4. Paul Chatrath

Paul Chatrath

Consultant ENT and Facial Plastic Surgeon

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Treatments provided by Paul Chatrath

Initial consultation fee: £225

Follow-up consultation fee: £150

Clinic times: The Harley Street Clinic, 16 Devonshire Street, on Wednesday mornings weekly from 8.30-11am. Other locations by appointment.

Professor Paul Chatrath is an ENT surgeon with a specialist interest in facial cosmetic surgery, including rhinoplasty and the correction of protruding ears.

ENT conditions treated

Ear problems

  • Wax build up
  • Hearing loss
  • Painful ears
  • Tinnitus (ringing in the ears)
  • Dizziness and vertigo
  • Infections of the ear
  • Fullness/popping in the ears
  • Ear problems when flying or diving
  • Protruding ears
  • Ear trauma or injuries
  • Split ear lobes caused by piercings

Nose problems

  • Sinus problems
  • Blocked or congested nose
  • Runny nose
  • Catarrh or postnasal drip
  • Bleeding from the nose
  • Sneezing
  • Hayfever
  • Reduced or absent sense of smell
  • Facial pain
  • Nasal injuries or trauma
  • Cosmetic nasal problems

Throat problems

  • Sore throat
  • Tonsillitis
  • Difficulty in swallowing
  • Feeling of something in the throat
  • Pain on swallowing
  • Dry throat
  • Hoarseness
  • Weak or breathy voice
  • Snoring and Obstructive Sleep Apnoea (OSA)

Conditions in children

  • Glue ear
  • Tonsillitis
  • Allergic rhinitis and/or sinusitis
  • Snoring

Neck problems

  • Lump in the neck
  • Salivary gland problems
  • Skin swelling

 

 

 

 

 

Facial conditions treated by Mr Paul Chatrath

As a skilled ENT surgeon and member of the European Academy of Facial Plastic Surgery, Mr Chatrath offers surgical correction of the full range of defects to the face, eyes, ear and nose, including:

  • Broken nose
  • Nasal septum perforation
  • Nose deformity
  • Nasal valve collapse
  • Facial lesions
  • Perforated eardrum
  • Facial scarring
  • Abnormally large ear lobes
  • Split ear lobe
  • Hole in the ear lobe
  • Protruding ears

Treatments, operations and tests

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.
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.
Sinusitis is an inflammation of the paranasal sinuses, which may or may not be as a result of infection, from bacterial, fungal, viral, allergic or autoimmune issues. Newer classifications of sinusitis refer to it as rhinosinusitis, taking into account the thought that inflammation of the sinuses cannot occur without some inflammation of the nose as well (rhinitis). Acute sinusitis is usually precipitated by an earlier upper respiratory tract infection, generally of viral origin.
Myringotomy is a surgical procedure in which a tiny incision is created in the eardrum, so as to relieve pressure caused by the excessive build-up of fluid, or to drain pus. Myringotomy is often performed as a treatment for otitis media. If a patient requires myringotomy for drainage or ventilation of the middle ear, this generally implies that the Eustachian tube is either partially or completely obstructed and is not able to perform this function in its usual physiologic fashion. Before the invention of antibiotics, myringotomy was the main treatment of severe acute otitis media.
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.
Pinnaplasty / otoplasty / ear cosmetic surgery can be carried out under general anaesthetic (usually recommended for children) or local anaesthetic. The incisions are generally placed behind the ear, occasionally in front. The cartilage of the ear is remodelled and, on occasions, some of the cartilage may be removed. The sutures (stitches) are absorbable and do not require removal. After ear plastic surgery (otoplasty / pinnaplasty), the ears may be covered with a large head dressing which should be worn for one week. After this it is advisable to wear a tennis head band for six weeks although, due to pressures of school or work, it may only be possible to wear the head band at night.
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 syringing, as the name implies, involves the use of a syringe to remove wax from the ears that seem to be blocked. In more details, this works by injecting water that is at body temperature into the ear canal through the nozzle of the syringe. With the very gentle force from the syringe, the water gets into the very deepest part of the ear canal and as this happens it forms a kind of miniature whirlpool of fluid which then helps to dislodge the wax. Apart from just dislodging the wax, the water eventually carries the wax out.
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.
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.
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..
Branchial Cleft Cysts are congenital cysts, that arise in the lateral aspect of the neck when the second branchial cleft fails to close during embryonic development. These arches and clefts contribute to the formation of various structures of the head and neck. Branchial cleft cysts are the most common of congenital neck masses. They are bilateral in about 2-3% of the cases. Usually, they do not appear at birth, but become noticeable much later in life. If they get infected, they may form a deep neck abscess or a draining fistula. The treatment of branchial cleft cysts is surgical excision.
Small noses due to your family heredity… misshapen noses… mal-proportioned noses…overly wide or asymmetric nose shapes can be built-up and modified during your cosmetic nose surgery operation. Grafted tissues as well as modified implants can provide a new structure or framework and modified dimensions for your nose. Result? Your appearance is instantly improved, and you feel better about yourself.
The nose reshaping operation is carried out under general anaesthesia by a rhinoplasty surgeon and is carried out inside the nostrils so that there are no external scars; unless you decide to have the size or the nostrils reduced, in which case small scars around the sides of the nostrils, placed in the natural crease lines between nose and cheek, will be present. Rhinoplasty is one of the most sought after cosmetic procedures amongst men and women and the vast majority of patients undergoing rhinoplasty surgery gain a feeling of increased self confidence with improvement in their body image.
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.
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.
The parotid gland is the largest of the salivary glands. There are two parotid glands, one on each side of the face, just below and to the front of the ear. A duct through which saliva is secreted runs from each gland to the inside of the cheek.The main purpose of parotidectomy is to remove abnormal growths (neoplasms) that occur in the parotid gland. Parotid gland neoplasms may be benign (approximately 80%) or malignant. Tumors may spread from other areas of the body, entering the parotid gland by way of the lymphatic system.
The sinus tract is found just in front of your ear and this can become blocked, which can then lead to an infection. Under a general or a local anaesthetic the ENT specialist makes an incision in front of your ear and removes the sinus. You may have a dressing or sutures put in place, which your practice surse can remove. This is normally a day procedure.
The septum may be bent, perforated,or it has simply grown that way. People may complain of 'whistling' when breathing. The operation of Septoplasty is used to correct this abnormality in order to allow air to pass through either nostril more easily. Septoplasty is a common procedure and is not very painful. It is performed under general anaesthetic and lasts only about 20 to 20 minutes.
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.).
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.
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.
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.
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.
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

Mr Chatrath praised following tonsil removal