Showing posts with label Otolaryngology. Show all posts
Showing posts with label Otolaryngology. Show all posts

Sunday, August 1, 2010

Insight into the proper care of the Ears

             Good intentions to keep your ears clean may be risking your ability to hear. The ear is a delicate and intricate area, including the skin of the ear canal and the eardrum. Therefore, special care should be given to this part of the body. Start by discontinuing the habit of probing the ears with cotton-tipped swabs or other devices.
          Here are some simple Do’s and Don'ts regarding earwax and cleaning your ears:

DO

Understand that earwax is a natural, self-cleaning agent that should not be regularly removed unless it is causing a health problem.
Use a warm, moist washcloth to clean the outside of your ears, but never insert anything into your ear canal.
Try placing a few drops of mineral oil, baby oil, glycerin, or commercial drops in the ear to moisten the earwax and let it naturally work its way out of the ear.
See an otolaryngologist (ENT doctor) if you believe you have discharge, fullness, ear pain, reduced hearing, or other persistent ear symptoms.
Ask your otolaryngologist about recommended methods of removing excess earwax, which include irrigation (syringing), wax-dissolving eardrops, and manual cleaning with a microscope and specialized instruments.

DON’T

Never insert anything into your ear canal, regardless of its size or shape. This includes things like cotton-tipped swabs, pens, hair pins, etc.

Never use an “ear candle” to help remove earwax. An ear candle is a 10” to 15”-long, cone-shaped, hollow candle, typically made of wax-impregnated cloth. Ear candles are proven ineffective for ear wax and may cause burns to the face and hair, obstruction of the ear canal with wax of the candle, or perforation of the membrane that separates the ear canal and the middle ear.
Do not use any type of irrigation device by yourself. These include items like water picks designed for use in the mouth, or a bulb syringe.
Don’t ignore the following symptoms:
     *Earache, fullness in the ear, or a sensation the ear is plugged
     *Partial hearing loss, which may be progressive
     *Tinnitus, ringing, or noises in the ear
     *Itching, odor, or discharge
     *Coughing

Taking proper care of your ears doesn’t mean cleaning them daily. Following a few simple rules will help ensure continued hearing health.


 Otolaryngology or ENT (ear, nose and throat) is the branch of medicine that specializes in the diagnosis and treatment of ear, nose, throat, and head and neck disorders. The full name of the specialty is otolaryngology-head and neck surgery. Practitioners are called otolaryngologists-head and neck surgeons, or sometimes otorhinolaryngologists (ORL).
 
The American Academy of Otolaryngology – Head and Neck Surgery
For more information on earwax, or to learn about other ENT health conditions, visit http://www.entnet.org/healthinformation/ears.cfm

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What Is an Otolaryngologist?

         Otolaryngologists  [abr. O.R.L / ENT ]   are physicians trained in the medical and surgical management and treatment of patients with diseases and disorders of the ear, nose, throat (ENT), and related structures of the head and neck. They are commonly referred to as ENT physicians.

What do otolaryngologists treat?
Otolaryngologists diagnose and manage diseases of the sinuses, larynx (voice box), oral cavity, and upper pharynx (mouth and throat), as well as structures of the neck and face, as well as many ENT primary care problems in both children and adults.

The ears—Hearing loss affects one in ten North Americans. The unique domain of otolaryngologists is the treatment of ear disorders. They are trained in both the medical and surgical treatment of hearing, ear infections, balance disorders, ear noise (tinnitus), nerve pain, and facial and cranial nerve disorders. Otolaryngologists also manage congenital (birth) disorders of the outer and inner ear.
The nose—About 35 million people develop chronic sinusitis each year, making it one of the most common health complaints in America. Care of the nasal cavity and sinuses is one of the primary skills of otolaryngologists. Management of the nasal area includes allergies and sense of smell. Breathing through, and the appearance of, the nose are also part of otolaryngologists’ expertise.


The throat—Communicating (speech and singing) and eating a meal all involve this vital area. Also specific to otolaryngologists is expertise in managing diseases of the larynx (voice box) and the upper aero-digestive tract or esophagus, including voice and swallowing disorders.
The head and neck—This center of the body includes the important nerves that control sight, smell, hearing, and the face. In the head and neck area, otolaryngologists are trained to treat infectious diseases, both benign and malignant (cancerous) tumors, facial trauma, and deformities of the face. They perform both cosmetic plastic and reconstructive surgery.


How are ear, nose, and throat specialists trained?
Otolaryngologists are ready to start practicing after completing up to 15 years of college and post-graduate training. To qualify for certification by the American Board of Otolaryngology, an applicant must first complete college, medical school (usually four years), and at least five years of specialty training. Next, the physician must pass the American Board of Otolaryngology examination. In addition, some otolaryngologists pursue a one- or two- year fellowship for more extensive training in one of eight subspecialty areas.

These subspeciality areas are pediatric otolaryngology (children), otology/neurotology (ears, balance, and tinnitus), allergy, facial plastic and reconstructive surgery, head and neck, laryngology (throat), rhinology (nose), and sleep. Some otolaryngologists limit their practices to one of these eight areas.

What are the seven areas of expertise in the field of otolaryngology?
  • Otology/Neurotology: diseases of the ear, including trauma (injury), cancer, and nerve pathway disorders, which affect hearing and balance.
    Treating: ear infection; swimmer’s ear; hearing loss; ear, face, or neck pain; dizziness, ringing in the ears (tinnitus).
  • Pediatric Otolaryngology: diseases in children with special ENT problems including birth defects of the head and neck and developmental delays.
    Treating: ear infection (otitis media), tonsil and adenoid infection, airway problems, Down’s syndrome, asthma and allergy/sinus disease.
  • Head and Neck: cancerous and noncancerous tumors in the head and neck, including the thyroid and parathyroid.
    Treating: lump in the neck or thyroid, cancer of the voice box.
  • Facial Plastic and Reconstructive Surgery: cosmetic, functional, and reconstructive surgical treatment of abnormalities of the face and neck.
    Treating: deviated septum, rhinoplasty (nose), face lift, cleft palate, drooping eyelids, hair loss. 
  • Rhinology: disorders of the nose and sinuses.Treating: sinus disorder, nose bleed, stuffy nose, loss of smell.
  • Laryngology: disorders of the throat, including voice and swallowing problems.
    Treating: sore throat, hoarseness, swallowing disorder, gastroesophageal reflux disease (GERD).
  • Allergy: treatment by medication, immunotherapy (allergy shots) and/or avoidance of pollen, dust, mold, food, and other sensitivities that affect the ear, nose, and throat.
    Treating: hay fever, seasonal and perennial rhinitis, chronic sinusitis, laryngitis, sore throat, otitis media, dizziness.


Why should I see an otolaryngologist?
These specialists differ from many physicians in that they are trained in both medicine and surgery. Otolaryngologists do not need to refer patients to other physicians when ear, nose, throat, or head/neck surgery is needed and, therefore, can offer the most appropriate care for each individual patient. Therefore, otolaryngologists are the most appropriate physicians to treat disorders of the ears, nose, throat, and related structures of the head and neck.
What other criteria should I consider as I choose an otolaryngologist in my area?
  • Areas of specialty or subspecialties
  • Medical education and training
  • Licenses or board certification
  • Practice areas
  • Office locations
  • Physician availability
  • Insurance coverage                
 WhatIsAnOtolaryngologist.pdf
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