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ENT Clinics

Phone: +61 7 5631 4080

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24.01.2022 Dr Courtney has kindly shared the results of his latest research below....... Researching Postoperative Tonsillectomy Pain Management with OxyNorm in Children Dr Courtney has recently completed research on pain management. Along with his colleagues their article was published in 2015 in the International Journal of Pediatric Otorhinolaryngology with the full reference below.... Dr Courtney and his team evaluated postoperative tonsillectomy pain management, where an information sheet on OxyNorm was included with a standard postoperative information versus the situation where only the standard postoperative information was given. It was discovered that a postoperative analgesia information sheet provides for a higher satisfaction and knowledge for parents and children. Patients with the information sheet had improved postoperative pain control, most significantly at day 5. Parent’s assessment of pain control was also superior, particularly at day 3 and day 7. The primary recommendation to come out of the study was that a postoperative information sheet on analgesia be given to all parents to provide for improved analgesia control and safe management of children in the postoperative period. All of Dr Courtney’s postoperative tonsillectomy patients now receive an OxyNorm analgesia information sheet. Lucas Bailey, Jing Sun, Mark Courtney, Paul Murphy Improving postoperative tonsillectomy pain management in children A double blinded randomized control trial of a patient analgesia information sheet. International Journal of Pediatric Otorhinolaryngology 79 (2015) 732-739

23.01.2022 Drs Sam Dowthwaite, John O’Neill and Michael Busby are please to announce the continued expansion of transoral robotic surgery (TORS) to patients on the Gold Coast. The da Vinci surgical robot is now available for patients at both John Flynn Hospital and the new Gold Coast Private Hospital. Our TORS surgeons at ENT Clinics are proud to provide expert care and treatment to all of our surgical patients with both benign and malignant conditions and the head and neck. The following article provides an insight into the positive role that TORS can play in patients with potentially small cancers of the tongue and tonsils http://www.healio.com//increased-frequency-of-unknown-prim

19.01.2022 What symptoms do vocal cord nodules cause? Vocal cord nodules cause symptoms of a husky voice and problems with projection of the voice. The symptoms include: Roughness to the voice Reduced endurance of the voice [my voice becomes husky quite easily]... Increased effort associated with talking Difficulty singing high notes Chronic hoarseness Sometimes patients with vocal cord nodules may have a normal speaking voice but the hoarseness of the voice only becomes apparent when they raise their voice. In other patients the voice is always husky. The only way to truly diagnose vocal cord nodules is to go and see your ENT Surgeon and have a nasoendoscopy which will allow for a direct examination of the vocal cords. Following this diagnosis patients can then proceed to treatment. Here is some more information from the ASHA.. http://www.asha.org/public/speech/disorders/NodulesPolyps/ Written by Dr Dan Robinson and Dr John O’Neill

18.01.2022 Wishing everyone a Happy Mother's Day from ENT Clinics!

18.01.2022 Some humour for your evening. Sadly, the ENT Clinics surgeons are not this funny. https://youtu.be/UioRnNKw2Kw

13.01.2022 Snoring is something that can not only test a relationship, but damage your health as well. In certain cases, surgery can be very effective....Have a chat with your GP and see if your snoring needs further investigation.

06.01.2022 Our Tugun and Benowa rooms have had a makeover!

05.01.2022 Our resident rhinologist (Dr Dan Robinson) has kindly offered some interesting insight into the value of a CT for a nasal obstruction..... A very interesting article was published recently in Laryngoscope, which looked at whether you can determine accurately whether you have a blocked nose with a CT Scan. What the study looked at was patients who were having a CT Scan of their nose and sinus’s. The patients where then asked to fill out a questionnaire called the NOSE Question...naire. The NOSE Questionnaire is used by Dr Dan Robinson pre and post operatively as well as many other surgeons to determine the degree to which a patient’s nose is blocked. The CT Scans where then looked at by a radiologist as well as an ENT Surgeon and scaled according to the degree of septal deviation the patient may have. The degree of septal deviation was then correlated with the patients NOSE Score to see if there was any correlation between the CT Scan findings and the NOSE Score. The results of the study are very interesting; there is no correlation between the degree of nasal obstruction and the findings on a CT Scan in relation to having a bent septum. The bottom line from this study is something which ENT Surgeons have known about for years. The best determinant as to whether a patient has a blocked nose is to take a history from a patient and examine their nose. Therefore, if you feel as though you have a blocked nose, but have a normal CT Scan of your nose, there is every possibility that your symptoms are being caused by something which wasn’t found on the CT Scan and can only be found by seeing an ENT Surgeon.

04.01.2022 Many of our patients who have been diagnosed with Head and Neck cancer are looking for a reputable website for more information on their condition. Below is a fantastic resource that has recently been launched that answers many of the tougher questions. www.beyondfive.org.au

01.01.2022 John O'Neill has shared with us how he does tonsillar reduction surgery (tonsillotomy). It has reduced pain and bleeding and may be suitable for your child. Several of our surgeons are trained in this technique. Ask us when you come to visit!