Nose & Sinuses

Nasal blockage

Nasal blockage is a very common symptom and there are a number of different possible causes, including inflammatory conditions and physical or mechanical causes. It is important to be diagnosed accurately by identifying the specific cause of nasal blockage in you, so that the correct treatment options can be considered.

Deviated nasal septum and Septoplasty

The nasal septum is the midline partition separating the left and right nostril. In most individuals, the septum is not perfectly midline. However, depending on the area and extent of a deviated septum, it can cause constant nasal blockage symptoms, usually affecting one side. Sometimes there may be a history of injury to the nose, but often there might not be an obvious cause. If a deviated nasal septum is considered to be the cause of nasal blockage symptoms in you, septoplasty surgery may be discussed to improve the alignment of your septum.

Miss Choudhury is often referred patients with complex septal deviations or patients requiring revision septoplasty surgery, from her ENT Consultant colleagues.

Nasal valve surgery

The internal nasal valve is an important area inside the nose which is critical for our ability to breathe easily through the nose. The internal nasal valve is often restricted from a high deviation of the nasal septum. This part of the septum is difficult to correct surgically without compromising the natural support to the nose.

Miss Choudhury is the only ENT surgeon locally to perform an internal nasal valve procedure endoscopically (through the inside of the nose) to address this area and help maximise the benefit from septoplasty surgery. She is often referred patients by her ENT Consultant colleagues to consider a nasal valve procedure, sometimes in patients who have already undergone one or more previous septoplasty procedures.

Miss Choudhury performed a Z plasty procedure which helped my nasal obstruction where two previous operations failed… I would have no hesitation in recommending her skilled services to others…Thank you

Written by a Private Patient at Spire Gatwick Park Hospital

Rhinitis

This is a hypersensitivity of the lining of the nose, resulting in congestion, a runny nose, sneezing or itchiness. Rhinitis can result from allergies or be non-allergic. A number of different treatment options are available, and some are only available on prescription. In rare severe cases, surgery may have a role in improving symptoms, although it cannot cure the underlying condition. 

Allergy

Allergic rhinitis is a hypersensitivity of the lining of the nose to particular allergens (irritants). These are most commonly airborne allergens (eg. grass, pollen, animal dander, dust, mould). The cure would be complete avoidance of the allergic triggers but this is almost always not possible. Symptoms are therefore managed with medicines and sometimes a combination of treatments are required.

Acute and Chronic sinusitis

Rhinosinusitis is a complex set of conditions affecting the sinuses. It is fundamentally a medical condition that will often require regular medical treatment in the nose. We can clarify which types of nasal medicines are suitable and safe to use long term. In some instances where medical treatment does not adequately control your symptoms, sinus surgery may be required. This is performed endoscopically, through the nose, and is usually a day case procedure.

Miss Choudhury is often referred complex sinus patients by her other ENT Consultant colleagues, for her expertise.

Nasal polyps

Nasal polyps are inflammatory benign swellings inside the nose, that develop from the lining of the sinuses. As polyps progress, they can cause symptoms of blockage and reduced sense of smell.

We can assess and advice on the best treatments suitable for you, to control your nasal polyp disease. This can usually be managed with medicines, but some cases may require surgery, which is performed endoscopically through the inside of the nose, as a day case procedure. Miss Choudhury is sometimes referred patients with extensive polyp disease, or those that have undergone one or more previous operations, for her expertise.

Patients with nasal polyps can sometimes also have concurrent asthma, and it is important to achieve good control of both conditions as they are closely linked. We can work closely with your GP or Respiratory Consultant colleagues to try and optimise your treatment of both conditions.

“Miss Choudhury has treated me for my nasal polyps and chronic sinusitis… Miss Choudhury has really helped me get a better understanding of this condition.
I’m very pleased with the care I have received and I would highly recommend her”

Written by a Private Patient at Spire Gatwick Park Hospital

Facial Pain

Facial pain can sometimes be felt behind the eyes, across the cheeks or over the forehead. It can sometimes be associated with headaches. Although sinus problems can cause these symptoms, in some instances, it may not be linked to sinus disease. It is beneficial to be seen and assessed by a specialist who is expert in managing sinus disease, so that a prompt diagnosis can be reached, and the most appropriate treatment recommended.

We are happy to see and assess you for this; if after assessment, your symptoms are confirmed not be related to your sinuses, we can advise on the next best steps and arrange a further review with an alternative specialist, where necessary.

Postnasal drip

This is a sensation of mucous dripping from the back of the nose, onto the throat. It can sometimes be part of other nasal symptoms and due to an underlying nose or sinus problem, but in other instances, it can sometimes be an isolated symptom. Postnasal drip can be a very frustrating symptom and can sometimes be difficult to treat. We can assess and advise about the suitable treatment options for you.

Smell disorders including after Covid – 19 infection

Our sense of smell is hugely important, just like all our other senses. Unfortunately, it is often overlooked, but any reduction or loss in our sense of smell can impact significantly on our day to day function and general quality of life. There are many possible causes for a loss or change in our sense of smell, and it is therefore important to see a specialist. We are able to provide a complete assessment with investigations including scans in some instances, and advise on options available to you, including Support organisations for individuals affected by loss in smell.

An acute loss in sense of smell is recognised as a symptom of potential Covid-19. Please follow current government guidance if you believe you may have Covid-19.

Nose bleeds

Nosebleeds (epistaxis) are fairly common and usually brief and manageable. However, for some patients, their nosebleeds can be more frequent and heavier. A careful examination may identify prominent vessels which maybe the source of the bleeding. If seen, these areas can be cauterised in clinic, and this can often be effective in stopping future nosebleeds altogether. Alternative medical treatments in the nose can sometimes be considered, and occasionally surgery may be required to target one of the main blood vessels in the nose.

Dr Choudhury is a very professional and caring ENT Consultant. 

I saw her for my sudden and persistent nose bleeds, which were alarming and frightening… She explains everything in a simple and easy to understand manner. I came away feeling much more at ease

Written by a Private Patient at Ashtead Hospital

Septal perforation

A perforation or hole in the midline partition of the nose is uncommon but can result from a number of different causes. It can sometimes cause no symptoms but for some, it can result in problems of scabbing and crusting inside the nose, minor nose bleeds or spotting of blood, a whistling sound, a feeling of blockage, and in severe cases, even a change in shape of the nose.

If suspected, it is important to be seen by a specialist; we are able to assess and confirm a diagnosis and arrange investigations where necessary to explore the cause. We can discuss the best option in managing your symptoms. In some cases, surgery may be offered to repair the perforation, if it is a suitable option for you.

Fractured nose

Trauma to the nose can sometimes result in a fractured nose. If you have had an injury to the nose, it is important to be assessed by a specialist promptly.

Nasal injuries do not usually require an X ray, but if after assessment, you are thought to have a broken nose, a simple procedure under general anaesthetic could be offered to straighten the nose, if it has been assessed early, within a week after the injury.

If you require assessment for an older previous injury that is causing breathing difficulties, we are able to see and assess you to decide if you may benefit from surgery to correct the alignment and function of the nose, with functional septorhinoplasty surgery.

Please note that Miss Choudhury does not perform purely cosmetic reconstructive surgery.