Image-guided sinus surgery

Image-guided sinus surgery
Spire Cambridge Lea Hospital is pleased to introduce image-guided sinus surgery.  

What is image-guided sinus surgery?
This is a technology which allows your pre-operative CT scans to be correlated with the actual position of the surgical instruments during surgery.

Why is this important?
Sinus anatomy is highly variable and a pre-operative scan is therefore essential in order to prevent damage to important neighbouring structures such as the eye and the skull base during sinus surgery. This enables the surgeon to orientate themselves during the operation using constant anatomical landmarks. Unfortunately these land marks may not always be present either because they were removed during previous surgery or where they are obliterated by sinus disease. In these cases there is a higher risk of operative complication and surgery tends to be less complete eg residual polyps may be left. Image-guided sinus surgery overcomes these problems and allows for safer surgery and a complete removal of disease.

Who will benefit from image-guided sinus surgery?
Patients who have extensive nasal polyposis and may have had numerous previous surgeries. A more complete clearance of your polyps will facilitate medical management of your polyps with topical nasal steroids for example and prevent a rapid recurrence of symptoms.

Insured Patients
Your GP will write a letter of referral and then you can contact us on 01223 266990 to arrange your first out-patient appointment.

Self Pay Patients

For self-pay treatments, simply call us on 01223 266929 to request a guide price or to discuss your personal situation.

About Mr David McKiernan

After pursuing Higher Surgical Training in London and Fellowships at centres of excellence in mainland Europe Mr David McKiernan was appointed Consultant to Addenbrooke's and West Suffolk Hospitals NHS Trusts in 2002. He established the Nose Clinic at Addenbrooke's in 2003 and helped to set up the Combined ENT/Nasal Allergy Clinic in 2006.

As well as providing medical management for the full range of ENT problems, Mr McKiernan has established a subspecialist interest in rhinoplasty and rhinological surgery for patients with nasal deformity, nasal obstruction, polyps and recurrent sinusitis.



About Mr James Tysome


Mr Tysome read preclinical medicine at Cambridge University and clinical medicine at University College London. His ENT training took place in the London region including Guy’s and St. Thomas’, St.Bartholomew’s and The Royal London and Great Ormond Street Hospitals. He undertook a Skull Base fellowship at Cambridge University Hospitals before working as a Clinical Instructor at Stanford University School of Medicine in California, USA, where he gained further experience of skull base surgery, cochlear implants and transoral robotic surgery.

Since his comprehensive skull base training included advanced otology, endoscopic rhinology and open head and neck surgery, he is well equipped to deal with any ENT disease in both adults and children. He is also one of the few ENT surgeons in the UK trained to use the da Vinci robot for transoral robotic surgery.


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The Cambridge Nose Clinic

Spire Cambridge Lea Hospital is pleased to be the only private hospital in East Anglia to offer image-guided nasal surgery to patients under the care of Mr David Mckiernan, Consultant Rhinologist and ENT Surgeon. 

For patients suffering with:
Recurrent Nasal Polyps
Patients with recurrent facial pain
Patients with recurrent sinusitis and infections

Click here to read more

© Spire Healthcare Group plc (2016)