CERVICAL PATHOLOGY

• Comprehensive treatment of laryngeal and cervicofacial cancer.

• Cancer surgery with Da Vinci Robot.

• Partial laser voice-preserving surgery for pharyngolaryngeal cancer.

• Voice rehabilitation in laryngectomized patients. Phonatory prostheses.

• Benign and malignant thyroid pathology.

• Thyroid cancer surgery.

• Parathyroid gland surgery.

• Salivary gland pathology. Parotid cancer. Parotidectomy. Submaxillectomy.

• Experts in intraoperative monitoring of the facial nerve during parotid tumor surgery.

• Voice pathology. Laryngeal stroboscopy. Singer's pathology.

• Functional surgery for dysphonia.

• Laryngeal stenosis pathology. Tracheotomies.

• Vocal cord paralysis. Thyroplasty surgery. Percutaneous injections.

• Congenital neck pathology. Thyroglossal duct cysts and branchial cysts.

• Facial paralysis. Surgical and botulinum toxin treatment, rehabilitative treatment.

EAR AND HEARING PATHOLOGY

• Study and surgery of hearing loss.

• Auditory potentials.

• Detection of infant deafness.

• Acute and chronic otitis media.

• Study and treatment of vertigo. Videonystagmography.

• Myringoplasty for tympanic membrane perforation.

• Otosclerosis surgery. Stapedectomy.

• Cholesteatoma surgery. Tympanoplasty.

• Study and treatment of acoustic neuromas.

• Hearing surgery with middle ear prostheses.

• Osseointegrated implants.

• Cochlear implants.

OROPHARYNX, MOUTH, AND THROAT PATHOLOGY

• Tonsil, tongue, and palate cancer.

• Treatment of snoring and sleep apnea syndrome.

• Videosomnoscopies. DISE.

• Adenotonsillar pathology. Laser tonsillectomy. Tonsil reduction.

• Swallowing pathology. Video endoscopy of swallowing.

NOSE AND NASOSINUSAL PATHOLOGY

• Functional and aesthetic rhinoseptoplasty.

• Nasal septum surgery. Septoplasty.

• Diagnosis and treatment of rhinitis. Turbinate radiofrequency.

• Treatment of nasosinusal cancer. Neuronavigator-assisted surgery.

• Diagnosis and treatment of rhinosinusitis. Nasosinusal polyposis. Endoscopic nasosinusal surgery.

• Treatment of epistaxis (nosebleeds).

• Nasal trauma.

• Functional Allergy Unit.

PEDIATRIC PEDIATRIC ORL

• Adenotonsillectomy with or without laser.
• Laser-assisted tonsil reduction. Pediatric sleep apnea syndrome.
• Surgery for chronic serous otitis.
• Tympanostomy tube drainage.
• Study of neonatal hearing loss. Auditory brainstem response.
• Study of pediatric hearing loss. Steady-state auditory evoked potentials.
• Pediatric cholesteatoma surgery.
• Tympanic membrane perforation surgery. Myringoplasty.
• Pediatric nasal respiratory insufficiency. Childhood rhinosinusitis.
•  

This unit is organized into two sections responsible for the diagnosis and treatment of ear-related pathologies, including balance and hearing issues. The Audiology Section is equipped with the latest technological advancements.

• Hearing Loss Diagnosis: For both children and adults, using standard tests such as audiometries and impedancemetries, as well as more specific tests like Brainstem Auditory Evoked Potentials and Steady-State Evoked Potentials.

• Tinnitus Diagnosis and Treatment: Specialized in tinnitus, offering the latest protocols, personalized therapies, and multidisciplinary approaches.

• Vertigo Treatment: Medical treatment and postural rehabilitation for vertigo patients.

• Prosthetic Adaptation: Guidance on prosthetic adaptation.

The Otologic and Neurotologic Microsurgery Section addresses the surgical treatment of auditory pathologies.

• Otologic Microsurgery Techniques: Includes stapedectomies, middle ear prosthesis placement, osseointegrated implants, and cochlear implants for treating hearing loss.

• Reconstructive Microsurgery: For chronic otitis, tympanic membrane perforations, and cholesteatomas using tympanoplasty, myringoplasty, and transtympanic drain placements.

• Otoneurosurgery Techniques: For tumors at the base of the skull and the pontocerebellar angle, with extensive experience in the surgical treatment of acoustic neuroma (vestibular schwannoma).

• Surgical Treatment of Vertigo: Through intratympanic therapy and labyrinthectomies.

The nose serves as the entry point for air into our bodies and is a key aesthetic feature of the face. Proper nasal breathing is crucial for daily life, as impaired nasal function can lead to issues such as snoring, disrupted sleep, and difficulties with physical exercise. Nasal function can be compromised due to various reasons: nasal septum deviations, deformities of the nasal tip and valve, hypertrophy or thickening of the inferior turbinates, rhinosinusitis, and polyposis.

Diagnosis:

• Fiber Endoscopy: A quick and simple test performed in our consultations, allowing visualization of the nasal interior for accurate diagnosis.

• Additional Tests: Sometimes, a CT scan or MRI (magnetic resonance imaging) is necessary to complete the evaluation.

Our service is part of the Functional Unit of Allergy and Otolaryngology, enabling us to provide comprehensive care for increasingly common conditions like allergies.

Surgical Treatments:

• Septoplasty: Surgery of the nasal septum.

• Functional Rhinoseptoplasty: For patients with breathing problems who also wish to change the appearance of their nose.

• Reduction of Inferior Turbinates: Using advanced surgical techniques like laser, CO₂, and radiofrequency. This quick, simple, and effective treatment for turbinate hypertrophy is performed under local anesthesia.

• Endoscopic Nasosinusal Surgery: A scar-free method of choice for treating sinusitis, polyposis, or tumors.

Our minimally invasive surgical techniques offer effective solutions for various nasal issues, ensuring patients receive the most advanced and comprehensive care.

This unit is responsible for the diagnosis and treatment of conditions affecting the facial nerve. Our primary objective is to provide a comprehensive evaluation to offer effective treatment and prevent potential sequelae such as facial paralysis.

Our service is a pioneer in the creation of the Facial Function Restoration Unit, aimed at providing comprehensive treatment for facial paralysis.

Facial paralysis not only causes significant aesthetic defects but also leads to a range of complications such as eye injuries, swallowing disorders, and speech difficulties. Additionally, it has a considerable psychological impact on patients.

Through coordinated efforts between the Otolaryngology, Plastic Surgery, and Rehabilitation Services, we offer a multidisciplinary solution to achieve the best aesthetic outcome for patients. Along with the most modern surgical techniques, significant post-operative rehabilitation work is carried out to optimize results.

The ENT service at IUD is structured into various subspecialized sections. The section dedicated to face and neck diseases handles both benign and malignant pathologies in these regions.

Voice Pathology:

• Treatment of benign vocal cord conditions, specializing in professionals who use their voice extensively (teachers, singers, actors, etc.).

Cervical Pathology:

• Management of conditions related to salivary glands, thyroid glands, cervical cysts, and lymph nodes.

Head and Neck Cancer (mouth, pharynx, larynx):

• Our care activities are organized through the Head and Neck Oncology Unit, comprising our service along with medical oncology led by Dr. Rosell and radiation oncology. The goal is to provide a multidisciplinary and comprehensive approach to head and neck cancer to achieve rapid and effective diagnosis and treatment.

• The ENT service is equipped to perform CO₂ laser surgery, partial surgery with voice preservation, placement of phonatory prostheses, and reconstructive surgery using pedicled and microvascular flaps. Additionally, we offer speech therapy support for voice and swallowing rehabilitation.

Sleep respiratory disorders, such as snoring and obstructive sleep apnea syndrome, are highly prevalent in the population, leading to a significant reduction in quality of life and increased mortality rates.

Our unit comprises a multidisciplinary team of otolaryngologists, pulmonologists, and nurses who cover all aspects of study and treatment, catering to the diverse needs of patients.

Diagnostic Approach:

• We conduct a comprehensive assessment of the patient, including a multi-level physical examination (nasal passages, tonsils, tongue, jaw, etc.), to identify possible sites of obstruction.

• Nocturnal sleep studies are performed using respiratory polygraphy or overnight polysomnography.

Treatment Options:

• Continuous Positive Airway Pressure (CPAP): This device delivers pressurized air through a nasal or nasal/oral mask, preventing airway collapse during sleep.

• Mandibular Advancement Devices (MAD): These devices alter the position of the jaw, tongue, and other structures to increase upper airway opening.

• Surgical Treatments: Procedures such as septoplasty, turbinate surgery, tonsillectomies, pharyngoplasties, and tongue base reduction may be recommended based on patient characteristics.

As part of the diagnostic process and to enhance treatment success, we perform Drug-Induced Sleep Endoscopy (DISE) under sedation. This procedure allows direct visualization of the anatomy during sleep, closely resembling the patient's normal sleeping state at home, with the occurrence of snoring and apneas.