01 / 07 · United States
Chicago
- Bastian Voice InstituteClinical stay with Dr. Bastian
Home › Ear, Nose & Throat
ENT in Bilbao · Gran Vía 63 Bis
Leave knowing what is wrong.Ear, nose, throat and voice.
With Dr. Itziar Gotxi, an ENT surgeon dedicated to the voice and larynx, and Drs. Ainhoa Arrondo and Nekane Arias. We examine what is needed and explain what we have seen before suggesting anything.
- Adults and children
- First appointment · €150
- IMQ · Lagun Aro · Mapfre
and teamTell us what you notice
Leave your name and phone number. We will call you to book with the right ENT doctor and confirm your insurance.
To book with Dr. Nekane Arias, use “We call you” or call +34 944 32 96 70.
ENT specialistSince 2005
InsurersIMQ, Lagun Aro and Mapfre
RecognitionTop Doctors Awards 2025
Doctoralia reviews5.0 · 214 reviews
ONGOING TRAINING · FROM CHICAGO TO BILBAO
We learn from the leaders in voice care.
Courses, clinical stays and conferences in laryngology, voice and neurophysiology that the team takes part in. Part of this training underpins the videostroboscopy and coordinated laryngeal electromyography we offer in clinic.
02 / 07 · Germany
Hamburg
- Medical Voice CenterClinical rotation and laser surgery with Prof. Markus Hess
- Hands-on clinical sessionWith Prof. Hess’s team
03 / 07 · Finland
Helsinki
- Winter Laryngology CourseLaryngeal dystonia, vocal tremor and EMG
04 / 07 · Taiwan · Taichung
Taiwan
- Taiwan Voice Society · 2024Transforming Voice, Transforming Life · Taichung Veterans General Hospital
- Dr. Itziar Gotxi · SpeakerExperience with vocal cord injections guided by laryngeal electromyography
05 / 07 · Spain
Madrid
- 2nd Phonosurgery CourseLaryngeal paresis and paralysis · La Paz Hospital
- Talking About VoiceInnovation in Laryngology
06 / 07 · Bizkaia
Galdakao
- Laryngeal EMG courseGaldakao-Usansolo University Hospital
07 / 07 · Bilbao · At home
MediBilbao Salud
- 1st Voice and Dysphagia CourseOrganised by MediBilbao Salud
- Visit after the 3D CourseWith Markus Hess and Juan Carlos Casado at MediBilbao
- Endoscopy practiceHands-on laryngeal imaging workshop
SOUND FAMILIAR?
Something has been bothering you for a while and won’t go away.
An ear that won’t unblock, hoarseness that lasts for weeks or a nose that won’t let you sleep. People often put up with it for too long before someone takes a proper look.
- I’ve been hoarse for weeks
- My ear feels blocked
- Everything is spinning
- I can’t breathe through my nose
- My child has another ear infection
- I’ve been told I have a nodule
You don’t need to know what you have. Tell us what you notice and since when: we will guide you.
See what we treatWHAT WE TREAT
What you notice, and what we do in clinic.
The same symptom can have different causes. That is why we start by understanding how it began and examining the area, not with a prescription.
Ears, hearing and vertigo
What you notice
- “My ear has felt blocked for days”
- “My ears are ringing”
- “Everything spins when I get up”
- “I can’t hear as well as before”
What we do
- We examine the ear and, if needed, test your hearing with an audiogram.
- We remove earwax in clinic, without cotton buds or home remedies.
- We investigate vertigo to tell whether it comes from the ear or elsewhere.
If you suddenly lose hearing in one ear, don’t wait for it to pass: get it checked the same day.
Nose, sinuses and smell
What you notice
- “I can’t breathe well through my nose”
- “I’m always congested”
- “I’ve lost my sense of smell”
- “My face hurts when I bend down”
What we do
- We examine the inside of the nose with a thin endoscope, in the same appointment.
- We distinguish rhinitis, sinusitis, polyps or a septum problem.
- We explain which treatment makes sense and when to come back.
Voice, hoarseness and vocal cords
What you notice
- “I’ve been hoarse for weeks”
- “I lose my voice by the end of the day”
- “I’m a teacher and my voice can’t keep up”
- “They found a nodule”
What we do
- We watch your vocal cords vibrate, not just how your voice sounds.
- We distinguish nodules, polyps, cysts, paralysis or a problem with how the voice is used.
- If needed, we coordinate therapy with Speech Therapy or consider surgery.
Hoarseness lasting more than four weeks deserves a look at the larynx. Sooner if you smoke, have a lump in your neck or find it hard to breathe.
Throat and difficulty swallowing
What you notice
- “I feel something in my throat that won’t go away”
- “I often choke”
- “I find it hard to swallow pills”
- “I keep clearing my throat”
What we do
- We examine the throat and larynx to find the source.
- If there is dysphagia, we assess how you swallow and the risk of choking.
- We coordinate swallowing rehabilitation with Speech Therapy.
Snoring and sleep apnoea
What you notice
- “My partner says I snore a lot”
- “I wake up tired even after sleeping”
- “I stop breathing at night”
What we do
- We check the nose and throat in case something is blocking the airflow.
- We advise you on a sleep study when it is indicated.
- We explain the options depending on the cause.
Children’s ENT
What you notice
- “My child keeps getting ear infections”
- “He snores and breathes through his mouth”
- “I don’t think she hears well”
- “They’ve mentioned grommets”
What we do
- We examine calmly, adapting to the child’s age.
- We assess hearing with tests suited to children.
- We explain whether treatment, monitoring or a second opinion is needed.
Don’t see your problem? Tell us in the form and we will let you know if it is one for ENT.
VOICE AND LARYNX SURGERY
When surgery is needed, it is done by the doctor who examined you.
Dr. Gotxi operates on the larynx and vocal cords. Before talking about theatre, we look at the lesion, how the cord vibrates and how it affects your daily life.
- MonitorIf the finding allows it
- Voice therapyWith Speech Therapy, sometimes avoids surgery
- In-clinic procedureNo conventional surgery
- SurgeryWith a clear goal
Laryngeal microsurgery
Vocal cord lesions
Usually under general anaesthetic and through the mouth, with no incision in the neck. The lesion is removed while protecting the vibrating tissue, because your voice depends on it.
- Nodules
- Polyps
- Vocal cyst
- Sulcus vocalis
- Reinke’s oedema
- Papilloma
- Leukoplakia
Her specialty
Paralysed vocal cord
A vocal cord injection guided by laryngeal electromyography, to improve closure and recover a stronger voice. Dr. Gotxi presented it as a speaker at the Taiwan Voice Society congress (2024).
- Vocal cord paralysis
- Hyaluronic acid in the vocal cords
Voice and gender
Voice feminisation and masculinisation
Surgery to bring your voice closer to your identity, always assessed together with voice therapy in Speech Therapy.
- Wendler glottoplasty
- Type III thyroplasty
Have you been advised to have surgery? Bring your reports and images and we will give you a second opinion. Each operation is quoted separately, after the assessment.
Request an assessmentYOUR ENT DOCTOR
Three ENT specialists, one way of working.
Two of them also work in the Laryngology and Dysphagia section of Galdakao-Usansolo Hospital. You can come with your insurance or as a private patient.
We work with
- Private
- If your policy requires a referral or authorisation, we will tell you when booking
- Without insurance, first appointment €150
Dr. Itziar Gotxi
25+years of practice
2025Top Doctors Award
2024Speaker at the Taiwan Voice Society
Dr. Ainhoa Arrondo
Dr. Nekane Arias
YOUR FIRST APPOINTMENT
What happens when you walk through the door.
The visit adapts to what brings you in. Not every appointment needs the same tests: they are chosen according to your symptoms and what we see.
- 1
Listen
When it started, how it has changed and how it affects you at work, when sleeping or speaking.
- 2
Examine
We look at the area involved: ear, nose, throat or larynx, with an endoscope when needed.
- 3
Explain
We show you what we have seen and tell you whether treatment, a test or simply monitoring is advisable.
- 4
Review
If needed, we see you again to check how things are going and adjust the next step.
To make the most of your appointment
“If someone has already examined you, bring the reports: we don’t start from scratch.”
Previous reports
Tests, audiograms, images or reports from another specialist.
Your medication
What you are currently taking, especially anticoagulants, inhalers or nasal sprays.
Your insurance
Your IMQ, Lagun Aro or Mapfre card and, if your policy requires it, the authorisation.
CLEAR PRICES
Know what you will pay before you come.
Private consultation fees. If you come with insurance, we will confirm your policy’s cover when booking.
First ENT appointment
150 €
- History and course of your symptoms
- Any ENT examination you need
- We explain what we saw and the next step
Follow-up appointment
90 €
- Review of progress
- Test results
- Treatment adjustment
With your insurance
- Cover depends on your policy
- We confirm it before you come
Additional tests, procedures and operations are quoted separately, after the assessment. If you want to confirm anything before booking, call us on +34 944 32 96 70.
VOICE UNIT
Your voice, seen by three specialists.
ENT diagnoses and operates, Speech Therapy rehabilitates and Neurophysiology studies the nerve when a vocal cord doesn’t move. We share your medical record, so you don’t have to tell your story three times.
- Ear, Nose & Throat
- Speech therapy
- Neurophysiology
REVIEWS
What patients say after their visit.
Reviews published on our ENT doctors’ Doctoralia profiles.
Patient reviews are shown in their original Spanish.
5,0
Dr. Gotxi · 214 reviews on Doctoralia
«Fue muy amable y profesional, me dio una explicación prolija, y tuvo paciencia con mi falta de entendimiento.»
«Quería tener una segunda opinión para confirmar que el tímpano ya estaba reparado y no había más problemas. Hemos quedado muy tranquilos con la exploración y el tratamiento recomendado. Mila esker.»
«Me tranquilizó su explicación porque andaba muy preocupada por la afonía.»
LEARN MORE
ENT guides, written by our team.
If you want to understand what is happening before you come, start here.
Ear
- Ear Barotrauma: Causes, Symptoms, Treatment and Prevention
- Ear Infection in Babies: Signs, Treatment and When to See a Doctor
- Hydrogen Peroxide in Your Ear: Is It Safe for Earwax?
- Hyperacusis: Sensitivity to Sound, Causes and Treatment
- Itchy Ears: Causes, Itching Deep Inside and What Helps
- Muffled Hearing: Causes, Treatment and When to Act Fast
Nose and sinuses
- Deviated Septum: Symptoms, Causes and Treatment
- Why Is My Nose Always Runny? Causes of a Constant Runny Nose
- Yellow Snot: What Yellow or Green Mucus Means and What to Do
- Blocked Nose at Night: Why It Happens and How to Fix It
- Chronic Rhinitis: Causes, Symptoms and Treatment That Works
- Home Remedies for a Sinus Infection That Actually Help
Throat
- Constant Throat Clearing: Why It Happens and How to Stop
- How to Get Rid of Phlegm in Your Throat and Chest
- Paradoxical Vocal Fold Motion: Symptoms, Triggers and Treatment
- Salt Water Gargle: How to Do It, How Often and Does It Work?
- White Spots on Tonsils: Causes, Treatment and When to Worry
- Acid Reflux Sore Throat: Immediate Relief and Long-Term Fixes
Throat and voice
- Burning Throat: Causes, Remedies and When to Worry
- Dry Throat: Causes, Remedies and When to See a Doctor
- Itchy Throat: Causes, Remedies and When to See a Doctor
- Laryngitis: Causes, Treatment and How Long It Lasts
- Pharyngitis: Causes, Symptoms and Treatment
- Sore Throat Remedies: What Works and What Doesn’t
Other topics
- Child Snoring: Causes, Signs of Sleep Apnoea and When to See a Doctor
- Dry Nose: Causes, Treatment and Remedies for Dry Nostrils
- How to Stop a Runny Nose: Remedies by Cause
- Laryngomalacia: Noisy Breathing in Babies Explained
- Natural Remedies for Earache: Safe Home Care and What to Avoid
- Otosclerosis: Symptoms, Causes, Diagnosis and Treatment
FREQUENTLY ASKED QUESTIONS
Questions before you come.
We are not an emergency service. If you find it hard to breathe, suddenly lose hearing, have vertigo with neurological symptoms or significant bleeding, go to A&E or call 112.
How much does an ENT appointment cost?
A first private appointment costs €150 and a follow-up €90. Tests, procedures and operations are quoted separately, after the assessment.
Do you work with my insurance?
We work with IMQ, Lagun Aro and Mapfre, as well as private appointments. Cover depends on your policy: tell us when booking and we will confirm it.
Do you see children?
Yes. We treat recurrent ear infections, snoring, mouth breathing and concerns about hearing, with an examination adapted to the child’s age.
Does all hoarseness need surgery?
No. Many cases improve with medical treatment or voice therapy. First we need to see the larynx and understand the cause; surgery is only considered when there is a clear goal.
Can I ask for a second opinion?
Yes. Bring any reports and images you have: they help us focus the appointment.
Do you remove earwax?
Yes, in clinic and while looking inside the ear. Avoid cotton buds and don’t put anything in if you have pain, discharge or suspect your eardrum may be damaged.
Ear, Nose & Throat · Gran Vía 63 Bis
Tell us what you notice.We will book you with the right ENT doctor.
With IMQ, Lagun Aro, Mapfre or as a private patient. Leave your phone number or choose a time directly in Dr. Gotxi’s or Dr. Arrondo’s calendar.
- Address
- Gran Vía de Don Diego López de Haro 63 Bis · 2nd floor, office 6 · 48011 Bilbao · Get directions ↗
- Phone and WhatsApp
- +34 944 32 96 70 · +34 617 357 809 · Monday to Friday, 09:30–19:30
and teamTell us what you notice
Leave your name and phone number. We will call you to book with the right ENT doctor and confirm your insurance.
To book with Dr. Nekane Arias, use “We call you” or call +34 944 32 96 70.