Adult General ENT
Alongside his specialist practice in laryngology, thyroid and parathyroid surgery, and head and neck surgery, Mr Bidaye assesses and treats a broad range of general ENT conditions in adults.
Investigations and treatment are tailored to the individual patient, with audiology, radiology, sleep and other specialist services arranged where clinically appropriate.
Book a consultationNose & Sinus
Conditions
Runny, itchy or blocked nose
Allergic and non-allergic rhinitis
Sinus infection and sinus pain
Recurrent and chronic rhinosinusitis
Blocked or stuffy nose
Nasal obstruction
Deviated septum
Structural nasal obstruction from septal deviation
Enlarged turbinates
Turbinate hypertrophy contributing to nasal obstruction
Nasal polyps and loss of smell
Nasal polyposis (CRSwNP)
Recurrent nosebleeds
Recurrent epistaxis
Septal perforation
A hole in the nasal septum
Procedures & investigations
Nasal endoscopy
Flexible nasal endoscopy may be performed in clinic where clinically appropriate
Allergy testing and imaging
Allergy testing and CT sinus imaging may be arranged when indicated
Medical treatment
Available for rhinitis and sinusitis
Septoplasty
Conventional closed septoplasty and endoscopic septoplasty
Turbinate reduction
Coblation inferior turbinate reduction using the Smith+Nephew REFLEX ULTRA 45 wand, where available and clinically appropriate
Sinus surgery
Microdebrider-assisted functional endoscopic sinus surgery (FESS) and microdebrider-assisted nasal polypectomy, where appropriate
Nosebleed and septal-perforation procedures
Clinic-based nasal cautery for selected recurrent nosebleeds; septal-button insertion for selected septal perforations
Tonsils & Adenoids
Conditions
Tonsillitis that keeps coming back
Recurrent and chronic tonsillitis
Tonsil stones and bad breath
Tonsilloliths with halitosis
Enlarged tonsils
Tonsillar hypertrophy
Persistent nasal blockage from enlarged adenoids
Symptomatic adult adenoid enlargement
Snoring
Snoring
Suspected obstructive sleep apnoea
Suspected OSA
Procedures & investigations
Sleep assessment
Clinical upper-airway assessment and sleep studies may be arranged; tonsil or adenoid surgery is not routinely required to treat adult obstructive sleep apnoea
Tonsillectomy
Adult tonsillectomy using a bipolar technique
Tonsillotomy
Coblation tonsillotomy for selected patients (a partial reduction, distinct from tonsillectomy)
Adult adenoidectomy
Coblation adenoidectomy for selected adults with symptomatic adenoid enlargement
Ear
Conditions
Blocked ear, earwax
Cerumen impaction
Ear infections
Selected outer and middle-ear infections
Hearing loss
Sensorineural and conductive hearing loss
Ringing in the ears
Tinnitus
Brief spinning dizziness
Benign paroxysmal positional vertigo (BPPV)
Dizziness and balance problems
Other dizziness and vertigo
Ménière's disease
Episodic vertigo, hearing loss and tinnitus
Ear pressure and popping
Eustachian-tube dysfunction (ETD)
Sudden hearing loss
Sudden sensorineural hearing loss
Procedures & investigations
Audiology testing
Further testing may be arranged with an audiology colleague, including pure-tone audiometry, tympanometry and specialist vestibular assessment
Microsuction
Private microsuction ear wax removal
Grommet insertion
For selected adult patients
Ear biopsy
Biopsy of selected external auditory canal lesions
Intratympanic steroid injections
For selected patients with sudden sensorineural hearing loss or Ménière's disease
Eustachian-tube balloon dilatation
Performed under general anaesthetic using the Stryker Audion ET dilation system, where available, for selected adults with persistent obstructive Eustachian-tube dysfunction
Eustachian-tube investigations
Pre-operative assessment may include audiometry and tympanometry; CT temporal-bone imaging is arranged in selected cases
Airway & Breathing
Conditions
Trouble breathing, noisy breathing
Stridor and stertor; laryngeal, subglottic or tracheal narrowing
Narrow windpipe
Tracheal, subglottic and glottic stenosis, laryngotracheal stenosis
Vocal cord spasm, choking feeling
Paroxysmal laryngospasm
Procedures & investigations
Initial assessment
Mr Bidaye may provide initial assessment for selected complex airway or tracheostomy-related problems. Where reconstruction, tracheal surgery or decannulation is required, he will refer you to an appropriate private colleague, or advise you to contact your GP for an NHS referral.
Evidence-based, outcomes-focused care
With appropriate consent, endoscopic photography may be used to document findings before and after selected treatments.
Where relevant, validated patient-reported outcome measures may also be used to track symptoms and how they change over time, including:
- Nasal Obstruction Symptom Evaluation (NOSE) score
- 22-item Sino-Nasal Outcome Test (SNOT-22)
- 7-item Eustachian Tube Dysfunction Questionnaire (ETDQ-7)
- 10-item Voice Handicap Index (VHI-10)
- Reflux Symptom Index (RSI)
- Epworth Sleepiness Scale (ESS)
These, and other relevant measures, are used only where relevant to your condition.
They track symptom burden and change over time; the Reflux Symptom Index does not on its own diagnose laryngopharyngeal reflux, and the Epworth Sleepiness Scale does not on its own diagnose obstructive sleep apnoea.
A note on scope: Mr Bidaye's specialist areas are the voice and larynx, thyroid and parathyroid, swallowing, and head and neck.
He treats the conditions above alongside those, and if yours would be better handled by a different subspecialist, he will tell you and arrange the referral rather than take it on.
Book a consultation
Appointments are with Mr Bidaye himself and run a full half hour, so there is time to examine, explain, and answer what brought you in. Private appointments can be booked online; our secretary can also advise on insurance and fees.