Nose Clinic

Are you suffering from any nasal problems?

Symptoms like runny rose, sinusitis, seasonal high fever, etc, have negatively impacted on the quality of people's life.

At Havas ENT Clinics, Professor Thomas Havas has considerable expertise in the diagnosis and examinations on your nose condition. Furthermore, he has performed over 8000 related operations. If you are looking for a nose clinic in Sydney, we can help!

To book an appointment with us, please call 02 9387 7360, or use the booking form.

When Extensive Experience Does Make The Difference in Resolving Your Nose Problem

Sydney Nose Clinic is Australia’s first integrated nose clinic, based on the concept that an integrated or holistic approach to the management of nasal problems usually leads to optimal results.

Sydney Nose ClinicThe most common question asked is, who should come to the nose clinic? The answer to that is, if you are having significant nasal problems, blocked nose, runny nose, facial pain, seasonal or allergic rhinitis, if you have altered sense of smell or taste, if you have tried a variety of medical treatments that have not been effective, you are the ideal type of person to be assessed at our nose clinic.

Sydney Nose Clinic is a specialist referral clinic, so you will need a referral from your GP to come.

Any additional tests that you have had done, any additional X rays, a pithy history of your symptoms and previous treatment, is very helpful. When you arrive at the clinic, you will be asked to fill in a patient information form by our friend and efficient staff. Thereafter, you will have a consultation with Professor Havas, who in addition to taking a detailed physical history will get you to fill in what is known as a SNOT type questionnaire. The so-called SNOT questionnaire, is a validated form looking at quantifying the severity of symptoms that you have in several pertinent areas pertaining to your nose. Some of the areas that we question you about are:

  • Nasal airway.
  • Blocked nose.
  • Postural change affecting your nasal patency.
  • Your sense of smell, your sense of taste.
  • Your allergic diathesis.
  • Whether you smoke.
  • Whether you have had trauma to your nose.
  • Whether you have had previous operations to your nose.

After a thorough history is taken, in addition to the standard Ear, Nose and Throat examination, you will have telescopic examination of your nasal cavities. This is done after the application of local anaesthetic and a shrinking agent. Before a shrinking agent is applied to your nose, your airflow is assessed using a thermistoplate. 5 minutes after the application of a shrinking agent, your nasal airflow is reassessed to assess the degree of mucosal reversibility, that is to say the degree to which the erectile tissue and/or lining in your nose shrinks after the application of appropriate medication.

Thereafter, endoscopic evaluation of your nose is undertaken; looking at certain specific structures in a sequential way. The inferior turbinate: this is the area that has more erectile tissue in your nose and is often associated with not responding to topical medication, to sensation of blocked nose.

The middle turbinate is the gateway to the regions of your nose that are important in terms of your sinuses draining, and to the part of your nose where the nerve endings of smell are located. There are several congenital conditions, such as little air containing cysts in the middle turbinate, which can block either entry into the olfactory cleft (area of your nose associated with smell) or can interfere with the ventilation of your sinuses.

The back of your nose or your post-nasal space will be assessed as part of this investigation. We will not if there is any mucous aggregating in your nose, if there is any post-nasal drip of significance, if there is any of this mucous falling into your larynx or voice box and/or if there are any other important or contributing anatomical features to your condition.

About 50 percent of people seen in the nose clinic need investigation by way of X ray. The appropriate X rays that we tend to perform are low dose CT scans of the nose and paranasal sinuses.

Many people suffering from blocked nose have either fixed or seasonal allergy. A screening blood test looking at your allergic profile is usually performed as a matter of routine, and if more detailed information is required, then skin prick tests are performed.

Nasal airflow studies: Computerised, objective assessment of total nasal airflow or of one nostril compared to the other, is undertaken in appropriate cases using computerised, active, anterior rhinomanometry. This provides a very accurate measurement of how much air is moving through one nostril as compared to the other, how much work is required to breathe through your nose, and lets us know not only whether you have a problem, but the clinical significance of your problem.

For those people needing medical management, we have a range of boutique pharmacological preparations prepared for us by a compounding chemist, which we tailor to your need to facilitate optimal medical management of your condition.

Professor Havas has an experience of over 8000 nasal operations for a variety of nasal conditions and this enormous expertise is available to you if it is required.

If you are suffering from significant nasal symptoms, chronic problems that have been refractory to previous medical or surgical management, please contact Havas ENT Clinics and make an appointment to see Professor Thomas Havas in Sydney Nose Clinic.