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Case of the day - postnasal drip

Postnasal drip, when patients have the sensation of fluid going down the back of the nose and into the throat, is quite a common symptom in the clinic. Often caused by allergy and/or sinus disease, the diagnosis is often one of exclusion since there is not much to be seen on examination. However, with the new High Definition digital endoscope we have, it is possible to directly inspect the postnasal space from below, revealing the posterior ends of the inferior turbinate far more clearly than if looking down the nose from the front. The picture below shows a swollen and inflamed posterior end of the inferior turbinate, at the posterior choana (the very back of the nose). With this diagnosis it was possible to immediately start the correct treatmernt.


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© 2020 by Mike Dilkes ENT Laser Surgery

General Medical Council: 3096325

Mike Dilkes is a leading ENT surgeon based in London. He specialises in laser surgery for treatment of a range of Ear, Nose & Throat issues including tonsillitis, tonsil stones, snoring, sleep apnoea, cancers, catarrh and allergies. Typical treatments include laser tonsillectomy under local anaesthetic (also called tonsillotomy, tonsil resurfacing, tonsil crytolysis) or general anaesthetic (also called intracapsular laser tonsillectomy, inside-out laser tonsillectomy), palatoplasty, septoplasty, turbinoplasty, uvulectomy and posterior turbinoplasty for post nasal drip. Principal Mike Dilkes has over 20 years of consultancy experience and around 5,000 ENT operations and procedures performed.