Ear, Nose and Throat

Ear, nose and throat surgeries are specialisms which are covered by otolaryngology. Specialist surgeons who work in this area aid patients in the recovery of diseases which affect balance, speech, hearing and breathing – however, they may also work in cosmetic surgery.

Otolaryngologists also specialise in treating problems with the head and neck. Alongside this they frequently treat recurrent conditions such as ear infections and tonsillitis. Many conditions in ENT are treated surgically via local anaesthetic and you may even go home on the same day.

Here at North Downs Hospital in Surrey we also offer surgical solutions to sleep apnoea and snoring. Note that snoring is not routinely treated surgically on the NHS anymore.

ENT Surgeries Available

Grommets (Treatment of Glue Ear)

A grommet is a small tube used to drain fluid from the middle ear alongside preserving the air pressure inside the ear. They are used in the treatment of glue ear, a condition which causes fluid to build up in the middle ear, causing hearing loss.

A lot of the time glue ear goes away on its own after 3 months, but if you are still having a persistent problem with your hearing then surgical insertion of a grommet may provide you with relief. Here at North Downs Hospital our specialists aim to help improve your hearing and subsequently your quality of life.

The procedure involves the insertion of the grommet inside the ear, this normally takes around 15 minutes and you should be able to go home during the day.

Endoscopic Sinus Surgery

Endoscopic sinus surgery is a surgical option to treat sinusitis, usually if you suffer from it chronically. Sinusitis is caused by the inflammation of the lining of the sinuses, it is increasingly common and many people develop it due to a viral infection. In most standard cases it should resolve itself after 3 weeks.

However, if you are getting cold like symptoms chronically you may have sinusitis. You may notice that you have a blocked nose, tenderness of the face or even a high temperature.

Although non-surgical solutions are available, such as regularly cleaning the inside of your nose, you may prefer a surgical solution to a persistent problem.

Surgery involves the widening of the nasal passage and is usually performed under general anaesthetic for 1-2 hours.

Read more about Endoscopic Sinus Surgery

Sleep Nasendoscopy

Snoring may be a persistent problem affecting you and your partner’s life and is not routinely treated on the NHS unless it is causing you serious health problems.

A sleep Nasendoscopy is an explorative surgery used to determine the root cause of a snoring problem. The patient will be placed asleep using a sedative and a camera (endoscope) is passed through the patient’s nose to examine the cause of the snoring.

Once the problem has been discovered a subsequent surgery will be scheduled and the patient’s unique circumstances can be treated. Alternatively, in some cases surgeons may be able to treat your problem in the same operation. E.g. widen nasal passages or remove polyps.


A tonsillectomy is normally considered if you suffer from a bad throat caused by tonsillitis and if it affects you chronically.

Usually a tonsillectomy is performed under general anaesthetic and lasts for around half an hour. The surgeon will remove your tonsils by stripping them away from the muscle underneath or use heat based methods.

The standard healing procedure normally takes around 2 weeks and during this time you should be off from work to prevent developing an infection caught through large crowds of people.

Read more about Tonsillectomies

Audiology Service

SHC Audiology supports Mr Khemani's ENT clinics by providing hearing assessments. SHC Audiology also has a contract for the provision of assessment for age-related hearing loss, fitting of hearing aids, hearing aid aftercare for NHS patients from North Downs Hospital. Patient's with hearing difficulty can access NHS hearing aid services at North Downs Hospital by referral to SHC audiology by their GP, or through ENT consultants.

Read more about SHC Audiology 

Our Consultants

Here at North Downs Hospital we specialise in the highest level of patient care and pride ourselves in our knowledge and expertise on the ear, nose and throat. We offer a range of surgical and non-surgical solutions that a consultant would be happy to talk you through.

Mr J Lim

Mr Guna Reddy- Kolanu

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