George Manjaly ENT Consultant
 

George Manjaly operations and procedures

Operations and Procedures

Investigations Used:

Audiometry Tympanometry Endoscopy
Allergy testing Fine needle aspiration Nasal cautery
CT scan Barium Swallow MRI scan
Vestibular function test

Operations Performed:

Tonsillectomy and Adenoidectomy
This is a very common procedure carried out under general anaesthetic. These procedures can be carried out as day case too. Patients usually experience sore throat for a week or two after the operation. There is a very small risk of haemorrhage within the first 24 hours or later on up to 10 days.

 

Insertion of Grommets
This is a simple operation which can be done as a day case for children and adults. Patients are advised to keep the ears dry until the grommets are extruded which would take between 6 to 12 months.

 

Septoplasty and Turbinate Surgery
This is very common procedure which is designed to improve the nasal airway. Patients usually experience some degree of blockage for few weeks after the operation and should be able to breathe normally after that.

 

Endoscopic Sinus Surgery (FESS)
The aim of this operation is to unblock all the sinuses by directly visualising the sinuses using a telescope and a camera. After surgery careful nasal douching using a saline spray will help complete healing of the sinus lining and re-establish drainage.

 

NEW  Balloon Sinuplasty
Mr Manjaly was the first specialist in Southeast England to pioneer this new technique. Balloon sinuplasty achieves the goal of endoscopic sinus surgery through the use of a balloon catheter to gently open up the sinus pathways, immediately improving sinus function and drainage, and without the need for removal of tissue. This procedure works in much the same way as balloon angioplasty is used to open up blocked arteries. The technology is minimally invasive and safe, significantly reducing risk and recovery time.
Further information in this PDF and at this website http://www.balloonsinuplasty.com/

 

Rhinoplasty
Rhinoplasty is an operation which is tailor-made and is done to correct the deformity of the external nose. Each operation will depend on the number of specific deformities that need correction and it is decided after a lengthy consultation with the use of digital images.

 

Mastoidectomy, Myringoplasty, Ossiculoplasty and Tympanoplasty


These operations are carried out to remove the disease from the mastoid bone and to repair the defects from that removal. This can be repair of the ear drum (myringoplasty), little bones of the ear to improve the hearing (ossiculoplasty). Mastoidectomy has to be performed for achieving complete clearance of the disease. This might require long term follow-up.

 

Parotidectomy
The commonest reason for surgery in this area is to remove benign lumps. This particular surgery is very intricate because the nerve which supplies the movement of the face runs through the gland and has to be identified and preserved. Patient will require 2-3 days stay in the hospital and usually full facial movements are restored after surgery.

 

Thyroidectomy
Thyroid surgery is usually carried out for 2 reasons:
A thyroid lump is suspected to be a tumour, or the size of the lump is such that it is pressing on the wind pipe giving discomfort and breathing difficulties.

 

Skin Lesions

This is a very common problem in this region ( Eastbourne,East Sussex) because of the increased exposure to sunlight.  The commonest lesions we see are Solar Keretosis, and Basal cell Carcinoma. These lesions can be excised fully and completely eradicated with good cosmetic results.
 
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