Septoplasty A septoplasty is a surgical procedure that I commonly perform to straighten the septum. The septum is the thin wall that divides the inside of the nose into two nostrils. It is comprised of cartilage and bone with a lining on each side. A deviated septum is a condition where the septum is bent […]

Laser Inferior Turbinate Reduction

Laser Inferior Turbinate Reduction Inferior nasal turbinectomy or more precisely, inferior turbinate reduction refers to a procedure designed reduce the size of these structures. The turbinates are located inside the side walls of the nasal passages and are responsible for filtering, humidifying and streamlining the flow air we breathe. The turbinates can become enlarged due […]

How is a Thy3 cytological diagnosis of a thyroid nodule managed?

How is a Thy3 cytological diagnosis of a thyroid nodule managed? I recommend all patients with thyroid nodules to have an ultrasound scan of the neck. If there are features that are suspicious for cancer then the radiologist will also perform an ultrasound guided fine needle aspiration (FNA) biopsy to obtain a more definitive diagnosis.  […]

Sleep Nasal Endoscopy/ Drug Induced Sedation Endoscopy

Thyroid nodules - Thy3a or Thy3f

Sleep nasal endoscopy/ Drug Induced Sedation Endoscopy A sleep nasal endoscopy SNE (also called drug induced sedation endoscopy – DISE) is a minimally invasive medical procedure that involves using a thin, flexible tube with a light and camera (an endoscope) to examine the nasal passages and upper airway while a person is asleep. I like […]

Mouth Breathing, Why Is It Bad For You, Especially During Sleep?

Mouth Breathing

Why is mouth breathing, especially during sleep, bad for you? Mouth breathing during sleep can have various negative effects on both oral health sleep quality and overall health. Here are some adverse issues: Dry Mouth: Breathing through the mouth can lead to a dry mouth. Saliva plays a crucial role in oral health by helping […]

Snoring – Why You Snore and Lifestyle Improvements to Help

Snoring - Why do we snore

Why do we snore? Snoring occurs when a turbulent flow of air through the nose and throat causes the tissues in the throat to vibrate during sleep. While occasional snoring is common and often harmless, chronic and loud snoring can disrupt sleep, lead to daytime fatigue, cause relationship problems and may signify more serious health […]

Transoral Robotic Surgery for Obstructive Sleep Apnoea

Transoral Robotic Surgery for OSA

Transoral Robotic Surgery for Obstructive Sleep Apnoea Transoral Robotic Surgery (TORS) is a minimally invasive surgical technique that uses a robotic system to access, visualise and operate in the oral cavity and throat. I use the DaVinci© Robotic system in my practice. I offer transoral robotic surgery of the tongue base in carefully selected patients […]

Menstruation, Snoring and Apnoea

Why does my snoring and apnoea get worse during my “period”?   I had a patient that described a worsening of snoring and sleep disturbance during her menstrual period. This relationship is very real and troublesome in some woman, particularly if she has pre-existing sleep disordered breathing. I thought I would talk about this briefly. […]

Laser Tonsillectomy

Laser Tonsillectomy

A tonsillectomy is a common procedure performed to treat chronic or recurrent tonsillitis, sleep-disordered breathing, and other conditions like tonsil stones or cancer. I often use a carbon dioxide laser to remove or sometime vaporise the tonsils. I perform the procedure under general anaesthesia so you will be asleep for the duration. In my practice […]