Head & Neck / Thyroid Surgery


Early NPC seen endoscopically

Typical NPC with ulcerative lesion seen endoscopically		 Dr Stanley was trained as a Head & Neck surgeon, and has handled head and neck cancer resections and reconstructions. A Head and Neck team approach is available including an oral surgeon and a plastic surgeon.


Thyroid surgery is part of Head & Neck surgery and diagnostic tests like fine needle aspiration cytology (FNAC) are available in the clinic. Thyroidectomy is also performed whenever necessary.

Head and neck cancer screening is also available. This is particularly referred as Nasophageal Cancer (NPC). This would include a thorough video nasolaryngoscopic examination in addition to screening of the Epstein-Barr Virus (EBV) serology (IgA anti VCA, IgA anti EA), which is done at the W.H.O Laboratory at the National University Hospital, Singapore. This is for patients who are at risk ie. first degree relatives of a patient with NPC.
Early NPC on Axial CT Scan


Hearing & Dizziness (Balance Disorder) Evaluation

A thorough evaluation of the patient's hearing and ear status are available including a microscopic/endoscopic ear examination. Basic hearing tests including tympanometry can be done if indicated. For those who require a hearing aid, appropriate referral to a reliable hearing aid centre is offered.

Balance disorders are also dealt with and measures like the Dix Hall Pike test for Benign Paroxysmal Positional Vertigo (BPPV) and Epley Manoeuvre to cure benign paroxysmal positional vertigo are readily available as a clinic outpatient procedure.

For dizziness and vertigo, an electronystagmorgraphy (ENG) would be arranged to evaluate the function of the vestibular labyrinth.

Voice Disorders

Intracordial cyst of vocal cords
 Voice disorders are diagnosed by transnasal or transoral endoscopy and if need be, by video stroboscopy. Many voice disorders are treated medically with the help of a speech therapist. Mass lesions are surgically treated by endo-laryngeal microsurgery or phonosurgery.

Vocal Cord Nodule

Vocal Cord nodules, cysts and laryngitis are the most common lesions seen.
Laryngeal Carcinoma
 
Stanley Ear Nose Throat And Sinus Centre Suite
#06-17 Gleneagles Medical Centre 6 Napier Road Singapore 258499		 Tel: (65) 6475 2282
Fax: (65) 6475 0882		 Email:
Website: www.sinus.sg




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