Hans Mueller completed his medical training at the Johann Wolfgang Goethe University in Germany in 1982 and completed his higher surgical training in E.N.T. Surgery in Nuremberg in 1992.
Mr Mueller has worked as a medical officer for the German Navy mainly as a ship’s doctor and vice doctor of a major medical naval centre. For 16 years he worked in private practice before moving to the UK and Ireland where he worked as a consultant in Manchester and in St. Bart’s Royal London Hospital.
In 2010 he was appointed consultant E.N.T. surgeon in Gibraltar at St. Bernard’s Hospital. With 23 years experience as an E.N.T specialist, Mr Mueller offers comprehensive E.N.T services for adults and children covering the whole E.N.T spectrum.
What is an Ear, Nose & Throat specialist (E.N.T)?
An E.N.T specialist or otorhinolaryngologist, are experts that deal with conditions of the ear, nose, and throat (E.N.T) and related structures of the head and neck.
How can an E.N.T help you?
Accurate diagnosis is essential for determining the causes and the possible treatment options for each individual patient. At Ocean Medical Clinic, Mr Mueller can conduct a range of tests and give a detailed assessment of each patient’s ears, nose and throat to provide accurate treatments.
What conditions can an E.N.T specialist treat?
Mr Mueller offer a large range of services, which include:
Treatments and Diagnosis
The specialist will conduct a series of ear investigations including the patient’s history (such as classic symptoms of ear disease, previous surgeries, family history of deafness and exposure to noise). An external ear inspections (including shape, skin lesions, discharge and inflammation), along with an inspection of the eardrum and canal.
Hearing tests (audiometry)
An audiometry evaluation is a painless, non-invasive hearing test that measures a person's ability to hear different sounds, pitches and frequencies. Our ears have three distinct parts: The outer, middle and inner ear. An audiometry tests can detect whether you have sensor-neural hearing loss (damage to the nerve or cochlea) or conductive hearing loss (damage to the eardrum or the tiny ossicle bones).
During an audiometry evaluation, a variety of tests may be performed. A pure tone audiometry test measures the softest, least audible sound that a person can hear. During the test, you will wear earphones and hear a range of sounds directed to one ear at a time. The loudness of sound is measured in decibels (dB), whereas the tone of sound is measured in frequencies (Hz).
A word recognition test (also called speech discrimination test) assesses a person's ability to understand speech from background noise. If your speech discrimination is poor, speech may sound garbled. Word recognition scores can be helpful in predicting the usefulness of a hearing aid.
A tympanometry test detects problems such as fluid/wax build-up, perforated eardrum, ossicle bone damage or tumours in the middle ear. Acoustic reflex testing evaluates the cranial nerves and brainstem.
Tinnitus often described as "ringing in the ears" is the condition for hearing sounds that come from either inside the inner ear or created in the hearing centre of the brain, rather than from an outside source. If the tinnitus is caused by an underlying health condition such as earwax build-up, treating it will help reduce the sounds you hear. However, in some cases a cause for tinnitus cannot be found, so treatments will be used to help you manage the problem on a daily basis.
Vertigo Investigation & Treatment
There are different types of vertigo, related to an E.N.T. Examples such as;
- BPPV - Benign Paroxysmal Positional Vertigo
- Ménière's disease
- Vestibular neuritis / Labyrinthitis
- Acoustic Neuroma (and other brain masses)
BPPV (Benign Paroxysmal Positional Vertigo)
BPPV is one of the most common causes of vertigo — the sudden sensation that you're spinning or that the inside of your head is spinning. Benign paroxysmal positional vertigo causes brief episodes of mild to intense dizziness. This can be treated with an Epley Manoeuvre, which can be performed at our clinic.
Ménière's disease is extremely rare, but sadly it is over diagnosed and many people are incorrectly told they have this disease.
If you do not have all of these symptoms, but you have been told that you have Ménière's disease, then you should seek advice for another diagnosis:
- Episodes true Vertigo (see above for the difference between vertigo and dizziness)
- Episodes of vertigo last for less than a day
- During the episodes of vertigo the hearing in one ear
Treatment for vertigo involves tackling the underlying cause and can involve specific drug therapy. The following general therapies can also help:
Vestibular Rehabilitation: A form of brain training to allow your brain to change the way it receives signals from the inner ear. This is often used in people with labyrinthitis, vestibular neuritis and Meniere’s disease.
The Epley Manoeuvre: This involves manipulation of the head into set positions to move any hard debris in the inner ear to a place where they can no longer cause vertigo. It is particularly useful in people with benign paroxysmal positional vertigo (BPPV).
Ear wax is a natural part of the bodies defence and it is intended to remove dirt and foreign debris out of the ear canal. Yet, if the wax becomes impacted it can lead to itching, hearing loss and pain.
- Signs and symptoms of earwax blockage may include
- Feeling of fullness in the affected ear
- Ringing or noises in the ear (tinnitus)
- Decreased hearing in the affected ear
Softening the wax with olive oil and ear irrigation can be used but micro-suction is the preferred option if the wax is impacted. A microscope is used to observe the ear and a suction device is used to gently remove earwax from the ear canal.
Complete endoscopic examination of the nasal cavities and sinuses
An endoscopic sinus examination allows the specialist to see all the structures inside the nose and the sinuses.
A range of factors such as age, body shape, nasal or sinus problems, alcohol, smoking and certain medications can cause snoring. Determining what is causing your snoring can help in discovering a solution. It is sometimes possible to diminish snoring by making lifestyle changes (such as losing weight, drinking less alcohol and becoming more active). If lifestyle changes are ineffective, there are also non-surgical methods that can help (such as nasal or chin strips and a mandibular repositioning splint).
Allergy investigation and treatment
Mr Mueller runs a successful allergy clinic and can diagnose and treat, in the form of a monthly injection, all types of allergies:
- House dust mite
- Grass & tree pollen
Allergy testing (in contrast with intolerance testing) can help identify if there is a sensitisation to a particular protein in food or respiratory allergens.
Is allergy testing painful?
No, but it involves taking a blood sample from a finger prick or a vein.
- Snoring investigation
- Complete endoscopic examination of the larynx
- Treatment of hoarseness of voice- types of voice disorders
- Investigation of tonsils