What we treat

We start with your symptoms, not with surgery. Most visits end with treatment, a test or reassurance, and an operation is advised only when it is needed. We see adults and children, and consult in English, Hindi and Telugu.

Nose and sinuses

The nose is examined with a thin camera (an endoscope) at the first visit. Allergy testing and immunotherapy are done at the hospital, and medicines are tried properly before any operation.

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  • Blocked nose

    A blocked nose has more than one possible cause. It can be a bent wall between the nostrils (the septum) or swollen shelves inside the nose (the turbinates). It can be allergy, or more than one at once. So it is examined, not assumed. Sprays used the right way come first. Septoplasty or turbinate reduction is advised only when they have not worked.

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  • Sinusitis

    Sinusitis shows up as facial pressure, a heavy head and a dull sense of smell. A CT scan is taken only when the examination calls for it. Endoscopic sinus surgery is advised when the scan and the symptoms agree.

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  • Allergy

    Allergy is tested at the hospital. It is treated with the right sprays and, where needed, with immunotherapy instead of years of tablets.

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  • Nasal polyps

    Soft growths (polyps) can block the nose and dull the sense of smell. They are seen with the thin camera and treated with medicines first. Endoscopic surgery is advised when they do not settle.

  • Nosebleeds

    The bleeding point is found on examination and, where possible, sealed with cautery at the same visit.

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  • The crooked nose

    A nose that is bent and blocked is treated as one problem. Septorhinoplasty straightens the wall between the nostrils and the outside of the nose together, and it is planned for breathing first.

Throat and voice

The throat and the voice box are examined with a flexible scope. The examination is recorded and shown to you. A sleep study comes before any decision about snoring.

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  • The child who snores

    Snoring in a child usually points to an enlarged gland behind the nose (the adenoids) and enlarged tonsils. The nose and this gland are examined with the thin camera first. When surgery is needed, the adenoids or tonsils are removed by coblation, from about age two.

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  • Repeated throat infections

    The infections are counted and documented first. Tonsillectomy, done by coblation, is advised when the pattern justifies it.

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  • Snoring and sleep apnoea

    A sleep study comes first, done at home for most people. Treatment ranges from weight and airway measures to surgery, and the study decides which.

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  • Hoarse voice

    A voice that stays hoarse for more than three weeks needs the voice box examined. This is done with a recorded laryngoscopy at the hospital. Voice rest and reflux treatment come before any operation on the vocal cords.

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  • Difficulty swallowing

    A swallowing problem, or a lump-in-the-throat feeling, is examined with the same scope, so the cause is seen before it is treated. Reflux is a common cause, and treatment starts there when it is found.

Ear

Every ear visit starts under the microscope. Hearing is measured at the hospital with audiometry and tympanometry, so decisions rest on what is seen and what is heard.

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  • Ear pain and infection

    The ear is examined under the microscope at the visit, so the cause is seen, not guessed. It is treated and re-checked until it has settled.

  • Blocked ear and wax

    Wax is removed under the microscope at the visit, not by blind syringing. Anything that should not be in an ear is removed the same way.

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  • The discharging ear

    The ear is examined under the microscope to find what keeps the discharge going. Repair of the eardrum (tympanoplasty) is discussed when the ear is ready for it, not before. So is mastoid surgery, for an ear that is not safe to leave.

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  • Glue ear in children

    Glue ear is fluid behind the eardrum. It is watched and re-tested first. Small ear tubes (grommets) are placed when hearing and time say so, from about age two.

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  • Hearing loss

    Hearing is measured first. Wax, fluid, a stiff hearing bone and nerve loss are different problems with different answers. They range from a small operation (stapedotomy) for the stiff hearing bone to hearing aid fitting at the hospital.

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  • Tinnitus

    The ear is examined and the hearing is tested. The causes that can be treated are ruled in or out before anything else.

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  • Vertigo

    Dizziness is examined properly first. When it turns out to be a positional inner-ear problem, it can respond to a positioning treatment at the visit itself.

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Neck and thyroid

A neck lump is never guessed at. An ultrasound and a needle test are arranged from the hospital and reviewed with you before any decision.

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  • Thyroid swelling

    The swelling is worked up with an ultrasound and a needle test (FNAC) before anything is decided. Many turn out to need watching rather than an operation. Surgery is discussed with the findings on the table.

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  • Neck lumps

    A neck lump is assessed, imaged and diagnosed before anyone talks about removing anything.

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