FAQ
Frequently Asked Questions
We've gathered the 66 most common questions in ENT, rhinoplasty, thyroid, head & neck surgery, otology, laryngology and medical tourism, grouped by category.
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Rhinoplasty
Who is functional rhinoplasty for?
Patients with nasal obstruction, septum deviation, narrowed nasal valves, dissatisfaction with appearance, and a wish to address both function and aesthetics in the same operation are ideal candidates. Anyone physically mature (16–18+) and without uncontrolled medical conditions can be evaluated.
Is the operation painful? What anaesthesia is used?
Surgery is performed under general anaesthesia; duration is 2–4 hours depending on case complexity. Most patients experience mild-to-moderate post-operative pain, controlled by analgesics. The first 24 hours feature swelling and a sensation of pressure as the most prominent complaints.
Is nasal packing necessary?
Modern functional rhinoplasty uses silicone nasal splints rather than traditional gauze packing. Splints do not restrict airflow — the patient can breathe comfortably through the nose post-op. The splint is removed at the 7-day follow-up.
How long does the operation take?
2–3 hours depending on case complexity. Revision cases can extend to 4 hours.
How long is the hospital stay?
Typical cases discharge same day. Complex cases or patient preference may include one overnight observation.
How long after primary rhinoplasty can revision be done?
Minimum 12 months. Oedema must subside, tissues fully heal, and the result must clarify. Early revision risks misreading transient oedema as permanent flaw.
Can you guarantee the revision result?
Medical outcomes cannot be guaranteed. With clinical experience + academic foundation, 85–90% patient satisfaction is predictable. Expectation management is in writing.
Will the open technique scar be visible?
First 4–6 weeks show mild redness. After 6–12 months, the columellar line becomes difficult to notice even on close inspection. For most patients, the scar is no concern.
Is closed technique better?
No — just different. Closed has a recovery-time advantage in simple primary cases. Open is preferred in complex cases for the much better surgical visibility.
Can my nose be made very small?
Yes but not recommended. Excessive reduction disrupts male facial proportion and creates an "operated" look. The target is a nose harmonious with facial proportions.
ENT & Head/Neck
What does an ENT examination include?
A standard ENT examination covers otoscopy (ear), anterior rhinoscopy (nose), oropharynx, and neck palpation. Based on the complaint, flexible nasopharyngoscopy, fiberoptic laryngoscopy, audiometry, or tympanometry may be added. Endoscopic evaluation is performed in the same session at the clinic.
Are there differences between paediatric and adult ENT surgery?
Yes. In children, adenotonsillar disease, otitis media with effusion, and allergic rhinitis dominate. In adults, sinusitis, sleep apnea, voice disorders, and head & neck oncology are more common. Anaesthetic approach and post-operative follow-up protocols are adapted to age.
When is advanced imaging requested?
CT or MRI is requested in chronic sinusitis, head & neck masses, vertigo, sensorineural hearing loss, and suspected vocal-cord paralysis. Imaging complements the physical exam — never replaces it.
Is there pain after FESS?
Post-op pain is typically mild-to-moderate, controlled with standard analgesia. The first 24–48 hours feature swelling and pressure as the main complaints.
How long should irrigation continue?
First 4 weeks: 2–3 times daily. Next 8 weeks: once daily. In chronic rhinosinusitis, daily lifelong irrigation is recommended.
Is snoring always sleep apnea?
No. Simple snoring (without apnea) is common and may not need treatment. But heavy snoring with witnessed apneas or daytime sleepiness needs polysomnography.
I can't adapt to CPAP — alternatives?
Yes. Mandibular advancement device (up to moderate severity), positional therapy, weight management, upper-airway surgery. The CPAP non-adherence cause (mask type, pressure titration) should be optimised first.
Is tonsillectomy painful?
Yes, particularly in adults. First 7 days feature significant throat pain, referred ear pain, and dysphagia. Regular analgesia + soft-cold diet manages pain.
How long is the diet restriction post-tonsillectomy?
10–14 days of cold, soft diet (ice cream, purée, yogurt, soft pasta). Avoid acidic, spicy, and hard foods — they raise bleeding risk.
I have septum deviation but I can breathe — do I need surgery?
No. Asymptomatic or mildly symptomatic deviations need no treatment. Clinically significant obstruction (mouth breathing at night, snoring, sinusitis predisposition) warrants surgical consideration.
Thyroid
I have a thyroid nodule — do I need surgery?
No. Most thyroid nodules are benign and routine ultrasound surveillance is sufficient. Surgery is considered for suspicious features (TIRADS 4–5), growth, or FNA cytology indicating malignant/suspicious findings.
Will my voice be normal after thyroid surgery?
Yes — with modern technique. Intraoperative recurrent-laryngeal-nerve monitoring is routine. Temporary hoarseness occurs in 1–3%; permanent hoarseness 0.5–1%.
Will I need lifelong medication after total thyroidectomy?
Yes. Levothyroxine (T4) replacement is lifelong. Dose is titrated per patient; one tablet daily suffices.
Will I gain weight after thyroidectomy?
After total thyroidectomy, weight stays balanced on appropriate levothyroxine. Weight gain occurs if dosing is inadequate; regular TSH monitoring guides titration.
Is the surgical scar visible?
A 4–6 cm horizontal incision in a neck crease is standard. Visibility decreases significantly over 6–12 months. Robotic or endoscopic thyroidectomy in selected cases moves the scar away from the neck (axillary, retroauricular).
I take levothyroxine but fatigue persists — what to do?
First check TSH — if optimal (preferably 0.5–2.5 mIU/L), investigate other causes: B12 deficiency, iron deficiency, vitamin D deficiency, depression, sleep apnea.
Does Hashimoto cause cancer?
Hashimoto slightly increases thyroid lymphoma risk (very rare). Papillary cancer can also be more frequent; ultrasound surveillance is standard.
I have multiple thyroid nodules — should all be biopsied?
No. Selection is by TIRADS score; typically the most suspicious-looking and largest nodules go to biopsy. Not all nodules in multinodular goitre need biopsy.
Is FNA biopsy painful?
No, performed under local anaesthesia; most patients describe mild pressure. 5–10 minutes; normal activity immediately after.
I lost a lot of weight in hyperthyroidism — will treatment restore it?
Mostly yes. With treatment, metabolism normalises and lost weight returns in months. If excessive weight gain occurs, diet and exercise rebalance.
Head & Neck Cancer
Is every neck mass cancer?
No. Neck masses are often benign (lymphadenitis, cyst). Still, any mass persisting beyond 3 weeks warrants ENT evaluation; fine-needle biopsy clarifies the diagnosis.
How is thyroid cancer diagnosed?
Ultrasound stratifies nodules using TIRADS; suspicious nodules undergo fine-needle aspiration (FNA). Cytology guides the treatment plan.
Will I lose my voice in laryngeal cancer?
No. In early-stage disease, transoral laser microsurgery preserves voice. If total laryngectomy is required in advanced disease, rehabilitation via tracheoesophageal voice prosthesis, electrolarynx, or oesophageal voice is possible.
My thyroid nodule is "suspicious for cancer" — must I have surgery immediately?
Bethesda V or VI cytology indicates surgery. In Bethesda III/IV grey-zone cases, molecular testing or repeat FNA is an option. "Active surveillance" can be an alternative in small (≤1 cm) low-risk microcarcinoma.
Is radioactive iodine therapy always required?
No. Not in low-risk cases. In intermediate-to-high risk, surgery + RAI is standard. The decision uses tumour size, histology, genetic mutations, and post-operative thyroglobulin.
How long must hoarseness last to suspect laryngeal cancer?
Hoarseness exceeding 2 weeks (especially in smokers aged 50+) requires laryngeal examination. Endoscopic laryngeal evaluation + stroboscopy if needed is standard.
I quit smoking — am I still at risk?
Risk decreases but does not zero out — it approaches baseline after roughly the years equal to past use. Annual ENT check-up for 10 years post-cessation is advised.
I have a non-healing oral sore for 3 weeks — what do I do?
ENT or oral surgery evaluation is needed. A non-healing ulcer is malignant until proven otherwise; incisional biopsy clarifies.
I don't smoke — could I get oral cancer?
Yes. HPV-associated oral cancers are rising in younger non-smoking patients. Genetic predisposition and betel/quid use are also risk factors.
When is a neck mass serious?
A mass persisting more than 2 weeks, larger than 1.5 cm, hard, painless, and not freely mobile is likely malignant. ENT evaluation + ultrasound/CT + fine-needle biopsy clarifies diagnosis.
Otology & Hearing
Why does ear ringing persist?
The most common causes are noise-induced hearing loss, age-related hearing loss, otosclerosis, and rarely acoustic neuroma. Audiometry + MRI if indicated.
When is vertigo an emergency?
Sudden onset lasting minutes to hours, with vomiting and accompanied by neurologic findings (double vision, speech change, facial weakness) requires urgent assessment.
Does BPPV need surgery?
No. BPPV resolves in 85–90% of cases with Epley/Semont manoeuvres. Surgery is rarely needed.
Does BPPV recur?
15–50% recurrence within a year. Re-treatment (Epley) remains successful. Falls, head trauma, and vitamin D deficiency increase recurrence.
Can Ménière disease be treated?
No definitive cure, but attack frequency and severity are controlled with treatment. Salt restriction (<2g/day), diuretic, betahistine, intratympanic steroid/gentamicin, and as a last resort surgery (endolymphatic shunt, vestibular neurectomy).
Will tinnitus decrease over time?
Most patients' brains habituate to tinnitus and awareness diminishes. The process may take 6–24 months; active approach (TRT, sound enrichment) shortens it.
My tinnitus is louder in silence — what can I do?
This is expected. Low-level background sound (fan, white-noise app, aquarium sound) reduces awareness. If you don't prefer silent sleep, sleep-sound apps help.
Does using a hearing aid worsen my hearing?
No — opposite. Appropriate amplification preserves auditory pathways through stimulation. The indirect danger: not using a hearing aid accelerates degeneration of cortical auditory pathways.
How do I know if my child's hearing is normal?
Newborn hearing screening (ABR/OAE) is standard for all babies. Then: turning toward sound at 6 months, simple word comprehension at 12 months, 50+ words at 18–24 months. If in doubt, paediatric audiometry.
Is my cholesteatoma cancer?
No. It is not cancer; however, its cellular behaviour is destructive — it erodes surrounding bone. That is why surgery is required.
Larynx & Voice
How long should hoarseness last before seeing a doctor?
Hoarseness exceeding 2 weeks without improvement requires laryngeal examination. The threshold is lower for smokers and individuals over 50.
Is surgery always required for vocal cord nodules?
No. First-line is voice therapy and anti-reflux treatment if needed. Microlaryngeal surgery is considered when conservative therapy fails or for professional voice users with planned scheduling.
How long does microlaryngeal surgery take?
30–90 minutes under general anaesthesia. Same-day discharge is typical. A 7–10 day voice-rest protocol follows.
How long until hoarseness resolves?
Acute viral laryngitis: 1–2 weeks. LPR with PPI: 4–8 weeks. Vocal-cord nodule with voice therapy: 8–12 weeks. Vocal-cord polyp with surgery: 4 weeks of post-op recovery.
Is surgery always required for vocal-cord nodules?
No. First-line is voice therapy (8–12 weeks). Surgery is considered for those not responding to conservative therapy, or for professional voice users with planned scheduling.
Will my voice return to normal after surgery?
Yes for most. Microsurgery + voice therapy gives 85–90% success. Lesion size and accompanying vocal abuse affect the outcome.
I have pain when swallowing — could it be cancer?
Swallow pain (odynophagia) is most often from infection (pharyngitis, tonsillitis) or reflux. However, persistent unilateral odynophagia + weight loss + smoking/alcohol history warrants malignancy workup.
Is FEES painful?
No. A thin fiberoptic endoscope is passed through the nostril; local anaesthetic spray is used. 5–10 minutes. The patient is tested with various food consistencies during swallowing.
Is long-term PPI use safe?
Safe for most. Long-term use has been associated with small effects on bone density, B12 absorption, and gut flora; a "step-down" approach (to the lowest effective dose) is preferred after 12 months.
PPI isn't working — what to do?
First check adherence: PPI should be taken once daily on empty stomach (30 min before breakfast). Twice-daily dosing or a different PPI class is tried; for refractory cases, 24-hour pH-impedance monitoring + anti-reflux surgery if indicated.
Medical Tourism
How long should I stay in Istanbul for rhinoplasty?
7-10 days typical. First 2 days consultation + workup + surgical prep; surgery 1 day; postop 5-7 days hotel + 3-4 clinic reviews (day 2-3 oedema, day 4-5 dressing, day 7 cast/splint removal); return flight day 7-10. With companion. Clinic approval needed before flight (usually after day 7).
Which documents do I need to carry?
Passport (6 months valid), Türkiye visa (if needed — e-visa for most European + Middle East), flight + hotel confirmations, travel insurance (surgical coverage), family physician health report (TR/EN), medication list + prescription copy, clinic consultation letter, KVKK/GDPR consent forms, emergency contact list (clinic + family + insurance + country consulate).
When can I safely fly after surgery?
Varies by surgery. ENT: rhinoplasty 7-10 days, septoplasty 3-5, FESS 7-10, thyroidectomy 3-7, major head-and-neck cancer 21-28. Plastic: blepharoplasty 7-10, face lift 14-21, abdominoplasty 14-21, BBL 14-21. Lung 21-28, cardiac 14-28 days. Surgeon clearance + health + flight duration (short <2h vs long >4h) decisive. Written medical report + airline MEDIF form (if needed).
Which surgeries strictly forbid flight?
Open pneumothorax (until full healing); intraocular gas after retinal surgery (until absorbed 2-8 weeks — gas expansion blindness risk); active bleeding or complication; uncontrolled advanced heart failure. After complex head-and-neck or brain surgery 3-4 weeks recommended. Pregnant + premature labour risk after 36 weeks airline restrictions.
Do I need a visa to come to Istanbul?
Most EU citizens, UK, GCC nationals, Japan, South Korea — visa-free. UAE, Russia, China, US, Australia citizens — e-visa (online, 5-10 minute application). For other countries — Turkish consulate visa application. A clinic invitation letter accelerates the process.
How many days do I need to stay in Istanbul in total?
For rhinoplasty, minimum 7-10 days (5-7 hotel nights + surgery day + day-7 splint removal review). For septoplasty or FESS, 5-7 days. For thyroid surgery, 4-6 days. These are standard package durations; tailored to individual needs.
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