Second Opinion in Otolaryngology

April 10th, 2018 by admin in Havas ENT Clinics Comments Off on Second Opinion in Otolaryngology

Many ENT operations are “can have” rather than “must have” types of situations. In elective surgery, it is often prudent to get a second opinion from a senior otolaryngologist before undertaking an operation, especially in the case of children. Before undertaking an operation, it is important to ascertain whether there are non-surgical options that have […]

The role of tonsillectomy in adults with obstructive sleep apnoea

April 5th, 2018 by admin in Sleep Clinic Comments Off on The role of tonsillectomy in adults with obstructive sleep apnoea

Adenotonsillectomy has long been known to be an effective treatment in most children with obstructive sleep apnoea. Unlike children, the majority of adults do not have tonsillar hypertrophy as the main cause of their airway obstruction. Uvulopharyngopalatoplasty was one of the first surgical treatments introduced into the treatment of sleep apnoea. Since then, there has […]

Blocked nose after Rhinoplasty

March 28th, 2018 by admin in Nose Clinic Comments Off on Blocked nose after Rhinoplasty

If you have undergone a rhinoplasty, and are unfortunate enough not to be able to breathe through your nose after the operation, it’s usually due to one of three things. The most common thing is failure to properly correct the nasal septum or the partition that sits in the middle of your nose. The second […]

Intra Nasal Steroid Spray

March 21st, 2018 by admin in Nose Clinic Comments Off on Intra Nasal Steroid Spray

The use of intra nasal steroid spray is the main stay of treatment for chronic rhinosinusitis. A recent analysis of all the evidence available showed that using low dose water based surfactant intra nasal steroids is only slightly better than nothing at all or using normal saline sprays. With regards the different intra nasal steroids […]

Nose bleeds and blood pressure

March 14th, 2018 by admin in Nose Clinic Comments Off on Nose bleeds and blood pressure

The association between high blood pressure and nose bleeds remains controversial. There is clear evidence that in the elderly, uncontrolled high blood pressure is associated with severe nosebleeds. Unlike the bleeds that occur in younger adults or in children, which are venous bleeds occurring from the front of the nose; these bleeds are major and […]

Acid reflux and hoarseness

March 8th, 2018 by admin in Throat Clinic Comments Off on Acid reflux and hoarseness

Although there is undoubtedly association between acid reflux and hoarseness, it is probably the most (over diagnosed cause of this condition). Some degree of reflux is universal. For the reflux to affect your voice box, the splash has to come all the way up to your swallowing tube to fall onto your larynx. This does […]

Loss of smell in the elderly

March 6th, 2018 by admin in Mouth, Nose Clinic Comments Off on Loss of smell in the elderly

Loss of smell is associated nearly always with some alteration in taste. The most common cause follows a viral infection were there is either swelling in the lining of the nose with resultant reduction in penetration into the olfactory cleft (the area where nerve endings of smell are), or the virus can actually damage the […]

Peptest

February 22nd, 2018 by admin in Throat Clinic Comments Off on Peptest

The diagnosis of reflux remains difficult, particularly in cases where the only symptoms are chronic sore throat, change in voice, intermittent difficulty swallowing, and metallic taste in the mouth. A new test has recently been added to the repertoire that we have. This is called Peptest. Pepsin is an enzyme that’s only made in stomach. […]

Intracapsular tonsillectomy

February 15th, 2018 by admin in Paediatric Otolaryngology, Sleep Clinic, Throat Clinic Comments Off on Intracapsular tonsillectomy

New techniques of tonsillectomy are always emerging. In the last ten years, a technique called intracapsular tonsillectomy has become popular. This involves removing the tonsil from inside the capsule, but leaving the capsule intact. It was here the to thought, that if this technique were used, the chance of recurrent infections, because not all tonsil […]

Vocal Cord Augmentation

February 8th, 2018 by admin in Voice Clinic Comments Off on Vocal Cord Augmentation

Why will you need vocal cord Augmentation? One of the main things that happen as we get older is we lose muscle bulk. We lose muscle bulk not only in our arms and legs, but also in our voice box. This tends to manifest usually with increasing tiredness of voice, loss of volume, and breathiness […]