Ears, nose and throat (ENT)
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The ENT service aims to improve the quality of life for individuals with ear, nose and throat disorders, and provide timely and accurate advice and information. The team works closely in partnership with other healthcare professionals, local social service sensory impairment teams, education services and voluntary organisations. The service offers a full range of non-emergency ENT and head and neck services, including support for minor ENT emergencies.
The ENT Department at St George’s University Hospitals NHS Foundation Trust comprises 14 consultants, seven specialist registrars and other doctors in training. It is the ‘hub’ of a network which includes Kingston, St Helier and Mayday hospitals. This means that patients from these hospitals come to St George’s for complex surgery. The ENT Department also provides their emergency cover.
ENT surgery offers services to treat disorders and defects of the ears, nose (including sinuses), throat, head and neck. Services are provided for adults and children on an inpatient or day patient basis.
Contact details
St George’s Hospital
Central Booking Service & Follow-Up Call Centre: 020 8725 0007
Switchboard 020 8672 1255
Queen Mary’s Hospital
Outpatients main number 020 8487 6000
Opening hours
Queen Mary’s ENT department is open Tuesday, Thursday and Friday morning
Treatments
- Head and Neck: Treatment of cancers of the eyes, mouth, nose, throat and glands in the neck. A well established Unit provides services to St George’s patients as well as providing a tertiary service to other hospitals across southwest London. The Unit is one of the busiest in the UK, supported by a strong multi-disciplinary team comprised of four ENT surgeons, three maxillofacial surgeons and one plastic surgeon, two clinical nurse specialists, a large pathology team, one consultant radiologist, three oncologists, three speech and language therapists, one dietician and one multi-disciplinary team coordinator.
- Otology: Treatment of ear problems such hearing loss, dizziness, inflammation, perforated eardrums and mastoid infection.
- Rhinology: Treatment of problems with the nose and sinuses, including infections, allergies and inflammations causing congestion and runny noses. Also includes disorders of olfaction.
- Special clinics: Voice disorders, providing analysis for this complex disorder. Cochlear implant/BAHA service – both paediatric and adult.
- Facial plastic surgery: Management of facial deformity and cosmetic facial surgery such as rhinoplasty and pinnaplasty / otoplasty.
- Paediatric (children’s) ENT: Offering expertise in general paediatric issues such as tonsils, adenoids and grommet surgery, as well as management of more complex problems including airway difficulties and tumours of the head and neck.
- Upper respiratory tract allergies
- Neuro-otology: Specializing in management of disorders of balance and hearing associated with the nerves to the organs of balance and hearing.
Key staff
Service lead
The team consists of a wide range of specialist surgeons at all levels, and with special interests including otology, head and neck, facial plastic surgery and voice problems.
Service consultants, surgeons and clinicians
- Mr Mugliston – Consultant Otolaryngologist
- Mr Tadros – Associate ENT Specialist
- Mrs Butters – ENT Staff Grade Surgeon
- Mr G Wijayasingham – Staff Grade Surgeon
- Mr Patel – Consultant ENT Specialist (Thyroid)
Referrals
The following patient care pathways are available for direct access by primary care providers:
- Direct Access for Dizzy Patients
- Direct Access for Sore Throats
- Direct Access for Patients with Tinnitus
- General Direct Access ENT Service
A process map, which summarises the stages of care, is provided for each of the above, together with supporting guidance in easy access tablet format. Hearing tests, nasal and sinus endoscopy, minor ear procedures using a microscope, flexible laryngoscopy, nasal cautery and other tests are carried out during the clinic at the time of the consultation. The following patient care pathways are available for non direct access:
- Minor operations under general anaesthetic
- Vestibular Rehabilitation
Ear, Nose and Throat Trust Pathways
Pathway for the Merton CCG Guideline on the Management of Allergic Rhinitis (AR)