At Home with Chris Jessen 2018 - 121
MEET THE EXPERTS
Jonathan Blanshard and Paul Spraggs
have worked together for 20 years
and have developed a team approach
that ensures you see the appropriate
person to deal with your complaint in a
single visit to the Candover clinic or the
BMI Hampshire clinic. Their professional
support staff will ensure you are seen
promptly and kept fully informed.
FRCS (Orl), is a
graduated from the
part of the University of London. His
ENT training in London and Bristol
was complemented by fellowships in
Copenhagen and Brisbane.
He is an examiner for the Royal
College of Surgeons and involved in
training the next generation of ENT
surgeons. He is an associate medical
director for Hampshire Hospitals NHS
Foundation Trust, focusing on the
rapidly changing local NHS strategy.
Sometimes, reflux (acid flowing back up
from the stomach into the oesophagus)
causes irritation to the throat or, rarely,
throat cancer can cause a feeling of a
lump and difficulty swallowing.
Mr Paul Spraggs
MBBS FRCS (Orl),
is a consultant in
ENT and head and
in London, Mr
a fellowship in
head and neck surgery in Miami and
at the Royal Marsden Hospital. He
trained in facial plastic surgery in
Helsinki. He is clinical lead for skin
cancer, thyroid surgery, and head
and neck oncology.
He is also the clinical director
for head and neck services at
Hampshire Hospitals NHS Foundation
Trust. He is an examiner for the Royal
College of Surgeons and sits on the
specialist advisory committee for
ENT training in the UK.
A swelling at the base of neck
may be a a thyroid nodule. These are
more common in women than men and
often occur during pregnancy or the
menopause. A single nodule could be a
cyst or there may be multiple benign
nodules causing a pressure sensation in
the throat. An ultrasound scan can
quickly give information about the lump
and reassurance as most are harmless.
Very occasionally, the lump may be due
to thyroid cancer, which will need
urgent investigation and treatment.
CAUSES VERTIGO, BUT
TREATMENT HAS BEEN
MIDDLE EAR STEROID
Halitosis and tonsil
Chronic tonsillitis can lead to foulsmelling/tasting tonsil stones that may
need to be removed with the help of a
mirror and toothpick. Surgical treatment
can also be very effective in the right
patient and should not be dismissed as
an option for the treatment of this
Is your child listening properly?
Listening skills develop naturally as
children grow up, but are dependent on
normal hearing from birth. Fluid in the
middle ear (glue ear) is a common cause
of hearing loss and may be the result of
coughs, colds or enlarged adenoids.
Surgery to drain the fluid through the
ear drum and insert a ventilation tube,
or grommet, restores the hearing.
Removal of the adenoids may also
help to clear the nose and relieve any
associated snoring problems.
Is it really vertigo?
Hitchcock style 'vertigo' is
common, but the spinning sensation
of true rotational vertigo can be life
changing. Positional vertigo can be
cured instantly by a simple procedure
(the Epley manoeuvre) carried out at
an initial visit. Less commonly, Ménière's
disease causes intermittent attacks
of vertigo, but treatment has been
revolutionised by middle ear injections
of steroids or the antibiotic gentamicin.
If that hoarse voice after the
party or a cold gets better within
two weeks, all is well. However, if it
persists, a look at the vocal cords in
a simple out-patient procedure using
state-of-the-art fibre optics can rule
out anything more worrying. Expert
speech therapists can be called on
to improve vocal function, if required.
FOR MORE INFORMATION
Call 01256 377733