OTOLARYNGOLOGY

- with difficulty in nasal breathing, snoring, apnea;
- in the presence of nasal polyps, chronic tonsillitis, inflammation of the tonsils;
- with complications after injuries of the ENT organs or surgical interventions;
- with neoplasms of the ears, nose and mouth;
- with nosebleeds or vascular problems of the nasal cavity;
- if desired, change the shape/size of the nose.

- collection of anamnesis and complaints of the patient;
- examination of the nose, ears and throat, assessment of ENT structures;
- if necessary — additional diagnostic studies;
- diagnosis;
- formation of an individual treatment plan.

The cost of consultation of the surgeon otolaryngologist Kulchikovsky Vsevolod Eliadovich is 800 UAH
The cost of consulting an otolaryngologist Radevych Ksenia Nikolaevna is 600 UAH

Consultation on ENT organs is carried out by several specialists:
- otolaryngologist surgeon Kulchikovsky Vsevolod Eliadovich;
- otolaryngologist Radeevich Ksenia Nikolaevna.

- consultation, examination and diagnosis;
- performed in the operating room using general anesthesia, can be open or closed;
- incision is made;
- the desired area of the nose is corrected (reduction of the hump, alignment of the back, narrowing of the wings of the nose, correction of the tip, etc.);
- septoplasty (correction of the nasal septum) can be performed if necessary;
- closing incisions, suturing and installing internal silicone plates in the sinuses of the nose (they are removed in 2-3 days, at which time the patient breathes with his mouth);
- the patient remains under the supervision of medical personnel for at least 3 days.

- people with congenital or acquired deformities of the nose (hump, curvature, disproportionality, width of the wings of the nose, etc.);
- patients with impaired nasal breathing, which is associated with anatomical features (often combined with septoplasty);
- people with psychological discomfort due to the shape or size of the nose;
- people over 18 years old, when the bone-cartilage system is formed.

2 hours.

The cost of rhinoplasty is from 1000 to 2000 €*.
*calculation in hryvnia equivalent at the NBU exchange rate on the date of the transaction. The cost of general anesthesia is paid separately.

Rhinoplasty is performed by otolaryngologist Kulchikovsky Vsevolod Eliadovich.

Women and men with nasal polyps who have symptoms such as:
- constant nasal congestion;
- loss of smell;
- difficulty in nasal breathing;
- frequent sinusitis, rhinitis, headaches;
- dependence on vasoconstrictor drops.

- consultation, examination and diagnosis;
- performed using local anesthesia (may also be short-term general anesthesia);
- introduction of an endoscope, visualization of polyp/polyps;
- removal of polyp/polyps using a laser;
- the removal site is coagulated (“sealed”), so there are no seams;
- the patient returns home the same day.

The cost of laser coagulation of nasal polyps isfrom 5,000 to 7,000 UAH

Laser coagulation of nasal polyps is performed by otolaryngologist Kulchikovsky Vsevolod Eliadovich.

- consultation and inspection;
- is carried out using local anesthesia;
- “aiming” laser exposure to the mucous membrane of the lower nasal sinuses;
- the removal site is coagulated (“sealed”) with a laser, so there are no seams;
- the patient returns home the same day.

10-20 minutes.

Women and men with:
- snoring and apnea;
- difficulty breathing;
- chronic rhinitis;
- dependence on vasoconstrictor drops;
- hypertrophy of the lower nasal sinuses.

Cost of laser vasotomy (submucosal laser coagulation of the lower nasal sinuses) constitutes from 11,000 to 13,000 UAH

Laser vasotomy (submucosal laser coagulation of the lower nasal sinuses) is performed by the otolaryngologist surgeon Kulchikovsky Vsevolod Eliadovich.

- consultation and inspection;
- performed using local anesthesia (general anesthesia can also be used for polyps in the middle ear and with large volumes of intervention);
- removal of polyps with a laser;
- the removal site is coagulated (“sealed”) with a laser, so there are no seams;
- an antiseptic bandage is applied;
- the patient returns home on the same day, sometimes it may be necessary to stay in the hospital for 1 day.

About 1 hour.

Women and men with:
- polyps of the outer or middle ear;
- chronic ear inflammations and decreased hearing due to polyps.

The cost of removing ear polyps is 5 000 UAH

Removal of ear polyps is performed by otolaryngologist Kulchikovsky Vsevolod Eliadovich.

It is carried out through natural openings, with the help of an endoscope tube and lasts a few minutes. The image is broadcast to the screen, so the doctor can explain exactly what is happening in your ENT organs.

3-5 minutes.

The service is suitable for children and adult patients who wish to examine the ENT organs and detect the disease in the early stages and receive effective treatment. Patients (adults and children) can deal with the following problems:
- chronic nasal congestion and difficulty breathing;
- snoring;
- adenoid vegetation;
- frequent sinusitis and otitis;
- hoarseness and sore throat.

Also, the endoscopic method can be used when a neoplasm of ENT organs is suspected and observed in the dynamics of diseases of ENT organs.

Cost endoscopic examination of ENT organs is 500 UAH

Endoscopic examination of ENT organs is carried out by otolaryngologist Radeevich Ksenia Nikolaevna.

The doctor inserts an endoscope into the nasal cavity and examines the mucous membrane, nasal passages, nasal septum and nasopharynx.

3-5 minutes.

The service is suitable for children and adult patients with:
- difficulty in nasal breathing;
- inflammatory processes and nasal discharge;
- nosebleeds;
- impaired sense of smell;
- injuries to the nose.

Cost rhinoscopy is 300 UAH

Rhinoscopy is performed by otolaryngologist Radeevich Ksenia Nikolaevna.

When washing the lacunae of the palatine tonsils, the doctor uses a special syringe with a curved metal cannula. He gently brings the cannula to the surface of the palatine tonsil and, under pressure, delivers an antiseptic solution that washes away purulent plugs and bacteria from the lacunae. The procedure lasts a few minutes, can be a little unpleasant, but not painful. After it, it is recommended not to eat or drink for about 30 minutes.

The procedure is carried out with:
- chronic tonsillitis to avoid surgery;
- with acute tonsillitis;
- to prevent complications.
The course of treatment is usually 7-10 procedures, which are carried out daily or every other day.

The cost of washing the lacunae of the palatine tonsils is 300 UAH

Washing of the lacunae of the palatine tonsils is carried out by otolaryngologist Radeevich Ksenia Nikolaevna.

- the doctor conducts an examination of the ear;
- the cause of discomfort is determined;
- with the help of a special syringe, the doctor gently injects saline into the ear;
- after washing, the doctor carefully dries the ear with a sterile swab and, if necessary, instills an antiseptic or anti-inflammatory agent.

Patients (adults and children) who have otitis or a foreign body in the ear canal and need to be washed. The number of procedures is prescribed by the doctor individually.

The cost of washing the external auditory canal is 400 UAH

Flushing of the external auditory canal is carried out by otolaryngologist Radeevich Ksenia Nikolaevna.

Catheterization of the auditory tubes

The doctor inserts a metal catheter with a curved end into the nose, which is designed for precise insertion into the mouth of the auditory tube (located in the nasopharynx). A rubber pear or syringe is connected to the catheter through which air or a medicinal solution (for example, anti-inflammatory or vasoconstrictor) is blown in. During the air supply, the patient may feel a “click” or “push” in the ear - this is a sign that the tube has opened and air has entered the middle ear. This procedure allows you to directly deliver the medicine to the auditory tube and restore its patency.

Blowing of the auditory tubes (Politzer method)

This is a less invasive option that is often performed without a catheter: the patient clamps one nostril and the doctor inserts the tip of a rubber pear into the other. When swallowing or pronouncing a word/phrase, the doctor injects air into the nasal cavity. Air enters through the auditory tubes into the middle ear, leveling the pressure.

Patients who have problems with the patency of the auditory tube due to colds or stresses on it due to frequent flights by plane.

Cost of catheterization and drainage of the auditory tubes from 300 to 500 UAH

Catheterization and blowing of the auditory tubes is carried out by otolaryngologist Radevych Ksenia Nikolaevna.

- the doctor conducts an examination of the nasal mucosa;
- wets a cotton swab in a solution of silver nitrate;
- gently touches the affected area of the mucous membrane;
- under the action of silver nitrate coagulation occurs, which “seals” the vessel and forms a thin protective film.

Patients who are prescribed appropriate treatment, who have persistent nosebleeds and/or frequent rhinitis that is chronic in nature

The cost of washing the external auditory canal is 300 UAH

The cauterization of the vessels of the nasal mucosa with silver nitrate is carried out by otolaryngologist Radeevich Ksenia Nikolaevna.

- examination of the ear to determine the site of inflammation;
- treatment of the specified area with an antiseptic;
- pain relief;
- opening the boil and cleaning the contents;
- washing the cavity of the boil with an antiseptic solution;
- installation of drainage.

The doctor may prescribe medications (depending on the presence of inflammatory processes).

Patients who have a corresponding neoplasm in the external auditory canal.

The cost of opening and draining the furuncle of the external auditory canal is 800 UAH

Opening and drainage of the furuncle of the external auditory canal is carried out by otolaryngologist Radevych Ksenia Nikolaevna.