Mr Sameer Khemani
Mr Sameer Khemani

ENT Consultant and Specialist

Surrey

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Treatments provided by Mr Sameer Khemani

Mr Khemani has considerable experience in the surgical and medical management of general ENT conditions.

Treatments, operations and tests

Adenoid removal (adult)

Adenoidectomy is the surgical removal of the adenoids. They may be removed for several reasons, including impaired breathing through the nose and chronic infections or earaches. The surgery is common. It is most often done on an outpatient basis under general anesthesia. Post-operative pain is generally minimal and prevented with an abundance of icy or cold foods. The procedure can sometimes be combined with a tonsillectomy if needed.Adenoidectomy is not often performed on children aged 1-6, as adenoids help the body's immune system. Adenoids become vestigial organs in adults.

Adenoid removal (child)

Adenoidectomy is the surgical removal of the adenoids. They may be removed for several reasons, including impaired breathing through the nose and chronic infections or earaches. The surgery is common. It is most often done on an outpatient basis under general anesthesia. Post-operative pain is generally minimal and prevented with an abundance of icy or cold foods. The procedure can sometimes be combined with a tonsillectomy if needed.Adenoidectomy is not often performed on children aged 1-6, as adenoids help the body's immune system. Adenoids become vestigial organs in adults.

Ear drum repair

There are several options for treating a perforated eardrum. If the perforation is from recent trauma, many ear, nose and throat specialists will elect to watch and see if it heals on its own. Myringoplasty (or Tympanoplasty) can be performed through the ear canal or through an incision behind the ear. The surgeon takes a graft from the tissues under the skin around the ear and uses it to reconstruct the eardrum.

Ear surgery (middle ear)

A stapedectomy is a surgical procedure of the middle ear performed to improve hearing. In both of these situations, it is possible to improve hearing by removing the stapes bone and replacing it with a micro prosthesis - a stapedectomy, or creating a small hole in the fixed stapes footplace and inserting a tiny, piston-like prosthesis - a stapedotomy. The results of this surgery are generally most reliable in patients whose stapes has lost mobility because of otosclerosis.

Ear wax removal (miscrosuction)

In the majority of cases, earwax falls out on its own without the need to remove it. However, if earwax is totally blocking your ear, or if any of the following symptoms are present, it may need to be removed: * hearing loss, * earache, * tinnitus (noises in your ear that come from an internal source), * vertigo (the feeling that you are moving while you are still), or * a cough. Treatment to remove an earwax plug usually starts with eardrops to soften the plug. If eardrops do not work, a process known as irrigation may be needed.

Hearing test

A hearing test provides an evaluation of the sensitivity of a person's sense of hearing and is most often performed by an audiologist using an audiometer. An audiometer is used to determine a person's hearing sensitivity at different frequencies. There are other hearing tests as well, e.g. Weber test and Rinne test.

Insertion of grommets

Insertion of grommets is a common operation carried out on children. It is performed to improve hearing or to reduce the frequency of ear infections, to solve the problem of "glue ear". A grommet is a small tube that is inserted into a hole that is made in the eardrum to allow air to pass into the middle ear. A small cut is made in the eardrum, the fluid is drained out and a tube or grommet is inserted. The operation is usually done as a day case under a general anaesthetic.

Nasal polyp removal

Polypectomy is the surgical removal of polyps (abnormal inflammatory tissue growths) that are located in the nasal passages. If polyps recur, it may be necessary to remove polyps from the deeper ethmoid, sphenoid, and maxillary sinus linings to provide longer-lasting relief. The polyps originate near the ethmoid sinuses (located at the top of the nose on both sides of the nasal cavity) and grow into the open areas of the nasal cavity. Large polyps can obstruct the airway and block drainage from the sinuses. Sinus infections can result from fluid accumulating in the blocked sinuses..

Nose surgery (for blocked nose)

Septoplasty is a corrective surgical procedure done to straighten the nasal septum, the partition between the two nasal cavities. Ideally, the septum should run down the center of the nose. When it deviates into one of the cavities, it narrows that cavity and impedes airflow. Often the inferior turbinate on the opposite side enlarges, which is termed compensatory hypertrophy. Nasal obstructions caused by serious deviations frequently lead to chronic sinus problems. Turbinate reduction may also be advised to further enlarge the nasal cavities.

Nose swelling removal

The turbinates are 3 ridges within the nasal passageway (nostrils) that help warm and moisten inhaled air. When they become swollen, many doctors recommend removing them via turbinate excision surgery. Making no cuts on the exterior of the nose, the surgeon removes the swollen tissue with a fine knife or laser from the inside of the nose. This tissue is sent to the laboratory for examination to determine the cause of the swelling. Nasal turbinate excision does not change the shape of the patient s nose. The nose often feels slightly sore and uncomfortable after nasal turbinate excision surgery.

Sinus surgery

Functional endoscopic sinus surgery (FESS) is a surgical modality for some diseases of the nose and paranasal sinuses. It is the mainstay in the surgical treatment of sinusitis and nasal polyposis, including fungal sinusitis.FESS is a relatively recent surgical procedure that uses nasal endoscopes (using Hopkins rod lens telescopes) to minimize cutting and trauma to the skin. They provide good illumination of the inside of the head and can be introduced into the nose after anesthetising.FESS came into existence because of pioneering work of Messerklinger and Stamberger (Graz, Austria.).

Snoring surgery

LAUP is performed under local or general anaesthetic and is considered to be a safer, more economical and a more comfortable alternative to UPPP. It involves vaporising the free edge of the soft palate and uvula using a laser. Unlike UPPP, LAUP can be repeated in order to obtain the desired effect. The number of procedures needed varies with some patients requiring up to four sessions. The tonsils are not removed with this procedure. Although laser surgery is associated with fewer complications than UPPP, post-operative pain is still reported as being severe.

Tongue tie operation

Ankyloglossia, commonly known as tongue tie, is a congenital oral anomaly which may decrease mobility of the tongue tip[1] and is caused by an unusually short, thick lingual frenulum, a membrane connecting the underside of the tongue to the floor of the mouth.[2] Ankyloglossia varies in degree of severity from mild cases characterized by mucous membrane bands to complete ankyloglossia whereby the tongue is tethered to the floor of the mouth. The operation aims to smooth out the bone, effectively making the space larger and so decreasing pressure on the tendons.

Tonsil removal (adult)

Tonsillectomy is a common operation in childhood. Enlarged tonsils may cause chronic or recurrent sore throat, and upper airway obstruction causing difficulty with swallowing. Tonsillectomy is a surgical procedure performed to remove the tonsils.

Tonsil removal (child)

Tonsillectomy is a common operation in childhood. Enlarged tonsils may cause chronic or recurrent sore throat, and upper airway obstruction causing difficulty with swallowing. Tonsillectomy is a surgical procedure performed to remove the tonsils.

Voicebox and vocal chords examination by camera

Laryngoscopy is a medical procedure that is used to obtain a view of the vocal folds and the glottis. Laryngoscopy may be performed to facilitate tracheal intubation during general anesthesia or cardiopulmonary resuscitation or for procedures on the larynx or other parts of the upper tracheobronchial tree. Another type of procedure performed by many ENT specialists in clinics is referred to as indirect laryngoscopy. It utilizes a straight rod-mounted mirror (laryngeal mirror; vide Instruments used in otolaryngology) that is inserted into the throat and used to look at the laryngeal inlet

Features

I specialise in...

  • Paediatric ENT
  • The surgical management for hearing loss
  • Discharging ears
  • Ear infections
  • Glue ear
  • Cholesteatoma
  • Middle ear and mastoid surgery
  • Rhinology- nose problems and nasal surgery
  • Management of balance disorders