Ear, Nose and Throat (ENT) in Brazil

Ear, nose, and throat, ENT for short or Otolaryngology, is a medical specialty that focuses on the care and treatment of the ears, nose, and throat. Physicians who specialized in ENT are called otolaryngologists or ENT doctors and are qualified and trained in both the medical and surgical management of the following conditions:

• Conditions of the ear – ENT doctors can help with ear disorders or other issues, such as ear infections, hearing impairment, ear noise (tinnitus), balance disorders, nerve pain, as well as facial and cranial nerve disorders. They can also manage congenital disorders (disorders that are present since birth) of the inner and outer ear. 
• Conditions of the nose – one of the primary skills of ENT doctors in the care of the nose, nasal cavity, and sinuses. They can diagnose, treat, and manage allergies, deviated septum, smell disorders, sinusitis, polyps, and nasal obstruction because of a deviated septum. They can also perform rhinoplasty surgery to correct the appearance of the nose.
• Conditions of the throat – disorders, and conditions that affect the throat, larynx (voice box), and the esophagus or upper aero-digestive tract can be diagnosed and treated by ENT doctors, including voice and swallowing disorders. 
• ENT-related conditions of the head and neck – ENT doctors are trained to treat infectious diseases, tumors, trauma, and deformities of the head, face, and neck. They can also manage problems with the nerves in these areas that control smelling, sight, hearing, and facial movements. In addition, they can perform cosmetic and reconstructive surgery to the head and neck area.

The procedures that ENT doctors perform include, but are not limited to:

• Tympanostomy
• Myringoplasty
• Tympanoplasty
• Stapedectomy
• Tympanomastoidectomy
• Laryngoplasty
• Esophagoscopy
• Laryngoscopy
• Microlaryngoscopy
• Septoplasty
• Nasal valve reconstruction
• Nasal fracture reduction
• Rhinoplasty
• Functional endoscopic sinus surgery
• Parotidectomy
• Neck mass biopsy
• Submandibular gland removal
• Airway reconstruction
• Tonsillectomy
• Adenoidectomy
• Thyroidectomy
• Parathyroidectomy.

How Long Should I Stay in Brazil?

Your length of stay depends on your condition and the type of treatment you underwent. For surgical procedures, you may need to stay in the hospital for a few days or you can leave the hospital immediately. However, it is advisable that you stay in Brazil for at least 2 weeks or until your ENT doctor says it is safe to travel home. This is because the change in the aircraft’s cabin pressure can cause problems with the surgical site. During your stay, you also need to attend a follow-up appointment where your doctor will remove the stitches (if necessary) and monitor your healing progress.

What's the Expected Recovery Time?

Your ENT doctor will give you a specific recovery timeline, including when you can resume your normal activity and return to work. In general, you need to avoid all activities that may increase blood pressure in your head area for at least 3 weeks. You also need to avoid strenuous activity for at least two weeks. 

What Aftercare is Required?

Your ENT doctor will give you instructions on how to protect the health of your ear, nose, and throat, as well as how to prevent your disease from reoccurring or complications. Make sure to follow all the instructions closely. Depending on your specific condition, you may be required to attend regular checkups. In most cases, you have the choice to have regular checkups with your local doctor at home or with your ENT doctor in Brazil.

What's the Success Rate?

The continuous advancement of ENT has increased the success rate of ENT procedures. While there are no general statistics for all ENT procedures, most procedures are proven to be safe and highly successful. For example, the success rate of tympanoplasty is around 90%. Risks and side effects of ENT procedures depend on the specific procedure and the health status of the patient. All surgical procedures generally carry the risk of bleeding, infection, and an adverse reaction to the anesthetic.

Are there Alternatives?

In most cases, there is no alternative to ENT when you have problems with your ear, nose, and throat. However, depending on your condition, your ENT doctor may work with or refer you to a relevant specialist.

Ear, Nose and Throat (ENT) in and around Brazil

About Brazil

Occupying the title of the largest country in South America, Brazil embraces a diverse population of over 209 million people. The nation is globally renowned for its passion for football (also referred to as soccer in some parts of the world) and their dynamic, flamboyant carnival traditions, boasting a vibrant mix of music, dance, and colorful attire.

In addition to its vivacious culture, Brazil is a sanctuary of spectacular natural beauty. The country nurtures some of the world's most stunning natural wonders, including the dramatic Iguacu Falls and the world's largest tropical rainforest, the Amazon Rainforest, teeming with diverse plant and animal species. One can't miss the landmark figurine of Christ the Redeemer in Rio de Janeiro that towers 98-feet high, becoming a symbol of Brazil's deep-rooted religious faith and an iconic sight that captures hearts worldwide.

Brazil offers more than 60 JCI-accredited facilities and is one of the leading destinations in the world for cosmetic surgery, with Ear, Nose and Throat (ENT) procedures being especially popular. Doctors are often Western-trained and speak English on top of Portuguese and Spanish. Local accreditations include the Consortium of Brazilian Accreditation and the Brazilian Hospital Medical Quality Organization (ONA). Popular locations within Brazil include the capital Brasilia, Rio de Janeiro, Sao Paulo, and Curitiba.

Popular Parts of Brazil

• Rio de Janeiro is a combination of natural attractions and metropolis. It is known to be a party city that offers good times and an unforgettable experience. Lounge around in the world-famous beaches of Ipanema and Copacabana, sample Brazilian cuisine, hike the summit of Corcovado and see the high statue of Christ the Redeemer, dance in Rio Carnival, and see the spectacular views of Ipanema and Guanabara Bay from the Sugarloaf Mountain.
• São Paulo is the largest city in Brazil. It is a huge city that at first glance seems intimidating. It offers hundreds of museums, quirky urban art, delicious cuisine, lively nightlife, and intense cultural experience. Visit Avenida Paulista (Paulista Avenue), a street filled with shopping centers, parks, bars, restaurants, museums, theatres, and cultural spaces.
• Salvador is full of vibrant cultures. It is the heart of Brazil’s Afro-Brazilian community. The city’s charm lies in its pastel-colored neighborhood, centuries-old architecture, and freshly-cooked acarajé and completed with wild festivals and capoeira circles every night.
• Brasília is Brazil’s capital. It’s very modern with futuristic architecture that looks more like artworks than ordinary buildings. It’s a paradise for architecture buffs. Besides the architecture, the food and nightlife in this city is something that should not be missed.
• Manaus might be isolated in terms of location, but it’s actually a large city with a prospering industry and a rich culture. The city is also filled with natural beauty; green spaces, waterfalls, and ecological parks surround its colonial buildings. It is the gateway to the Amazon Rainforest.

Weather and Climate in Brazil

As a large country, the weather in Brazil varies from tropical in the north to temperate in the south. A large part of the country lies in the topics. Brazil is a year-round destination because it has a steady average annual temperature. The temperature rarely drops below 20 °C.

Winter in Brazil starts in May and ends in September. The weather remains tropical in the north with an average temperature ranging between 20 °C to 30 °C. In Rio de Janeiro, the temperature varies between 14 °C to 25 °C. However, the evenings usually feel a lot colder.

During this particular season, one can expect a fair amount of rainfall in Rio, leading to many wet and rain-soaked days. If you plan a visit at this time, it's wise to keep that in mind and prepare accordingly. In contrast, further inland, São Paulo experiences significantly cooler temperatures compared to Rio, reflecting the country's vast geographical expanse and diverse microclimates spread across its regions.

This temperature drop might require some warm clothing, especially during late evenings and nights. So, whether you wish to enjoy the rainy murmur in Rio or seek the cool retreat of São Paulo, there's something unique for every traveler in Brazil during this season.

The temperature in Rio rise between November and March, with the highest temperature of around 40 °C but with a thermal sensation of around 50 °C. The Rain rarely lasts long during these months. In the north of Brazil, the rainy season starts in December. March and May see the heaviest rainfall. It’s hot and humid with frequent rain throughout the year in the Amazon.

Getting Around in Brazil

The most popular international airports are Rio de Janeiro–Antonio Carlos Jobim International Airport (popularly known as Galeão International Airport) and São Paulo/Guarulhos–Governador André Franco Montoro International Airport. Both airports serve domestic and international flights to many cities around the globe. The airports mainly serve major airlines but there are budget airlines such as Norwegian Air UK. Tourists can take taxis, bus, train, or car rental from both airports to the city centers.

Brazil is really big, so there will be a lot of long-distance travel to get around the country. The easiest and fastest way to get from one city to another is by domestic flights. The only downside is that the tickets are very expensive. LATAM and GOL Airlines offer multi-trip tickets or air pass. The most economical option is to buy an air pass if you plan to visit a number of different cities.

Buses are popular in Brazil, servicing most areas of the country. The bus system is excellent and provides a comfortable and economical way of travel. Be aware that the distance can be really tiring and overwhelming; some trips can take over 40 hours. The buses are operated by hundreds of different private companies, but the price is standardized. The fare varies from 75 BRL to 240 BRL. There are luxurious buses too.

A good way to get around major cities like São Paulo and Rio is to use Brazil Metro (subway). The fares are around 3.50 BRL to 3.80 BRL. You can purchase rechargeable travel cards. The metro does not operate at night. Be sure to watch your belongings at all times when traveling on the metro.

Taxis run on a metered system, but if you travel a bit further out of town, you need to negotiate the price with the driver. It is best to phone for a taxi or pick one up at a taxi station and make sure to get into a licensed taxi. Ferries and other water travel are important in many parts of Brazil.

Tourist Visas in Brazil

Nationals of 72 countries and territories can enter and stay in Brazil for up to 90 days without a visa. In some cases, an identity document may be accepted instead of a passport. Citizens of other countries, including China and India, must apply for and obtain a visa before entering Brazil. It is recommended to contact the nearest Brazilian embassy or consulate for the most up-to-date visa information.

Brazil offers an electronic visa (e-Visa) for citizens of eligible countries. The e-Visa is valid for two years and allows multiple entries for stays of up to 90 days per year. Applicants can apply for the e-Visa online through the Brazilian government's website.

Additional Information

1. Local Currency: The official currency is the Brazilian Real (BRL). 1 USD will get you approximately 5.04 BRL.
2. Money & Payments: ATMs are widely available in Brazil and it is the easiest way of getting cash in big cities. ATMs in smaller towns usually don’t work for non-Brazilian cards. Credit cards (Visa and MasterCard) are accepted in numerous shops, restaurants, and hotels. It might be handy to always have cash with you, but always be extremely cautious. Tipping is optional for housekeepers, tip parking assistants 2 BRL, or more since they do not receive wages and depend on tips. Taxis do not expect tips. Restaurants usually include a 10% service charge in the bill.
3. Local Language: The official language is Portuguese. English is not widely spoken, especially outside Rio and São Paulo.
4. Local Culture and Religion: The largest religion in Brazil is Christianity with more than 60% of the population follows Roman Catholicism.
5. Public Holidays: Brazil celebrates major Christian religious holidays as well as Independence Day and Civil Servants Day. Festa Junina, Parintins Folklore Festival, and Oktoberfest are three of the biggest annual festival in the country.