Faculty of Medical Sciences of Otolaryngology in Volokolamsk. Scientific and Clinical Center of Otorhinolaryngology of the Federal Medical Biomedical Institution of Russia. Sign up for a paid appointment with an otolaryngologist
23.08.17 15:00:42
+2.0 ExcellentLast 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. Pure scam. 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, all additional studies were done immediately, and there was no question 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. The nurses 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 celestial beings 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.
FSBI "National Medical Research Center of Otorhinolaryngology FMBA of RUSSIA"(formerly – Federal Scientific and Clinical Center of Otorhinolaryngology of the FMBA of Russia)
Since 1935, the Federal State Budgetary Institution "National Medical Research Center of Otorhinolaryngology of the Federal Medical and Biological Agency of Russia" has been the largest specialized multidisciplinary medical institution in the Russian Federation in the field of otorhinolaryngology, head and neck surgery. The production capacity of the Center is over 250 high-tech beds in the most popular specialty - ear, nose and throat diseases, head and neck surgery. The Center conducts 8,000 high-tech operations annually.
The Center's specialists provide all types of high-tech medical ENT care to adults and children within the framework of the compulsory medical insurance program.
The new clinical base of the Center, opened in 2014, has an area of 42 thousand square meters. meters and is fully equipped with modern diagnostic, medical and surgical equipment.
The Center's personnel potential is over 500 scientific and clinical employees, including 2 corresponding members of the Russian Academy of Sciences, 10 professors, 1 academician, 35 doctors of medical sciences, 55 candidates of medical sciences, 6 Honored Doctors of the Russian Federation, 2 Honored Scientists.
The scientific and clinical base of the Federal State Budgetary Institution NMITSO FMBA of Russia is 14 scientific and clinical departments with inpatient departments, providing comfortable accommodation only in single and double rooms with all the necessary amenities.
Currently, the Center’s specialists perform a full range of high-tech operations in the field of otorhinolaryngology, head and neck surgery, including hearing-improving operations, cochlear implantation, reconstructive plastic restoration of the function of the larynx and trachea, treatment of benign and oncological neoplasms of the paranasal sinuses, throat, base of the skull and middle ear , maxillofacial and reconstructive surgery, world-class high-tech ophthalmological surgeries. The Center's employees have received dozens of patents on the methods and treatment of ENT diseases, which are widely used not only in Russia, but throughout the world.
The center actively participates in federal medical programs, carries out extensive scientific and practical work, coordinates the activities of otorhinolaryngological clinics in the country, is an all-Russian training center for specialists in the field of otorhinolaryngology, head and neck surgery, including maxillofacial and reconstructive surgery, and provides comprehensive medical care to the population of all regions of Russia, citizens of the USA, Europe, Central Asia and Kazakhstan.
On the basis of the Center, over a thousand medical specialists from government health care institutions are annually trained under the program “Audiological screening of newborns and children in the first year of life.”
NMITSO has its own Educational Department, whose specialists and teachers, in order to improve the professional level of ENT doctors, conduct a credit-module system of continuous medical education not only for specialists from all regions of the Russian Federation, but also from near and far abroad.
In addition to the main base, the Center is developing its regional branches, which, along with scientific and educational work, provide services to the population of the Southern and North Caucasus Federal Districts in Astrakhan, and to the population of the Far Eastern Federal District in Khabarovsk.
Based on the decision of the Presidium of the Scientific Council of the Ministry of Health of the Russian Federation dated November 26, 2019 and in accordance with Order No. 42U of the Federal Medical and Biological Agency of Russia dated December 11, 2019, amendments to the Charter were also approved, according to which the Federal State Budgetary Institution "Scientific and Clinical Center of Otorhinolaryngology of the Federal Medical and Biological Agency (FSBI NCCO FMBA of Russia) was renamed into the Federal State Budgetary Institution "National Medical Research Center of Otorhinolaryngology of the Federal Medical and Biological Agency (FSBI NSMITCO FMBA of Russia).
Address of the Federal State Budgetary Institution NMITSO FMBA of Russia: Moscow, Volokolamskoe highway, building 30, building 2
Director of the Federal State Budgetary Institution NMITSO FMBA of Russia– Dykhes Nikolay Arkadyevich, corresponding member of the Russian Academy of Sciences, professor, chief freelance otorhinolaryngologist of the Ministry of Health of the Russian Federation, member of the Public Chamber of the Russian Federation.
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She was observed (for a fee) and operated on (according to compulsory medical insurance) by Irina Mikhailovna Kirichenko (MD, head of the department of diseases of the nose and pharynx).
Surgery (November 2015): septoplasty, vasotomy and removal of a maxillary sinus cyst. I was troubled by difficulty breathing and frequent colds.
The operation somehow improved breathing for about a month, then the nose periodically stopped breathing, and quite quickly the congestion became permanent.
Repeated visit to the attending physician with complaints (January 2016): no examination, the appointment took 2 minutes, “drip Nasonex, you have vasomotor rhinitis” (c).
In February 2017, she again turned to Kirichenko with complaints about her nose still not breathing, about headaches, dizziness, sinusitis, and pain in the teeth in the area of the operated sinus that had appeared in recent months. I brought the results of a fresh CT scan with me to the appointment, which showed the same cyst that was supposedly removed during the operation, but this time it was even larger, covering almost the entire sinus.
There was no examination at the appointment; according to the CT images, it was said that the cyst was not of ENT origin, but a cyst from a wisdom tooth, and suggested that I look for an oral and maxillofacial surgeon for consultation and surgery.
I contacted several other doctors, the diagnosis was not confirmed, everyone talked about an ENT cyst (poorly removed or not removed at all during the operation at the National Clinical Hospital!).
I had to have a second operation to remove the cyst (maxillary cystectomy) in another place, this time for a fee.
During the operation, in the middle nasal meatus, doctors discovered cotton wool, forgotten since the previous operation, which over the past year and a half had grown over with polyps that practically blocked the nasal passage! Now I am coming to my senses and recovering from the operation. On day 5, when they took out the drain from my sinus, I was finally able to breathe normally. 1.5 years of torment, which could have been avoided if the doctor had spent time with the patient during a paid appointment and simply examined him normally using an endoscope.
Pros:
- New building, good equipment, excellent living conditions with departments, double rooms with shower and toilet, good food.
Minuses:
- Consultations from specialists do not correspond to the cost. The doctor spends a couple of minutes on the patient. I was not examined with an endoscope either before or after the operation if I had any complaints, although the doctor has one. For paid appointments, I, like many other patients, came from another city for a couple of minutes. I note that I had an initial appointment not only with I.M. Kirichenko, but also with V.M. Averbukh - the appointment and examination with him are similar;
- the attitude in the department towards paying patients and towards patients under compulsory medical insurance is very different;
- in the department where I was hospitalized, there were no rounds by doctors; I had to run after the doctor and extract information;
- before the operation, the anesthesiologist never came to see me, he only greeted me when I was already lying on the operating table.
FSBI "Scientific and Clinical Center of Otorhinolaryngology of the Federal Medical and Biological Agency of Russia"
The Federal State Budgetary Institution "Scientific and Clinical Center of Otorhinolaryngology" began its history in 1935 and is the leading institution in the Russian Federation for the problems of otorhinolaryngology and head and neck surgery. The center participates in federal medical programs, carries out extensive scientific and practical work, coordinates the activities of otorhinolaryngological clinics in the country, is an all-Russian training center for specialists in the field of otorhinolaryngology, and provides comprehensive medical care to the population from all regions of Russia.
In 2013, construction of a new complex of buildings of the Center with an area of 42 thousand square meters was completed. m. This complex is the largest in the world in the field of otorhinolaryngology - head and neck surgery.
The center includes 25 scientific and clinical departments:
- department for scientific information activities and public relations
- Department of New Technological and Pharmacological Research (Testing)
- department of anesthesiology, intensive care and resuscitation
- Scientific and Clinical Department of Reconstructive and Plastic Surgery
- Scientific and Clinical Department of Audiology, Hearing Prosthetics and Speech Rehabilitation
- scientific and clinical department of vestibulology and otoneurology
In addition, the Institute has its own clinical laboratories:
- pathology laboratory
It employs about 1,600 employees (of which 35 are doctors and 49 candidates of medical sciences, 11 honored doctors of the Russian Federation).
There are also three branches of the Center: in Tomsk, Astrakhan and Khabarovsk. The branches of the Center provide a full range of medical care for diseases of the ear and upper respiratory tract, including high-tech care. Residents of Russian regions have the opportunity to receive high-quality medical care in their administrative district.
Director of the Center - chief otorhinolaryngologist of the Russian Ministry of Health, Professor N.A. Dyhes.
(based on materials from the Center’s website)
FSBI "St. Petersburg Research Institute of Ear, Throat, Nose and Speech"
The Institute is the oldest federal government institution in the field of otorhinolaryngology. The main objective of the Institute is to provide highly qualified and high-tech specialized medical care for diseases of the ear, pharynx, larynx, nasal cavity and paranasal sinuses and speech pathology. The Institute conducts fundamental and applied research in this area. The Institute also carries out methodological work and advanced training of otorhinolaryngologists and speech therapists both in St. Petersburg and throughout the country as a whole.
The St. Petersburg Research Institute of Ear, Throat, Nose and Speech includes the Department of Upper Respiratory Pathology, the Department of Reconstructive Ear Surgery, the Children's Otolaryngology Department, and the Children's and Adult Speech Pathology Departments. In addition, there is a polyclinic department, a phoniatric department, and an audiology department. The Institute has its own clinical laboratories. The departments of the Institute are equipped with the latest medical, diagnostic and surgical equipment.
Director of the Institute - PresidentNational Association of Otolaryngologists,Professor Yu.K. Yanov.
(based on materials from the Institute’s website)
Federal State Budgetary Institution "Russian Scientific and Practical Center"Audiology and Hearing Prosthetics"
In 1988, the All-Russian Scientific Center for Audiology and Hearing Prosthetics of the FMBA of Russia was created.
Today, the Russian Scientific and Practical Center for Audiology and Hearing Prosthetics includes three main departments: the department of physiology and pathology of hearing, the department of rehabilitation, the department of epidemiology of hearing impairment with a patent information group and a library.
Director - Professor G.A. Tavartkiladze.
(based on materials from the Center’s website)
GBUZM " Moscow Scientific and Practical Center of Otorhinolaryngology named after. L.I. Sverzhevsky" Moscow City Health Department
The center opened in 2001 by decree of the Moscow Government and order of the Moscow Health Committee.
Today the Center is the largest institution providing specialized otorhinolaryngological care. The center employs 4 professors, 10 doctors and 31 candidates of medical sciences.
The center operates on the basis of City Clinical Hospital No. 55. The Center includes 11 departments:
- Department of Pathology of the Upper Respiratory Tract and Rhinofacial Aesthetic Surgery;
- Department of Reconstructive Surgery of the Hollow Organs of the Neck;
- ear microsurgery department
- Department of Phoniatrics and Laryngeal Microsurgery;
- Department of ENT Pathology of Children;
- Department of Audiology and Pathology of the Inner Ear;
- otorhinolaryngology department;
- consultative and diagnostic department;
- Department of Clinical Pharmacology;
- clinical and experimental laboratory.
- Department of Epidemiology and Scientific Forecasting
Director - Chief Otorhinolaryngologist of Moscow, Professor A.I. Kryukov.
(based on materials from the Center’s website)
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 of Medical Care and Medical Technologies of the Federal Medical and Biological Agency 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 and laboratory diagnostics, modern methods of therapeutic and surgical treatment.
Prices for otolaryngologist (ENT) services
| В04.028.002 | Examination (consultation) with an otolaryngologist after surgery (within 6 months after surgery) | 520 rub. |
| B01.028.001 | Primary appointment (examination, consultation) with an otorhinolaryngologist | RUB 1,550 |
| В01.028.002 | Repeated appointment (examination, consultation) with an otorhinolaryngologist | 1,150 rub. |
| В01.028.004 | Appointment (examination, consultation) with an otorhinolaryngologist, candidate of medical sciences, primary | RUB 2,050 |
| В01.028.005 | Appointment (examination, consultation) with an otorhinolaryngologist, candidate of medical sciences, repeated | 1,600 rub. |
| В01.028.006 | Appointment (examination, consultation) with an otorhinolaryngologist, MD, primary | 2,800 rub. |
| В01.028.007 | Appointment (examination, consultation) with an otorhinolaryngologist, doctor of medical sciences, repeated | 1,950 rub. |
| В01.028.008 | Primary appointment (examination, consultation) with the head of the otorhinolaryngology department | 2,500 rub. |
| В01.028.009 | Repeated appointment (examination, consultation) with the head of the otolaryngology department | 2,200 rub. |
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).
In many chronic diseases, foci of inflammation in the ENT organs serve as an unfavorable background, and often a trigger for their development. Their timely diagnosis and treatment contributes to a more effective impact on the underlying pathology.
For pregnant women, consultation with an otolaryngologist is extremely important. If an infection or inflammatory process is not detected in time, it can complicate childbirth and negatively affect the child’s health.
Regular examination by an otolaryngologist is necessary for early detection of cancer pathology. Tumors in the initial stages do not make themselves felt. 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:
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malignant formations;
injuries and foreign bodies;
nosebleeds associated with local changes in blood vessels and mucous membranes;
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);
Diseases affecting the throat, nasopharynx, larynx:
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pharyngitis;
laryngitis;
tumors (benign and malignant);
tonsillitis;
The most common diseases of the ear organs and related formations:
otitis (external, 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, and face.
Treatment methods in the arsenal of an ENT doctor:
conservative (therapeutic);
minor operations (punctures, tonsil removal, sinus rinsing);
major surgical interventions requiring high-tech equipment and special professional skills.
Otolaryngologist services at the Federal Scientific and Clinical Center of the Federal Medical and Biological Agency
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 conducts:
patient interview;
palpation, visual, instrumental examination (rhinoscopy, otoscopy);
issues a conclusion with a preliminary diagnosis;
chooses examination and treatment tactics;
To clarify the diagnosis, the range of services is expanding and includes:
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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;
laboratory tests (clinical, immunological, biochemical);
Medical procedures and minor operations performed by an ENT doctor include:
washing cavities with special solutions;
sinus punctures;
blowing out sulfur plugs;
collection of 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 instruments and instruments for performing minor surgical operations and disinfecting the room, and with 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 lymph nodes, bone tenderness, projections of the paranasal sinuses, and exit points of the trigeminal nerve are examined by palpation. 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 of the eardrum, auricle, and ear canal;
mesopharyngoscopy - assessment of the soft palate, 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.
