President of the European Academy of Facial Plastic Surgery and a leading ENT surgeon, of Professor Saleh offers a selection of cosmetic and functional surgery to help patients solve their sinus and nose problems. 

Conditions treated by Professor Saleh include: 

  • Anosmia (loss of smell)
  • Atrophic rhinitis
  • Eustachian tube dysfunction (ETD)
  • Inverted papillomatosis of the nose
  • Nasal polyposis
  • Nasal septal abscess
  • Nasal septal perforation
  • Nosebleed
  • Sinusitis
  • Snoring

Treatments, operations and tests

Adenoidectomy is the surgical removal of the adenoids. They may be removed for several reasons, including impaired breathing through the nose and chronic infections or earaches. The surgery is common. It is most often done on an outpatient basis under general anesthesia. Post-operative pain is generally minimal and prevented with an abundance of icy or cold foods. The procedure can sometimes be combined with a tonsillectomy if needed.Adenoidectomy is not often performed on children aged 1-6, as adenoids help the body's immune system. Adenoids become vestigial organs in adults.
Polypectomy is the surgical removal of polyps (abnormal inflammatory tissue growths) that are located in the nasal passages. If polyps recur, it may be necessary to remove polyps from the deeper ethmoid, sphenoid, and maxillary sinus linings to provide longer-lasting relief. The polyps originate near the ethmoid sinuses (located at the top of the nose on both sides of the nasal cavity) and grow into the open areas of the nasal cavity. Large polyps can obstruct the airway and block drainage from the sinuses. Sinus infections can result from fluid accumulating in the blocked sinuses..
Small noses due to your family heredity… misshapen noses… mal-proportioned noses…overly wide or asymmetric nose shapes can be built-up and modified during your cosmetic nose surgery operation. Grafted tissues as well as modified implants can provide a new structure or framework and modified dimensions for your nose. Result? Your appearance is instantly improved, and you feel better about yourself.
The nose reshaping operation is carried out under general anaesthesia by a rhinoplasty surgeon and is carried out inside the nostrils so that there are no external scars; unless you decide to have the size or the nostrils reduced, in which case small scars around the sides of the nostrils, placed in the natural crease lines between nose and cheek, will be present. Rhinoplasty is one of the most sought after cosmetic procedures amongst men and women and the vast majority of patients undergoing rhinoplasty surgery gain a feeling of increased self confidence with improvement in their body image.
Septoplasty is a corrective surgical procedure done to straighten the nasal septum, the partition between the two nasal cavities. Ideally, the septum should run down the center of the nose. When it deviates into one of the cavities, it narrows that cavity and impedes airflow. Often the inferior turbinate on the opposite side enlarges, which is termed compensatory hypertrophy. Nasal obstructions caused by serious deviations frequently lead to chronic sinus problems. Turbinate reduction may also be advised to further enlarge the nasal cavities.
The turbinates are 3 ridges within the nasal passageway (nostrils) that help warm and moisten inhaled air. When they become swollen, many doctors recommend removing them via turbinate excision surgery. Making no cuts on the exterior of the nose, the surgeon removes the swollen tissue with a fine knife or laser from the inside of the nose. This tissue is sent to the laboratory for examination to determine the cause of the swelling. Nasal turbinate excision does not change the shape of the patient s nose. The nose often feels slightly sore and uncomfortable after nasal turbinate excision surgery.
The septum may be bent, perforated,or it has simply grown that way. People may complain of 'whistling' when breathing. The operation of Septoplasty is used to correct this abnormality in order to allow air to pass through either nostril more easily. Septoplasty is a common procedure and is not very painful. It is performed under general anaesthetic and lasts only about 20 to 20 minutes.
Functional endoscopic sinus surgery (FESS) is a surgical modality for some diseases of the nose and paranasal sinuses. It is the mainstay in the surgical treatment of sinusitis and nasal polyposis, including fungal sinusitis.FESS is a relatively recent surgical procedure that uses nasal endoscopes (using Hopkins rod lens telescopes) to minimize cutting and trauma to the skin. They provide good illumination of the inside of the head and can be introduced into the nose after anesthetising.FESS came into existence because of pioneering work of Messerklinger and Stamberger (Graz, Austria.).
LAUP is performed under local or general anaesthetic and is considered to be a safer, more economical and a more comfortable alternative to UPPP. It involves vaporising the free edge of the soft palate and uvula using a laser. Unlike UPPP, LAUP can be repeated in order to obtain the desired effect. The number of procedures needed varies with some patients requiring up to four sessions. The tonsils are not removed with this procedure. Although laser surgery is associated with fewer complications than UPPP, post-operative pain is still reported as being severe.