 95% of patient in Hong Kong who have allergic rhinitis it is caused by dust mites. Allergen avoidance products are recommended.
- Sublingual immunotherapy
- Immunotherapy treats the cause of allergies by giving small doses of what a person is allergic to, which increases “immunity” or tolerance to the allergen and reduces the allergic symptoms. Sublingual immunotherapy is given as drops under the tongue.
Obstructive Sleep Apnea (OSA) is a serious sleep disorder that occurs when a person’s breathing is interrupted during sleep. Such pauses can happen hundreds of times every night during sleep and each pause may last from a few seconds to minutes. This causes lowering of the oxygen concentration of the blood, frequent awakenings and hence sleep of poor quality, and in the long term detrimental effects to the heart and brain.
- Night symptoms
- Loud habitual snoring
- Episodic cessation of breathing or snoring
- Sudden awakening
- Excessive sweating
- Day symptoms
- Excessive sleepiness
- Loss of energy and fatigue
- Morning headaches
- Loss of concentration
- Easy forgetfulness
- Mood change and irritability
- Sexual dysfunction
A sleep test is necessary to diagnose sleep apnea.
An overnight polysomnography test involves monitoring brain waves, muscle tension, eye movement, respiration, oxygen level in the blood and audio monitoring. It can be done at home or in a hospital.
What can be done about Obstructive Sleep Apnea (OSA)?
CPAP: With Continuous Positive Airway Pressure treatment, the patient wears a nasal mask connected to a CPAP machine. The CPAP allows the patient to breathe freely by blowing air into the nostrils to keep the airway passages open during sleep.
Surgery: Surgical alteration of the upper airway usually involves one or more structures, such as the nasal septum, inferior nasal turbinates, adenoids, tonsils, anterior and posterior tonsillar pillars, uvula, soft palate, and base of the tongue. Everyone has different specific underlying abnormalities that cause OSA. Patients should consult a specialist before undergoing sleep surgery.
With modern ENT Laser treatment, certain ENT problems can now be corrected within 30 minutes. Laser treatment is a simple and painless clinical procedure with proven success worldwide over the last 15 years.
- Laser-Assisted Septoplasty and Turbinectomy (LAST)
- By vaporizing swollen nasal mucosa and/or a deviated septum, nasal obstruction is greatly relieved. In allergic rhinitis, a runny nose and post-nasal drip may also be reduced.
- After Laser Surgery
- Less snoring
- Less mouth breathing
- Less dry and sore throat
- Less sinus headaches
- Less medication
- Laser-Assisted Uvuloplasty (LAUP)
- Long uvula and loose palatal tissue are removed. Subsequent scarring effectively reduces the vibratory noise of snoring.
- Laser Cauterization
- Dilated blood vessels over the nasal septum may cause recurrent nose bleeding. Laser burns off the blood vessels and induces scarring, thereby reducing the chance of bleeding.