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Ear, Nose and Throat & Head and Neck Surgery
Ethekwini Hospital’s ENT department specialises in the
management of diseases involving the ear, nose and throat, and
in surgery for head and neck tumours.
In addition to basic ENT procedures such as tonsillectomy and
grommet insertion, our ENT surgeons are able to offer advanced endoscopic surgery
for sinusitis.
Head and neck tumour surgery, both for benign and for malignant
conditions, are treated at Ethekwini hospital. This includes
management of parotid and submandibular gland (salivary gland)
pathology.
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Snoring and Obstructive Sleep Apnoea
A particular focus of the ENT department is the diagnosis and
treatment of obstructive sleep apnoea (OSA), which is a
condition associated with snoring and collapse of the upper
airway soft tissues.
Obstructive sleep apnoea is a significant medical problem
affecting up to 4 percent of middle-aged adults. During sleep
apnoea, the soft tissues at the back of the throat collapse,
causing an obstruction to air flow into the lungs. The lack of
oxygen causes frequent arousals, or disturbance of the sleep
pattern. The patient is not usually aware that this is
happening, though these arousals can happen many times during a
sleep cycle.
The repetitive cycles of snoring, airway collapse and arousal
from deep sleep cause strain on the heart, and therefore
patients with OSA are at higher risk of cardiovascular problems,
e.g. hypertension, heart attacks
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Symptoms
of Obstructive Sleep Apnoea
• Loud snoring
• Irritability due to interrupted sleep patterns
• Day time drowsiness
• Concentration problems
• Morning headaches
Ethekwini Hospital offers sleep studies (polysomnograms) to
diagnose OSA. This usually involves an overnight stay at the
hospital, during which various parameters are assessed. This
testing can also be carried out in a patient’s home environment
and is often preferable as more normal sleep patterns can be
observed.
Treatment
Patients diagnosed with sleep apnoea often find relief through
the use of a CPAP (continuous positive airway pressure)
machine.
Other treatments include surgery to correct upper airway
abnormalities which may contribute to airway collapse.
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