The term ‘rhinoplasty’ is derived from the Greek words ‘rhinos’ which means ‘nose’, and ‘plasticos’ which means ‘to mould’. Rhinoplasty refers to surgery for enhancing the aesthetic appearance of the nose, reconstructing a nose damaged by injury, or improving nasal function. (more…)
Rhinoplasty – Recovery
Every year, numerous people undergo rhinoplasty to enhance the appearance of their nose. Following the procedure, patients usually experience a moderate level of discomfort, which can be controlled by pain medications. Those who have undergone closed rhinoplasty will have some swelling and bruising for around one to six weeks, while those who have undergone open rhinoplasty will have swelling and bruising for about one to six months. (more…)
Development of Non Surgical Rhinoplasty
Non-surgical rhinoplasty was developed at the beginning of the nineteenth century, by James Leonard Corning, a New York City based neurologist, and Robert Gersuny, a Viennese physician. They pioneered the technique of using liquid paraffin to increase the height of a collapsed nasal dorsum, which characterises saddle nose deformities. Though liquid paraffin displayed good corrective efficacy, (more…)
Tonsil Surgery For Adults
Tonsils are small glands in the throat, which fight infections. As a person grows older, the tonsils usually shrink in size and become less important for fighting infections. Tonsillitis is an inflammation of the tonsils, commonly caused by viral or bacterial infections. (more…)
Rhinoplasty – Anaesthesia Options
Rhinoplasty can be performed under different types of anaesthesia, such as local anaesthesia, conscious sedation and general anaesthesia. Each option has its respective merits and demerits, including variations in awareness levels, side effects, risks and costs. (more…)
Tips to Prevent Voice Disorders
Voice disorders may occur due to various reasons, such as upper respiratory infections, vocal misuse, vocal nodules, laryngeal cancer and neuromuscular diseases. If one is suffering from voice problems, he or she should consider consulting with an experienced ear, nose and throat doctor, who will be able to diagnose the problem, and treat the underlying cause. (more…)
Setting Goals For Rhinoplasty
Every year, more than 4,000 aesthetic rhinoplasty procedures are estimated to be performed in the United Kingdom. The main objective of aesthetic rhinoplasty is to enhance the appearance of the nose, so that its look improves in alignment with the other facial features. (more…)
Facial Skin Lesions
Facial skin lesions are a common skin problem, for which facial plastics may sometimes be required for treatment. These lesions could be in the form of a lump, crack, ulcer or skin discolouration. If a lesion is harmless, it is described as benign. In cases, where the lesion is diagnosed to be a sign of cancer, it is described as malignant. (more…)
Outcome of Rhinoplasty
Every year, more and more people are choosing to undergo rhinoplasty to improve the appearance of their nose. Also referred to as nose reshaping surgery, rhinoplasty can be used to change the shape and size of the nose, as well as correct breathing problems. (more…)
Rhinoplasty For Those Who Snore
Rhinoplasty, also referred to as a nose job, is commonly known for enhancing the aesthetic appearance of a person’s nose. However, what many people do not know is that rhinoplasty can also be used to improve nasal function, correct birth deformities and nose reconstruction. One such improvement brought about through rhinoplasty is the removal of nasal obstructions, which can sometimes result in snoring. (more…)
Rhinoplasty For Improving Aesthetic Appearance
The term ‘rhinoplasty’ is derived from the Greek words ‘rhinos’ meaning nose, and ‘plassein’ meaning to shape. Also referred to as nose reshaping surgery, rhinoplasty is one of the most difficult types of cosmetic surgeries to master. It should only be performed by a skilled surgeon, (more…)
Male Rhinoplasty
Although more women chose you undergo rhinoplasty each year in comparison to men, male rhinoplasty is increasing in popularity. Also known as a ‘nose job’ or ‘nose reshaping surgery’, rhinoplasty is a form of nose surgery which can be performed to improve both the function and aesthetic appearance of the nose. (more…)
What to Expect with Nose Surgery
If you want to know what to expect with nose surgery, the best person to ask is your London ENT Surgeon. He can explain the surgical procedure, the recovery process, and any potential side effects or complications that may occur. As the popularity of rhinoplasty in London and other areas of the world has increased, (more…)
Recovery and Potential Complications Associated with Rhinoplasty
Rhinoplasty (nose surgery) is becoming more commonplace in London as well as in major cities across the globe. While there are many different reasons to undergo rhinoplasty, this style of facial plastic surgery should only be performed by an experienced ENT Surgeon.
What You Can Expect After Your Rhinoplasty Procedure?
ENT Doctors Provide Care as Ear Specialists
London-based ENT doctors specialise in a wide range of medical treatments that deal with the nose, ears, and throat. Their level of expertise includes non-surgical and surgical procedures that may be needed to treat certain types of medical conditions or diseases involving the ears, nose, throat, and related components of the neck and/or head. (more…)
Does Rhinoplasty Hurt?
Every year, thousands of people who are unhappy with the size, shape or projection of their nose, seek to change its appearance through rhinoplasty. While most patients request rhinoplasty to refine the aesthetic appearance of their nose, others may require nose surgery to correct breathing difficulties, accidental damage or droopiness due to aging. (more…)
Types of Rhinoplasty
Rhinoplasty has become one of the most commonly requested cosmetic surgery procedures in the world. Also commonly referred to as nose reshaping surgery, during rhinoplasty, a cosmetic surgeon, or appropriately trained ENT surgeon may use a number of different techniques to alter the shape of a patients nose to make it more desirable. (more…)
Rhinoplasty – Surgical Procedure
Rhinoplasty is the technical term for cosmetic surgery performed on the nose. It is also commonly known as a ‘nose job’ or ‘nose surgery’. Rhinoplasty can be performed for aesthetic reasons, as well as to correct medical problems. Some of the common functional reasons for which rhinoplasty may be advised are birth defects, breathing difficulties, and trauma caused by injuries. If performed for aesthetic reasons, rhinoplasty can be used to modify the size of the nose, (more…)
Elective Rhinoplasty Procedures Best Performed by Experienced ENT Surgeons
Rhinoplasty, a complicated procedure that necessitates using the skills of an experienced ENT surgeon, is among the popular cosmetic procedures currently performed in London. Rhinoplasty involves nose surgery in general or nose reshaping specifically. (more…)
Rhinoplasty – Surgical Tools
Rhinoplasty is a common type of cosmetic surgery that is performed to enhance the appearance of a person’s nose. It is generally performed by either a cosmetic surgeon, or an appropriately qualified ENT surgeon. All surgeons who wish to perform rhinoplasty need to undergo specific training, (more…)
The Objective of Nose Surgery
If you’re considering getting a rhinoplasty, you’re not alone. Rhinoplasty is becoming increasingly popular here in London. More and more people are using this form of nose surgery to change their noses for the better. This surgery, which is often performed by an ENT surgeon, can dramatically improve a person’s appearance. (more…)
Treatment for Voice Disorders
Voice disorders can make life very difficult. Whether you’re calling a cab on a busy London street or trying to run a meeting at work, experiencing voice problems can definitely throw a kink in your day. There is some good news, though: (more…)
Visit An ENT Specialist
For many people living in London, medicine is like one big bowl of alphabet soup: lots of random letters without much meaning. Lots of people have a hard time remembering what all of the DCs, ENTs, DOs, and OB/GYNs mean. This article will explain what an ENT specialist is. (more…)
Rhinoplasty – Aftercare Measures
Rhinoplasty is a common type of nose surgery performed to enhance the appearance of the nose. An important part of the post-rhinoplasty recovery process is to take the required measures to retain the benefits of the surgery for the long term. (more…)
Sino-Facial Pain Causes and Treatments
Sino-facial pain refers to any occurrence of discomfort and soreness in the cheekbones, eyes, nose and forehead. Various issues and factors can cause sino-facial pain and anyone afflicted with this condition should see an ear, nose and throat doctor for diagnosis and treatment.
What is an ENT Doctor?
When the cold London rain has made you catch a sniffle, you can go ahead and visit your regular doctor. However, when you have a disease or disorder that is more lasting and serious, it can be very important to see a doctor who has received specialized training. Unfortunately, it can sometimes (more…)
Why choose ENT London?
With healthcare free at the point of delivery in the UK, why do people choose to go private? And why are more and more of them choosing to go private with ENT London?
At ENT London, you can be sure of the swiftest possible service. That means you’ll see an ENT surgeon or ENT specialist straight away, as soon as you need to. (more…)
Are Noises In The Ears(Tinnitus) Bothering You?
Many people occasionally experience noises in the ears (Tinnitus), such as hissing, buzzing, ringing, roaring, humming or tinkling. However, when these symptoms occur more frequently and for longer periods, they may require the attention of an ear, nose and throat doctor, who may be able to treat the underlying cause. According to various studies, noises in the ears are more commonly faced by people over the age of 40.
How to Prevent Voice Disorders
Of what use is a politician who cannot give a speech, a singer who cannot sing, or a teacher who cannot teach? Voice disorders can sometimes seriously restrict a person’s everyday activities, even costing them their employment. If a patient is suffering from voice problems, a good option would be to consult an ear, nose and throat doctor, who may be able to help treat the underlying cause. (more…)
Facial Skin Lesions
Disclaimer: The details in this section are for general information only. Always check with your own doctor.
What is a facial skin lesion?
A facial skin lesion could be a lump, crack, ulcer or abnormal discoloration of the skin that is not normally present. A lesion is described as benign when it is harmless. It is described as malignant when it is a sign of cancer and is potentially dangerous.The majority of these lesions are benign but some could be malignant. (more…)
Common Types of Head and Neck Cancer and how they are treated
Salivary Gland Cancer
Tumours can involve the major salivary glands, particularly the Parotid glands, which are situated just in front of the ear on the side of the face. Such tumours are uncommon (the majority of parotid tumours are benign) and rarely effect children. They are often discovered by accident, as this type of tumour shows no visible symptoms. However signs of malignancy include a lump or growth on the gland, paralysis of the face and changes in skin colour.
Treatment
Stridor
Stridor is noisy breathing caused by an obstruction in the larynx or trachea (usually an inspiratory stridor) or bronchus (usually an expiratory stridor).
What are the common causes of stridor and how should they be managed?
Congenital
Salivary Glands
What are salivary glands?
The salivary glands are made up of 3 pairs of major glands – the parotid, submandibular and sublingual glands – and numerous (up to 1000) minor salivary glands located in the oral cavity and pharynx.
The parotid gland is the largest of the salivary glands, located between the ascending ramus of the mandible and the mastoid process. The parotids produce mainly serous saliva. (more…)
Oral Disease
The oral cavity can play host to a wide variety of pathology. Many lesions are self-limiting, others may indicate underlying systemic disease, and some will be pre-malignant or malignant in nature. Consider the following common presentations:-
Oral swellings or lumps:
A mass on the soft palate has a 30% risk of being malignant. A mass on the hard palate is more likely to be malignant than benign, even if it looks and feels benign (eg adenoid-cystic carcinoma). (more…)
Facial Nerve Palsy
How may a facial nerve palsy present?
A facial nerve palsy may be partial or complete. It may be upper or lower motor neurone. Reviewing the diagram of the pathway of the facial nerve, there are several levels where the nerve may be affected by pathology. The cerebello-pontine angle, temporal bone and parotid gland are common sites to be affected.
Clinical symptoms and signs reflect the level of the lesion. (more…)
Examination of the neck
The examination of the neck forms an integral part of the general ear, nose and throat examination.
Inspection
Examine the neck in a good light from both the front and the sides.
Look for discolouration f the skin, surgical and traumatic scars, skin lesions and swellings, both pulsatile and non-pulsatile.
Palpation
Other Conditions of the external ear 2
How should I treat an acute haemotoma of the pinna?
Other Conditions of the external ear 1
What are “swimmers” osteomata?
Loss of Smell
Anosmia, the inability to smell, affects some 2 million people in the United States and an undetermined number worldwide. While most people take their sense of smell for granted, the subtle olfactory cues lost to anosmia sufferers are more important than you’d think.
Loss of smell is rarely asked about by doctors and is under-reported by patients, yet the impact it can have on quality of life is significant. (more…)
Acute Otisis Media (AOM)
What is acute otisis media (AOM)?
Acute otitis media describes rapid onset of inflammation of middle ear, which is of limited duration. the inflammation is thought to be due to acute infection (viral or bacterial) that may give rise to local and/ or systemic symptoms. It is one of the most common childhood conditions seen in primary care.
What are the important factors associated with AOM? (more…)
Voice Disorders Related to Nervous System Disturbance
Vocal Fold Paresis/ Paralysis
Vocal fold paresis (weakness) or paralysis (complete absence of movement) may result from a viral infection, cerebral vascular accident (stroke), trauma to the head, recurrent laryngeal nerve damage following surgery to the head, neck, or chest region, or may be ideopathic (cause unknown). (more…)
Voice Disorders Related to Vocal Overuse and Misuse
Vocal fold nodules
Vocal fold nodules are the most common benign vocal fold lesions, and are sometimes referred to as “singers nodes.” They are usually bilateral and occur at the junction of the anterior 1/3 and posterior 2/3 of the vocal folds. They may vary significantly in size. Nodules may be acute or chronic; chronic, or “mature” nodules are similar to calluses within the vocal fold tissue. Vocal characteristics include hoarseness, breathiness, and lowered pitch. (more…)
Salivary Gland Stones (Salivary Calculi)
What are the salivary glands?
There are three pairs of glands that make saliva. Saliva drains into the mouth from these glands down short ducts (tubes). The salivary glands include the parotid (lying along the jawline beneath the ear), submandibular (under the jaw) and sublingual (under the tongue) pairs of glands, along with a large number of minor salivary glands. (more…)
Microlaryngoscopy and Oesophagoscopy
MICROLARYNGOSCOPY
What is Microlaryngoscopy?
Microlaryngoscopy is the examination of your larynx (voice box) while you are under a general anaesthetic. Microlaryngoscopy is done to find and treat problems of the voice box, such as hoarseness. Your surgeon will put a short metal tube (laryngoscope) through your mouth into your voice box. A microscope is then used to look into the voice box to find what the problem is. (more…)
Oral Disease
The oral cavity can play host to a wide variety of pathology. Many lesions are self-limiting, others may indicate underlying systemic disease, and some will be pre-malignant or malignant in nature. Consider the following common presentations:-
Oral swellings or lumps:
Otitis Externa
What is otitis externa?
Otitis externa is an inflammation of the external ear canal, which frequently becomes infected by commensal bacteria (Pseudomonas and Proteus). Digital contamination of the inflamed ear from other body sites may result in secndary infection with Staph, aureus and coliforms. (more…)
Hoarse Voice
What do we mean by “hoarse voice”?
“Hoarse voice”is a term used to describe the symptom where there has been a change in the quality of the voice. It is not a diagnosis.
Hoarseness is usually caused by abnormalities in the larynx, resulting in abnormal vocal cord vibration. (more…)
Ear Wax
What is ear wax?
Cholesteatoma & mastoid operations
What is this?
A cholesteatoma is a cyst or sac of skin that is growing backwards behind your eardrum into the middle ear and mastoid. It results in a chronic, smelly discharge, and the longer it remains the more damage it can do to the delicate structures of the ear. (more…)
Perforated eardrum & Myringoplasty
What is a perforated eardrum?
A perforated eardrum means there is a hole in the eardrum, which may have been caused by infection or injury. Quite often a hole in the eardrum may heal itself. Sometimes it does not cause any problems. However it may cause recurrent infections with a discharge from the ear. (more…)
Otoplasty (cosmetic surgery on the ear)
What is otoplasty?
Otoplasty or pinnaplasty is an operation that is usually done to set back prominent ears closer to the side of the head, but can also be used to correct overly large ears.
When to have surgery
Nasal obstructions
Nasal obstruction is the sensation of reduced air flow either through one nostril (unilateral) or both nostrils (bilateral). There are four main subdivisions:
* Mucosal swelling
* Septal deviation
* Collapse of the nasal valves
* Nasopharyngeal obstruction
Facelifts
Why have a facelift?
Facelifting is designed to reduce the sagging, excess skin in the mid and lower face and it helps to improve the tone of the underlying structures.
The Procedure
Local anaesthetic is inserted with adrenaline to minimise bleeding and to help the surgeon define where to make the incision. (more…)
Hoarseness and Laryngitis
Hoarseness is often used to describe a change to the voice. People suffering from hoarseness may experience a strained, raspy and/or breathy voice. People may also notice a difference in how loud they are able to speak and/or changes in how high or low their voice sounds (Pitch).
What causes Hoarseness? (more…)
Blepharoplasty
What is Blepharoplasty?
This is a procedure to address excess skin and fat pads around the upper and lower eyelids. Excess skin can result in hooding of the eyes, particularly to the side, or a sack-like appearance in the lower lids with a tendency to form festoons in extreme cases.
Preparation
Bad Breath (Halitosis)
Bad breath (Halitosis) is a widespread condition affecting about a quarter of adults. The most common cause of bad breath is decaying food debris between the teeth and gum (poor oral hygiene). Other causes of bad breath include:
* tonsil or throat infection (more…)
Tumours of the Nose
Tumour is Latin for swelling but not all swellings are cancer.
Benign tumours grow slowly and do not invade into the local structures. These are the most common variety in the sinonasal cavity.
Malignant tumours are most commonly called cancer. These tumours invade the local tissues and can also spread to distant parts of the body. (more…)
Nasal Polyps
What is a Nasal Polyp?
A polyp is a swelling of the lining of the nose, which is usually due to inflammation of the lining of the nose.
Causes
Nasal polyps come from the lining of the nose and often originate from the ethmoid sinuses, which drain into the side wall of the nasal cavity. (more…)
Dizziness and Vertigo
There are a multitude of causes of dizziness which may have nothing to do with the balance organ in the inner ear. Fainting attacks, heart problems, thyroid problems and brain problems can all give rise to feelings of light-headedness, giddiness and general imbalance.
One form of dizziness is vertigo which is the specific complaint of either the environment moving in relation to the patient or the patient moving in relation to the environment. (more…)
Tinnitus (Ringing in the ears)
Tinnitus is a word used by doctors to describe a condition when patients hear noises in their ears or in their heads.
Tinnitus has sometimes been described as ‘the sound of silence’ because all people, if they are seated in a completely quiet soundproofed room, will hear a type of rushing or hissing sound. Usually this noise is masked by environmental sounds. (more…)