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Ear wax build up
Ear infections including otitis externa and otitis media
Otitis media with effusion (glue ear)
Eustachian tube dysfunction
Sudden (sensorineural) hearing loss
Hearing loss and tinnitus (ringing in the ears)
Balance and vertigo disorders such as labyrinthitis, benign paroxysmal positional vertigo (BPPV), vestibular neuritis and Meniere’s disease
Ear drum perforation
Facial weakness
Nose blockage
Snoring
Addressing deviated nasal septum and enlarged turbinates
Adenoid enlargement and infection
Rhinitis (nasal inflammation, runny nose, post nasal drip)
Allergic rhinitis (hay fever, dust mite allergy and other allergic conditions)
Acute and chronic sinusitis (sinus infection and inflammation)
Nasal polyps
Nasal and sinus tumours
Smell disorders including after COVID-19 infection
Nose bleed (epistaxis) treatment
Correction of a broken nose
Noisy breathing (stridor and stertor)
Comprehensive treatment of complex upper airway obstruction (from mouth, voice box and windpipe)
Voice (vocal cord) disorders including managing the professional voice
Throat pain including laryngitis, pharyngitis, tonsillitis, oral thrush, throat allergy and other benign conditions
Chronic cough including throat irritation/ hypersensitivity.
Tonsil stones, bad breath (halitosis)
Swallowing disorders (dysphagia)
Pharyngeal pouch
Cricopharyngeal hypertrophy
Inability to burb
Globus pharyngeus
Gastro-oesophageal reflux/ laryngopharyngeal reflux
Head and neck cancer: comprehensive treatment of cancers of the tongue, tonsil, pharynx (throat), larynx (voice box) and upper oesophagus (gullet)
Rapid diagnosis of neck lumps
Neck lymph node enlargement (cervical lymphadenopathy)
Thyroid enlargement, thyroid nodules and thyroid cancer treatment
Surgical treatment of overactive thyroid gland (thyrotoxicosis)
Snoring and sleep disordered breathing (SDB): including upper airways resistance syndrome (UARS) to obstructive sleep apnoea (OSA)
Sleep disordered breathing and OSA that is resistant to CPAP therapy or previous surgery performed elsewhere
Salivary gland conditions including stones and lumps in the parotid, submandibular gland and sublingual glands and/ or their ducts
Ranula (leakage of saliva from a major salivary gland into the floor of mouth or neck)
Other neck lumps including branchial cyst, thyroglossal duct cyst and laryngocele
Sleep nasendoscopy (drug induced sleep endoscopy)
Transoral laser surgery to the larynx (voice box), pharynx (throat) and tongue base
Standard adenoidectomy and tonsillectomy
Laser tonsillectomy
Laser palatoplasty
Palatal repositioning
Palatal reconstruction
Expansion sphincter-pharyngo-palatoplasty
Transoral robotic surgery to the: tonsils, lateral pharynx (throat), posterior pharynx, base of tongue and larynx (voice box)
Hyoid suspension
Transoral (through the mouth examination) endoscopy of the larynx (voice box), pharynx (throat), oesophagus (gullet) and windpipe with biopsy or excision of suspicious lesions
Transoral laser surgical resection of lesions in the: tonsil, larynx (voice box), pharynx (throat), tongue and upper oesophagus (gullet)
Transoral robotic surgical resection of lesions in the: tonsil, lateral pharynx (throat), posterior pharynx, base of tongue and larynx (voice box)
Laryngectomy (excision of the voice box)/ pharyngectomy (excision of part of the throat) for cancer and function
Regional myocutaneous (muscle and/ or skin) flap reconstruction (for example deltopectoral or pectoralis major flaps – these involve chest skin and muscle transfer)
Split skin grafts
I work closely with experienced plastic and specialist maxillofacial surgeons to help reconstruct defects with free tissue flap transfer where functionally appropriate
Submandibular gland excision
Parotidectomy
Sublingual gland excision
Ranula excision
Lymph node excision biopsy
Selective neck dissection
Modified radical neck dissection
Radical neck dissection
Hemithyroidectomy
Total thyroidectomy
Level 6 neck dissection
Thyroglossal duct cyst excision (modified Sistrunk’s procedure)
Excision of benign lesions of the larynx (voice box) such as vocal cord nodules and cysts
Excision of early cancer or precancer, with laser if required
Management of the paralysed vocal cord: injection, implant or open approach (Ishiki – thyroplasty for example)
Larynx (voice box) and tracheal (windpipe) reconstruction after infection, inflammation, trauma or tracheostomy (including COVID-19 related complications)
Management of subglottic stenosis (narrowing in the voice box and/ or windpipe): laser assisted dilation (stretching) of the larynx and/ or trachea
Botox to the larynx (voice box) to treat various neurological conditions such as spasmodic dysphonia as well as conditions such as vocal cord granulomas
Botox to the cricopharyngeus and upper oesophagus (gullet)
Transoral (through the mouth) endoscopic pharyngeal pouch stapling or laser assisted cricopharyngeus muscle division and excision
External (open neck approach) pharyngeal pouch excision
Balloon dilation (stretch) of pharynx (throat) and oesophagus
Open or percutaneous (through a skin puncture) tracheostomy
Neck exploration following trauma
Repair of tracheal/ pharyngo-oesophageal defects
Septoplasty (straightening of a deviated nasal septum)
Inferior turbinate reduction including laser assisted and endoscopic turbinoplasty
Fractured nose reduction
Examination under general anaesthesia of the nose and the post nasal space including biopsy of suspicious lesions
Anterior FESS (uncinectomy, middle meatal antrostomy, anterior ethmoidectomy)
Posterior FESS (posterior ethmoidectomy, sphenoidotomy)
Frontal sinus procedures including balloon sinuplasty, Draf’s 1 to 3 (modified endoscopic Lothrop – an advanced endoscopic surgical procedure to widely open the drainage of the frontal sinuses)
Surgery to manage nose bleeds including endoscopic sphenopalatine artery ligation and anterior ethmoidal artery ligation
Adenoidectomy and tonsillectomy for recurrent tonsillitis, tonsil stones, snoring and both adult and childhood obstructive sleep apnoea
Ear microsuction to clear wax or infective debris
Examination under anaesthetic of ears including suction clearance of wax, skin build up, infection and to perform diagnostic biopsy
Myringotomy (making a hole in the ear drum) and Grommet/ T tube insertion for glue ear and infection
Intratympanic injection of steroid or antibiotic
Repair of a perforated ear drum (type 1 tympanoplasty/ myringoplasty)
Balloon tuboplasty for eustachian tube dysfunction
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