Videos

Please have a look through my latest videos below.

Microdebrider removal of left nasal polyp

A nasal polyp is seen via an endoscope placed up the left nostril. It arises from the sinuses, and is seen as a grey lump hanging down into the nose itself between the middle turbinate (on the left of the picture ) and the side wall of the nose (on the right). On the very left of the picture is the nasal septum, or partition between the nostrils. The spinning blade of a microdebrider instrument is placed up the nose, and quickly and safely removes the polyp with minimal damage to the surrounding healthy tissue or blood loss. This is all achieved under direct surgical vision, operating via a TV monitor.

 

Frontal Sinus 'Vortex' Irrigation

This patient has left forehead pain due to frontal (forehead) sinus blockage. The frontal sinus drainage pathway has been stretched by balloon sinuplasty and a 'Vortex' irrigation catheter has been passed into the sinus. The sinus is then flushed with saline and thick infected mucus is seen to come out - this is so tenacious that it blocks the sucker introduced to remove it ! The flushings on the second occasion are demonstrable clearer. This patient woke up from their anaesthetic without a headache for the first time in over a year.

Balloon Sinuplasty Right Frontal Sinus

A blocked right frontal (forehead) sinus is cleared by a specialised technique called balloon sinuplasty . A guidewire has previously been passed into the sinus through the plastic guide catheter you can see in the nose. Some inflammation of the nasal lining can be seen obscuring both the tip of the guide catheter and the opening to the sinus. A deflated balloon is then passed up over this wire into the sinus- you can see this passing upwards through the clear plastic of the guide catheter tube. Once the balloon is in the right place (as designated by the yellow mark on the balloon tubing) it is inflated inside the sinus, which is relatively invisible to the observer. The balloon is then sequentially withdrawn and inflated two more times to stretch the opening of the sinus, before being withdrawn from the nose. All this is achieved with minimal bleeding and damage to the surrounding tissues of the nose

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