Removal of the tonsils (adenoidectomy)
In this operation, the larynx is removed, which is a collection of lymphatic tissue similar to the tonsils and is located in the nasopharynx immediately behind the nasal cavity. An enlarged larynx is the most common cause of nasal congestion or poor nasal patency in a child, resulting in open-mouth breathing, snoring, incorrect growth of the upper jaw and therefore the close position of the child's permanent teeth. The mouths of the Eustachian tubes are also located in the nasopharynx, the function of which is hindered by an enlarged and constantly inflamed larynx in a child. The result of an inflamed, enlarged larynx is recurrent middle ear infections, mucus discharge in the middle ears and poorer hearing in the child. The operation is performed under general anesthesia, with special instruments through the mouth. The child is usually discharged home on the first day after the operation.
Removal of tonsils (tonsillectomy)
The tonsils or uvula are lymphatic structures that are embedded between the anterior and posterior palatine arches in the oropharynx. Significantly enlarged tonsils can obstruct breathing during sleep, interfere with swallowing larger pieces of food, or even cause obstructive sleep apnea (OSA), when the oxygen level in the blood drops. Sleep apnea is the number one reason for tonsil and pharyngeal removal in children worldwide. Tonsils are also removed in cases of very frequent angina (at least 4 to 5 per year). The patient is usually discharged home on the 1st day after surgery.
Tympanic tube insertion
Due to the dysfunction of the Eustachian tubes, chronic effusion (secretory or mucoid) otitis media occurs, when fluid and mucus accumulate in the middle ears. The mucus is sometimes thick as glue (known as "glue ear"). The patient has conductive hearing loss, pain when equalizing pressure, and children have difficulty pronouncing sibilants and murmurs, as they cannot hear them. Immediate normal hearing and thus normal speech development are enabled by making a small incision in the eardrum, suctioning out the mucus and inserting a tympanic tube into the eardrum. The operation in children is performed under general anesthesia and usually the larynx is also removed, while in adults the operation is possible under local anesthesia. In the case of local anesthesia, the patient can go home immediately. As long as the tube is inserted into the eardrum and there is still a hole in the eardrum, the ear must be protected from water with a silicone plug and neoprene tape.
Septoplasty
The nasal septum is made up of cartilage and bone. If it is displaced, curved, or even deformed after an injury, breathing through the nose is obstructed. Many people also have edges and bony spikes on the nasal septum that touch the nasal conchae and cause occasional headaches with point pressure. Septoplasty surgery is usually performed under local anesthesia, but sometimes, at the patient's request, under general anesthesia. The nasal septum is straightened, often secured in the middle with special long-lasting stitches. Nasal packing is not necessary after nasal septum surgery in the case of septum stitching, and is sometimes inserted for only one day. After surgery, it is important to regularly clean the nose with saline and nasal medications as directed by the doctor. After 10 to 14 days, the patient can return to all normal life activities.
Radiofrequency (RF) mucotomy - ablation of the nasal turbinates
Excessively swollen mucous membrane on the nasal turbinates significantly impairs nasal breathing and can also be a cause of snoring. This operation is performed under local anesthesia. We only make punctures with the RF electrode, wounds and bleeding are minimal. After the operation, you can go home immediately and return to normal life activities, but headaches are possible for up to 7 days. After just 7 days, we achieve shrinkage of the nasal mucosa and improved nasal breathing.
Endoscopic sinus surgery (ESS)
In chronic sinusitis with or without nasal polyps, it is crucial for the treatment and control of the disease to open the sinuses wide and remove the polyps as early as possible in the course of the disease. This allows for effective sinus irrigation with saline, access of nasal corticosteroids to the sinuses, and removal of the burden of inflammation (polyps), which are like a kind of factory of immune signaling molecules. The operation is performed through the nostrils with an endoscope, and the polyps are removed with an electrically driven instrument called a "microdebrider". It can be done under local or general anesthesia, depending on the patient's wishes and the extent of the disease. After the operation, a tamponade is inserted and the patient is admitted for one day, and immediately thereafter it is necessary to begin extensive nasal and sinus irrigation with saline and treatment with nasal corticosteroids. After 14 days, the patient can return to all normal life activities.
Otorhinolaryngological (ENT) microsurgery
In the nose, throat and tonsils, we use a coblator – a device that gently “vaporizes” excess tissue with cold plasma. The result is extremely precise procedures with minimal bleeding and almost no postoperative pain. The patient can return home after a few hours, and the overall recovery is significantly shorter than with classic techniques.
English 
Slovenian 
German 
Italian 
Albanian