What Is an Otolaryngologist?
An otolaryngologist treats issues in your ears, nose, or throat, as well as related areas in your head and neck. If you have a health problem with your head or neck, your doctor might recommend that you see this kind of specialist. They're called ear, nose, and throat doctors or ENTs for short.
An otolaryngologist is often called an ear, nose, and throat doctor.
What Does an Otolaryngologist Do?
An otolaryngologist performs examinations, often using specialized equipment, to diagnose disorders and diseases of the head and neck. Depending on your symptoms, they may order additional testing such as bloodwork, a sleep study, or a swallow study. They can also do comprehensive hearing, balance, or allergy testing at their office.
They're both doctors and surgeons, so they can provide treatment by prescribing medicine or performing a procedure or surgery.
Otolaryngologist Education and Training
Otolaryngologists are highly specialized. Their education takes at least 13 years and includes:
- Bachelor's degree (4 years)
- Medical school (4 years)
- Specialty training (at least 5 years)
- Both written and oral examinations to become board-certified by the American Board of Otolaryngology
Otolaryngology specialties
Some otolaryngologists also get 1 or 2 years of training in a subspecialty:
- Allergy: These doctors treat environmental allergies (like pollen or pet dander) with medicine or a series of shots called immunology. They also can help you find out if you have a food allergy.
- Facial and reconstructive surgery: These doctors do cosmetic surgery like face lifts and nose jobs. They also help people whose looks have been changed by an accident or who were born with issues that need to be fixed.
- Head and neck: If you have a tumor in your nose, sinuses, mouth, throat, voice box, or upper esophagus, this kind of specialist can help you.
- Laryngology: These doctors treat diseases and injuries that affect your voice box (larynx) and vocal cords. They also can help diagnose and treat swallowing problems.
- Otology and neurotology: If you have any kind of issue with your ears, these specialists can help. They treat conditions like infections, hearing loss, dizziness, and ringing or buzzing in your ears (tinnitus).
- Pediatric ENT: Your child might not be able to tell their doctor what's bothering them. Pediatric ENTs are specially trained to treat youngsters, and they have tools and exam rooms designed to put kids at ease. Common problems include ear infections, tonsillitis, asthma, and allergies. Pediatric ENTs also care for children with birth defects of the head and neck. They also can help figure out if your child has a speech or language problem.
- Rhinology: These doctors focus on your nose and sinuses. They treat sinusitis, nose bleeds, loss of smell, stuffy nose, and unusual growths.
- Sleep medicine: Some ENTs specialize in sleep problems that involve your breathing, for instance, snoring or sleep apnea. Your doctor may order a sleep study to see if you have trouble breathing at times during the night.
Which Conditions Do Otolaryngologists Treat?
ENTs can do surgery and treat many different medical conditions. Some of the common conditions they treat include:
Cancers of the head and neck
Otolaryngologists provide treatment for benign tumors and cancers of the head and neck, except for eye and brain cancers.
Hearing loss
Otolaryngologists diagnose hearing loss and provide treatment or symptom management. In-office procedures include removing ear wax blockages and prescribing and maintaining hearing aids. Otolaryngologists perform surgeries such as stapedectomy, the removal of a small bone in the ear if it isn't working properly, and the placement of cochlear implants, electronic devices that may allow you to hear better.
Balance disorders
Some balance issues, like vertigo, result from problems inside your ear. An otolaryngologist does tests to find the cause of the problem and provides treatment. They can also refer you to a vestibular therapist, who can help improve your symptoms.
Ear infections
Many ear infections get better on their own within 72 hours. An otolaryngologist can prescribe antibiotics for infections that don't clear quickly. If fluid in your middle ear is causing frequent ear infections or hearing loss, they may perform a painless surgery to place tiny ear tubes in your eardrums. This allows fluid to drain from your ears, reducing the number of ear infections and restoring hearing.
Tinnitus
This symptom is a response from your brain to changes like ear or sinus infections. Tinnitus is usually described as ringing in the ears but can also sound like buzzing, roaring, or clicking. An otolaryngologist works to uncover the cause of the tinnitus and treat it or provide management techniques and devices.
Nose and sinus disorders
Loss of smell can result from a number of problems such as sinusitis, polyps (abnormal tissue growth), and allergies. Sinusitis is a chronic disease that causes trouble breathing through your nose, drainage, and frequent sinus infections. An otolaryngologist will prescribe medications that can help. If the problem persists, they can do endoscopic sinus surgery to remove blockages.
Polyps are small, noncancerous growths inside the nose or sinuses that can block airways and keep your sinuses from draining. An otolaryngologist may surgically remove polyps and keep watch to help prevent their return. Allergies can play a huge role in problems with your nose and sinuses. Otolaryngologists provide allergy testing and prescribe oral medications or allergy shots if needed.
Plastic surgeries
They perform reconstructive plastic surgery after facial injury or surgery and cosmetic plastic surgeries of the face and neck.
Other conditions an ENT may treat include:
- Throat problems like acid reflux (or gastroesophageal reflux disease)
- Sleep trouble like snoring or obstructive sleep apnea (OSA), in which your airway is narrow or blocked and it interrupts your breathing while you sleep
- Some eye problems, like drooping lids
- Birth conditions like a cleft palate and cleft lip
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