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ENT Operations

Transoral excision Wharton duct calculation

Fig 1 Discharge of pus and blood from Wharton's duct right pelvic massage oral

In patients with scialolitiasi (Salivary gland calculi) submandibular gland can evaluate excision of Transoral route calculation (through the mouth). The procedure can be performed in most cases under local anesthesia. Continue reading

Laryngeal Papillomatosis

Left vocal cord Papillomatosis

The laryngeal Papillomatosis is a disease caused by viruses belonging to the family of Papovaviridae (HPV) mainly 6 and 11 which is characterized by the appearance of papillary lesions laryngeal mucosa morphology exophytic lesions, characterized by high rate of recurrence after treatment.
The main location of the disease is laryngeal level, the lesions are seen less frequently throughout the aero-digestive tract.
The disease is characterized by recurrent clinical course, time-varying, ranging from spontaneous resolutions up to multiple relapses over periods of wellness 20 years.
And’ a benign disease, However, associated with high morbidity for possible wide diffusion the Airways, for the recurrent and trend for malignant transformation even though infrequent. Continue reading

Abscess of the ear – otoematoma

Left auricle abscess after piercing placement (removed)

Trauma and foreign bodies can cause infections of the ear, If the pus can't escape outside can accumulate in the Hall, creating a swelling.
Sometimes an ear trauma can cause bleeding that accumulates in the Hall by creating a otoematoma, a swelling that look very similar to an abscess but in the absence of infectious processes.

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L ’ turbinate hypertrophy and turbinoplasty

Diagram on Coronal CT examination of ’ intervention of bilateral inferior turbinoplasty

The turbinates are bone covered with mucous membrane that define the lateral wall of the nasal cavity. In each nasal passage there are 3 the turbinates are always present (bottom, medium, top) and one accessory (Supreme).

The turbinates are able to increase or decrease their thickness checking blood flow of the submucosa: they can adjust the air flow ’. The inferior turbinates are mainly responsible for this phenomenon since the passage of the higher air ’ in the lower part of the nasal cavity. Continue reading

The subtotal laringectomie

The laringectomie are a group of different interventions subtotals facing l ’ objective to remove cancers of the larynx allowing, recovery completed, to breathe, talk and eat naturally.
The main function of the larynx is to correctly route the saliva and food to nurture and l ’ air towards the trachea prevent liquids and food go accidentally into the Airways (inhalation).
Paradoxically, the voice is an ancillary function of the larynx (many animals have the larynx but not speak) You can't recover even after complete removal of the larynx (see talk after total laryngectomy).
The surgeon with these interventions diametrically l ’ Anatomy and physiology of the larynx, After the intervention the ’ neolaringe make completely different movements than the normal situation but fails to effectively protect the airway from food, allows a normal ’ air passage and is capable of producing a good voice. Continue reading


’ is the intervention of parotidectomy partial or total removal of the Parotid gland.
Parotid gland tumors is made especially to remove both benign and malignant. Only rarely do the problems of Parotid salivary calculi (scialolitiasi) require ’ ’ gland excision and the intervention of parotidectomy.

In red: traditional engraving according to Redon In Blue: cosmetic incision with cervical extension from Rhytidectomy (facial lift)

There are several types of engraving which can be used for ’ intervention of parotidectomy.
L ’ most common incision is that according to Redon: you make a cut before all ’ ear starting from the root of ’ elice, go down until dell ’ ear lobe and then climb going back all ’ ear then turn back and go l ’ incision in the neck.
A variant is one that combines the previous incision with removal of wrinkles (facial lift): you make a cut before all ’ ear starting from the root of ’ elice, go down until dell ’ ear lobe and then climb going back all ’ ear, Unlike the previous incision, the denomination takes up all ’ the base of the scalp and then descends while remaining adjacent to the ’ base of the scalp, in this way the hair will cover l ’ incision. Continue reading


Thyroidectomy is removal of the thyroid gland surgery ’.
It is necessary in the event of:
-malignant tumor suspicion or ascertained
-goiter (or struma) whose volume is important and goes to cause cosmetic problems or deviation of the trachea or dyspnoea or dysphagia
-hyperthyroidism is no longer controllable with medical therapy
-graves ' disease with ophthalmopathy Continue reading

Speaking after total laryngectomy

LASER surgery of the larynx, the laringectomie subtotals and improved radiotherapy allow many patients to treat cancers of the larynx without excise it completely.
Unfortunately still today many cancers of the larynx and pharynx can be carried out only with the intervention of ’ total laryngectomy (eventually extended to the pharynx: faringolaringectomia)
L ’ l ’ total laryngectomy speech expected removal of the entire larynx, l ’ interview of the trachea to the skin (full permanent tracheostomy) and the rebuilding of a new food away completely independent of the airway. At discharge, patients undergoing total laryngectomy eat normally through the mouth but breathe exclusively through the Trach (no longer from the mouth and nose).
Patients often see this intervention as very mutilating but actually you can live with it almost normally: tracheotomy can be easily hidden by a scarf or clothing with the neck slightly’ tall and you can retrieve your voice! Continue reading