They can be permanently eradicated by partly removing the tonsil. This can be performed under local anaesthetic spray in the clinic, straight back to work afterwards. Post op soreness for around 5 days, controlled with paracetamol and ibuprofen. Eat normally. Minimal chance of bleeding ..read more

This could be an early inverted papilloma, or a normal papilloma. Or it could be nothing but a bit of swelling. Needs steroid spray and review with possible biopsy ..read more

No doubt, the best way to completely eradicate tonsil stones in one go is a traditional tonsillectomy. I tell my patients. But the NHS won't do it for this indication though. So a private tonsillectomy is needed, total cost around £4,000. However I have not performed this procedure privately for over 25 years, as it is extraordinarily painful for 3 weeks postop, and the risk of severe bleeding postoperatively is too high. So I perform the local anaesthetic spray laser vapourisation procedure. Most patients (>60%) only need one procedure, £1250. However some patients need more, 4 procedures ..read more

Tonsil stones can be deep and difficult to remove. This is when laser tonsil removal under local anaesthetic spray is very useful. More than one procedure may be required ..read more

The thin arrow points to tonsil stones sitting in a deep tonsil crevice - thicker arrow. To permanently remove these crevices and holes where food traps to form tonsil stones, the tonsil needs to be partially removed. I use the carbon dioxide laser to do this with local anaesthetic spray, in clinic. A lunchtime procedure ..read more

This swollen area at the back of the inferior turbinates is causing symptoms of postnasal drip. It came on during a severe bout of COVID and maybe another nasal sequel of this disease ..read more

In Japan they treat the above very seriously, for Chronic Fatigue, M.E. and Long COVID. The thin dotted line demarcates the lower nasopharynx ( back of nose) from the upper nasopharynx. The X is in the upper nasopharynx, and is surrounded by reddened inflamed tissue. The ✓ is in the lower nasopharynx with normal looking non-inflamed mucosa. We do know that chronic tonsillitis is linked to long term fatigue syndromes. Is this another area to be thinking about ..read more

There is a lot of emphasis on dental hygiene in those suffiqith bad breath. Of course, those with rotten teeth will have bad breath, but in the modern world and good dental care that's actually pretty rare. So we have to look elsewhere, where good dental hygiene and regular tooth brushing aren't relevant. That's the throat, as the air we breathe out passes through this area just like the mouth. In particular the tonsils, which are difficult to clean and clear, yet often contain deep crevices and holes where food can trap and decay. These holes and crevices can usually be removed by laser vapou ..read more

Tonsil stones are often quite superficial in terms of depth. But cracks and holes can go much deeper than first imagined, which is why laser tonsillectomy under local anaesthetic spray sometimes has to be repeated ..read more

A blocked nose is something we all experience when we have a cold etc. But some people have it all of the time, it makes them snore, mouth breathe and affects their ability to enjoy food and drink. Treatment ranges from salt water washouts to laser surgery under local anaesthetic to surgery under general anaesthetic in a hospital ..read more