Treatments
A short guide to the problems Mr Khanna sees most often, with links to independent patient information. It is general information and does not replace a consultation.
Nose and sinuses
Rhinology is the main part of Mr Khanna's practice. Most nose and sinus problems are assessed in clinic with a fine camera, and many are treated without surgery.
Blocked nose and deviated septum
The septum is the wall between the two sides of the nose. When it is bent it can block one side. If sprays and other treatment have not helped, an operation called a septoplasty can straighten it, usually as a day case.
ENT UK information on septal surgerySinusitis and sinus surgery
Long-lasting sinus inflammation causes a blocked nose, discharge, facial pressure and a poor sense of smell. When medical treatment is not enough, endoscopic sinus surgery opens the sinuses through the nostrils, with no cuts on the face.
ENT UK information on sinus surgeryNasal polyps
Polyps are soft, painless swellings of the lining of the nose and sinuses. They can block the nose and dull the sense of smell. They are treated with sprays, short courses of tablets, and surgery when needed.
ENT UK information on sinus surgery for nasal polypsNosebleeds
Repeated nosebleeds often come from a small vessel at the front of the nose that can be sealed in clinic. Mr Khanna also runs an NHS clinic for people with bleeding disorders.
ENT UK information on nosebleedsLoss of smell
A reduced or altered sense of smell can follow a virus, or come from polyps, sinus disease or allergy. Mr Khanna has published guidance for GPs on assessing it.
ENT UK information on smell disordersNasal allergy
Allergy to things carried in the air, such as pollen, house dust mite, pets and moulds, is one of the commonest causes of a blocked, runny or itchy nose. Mr Khanna offers the full range of care, from testing to desensitisation and surgery.
Allergy testing
A blood test measures your reaction to the common airborne allergens: grass and tree pollens, house dust mite, animal dander and moulds. Knowing exactly what you react to guides avoidance and treatment.
ENT UK information on rhinitis and hay feverMedical treatment
Most people are well controlled with the right combination of salt water rinses, steroid or combination nasal sprays and antihistamines, used with the correct technique and started at the right time of year.
ENT UK guide to using nasal spraysDesensitisation
Also called immunotherapy. Regular small doses of the allergen, usually as a daily tablet or drops under the tongue, gradually retrain the immune system. It is an option for pollen and house dust mite allergy when sprays and tablets have not been enough, and is usually taken for about three years.
ENT UK information on hay feverSurgery
Surgery does not cure allergy, but it can help when the nose stays blocked despite treatment. Reducing swollen turbinates or straightening the septum opens the airway and helps sprays reach the lining of the nose.
ENT UK information on turbinate surgeryRhinoplasty and facial plastics
Nose reshaping is planned around breathing as well as appearance. A first consultation is a chance to agree what can realistically be achieved before any decision about surgery.
Septorhinoplasty
One operation that straightens the septum inside the nose and reshapes the outside. It suits people whose nose is both blocked and bent, often after an old injury.
ENT UK information on septorhinoplastyCosmetic rhinoplasty
Surgery to change the size or shape of the nose. Results take many months to settle, and careful discussion beforehand matters as much as the operation.
ENT UK information on rhinoplastyBent or injured nose
A nose that has been broken can heal out of line or become blocked. Early assessment after an injury gives the widest choice of treatment.
ENT UK information on nasal injuriesScars and facial skin lesions
Revision of scars on the face, and removal of cysts, moles and other lumps from the skin of the face and neck.
ENT UK information on facial skin lesionsSnoring and sleep apnoea
Mr Khanna assesses and treats snoring and obstructive sleep apnoea, including surgery where it is likely to help.
Assessment
Snoring can start in the nose, the palate, the tongue or the throat, and often in more than one place. Assessment looks at the whole upper airway to find where it narrows, and whether breathing pauses during sleep.
ENT UK information on snoring and sleep apnoeaTreatment and surgery
Treatment depends on what the assessment finds. It may include advice and devices, treatment of a blocked nose, or surgery to the nose and upper airway.
NHS information on sleep apnoeaEar, nose and throat
Mr Khanna sees the full range of general ENT problems in the same clinics.
Hearing loss and ear wax
Hearing can fade slowly or suddenly, and the cause may be as simple as wax. Wax can be removed in clinic by microsuction, and hearing tests arranged where needed.
ENT UK information on hearing and deafnessTinnitus
Ringing, buzzing or other sounds in the ears with no outside source. It is often linked to hearing loss and usually improves with the right assessment and support.
ENT UK information on tinnitusBlocked ears and Eustachian tube problems
The Eustachian tube links the middle ear to the back of the nose. When it does not open well the ear feels full, pops or sounds muffled, especially when flying or with a cold.
Patient.info on Eustachian tube dysfunctionSore throat and tonsil problems
Repeated tonsillitis, and other throat problems that keep coming back.
ENT UK information on tonsillectomyVoice problems
A hoarse voice that lasts more than three weeks should be examined. The vocal cords can be seen in clinic with a fine camera.
ENT UK guide to looking after your voiceNot sure which applies to you?
Describe the problem in a sentence and Farah will arrange the right appointment.