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DISEASES WE TREAT

When treating one of these diseases, we have a robotic surgical system, Da Vinci®, with which we have obtained some excellent results.

Robotic surgery with the Da Vinci® system is carried out with specially designed instruments, which have been reduced in size for better precision when handling them.

This advanced equipment allows the surgeon to work with perfect visualisation and precision. 

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If you require the opinion of our experts without having to travel to the Clinica, we offer the possibility of a Second Medical Opinion consultation.

Tinnitus is the perception of a sound in the ears or head, whilst no external source is producing it.

It can be perceived as a buzzing, beeping, ringing, etc. It can be a continuous, pounding, permanent or occasional sound.

Tinnitus is not a disease, but a symptom that can appear in isolation, accompanied by an ear disease or other pathology.

The Tinnitus Unit at the Clínica Universidad de Navarra in Madrid has extensive experience in the diagnosis and treatment of patients with this symptom.

Before the appearance of Tinnitus, an Otorhinolaryngological study must be carried out to detect if it is caused by a disease that can be treated medically or surgically.

It is not always associated with hearing loss, and neither will it always lead to deafness. 

The Clínica has experts in diagnosis and treatment of patients with voice and language problems.

Dysphonia is the loss of the voice´s normal tone due to a functional or organic larynx condition.

The sound a child makes from birth can sometimes change, due to laryngeal malformations or neurological conditions. In later life, laryngeal papillomas can appear, as a result of a viral infection.

In adults, the majority of dysphonia is caused by vocal hyperfunction.

It´s necessary to carry out a physical examination of the larynx for all relapsing dysphonia, or that which continues for more than 15 days, and above all, if the patient is a smoker. This can suggest the existence of a vocal cord tumour.

The treatment for vocal cord nodules and oedema, consists in carrying out phoniatric rehabilitation and if the case persists, by completely this treatment with a microsurgical removal.

If the patient has a vocal cord polyp, the main treatment is surgical removal and postoperative phoniatric rehabilitation.

This is occasionally associated with digestive pathologies, mainly gastroesophageal reflux. Sometimes, there is a granuloma or ulcer on the rear third of the vocal cords. In which case, the initial treatment of phoniatric rehabilitation is accompanied with medical treatment and postural anti-reflux therapy. 

Ventilator nasal insufficiency is caused by the incorrect flow of air through the nasal cavity.

It´s a common condition in children and adults, and has multiple aetiologies and treatments. In children, the cause is almost always enlargement of the adenoids, often associated with tonsil hypertrophy.

For adults, there are two main causes, which are very often associated with this condition:

Hypertrophy of the nasal passages and deviated nasal septum. The main symptom is difficulty breathing through the nose, which manifests itself with: opening the mouth, sudden, deep and short nasal inspirations, a dry throat, noisy day time, and especially night time, breathing.

The Rhinology Unit in the Otorhinolaryngology Department at the Clínica Universidad de Navarra has vast experience in the diagnosis and treatment of nose and paranasal sinus diseases.

The diagnosis is based on anamnesis, clinical examination, anteroposterior rhinoscopy and fibroscopy.

The treatment depends on the cause of the condition and can include various surgical procedures and antihistamine, decongestants, antibiotics, topical or systematic corticoid medication, etc. for functional obstructions. 

Otitis media is common in childhood and can cause hearing loss.

Otitis media is the persistent inflammation of mucus that covers the inner ear. This produces an excess of liquid which stays trapped, and closes up the Eustachian tube, which causes pain and hearing problems.

It can be classified as acute (symptoms for 0-3 weeks), sub-acute (3-12 weeks) and chronic (more than 12 weeks). The trapped liquid in the inner ear can be serous (fluid, like water), mucosal (viscous, like mucous) or purulent (pus).

The normal treatment for otitis media is antibiotics, to combat the germs that are usually responsible for said symptoms. This treatment is sometimes complemented by the use of nasal decongestants and mucolytics.

 

We are specialists in cochlear implants, for both children and adults.

There are many causes that can lead to hearing loss: family history, viral diseases during pregnancy, blood incompatibility between mother and child, etc. In adults causes include chronic infections, suffering from otitis for a long period of time or very often, trauma, etc.

Many patients with hearing loss benefit from medical or surgical procedures, but the majority of them have hearing conditions that cannot be corrected with these treatments. It is recommended that they use a hearing aid.

The Otorhinolaryngology Department at the Clínica Universidad de Navarra has a group of specialised professionals for the treatment of deep bilateral neurosensorial hypoacusis. They have a cumulative experience of fitting more than 800 cochlear implants, in both children and adults. 

Rhinosinusitis inflames the mucous in the nostrils and paranasal sinuses.

If they are inflamed due to an obstruction caused by a virus, bacteria or allergic reaction, and the obstruction persists, it will cause the small ducts to close and mucous will accumulate in them, which starts to drain and cause discomfort.

The symptoms of sinusitis are nasal congestion, pain at the front of the head, under and around the eyes; continual congestion and mucous, and in some cases, coughing and sneezing, which usually appear in acute rhinosinusitis.

Under the right conditions, sinusitis can cure itself and doesn´t require antibiotics. If it persists over time, it´s necessary to receive medical treatment and, if it still doesn´t improve, patients must undergo a surgical procedure. 

Alcohol and tobacco are the principal risk factors for head and neck tumours.

There is a group of localised malignant head and neck tumours in the paranasal sinuses, nasopharynx, oropharynx (tonsils, soft palate, base of the tongue), hypopharynx, larynx, oral cavity (oral mucus, gum, hard palate, tongue and floor of the mouth), tongue and salivary glands. This excludes skin, brain and thyroid tumours.

The Otorhinolaryngology Department at the Clínica Universidad de Navarra has a specialised unit for oncological and reconstructive head and neck surgery.

There are no fully effective programmes for the early detection of head and neck cancers. It`s recommended that people with known risk factors such as heavy drinkers and smokers, have regular check-ups for the detection of these conditions.

> Learn more about head and neck tumours  [SP]

Nose and paranasal sinus tumours are rare, and make up 0.2% of all malignant tumours.

The paranasal sinuses are aerial structures located inside the facial bones. They are covered by mucous which is similar to that found throughout the nasal cavity.

The most common symptoms are: unilateral nasal obstruction, continuous nose bleeds, constant lacrimation due to the obstruction of the lacrimal duct, increase in the size of the bridge of the nose or orbit, if the tumour grows, and pain or dental immobility.

The diagnosis is mainly carried out using image testing. The definitive diagnosis is done using a biopsy.

The main treatment for these tumours is surgery or radiotherapy (apart from lymphomas or plasmacytomas). Using radiotherapy alone has very poor results. 

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