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About the Department of Adult and Pediatric Otolaryngology at Nuremberg Hospital
The Department of Adult and Pediatric Otolaryngology at the Nuremberg Hospital offers the full range of diagnostic and therapeutic services for patients with diseases of the ear, throat, and nose, including surgical interventions in the head and neck. The department is one of the largest and most progressive medical facilities of this kind in Germany. More than 6,000 patients are treated in the department every year, and more than 3,700 surgical procedures of varying complexity are performed here. Surgical treatment takes place in well-equipped operating rooms that are adapted for minimally invasive and endoscopic procedures. A specially trained team of pediatricians is available for the treatment of young patients with ENT diseases. The department's specialists always strive to provide each patient with personalized and highly effective treatment adapted to their needs and wishes. At the same time, it is important for doctors to choose the most sparing treatment option. Thus, the department has all the conditions for high-quality medical care in a comfortable atmosphere for the patient. The department is headed by Prof. Dr. med. Maximilian Traxdorf.
One of the department's priority clinical focuses is the treatment of head and neck malignancies. The department is part of the Head and Neck Cancer Center, where otolaryngologists, oral and maxillofacial surgeons, plastic surgeons, neurosurgeons, and other specialists work hand in hand. The doctors at the center are deservedly proud of their many years of experience in the treatment of common and rare types of ENT cancers, including laryngeal, pharyngeal, oral, upper and lower jaw, salivary gland, nasal, paranasal sinus cancers, and so on. As for the treatment of head and neck malignancies, it is thoroughly planned during regular interdisciplinary tumor boards. Such an approach allows doctors to take into account all the features of a patient's clinical case and prescribe a comprehensive treatment with high chances for complete recovery or long-term remission. The doctors at the center have at their command all modern options for the successful treatment of head and neck tumors, such as laser devices for low-traumatic laser surgery, equipment for endoscopic and stereotactic surgery, neuronavigation systems, and devices for intraoperative chemotherapy and radiation therapy. The department's patients are also offered the services of highly qualified plastic surgeons specializing in reconstructive interventions after major resections of large head and neck neoplasms.
Another area of competence for the department's medical team is the treatment of diseases of the nasal cavity and paranasal sinuses. The department's doctors often admit patients with acute and chronic inflammations (sinusitis), which may cause symptoms such as headaches, dry cough, constant nasal congestion or stuffiness, impaired sense of smell, and recurrent infections. When treating sinusitis, the department's doctors resort to the use of nasal sprays, nasal irrigation, inhalations, etc. With a complex course of the inflammatory process, a patient may be indicated for an operation aimed at eliminating impaired paranasal sinus ventilation. In most cases, the department's specialists perform functional endoscopic sinus surgery (FESS). Surgical manipulations are performed using thin microinstruments under video endoscopy guidance, with an approach through the nostrils and without any incisions. In addition, advanced electromagnetic navigation systems are also used during the operation to provide patients with the highest possible level of safety.
The medical facility also has successful experience in the treatment of nasolacrimal duct obstruction. The department's otolaryngologists offer patients two effective surgical interventions for the elimination of the pathological obstruction of the tear ducts. These are the Toti operation and the West operation. The second surgical option is more preferable, as it is performed through an endoscopic endonasal approach and does not leave any scars on the face. In addition, the West operation allows doctors to simultaneously treat nasolacrimal duct obstruction and pathological changes in the nose and paranasal sinuses.
An integral part of the work of the department's doctors is the treatment of hearing loss. Depending on the diagnosis and severity of hearing loss, patients are offered professional selection of behind-the-ear hearing aids, implantation of in-the-ear hearing aids, and hearing improvement surgery (for example, tympanoplasty). The department also offers an innovative cochlear implantation procedure, thanks to which otolaryngologists can restore hearing in patients with severe hearing loss and total deafness. Cochlear implantation surgery can be performed on both adults and children.
The department's diagnostic options include:
- Audiology and pedaudiology
- Subjective audiometry in adults
- Pure tone audiometry
- Threshold audiometry
- Speech audiometry with speech reproduction in silence and noise
- Tinnitus diagnostics
- Dichotic speech tests
- Objective audiometry in adults
- Acoustic impedance measurement
- Otoacoustic emission
- Recording of acoustic evoked potentials
- Subjective audiometry in children
- Pure tone audiometry
- Reflex, behavioral, and play audiometry in infants and young children
- Speech audiometry
- Dichotic speech tests
- Objective audiometry in children
- Acoustic impedance measurement
- Otoacoustic emission
- Electroactive audiometry
- Threshold audiometry
- Speech assessment
- Diagnostics before cochlear implantation and implantation of bone conduction hearing aids
- Subjective audiometry in adults
- Diagnostics of sleep-related breathing disorders within a specialized laboratory
- Diagnostics of the state of the vestibular system (neurotology)
- Classic examinations of the vestibular system
- Electronystagmography
- Rotary chair testing
- Voice diagnostics (phoniatrics)
- Laryngoscopy
- Stroboscopy
- Videostroboscopy
- Diagnostics of swallowing disorders
- Other diagnostic tests
The department's therapeutic range of services includes:
- Conservative treatment
- Drug therapy with pills, infusion therapy, and injection therapy
- Nasal irrigation
- Inhalations
- Surgical treatment
- Surgery for head and neck tumors, including plastic reconstructive interventions and minimally invasive laser interventions
- Surgery for skull base pathologies, such as tumors, inflammations, bone fractures, and CSF fistulas
- Surgery for salivary gland tumors and stones
- Surgery for facial paralysis: reconstructive plastic surgery
- Surgery for laryngeal diseases
- Laser removal of benign and malignant tumors
- Voice restoration surgery for vocal cord paralysis
- Prosthesis implantation after total laryngectomy
- Surgical removal of benign and malignant neck and laryngeal tumors
- Surgery for oral cavity, tongue, and throat diseases
- Tonsil removal
- Surgery to open a tonsillar abscess
- Removal of benign and malignant tumors (also with a laser)
- Surgery for snoring
- Nasal concha reduction
- Nasal septum repair
- Tonsillectomy
- Bipolar radiofrequency reduction interventions in the base of the tongue and soft palate
- Sublingual stimulator implantation
- Surgery for ear diseases
- Prominent ear repair surgery
- Tumor removal with follow-up reconstructive surgery
- Surgery for inflammatory and traumatic middle ear diseases
- Hearing improvement surgery (tympanoplasty)
- Implantation of bone conduction hearing aids
- Cochlear implantation in adults and children
- Surgery for nasal diseases
- Tumor removal with follow-up reconstructive surgery
- Nose reshaping
- Nasal septum reshaping
- Turbinate surgery
- Surgical for paranasal sinus diseases
- Endoscopic endonasal surgery for inflammation, polyps, and tumors
- Endonasal sinus surgery using navigation systems
- Removal of benign and malignant tumors
- Surgery for tracheal diseases
- Foreign body removal
- Tracheal stenosis treatment
- Surgery for neck diseases
- Lymph node removal
- Opening of the cysts and fistulas
- Other conservative and surgical treatments
Curriculum vitae
Higher Education
- 1999 - 2006 Medical studies, Friedrich-Alexander University Erlangen-Nuremberg.
- 2005 University of the West Indies, St. Augustine Campus.
Professional Career
- 2006 - 2012 Assistant Physician, Department of Otolaryngology, Head and Neck Surgery at the University Hospital Erlangen.
- 2012 - 2013 Physician, Department of Otolaryngology, Head and Neck Surgery at the University Hospital Erlangen.
- 2013 - 2019 Senior Physician, Department of Otolaryngology, Head and Neck Surgery at the University Hospital Erlangen.
- 2019 - 2021 Managing Senior Physician, Department of Otolaryngology, Head and Neck Surgery at the University Hospital Erlangen.
- Since October 2021 Head Physician of the Department of Adult and Pediatric Otolaryngology at the Nuremberg Hospital.
Photo of the doctor: (c) Klinikum Nürnberg