Nose Clinic

When Extensive Experience Does Make The Difference in Resolving Your Nose Problem

Sydney Nose Clinic is Australia’s first integrated nose clinic, based on the concept that an integrated or holistic approach to the management of nasal problems usually leads to optimal results.

Sydney Nose Clinic

The most common question asked is, who should come to the nose clinic? The answer to that is, if you are having significant nasal problems, blocked nose, runny nose, facial pain, seasonal or allergic rhinitis, if you have altered sense of smell or taste, if you have tried a variety of medical treatments that have not been effective, you are the ideal type of person to be assessed at our nose clinic.

For more information, download a Patient Information Brochure:

Sydney Nose Clinic is a specialist referral clinic, so you will need a referral from your GP to come.

What will happen at my appointment?

Any additional tests that you have had done, any additional X rays, a pithy history of your symptoms and previous treatment, is very helpful. Some of the areas that we question you about include: nasal airway, blocked nose, postural changes affecting your nasal patency, your sense of smell, your sense of taste, whether you have allergies, whether you smoke, whether you've had trauma to your nose.

After a thorough history is taken, in addition to the standard Ear, Nose and Throat examination, you will have telescopic examination of your nasal cavities. This is done after the application of local anaesthetic and a shrinking agent. Before a shrinking agent is applied to your nose, your airflow is assessed using a thermistoplate. Five minutes after the application of a shrinking agent, your nasal airflow is reassessed to assess the degree of mucosal reversibility, that is to say the degree to which the erectile tissue and/or lining in your nose shrinks after the application of appropriate medication.

Thereafter, endoscopic evaluation of your nose is undertaken; looking at certain specific structures in a sequential way. The inferior turbinate: this is the area that has more erectile tissue in your nose and is often associated with not responding to topical medication, to sensation of blocked nose.

What other tests or procedures might I need?

About 50 percent of people seen in the nose clinic need investigation by way of X-ray. The appropriate X-rays that we tend to perform are low dose CT scans of the nose and paranasal sinuses.

Many people suffering from blocked nose have either fixed or seasonal allergy. A screening blood test looking at your allergic profile is usually performed as a matter of routine, and if more detailed information is required, then skin prick tests are performed.

Nasal airflow studies are undertaken.

Management of Nose Conditions

For those people needing medical management, we have a range of boutique pharmacological preparations prepared for us by a compounding chemist, which we tailor to your need to facilitate optimal medical management of your condition.