Ear, Nose and Throat (ENT) in South Africa

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 South Africa?

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 South Africa 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 South Africa.

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 South Africa

About South Africa

South Africa is home to some of the world's most luxurious private game reserves and lodges. Wildlife lovers come here from all corners of the globe in search of the "Big Five": lion, buffalo, leopard, rhino, and elephants. Coral reefs, shark dives, dragon-backed mountain ranges, white-water rafting, and golden beaches lapped by legendary surf breaks are some of South Africa's many other attractions. Traveling around this vast land and touring the vibrant cities, visitors can learn about the nation's turbulent history. Travelers coming to South Africa for medical treatments do so for cost savings, advanced medical technology, and the internationally qualified and skilled doctors. The country welcomes an ever-increasing number of medical tourists each year, many of which travel for Ear, Nose and Throat (ENT) procedures. Medical Tourists travel from all across the globe, particularly from African countries with an inferior healthcare system. Popular destinations include the capital city, Pretoria, neighboring Johannesburg, and the stunning Cape Town.

Popular Parts of South Africa

With more than 57 million inhabitants, South Africa is the world’s 24th most populous nation. It is a multiethnic society with a large variety of cultures, languages, and religions. Known for its exhilarating outdoor adventure, fascinating wildlife, magnificent landscapes, and opulent history makes South Africa a truly magical destination

• Cape Town is the oldest city and the legislative capital of South Africa. This pleasant city has a lot to offer as you can Hike the Table Mountain, take a wine tour, cruise to Robben Island, relax on beautiful beaches, visit District Six Museum, discover Kirstenbosch Botanical Gardens, and watch the Boulders Penguin Colony or shop in trendy markets. 
• Johannesburg is the largest and the most populous city. It is changing rapidly into an ultra-modern metropolis. Other than being an urban city, it also boasts a rich history. Tourists can visit the Apartheid Museum to learn more about the country’s difficult past through exhibitions. Other museums such as MOAD and MuseuMAfriCA are also worth a visit to view the city’s art and history.
• Durban is a cosmopolitan city with sunny beaches and charming Afro-Indian culture. There are more Indian nationals residing in this city than any other country outside of India. It is the place to go if you want to see marine life. Visit uShaka Marine World where you can snorkel, dive, and interact with animals. 
• Pretoria is a scenic city and you will find various historic buildings with astounding architecture such as the Voortrekker Monument, Union Buildings, and Church Square with its statue of Paul Kruger. Those who are looking for some outdoor activities can explore Pretoria National Botanical Garden and Rietvlei Nature Reserve for some wildlife viewing.
• Kruger National Park is one of the largest national parks and one of the most exciting safari destinations in the world. Here you can view all of Africa’s safari species such as Lion, Elephant, Rhino, Leopard, Buffalo, Hippo, and Giraffe along with more than 100 mammal species and 500 varieties of bird.

Weather and Climate in South Africa

South Africa’s climate is determined by its situation in the Southern Hemisphere’s subtropical zone and between the Atlantic and Indian Oceans. The country is a year-round destination thanks to its varying regional climates. May to September is the Dry Season with little to no rain. The days are mostly sunny, but it gets cold in the evenings and mornings. The average temperature during this season is around 14 °C with June to August as the coldest months. The wet season starts in October and ends in April. There will be occasional short rain showers in the afternoon. The average temperature during the wet season is around 20 °C, but it can also be as high as 35 °C, especially in December, January, and February.

Getting Around in South Africa

The main and the busiest airport in South Africa is the O.R. Tambo International Airport. The airport is located in Kempton Park, near Johannesburg and Pretoria. It serves as the primary domestic and international gateway to and from South Africa. The airport operates flights to other cities in South Africa as well as numerous major cities in the world including London, Singapore, Sydney, Abu Dhabi, and Atlanta. There are also two other major international airports: Cape Town International and King Shaka International. The inexpensive way to travel around the country is by flying with budget airlines such as FlySadair, Kalula.com, and Mango.

South Africa has an excellent infrastructure and is easy to navigate. However, if you wish to visit several cities, expect to have at least one long-distance trip. You can travel around by bus, train, or rental car. There are several long-distance bus companies you can choose, such as Intercape, Translux, and Greyhound. The buses are relatively affordable and safe. They are generally equipped with air-conditioning and an onboard toilet. For short-distance travel, Baz Bus is the best choice. A one-way ticket fare starts at around 500 ZAR.

Although trains are slow, they are less expensive than flights and more comfortable than buses. Shosholoza Meyl long-distance trains serve Cape Town, Johannesburg, Durban, Bloemfontein, and several other major cities. This train is very affordable with tickets costing as low as 400 ZAR for a sleeper train. If you’re looking for a more luxurious train, try the Blue Train which offers comfortable compartments, good food, and wine for around 18,300 ZAR. 

Taxis are available to get around major cities. Tourists can hail one directly from the streets. However, since the taxi ranks are not common, it is best to call for one. The base fare can be different in every city, ranging between 11 ZAR to 20 ZAR. 

Tourist Visas in South Africa

A valid visa is required if you wish to visit South Africa. Citizens of more than 60 countries can enter and stay for up to 90 days. Other countries not listed in the visa exemption agreement must apply and obtain a visa to the nearest South Africa embassy or consulate. All visitors must hold a passport valid for at least 30 days after the expiration of their intended visit, and the passport must have at least two unused pages. 

Additional Information

1. Local Currency: South African Rand (ZAR) is the official currency. 1 USD converts to 14 ZAR.
2. Money & Payments: Tourists can find ATMs all around the country. Credit Cards are widely accepted. However, since South Africa has a reputation for scams, you should inform your bank about your travel plans to avoid declined transactions. It is also advisable to always bring some cash with you. Tipping is expected here and you can tip around 10% to 15% of the bill in restaurants and cafes and the standard tip in hotels is 10 to 20 ZAR. 
3. Local Language: There are 11 official languages in the country, including Zulu, Xhosa, Afrikaans, Northern Sotho, Tswana, Southern Sotho, Tsonga, Swazi, Venda, Southern Ndebele, and English. Zulu is the most widely spoken language.
4. Local Culture and Religion: As a secular state, South Africa has a diverse religious population. Most of the population follows Christianity. Other religions such as the traditional African religion, Islam, Hinduism, and Judaism are also freely practiced.
5. Public Holidays: The country has 12 public holidays such as New Year’s Day, Good Friday, Freedom Day, and Christmas Day.