Our practice manages all ear, nose and throat conditions. Our main interest is Rhinology, focusing on treating all sinus and nose diseases or disorders in both children and adults. We follow the latest evidence-based medicine guidelines and we utilise state-of-the-art medical technology to provide comprehensive, high-quality, exemplary patient care.
Our specialised services include:
Comprehensive Ear, Nose & Throat Care
The Cape Town ENT Sinus & Skull Base Surgery team is a specialized Rhinology practice that focuses on all sinus and nose conditions, including “difficult to treat” conditions, which is one of our specialities. We treat and manage common inflammatory conditions, such as allergic rhinitis, acute and chronic sinusitis, nasal polyps and fungal sinusitis. These conditions often present with symptoms such as blocked nose, runny nose, inability to smell (anosmia), post-nasal drip, chronic cough, frontal headaches and facial pain or pressure. We also treat patients with functional disorders of the nose, such as snoring, obstructive sleep apnea and deviated nasal septum. The care we provide is patient-centred and we offer both medical and surgical options.
Our specialized practice offers expertise in the management and treatment of:
- Benign or malignant tumours of the nose, sinuses and skull base, which is the area in and around the brain. Examples of some tumours include inverting papilloma, juvenile angiofibroma, ossifying fibroma, squamous cell carcinoma, mucosal melanoma, salivary gland malignancies, fibrous dysplasia, ossifying fibroma, chordoma and olfactory neuroblastoma.
- Pituitary tumours, and tumours in and around the pituitary gland. This is managed by a multidisciplinary team made up of an ENT surgeon, neurosurgeon and endocrinologist.
- Cerebrospinal fluid (CSF) leak (fluid surrounding the brain leaking into the nose) as well as advanced surgical expertise to repair CSF leaks
Advanced Endoscopic Sinus, Skull base & Tumour Surgery
Transorbital Endoscopic Surgery
Transorbital Endoscopic Surgery was popularised by Kris Moe in 2010. It is the minimally invasive surgical technique of creating corridors around the eye to gain access to the sinuses, orbit (eye) and brain. It offers the advantage of being able to bypass traditional surgical techniques, such as craniotomy (opening of the skull). Professor Lubbe is the leading international expert in the field and has published numerous papers in peer reviewed journals. Transorbital endoscopic surgery is an option to treat numerous conditions such as:
- Sphenoid wing meningioma
- Thyroid eye disease, which causes protrusion of the eyes and loss of vision. Transorbital Endoscopic Surgery allows for orbital decompression (releases pressure around the eye)
- Nasal tumours
- Optic nerve decompression (loss of vision due to compression on the optic nerve)
- Fibrous dysplasia
- Optic nerve tumours
- Repair of spontaneous CSF leak from Sternberg’s canal
Our practice offers specialised nasal and sinus care for children, which includes:
- Snoring or noisy breathing
- Inflammatory conditions, such as allergic rhinitis, acute and chronic sinusitis, nasal polyps)
- Nose bleeds (epistaxis)
- Nasal tumours – benign or malignant
- Congenital conditions such as choanal atresia, pyriform aperture stenosis, encephalocele, nasal dermoid and blocked nasolacrimal duct
- Cystic fibrosis
- CSF leak
Common presenting symptoms include blocked nose, noisy breathing, sneezing, itchy nose and ears, runny nose, post nasal drip, snoring, mouth breathing, chronic cough, facial pressure or pain, headaches, proptosis (protrusion of the eye) and nose bleeds.
