Otorhinolaryngology (Ear-Nose-Throat)

Otorhinolaryngologic Examination Methods and Tests
Otorhinolaryngologic Examination
Otorhinolaryngologic examination is given while the patient is sitting in one of the examination seats within the outpatient clinic. Regardless of the symptom of interest experienced by the patient, both ears, nose, throat and larynx of the patient are absolutely examined. Larynx examination is given by the help of a mirror introduced into the mouth while the tongue of patient is pulled out. A medication is sprayed in order to anesthetize the throat of patients with particular gag reflex. This bitter-tasting medication does not cause any harm when swallowed. If you experienced adverse events after the administration of a similar medication previously, you should definitely remember to inform your physician in this regard. Do not eat or drink anything for at least 1 hour after this medication has been sprayed.

Ear Examination Under Microscope

Certain circumstances could require an examination of your ears under a microscope. This examination is given in the operating room within the Otorhinolaryngology Outpatient Clinic while the patient is lying on back.

Nose examination with endoscope

In the event that the rear section of the nasal area, which cannot be seen with a usual Otorhinolaryngologic examination, should be examined, the examination is given with the help of rigid (hard) endoscopes. Cotton buffers absorbed in anesthetic medication are placed on one side or both sides of the nose and 2-3 minutes of time is given. Later on, intranasal examination is given by introducing the endoscope into the nasal cavities. If you experienced adverse events after the administration of a similar medication previously, you should definitely remember to inform your physician in this regard.

Throat and larynx examination with endoscope

Flexible (bending) endoscopes are used for examination in the event that larynx and throat cannot be evaluated sufficiently with a usual Otorhinolaryngologic examination. This examination is given while the patient is sitting in the examination seat. Cotton buffers absorbed in anesthetic medication are placed on one side or both sides of the nose and 2-3 minutes of time is given. Besides, a medication is sprayed into the throat for anesthetization. Then, throat and larynx are examined by introducing the endoscope inside through the nose. If you experienced adverse events after the administration of a similar medication previously, you should definitely remember to inform your physician in this regard.

Videolaryngostroboscopy

Examination with a device called videolaryngostroboscopy can be required for patients with voice problems. This device enables seeing the larynx and vocal cords with an endoscope and reflects the image onto a screen so that an audio analysis can be conducted on these images. This examination is given in Videolaryngostroboscopy room located within the Otorhinolaryngology Outpatient Clinic while the patient is lying on back. The examination is given by the help of a mirror introduced into the mouth while the tongue of patient is pulled out. A medication is sprayed in order to anesthetize the throat of patients with particular gag reflex. This bitter-tasting medication does not cause any harm when swallowed. If you experienced adverse events after the administration of a similar medication previously, you should definitely remember to inform your physician in this regard. Do not eat or drink anything for at least 1 hour after this medication has been sprayed.

Acoustic rhinomanometer

This measurement is conducted in order to determine the level and the severity of nasal congestion for patients suffering from nasal congestion and before nasal surgeries. This examination is given in Acoustic rhinomanometry room located within the Otorhinolaryngology Outpatient Clinic while the patient is lying on back. The measurement, which is conducted with the help of a probe that is placed in both of the nasal entrances, is repeated after the administration of a local decongestant (a medication which shrinks nasal blood vessels).

Allergy skin test

Skin tests are given in Videolaryngostroboscopy room located within the Otorhinolaryngology Outpatient Clinic while the patient is sitting. The patient should have received an examination in Otorhinolaryngology Outpatient Clinic as a precondition for the test. For the test, an appointment should be booked from the nurse in Outpatient Clinic. A form is given by the nurse to the patient for completion before coming for the actual test. Patients should not use any antihistaminics (anti-allergy medication) for at least 1 week before having the test.

Audiological Tests and Treatments

Surgeries

Any otorhinolaryngologic surgery practiced in scope of modern medicine is performed in our department. Most commonly performed surgeries are as follows:

Snoring Surgery
Phonosurgery
Maxillofacial TraumaSurgery

Kulak Burun Boğaz Muayene Yöntemleri ve Tetkikler

Kulak Burun Boğaz Muayenesi

Kulak Burun Boğaz muayenesi poliklinik içindeki muayene odalarında yer alan muayene koltuklarında, hasta oturur pozisyonda iken yapılır. Hastanın şikayeti ne olursa olsun hastanın her iki kulağı, burunu, boğazı, genizi, gırtlağı ve boyunu mutlaka muayene edilir. Gırtlak muayenesi hastanın dili dışarıya doğru çekilmek suretiyle ağız içine sokulan bir ayna yardımı ile yapılır. Öğürme refleksi fazla olan hastalarda gırtlağın görülebilmesi için hastaların boğazını uyuşturmak için bir ilaç sıkılır. Bu ilacın tadı acı olup yutulmasında bir sakınca yoktur. Daha önce benzer bir ilacın tatbikini takiben beklenmeyen etkiler görülmüş ise bunu sizi muayene eden hekime mutlaka belirtiniz. Bu ilaç sıkıldıktan sonra en az 1 saat bir şeyler yiyip içmeyiniz.

Mikroskop ile Kulak Muayenesi

Bazı durumlarda kulaklarınızın mikroskop altında muayenesi gerekebilir. Bu muayene Kulak Burun Boğaz Polikliniği içindeki ameliyathane odası içinde, hasta sırt üstü yatar pozisyonda iken gerçekleştirilir.

Endoskop yardımı ile burun muayenesi

Burunun normal Kulak Burun Boğaz muayenesinde görülemeyen arka tarafının muayenesinin gerekli olduğu durumlarda rigid (sert) endoskoplar ile muayene yapılır. Bu muayene öncesi hastanın ağrı duymaması için burunun bir veya iki tarafına anestetik ilaç emdirilmiş pamuk tamponlar yerleştirilip 2-3 dakika beklenir. Daha sonra endoskopun burun pasajları içinde ilerletilmesi vasıtası ile burun içi muayenesi gerçekleştirilir. Daha önce benzer bir ilacın tatbikini takiben beklenmeyen etkiler görülmüş ise bunu sizi muayene eden hekime mutlaka belirtiniz.
• Endoskop yardımı ile geniz ve gırtlak muayenesi
• Geniz ve gırtlağın normal Kulak Burun Boğaz muayenesi ile yeterli değerlendirlemediği Bu durumlarda fleksil (kıvrılabilen) endoskoplar ile muayene yapılır. Bu muayene hasta muayene koltuğunda oturur pozisyonda iken yapılır. Bu muayene öncesi hastanın ağrı duymaması için burunun bir veya iki tarafına anestetik ilaç emdirilmiş pamuk tamponlar yerleştirilip 2-3 dakika beklenir. Ayrıca hastanın boğazına da uyuşturmak amacı ile ilaç sıkılır. Daha sonra burun içine sokulan endoskopun ilerletilmesi vasıtası ile geniz ve gırtlak muayene edilir. önce benzer ilaçların tatbikini takiben beklenmeyen etkiler görülmüş ise bunu sizi muayene eden hekime mutlaka belirtiniz.

Videolaringostroboskopi

Ses ile ilgili sorunları olan hastaların videolaringostroboskopi verilen cihaz ile muayeneleri gerekebilir. Bu cihaz gırtlağı ve ses tellerininin bir endoskop yardımı ile görülmesini sağlayan ve bu görüntüyü ekrana yansıtan bir cihaz olup bu görüntüler üzerinde ses analizini mümkün kılan bir cihazdır. Bu muayene Kulak Burun Boğaz Polikliniği içinde yer alan Videolaringostroboskopi odasında, hasta oturur pozisyonda iken gerçekleştirilir. Muayene hastanın dili dışarıya doğru çekilmek suretiyle ağız içine sokulan bir endoskop yardımı ile yapılır. Öğürme refleksi fazla olan hastalarda gırtlağın görülebilmesi için hastaların boğazını uyuşturmak için bir ilaç sıkılır. Bu ilacın tadı acı olup yutulmasında bir sakınca yoktur. Daha önce benzer bir ilacın tatbikini takiben beklenmeyen etkiler görülmüş ise bunu sizi muayene eden hekime mutlaka belirtiniz. Bu ilaç sıkıldıktan sonra en az 1 saat bir şeyler yiyip içmeyiniz.

Akustik rinomanometre

Burun tıkanıklığı olan hastalarda ve burun ameliyatlarından önce burun tıkanıklığının seviyesinin ve şiddetinin belirlenmesi için yapılan bir ölçümdür. Bu muayene Kulak Burun Boğaz Polikliniği içinde yer alan akustik rinometre odasında, hasta oturur pozisyonda iken gerçekleştirilir. Burunun her iki tarafının girişine yerleştirilen bir prob yardımı ile yapılan ölçüm, burunun her iki tarafına lokal dekonjestan (burun damarlarını büzen bir ilaç) tatbikini takiben tekrarlanır.

Alerji deri testi

Deri testleri Kulak Burun Boğaz Polikliniği içinde yer alan allerji odasında, hasta oturur pozisyonda iken gerçekleştirilir. Testin yapılabilmesi için hastanın Kulak Burun Boğaz Polikliniği’nde muayene olmuş olması gereklidir. Test için Poliklinik hemşiresinden randevu alınır. Teste gelmeden önce doldurulması gereken bir form hemşire tarafından hastaya verilir. Hastaların deri testi yaptırmadan önce en az 1 hafta antihistaminik (anti alerjik ilaç) kullanmamaları gereklidir.

Odyolojik Tetkik ve Tedaviler

Komple odyolojik tetkik Çocuk odyometresi Yüksek frekans odyometresi
Akustik impedans Elektrokokleografi ABR
ENoG Otoakustik emsiyon Kalorik testler
Komple vestibüler tetkik TINNITUS (çınlama) tedavisi Vestibüler rehabilitasyon
İşitme cihazı uygulaması Koklear implant fittingi Bilgisayarlı ses analizi
Konuşma bozuklukları tedavisi Larinjektomililerin (gırtlağı alınmış kişilerin) konuşma tedavisi Çocuk konuşma eğitimi

Ameliyatlar

Bölümümüzde kulak-burun-boğaz alanında modern tıpta uygulanan her türlü ameliyat gerçekleştirilmektedir. En sıklıkla uygulanan ameliyatlar aşağıda belirtilmiştir.

• • Kulak ameliyatları

• • Burun-sinüs ameliyatları

• • Baş-boyun kanser ameliyatları

• • Çocuk KBB ameliyatları

• • Tüp tatbiki Septoplasti Larinjektomi Tonsillektomi (bademcik)

• • Timpanoplasti (zar tamiri) Septorinoplasti Glosektomi Adenoidektomi

• • Stapedektomi Rinoplasti Komando Koanal atrezi açılması

• • Mastoidektomi Endoskopik sinüs cerrahisi Maksillektomi Dış kulak yolu stenozu açılması

• • Koklear implantasyon Endoskopik dakriyosistorinostomi Parotidektomi Auriküloplasti

• • Endolenfatik kese dekompresyonu Endoskopik optik sinir dekompresyonu

• • Submandibuler gland eksizyonu

• • Boyun diseksiyonu

• • Labirentektomi Burun ve sinüs tümörleri cerrahisi Kafa kaidesi cerrahisi

• • Vestibüler nörektomi

• • Akustik nörinom cerrahisi

• • Glomus tümörleri cerrahisi

• • Horlama cerrahisi

• • Ses cerrahisi

• • Maksillofasyal travma cerrahisi

Appointments from Otorhinolaryngology Outpatient Clinic

In our department, appointments for examination in outpatient clinic can be scheduled by dialing 444 4 444 and clicking “Online Appointment” link.
Trainings are held until 12:00 every Wednesday. Patients who were referred urgently from Outpatient Clinic for Adults or Pediatric Outpatient Clinic do not need any appointments.

Appointments from Speech Pathology and Audiology Unit

Appointments are booked by the secretariat located within Speech Pathology and Audiology Unit on floor B (two floors below the ground floor) in Hacettepe Adult Hospital. Appointments can be scheduled via telephone or booked by applying to the secretariat in person between 14:00-17:00 on Wednesdays or between 13:30-17:00 on any other day.

The patient should have received an examination in Otorhinolaryngology Outpatient Clinic and an examination note in this regard as a precondition for having a test or examinatio in Speech Pathology and Audiology Unit.

Please bring your official referral and/or health record to the examination.

Appointments of Hearing and Speech Training Unit

Appointments of Hearing and Speech Training Unit are booked by the unit secretariat located on the 3rd floor of Hacettepe University Vocational School of Health Services building. Appointments are booked for the oncoming month as of 08:30 on each second Wednesday of the month.

The patient should have received an examination in Otorhinolaryngology Outpatient Clinic and an examination note in this regard as a precondition for being admitted to a training program in Hearing and Speech Training Unit.

Please bring your official referral and/or health record to the examination.

Surgery Appointments

Patients, for whom surgery is indicated, are given surgery appointment after the physician who has examined the patient consults with a member of academic staff. The appointment date varies depending on the patient intensity and generally ranges between 1 and 2 months. Surgeries are performed on emergency cases without waiting in.

Surgeries can be performed as outpatient (walk-in patient) or inpatient surgeries, under general or local anesthesia depending on the type of surgery. Patients are called in at least 2 days before the surgery day so that pre-operational tests can be carried out. Patients who have any disease that could affect the surgery in a negative way can be called in at an earlier time in order to eliminate these issues.

Patients that will undergo outpatient surgery are informed on the date, time and location of surgery one day ahead after examinations and tests are completed.

All of the surgeries are performed in rooms no. 16, 17 and 20 in the operating room department located on floor A (one floor below the ground floor) in Hacettepe Adult Hospital.

Please bring your official referral and/or health record to the surgery.

Considerations before surgery...

Patients should have fasted for ay least 6 hours, should not wear any metal accessories such as ring, earring, necklace or bracelet and female patients should not have make up or nail polish. Male patients who will undergo nasal surgery should shave off their mustache.
 

Outpatient Clinic of Otorhinolaryngology

It is located on floor B (2 floors below the ground floor) in Hacettepe Adult Hospital. It is located 2 floors below the end of the hallway that could be seen upon entering through door no. 7; 1 floor above upon entering door no. 4 and it is 2 floors below the first stairs that could be seen while walking towards the main hallways of Adult Hospital upon entering through doors no. 1 or 2.

The rooms of all of the academic staff in Department of Otorhinolaryngology are located in this outpatient clinic. Also, all of the Outpatient Clinic and academic staff examinations are given in this outpatient clinic.

Telephone: +90 (312) 305 17 86

Speech Pathology and Audiology Unit
It is located on floor B (2 floors below the ground floor) in Hacettepe Adult Hospital. It is located 2 floors below the end of the hallway that could be seen upon entering through door no. 7; 1 floor above upon entering door no. 4 and it is 2 floors below the first stairs that could be seen while walking towards the main hallways of Adult Hospital upon entering through doors no. 1 or 2. It is right across Outpatient Clinic of Otorhinolaryngology.,

The rooms of all of the academic staff in Department of Otorhinolaryngology are located in this unit where all of the tests are carried out as well.

Telephone: +90 (312) 305 14 36

Hearing and Speech Training Unit
It provides service on the 3rd floor of Hacettepe University Vocational School of Health Services. This building is located on the far right side of the road (towards uphill direction) that crosses through car park no. 1 which is located across Children’s Hospital.

Telephone:
+90 (312) 305 10 68 (These numbers do not have a connection to Otorhinolaryngology or Audiology departments.)

Adult Otorhinolaryngology Services (Ward 43)
It is located on the 3rd floor (3 floors above the ground floor) in Hacettepe Adult Hospital. It is located 3 floors above the end of the hallway that could be seen upon entering through door no. 7; 5 floors above upon entering door no. 4 and it is 3 floors above the first stairs that could be seen while walking towards the main hallways of Adult Hospital upon entering through doors no. 1 or 2.

Telephone: +90 (312) 305 14 30