Diagnostic tests for Hearing loss in PAN Clinic Cologne
PAN Clinic Cologne
Cologne, Germany
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Program id #
37537
Dr. med. Emil Zenev
Department of Adult and Pediatric Otolaryngology
Specialized in: adult and pediatric otolaryngology The program includes:
- Initial presentation in the clinic
- clinical history taking
- physical examination
- review of medical records
- laboratory tests:
- complete blood count
- biochemical analysis of blood
- TSH-basal, fT3, fT4
- indicators of inflammation (CRP, ESR)
- indicators of blood coagulation
- otorhinolaryngological examination:
- Dix-Hallpike testing
- nystagmus testing
- speech audiometry
- tympanometry
- eustachian tube testing
- testing of blood pressure and buzzing
for tinnitus examination - otoacoustic emission test
- brainstem audiometry
- VEMP (Vestibular Evoked Myogenic Potential) testing
- video head impulse testing
- eye movement testing
- CT of petrous pyramid (on indication 650 €)
- contrast-enhanced MR imaging on labyrinth in 3D (on indication 1200 €)
- nursing services
- consultation of related specialists
- consultation of the chief physician and all leading experts
- development of individual treatment plan
- written statement
Required documents
- Medical records
- Audiometry (if available)
- Temporal bone CT scan (if available)
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About the department
The Department of Adult and Pediatric Otolaryngology at the PAN Clinic Cologne offers all the options of modern medicine for conservative and surgical treatment of acute and chronic diseases of the ears, nose, pharynx and larynx, as well as vertigo, tinnitus and voice disorders. In addition, the department's otolaryngologists are competent in plastic and aesthetic surgery on the head and neck. The department admits both adults and young patients. Many therapeutic procedures and operations are performed on an outpatient basis, without hospitalization and long hospital stay. The doctors working in the department are distinguished by their exceptional professionalism and they are deservedly proud of their excellent clinical results. Their primary interest is the surgical treatment of ENT diseases provided with the use of the very latest surgical techniques, including minimally invasive surgery, microsurgery, navigation surgery, endoscopic and laser procedures. In addition to the high level of medical care, the specialists make every effort to create a pleasant atmosphere in the department, in which the patient will feel as comfortable as possible. The Chief Physician of the department is Dr. med. Emil Zenev.
An important focus of the department's doctors is on ear surgery and surgery to improve hearing. The doctors often admit patients with severe hearing loss who require partially implantable hearing aids or cochlear implantation. The department's physicians prefer SOUNDBRIDGE® and BONEBRIDGE® partially implantable hearing aids, which have proven themselves worldwide. The placement of such implants is indicated for the patients with severe hearing loss, when the use of conventional external hearing aids is ineffective. The SOUNDBRIDGE® and BONEBRIDGE® partially implantable hearing aids guarantee excellent quality of hearing, preservation of ear receptors and nerve endings. They have a long service life (more than 20 years) and are comfortable to wear, so patients can be sure of a successful treatment outcome. In case of severe types of sensorineural hearing loss, the team of the department's otolaryngologists performs cochlear implantation. The medical facility uses in its clinical practice SYNCHRONY® cochlear implant, which is the most advanced hearing aid available today. In addition to the fact that this implant allows the patient to return hearing and is of the highest quality, its fundamental innovation is the ability for the patient to undergo high-resolution MRI scanning. MRI is usually prohibited in patients with cochlear implants. Due to the high risks to the patient's health, the implant is removed prior to the procedure.
The department also successfully performs nasal and paranasal sinus surgery. The most popular surgical procedures are septorhinoplasty and septoplasty. Both interventions are performed for nasal septum reshaping, including for a deviated septum. The department often performs surgery to remove nasal polyps and tumors. The use of minimally invasive, microsurgical and endoscopic techniques allows the doctors to perform the operations practically without traumatizing healthy tissues, which significantly reduces the period of postoperative recovery for the patient and reduces the severity of pain.
The therapeutic offer in the field of surgical treatment of pathologies of the throat and other organs of the neck includes adenectomy (also in children), tonsillotomy, tonsillectomy, neck dissection, surgery to remove neck cysts and fistulas, operations on the salivary glands and thyroid gland. In addition, the medical facility deals with treatment of obstructive sleep apnea by implanting the innovative Inspire device. The system consists of a breath sensor and a stimulating electrode, which is activated by a small generator. The functioning of the device is controlled using a special remote controller. The Inspire system has been clinically tested and proven to be effective in the treatment of obstructive sleep apnea. The service life of the device is more than 10 years. The treatment using the Inspire system is indicated for patients with severe sleep disorders. It is an excellent alternative to CPAP therapy.
The department's diagnostic and therapeutic options include:
- Diagnostics
- Diagnostics of hearing loss and ear diseases
- Microscopy (for example, in case of exostosis, tympanic membrane perforation, otitis media, etc.)
- Pure-tone audiometry
- Speech audiometry
- Tympanometry for the assessment of tympanic membrane mobility
- Assessment of the stapedius reflex
- Assessment of brain stem activities
- Otoacoustic emission (otoacoustic test)
- Diagnostics of nasal and paranasal sinus diseases
- Rhinoscopy and nasal endoscopy (for example, in case of deviated nasal septum, nasal polyps, tumors, foreign bodies, etc.)
- 4-phase rhinomanometry
- Diagnostics of the throat and neck
- Ultrasound examinations (for example, in case of diseases of the salivary glands, mumps, pathological changes in the soft tissues of the neck, etc.)
- Diagnostics of allergies
- Prick tests
- Nasal provocation tests for upper respiratory diseases
- RAST test
- Vertigo diagnostics
- Snoring diagnostics
- Diagnostics of hearing loss and ear diseases
- Therapy
- Conservative treatment
- Drug therapy
- Acupuncture (for example, in case of allergies, sudden hearing loss, tinnitus, dizziness)
- Surgical treatment
- Ear surgery and surgery to improve hearing
- Cochlear implantation
- Aesthetic external ear surgery
- Removal of exostoses of the external auditory canal
- Surgery for defects of the tympanic membrane and auditory ossicles (type I, II and III tympanoplasty)
- Implantation of bone-anchored hearing aids
- Middle ear surgery in case of chronic inflammation and middle ear injuries
- Eustachian tube balloon dilation in case of its stenosis (including in young children)
- Surgery for inner ear ossification
- Surgery for restoring middle ear ventilation (paracentesis)
- Eardrum reconstruction surgery (myringoplasty)
- Tympanostomy tube placement
- Stapedoplasty to improve hearing in otosclerosis
- Nasal and paranasal sinus surgery
- Functional and aesthetic surgery on the internal and external nasal structures (septorhinoplasty)
- Maxillary sinus surgery
- Turbinate reduction surgery
- Septum straightening surgery (septoplasty)
- Surgery on the throat and other organs of the neck
- Surgical removal of neck cysts and fistulas
- Laryngoscopy
- Surgery for laryngeal diseases
- Neck dissection
- Surgery to remove tonsils in children (adenotomy)
- Surgery on the palatine tonsils (tonsillotomy and tonsillectomy)
- Thyroid surgery
- Surgery on the salivary glands
- Surgical treatment of snoring and obstructive sleep apnea, including implantation of the innovative Inspire system
- Plastic and aesthetic facial and neck surgery
- Surgery for improving voice
- Endoscopic interventions
- Ear microscopy
- Tympanoscopy
- Pharyngoscopy
- Rhinopharyngoscopy
- Epipharyngoscopy
- Sinuscopy
- Laryngoscopy
- Tracheoscopy
- Bronchoscopy
- Reconstructive and aesthetic facial surgery
- Skull base and midface surgery
- Laser surgery
- Ear surgery and surgery to improve hearing
- Conservative treatment
- Other diagnostic and treatment methods
Curriculum vitae
Higher Education and Professional Career
- 1983 - 1990 Study of Medicine, State Examination and Admission to Medical Practice, Medical University, Sofia.
- 1986 Trimester at the Faculty of Medicine in Moscow, advanced training in the Department of Cardiac Surgery.
- 1990 - 1991 Assistant Physician, Department of Otolaryngology, Hospital in Kyustendil, Bulgaria.
- 1991 - 1993 Assistant Physician, Department of Otolaryngology, University Hospital Sofia.
- 1993 - 1995 Assistant Physician, Charite University Hospital, Campus Benjamin Franklin.
- 1995 - 2000 Acting Head of the Department at the Hospital Potsdam, Free University of Berlin.
- 1995 Board Certification in Otolaryngology, State Medical Association of Brandenburg.
- 1999 Doctoral thesis defense with honors. Subject: "Bipolar thermotherapy for nasal concha hyperplasia".
- 2000 - 2002 Senior Physician, Department of Otolaryngology at the Hospital Bad Lippspringe.
- 2002 Board Certification (optional) in special ENT surgery, Medical Association of Westphalia-Lippe in Muenster.
- 2005 Board Certification in Plastic and Reconstructive ENT Surgery, Head and Neck Surgery, Munich Medical Association.
- 2002 - 2006 Managing Senior Physician, Department of Otolaryngology at the Academic Hospital Augsburg of Ludwig Maximilian University of Munich.
- 2007 Habilitation at the University of Sofia. Subject: "Surgical treatment of midface and skull base fractures – relevant problems in the treatment of latero-basal and midfacial fractures, as well as the use of navigation surgery in skull traumatology".
- Since 2007 Partner in ENT Practice at the PAN Clinic Cologne.
- Since 01.04.2009 Head of the Department of Adult and Pediatric Otolaryngology at the PAN Clinic Cologne.
Photo of the doctor: (c) PAN Klinik
About hospital
The PAN Clinic Cologne is a multidisciplinary medical facility that combines advanced medicine, excellent quality of patient care and a high level of comfort. Founded in 1999, the clinic is located in the very heart of Cologne. During this time, the medical complex has gained long clinical experience, but at the same time it has preserved its primary concept of medical care – high-quality diagnostics and treatment using the achievements of modern medicine.
Today, a huge team of doctors at the clinic admits patients in 25 medical fields, including neurosurgery, neurology, orthopedics, cardiology, gynecology, mammology, urology, endocrinology, plastic surgery, etc. It is worth noting that the clinic employs the best specialists with a wealth of experience and thorough clinical training in the best medical facilities in Germany, other countries of Europe and USA. The clinic's medical team includes many professors who are distinguished by outstanding achievements in the treatment of diseases of a particular profile and who successfully conduct research activities, participate in national and international congresses, symposia and other events.
The clinic annually provides treatment to more than 10,000 patients, and more than 3,000 interventions of varying complexity are performed in its operating rooms. The operating theaters have state-of-the-art technology and equipment for classical open surgery and minimally invasive interventions. In addition, all departments of the medical facility have advanced diagnostic equipment, so that doctors always make the correct diagnosis, which determines the success of subsequent treatment. During the therapeutic process, the specialists strive to choose the most sparing, but at the same time highly effective treatment regimen.
The quality of medical services provided in the clinic is awarded with the prestigious DIN ISO 9001 certification, and therefore patients trust their health to doctors with complete confidence and benefit from the optimal treatment of the European standard.
Photo: (с) PAN Klinik, (c) depositphotos
Accommodation in hospital
Patients rooms
The patients of the PAN Clinic Cologne live in light and cozy rooms with a modern design. A standard patient room includes a comfortable automatically adjustable bed, a bedside table, an air conditioning, a DVD player, a telephone, a TV and a nurse call system. The patient rooms also have Wi-Fi. Each patient room has an ensuite bathroom with shower and toilet. The bathroom also has a hairdryer and towels.
If desired, the patients can live in enhanced-comfort rooms. These patient rooms are distinguished by their more exclusive interiors, as well as beautiful views of the Cologne Cathedral and cityscapes. The bathrooms in these enhanced-comfort facilities include disposable slippers, a bathrobe, towels and toiletries. In addition, the patients living in enhanced-comfort rooms are offered a special menu.
Meals and Menus
The patient and his accompanying person are offered tasty and balanced three meals a day: buffet style breakfast and dinner, as well as lunch consisting of 3-4 courses. If for some reason you do not eat all the foods, you will be offered an individual menu. Please inform the medical staff about your dietary preferences prior to treatment.
Further details
Standard rooms include:
Toilet
Shower
Wi-Fi
TV
Religion
The religious services are available upon request.
Accompanying person
During the inpatient program, the accompanying person can live with the patient in a patient room or a hotel of his choice. Our managers will help you choose the most suitable option.
Hotel
During the outpatient program, the patient can stay at the hotel of his choice. Our managers will help you choose the most suitable option.
