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ALLERGY IN ENT
SINUS AND NOSE DISEASES
SYMPTOMS:
1.
Allergic nose symptoms (Runny nose, sneezing, itch, blocked nose)
2.
Sinusitis (sinus infections) - acute and chronic
3.
Nasal blockage (nasal polyps, nasal growth, nasal cancer, deviated nasal septum)
4.
Nose bleeds -children and adults
5.
Loss/reduced sense of smell
6.
Facial pain and headache
7.
Postnasal drip
8.
Throat irritation, sore throat
SERVICES/TREATMENT AVAILABLE:
•
Nasal video examination (rigid and flexible nasoendoscopy) for adults and children
•
Screening and biopsy for nasal cavity cancer (nasal, sinus, nasopharyngeal/NPC)
•
Narrow Band Imaging (NBI) endoscopy
•
Nasal suction and washouts
•
Cautery for nose bleeds
•
Radiofrequency for blocked nose / turbinate hypertrophy /other turbinate conditions
•
Laser surgeries
•
Septoplasty/submucous resection -Correction of deviated nasal septum
•
Reduction of nasal bone fracture
•
Endoscopic sinus surgery (ESS) or Functional Endoscopic sinus surgery (FESS) for chronic sinus
infections (chronic rhinosinusitis), nasal polyps, 3D Image-guided Surgery (IGS)
•
Revision nasal surgeries
•
Balloon sinuplasty
•
Functional rhinoplasty
•
Diagnosis and interpretation of allergy tests (skin prick test, specific IgE)
•
Sublingual Immunotherapy (SLIT) for allergies
TEARING, BLOCKED TEAR DUCT (NASOLACRIMAL DUCT) -done in collaboration with an
ophthalmologist/eye specialist
SYMPTOMS:
1.
Tearing problem
2.
Infection around the corner of the eye near the bridge of nose (dacrocystitis)
SERVICES/TREATMENT AVAILABLE:
1.
Endoscopic Dacrorhinocystotomy (DCR) -to create a new passage for the tears into the nose
using nasal endoscopic technique
PITUITARY SURGERY -done in collaboration with a neurosurgeon and physician/endocrinologist
SYMPTOMS:
1.
Hormonal imbalance
2.
Vision problems
3.
Frequent/persistent headaches
SERVICES/TREATMENT AVAILABLE:
1.
Transsphenoidal pituitary surgery (i.e accessing the pituitary fossa in the centre of the brain
through the nose)
Growth filling the right
nasal cavity
Cellulitis around the left eye-
complications of acute
sinusitis in a young boy
CT scan showing right
maxillary sinusitis
A nasal video endoscopic
examination of the nose using a
rigid endoscope
Vincent’s S.C.A.N.S
Ear, Nose and Throat (ENT), Head and Neck Surgery
Specialist Clinic
Acute sinusitis - Nasal
endoscopy showing pus in
the right maxillary sinus
Endoscopic view of
nasal polyps
Copyright Vincent Specialist Solutions Sdn Bhd 2016. All rights reserved
Last update: 10/1/16
Red arrow showing a
pituitary gland tumour
in the centre of the
brain
Green arrow showing a
how a pituitary gland
tumour in the centre of the
brain is removed through
the nose
Graphic representation of balloon sinuplasty at work
(image copyright of Acclarent)
Infection of the tear sac can cause scarring leading to tear
drainage disorders (left picture) and a new surgical opening of the
tear duct made in the nose via endoscopic DCR surgery (right
picture)
Best viewed with Google Chrome browser
RT
LT
© Vincent Tan ENT
Endoscopic view showing large adenoids encroaching into the nasal
cavity (left picture) and its removal using microdebrider (right picture)
© Vincent Tan ENT
© Vincent Tan ENT
(Click for for larger image...)
Image Guided Surgery (IGS): Precisely localising the disease in
question combining endoscopic and radiological imaging views
© Vincent Tan ENT
D
R.
V
INCENT
T
AN
Consultant Ear, Nose and Throat, Head and Neck Surgeon,
MD (UKM), MS ORL-HNS (UKM), DOHNS RCS Edinburgh (UK), MRCS Edinburgh (UK), Postgrad. Cert.in Allergy (UK), A.M. (Mal),
Fellowship in Rhinology (Singapore)
Fellowship in Head and Neck Oncology & Surgery (Amsterdam)
+603-3377 7864
+6012-3760 728
ENTdrvincenttan@gmail.com
