Surgical Procedures

A brief description of the surgical procedures performed by Professor Ghassan Alusi. For further details and information please contact our practice directly. 

Mr Alusi is operating at the following hospitals:

• Bupa Cromwell
• Weymouth Street
• Wellington
• Harley Street Clinic (paediatric)

Nose and nasal cavity

Septorhinoplasty/Rhinoplasty

Rhinoplasty is the correction of an external deformity of the nose, including cosmetic. During a rhinoplasty the nasal cartilage and bones are modified or tissue is added. When a septorhinoplasty is performed, the rhinoplasty aims at reshaping the nose – while septoplasty corrects a deviated septum to restore normal breathing function

Septoplasty

Septoplasty is the correction of a septal deviation, where the nasal septum is straightened and repositioned in the middle of the nose. This type of surgery aims at relieving blockage of the nose and restoring normal breathing.

Nasal septum cauterisation

This treatment is applied in order to stop nose bleeds. During cauterisation, heat is applied to a bleeding point and this seals the blood vessel by burning it slightly. As a result, the blood flow stops. This procedure could be performed under local or general anaesthetic.

Endoscopic sinus surgery

There are a wide range of operations that are performed endoscopically to ventilate and improve drainage of the Maxillary, Ethmoidal, Frontal and Sphenoid sinuses.

Image guided/computer aided endoscopic sinus surgery

Computers are used to navigate inside the nose endoscopically. This becomes necessary when the anatomy is particularly distorted with disease or previous surgery. It improves the safety and reduces complications.

Ballon sinuplasty

A balloon is used to widen the entrance of the sinus to improve ventilation.This is minimally invasive and can be performed with Endoscopic Sinus Surgery.

Transnasal repair of leaking CSF

This is performed endoscopically using autologous cartilage graft or synthetic material.

Manipulation under anaesthesia of fractured nose

Cranio-facial resection

This surgical procedure excises sinonasal and skull base tumours. This is generally performed together with a Neurosurgeon

Ear

Mastoidectomy

This is the removal of the mastoid air cells, which lie behind the ear. It is usually needed to treat an infection.

Meatoplasty

Enlargement of the external auditory canal

Tympanoplasty/Myringoplasty

Repair of perforated tympanic membrane

Myringotomy/Grommets

Insertion of ventilation tubes into the tympanic membrane

Throat

Adenoidectomy

Procedure to remove the adenoids

Tonsillectomy (Adult/Children)

This can be performed in the traditional way or using a CO2 laser, which reduces the pain associated with traditional surgery. However, the downside of the procedure is the potential for regrowth, as some tonsillar tissue is left behind.

Larynx

Laser surgery to vocal cord/Microlaryngoscopy

These procedures to remove lesions from the vocal cords and to treat field changes affecting the lining of the vocal cords. They require jet ventilation and a microscope to visualise cords and help deliver laser beam accurately.

Face and Jaws

Partial or Hemi maxillectomy

Removal of part of the upper jaw

Lips

Excision of lesion of lip

Tongue

Partial glossectomy for malignancy

Palate

Excision of lesion of palate

Uvulopalatoplasty

The purpose of this procedure is to reduce snoring.

Salivary glands

Excision of submandibular gland

This excision removes stones/chronic inflammation and tumours.

Parotidectomy (partial or total)

Partial or total parotidectomy removes part or the whole of the parotid gland as a treatment for tumours.

Neck

Radical or selective dissection/resection of cervical lymh nodes

Operations on branchial cyst

Thyroid and parathyroid glands

Hemi/Total thyroidectomy

This procedure removes part or the whole of the thyroid gland for conditions such as the enlargement of the gland, tumours, and lesions for diagnosis. It also treats hyperthyroidism that cannot be treated with radio-iodine.