Swallowing problems:
Most patients will need a flexible endoscopy under local anaesthetic to evaluate the upper aerodigestive tract. It is possible that further tests such as a pH study and/or a Modified Barium Swallow x-ray examination may be needed. These are arranged separately and there would be an additional cost for this.
Voice problems:
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 the patient to undergo videostroboscopy and arrange for assessment by Speech and Language Therapists Some patients may require imaging of the Vagus and Recurrent Laryngeal Nerves by CT or MRI scanning.
Neck masses:
Patients presenting with neck masses usually require clinical evaluation, imaging of the head and neck region (either an Ultrasound (US), a CT Scan or an MRI Scan) and possibly needle sampling of the mass (Fine Needle Aspiration = 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.
Sinus problems:
For patients with nasal and/or sinus symptoms, it is likely that some investigations will be required. These may include 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). There is a CT scanner on site at Mauranui Clinic so sinus imaging can be performed at the same time as the consultation. 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. This is usually arranged through Dr Dorman's offices when the consultation appointment is booked. There is an additional cost for the audiometry appointment.