We use the latest high resolution microscope to examine your ears. This allows accurate diagnosis of your ear conditions.
We arrange your hearing to be assessed using pure tone audiograms and other sophisticated hearing tests including otoacoustic emissions, speech discrimination test, brainstem evoked auditory responses and etc.
We use the microscope and suction device to remove impacted cerumen and foreign bodies in your ears.
Infections of the outer and middle ears are treated with oral antibiotic and topical anti-microbial drops. Your infected ear canals are toileted using microsuction.
Your middle ear fluids are treated with medication first. Failing that, aspiration of the fluid and insertion of ventilation tube (grommet) can be the next option.
Perforation of ear drum can be due to middle ear infection or barotrauma. If the hole fails to heal, we can surgically repair your ear drum.
Sound is transmitted from our ear drum to the inner ear via three small bones in our middle ear. If there is a break/gap between the three bones, sound conduction can be impeded and you may experience hearing loss. The bone gap can be bridged by inserting a tiny prosthesis in the middle ear. The operation is called ossiculoplasty. On the other hand, one of the three bones in the middle ear can get stiff from disease (e.g. otosclerosis). The stiff bone (stapes) can also be replaced surgically. The operation is called stapedectomy.
Discharging ear and deafness can be caused by infection of the middle ear. Cholesteatoma can be seen as a "skin cyst" in the middle ear. It erodes the bone of the ear away with time. Surgical removal of the cholesteatoma (mastoidectomy) is the treatment of choice.
Exostoses of the ear canal are more common in surfers and cold water swimmers. Exostoses can trap debris and foreign materials leading to otitis externa. If not treated for years, exostoses can completely block the ear canals leading to deafness. Surgical excision of exostosis can be an option if symptoms become bothersome.
Vertigo can be due to Benign Paroxysmal Positional Vertigo (BPPV), Meniere's disease, perilymph fistula and inner ear infection. A range of treatment options inclusive of Epley's manoeurve, vestibular sedatives, Meniett's device and surgery are available.
We use the Hopkins' endoscope to examine your nose and nasopharynx. This allows us to evaluate you nose for infection, polyps and cancer.
Nosebleed can be minor or torrential. Nasal endoscopy allows us to find out the cause of your nosebleed. We treat it accordingly using nasal packing, cautery or definitive surgery.
Young children sometimes put foreign objects in their nose. The foreign materials can be beads, plastic or bits of food. If left for a long time, the nose can get infected. We can remove the foreign materials from the nose for your child.
When we suspect tumour in your nasopharynx, we will suggest sample to be taken in the clinic with the aid of an endoscope.
Sinus surgery with minimally iinvasive nstruments and endoscope can be considered when indicated. Endoscopic sinus surgery is commonly indicated in recurrent sinusitis, nasal polyposis and nasal tumour.
Enlargement of the nasal turbinates can cause troublesome nasal blockage. Remove/ Reduction of the enlarged turbinates can be considered if medical treatment fails.
Enlarged turbinates can be reduced using radiofrequency energy in our well-equipped clinic. This maybe an option in selected patients when surgical turbinate surgery is undesirable.
Deviated nasal septum can cause nasal blockage, contact headache and predisposing nosebleed. Surgical correction of deviated septum (septoplasty) is offered.
Enlarged adenoids in children can be the cause of nasal blockage, obstructive sleep apnoea, mouth breathing, otitis media (middle ear infections). Removing the adenoids can drastically improve the symptoms mentioned. We use suction diathermy with the aid of endoscope to ensure complete removal of adenoids and eliminate the risk of bleeding.
Nasal polyps can cause nasal blockage, postnasal drips , runny nose and loss of smell sense. The polyps can be removed using microdebrider and endoscope to restore the function of the nose.
Severe nosebleed in elderly patients can be due to ruptured arteries at the back of the nose. Tying the artery with the aid of endoscope can effectively stop the bleeding. It also saves the discomfort of packing the nose for days.
Blockage of tear ducts can cause watery, teary eyes. Syringing of tear ducts can be tried first. If that fails, Draining the tear duct with the aid of endoscope is an option. This technique avoids a scar in the face.
Benign tumour in the maxillary sinus can cause nosebleed and nasal blockage. There is a small risk of it turning into cancer if left untreated for years. Removal of the tumour using endoscope avoids a facial scar.
The undesirable features of your nose can be inborn or secondary to injury. Patients may dislike bent nose, big nose, short nose or bumpy nose. The profile of your nose can be reshaped by Rhinoplasty (Nose Job).
Ingestion of fish bone is common in our patients who love eating fish. The symptom is distressingly painful. We use multi-channel fibre-optic endoscopes with microforceps in retrieving fish bones.
Tonsillectomy is indicated for patients with recurrent tonsillitis, obstructive sleep apnoea and suspicion of tonsillar cancer.
Fibre-optic endoscopes are used in the clinic for diagnosis of vocal polyps, cysts, nodules and cancer.
Persistent vocal cord lesions despite conservative treatments, may need surgical removal. Vocal polyps, cysts, papillomata and small cancers are removed using micro-instrument and laryngoscopes with the aid of microscope.
In selected cases of patients with snoring and moderate obstructive sleep apnoea, uvulopalatopharyngoplasty is an effective surgical treatment option.
Breathy voice and choking are common complaints from patients with vocal cord paralysis. Medialisation of vocal cords by injecting hyaluronic acid, Teflonor fat allowstemporaryimprovement of voice.