Mr Tony Jacob

Mr Tony Jacob
Otolaryngology / ENT
East London


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Mr Tony Jacob

Otolaryngologist in
London &
Sevenoaks

FRCS MSc (ORL-HNS)

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Mr Tony Jacob areas of expertise:

Professional statement

Mr Tony Jacob is a distinguished consultant ENT surgeon based in London, specialising in paediatric otolaryngology, thyroid gland surgery, salivary gland disease and throat cancer. He has gained paediatric experience from renowned sites Great Ormond Street Hospital for sick children, and the Paediatric ENT unit at St Thomas' Hospital.

In addition to his vast experience working in most of London's teaching hospitals, and clinical experience gained in North America, Mr Jacob has published many peer reviewed papers and has been involved in teaching and training junior doctors.
 

 Videos of doctor

Throat cancer - symptoms, diagnosis, an...

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 Doctor's articles

head and neck cancer
Are you at risk of developing throat ca...

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 Credentials

GMC: ‍4468855

NRS (Sanitary Registry Nº): MSc FRCS FRCS (ORL-HNS)

 Professional experience

• More than 25 years of experience
• ENT surgeon at London ENT Surgeons (present)
• Clinical Director for ENT & Head and Neck Services at Lewisham and Greenwich NHS Trust
• Lead for Thyroid and Parathyroid Surgery at Lewisham and Greenwich NHS Trust

 ...

 Sub-specialties

• Paediatric ENT
• Thyroid disorders

 Teaching posts

• Teacher and trainer of junior doctors
• National and international lectures

 Education

• Graduated in Medicine (1991)
• Fellowship of the Royal College of Surgeons, London (1998)
• MSc Bristol University (2003)

 ...

 Publications and conferences

• Has published many peer reviewed papers

 Prizes and awards

• Gold medal by the Royal Society of Medicine for an outstanding performance at the intercollegiate exit exam for Otolaryngology and Head & Neck Surgery (2003)
• Awarded his Masters degree by the University of Bristol

 Professional membership

• Member of British Medical Association
• Member of Medical Protection Society
• Member of General Medical Council
• Member of Royal College of Surgeons of England ENT UK
• Member of British Association of Endocrine Surgeons

 ...

Languages spoken

  • English
  • Hindi
  • Malayalam
  • Tamil

Patient reviews for Dr. Tony Jacob

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Patient reviews

Verified Patient
18/04/2017

Would you recommend this doctor?

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Diseases, Medical Tests and Treatments

Dysphagia

Dysphagia, or discomfort when swallowing, refers to difficulty in swallowing or swallowing food, and is most common in elderly patients. In many cases ...

Paediatric ENT

What is paediatric ENT? ENT is a medical subspeciality that deals with the prevention, diagnosis, and treatment of conditions that affect the ear, ...

Rhinitis

What is rhinitis? Rhinitis is a condition where the nasal mucosa becomes inflamed. The nasal mucosa is the lining of the inside of the nose. This i ...

Sinusitis

What is sinusitis? Sinusitis is a condition characterised by inflammation of the paranasal sinuses which are the cavities located behind the forehe ...

Throat cancer

What is throat cancer? Throat cancer, also known as pharyngeal cancer, is a form of cancer characterised by the presence of malignant tumour cells in the throat. There are various types of pharyngeal cancer, which include: Nasopharynx cancer – when it affects the upper part of the throat behind the nose Oropharynx cancer – when it is located in the middle part of the throat Hypopharynx cancer – when the cancer is in the lower part of the pharynx Laryngeal cancer – affects the larynx (the voice box) There are also another two types of throat cancer: Adenocarcinoma – affects the glandular cells, but this is a rare form. Squamous cell carcinoma – a more common form of throat cancer which affects the cells lining the throat. What are the symptoms of throat cancer? The symptoms of pharyngeal cancer depend on the location and extent of the tumours, but in all cases a lump (nodule) may appear in the neck. Some common signs and symptoms can include: Earache Pain or difficulty when swallowing A sore throat Weight loss A cough or feeling like you always need to clear your throat Changes in the sound of your voice Blood in the saliva Dysphonia, also known as hoarseness What causes throat cancer? Pharyngeal cancer, like all types of cancer, is caused by abnormal cell mutation and its reproduction. There are certain risk factors that can increase the chances of this type of cancer developing: Smoking Excessive alcohol consumption Exposure to asbestos HPV A poor diet Gastroesophageal reflux  Can throat cancer be prevented? Specialists recommend quitting smoking. It is also advisable to reduce the consumption of alcohol and follow a healthy lifestyle, which consists of eating properly and doing physical exercise on a regular basis. It is also advised to reduce the risk of HPV, by having safe sex and using protection. How is throat cancer treated? Treatment for throat cancer varies according to the type of throat cancer present. If the tumour is located in the nasopharynx, chemotherapy and radiotherapy sessions are recommended; for tumours of the oropharynx and hypopharynx, the patient will undergo surgical intervention if the tumour is small; and finally, the lumps of the neck can be removed with surgery, which will be accompanied by chemotherapy and radiotherapy. In some cases, a portion of the voice box will have to be removed surgically in a procedure called a laryngectomy. If diagnosed early enough, throat cancer has a good survival rate, however, if diagnosed in later stages when the cancer has likely metastasised to other parts of the body, treatment focuses on prolonging life and slowing the progression of the cancer. ...

Thyroid gland surgery

What is thyroid gland surgery? Thyroid gland surgery is a treatment for a number of thyroid problems. The thyroid gland sits in the neck and secretes hormones that regulate the body’s metabolism. For conditions that affect the gland, thyroid gland surgery is the recommended treatment and all or part of the thyroid may be removed. The procedure is known as a thyroidectomy. Why would you do it? Thyroid problems are common. There are a number of conditions that can arise with the thyroid gland and many of them can be treated with medication. In some cases however, thyroid gland surgery is recommended to treat a range of conditions that affect the gland, including cancer, Grave’s disease, recurrent cysts or goitres (swelling due to an enlarged thyroid gland) that are problematic. What does it involve? The procedure usually involves removing all or a portion of the thyroid. A total thyroidectomy would involve removing the whole gland, whilst a lobectomy is the removal of half of the gland. Sometimes an isthmusectomy is performed to remove the central part of the gland. The portion of the thyroid that is to be removed will depend on the nature and extent of the condition. There are three main types of surgery. Conventional surgery involves making an incision in the neck through which all or the required portion of the thyroid is removed. Endoscopic thyroid surgery involves the use of video cameras inserted through small incisions to guide the surgeon performing the operation. In more recent times, a robotic thyroidectomy has been used, which allows the operation to be performed through incisions in the chest or armpit, avoiding incisions in the middle of the neck. In all cases, thyroid gland surgery will be carried out under a general anaesthetic. How to prepare for it As with any operation, a patient will be assessed for their suitability beforehand. Patients may also be required to stop eating for a period before surgery. Post-operative care In most cases, it is possible to leave the hospital in a few days. It is important to avoid putting strain on the neck for a few weeks following the operation. Neck pain and voice problems are not uncommon but usually resolve by themselves.  In the case of a total thyroidectomy, where the whole thyroid gland is removed, the patient will need to take medication to compensate for the hormone usually produced by the gland itself. For a partial thyroidectomy, the remaining portion of the thyroid will often compensate for the entire gland over time and medication may not be needed.  ...

Dysphonia

Dysphonia is a disorder characterised by an alteration of the timbre of the voice (difficulty in speaking) which can be due to various organic or functional causes of the larynx and vocal cords. When it occurs in children, it can come from neurological disorders, malformations of the larynx, laryngeal papillomatosis caused by viral infections, or from the voice being overly strained. The latter is the most common cause of dysphonia in adults, and that an untreated hyperfunction voice can produce other pathologies such as nodules or polyps on the vocal cords. In addition, other factors that can trigger dysphonia: gastro reflux, smoking, infections such as laryngitis or tuberculosis, neurological disorders or tumours of the larynx. ...

Endoscopic sinus surgery

What is endoscopic sinus surgery?       Sinus surgery was typically performed in the past using external incisions, which caused discomfort and a significant amount of pain to the patient. Nowadays, however, endoscopic sinus surgery tends to be the standard surgery performed for conditions such as chronic sinusitis. In endoscopic surgery, a small telescope with a camera on the end is inserted up the nose to view the area to be operated on. This surgery is used to treat injuries or abnormalities that alter normal nose function or surrounding structures. Surgery is done under general anaesthetic.      Why would you do it? This surgery is done when there is chronic nasal and sinus inflammation, especially in chronic sinusitis, nasal polyps, or acute recurrent sinusitis that has not responded well to medical treatment. The treatment aims to restore normal nasal sinus function through a minimally invasive surgical procedure. This surgery is also used for septoplasty, turbinate surgery, closure of cerebrospinal fluid fistulas, and orbital decompression among others.         What does it involve?     A nasal decongestant should be used before dissecting the nose. A thin optic fibre is inserted in the nasal fossa to be able to view the sinus openings. With the right tools, the abnormal or obstructive tissue is resected. After surgery any bleeding points will be checked on, and in some cases nasal packing will be done to prevent haemorrhages, or silicone sheets will be placed to prevent the walls sticking to each other and forming anomalous scars.      Surgery tends to last between 1 and 3 hours depending on the complexity of the case. The nasal cavities are blocked with coagulant foam and special sponges that dissolve, or plugs that can be taken out easily.   How to prepare for it Before surgery a sinus CT scan will be done to be able to plan the best form of treatment. Preoperative tests will also be carried out, as the surgery is done under general anaesthetic. The patient is normally in for a short stay surgery, they are only there one night. The patient should fast for 6 to 8 hours before the procedure.    Post-operative care The nose is usually blocked, so the patient can’t breathe through it. Bleeding may occur, so a gauze is placed under the nose, although it’s not always needed. For the first 3-4 days, the patient is advised not to; smoke, drink alcohol, or physically exert themselves. Patients are also told to rest at home, avoid blowing their nose, and sit in a position that reduces blood flow to the head, head congestion, and bleeding. Patients should follow a soft food diet and drink plenty of fluids for throat dryness due to nasal packing. It is not a painful procedure, but it can cause discomfort. Anti-inflammatory medication is generally prescribed. Antibiotics may also be prescribed to prevent an infection of the retained mucus.    ...

Tonsillitis

What is tonsillitis? Tonsillitis is an inflammation of the tonsils that are located at the back of the throat. It is very common in children and adolescents, but adults can suffer from tonsillitis too. What are the symptoms of tonsillitis? If you have tonsillitis, your tonsils will be red and swollen. You will also have a combination of the following symptoms: A sore throat A fever (temperature of 38C or over) A headache Fatigue Nausea Difficulty swallowing Earache White pus-filled spots on the tonsils Swollen glands in the neck What causes tonsillitis? Tonsillitis is caused by a viruses or bacterial infection. Streptococcal tonsillitis is the most common cause. The tonsils are vulnerable to infection because they are one of the body’s first lines of defence in the immune system. Can tonsillitis be prevented? Tonsillitis can be prevented by practising good hygiene: Not sharing eating and drinking utensils. Avoiding contact with those infected. Washing hands frequently. How is tonsillitis treated? If your tonsillitis is caused by a virus, then at-home care is the only treatment for recovery. The following can be used to promote a quicker, more comfortable recovery: Throat lozenges Rest Staying hydrated Avoiding caffeine Gargling with salt water Using painkillers to manage discomfort If your tonsillitis is caused by a bacterial infection, then you will be prescribed a course of antibiotics. These must be taken as instructed, and the full course finished. People who suffer from tonsillitis frequently are advised to have the tonsils removed. If an abscess forms between the tonsils (this is called a quinsy), see a doctor, as this may need to be drained. ...

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Source: All information contained on this page as well as office hours available, are provided directly by the doctor who has the ability to update them at all times in order to keep the information as accurate as possible.
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