
Did you know......?
More than 50% of all physician office visits are for ENT problems.
What Is an ENT Specialist?
An ear, nose and throat specialist (ENT) is a physician trained
in the medical and surgical treatment of the ears, nose throat, and related structures of
the head and neck. They have special expertise in managing diseases of the ears, nose and
nasal passage sinuses, larynx (voice box), oral cavity and upper pharynx (mouth and
throat), as well as structures of the neck and face. ENT is the oldest medical specialty
in the United States.
The Ear
The unique domain of the ear; nose and throat specialist is treatment
of ear disorders. This includes medical and surgical treatment for hearing disorders, ear
infections, balance disorders, facial nerve or cranial nerve disorders, as well as
management of congenital (birth) and cancerous disorders of the outer and inner ear
The Nose
Care of the nasal cavity and sinuses is one of the primary skills of
the ENT specialist. Management of disorders of the nasal cavity, paranasal sinuses,
allergies, sense of smell, and nasal respiration (breathing), as well as the external
appearance of the nose are part of an. ENT's area of expertise.
The Throat
Also specific to the ENT specialty is expertise in managing diseases of
the larynx (voice box) and the upper aerodigestive tract or esophagus including disorders
of the voice respiration (breathing), and swallowing.
The Head and Neck
In the head and neck area, an ENT specialist is trained to treat
infectious diseases, tumors (both benign and malignant/cancerous), facial trauma, and
deformities of the face. They perform both cosmetic plastic and reconstructive surgery.
An ENT specialist may work with a team of doctors in other medical and
surgical specialties. Common ground is shared with neurosurgery in treating skull base
disorders; plastic surgery in correcting cosmetic and traumatic deformities; ophthalmology
in treating structural abnormalities near the eye; oral surgery in treating jaw and dental
trauma; allergy in managing sinus disease; dermatology in caring for skin cancers;
oncology in managing head and neck cancers; and pediatrics and family practice in caring
for common infectious, congenital, traumatic, and malignant (cancerous) diseases and
disorders in the pediatric and general population.
Training
An ENT specialist is ready to start practicing after up to 15 years of
college and postgraduate training. To qualify for certification from the American Board of
Otolaryngology, an applicant must first complete college, medical school (usually four
years), and at least five years of specialty training. Next, the physician must pass the
American Board of Otolaryngology examination to be certified. Some ENT specialists pursue
a one- or two-year fellowship for more extensive training in one of the seven subspecialty
areas. These include pediatric otolaryngology (children), otology/neurotology (ears and
balance.), allergy, facial plastic and reconstructive surgery, head and neck surgery,
laryngology.(throat) and rhinology (nose). Some ENT specialists limit their practices to
one of these seven areas.
The Seven Areas of Expertise
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Otology/Neurotology
Medical and surgical treatment of diseases of the ear, including traumatic and
cancerous disorders of the external, middle, and inner ear, as well as the nerve pathways
which affect hearing and balance.
Pediatric Otolaryngology
Medical and surgical treatment of diseases of the ears, nose, and throat in children.
Head and Neck Area
Medical and surgical treatment of cancerous (and noncancerous) tumors in the head and
neck, including thyroid and parathyroid surgery.
Facial Plastic and Reconstructive Surgery
Treatment of cosmetic, functional, and reconstructive abnormalities of the face and
neck.
Rhinology
Medical and surgical treatment of disorders of the nose and sinuses.
Laryngology
Medical and surgical treatment of disorders of the throat, including the voice.
Allergy
Medical treatment of inhalant allergies affecting the upper respiratory system.
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The well trained ENT specialist has a thorough knowledge of all of the
organs and physical structures in the head and neck region. Virtually all ear nose and
throat specialists routinely handle adenoidectomies, tonsillectomies nosebleeds,
ear-aches, hearing loss, dizziness, hoarseness, and sinus disease. The physician's
qualifications and inclinations, as well as the community's needs, will influence of an
individual's practice. The broad challenges of the specialty allow a choice of direction,
in addition to providing the best in patient care.
© 1996. American Academy of Otolaryngology-Head and Neck Surgery Inc.
This leaflet is published as a public service. The material may be freely used for
noncommercial purposes so long as attribution is given to the American Academy of
Otolaryngology-Head and Neck Surgery, Inc., One Prince Street, Alexandria, VA 22314-3357.