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Paediatric acute rhinosinusitis – advice to doctors and parents

Dr Roth gives an outline of the current recommendations for the diagnosis and management of paediatric acute rhinosinusitis for primary care physicians.  Definition of paediatric acute rhinosinusitis Paediatric acute rhinosinusitis is one of the most common problems present to primary care practitioners across the world.  Paediatric acute rhinosinusitis is defined as the sudden onset of […]

Revision rhinoplasty – Dr Roth explains what is involved.

Why would I consider a revision rhinoplasty procedure? Rhinoplasty is often considered the most complicated cosmetic procedure and also the most complicated nose and sinus procedure. Often despite our best planning, rhinoplasty surgical techniques and post-operative care, over time things do not end up how we expect them. Even when surgery is performed in the […]

The droopy nasal tip, Dr Roth explains how it is fixed

A droopy nasal tip, what is it? A droopy nasal tip is when the tip of the nose points downwards instead of pointing forwards or being slightly elevated. It is most common when the aging process begins as the nasal tip supports becomes weaker and the nose seems to “grow”. An old saying is that “the […]

Functional rhinoplasty – how can it help me?

A functional rhinoplasty is one that is undertaken to improve the function of the nose. The main function of the nose is breathing but when things are not working are number of other problems can occur. These problems include nasal congestion, snoring, sinus problems including infections and pain, ear blockage and nose bleeds. A functional rhinoplasty […]

Corticosteroids in ENT

When you are prescribed a steroid medication, this usually means a “corticosteroid” medication. Corticosteroid medications are very useful medications that are widely used in medicine. They are used as part of treatment for a number of Ear, Nose and Throat conditions. Like all medications they have some side effects. These can occasionally be serious but […]

Boxy nasal tip

The “boxy” nasal tip is a common finding that patients wish to change in a rhinoplasty. It is caused by nasal tip cartilages forming in a broad, squared-off shape when viewed from below. This often makes the lower third of the nose appear very large compared to the remainder. The ideal appearance of the nose […]

Bulbous nasal tip

A common request during cosmetic rhinoplasty is to remove or refine a bulbous or rounded nasal tip. What causes a bulbous or rounded nasal tip? A bulbous nasal tip can be caused by the shape and thickness of the nasal tip skin or by the shape and orientation of the tip cartilages underneath the skin. […]

Blocked ear sensation

The sensation of a blocked ear is a very common reason patients present to an ear, nose and throat specialist. Just about everybody experiences this at some point in their lifetime. When the feeling persists it can become distracting, painful or interfere with hearing. The list of causes of a blocked ear is very extensive. […]

Lump in the throat sensation – globus pharyngeus

The feeling of a lump in the throat or the sensation of a foreign body stuck in the throat is one of the commonest reasons people seek a consultation with an ear, nose and throat specialist. The symptom often causes significant anxiety as people naturally “assume the worst”, that it may be a symptom of […]

Case study – Tamara

*Individual results may vary. *Individual results may vary. What was your initial reason to see Dr Jason Roth? A couple of days before Christmas in 2013 I had a surfing accident and broke my nose. At Manly Beach, 6pm on the last Friday before Christmas, I hailed down a local surfer to drive my surfing […]