Medicine is a “people profession”. Successful diagnosis, treatment, and outcomes depend on a patient-physician relationship of trust and confidence. The physician must ask good questions and listen carefully. The patient must feel comfortable providing detailed information. Diagnosis relies on the patient’s description and the physician’s examination.
But ENT physicians can not directly observe all the structures and tissues of the ear, nose, and throat. Often, they must use advanced imaging technology to obtain a complete understanding of the patient’s condition. In our clinic, we use advanced microscopes, endoscopes, and ultrasound devices to quickly and painlessly examine the deeper areas of the nose, paranasal sinuses, throat, and neck.
If more detailed views are necessary, we refer our patients to radiology specialists in Grand Cayman for X-rays of the nasal cavity and sinuses, computer-tomography scans (CT-scans), and magnetic-resonance imaging (MRI).
Imaging in Our Clinic Nasal and Sinus Endoscopy
With our state-of-the art endoscopes, we examine deviated nasal septums, inflamed sinuses (acute or chronic rhinosinusitis), and other acute and chronic diseases of the nose and paranasal sinuses. In most cases, nasal endoscopy is performed without local anesthesia in just a few minutes. After endoscopic exams, patients are able to immediately resume normal daily activities.
Endoscopy of the Throat and Voice Box
Thorough examination of the tissues and structures in the throat (hypopharynx) and voice box (larynx) requires more complex techniques. Patients must breathe calmly while the physician holds the tongue to position an endoscope that reveals a view of deeper structures. A strong gag reflex can make this approach difficult. If the gag reflex is too strong, a flexible is inserted through the nasal cavity. This requires light local anesthesia.
Ultrasound of Neck and Thyroid Glands
Ultrasound technology collects real-time, dynamic images that help the physician evaluate the condition of muscles, vessels, nerves, glands, and the esophagus (food pipe). It is also used to guide small aspiration needles for detailed diagnoses. Ultrasound exams are painless and very useful, even with young children. Unlike other imaging techniques such as x-ray or computer tomography (CAT scan), they do not expose patients to radiation.