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Rm 02, 5/F., Kai Seng Commerical Centre,
4-6 Hankow Road, TST Kln, HK
(near Kowloon Hotel)
Tel: (852) 3100 0555
Fax: (852) 3100 0556

ENT Doctor

Untreated Acoustic Neuroma Can Result in Death

Acoustic neuromas are typically benign and, thus, don’t require aggressive treatment. This is usually the case with small acoustic neuromas showing little to no signs of growth or resulting in little to no signs. You and your ENT doctor will likely just monitor it through regular hearing and imaging tests to make sure that it won’t affect your health.


But there are also cases when an acoustic neuroma can be fatal, if and when it’s left untreated after diagnosis! You and your doctor have to discuss your treatment options so that your life isn’t in danger of being prematurely snuffed out.


Why It Can be Fatal

Keep in mind that an acoustic neuroma is a tumor, an abnormal growth in the small canal linking the inner ear to the brain. If said tumor keeps on growing, no matter how slowly it may be, it can expand into the skull activity.


The growing acoustic neuroma can squash the tissue at the base of the brain and the brain stem. The brain stem regulates consciousness, heart rate and breathing, among other life functions. As the brain tissue and brain stem are being squashed by the tumor, their functions are being compromised.


Take note that there can be a build-up of cerebral spinal fluid (CSF), too, a condition known as hydrocephalus. The excessive pressure can damage brain tissues and cause impairments in brain function, as well as observable symptoms like headaches, impaired vision and loss of balance, even mild dementia.


If the tumor isn’t treated, it will adversely affect blood pressure, breathing and consciousness, too. Think of it as suffering from a slow death, which can be prevented with prompt and proper treatment.


How It Can be Treated

The type of treatment for an acoustic neuroma varies depending on its size and specific location. Your overall health as well as your medical history and physical symptoms will also be considered in deciding the treatment protocol. You doctor will consider one or more of these treatments.


  • Surgery

Your surgeon will remove the tumor from the small ear acanal and its surrounding area so as to stop its growth. But it isn’t just tumor removal at stake here. Your doctor will also work toward preserving your hearing and facial nerve. You should still have control over your facial muscles instead of suffering from facial paralysis.


Like all invasive surgery, there are complications to the removal of an acoustic neuroma. These can include facial numbness or weakness, balance issues and hearing loss.


  • Radiation therapy

Known as stereotactic radiosurgery, it’s usually recommended for small tumors less than 3 centimeters in size. It’s also a common option for older adults and for people who aren’t suitable candidates for surgery.


In both surgery and radiation therapy, your ENT doctor will recommend supportive therapy. You may even be recommended for hearing aids or cochlear implants to restore your sense of hearing.


For details of our ENT services, diagnosis, and treatment, please consult our ENT specialist.





HK ENT Specialist Ltd.

Hong Kong based ENT clinic centre

For ENT Services, Audiology & Speech Therapy,

Sleep Disordered Breathing Management,

Hearing Aid Prescription & Medical Cosmetic Services










  • 慢性咽喉炎或喉部周圍組織炎症及長期反覆刺激聲帶。
  • 胃酸倒流會對聲帶做成長期刺激,誘發聲帶疾病。
  • 長期煙和酒會對聲帶造成長期刺激和損害。
  • 長時間說話或用聲過度,聲帶黏膜過度疲勞,刺激上皮增生。
  • 缺乏維他命A和B,也會引起聲帶白斑。

















如果你有長期吸煙習慣,發現聲音在幾星期至幾個月內逐漸變差,請不要掉以輕心,一定要盡早檢查聲帶是否已出現病變,以免錯失治療的黃金時機。遇有任何耳鼻喉問題,請立即聯絡香港耳鼻喉專科(電話: 3100 0555),由我們的耳鼻喉科醫生為你診治。









What Are Your Surgical Options for Dysphagia?

In some cases, surgery is a must in addressing dysphagia, a condition characterized by persistent difficulty in swallowing. Surgery is usually recommended when the underlying cause is GERD, pharyngoesophageal diverticulum, throat blockages, achalasia, or esophageal cancer.


The type of surgery will depend on the underlying cause. Furthermore, speech and swallowing therapy will likely be recommended after recovery from surgery. Here are three options that you may want to discuss with your ENT doctor.


Heller Myotomy

The Heller myotomy procedure is typically used in the treatment of achalasia, a disorder of the esophagus that makes swallowing abnormally difficult. This is a minimally invasive procedure wherein several tiny incisions are made in the esophagus, followed by the insertion of small scope into these tiny incisions.


The small scope has miniature surgical instruments passing through it while a video camera connected to it sends enlarged images of the esophagus to a monitor. The surgeon can then perform the operation by manipulating the miniature instruments in the scope.


The Heller myotomy procedure has several advantages that make it popular among surgeons and patients with dysphagia caused by achalasia. These include:

  • Less pain after the operation since only minimal manipulation has been done
  • Faster recovery
  • Shorter stay in the hospital, usually 1-2 days, as compared with the possible 7-day stay for a conventional open procedure


In short, you can more quickly return to your normal activities and work.


Peroral Endoscopic Myotomy (POEM)

Yet another possible surgical option for the treatment of swallowing disorders like achalasia is peroral endoscopic myotomy (POEM). This is an endoscopic procedure wherein your surgeon inserts an endoscope through your mouth and down your throat. Your surgeon then makes an incision in your esophagus’ inner lining and cuts the muscle responsible for dysphagia.


POEM is an in-patient procedure requiring between two and three hours for completion. Like the Heller myotomy procedure, it’s popular because it doesn’t require incisions in the abdomen or chest. It also doesn’t require long hospital stays.


Esophageal Dilation

The medical professionals qualified to perform an esophageal dilation are otolaryngologists, or ear, nose and throat specialists, and gastroenterologists. Esophageal dilation stretches the abnormally narrow passages of the esophagus, known as strictures, which can be caused by underlying medical conditions.


In it, your ENT doctor inserts an endoscope into your esophagus, just as with the POEM procedure. He then inflates the balloon attached to the endoscope, which results in the gentle expansion of the strictures.


Esophageal dilation is performed as a treatment for certain swallowing disorders like:


  • Achalasia, wherein the sphincter muscle in the esophagus becomes abnormally tight
  • Esophageal stricture, or the narrowing of the esophagus
  • Schatzki’s ring, an abnormal ring of tissue at the point where the esophagus and stomach meet


These three surgical options have their pros and cons in terms of the success rate, total cost and risks for side effects and complications. You should be well aware of these things before going under the knife, so to speak.

For details of our ENT services, diagnosis, and treatment, please consult our ENT specialist.




HK ENT Specialist Ltd.

Hong Kong based ENT clinic centre

For ENT Services, Audiology & Speech Therapy,

Sleep Disordered Breathing Management,

Hearing Aid Prescription & Medical Cosmetic Services










  • 聲帶結節










  • 聲帶息肉









你正受聲線問題困擾嗎?請不遲疑,立即聯絡香港耳鼻喉專科,電話: 3100 0555。由我們的耳鼻喉科醫生為你診治。









Be Prepared to Answer Questions and to Ask Questions During Your Dysphagia Appointment

We experience difficulty swallowing, known as dysphagia, at one point or another, usually when we attempt to swallow large food or when we eat too quickly. When dysphagia happens occasionally, there’s no cause for concern as it’s quite normal. But if you experience persistent dysphagia, you should see your ENT doctor as soon as possible.


Your persistent difficulty may be a sign of an underlying medical condition. This is particularly true if it’s associated with discomfort or pain, perhaps extreme difficulty in swallowing that makes it impossible.


But before getting to your doctor’s clinic for your appointment, you may want to prepare a list of questions and be ready to answer questions from your ENT doctor. The exchange of questions and answers will contribute to a better appointment.


List Down Your Questions

On the phone while setting your appointment, you should ask about pre-appointment restrictions necessary for diagnostic exams. You may have to restrict your diet, for example. You should also list down your symptoms – what they are, when they started and how they are manifested – as well as your medications, drugs and supplements.


You should also write certain key personal information that may have affected your ability to swallow. These can include surgery, medications and major life changes and stressful events.


And don’t forget to list down a few basic questions. You don’t want to forget a question in the clinic and remember it when you’re already at home.

  • What are the possible causes of my swallowing difficulty?
  • Why are these risk factors in my case?
  • What are the medical tests that I have to undergo?
  • What are the possible medical interventions for my condition?
  • What are the ways I can manage dysphagia with my other health conditions?
  • What do I have to do in terms of lifestyle habits?
  • What other resources can I refer to about dysphagia?


Don’t hesitate asking these questions as you are well within your rights to do so. Just be courteous so you can get the answers you’re seeking for.


Anticipate Your Doctor’s Questions

The appointment is, of course, a two-way street. Your doctor will also ask questions intended to determine the possible causes of your dysphagia and their corresponding treatments.


The questions your doctor will likely ask and for which you should ideally have ready answers are:

  • When did your symptoms start?
  • Were your symptoms occasional or continuous, chronic or acute, tolerable or painful?
  • What things appear to alleviate or worsen your symptoms? (You may have a more difficult time swallowing some food, for example, than others)
  • What other symptoms aside from difficulty swallowing have you experienced? (You may regurgitate food, or vomit after eating or drinking, or bring up black bile-like material or blood)
  • Have you been unintentionally losing weight?


The back-and-forth exchange will eventually narrow down the possible causes of your difficulty in swallowing. Be honest in your answers even when it seems embarrassing – your ENT doctor has probably heard and seen it all in his line of work.


If you have been experiencing symptoms such as voice changes, constant coughing, pain when swallowing, ear pain and sore throat that has not disappeared for more than two weeks, get yourself checked by a qualified ENT doctor. It could be nothing but it’s always better to be safe than sorry.




HK ENT Specialist Ltd.

Hong Kong based ENT clinic centre

For ENT Services, Audiology & Speech Therapy,

Sleep Disordered Breathing Management,

Hearing Aid Prescription & Medical Cosmetic Services













  • 帶急性發炎














  • 聲帶慢性發炎







下篇文章我們會繼續探討聲線問題 – 聲帶結節和聲帶息肉。如果你受到聲線問題困擾,請聯絡香港耳鼻喉專科,電話: 3100 0555,由我們的耳鼻喉科醫生為你診治。









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註: 本站提及的疾病和治療方法僅供讀者參考,並不代表本站推薦該種療法,亦不能代替專業醫生診治,讀者如有需要,應該尋求專業醫生意見。