+44(0) 207 580 6970

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Outpatient Procedures

To book a private consultation

Please telephone 0207 580 6970. We prefer to speak to you directly so that we can:

  • advise what tests or procedures may be needed
  • book an appointment at a convenient time and place
  • give you an estimate of costs and help with medical insurance forms


Procedures that may be performed in the clinic

Suction of the ear:

This is an examination and treatment of the ear using a high powered binocular operating microscope. We use very fine delicate instruments, including a miniature vacuum cleaner. This Hoovering of the ear is usually done as an out-patient procedure. Sometimes, and especially in younger children, it is done as a day case surgery under general anaesthetic. Microsuction of the ear may be performed for a variety of reasons:

  • to diagnose the condition of the ear accurately using
  • to remove material blocking the ear canal such as wax
  • to apply medication to the ear

You may be asked to use ear drops or olive oil spray beforehand, sometimes for a few weeks. This will make the treatment easier for you.

  • You do need to lie very still.
  • Despite all our efforts to be as gentle as possible, it will be noisy, and may, rarely, be painful.
  • It may cause some short lived vertigo (dizziness), lasting no more than a minute or so.
  • Don’t get up until told to do so.
  • You should be able to drive afterwards but may need to wait until any dizziness has settled.


Nasal sinus endoscopy

This is carried out :

  • to diagnose conditions of the nose, sinuses and
  • to carry out minor treatments

The procedure:

  • remember your nose is 4 to 5 inches long from front to back
  • the nose is normally sprayed with a local anaesthetic spray immediately beforehand
  • the local anaesthetic tastes bitter and you may imagine your throat is swelling up. Don’t panic, that is just the local anaesthetic working
  • the instrument is passed gently through your nose, lie still and breathe through the mouth
  • don’t get up until told to do so
  • you should not eat or drink till the local anaesthetic has worn off – about 30-40 minutes


Nasolaryngoscopy

This is carried out:

  • to diagnose conditions of the nose, nasopharynx, larynx and hypopharynx
  • as it allows a close up view of inaccesible areas of the nose and throat
  • to view the vocal cords in motion

The procedure:

  • you will receive a local anaesthetic spray to minimise any tendency to gag
  • the local anaesthetic tastes bitter and you may imagine your throat is swelling up. Don’t panic, that is just
  • the – local anaesthetic working
  • the instrument is passed gently through your nose & into your throat
  • you should sit still and breathe through the mouth.
  • you may be asked to sing a high pitched note, maybe to cough, and to puff out your cheeks – don’t worry, – youwill be told exactly what to do during the procedure
  • don’t get up until told to do so
  • you should not eat or drink till the local anaesthetic has worn off – about 30-40 minutes.