Most patients will need a flexible endoscopy under local anaesthetic to evaluate the upper aerodigestive tract. It is possible that a Modified Barium Swallow x-ray examination will also be needed to look at the dynamics of swallowing. This is arranged separately and there would be an additional cost for this.
An initial assessment is made with a flexible laryngoscope under local anaesthetic. This is well tolerated and can be carried out safely on patients of all ages. More detailed analysis of the voice may be required and Dr Dorman will arrange to see the patient at his Voice Clinic at Auckland City Hospital where videostroboscopy will be performed. Some patients will need an MRI Scan of the Vagus and Recurrent Laryngeal Nerves.
Patients presenting with neck masses usually require clinical evaluation, imaging of the head and neck region (either a CT Scan or an MRI Scan) and needle sampling of the mass (FNA). The scanning is arranged separately and there is an additional cost for this. The FNA is carried out at the laboratory and there is no charge for this. If the mass involves the thyroid then thyroid function tests are also needed.
It is quite likely that the patient may require a full series CT scan of the sinuses, skin sensitivity testing and a selection of blood tests (including FBC, Fe, B12, Thyroid, Immunoglobulins, fasting glucose and liver function). Patients may also need more detailed allergy assessment and a referral will be made if indicated.
Deafness, tinnitus and dizziness:
Most patients will need an audiogram at the time of assessment. There is an additional cost for this.