Together with the Catalan Institute of Oncology (ICO) and the Institute of Predictive and Personalized Cancer Medicine (IMPPC), the Hospital Germans is accredited as a National Reference Centre for Neurocutaneous - Phakomatosis Syndromes (CSUR)

The purpose of the CSUR Unit is the integral and multidisciplinary handling of diseases with phakomatosis, a group of diseases that covers neurofibromatosis types 1 and 2, schwannomatosis, tuberous sclerosis and Von Hippel Lindau disease. The Otorhinolaryngology Service is integrated in this multidisciplinary unit and is expert in the treatment of neurofibromatosis type 2.

The unit can attend patients from all over the country if they are referred by their autonomous region of origin. Consultations are also dealt with from specialists from other centres. Members of the CSUR Phakomatosis Unit meet on a monthly basis.

It is a multidisciplinary committee for the integral treatment of malignant tumours of the head and throat. It is formed by the following services: Otorhinolaryngology, Oral and Maxillofacial Surgery, Plastic Surgery, Radiotherapy Oncology, Radiodiagnosis and Endocrinology and Nutrition.

Multidisciplinary unit formed by the Otorhinolaryngology, Neurophysiology, Rehabilitation, Ophthalmology and Plastic and Repair Surgery Services, aimed at the diagnosis and treatment of complex peripheral facial paralysis.

It carries out the integral and multidisciplinary diagnosis and treatment of oropharyngeal dysphagia (difficulty in swallowing) and the screening of hospital dysphagia. The Otorhinolaryngology, Rehabilitation and Endocrinology and Nutrition services form part of this unit. 

It is responsible for the integral treatment of hypoacusis: surgical treatment, osteointegrated implants, cochlear implants and brainstem implants.

This is carried out by video ENG, VHIT, VEMP muscular and ocular.

Lateral skull base surgery

Treatment of skull base tumours that require complex lateral surgical approaches such as: Vestibular or acoustic neuromas, glomus jugulare tumor, paragangliomes jugulotimpànics, sample carcinoma of the temporal bone or tumours located at the petrous portion of the temporal bone. As these tumours are in a complex anatomic area and are rare, treatment requires a highly specialized surgical team.

Anterior skull base surgery

Transfacial and endoscopic approaches of the anterior skull base, in collaboration with the Neurosurgery Services: cerebrospinal fluid fistule, pituitary tumours, nasal and paranasal tumours, meningiomas of the anterior skull base or socket approaches.

• Intratympanic treatment
• Endolymphatic sac decompression
• Neurectomy
• Laberintectomy

• Spasmodic dysphoniaespasmòdica
• Oropharyngeal dysphagia
• Hypersalivation
• Facial nerve

With Bielefeld pilot catheter.

Treatment of the apnea syndrome and infant and adult sleep apnea and hypoapnea syndrome (SAHS).

Phonatory prosthesis.

• Nasal inflammatory pathology: polyposis, sinusitis, mucocoeles
• Benign and malignant nasal tumoural pathology
• Endoscopic surgical treatment of choanal atresia
• Nasal endoscopic surgery of the lachrymal duct
• Endoscopic surgical treatment of exophthalmos in Graves Basedow disease
• Endoscopic transnasal socket approaches of abscesses and orbital tumours

• Surgical treatment of salivary gland neoplasms
• Surgical treatment of thyroid gland neoplasms
• Congenital cysts and benign cervical tumours
• Phonosurgery
• Transoral laser surgery of the pharynx and larynx
• Surgical treatment of vocal chord paralysis: endoscopic injections, cordotomy, thyroplasty
• Larynx-tracheal stenosis