In the event of abnormal findings, samples can be taken from the mucous membranes of the entire ENT area to confirm or rule out a suspected diagnosis.
Depending on the location of the findings, these samples are taken on an outpatient basis under local anaesthetic or general anaesthetic.
Further treatment depends on the results of the histological examination.
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Endoscopy is a medical diagnostic measure. On the one hand, it can be used for the (early) detection of pathological changes and, on the other, to carry out therapies.
During an endoscopy, the doctor takes a look inside the body cavities and organs. To do this, he inserts what is known as an endoscope. This consists of a flexible plastic tube or a rigid metal tube. The endoscope is fitted with a light source, a lens and a camera. This allows the inside of the body to be examined. Depending on the examination, the images from the endoscopy are transmitted to a monitor in parallel and saved.
Specialised instruments can be inserted via integrated channels, which can be used to carry out therapies or take tissue samples, for example.
An endoscopic examination is always appropriate if the doctor is unable to make a reliable diagnosis - either with the naked eye, by manual examination or with other imaging techniques such as ultrasound. Endoscopy allows the doctor to see inside an organ/body cavity and to take any necessary biopsies (tissue samples).
An endoscopy is generally performed to make a diagnosis or to assess the course of a disease. The examination is also used to confirm or at best rule out a suspected (malignant) change in a tissue. Endoscopy can also be used to perform minor surgical procedures.
Endoscopic examinations can be performed, for example, on the digestive organs using gastroscopy and/or colonoscopy. However, endoscopy can also provide optimal services in ear, nose and throat medicine: with endoscopy, we can gain optical access to small nasal openings that are difficult to examine, the nasopharynx, pharynx, larynx, oesophagus and windpipe and even the auditory canals.
Rigid endoscopes are generally used for endoscopic examinations in ENT medicine (e.g. 30° endoscopes for the nasal cavity or 90° endoscopes for the pharynx and larynx). If the anatomical conditions are somewhat difficult, flexible endoscopes can also be used.
ENT endoscopy is a gentle, safe examination. With its help, precise examination results can be obtained. Surgical interventions can often be avoided or replaced.
In our Practice clinic in Frankfurt we carry out the following endoscopic examinations:
An endoscopy of the nose can be performed, for example, in the case of severe, recurring nosebleeds or if there is a foreign body in the nose. In this way, the foreign body can be visualised and removed. A rhinoscopy can also be performed in the case of rhinitis, i.e. inflammation of the nasal cavity, in order to assess the extent of the inflammation. The same applies to sinusitis, i.e. inflammation of the paranasal sinuses. Another area of application of rhinoscopy is the assessment of tumours in the nose or paranasal sinuses. It is also possible to take a biopsy.
If it is suspected that the patient is suffering from pharyngitis in an acute or already chronic stage, a nasopharyngoscopy should be performed to confirm the diagnosis. Epipharyngoscopy is also used to recognise malformations or injuries in the area of the throat as well as tube dysfunction or tympanic effusions. If unclear blood secretions are found in the nasal mucus, an endoscopy of the nasopharyngeal area is also recommended. Endoscopy is also suitable for the diagnosis/biopsy of tumours in this area.
An endoscopy of the larynx should be performed before and after thyroid surgery. Other indications include persistent hoarseness, suspected acute or chronic laryngitis, injuries to the larynx and suspected paralysis of the vocal folds. Laryngoscopy is also necessary to detect changes in the vocal cords or laryngeal carcinoma (especially in smokers; at best in the early stages). We also use this examination method to assess possible malformations in the area of the larynx.
In order to rule out a tumour in the pharynx, an endoscopic examination of the pharynx should be carried out if swallowing difficulties in the deep throat persist for more than three weeks and do not respond to drug therapy. In many cases, the procedure is combined with a microlaryngoscopy (examination of the larynx under a microscope).
Unfortunately, cancer can occur almost anywhere in the body - including the throat, nose and ears.
ENT tumours often occur in the oral cavity (lip, tongue, floor of the mouth, palate, cheeks, salivary glands), in the throat, larynx and trachea as well as in the nose, paranasal sinuses, maxillary sinuses, frontal sinuses and ears.
The most common types are tumours of the oral cavity, pharynx and larynx.
Every tumour has its own specific symptoms - but these can be varied and sometimes difficult to distinguish from other diseases. The symptoms also vary depending on where the tumour is located. These can include discolouration, swelling or open, bleeding areas on the mucous membrane, pain, sudden movement restrictions (e.g. in the tongue) or persistent difficulty swallowing.
Persistent hoarseness, a foreign body sensation in the throat, the constant feeling of having to clear your throat, breathing difficulties and a sore throat that lasts for days and weeks MAY (but does not have to!) indicate an ENT tumour. One-sided obstructed nasal breathing, a very nasal voice and frequent nosebleeds are further symptoms that should definitely be investigated. Extraordinary ear pain, hearing loss, enlarged cervical lymph nodes, weakness, dizziness, tiredness and weight loss are also signs of illness that should be investigated.
Cancer in the head and neck area can be favoured by various factors. In general, these include smoking, regular and high alcohol consumption, viral infections (e.g. HPV) or occupational exposure to certain harmful substances. UV radiation and radioactive radiation can also trigger cancer. Furthermore, poor oral hygiene, a permanently damaged immune system and chronic injuries to the mucous membrane can contribute to the formation of tumours.
A number of symptoms can indicate laryngeal cancer, including hoarseness that lasts longer than two to three weeks, a change in the sound of the voice and a "throat clearing compulsion", i.e. the frequent need to clear your throat. This is usually due to a scratchy or foreign body sensation in the throat. A dry, irritating cough, difficulty swallowing, unexplained sore throat and enlargement of the cervical lymph nodes are also possible signs of cancer of the larynx in this combination.
Possible symptoms (depending on the location of the tumour) include enlarged, non-painful cervical lymph nodes, obstructed nasal breathing, recurrent nosebleeds, fluid behind the eardrum, frequent middle ear infections, headaches and symptoms of paralysis of certain cranial nerves. Throat cancer can also manifest itself as a sore throat that can radiate to the ear, difficulty swallowing and bad breath. Other warning signs are sputum with an admixture of blood and shortness of breath.
A sudden feeling as if the ground is swaying under your feet or everything is spinning can be unsettling. Vertigo can have a major impact on everyday life and quality of life. This makes it all the more important to recognise the causes and treat them in a targeted manner.
If recognised early, many laryngeal diseases can be treated much more effectively. This makes it all the more important to correctly interpret warning signs and seek medical advice in good time. In the following, we focus on laryngeal carcinoma and its symptoms.
A blocked nose, persistent nosebleeds or a change in breathing - these symptoms are usually due to a relatively harmless cause. However, sometimes benign or malignant tumours can also be the cause. In these cases, early diagnosis is crucial for the further course of the disease.
Modern diagnostic procedures make it possible to precisely identify allergies and initiate appropriate treatment. Below we explain how the tests work - and what they can tell us.
Sneezing and a blocked or constantly runny nose - typical symptoms that plague many people, especially in spring and autumn. However, it is not always immediately clear whether this is due to a cold or hay fever.
A blocked nose can have a considerable impact on everyday life. Many people then turn to nasal sprays, which can provide quick relief. But what happens if the medication doesn't work? There can be various reasons for this.
Sudden hearing loss can change your life from one moment to the next - especially if it occurs frequently. Recurrent hearing loss is more than just a temporary impairment. What measures help to minimise the risk in the long term?
Recurrent sinusitis can have a significant impact on quality of life and is often associated with persistent symptoms such as a feeling of pressure in the centre of the face, headaches and a blocked nose.
Free, undisturbed nasal breathing contributes significantly to quality of life and well-being. However, anyone who suffers from restricted nasal breathing knows the effects on sleep, concentration and general fitness only too well. In the following, we will show you effective options and modern treatment methods that will allow you to breathe freely again.
ENT screening may not be as prominent in your life as other medical specialities, but it plays a crucial role for your body. After all, potentially life-threatening diseases such as cancer can also occur in this region of the body. We offer the various examinations at our ENT practice clinic in Frankfurt.
Below we explain why there is a clear link between untreated hearing loss and an increased risk of developing dementia - and what treatment options modern medicine can offer you.
Hearing loss is a common health problem that can affect people of all ages. In this article, we will inform you about the various causes of hearing loss. We will also show you how we can help you at our ENT clinic in Frankfurt.
Some people suffer repeatedly or even permanently from the feeling of a blocked nose. In this case, you may have enlarged turbinates. During a laser conchotomy, we can laser the inside of your nose and allow you to breathe freely.
Loud snoring can turn sleep into torture. In some cases, snoring surgery can be the solution so that you can sleep peacefully again. We offer this form of snoring therapy at our ENT clinic in Frankfurt.
At first glance, unilateral hearing loss may seem less serious than the loss of hearing in both ears. Nevertheless, it has a profound impact on the lives of those affected. In this article, we will inform you about how hearing loss in one ear can occur and what we can do about it.
In the hectic symphony of modern life, there is a special melody that not everyone can hear - that of tinnitus. If the noises in your ears are particularly loud, they can certainly restrict your quality of life. But what is it like - can tinnitus be cured? Is there a chance that the ringing and buzzing in the ear can be silenced again?
Did you know that your blood sugar levels can affect your hearing? For example, low blood sugar levels can damage the nerves in your ear canal in the long term. Diabetes mellitus is also a risk factor for hearing loss. Hearing problems can be a typical consequence of diabetes.
Ear noises that sound like whistling, ringing, humming or buzzing, crackling, hissing or hissing are known as tinnitus. As you can see: The ways in which sounds manifest themselves are extremely varied. The causes of tinnitus are just as varied as its manifestations.
Botulinum toxin - you probably know this active ingredient from wrinkle treatment. However, botulinum originally comes from medicine and was and still is used to treat certain medical conditions. An indication is also emerging: Botox for tinnitus therapy.
Many people are unhappy with the size and/or shape of their nose. Anyone who suffers from their appearance may consider a nose job. In some situations, health insurance will even cover the costs of rhinoplasty or subsidise the procedure. You can find out when this is the case below.
Numbness in the ear gives the impression that part of the ear or even the entire ear is anaesthetised and as if cotton wool has been inserted into it. Numbness in the ear can be a warning sign. In this article, we explain how they can occur and when you should visit our ENT practice in Frankfurt.
Various triggers can lead to a so-called septal perforation. You can find out below how a septal perforation can occur, how a hole in the nasal septum manifests itself and how we can treat it at our ENT practice in Frankfurt.
The lateral wall of the nasal cavity contains a lower, a middle and an upper turbinate. If they swell and become permanently enlarged, we ENT specialists speak of turbinate hyperplasia. You can find out what this means and how we can help you here.
As the clinical pictures of sudden deafness and ringing in the ears have some parallels, many patients think that they are one and the same disease. In addition, the causes of these two hearing disorders are different. We explain the differences in this article.
Epistaxis - that's the medical term for something you've probably had before: A nosebleed. In most cases, it looks worse than it is. In this article, we explain when nosebleeds can be a sign of a (serious) illness and when you need to see a doctor.
The ears are complex sensory organs that enable us to hear. However, their complicated anatomical structure also makes them susceptible to various diseases. We explain the most common ear diseases in this blog post.
Rotational vertigo that occurs in attacks and is accompanied by ringing in the ears and hearing loss is a sign of Meniere's disease. The disease cannot be cured, but with the right treatment for Meniere's disease, we can reduce the severity and frequency of the attacks.
You may be familiar with the situation: your nose is constantly running and tissues are in constant use. Even though it's not hay fever season and you don't suffer from any allergies. In this article, we explain the possible causes of a runny nose.
Nasal polyps are soft, benign tissue proliferations of the nasal mucosa. Some polyps are only a few millimetres in size, others can grow into extensive formations. In this article, we will inform you about when and how we remove nasal polyps.
When the nose is blocked, it is very unpleasant and annoying. Treatment varies depending on the underlying cause. It ranges from nasal irrigation to the use of nasal sprays and tablets. In some cases, surgery may also be necessary.
Many patients with chronic sinusitis suffer from troublesome symptoms for years. Even if sinusitis is chronic, this does not mean that it cannot be treated. In this blog post, we show you various treatment methods.
Sympathy, empathy, experience, expertise: these are some of the main qualities that patients looking for a nasal specialist want from their doctor. In this article, we will show you why Dr Thomas Fischer is your ideal partner for rhinology.
A strange feeling of numbness in the ear and sudden hearing problems can indicate a sudden loss of hearing. If sudden deafness is treated in good time, permanent damage to the hearing can be avoided. In this article, we explain the possible causes of sudden hearing loss.
The lateral wall of our nasal cavity is home to a lower, a middle and an upper turbinate. If the turbinates are enlarged or swollen, this is referred to as turbinate hyperplasia. We explain exactly what this means and how it can be treated in this blog post.
Put simply, tinnitus is a permanent, unpleasant ringing, buzzing, hissing or whistling noise in the ear. The noise can have a variety of causes - it can disappear on its own or become chronic. You can find out about the possible causes of tinnitus here.
Almost everyone has a vice, big or small: some people love to eat but don't exercise enough, others smoke and others drink too much alcohol. There are also people who are addicted to medication. Tens of thousands of Germans resort to nasal sprays because they are addicted.
Patients who come to us are often unaware of their deviated nasal septum or the symptoms it can cause. Yet this phenomenon is not at all uncommon. You can find out more about the possible consequences and treatment approaches in this article.
Our nose is a fascinating organ: it has a multitude of different tasks. This enormous performance can also lead to problems and limitations. Here you can find out what nasal complaints there are, how they affect the activity of the nose and when an operation is necessary.
In addition to preventive measures relevant to all ENT areas, such as endoscopies and sampling, we also carry out specific diagnostic and treatment measures in the area of the throat, nose and ears. In this article, we will show you which measures our ENT medicine includes in detail.
Tinnitus can be categorised into acute, chronic, objective and subjective tinnitus. Acute tinnitus is when the ringing in the ears does not last longer than three months. If it has been ringing and buzzing for longer than three months, the tinnitus is described as chronic.
If you suddenly can no longer hear properly in one or both ears and/or the voice of the person you are talking to sounds far away, then you may have sudden deafness. In this article, we explain exactly how this happens and what you can do to prevent a sudden loss of hearing.
Nowadays, nobody has to put up with a "chunky tip", as aesthetic plastic surgery offers all kinds of possibilities to give everyone a harmonious nose. This is also shown by the global trend: rhinoplasty is the fourth most popular cosmetic surgery worldwide.
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