Importance of a second opinion in ENT

Why it is important to have a second opinion for Ear,Nose and Throat complaints

Did you know……?

More than 50% of all physician office visits are for ENT problems.

What is an ENT Specialist?

An ear, nose and throat specialist (ENT) is trained in the medical and surgical treatment of the ears, nose and nasal passages, paranasal sinuses, throat, oral cavity, and upper pharynx (mouth and throat), as well as larynx (voice box), and structures of the head and neck and face. ENT is the oldest medical specialty in the United States.

The Ear

The unique domain of the ear; nose and throat specialist is treatment of ear disorders. This includes medical and surgical treatment for hearing disorders, ear infections, balance disorders, facial nerve or cranial nerve disorders, as well as management of congenital (birth) defects and cancerous disorders of the outer and inner ear.

The Nose

Care of the nasal cavity and sinuses is one of the primary skills of the ENT specialist. Management of disorders of the nasal cavity, paranasal sinuses, allergies, sense of smell, and nasal respiration (breathing), as well as the external appearance of the nose are part of an. ENT’s area of expertise.

The Throat

Also specific to the ENT specialty is expertise in managing diseases of the larynx (voice box) and the upper aerodigestive tract or esophagus including disorders of the voice respiration (breathing), and swallowing.

The Head and Neck

In the head and neck area, an ENT specialist is trained to treat infectious diseases, tumors (both benign and malignant/cancerous), facial trauma, and deformities of the face. They perform both cosmetic plastic and reconstructive surgery.

An ENT specialist may work with a team of doctors in other medical and surgical specialties. Common ground is shared with neurosurgery in treating skull base disorders; plastic surgery in correcting cosmetic and traumatic deformities; ophthalmology in treating structural abnormalities near the eye; oral surgery in treating jaw and dental trauma; allergy in managing sinus disease; dermatology in caring for skin cancers; oncology in managing head and neck cancers; and pediatrics and family practice in caring for common infectious, congenital, traumatic, and malignant (cancerous) diseases and disorders in the pediatric and general population.

Training

An ENT specialist is ready to start practicing after up to 15 years of college and postgraduate training. To qualify for certification from the Royal College of Surgeons, 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 Fellowship examinations (2 parts ) in Oto -laryngology to be certified. Some ENT specialists pursue a one- or two-year fellowship for more extensive training in one of the seven subspecialty areas. These include pediatric otolaryngology (children), otology/neurotology (ears and balance.), allergy, facial plastic and reconstructive surgery, head and neck surgery, laryngology.(throat) and rhinology (nose). Some ENT specialists limit their practices to one of these seven superspeciality areas. It is therefore important to have a second opinion before volunteering for any interventional procedure in the speciality.

 

                 The Seven Superspeciality areas of the speciality of E.N.T.

Otology / Neurotology / Cranial nerve affections

Medical and surgical treatment of diseases of the ear, including traumatic and cancerous disorders of the external, middle, and inner ear, as well as the nerve pathways which affect hearing and balance. All the 12 Cranial nerves impinge into the E.N.T. Surgeon’s territory in some way or other – either within the skull base or at their exit from the skull or in the head, face and neck.

Pediatric Otolaryngology

Medical and surgical treatment of diseases of the ears, nose, and throat in children.

Head and Neck Area

Medical and surgical treatment of cancerous (and noncancerous) tumors in the head and neck, including thyroid and parathyroid surgery.

Facial Plastic and Reconstructive Surgery

Treatment of cosmetic, functional, and reconstructive abnormalities of the face and neck.

Rhinology

Medical and surgical treatment of disorders of the nose and sinuses.

Laryngology

Medical and surgical treatment of disorders of the throat, including the voice.

Allergy

Medical treatment of inhalant & food allergies affecting the upper respiratory system.

The well trained ENT specialist has a thorough knowledge of all of the organs and physical structures in the head and neck region. Virtually all ear nose and throat specialists routinely handle adenoidectomies, tonsillectomies nosebleeds, ear-aches, hearing loss, dizziness, hoarseness, and sinus disease. The physician’s qualifications and inclinations are important and many time a second opinion helps to arrive at a correct diagnosis.

© 1996. American Academy of Otolaryngology-Head and Neck Surgery, Inc., One Prince Street, Alexandria, VA 22314-3357

A number of ENT complaints can be managed without surgery. It is therefore important to take a second opinion of an experienced specialist before volunteering for surgery.