Endoscopic sinus surgery (FESS)
The centre of the practice. For chronic sinusitis, nasal polyps, recurrent infections and complex sinus disease. Performed entirely through the nostrils, no external incisions, no packing in most cases.
Conditions / What I treat
What I treat, in plain language.
Each condition below is what we'd actually be talking about in clinic. The descriptions are deliberately short. The longer conversation, the risks, the alternatives, the recovery for your particular case, happens in person.
Conditions
Common problems, explained.
Sinus
Chronic sinusitis & nasal polyps
Sinus inflammation lasting twelve weeks or longer, with or without polyps.
Symptoms and treatment NasalHay fever (allergic rhinitis)
Nasal allergy to pollens, dust mite, animal dander and moulds.
Treatment and surgery NasalNon-allergic rhinitis
A blocked or runny nose when allergy testing is negative.
Triggers and what works NasalNosebleeds
How to stop one, how to prevent the next, and when to worry.
First aid and prevention SinusLoss of smell
Why smell is lost, whether it comes back, and the training that helps.
Recovery and smell training ThroatSilent reflux & globus
Throat clearing, hoarseness, and the feeling of a lump in the throat.
Symptoms and treatment TreatmentSinus rinse
Why salt water rinsing works, and how to do it properly.
How to do it properlyProcedures01Sinus 02Nasal 03Sinus 04Skull base 05Orbit 06Paediatric 07Ears 08Throat & neck
The operations I perform.
Septoplasty & turbinate reduction
Correction of a deviated septum and chronically swollen turbinates, most often the cure for "I can't breathe through my nose." Frequently combined with sinus surgery.
Advanced & revision sinus surgery
Extended approaches (Draf III / modified Lothrop), revision cases, sinonasal tumours and surgery for severe polyposis, fellowship-trained at the University of Washington.
Anterior skull base & pituitary access
Endoscopic, transnasal access to the skull base for pituitary tumours, CSF leaks and selected tumour resections, in partnership with neurosurgery.
Endoscopic orbital & lacrimal surgery
Decompression for thyroid eye disease, orbital tumours, and dacryocystorhinostomy (DCR) for blocked tear ducts, performed jointly with ophthalmology where indicated.
Paediatric ENT
Sleep concerns, recurrent tonsillitis, glue ear, hayfever and paediatric sinus disease. A long conversation with parents before any decision to operate.
Ear & hearing
Recurrent ear infections and hearing loss, assessment, medical management and surgery where it helps.
Throat & neck
Neck lumps, swallowing and voice problems, snoring and sleep-disordered breathing, carefully assessed and clearly explained.
Ready to start the conversation?
New referrals are seen promptly, and urgent cases are prioritised.