Federal Center of Otorhinolaryngology Volokolamsk. Polyclinic of the Federal State Budgetary Institution "Nmits Otorhinolaryngology" FMB of Russia

Diseases of the ears, nose, throat, as well as anatomical structures associated with these organs are treated by an otolaryngologist - ENT doctor. If you require qualified consultation, diagnosis and treatment of pathologies of the ENT organs, please contact the Federal Scientific and Clinical Center for Specialized Types medical care and medical technologies of the FMBA of Russia." A paid examination, consultation and diagnosis for ENT pathology will be carried out by an experienced otolaryngologist. The specialists' arsenal includes all types of high-tech functional, laboratory diagnostics, modern methods of therapeutic and surgical treatment.

Prices for otolaryngologist (ENT) services

When is consultation with an otolaryngologist required?

It is easier to cope with any disease at the initial stage of its development. To maintain health, the services of an otolaryngologist are needed not only for existing manifestations of pathology, but also for preventive purposes - to prevent and identify the disease at the preclinical stage. Complaints that require urgent medical consultation:

pain in the nose and nasopharynx, ears, throat;

detection of ulcers and other formations in the nose, throat, ear;

atypical discharge - purulent, bloody, mucous, with a pungent odor;

prolonged nasal congestion;

difficulty in normal breathing;

persistent runny nose or prolonged dry mucous membranes;

decreased hearing, sense of smell, changes in taste;

dizziness, loss of coordination of movements, nausea;

pain in any part of the head, face, neck;

noise in ears;

snoring with frequent night apnea (stopping breathing, dangerous hypoxic conditions that can lead to death).

With many chronic diseases an unfavorable background, and often a trigger for their development, are foci of inflammation in the ENT organs. Their timely diagnosis and treatment contributes to a more effective effect on the underlying pathology.

For pregnant women, consultation with an otolaryngologist is extremely important. Infection not detected in time inflammatory process may complicate childbirth and negatively affect the baby's health.

Regular examination by an otolaryngologist is necessary for early detection of cancer pathology. Tumors on initial stages do not make themselves known. Only a specialist can suspect the first symptoms of the disease and prevent its spread.

A conclusion from an otolaryngologist is also required when applying for a medical record to gain access to work in a number of professions.

Diseases treated by an otolaryngologist

Pathologies of the nose include:

rhinitis (inflammation of the mucous membrane) of infectious, allergic, toxic etiology;

sinusitis (inflammation of the adjacent sinuses) - sinusitis, frontal sinusitis, ethmoiditis;

adenoiditis;

congenital or acquired curvature of the nasal septum, making nasal breathing difficult;

ulcers in the nose (boils, abscesses);

ozena (fetid runny nose);

• malignant formations;

  injuries and foreign bodies;

  nosebleeds associated with local changes in blood vessels and mucous membranes;

Diseases affecting the throat, nasopharynx, larynx:

tonsillitis;

• pharyngitis;

  laryngitis;

  tumors (benign and malignant);

The most common diseases of the ear organs and related formations:

otitis (outer, middle, inner ear);

sulfur plugs;

hearing loss;

eustachitis;

mastoiditis;

Meniere's disease.

An ENT doctor can work with a wide range of diseases in his profile or specialize in one organ - deal with the vocal cords (monitor the condition of the vocal apparatus in professional singers); treat therapeutically or surgically the pathology of the middle and inner ear that has caused hearing loss (audiologist), and correct hearing with special devices.

The tasks that an otolaryngologist solves are prevention, diagnosis, treatment of diseases of the nose, ear, throat, restoration of their function, as well as correction of some cosmetic defects in the head, neck, face.

Treatment methods in the arsenal of an ENT doctor:

conservative (therapeutic);

minor operations (punctures, removal of the tonsils, washing of the sinuses);

major surgical interventions requiring high-tech equipment and special professional skills.

Services of an otolaryngologist at the FSCC FMBA

It is difficult to get an appointment with a specialized specialist in district clinics - it takes a lot of time and effort. At the Federal Scientific and Clinical Center of the Federal Medical and Biological Agency, paid ENT services can be obtained quickly, without queues, at a time convenient for the patient.

The advantage of the center is also its broad scientific base, which allows you to quickly introduce new medical technologies into practice, highly qualified doctors, modern equipment for diagnosis and treatment, versatility (the ability to quickly receive advice and assistance from a specialist in a related discipline).

At the initial appointment, the otolaryngologist performs:

questioning the patient;

palpation, visual, instrumental examination (rhinoscopy, otoscopy);

issues a conclusion with a preliminary diagnosis;

chooses the tactics of examination and treatment;

To clarify the diagnosis, the range of services is expanding and includes:

laboratory tests (clinical, immunological, biochemical);

• endoscopic examination of the nasopharynx, throat, trachea (insertion into the organs of a thin tube with a camera at the end that reproduces the image on the monitor);

  functional tests to assess the state of hearing (audiometry), smell, coordination;

TO medical procedures and minor operations performed by an ENT doctor include:

washing the cavities with special solutions;

sinus punctures;

blowing sulfur plugs;

fence biopsy material;

removal of foreign bodies;

opening of abscesses;

tracheotomy;

endoscopic examination.

Repeated consultations with a doctor are needed to monitor the dynamics of therapy. To speed up the recovery process, treatment is often supplemented with a physiotherapeutic set of procedures.

If a pathology is identified that requires extensive surgery, the patient is offered hospitalization in a hospital center equipped with high-precision equipment for interventions of any level of complexity, including microsurgical.

The final price of a specialist’s services depends on the additional procedures required for the diagnosis and treatment of diseases of the ENT organs.

Sign up for a paid appointment with an otolaryngologist

You can make an appointment for a fee with an ENT doctor any day by calling the phone number provided on the website, or directly contact the reception desk, or leave an online application. You can choose a convenient appointment time and, depending on the required service, a specialist with a general or narrow profile (audiologist, phoniatrist).

The qualification level of the specialist who will conduct the consultation, and whether the ENT doctor has an academic degree (candidate, doctor of science) affects the price of the medical service.

How does an appointment with an otolaryngologist proceed?

The office in which the ENT doctor provides paid services is equipped with everything necessary for a comfortable examination and accurate diagnosis, equipped with devices and instruments for performing minor surgical operations and disinfection of the room, optimal lighting.

At the appointment, the doctor first listens to complaints and collects additional information regarding the disease. The more accurately you express your complaints, the time frame in which they began, as well as the treatment methods performed, the easier it will be for the doctor to establish a preliminary diagnosis. Diagnosis begins with a visual examination - the symmetry of the face and the condition of visible mucous membranes are assessed. Parotid and submandibular areas are examined by palpation The lymph nodes, soreness of the bones, projections of the paranasal sinuses, exit points of the trigeminal nerve. For better focusing, a frontal reflector and a bright beam of light are used.

Even with complaints about one organ, a full instrumental examination is carried out, since the disease process often covers nearby structures:

oroscopy - examination of the oral cavity, gums, ducts of the salivary glands, floor of the mouth, hard palate, teeth;

rhinoscopy (examination of the internal condition of the nose) - using a nasal speculum, the mucous membrane, the condition of the nasal passages, and septum are examined;

posterior rhinoscopy - using a nasopharyngeal speculum and a spatula, the posterior part of the turbinates, the openings of the Eustachian tubes, choanae, and nasopharyngeal vault are examined;

otoscopy (examination of the ear) - performed to diagnose the condition eardrum, auricle, ear canal;

mesopharyngoscopy - assessment soft palate, palatine tonsils, posterior pharyngeal wall;

hypopharyngoscopy - the lateral and posterior walls of the pharynx are examined with mirrors;

laryngoscopy - the condition of the laryngeal cavity and vocal folds is studied.

In case of corresponding complaints, a study of nasal breathing, sense of smell (odorimetry), patency of the auditory tube, hearing testing, and vestibular disorders are carried out.

For a more complete diagnosis, endoscopic methods for assessing the condition of the ENT organs can be used.

If necessary, the doctor takes a smear for culture, performs a puncture of the sinuses and collects fluid for laboratory testing.

23.08.17 15:00:42

Last year we were at sea. I love the sea, I have loved diving since childhood. At the same time, I dive without scuba gear, holding my breath to the maximum possible depth, so-called freediving. You need to breathe correctly, calculate your strength correctly so that you have enough strength and air to ascend. But at the same time, don’t be a coward and allow yourself to enjoy the underwater world. Well, and... From vacation, in addition to cool photos, tanning, impressions, I brought back acute otitis media, and the need for surgical intervention. The doctor suggested two directions: this is 1st Med. and the Federal State Unitary Enterprise of Otorhinolaryngology on Volokolamsk Highway, the official name is the Federal Scientific and Clinical Center of Otorhinolaryngology. And since the doctor praised 1st Med., I went there first. The impression was depressing - the feeling from the doctors, medical equipment and the entire organization was such that I was in the last century. I had a referral from the clinic, I had all the necessary tests and studies in hand. There they told me that “other people’s” research was not suitable for them and they sent me straight to the cashier to pay for the same research, but which they “trusted”. Their trust comes after making a profit. Clean water divorce. It’s not difficult for me - I paid, but at the same time, what should pensioners do, those for whom it is expensive, because, in fact, they repeated what I already had on hand. The doctor looked at my ear and suggested I wait until it heals on its own. I once again became convinced of what free healthcare is. But my ear didn’t want to heal on its own, so I went for a consultation at the Federal State Unitary Enterprise for Otorhinolaryngology. And here, as they say, feel the difference. Excellent equipment, polite doctors, everything additional research were done immediately and there was no talk of payment. By the way, I never found out where their cash register was. While I was at the consultation, many people were talking about the doctor Hassan Diab. I didn’t know who it was, but I intuitively understood that I, too, most likely needed to go to him. I was scheduled for surgery and given a list of what I needed to bring to the hospital. During hospitalization, the medical staff organized everything quickly, without any delays. And, voila, I found myself in the ward. The rooms are designed for two people, hotel-type rooms - an entrance hall, the room itself, a toilet and a shower. There is a TV in the room, and everything that is necessary to make the patient comfortable. There is a functioning Church of St. Nicholas the Wonderworker at the hospital. The radio announces when evening services are held. Unusual and soulful. The food is beyond praise. Nurses They brought food on trays, not a single dish was repeated in a week, my wonderful neighbor and I were very surprised by this. I never could have imagined that in a free hospital they could serve red fish, and with beautiful presentation. It was a shock. And when relatives and friends asked me what to bring, I sent a photo from lunch, and there were no questions. The medical staff is polite and sympathetic - from the professor to the nurses. And you understand that everything is aimed precisely at creating an atmosphere of kindness, help, participation, plus the professionalism of surgeons and gives the result that they are looking for. ENT surgeon Hassan Diab is one of the best ENT surgeons in our country, who performs 15 operations a day on both adults and children. A doctor who cares, a doctor from God. So God took him and kissed him. My attending physician, Anton Evgenievich Mikhalevich, turned out to be a good doctor. In general, I didn’t see any irritated doctors or irritated nurses there. I was surprised by the extract - in addition to the recommendations, the extract contains the personal mobile numbers of the doctors and the head of the department, and email. Nobody is hiding from anyone. There are no celestials here. To summarize, I am glad to meet such great doctors. May God, the Universe (whoever believes in what) give them all the best! Of course, it’s better not to get sick and to be healthy and rich, but we ourselves don’t know where we will be tomorrow. If someone needs this information, I will be glad; if not, I will be even more glad. Everyone has their own experience - some have one, some have another. I shared my experience of staying at this center. Signing up for a consultation is very simple - take a referral from an ENT specialist at your clinic, that’s all.

The clinic is open daily from 09.00 to 20.00 except Saturday and Sunday.

The clinic provides highly qualified advisory, diagnostic and therapeutic assistance to patients referred from medical and preventive institutions Russian Federation, the FMBA system of Russia, living in territories attached to the FMBA system of Russia, who need treatment for diseases of the ENT organs.

The clinic has the right to provide paid services in accordance with Order of the Ministry of Health and Medical Industry of Russia No. 109 of March 29, 1996 “On the rules for the provision of paid medical services to the population.”

On the basis of the outpatient department, there is a constant relationship and continuity with other structural divisions of the Center on issues of consultation, diagnosis, selection of patients for treatment at the Center, rehabilitation, methodological work, testing and implementation of new diagnostic and treatment methods.

Doctors provide patients with qualified advisory, therapeutic and diagnostic assistance in the profiles of “Otorhinolaryngology” and “ENT-Oncology”.

Every day, consultations are carried out by both general otolaryngologists and employees of the Center’s departments specializing in more specific ENT pathology (otiatrists, phoniatrists, audiologists, ENT oncologists).

The clinic has departments of allergology, immunology, and a singing and stage voice laboratory.

Weekly lead consultation appointment heads of departments of the Federal State Budgetary Institution NCCO FMBA of Russia.

Main directions of medical work:

• Diagnostics, development and implementation modern methods conservative treatment and rehabilitation of patients with inflammatory pathology of the middle and inner ear, nose and paranasal sinuses, larynx, pharynx
• Carrying out the necessary laboratory, instrumental and hardware tests diagnostic tests using modern methods of examining patients with diseases of the ENT organs and ENT oncology.
• Performing a number of therapeutic and diagnostic procedures that require special equipment (operative and medicinal endoscopy, radio wave, laser surgery, puncture and drainage of cavities, etc.).
• Selection of patients for surgery in the conditions of an ENT hospital
• Selection of patients for VMP provision

Clinic manager:

Tulina Anna Sergeevna

Otorhinolaryngologist

Employees:

Derzhavina Natalya Anatolevna

Candidate of Medical Sciences

Otorhinolaryngologist,

Gaponov Alexander Alekseevich

Otolaryngologist

Serebryakova Irina Yurievna

Leading Researcher

Candidate of Medical Sciences

Specialist in scientific and methodological work

Health Care Excellence

KhodzhievaMalohat Valerievna

Candidate of Medical Sciences

Biography

Graduated from TSMU named after Abu Ali Ibn Sino, general medical faculty with a diploma with honors. Studied clinical residency and postgraduate studies at Federal State Agrarian University " Science Center Children's Health" of the Russian Ministry of Health. He has a certificate in the specialty "Dietetics". He is an active member of the Union of Pediatricians of Russia.

Area of ​​scientific interests: assessment and correction of nutritional status in children with various pathologies. He is fluent in modern technologies assessment of nutritional status, including bioimpedance measurements, and therapeutic nutrition.

Astashova Vera Markovna

Otorhinolaryngologist

Daihes Anastasia Yulievna

Otorhinolaryngologist