The mouth can be examined directly using a bright halogen headlight. The introduction of a sterile rigid endoscope with an angled lens into the mouth, or a sterile flexible endoscope whose tip can be manually rotated in various directions, allows a very detailed inspection of the whole of the tongue base, lower pharynx and vocal cords.
Flexible laryngoscopy is carried out with the patient seated in an upright position and requires initial preparation of the nasal lining with a topical spray. Cophenylcaine, a surface local anaesthetic and decongestant, is sprayed into each nostril held open by a dilator speculum. This drug is absorbed very quickly and numbs and shrinks the nasal lining. Although the introduction of a flexible endoscope into the nasal cavity is an unusual feeling it is not unpleasant. The subsequent examination will take less than 5 minutes.
Rigid laryngoscopy requires a seated patient with their head extended forwards. It involves gently placing a metal tube with an angled lens and attached camera into the back of the throat to examine the vocal cords in detail. Active movements on phonation can be recorded to provide an accurate clinical record and to document changes after treatment.
As part of our on-going commitment to providing high standards of treatment to our patients, we are proud to be registered with the Care Quality Commission under the Care Standards Act 2000.
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Dr Gerald Brookes is regularly consulted by the media for his expertise. He has been interviewed by the Daily Mail, featured on Channel 4's Embarassing Bodies, looked after The X-Factor contestants and recently, appeared on BBC Radio 2 with Chris Evans.
Media: Channel 4
Adele was experiencing dizziness and balance problems so severe that she could barely function. In desperation, after consulting her GP to no avail, she got in touch with Channel 4’s Embarrassing Bodies team. The show then contacted Dr Gerald Brookes, who was able to diagnose her rare condition as Basilar Migraine.
Catherine Eade was having dizzy spells and balance problems. When inexplicably she started suffering memory loss too, she consulted Dr Gerald Brookes at The Harley Street ENT Clinic who correctly diagnosed her problem as benign paroxysmal positional vertigo (BPPV).
The Harley Street ENT Clinic looked after The X-Factor TV show contestants for many seasons. At the end of the 2010 season, Dr Gerald Brookes was interviewed by Nicky Broyd of Boots WebMD on the perils of high pressure performing.