Dr. Natacha Hilaréguy – Ear Nose and Throat (ENT) Doctor | Saint-Jean-sur-Richelieu, QC

Dr. Natacha Hilaréguy is a highly skilled Ear Nose and Throat (ENT) Doctor (commonly known as an ENT Doctor) dedicated to diagnosing and treating a wide range of conditions affecting the ear, nose, throat, and related structures of the head and neck. Practicing at the Clinique orl in Saint-Jean-sur-Richelieu, QC, she serves the local community with a focus on providing expert ENT care. Her practice adheres to the standards set by the Collège des médecins du Québec (CMQ), ensuring high-quality medical standards and patient safety. Dr. Hilaréguy’s role involves comprehensive evaluation and management of conditions impacting the ear, nose, throat, and head/neck regions for both adult and pediatric patients.

She graduated with a Medical Degree in 2012 and has been practicing as a specialist in Otolaryngology - Head and Neck Surgery for over 12 years. Dr. Hilaréguy completed extensive post-graduate medical training in Otolaryngology - Head and Neck Surgery, which includes advanced surgical skills and specialized knowledge in diagnosing complex ENT conditions. Her certifications and ongoing professional development ensure she remains current with the latest medical advances in her field.

Dedicated to patient education and evidence-based care, Dr. Hilaréguy adopts a collaborative approach to treatment, emphasizing clear communication and personalized care plans. She is committed to providing high-quality ENT services in Saint-Jean-sur-Richelieu and speaks fluent French, ensuring effective communication with her multilingual patient base. Her philosophy centers on delivering compassionate, comprehensive, and up-to-date medical care tailored to each individual’s needs.

Dr. Natacha Hilaréguy manages a variety of conditions related to the ear, nose, throat, and head/neck. Some common areas of treatment include:

Facial Plastic & Reconstructive Aspects

• Nasal Deformity (Post-Traumatic or Congenital): Abnormal shape or structure of the nose resulting from injury or present from birth, which may affect breathing or appearance.

Common Nose and Sinus Conditions

• Empty Nose Syndrome (ENS) evaluation: A rare, controversial condition where patients experience symptoms of nasal obstruction and dryness despite having surgically widened nasal passages.
• Chronic Rhinosinusitis (with or without Nasal Polyps): Long-lasting inflammation of the sinuses (12 weeks or more), sometimes associated with nasal polyps, leading to persistent congestion and discomfort.
• Anosmia / Hyposmia (Loss or Decreased Sense of Smell): The partial or complete loss of the sense of smell, which can be caused by nasal/sinus disease, viral infections, or other factors.
• Nasal Polyps: Soft, painless, noncancerous growths on the lining of the nasal passages or sinuses, often linked to chronic inflammation from asthma, allergies, or infections.

This list is not exhaustive and provides examples of common conditions. If you have specific concerns regarding your ear, nose, throat, or head/neck health, please consult with Dr. Natacha Hilaréguy or your primary care physician for a comprehensive evaluation and appropriate referral.

• Diagnostic Audiometry & Tympanometry: Complete hearing tests to assess hearing levels, middle ear function, and identify types of hearing loss in adults and children.
• Flexible & Rigid Nasal Endoscopy / Sinuscopy: Diagnostic procedure using a thin, flexible or rigid camera with light to examine the nasal passages, sinuses, and nasopharynx.
• Comprehensive ENT Consultation & Examination: Thorough evaluation of ear, nose, throat, head, and neck conditions, including detailed history taking, physical examination, and formulation of a treatment plan.
• Flexible & Rigid Laryngoscopy / Stroboscopy: Examination of the larynx (voice box) and vocal cords using specialized endoscopic techniques to assess voice, airway, and swallowing disorders. Stroboscopy provides slow-motion view of vocal cord vibration.
• Interpretation of CT & MRI Scans of Head, Neck, Sinuses & Temporal Bones: Expert review of advanced imaging studies to diagnose complex ENT conditions.

Note: This list may provide an overview of common otolaryngology services. Dr. Hilaréguy offers a comprehensive range of diagnostic and treatment options for conditions of the ear, nose, throat, and head/neck. Specific services may vary based on individual patient needs and Dr. Hilaréguy's areas of focus.

All medical and surgical services are provided in accordance with the standards of practice set by the Collège des médecins du Québec (CMQ). A referral may be required.

Dr. Hilaréguy’s practice is primarily based at the Clinique orl in the Saint-Jean sector north of Saint-Jean-sur-Richelieu, QC. The clinic is conveniently located near Hôpital du Haut-Richelieu, with easy access via Transport Urbain / Taxibus du Haut-Richelieu. The facility is wheelchair accessible. Parking is available at the facility, with ample space for patients and visitors.

Are services from Dr. Hilaréguy, an Otolaryngologist - Head and Neck Surgeon, covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary consultations, diagnostic tests, and surgical procedures performed by a licensed Otolaryngologist - Head and Neck Surgeon like Dr. Hilaréguy are generally covered by Régie de l'assurance maladie du Québec (RAMQ) in QC when you have a valid referral from your family doctor or another referring physician. Some elective or cosmetic procedures may not be covered. It's always recommended to confirm specific coverage details with Régie de l'assurance maladie du Québec (RAMQ) or the clinic if you have questions.

Do I need a referral from my doctor to see Dr. Hilaréguy, an Otolaryngologist - Head and Neck Surgeon?

Yes, for services to be covered by your provincial health plan (Régie de l'assurance maladie du Québec (RAMQ)), a referral from your family physician or another specialist is typically required to see an Otolaryngologist - Head and Neck Surgeon like Dr. Hilaréguy. This ensures coordinated care. Some clinics may offer non-insured consultations without a referral, but this is not standard for provincially covered services. Please check with the clinic or your referring doctor.

How does Dr. Hilaréguy treat chronic sinusitis?

Treatment for chronic sinusitis is individualized and aims to reduce inflammation, drain the sinuses, and address underlying causes (like allergies or polyps). This may involve medications such as nasal corticosteroid sprays, saline rinses, oral antibiotics (if bacterial infection is confirmed), antifungal treatments in specific cases, or allergy management. In some cases, if medical management is not sufficient, Dr. Hilaréguy may recommend surgical procedures like functional endoscopic sinus surgery (FESS) or balloon sinuplasty to improve sinus drainage and ventilation.

What does an Otolaryngologist - Head and Neck Surgeon (ENT Doctor) like Dr. Hilaréguy do?

An Otolaryngologist - Head and Neck Surgeon, often called an ENT doctor, like Dr. Hilaréguy, is a medical doctor with specialized training in diagnosing and treating a wide range of conditions affecting the ear, nose, throat, and related structures of the head and neck. This includes medical treatments and surgical procedures for hearing disorders, sinus problems, voice issues, sleep apnea, throat infections, and tumors of the head and neck region.

How are allergies related to ENT problems?

Allergies can significantly impact the ears, nose, and throat. Allergic rhinitis (hay fever) can cause nasal congestion, runny nose, sneezing, post-nasal drip, and itchy, watery eyes. Allergies can also contribute to chronic sinusitis, eustachian tube dysfunction (leading to ear pressure, popping, or fluid), recurrent ear infections, and exacerbate conditions like asthma or voice changes. An ENT specialist may investigate and help manage the ENT-related symptoms of allergies, often by recommending nasal sprays, antihistamines, or discussing options like immunotherapy, sometimes working in conjunction with an allergist.

Why are ear tubes recommended for some children with recurrent ear infections?

Ear tubes (tympanostomy tubes) are often recommended for children who experience frequent middle ear infections (recurrent acute otitis media) or persistent fluid in the middle ear (otitis media with effusion) that doesn't clear on its own. These tiny tubes are inserted into the eardrum to help ventilate the middle ear space, prevent fluid buildup, reduce the frequency of infections, and can improve hearing if it was affected by the fluid. Dr. Hilaréguy can assess if ear tubes are appropriate for your child.

Clinique orl
320-870 boul du Séminaire N
Saint-Jean-sur-Richelieu, QC J3A 1B7

Phone: (450) 529-1319 | Fax: (579) 381-9071

The facility is wheelchair accessible.

Dr. Hilaréguy is a licensed physician and surgeon, regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral from your family physician or another specialist is typically required to schedule an appointment for provincially insured services.

Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=12486