Apnea del sueño

Sleep apnea is a condition in which patients experience repeated episodes of complete or partial collapse of the upper airways while sleeping. During these episodes, the airflow is interrupted, causing the patient to temporarily stop breathing. This interruption in breathing can occur multiple times throughout the night, leading to poor sleep quality and a significant disruption in the patient's quality of life.

Once a diagnosis of sleep apnea is made through nocturnal polysomnography, we proceed to determine the most appropriate treatment for each patient. The choice of treatment will depend on the severity of the apnea, the individual characteristics of the patient, and their personal preferences.

Especially in those with anatomical obstructions in the upper airways, surgical treatment may be considered. To determine if a patient is a candidate for surgery and which procedure is most suitable for their case, we use the induced sleep videonasal endoscopic study (DISE or Somnoscopia). This procedure is performed in the operating room, and its objective is to evaluate the obstruction of the upper airways while the patient is in an induced sleep state.

Based on the findings of the DISE, we can consider various surgeries that help correct the anatomical problems associated with sleep apnea. Some of the common surgeries are:

• Septoplasty or Turbinoplasty: Correction of nasal septum deviations or reduction of nasal turbinates to improve airflow through the nose.
• Tonsillectomy or Adenoidectomy: Removal of enlarged tonsils or adenoids may help clear the upper airways.
• Base of Tongue Surgery: Procedures can be performed to reduce the size of the tissue at the base of the tongue that may obstruct the airways.

These surgeries aim to improve airflow during sleep, reduce apnea episodes, and improve the patient's sleep quality.

The DISE and associated surgeries are powerful tools that allow us to address obstructive sleep apnea in a personalized and effective manner.

Otorrinolaringología voz

We are experts in the diagnosis and treatment of disorders related to the voice and swallowing. We have extensive experience in diagnostic techniques and advanced therapies to address a wide range of laryngeal conditions.

Numerous voice professionals, such as singers, broadcasters, presenters, actors, actresses, and speakers from our country, among others, visit our service to improve vocal performance, treat specific conditions, or prevent future voice problems.

Among the most common conditions we treat are:

• Vocal Cord Polyps, Edemas, and Cysts

These are conditions affecting the vocal cords, causing growths (polyps), swelling (edemas), or cysts in these structures, which can result in voice changes and difficulty speaking.

• Vocal Cord Movement Disorders (paralysis, tremors, and spasmodic dysphonia)

These disorders involve abnormalities in the function of the vocal cords. Paralysis is the inability to move one or both vocal cords, tremors are involuntary movements of the vocal cords, and spasmodic dysphonia is characterized by spasms in the laryngeal muscles that weaken the voice.

• Professional and Artistic Voice Disorders

These refer to voice problems that occur in individuals who make frequent or professional use of their voice, such as singers, actors, or teachers. These disorders may include vocal fatigue, loss of vocal range, and other issues related to intense voice use.

• Gender Dysphonia

Gender dysphonia is a condition in which a person's voice does not align with the typical vocal characteristics of their gender identity or gender expression. It can affect both transgender individuals and those who experience a mismatch between their gender identity and their voice.

• Oropharyngeal Dysphagia

Oropharyngeal dysphagia is difficulty swallowing caused by problems in the structures of the throat and pharynx. It can lead to choking, a sensation of obstruction when swallowing, and difficulty eating and drinking safely.

Voice and Swallowing Diagnosis

For diagnosis, we perform various types of evaluations, such as:

• Acoustic Voice Analysis: This is done by recording the voice and then analyzing specific parameters, such as frequency, intensity, duration, and voice improvement.
• Laryngeal Stroboscopy: A flexible camera is inserted through the mouth or nose to observe the larynx while a strobe light flashes in sync with the vibration frequency of the vocal cords, providing a more detailed view of their movements and vibrations.
• Laryngeal Electromyography: Small electrodes are placed on the laryngeal muscles, which detect the electrical signals generated by the muscles during voice production.
• Swallowing Videoendoscopy (VEDS): A fibroscope is inserted through the mouth to directly visualize the larynx and hypopharynx while the patient ingests thickened liquids of various consistencies and dyed with coloring for better visualization.

Treatment of Voice and Swallowing Disorders

We offer cutting-edge and personalized treatment options, including:

• Ogophoniatric Treatment:

Specialized therapy directed by speech therapists and phoniatrists to improve voice quality and correct harmful vocal habits.

• Medical Treatment:

We use medications to treat specific conditions affecting the voice and swallowing, such as anti-inflammatories or pain relievers.

• Surgery:

We perform various surgical procedures, sometimes on an outpatient basis in consultation, to treat conditions that do not respond to non-invasive treatments. These include laryngoplasty with injection of temporary or permanent fillers and botulinum toxin injections for spasmodic dysphonia and laryngeal tremor.

• Lifestyle Options:

We advise our patients on measures to improve vocal use and avoid factors that may damage the voice, such as avoiding smoking and vocal abuse.

Audiología otorrino

We have a team of highly qualified specialists and advanced technological resources to perform a complete auditory study and provide cutting-edge medical and surgical treatments for various ear pathologies and hearing problems.

From prevention to diagnosis and treatment, our specialists care for young, adult, and elderly patients who come to our service with symptoms of:

• Ear Infections

Such as acute otitis media and chronic otitis media.

• Hearing Loss

Both conductive and sensorineural, which can be caused by various factors such as infections, injuries, or age-related deterioration.

• Tinnitus

Ringing or sounds in the ears, which can be constant or intermittent.

• Vertigo and Dizziness

We address problems related to balance and the vestibular system of the inner ear.

• Tympanic Perforation

A rupture of the eardrum, which can be caused by infections or trauma.

• Cholesteatoma

An abnormal growth of cells in the middle ear that can damage auditory structures.

• Otosclerosis

A disorder in the inner ear that can lead to hearing loss.

• Congenital Ear Conditions

These are problems present from birth, such as structural malformations.

• Ear Tumors

Abnormal growths of tissue that can be benign or malignant, damaging the auditory structures.

• Sudden Hearing Loss

A sudden and unexplained hearing loss.

Diagnosis of Ear Conditions

For the precise diagnosis of medical conditions affecting the ear, we have the most advanced technology to perform:

Pure Tone Audiometry: A test to measure hearing and determine the hearing threshold for different tones and frequencies.

Pediatric Audiometry: Auditory evaluation adapted for children, which may include play tests or visual responses.

• Tympanometry: An exam to evaluate the condition of the eardrum and middle ear function.
• Otoacoustic Emissions: Measurement of the inner ear's response to low-intensity sounds.
• Automated Screening Potentials: Quick tests to detect potential hearing problems in babies and young children.
• Brainstem Auditory Evoked Potentials: Tests that assess the function of the auditory nerve and central auditory system.
• Steady-State Auditory Evoked Potentials: A test that measures electrical activity in the ear in response to sound stimuli.
• Videonystagmography (VNG): Evaluation of the vestibular system to detect balance problems and dizziness.
• Video Head Impulse Test (VHIT): A test that evaluates the vestibulo-ocular reflex and the function of the vestibular system.

Treatment of Ear Problems

After a precise diagnosis, our specialists are dedicated to evaluating the most suitable treatment for each patient on a personalized basis. We offer cutting-edge options, including:

• Medical Treatment

We use medications and updated therapies to treat ear conditions such as infections and serous otitis.

• Surgical Treatment

We perform various surgical procedures to correct structural problems of the ear, such as repairing tympanic perforations or removing cholesteatomas.

• Hearing Aid Fitting

We advise and adjust hearing aids and other devices to improve hearing in individuals with hearing loss.

Our goal is to improve your quality of life.

Otorrinolaringología pediatra

In our service, we have otolaryngologists specialized in the diagnosis and treatment of the most common ear, nose, and throat conditions in children and adolescents. Our professionals are known for their approachable and empathetic manner, which fosters a friendly and welcoming environment, making patients feel safe and comfortable.

• Ear and Adenotonsillar Tissue Problems

We handle recurrent ear infections, such as acute otitis media and serous otitis, as well as upper airway conditions, such as tonsillitis, colds, sinusitis, and laryngitis. We provide medical treatments and, in specific cases, surgical interventions such as tonsillectomy, adenoidecto

• Sleep-Related Respiratory Disorders

We address common sleep problems in the pediatric population, such as sleep apnea. Using specialized techniques, we assess the obstruction of the oropharynx and offer appropriate treatments, such as tonsil and adenoid removal or reduction.my, and the placement of tympanostomy tubes.

Additionally, we offer the Early Detection Program for Hearing Loss.

We are committed to the health care of children and adolescents.

Cirugía cuello

Our specialists use advanced techniques that have revolutionized the treatment of cervicofacial tumors. We perform more functional and minimally invasive surgical techniques for head and neck tumors, including those originating in the oropharynx, hypopharynx, larynx, oral cavity, and salivary glands, ensuring effective oncological results while preserving the patient's quality of life to the greatest extent possible.

Additionally, we have Nerve Monitoring Systems, which play a key role in thyroid and parotid gland surgeries, preserving nerves and improving functional outcomes compared to traditional methods.

When more extensive surgery is required, we have significantly improved reconstructive procedures.

Precision and Surgical Safety.