# ORL Clinic Prishtina - Full Knowledge Base (EN) ## When is a tonsillectomy necessary? A guide for parents. **Author:** Dr. Emirjon Haxhiu | **Date:** 12 October 2025 The tonsils (palatine tonsils) are two structures of lymphatic tissue located on either side of the throat, forming part of what is known as Waldeyer's protective ring. They play an important role in the immune system, particularly during the first years of life, helping to filter bacteria and viruses that enter through the mouth and nose and teaching the body to recognise infectious agents. In some cases, however, the tonsils themselves become a chronic focus of infection or a mechanical obstacle to breathing – in other words, more of a problem than a protection. ### What do the tonsils actually do? The tonsils are most active between the ages of 2 and 8, the period in which a child first encounters a wide range of microorganisms. As the years pass, their immunological role diminishes considerably, because the maturing immune system takes over this defence through other structures. This is why removing the tonsils, when there is a clear medical indication, does not represent any loss to the body's defences. ### When do the tonsils become a problem? In clinical practice, we distinguish three main scenarios in which the tonsils harm health rather than protect it: - **Recurrent acute tonsillitis:** Frequent infections, often caused by group A beta-haemolytic streptococcus, with high fever, severe sore throat, difficulty swallowing and repeated absences from school or work. - **Chronic tonsillitis:** Persistent inflammation presenting as mild but constant throat discomfort, bad breath and tender lymph nodes in the neck. - **Tonsillar hypertrophy (enlargement):** Enlarged tonsils narrow the airway, especially during sleep, causing snoring and pauses in breathing. ### What are the indications for tonsil removal? In our clinical practice we follow European guidelines and standards, which are based on internationally recognised criteria (the Paradise criteria). Tonsil removal (tonsillectomy) is recommended if the patient meets one of the following key criteria: - **Recurrent, documented infections:** At least 7 episodes of acute tonsillitis in the past year, 5 episodes per year over the past two years, or 3 episodes per year over the past three years. - **Breathing problems and sleep apnea:** Enlarged tonsils can obstruct the airway at night, causing heavy snoring and pauses in breathing (obstructive sleep apnea). This is an absolute indication for surgery, as it directly affects a child's physical growth, cognitive development and school performance. - **Peritonsillar abscess:** A collection of pus around the tonsil that requires urgent drainage. After an abscess, particularly a recurrent one, tonsillectomy is recommended to prevent future episodes. - **Other indications:** Chronic tonsillitis that does not respond to antibiotic therapy, persistent bad breath caused by tonsil stones (tonsilloliths), or marked one-sided enlargement of a tonsil, which always warrants specialist evaluation. ### Does removing the tonsils weaken immunity? This is the most frequent concern among parents, and the scientific answer is clear: **No**. The immune system has many other protective mechanisms – the lymph nodes, the spleen, the bone marrow and the lymphatic tissue of the mucous membranes – which fully take over this defensive role. Long-term studies have shown no decline in overall immunity after tonsillectomy. On the contrary, many children fall ill noticeably less often after the operation, because the chronic focus of infection that was constantly exhausting them has been removed. ### How is the operation performed? Tonsillectomy is performed under safe general anaesthesia and takes around 30-45 minutes. Modern techniques are used today – classic dissection, electrocautery or radiofrequency methods – which minimise bleeding and postoperative pain. In most cases, the patient stays at the clinic for only a few hours or one night for observation and returns home the next day. ### What is the recovery like? Full recovery usually takes 7-14 days. Throat pain is most pronounced in the first days and may radiate to the ears – this is normal and does not indicate an ear infection. For the smoothest possible healing, we recommend: - **Plenty of fluids:** Drinking cool liquids regularly is the single most important factor in easing pain and preventing complications. - **A soft, cool diet:** Yoghurt, purées, lukewarm soups and ice cream. Avoid hard, hot, spicy or highly acidic foods. - **Pain control:** Regular pain relief as advised by your doctor (paracetamol or ibuprofen; aspirin must not be used in children). - **Rest:** Around 7-10 days away from school or work and avoidance of strenuous physical activity for at least two weeks. One important detail: between days 5 and 10, the protective scabs covering the wound begin to detach and there is a small risk of bleeding. Any fresh bleeding from the mouth, however minor, must be assessed by a doctor immediately. ### When should you consult a specialist? If your child (or you yourself) is approaching the criteria described above – frequent throat infections, snoring with pauses in breathing at night, or recurrent abscesses – do not postpone the visit. The decision to operate is always made individually, after a full ENT examination and an open discussion of the benefits and risks. In the great majority of correctly indicated cases, tonsillectomy brings a marked and lasting improvement in quality of life. --- ## Allergies vs. Sinusitis: How to differentiate the symptoms? **Author:** Dr. Emirjon Haxhiu | **Date:** 05 November 2025 During the change of seasons, many patients present at our clinic complaining of a blocked nose, facial pain, headaches and nasal discharge. The most common question is: is this an allergy or a sinus infection (sinusitis)? Although the symptoms can overlap considerably, their origin, course and treatment are fundamentally different – and this is precisely why an accurate diagnosis matters so much. ### What is allergic rhinitis? An allergy is the immune system's exaggerated response to a harmless environmental substance, such as pollen, dust mites, mould or animal dander. On contact with the allergen, the body releases histamine, which produces the characteristic symptoms: - Itching of the nose, eyes or palate – the most distinctive sign of an allergy. - Frequent bouts of sneezing, one after another, especially in the morning or on contact with the allergen. - Clear, watery discharge from both nostrils. - Red, watery, puffy eyes (allergic conjunctivitis). - Symptoms lasting weeks or months – for as long as the exposure to the allergen continues. Allergic rhinitis may be seasonal (grass and tree pollen in spring and summer) or perennial (house dust, pets, mould). It is not accompanied by fever. ### What is sinusitis? Sinusitis is inflammation of the mucous lining of the air-filled cavities (sinuses) surrounding the nose. By duration, it is classified as acute (up to 4 weeks), subacute or chronic (over 12 weeks). It is most often caused by viruses, less frequently by bacteria and, in special cases, by fungi. The characteristic symptoms include: - Pressure or pain around the eyes, forehead and cheeks, which worsens when bending forward. - Thick, yellow or green nasal discharge, often also dripping down the back of the throat. - A marked reduction in the sense of smell and taste. - Fever, general fatigue and bad breath (halitosis). - Headache that intensifies during the day or with changes in head position. ### How do you tell them apart in practice? A few guiding points help distinguish the two conditions: itching and repeated sneezing point to an allergy, whereas facial pain and thick, discoloured secretions point to sinusitis. Fever appears only with sinusitis. An allergy usually follows a seasonal pattern or is linked to a particular environment (for example, it worsens at home or around animals), while acute sinusitis often develops after a common cold that, instead of improving, gets worse after day 5 to 7. ### How are allergy and sinusitis connected? These two conditions do not exclude each other – quite the opposite. An untreated allergy causes chronic swelling of the mucosa, which blocks the narrow drainage channels of the sinuses. The trapped secretions create an ideal environment for bacterial growth, and the allergy thus turns into bacterial sinusitis. This is why patients with uncontrolled allergic rhinitis suffer far more often from recurrent and chronic sinus infections. ### Diagnosis at our clinic The wrong treatment not only prolongs suffering but can make the condition worse: antibiotics do not cure an allergy, just as antihistamines do not cure a bacterial sinus infection. At our clinic we use **nasal video endoscopy** – a precise, painless examination that lets us view the inside of your airways directly on a screen. This examination reveals whether you have nasal polyps, a deviated nasal septum, purulent secretions or simply the pale, swollen mucosa typical of allergy. Where needed, the work-up is completed with allergy testing or a computed tomography (CT) scan of the sinuses for chronic cases. ### How are they treated? Treatment follows the diagnosis: - **For allergic rhinitis:** Allergen avoidance, modern antihistamines, corticosteroid nasal sprays (the most effective long-term treatment) and, in selected cases, specific immunotherapy, which treats the allergy at its root. - **For sinusitis:** Saline nasal rinses, corticosteroid sprays, decongestants for short periods only, and antibiotics solely when a bacterial infection is confirmed. For chronic sinusitis or polyps that do not respond to medication, functional endoscopic sinus surgery (FESS) offers excellent results. ### When should you be concerned? Seek medical assessment without delay if your symptoms last more than 10 days without improvement, if the condition worsens after it had begun to improve, or if you develop high fever, swelling around the eyes, visual disturbances or a very severe headache – these are warning signs that require urgent treatment. An accurate diagnosis is always the first step towards effective treatment: do not treat yourself on guesswork. --- ## The critical importance of diagnosing hearing loss early. **Author:** Dr. Emirjon Haxhiu | **Date:** 20 March 2026 Hearing is essential for communication, social connection, safety and overall quality of life. Yet hearing loss is often neglected, because in most cases it develops so slowly and gradually that the person adapts without noticing the deficit. On average, several years pass between the first signs and the first visit to a specialist – years during which the brain is deprived of full auditory stimulation. ### How does hearing work? Sound waves travel through the ear canal and set the eardrum (tympanic membrane) and the small bones of the middle ear in motion. This mechanical signal is transmitted to the cochlea in the inner ear, where delicate sensory cells convert it into nerve impulses for the brain. We distinguish two main types of hearing loss: **conductive hearing loss**, in which the passage of sound through the outer or middle ear is obstructed (earwax, infections, fluid behind the eardrum), and **sensorineural hearing loss**, in which the sensory cells themselves or the auditory nerve are damaged. The first type can often be fully treated; the second requires diagnosis as early as possible in order to preserve what remains. ### The first signs of hearing loss Do not wait until the hearing loss becomes severe. Early indicators that call for an evaluation by an ENT specialist include: - Constantly asking others to repeat themselves, especially in noisy settings such as restaurants or family gatherings. - Keeping the television or radio at a volume higher than other family members prefer. - Difficulty following conversations on the telephone. - A feeling of blockage in the ear, or ringing, whistling and buzzing sounds (tinnitus). - The effort of listening tires you out – by the end of the day you feel exhausted from conversation. - You begin to avoid phone calls, meetings and noisy environments. ### What are the most common causes? - **Earwax (cerumen):** The simplest cause, fully treatable within a single visit. - **Middle ear infections and fluid:** Particularly common in children, where they can easily go unnoticed. - **Noise exposure:** Working in loud environments and listening to music at high volume irreversibly damage the sensory cells. - **Presbycusis:** The natural decline of hearing with age, usually after the age of 60, which first affects high-pitched tones and the clarity of speech. - **Otosclerosis and other ear diseases:** Stiffening of the middle ear bones, often treatable with surgery. - **Ototoxic medications:** Certain antibiotics and other therapies can damage hearing and therefore require monitoring. ### The link between hearing and cognitive health Major international studies of the past decade have ranked untreated hearing loss among the leading modifiable risk factors for cognitive decline and dementia, including Alzheimer's disease. The mechanism is multifactorial: a brain deprived of auditory stimulation works harder to decode words at the expense of memory, while the social isolation that follows communication difficulties markedly reduces mental activity. Treating hearing loss in time is not merely a matter of comfort – it is a direct investment in the long-term health of your brain. ### Why is early diagnosis critical in children? In children, even a mild or one-sided hearing loss directly affects speech development, learning and behaviour. Silent fluid behind the eardrum (otitis media with effusion) is the most frequent cause, and often the only signals are falling school grades or poor concentration. Any suspicion raised by parents or teachers deserves an audiological check-up – it is quick, painless and possible at any age. ### How is it diagnosed and treated? At our clinic we offer comprehensive otological diagnostics: - **Microscopic otoscopy:** A detailed examination of the ear canal and eardrum to rule out simple causes such as earwax or infections. - **Pure-tone and speech audiometry:** Painless tests that precisely determine the degree and type of hearing loss. - **Tympanometry:** An objective measurement of eardrum function and middle ear pressure, particularly valuable in children. Depending on the cause, treatment may be simple (earwax removal), medical (for infections and middle ear fluid), surgical (repair of the eardrum or the ossicles), or may involve modern hearing aids – devices that are now almost invisible and digitally fine-tuned to match your audiogram exactly. For severe cases, implantable solutions exist as well, and we will guide you to the appropriate centres. ### How can you protect your hearing? - Follow the 60/60 rule with headphones: no more than 60 percent of maximum volume, for no longer than 60 minutes at a time. - Use hearing protection at noisy workplaces and at concerts. - Do not use cotton buds inside the ear canal – they push wax deeper and endanger the eardrum. - Treat ear infections promptly and have your hearing checked periodically after the age of 50. You do not have to get used to silence. A simple visit and an accurate audiogram can bring the sounds of life back to you. --- ## Tinnitus (ringing in the ears): Causes and clinical management. **Author:** Dr. Emirjon Haxhiu | **Date:** 14 January 2024 Tinnitus (noise in the ears) is the perception of sound when no external source of sound exists. The sound may be described as whistling, ringing, humming, pulsing or hissing, and it may be present in one or both ears. Studies estimate that around 10 to 15 percent of adults experience persistent tinnitus. For many patients it becomes a deeply distressing condition that disturbs sleep, concentration and mood – but the good news is that effective management strategies exist today. ### How does tinnitus arise? In most cases, tinnitus begins with damage to the delicate sensory cells of the inner ear. When the brain receives fewer sound signals from the ear, it tries to compensate for the loss by increasing the sensitivity of its hearing centres – and it is precisely this heightened activity that is perceived as a phantom sound. This mechanism also explains why tinnitus becomes more noticeable in silence and during periods of stress and fatigue. ### What are the most common causes? Tinnitus is not a disease in itself, but a symptom of another underlying condition. The main causes include: - **Exposure to loud noise:** Loud music, concerts and noisy workplaces damage the sensory cells of the inner ear – the most common and most preventable cause. - **Earwax blockage (cerumen):** A physical obstruction that alters pressure and sound perception; it can be resolved immediately at the clinic. - **Age-related hearing loss (presbycusis):** The natural decline of hearing after the age of 60 is very frequently accompanied by tinnitus. - **Middle ear infections and fluid:** Treatable conditions that should be ruled out at the very first visit. - **Inner ear disorders:** Ménière's disease, which is accompanied by vertigo and fluctuating hearing, or otosclerosis. - **Ototoxic medications:** High doses of aspirin, certain antibiotics and diuretics can cause or worsen tinnitus. - **Vascular problems and hypertension:** In certain cases the tinnitus pulses in time with the heartbeat – so-called pulsatile tinnitus, which always requires specialist evaluation. - **Jaw and neck disorders:** Problems of the temporomandibular joint and muscular tension can influence how the noise is perceived. ### When does tinnitus require urgent assessment? Some forms of tinnitus call for examination without delay: - Tinnitus in one ear only, especially when accompanied by hearing loss on the same side. - Pulsatile tinnitus, beating in rhythm with your pulse. - Tinnitus appearing together with sudden hearing loss – this is a medical emergency in which every day counts. - Tinnitus accompanied by dizziness or balance problems. ### How is it diagnosed? Our assessment begins with microscopic otoscopy to exclude visible causes, continues with a full audiogram and tympanometry to measure hearing function precisely and, when specific signs are present, is completed with imaging studies. Identifying the cause is the key to successful management. ### Can tinnitus be cured? The answer depends on the cause. If the noise stems from earwax, an infection or a treatable middle ear problem, the solution is often immediate and definitive. If the source is damage to the inner ear, the tinnitus usually does not disappear completely – but that does not mean you cannot be helped. The goal of modern management is to teach the brain to filter the noise out, just as it filters out the hum of a refrigerator or traffic, until it no longer intrudes on your daily life. ### Modern tinnitus management - **Hearing aids:** When tinnitus is accompanied by hearing loss, amplifying natural ambient sounds masks the internal noise and gives the brain the stimulation it lacks – often with noticeable benefit within the first weeks. - **Sound generators (maskers):** Devices or apps that produce soft background sounds (white noise, the sound of rain) to distract the brain, particularly helpful at night. - **Tinnitus retraining therapy (TRT):** A combination of structured counselling and sound therapy aimed at habituation – the brain learns to classify the noise as unimportant. - **Psychological support and relaxation techniques:** Cognitive behavioural therapy has strong scientific evidence for reducing distress and improving sleep in tinnitus patients. ### What can you do yourself? - Avoid absolute silence – a gentle background sound (quiet music, a fan) softens the perception of the noise. - Protect your ears from loud noise and use hearing protection when needed. - Limit caffeine and nicotine if you notice they make the noise worse. - Manage stress and look after your sleep – fatigue amplifies tinnitus. The most important thing is not to ignore the noise in your ears and not to face it alone. An early visit with an accurate audiogram is the first step towards regaining your peace and quiet. --- ## Sleep apnea and snoring: When should you seek medical attention? **Author:** Dr. Emirjon Haxhiu | **Date:** 28 February 2024 Snoring is an extremely common problem – often the subject of jokes or complaints between partners – but in some cases it conceals a real health risk: **obstructive sleep apnea (OSA)**. The difference between harmless snoring and a serious breathing disorder during sleep cannot be judged by ear – it requires a medical evaluation. ### What is obstructive sleep apnea? During sleep, the muscles of the throat relax naturally. In people with sleep apnea, this relaxation causes the upper airway to narrow or close completely. The result is repeated pauses in breathing, lasting from a few seconds to over a minute and recurring dozens of times a night. Each time the oxygen level drops, the brain wakes for an instant to reopen the airway – brief arousals the patient usually does not remember, but which completely fragment the deep, restorative stages of sleep. The severity of apnea is measured by the number of pauses per hour of sleep (the apnea-hypopnea index, AHI): above 5 is considered mild apnea, above 30 severe. ### Simple snoring or apnea? Not everyone who snores has apnea. Primary snoring is noise without pauses in breathing and without consequences for oxygenation. The situation becomes alarming when the noise is interrupted by long silences followed by a gasp or choking sound – this is the acoustic signature of apnea, and it is almost always noticed by the partner, not by the patient themselves. ### Warning signs of sleep apnea Consider a visit to a specialist if you have these symptoms: - Loud snoring interrupted by pauses in breathing or choking episodes (noticed by your partner). - Waking with a dry mouth, sore throat or morning headaches. - Marked fatigue and sleepiness during the day – even the risk of dozing off at the wheel. - Difficulty concentrating, forgetfulness and frequent mood swings. - Waking often during the night to urinate (nocturia). - Night sweats and restless, unrefreshing sleep. ### Who is most at risk? - **Excess weight:** The most important factor – fatty tissue around the neck narrows the airway. - **Sex and age:** Men are affected more often; in women, the risk rises after the menopause. - **Alcohol, smoking and sedatives:** They deepen the relaxation of the throat muscles, especially before sleep. - **Anatomical features:** A deviated nasal septum, enlarged tonsils, a long soft palate or a small, receding lower jaw. - **Family history:** Apnea occurs more often when close relatives are affected. ### Sleep apnea in children – a special case In children, the main cause of apnea is enlarged tonsils and adenoids. Instead of sleepiness, children often show paradoxical symptoms: hyperactivity, poor concentration, falling school performance and bed-wetting. Regular snoring in a child is not normal and always deserves an ENT evaluation – with removal of the tonsils and adenoids, childhood apnea is cured in the vast majority of cases. ### The risks of leaving it untreated The constant arousals and the repeated drops in blood oxygen place the cardiovascular system under chronic stress. People with untreated apnea have a significantly higher risk of drug-resistant high blood pressure, heart attack, stroke, irregular heart rhythms (including atrial fibrillation) and type 2 diabetes. Daytime sleepiness also greatly increases the risk of traffic and workplace accidents. Treating apnea does not just improve your sleep – it protects your heart, your brain and your life. ### How is it diagnosed? At our ENT clinic, the evaluation begins with a complete examination of the nose, palate and upper airway, including video endoscopy, to pinpoint the exact level of obstruction. The definitive diagnosis is made with a sleep study – polysomnography or simplified home sleep tests – which measures breathing, oxygenation and sleep structure throughout the night. ### Treatment options - **Lifestyle changes:** Weight loss, avoiding alcohol in the evening and sedatives, and sleeping on your side rather than your back. - **CPAP devices:** The gold standard for moderate and severe apnea – a mask connected to a device that keeps the airway open with gentle air pressure throughout the night. - **Oral appliances:** Custom-made devices that move the lower jaw slightly forward, suitable for mild to moderate cases. - **Surgical interventions:** Where clear anatomical obstructions exist – correction of the nasal septum (septoplasty), tonsil removal or tightening of the soft palate – surgery can offer lasting improvement and, in selected cases, a definitive solution to snoring and apnea. If your partner has noticed pauses in your breathing, or if you wake up unrefreshed every morning despite enough hours in bed, do not dismiss it: a straightforward ENT evaluation can be the first step towards quiet nights and days full of energy. --- ## Deviated nasal septum: When is surgical intervention required? **Author:** Dr. Emirjon Haxhiu | **Date:** 10 April 2024 The nasal septum is the thin wall of cartilage and bone that divides the nasal cavity into two air passages. In an ideal world this wall would be perfectly straight – in reality, most people have some degree of deviation. While mild deviations never cause problems, pronounced displacements can significantly obstruct breathing and affect sleep, energy levels and sinus health. ### Why does the septum deviate? In some cases the deviation is congenital or develops during growth, when cartilage and bone grow at different rates. In other cases it is the result of trauma – a blow to the nose in childhood, during sport or in an accident. What is striking is that the injury often goes unnoticed at the time: many patients discover the deviation years later, when the symptoms become unbearable. ### Symptoms of a deviated septum Most patients are unaware of their deviation until the symptoms begin to affect their quality of life. The most common include: - **Blockage of one or both nostrils:** The obstruction becomes more pronounced during colds or allergies, when the swollen lining closes off the already narrowed passage completely. - **Mouth breathing and dry mouth:** Especially at night, with frequent awakenings and a parched throat in the morning. - **Nosebleeds (epistaxis):** The disturbed airflow dries out the lining over the deviated section, making it more prone to bleeding. - **Facial pressure and headaches:** Blocked sinus drainage causes pressure around the forehead, eyes and cheeks. - **Recurrent or chronic sinusitis:** Secretions trapped behind the obstruction become infected more easily. - **Snoring and restless sleep:** Increased nasal resistance forces mouth breathing and promotes snoring, even sleep apnea. - **Reduced sense of smell:** The restricted airflow carries fewer scent molecules to the olfactory area. ### How is the diagnosis made? The diagnosis is established with a simple, painless examination. After classic rhinoscopy, we use **nasal video endoscopy** to view the entire nasal cavity on a screen: the degree and location of the deviation, the condition of the nasal turbinates, and the presence of polyps or secretions. When sinus involvement is suspected, the examination is completed with a CT scan. This comprehensive assessment is essential, because successful treatment must address all causes of the obstruction at the same time. ### Conservative treatment – always the first step Surgery is never the first option. We begin with medical therapy: corticosteroid nasal sprays to reduce swelling of the lining, antihistamines when allergy coexists, and regular saline rinses. It is important to understand that these medications ease the inflammatory component of the blockage, but **no medication can straighten deviated cartilage**. If breathing remains obstructed after several weeks of consistent therapy, the definitive solution – septoplasty – is then discussed. ### What is septoplasty? Septoplasty is the standard surgical procedure for correcting a deviated septum and one of the most frequently performed operations in ENT. During the procedure, which takes around 45-60 minutes under general anaesthesia, the surgeon repositions or removes the deviated portions of cartilage and bone to open up the airway. When the nasal turbinates are enlarged, they are reduced during the same operation for the best possible result. The operation is performed entirely from inside the nose: there is no external incision, no scar on the face, and the outer shape of the nose does not change. Only when the patient also wishes an aesthetic correction is septoplasty combined with rhinoplasty in a single procedure. ### Recovery and results Thanks to modern techniques and materials, recovery is quick and well tolerated. The painful packing of the past is history – today, thin silicone splints or self-dissolving materials are used. For optimal healing we recommend: - A few days of rest and avoidance of strenuous physical activity for about two weeks. - Regular saline rinses to clean and moisturise the nasal lining. - Do not blow your nose forcefully during the first week, and sneeze with your mouth open. - Sleep with your head elevated for the first few nights to reduce swelling. A feeling of blockage in the first days is normal and comes from internal swelling, not from failure of the operation. After 1-2 weeks, most patients notice a dramatic improvement: free nasal breathing, deeper sleep, more energy during the day and fewer sinus infections. ### Who is a candidate for surgery? Candidates are adults and adolescents who have completed their facial growth (usually after the age of 17-18), who have persistent nasal obstruction caused by the deviation and who do not benefit sufficiently from medical therapy. If you are tired of breathing through your mouth or waking up exhausted, consult our specialists – a brief examination is enough to determine whether septoplasty is the right solution for you. --- # Our Services We offer a full range of medical and surgical treatments for the ear, nose, and throat, using state-of-the-art technology. ## Otology (Ear Diseases) Comprehensive diagnostics and treatments for all ear and hearing-related conditions. - Audiometry and Tympanometry - Infection treatment (Otitis) - Tinnitus management - Solutions for hearing loss - Ear microsurgery ## Rhinology (Nose and Sinus Diseases) Advanced medical approaches for treating nasal respiratory issues and allergies. - Nasal video endoscopy - Treatment of acute and chronic sinusitis - Nasal polyps treatment - Septum deviation correction - Management of respiratory allergies ## Laryngology (Throat and Vocal Cord Diseases) Specialized care for upper respiratory tract and swallowing disorders. - Vocal cord examination with camera - Tonsillitis treatment - Hoarseness treatment - Diagnosis of sleep apnea (snoring) - Salivary gland surgery ## Pediatric ENT A welcoming environment with specially trained staff dedicated to pediatric ENT care. - Removal of tonsils and adenoids - Treatment of frequent ear infections - Placement of ventilation tubes - Speech delay assessment - Allergy treatment in children --- ### Require a medical consultation? We are here to help you find the optimal solution for your ENT concerns. [Contact Us](/en/contact.md) # Contact Us We are here to help. Schedule a consultation with one of our specialist doctors or contact us with any questions you may have. ## Clinic Information - **Address**: Ali Aliu Kelmendi 216, Prishtinë, 10000 Prishtina, Kosovo - **Phone**: +383 (0) 49 963 333 (Also on Viber / WhatsApp) - **Email**: info@novusorl.com ### Working Hours - **Monday - Friday**: 11:00 - 19:00 - **Saturday**: 10:00 - 17:00 - **Sunday**: Closed > * Emergency cases only on call after hours # Privacy Policy This Privacy Policy explains how Novus ORL handles information when you use this website or contact the clinic. _Last updated: August 26, 2026_ ## Information we collect We collect only the information you choose to provide when you contact us, such as your name, phone number, email address, message, and appointment-related details. The website may also record basic technical information such as IP address, browser type, pages visited, and time of visit for security and maintenance. ## How we use information We use information to respond to requests, arrange appointments, provide clinic services, maintain the website, and meet legal or professional obligations. We do not sell personal information. ## Cookies and analytics This website uses Google Tag Manager to load measurement tools such as Google Analytics. These tools may store cookies or similar identifiers in your browser to record how the site is used, including pages visited, approximate location, and device or browser type. We use this data only in aggregated form, to understand how the site performs and to improve it. It is not used to identify you personally and is never combined with your medical records or with the details you send us when requesting an appointment. This data is processed by Google and may be transferred to and stored on servers outside Kosovo. You can block or delete cookies at any time through your browser settings, and the website remains fully usable without them. ## Sharing and retention We share information only with trusted service providers, medical professionals involved in your care, or authorities when required by law. We keep information only for as long as needed for the purposes above, unless a longer period is required by law. ## Your choices You may contact us to request access, correction, deletion, or restriction of your personal information where applicable. For privacy requests, contact us at info@novusorl.com. # Terms of Use These Terms of Use explain the basic rules for using the Novus ORL website. _Last updated: August 26, 2026_ ## Website information The content on this website is provided for general information about the clinic and ENT health topics. It is not a substitute for medical advice, diagnosis, or treatment. For health concerns, consult a qualified medical professional. ## Appointments and emergencies Submitting a request or contacting the clinic through this website does not guarantee an appointment until confirmed by the clinic. This website is not intended for emergencies. In an emergency, contact local emergency services immediately. ## Acceptable use You agree not to misuse the website, attempt to disrupt it, submit false information, or use its content unlawfully. We may update, suspend, or remove website content at any time. ## Liability and contact We aim to keep the website accurate and available, but we do not guarantee that all content is complete, current, or uninterrupted. Questions about these terms may be sent to info@novusorl.com.