COLUMBUS HEAD&NECK CENTER
SPECIALIST EAR, NOSE AND THROAT ASSESSMENT
This assessment includes a specialized medical examination that evaluates the head and neck and the visceral organs in the region. The ear, nose and throat specialist evaluates four important sensory functions: hearing, balance, smell and taste. The assessment generally includes anterior rhinoscopy, otoscopy, inspection of the mouth and pharynx, indirect laryngoscopy and inspection of the neck. The ear, nose and throat specialist sees patients of all ages; children often have head and neck disorders.
- Nasal endoscopy: this examination can be performed with a small rigid or flexible optic (2.4-2.7 mm diameter) connected to a high-definition camera and enables very thorough inspection of the internal part of the nasal cavities and the nasopharynx. It can be used to determine the presence of septal deviations, anomalies of the turbinates, acute and chronic sinusitis, nasal polyposis, adenoidal hypertrophy, Eustachian tube disorders and growths in the nasal cavities and nasopharynx.
- Videolaryngofibroscopy: this is an examination of the upper airways in which a flexible fibroscope, connected to a high definition camera, is introduced into a nostril and passed through the nasopharynx (the posterior part of the nose) until the larynx and all its components can be seen. It can be used to inspect both the shape and the function (e.g., motility of the vocal cords) of the upper airways.
- Laryngo-stroboscopy: this is performed with the laryngoscope connected to a stroboscopic light source. It can be used, thanks to a technical trick, to watch the movements of the vocal cords in slow motion and facilitates the identification of the abnormal conditions that cause dysphonia (speech disorders).
- Otomicroscopy and diagnostic oto-endoscopy: using a very small scope or thin rigid optics the tympanic membrane and external auditory canal can be inspected at high magnification, allowing the detection of perforations or sclerosis of the tympanic membrane, cholesteatomas, or other abnomalities of the ear.
- Audiometric examination – audiometric speech evaluation: this assesses the patient’s hearing threshold and ability to understand speech.
- Impedance test: this evaluates, directly or indirectly, the state of the tympanic membrane, the function of the Eustachian tubes, and the integrity of the chain of small bones (hammer, anvil and stirrup) in the middle ear.