In the course of an adult otorhinolaringological examination the otorhinolaringological specialist provides for the check-up of the ear, nose/paranasal sinuses, oral cavity, gullet (pharynx), rhinopharynx and the larynx.
If symptoms of difficulties in breathing through the nose, lost sense of smell, hearing loss, tinnitus (ringing in the ears), snoring, phonation disorders and inflammatory diseases of upper airways (nose, sinuses, ear, larynx) occur we examine our adult patients in well-equipped otorhinolaringological consulting rooms by up-to-date, special devices.
THE MOST COMMON DISEASES OF THE NOSE AND THE PARANASAL SINUSES
Snoring, frequent infection of the upper airways, mouth breathing and hearing loss are all may be the consequences of a nasal breathing disorder.
Causes behind a nasal obstruction (difficulties in breathing through the nose) might be allergy, nasal septum deviation or a nasal polyp.
Difficulties in breathing through the nose in case of allergy
Appearance of symptoms may vary according to the type of the allergy:
- in case of allergic rhinitis due to a pollen allergy, symptoms are running nose, snuffles, sneezing, lacrimation for a few months in the pollen season, which means these are seasonal
- in case of house dust mite allergy the prevailing symptoms are running and stuffy nose, sneezing, rare lacrimation with chronic complaints all year round
- aspergillus (mould and mildew) allergy causes similar symptoms: running and stuffy nose, sneezing, rarely lacrimation with chronic complaints all year round
- in case of cat or dog hair allergy complaints are also the allergic nasal and eye symptoms which appear in the proximity of animals – stuffy nose, sneezing and itchy and red eye
It is important to treat the allergy affecting the upper airways, because if neglected it may lead to even asthma disease.
Nasal septum deviation at adults and adolescents
Nasal septum deviation may appear typically over adolescent age. Final shape and form of the nasal septum and the final appearance of the nose evolve at the age of cca.18 years when growing of the bones is finished so nasal septum deviation may cause respiratory symptoms from this time on.
Typical symptoms are snoring, difficulties in breathing through the nose, one-sided nasal obstruction and chronic inflammation of the maxillary sinus (sinusitis) not reacting positively to different therapies.
To determine whether operation is needed or not, patients always must consult with an otorhinolaryngologist since the problem of the deviated septum is not necessarily requires a surgical intervention.
At adult age nasal polyp may also cause difficulties in breathing through the nose. Its cause is the chronic, over-proliferating inflammation of the nasal mucous membrane, in most cases owing to allergic problems. Some metabolic diseases (like mucoviscidosis/cystic fibrosis) may also be accompanied by a nose polyp.
- nasal obstruction
- difficulty in blowing the nose
- dampened sense of smell and taste
In most cases the otorhinolaryngologist proposes an operation which is followed by a much careful after-treatment in order to prevent the recurrence of the nose polyp.
The most common adult inflammatory ear diseases
Common cold may often lead to the inflammation of the middle ear (otitis media) as a complication. Mainly children suffer from this illness, but it may happen to adults as well. Its course may be acute or chronic. During the evolvement of otitis media, pathogens (either viruses or bacteria) reach the tympanic cavity spreading from the nose and pharynx through the auditory tube (being a narrow tube which links the nasopharynx to the middle ear). Its symptoms are mordant, increasing earache and the external ear canal becomes painful by pressure. Hearing impairment may prevail and general symptoms like fever, helplessness etc. may also appear.
In case of adults, especially if they use earplugs or hearing aid devices, it is more frequent that external ear canals are time by time obstructed which may lead to a periodical hearing loss. Further symptoms are earache, itchy ear canals, sense of fullness in the ear. It is very common that after open water bathing or swimming an acute earache and inflammation of the external ear canal develop.
Inflammation of the maxillary and frontal sinuses (sinusitis)
Permanent fever, facial pain and/or headache, depressed mood may be warning signs for the otorhinolaryngologist, because as a complication of a common cold or upper respiratory tract infection an inflammation of the maxillary and frontal sinuses may develop. In acute cases symptoms may be similar to that of a severe common cold, causing running nose and snuffles, but in case of sinusitis symptoms do not disappear in a few days, nasal discharge becomes thick, greenish/yellowish and cannot be removed easily, coughing, fever, headache and tiredness occur. Complaints may last for 10-14 days and in case of non-treatment of the disease they might become chronic.
Symptoms of the chronic inflammation of the maxillary or/and frontal sinuses (sinusitis)
- uncertain pain and tension in the facial area and in the forehead
- sense of fullness in the facial area and in the forehead
- moderate occurrence of nasal discharge which often trickles to the gullet
- consequent recurring cough and a scraping feeling at the throat
- intensified coughing when patient goes to bed
Diseases of the larynx
Main symptom of the acute and chronic laryngitis is hoarseness. Behind the acute cases a virus infection could generally be diagnosed, while in chronic laryngitis the straining of vocal cords play the main role. If hoarseness lasts for more than 2-3 weeks, patients must consult an otorhinolaryngologist since the cause of the disorder could be detected by a simple laryngoscopic examination checking the vocal cords by this way. Passing the age of 50 years long-lasting hoarseness or change of the voice’s tone may show the appearance of a tumor lesion so in such cases consultation with a specialist is inevitable. Smoking is one of the main risk factors of a tumor lesion in the larynx.
Nevertheless, permanent hoarseness does not necessarily imply a laryngological disease in the background, other ailments like reflux may cause similar symptoms, so in these cases physicians of other specialties (for example a gastroenterologist) must be consulted.
Otorhinolaryngologists of our clinic
Easy parking is possible in an outdoor parking area about 30 meters from our clinic.