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Monday, 23 October 2017
Suffolk ENT services

The department has been a keen leader in taking forward new developments and surgical advances and can offer a comprehensive service to the patients of east Suffolk.

Endoscopic sinus surgery
The ENT department at Ipswich is one of the first centres in the UK to provide an endoscopic approach to sinus surgery. This type of surgery is more physiological and it avoids an external scar on the face. Ipswich is now one of the national training centres for this type of surgery.

Endoscopic DCR
Mr Yung and one of the Ophthalmic Surgeons, Mr Hardman-Lea provide a combined endoscopic dacryocystorhinostomy list once a month in the ENT theatre. All the patients with lacrymal duct blockage now are treated surgically on this particular list. This particular operation is now being recognised as being much more superior than the conventional external approach to the tear duct. The Ipswich Hospital is now one of the main referral centres for this type of surgery and provides two national courses every year for eye and ENT surgeons in the UK.

Advanced middle ear surgery including stapedectomy and middle ear and mastoid reconstruction.
The ENT Department also provides very specialised otological treatments like bone anchor hearing aid and prosthetic replacement of the pinna. The ENT Department pioneered and developed a new operation of permanent mastoid ventilation and Mr Yung headed the UK trial on this new treatment. The ENT Department runs an annual national course for advanced middle ear surgery.

Voice surgery
Mr Salam and a Specialist Speech and Language Therapist conduct a joint Voice Clinic twice a month, to look at voice disorders. The clinic has state of the art video-stroboscopic equipment for detection of vocal cord pathologies. Patients with organic lesions will be treated by voice surgery techniques that include microlaryngoscopy laser treatment and thyroplasty for medialisation of paralysed vocal cords. Following surgery, the Speech and Language Therapist gives voice rehabilitation as required. Digital image capture technology and laryngograph assessment of voice is used to analyse voice disorders and ensure appropriate therapy where surgery is not indicated.

Facial plastic surgery for facial skin lesions
Mr Salam has a particular interest in this area and has established the facial skin lesion Clinic. This clinic is a focus for patients with basal cell carcinomas or other skin lesions of the face that require surgical excision and local small flap reconstruction or skin grafting. Following referral by the GP patients are seen in the clinic and booked to have the facial skin tumour removed on a designated local anaesthetic operating list. For smaller facial lesions we also provide a ‘see and treat’ clinic at Ivry Street Practice where patients attend for assessment of their skin lesion and have surgery the same day.

Rhinoplasty and nasal deformity surgery
Mr Salam has established this service for patients with nasal deformities complaining of both nasal obstruction and cosmetic deformity following nasal trauma or fractures. There is a full database in the department for these patients. Their photographs before and after surgery are kept in the hospital database as digital images. The department runs a dissection course for the registrars in the eastern region to train them in the anatomy and techniques for this type of surgery.

Video nystagmography, eye tracking for vestibular diagnosis
The ENT Department has invested in sophisticated equipment to investigate patients with vestibular disorders. The Hearing Therapist and Hearing Services further support vestibular rehabilitation.