Daytime Mouth Breathing in Kids – Is It a Sign of Airway Problems?
Many parents first notice daytime mouth breathing when they look at photos of their child…
If you have ever struggled to breathe through your nose, woken during the night unable to get enough air, or found yourself unable to keep up with basic exercise because your nasal passages feel permanently blocked, you will understand just how significantly airway problems can affect everyday life. For many people in Melbourne and across Victoria, these symptoms are not simply inconvenient – they are chronic, progressive, and deeply disruptive to sleep, energy, concentration, and general wellbeing. Yet despite the impact these conditions have, a great many patients wait years before seeking a specialist opinion, often assuming that nasal obstruction is simply something they have to live with.
The reality is that most structural nasal problems have a clear anatomical cause – and that cause can now be identified with a high degree of precision using two complementary diagnostic tools: CT scanning and nasal endoscopy. At Melbourne ENT Group in St Kilda East, Dr Simon Braham, ENT and Head and Neck Surgeon, uses both of these investigations as part of a comprehensive nasal airway assessment for patients presenting with breathing difficulties, sinus disease, recurrent infections, or symptoms that may benefit from functional rhinoplasty. Together, these tools allow Dr Braham to build a detailed, three-dimensional picture of each patient’s nasal anatomy before any treatment decision is made.
This article explains what CT scanning and nasal endoscopy involve, what each investigation reveals, why using both together leads to more accurate diagnosis and better surgical planning, and what the assessment process looks like for both adult and paediatric patients at Melbourne ENT Group. Whether you are exploring your options for the first time or have already been referred by your GP, understanding how your nasal airway is assessed is an important first step on the path towards effective, lasting relief.
Functional rhinoplasty is a term that is often misunderstood, partly because the word rhinoplasty is so strongly associated in the public mind with cosmetic nose reshaping. In clinical practice, however, functional rhinoplasty refers specifically to surgery performed on the nose with the primary goal of improving nasal breathing and airflow. The external appearance of the nose is not the focus. The target is the internal architecture – the structures that govern how air moves through the nasal passages with every breath.
This distinction matters significantly when it comes to diagnosis, surgical planning, and Medicare eligibility. Functional rhinoplasty targets the internal nasal structures that are responsible for obstructed airflow – most commonly the nasal septum, the turbinates, and the nasal valves. When any of these structures are abnormal in shape, size, or position, the result is restricted airflow that can range from mild and intermittent to severe and constant. The degree of obstruction, its precise anatomical location, and the relationship between different contributing factors all need to be understood before surgery is planned – which is precisely why imaging and endoscopic assessment are indispensable.
It is also worth noting that functional and cosmetic rhinoplasty are frequently performed together in a single procedure when a patient has both structural breathing concerns and aesthetic goals. In these combined cases, the diagnostic workup is identical to that for purely functional surgery – every surgical decision must be grounded in objective anatomical evidence. Dr Simon Braham, ENT and Head and Neck Surgeon at Melbourne ENT Group, has subspecialty training in both functional nasal surgery and rhinoplasty, making him well placed to manage the full spectrum of nose surgery.
The range of patients who present to Melbourne ENT Group seeking assessment for functional nasal problems is broad. Some have been living with a deviated nasal septum since childhood, often following a sports injury or other nasal trauma that was never formally treated. Others have noticed a gradual worsening of nasal obstruction over the years, sometimes linked to allergic rhinitis or chronic sinusitis. Some patients are referred specifically because conservative treatments – saline rinses, nasal steroid sprays, allergy management – have been tried and have not provided adequate relief.
The most common structural causes of nasal obstruction that lead patients to consider functional rhinoplasty include a deviated nasal septum, collapse of the internal or external nasal valve, hypertrophy of the inferior turbinates, or a combination of these problems occurring simultaneously. Many patients do not realise that their symptoms may have more than one contributing cause – which is one of the key reasons a thorough, multi-tool diagnostic assessment is so valuable. Symptoms that commonly prompt a referral include persistent nasal blockage on one or both sides, habitual mouth breathing, difficulty breathing during exercise, chronic nosebleeds, snoring, disrupted sleep, recurrent sinus infections, and a reduced or absent sense of smell.
A question that arises frequently in consultations at Melbourne ENT Group is the difference between functional rhinoplasty and cosmetic rhinoplasty. Functional rhinoplasty targets internal nasal structures that affect breathing – the septum, turbinates, and nasal valves. Cosmetic rhinoplasty addresses the external appearance of the nose, including the shape of the bridge, the nasal tip, the nostrils, and overall facial proportion. These are distinct surgical aims, though they are very commonly pursued together in a single combined procedure when a patient has both structural breathing concerns and aesthetic goals.
When a combined procedure is performed, the pre-operative assessment process is just as rigorous as for purely functional surgery. CT imaging and nasal endoscopy document the structural basis for the functional component, while computer imaging may be used to discuss cosmetic goals. This distinction is also important for Medicare and health fund rebate purposes – the rebate applies only to the functional component of any combined procedure.
Computed tomography – more commonly known as a CT scan – uses X-rays taken from multiple angles to produce detailed, layered, cross-sectional images of the body’s internal structures. When applied to the nose and sinuses, a CT scan generates a precise, three-dimensional map of the bony framework of the nasal cavity, the paranasal sinuses, and the soft tissues contained within them. This level of anatomical detail is simply not achievable through physical examination or plain X-ray, and it forms an essential part of the pre-operative workup for patients considering functional nasal surgery or functional rhinoplasty in Melbourne.
The information provided by a sinus CT scan goes far beyond what any clinician can see or feel during a consultation. It reveals the architecture of the nasal cavity in its entirety – from the front of the nose to the back of the sinuses – and allows Dr Braham to identify abnormalities with a precision that directly shapes the surgical plan. At Melbourne ENT Group, CT images are reviewed and discussed with each patient during the consultation, giving patients a clear visual understanding of what is happening inside their own nasal passages.
A sinus CT scan provides detailed information across a wide range of anatomical structures. The degree and direction of nasal septal deviation is one of the most important findings – CT reveals not only whether the septum is deviated, but precisely where the deviation is most significant, whether it involves bone or cartilage or both, and whether any associated septal spurs are likely to be contributing to obstruction. This level of detail is essential for planning septoplasty.
The size, shape, and position of the turbinates are clearly visible on CT. Enlarged inferior turbinates are one of the most common causes of nasal obstruction, and CT allows Dr Braham to assess their size, their relationship to the septum, and the degree to which they are narrowing the nasal airway. A concha bullosa – a pneumatised cavity within a turbinate, most commonly the middle turbinate – is also readily identified on CT and may itself contribute to obstruction or sinus drainage problems.
The sinus drainage pathways are another critical area of CT assessment. The ostiomeatal complex – the anatomical region through which the maxillary, frontal, and anterior ethmoid sinuses drain into the nasal cavity – is clearly visible on coronal CT images. Any narrowing, blockage, or anatomical variation in this area can impair sinus ventilation and drainage, predisposing patients to recurrent sinusitis. CT also reveals the extent of any existing sinus disease, including mucosal thickening, opacification, polyps, cysts, and fluid retention.
For patients with a history of nasal trauma, CT is particularly valuable in assessing the bony architecture of the nasal pyramid and septum, identifying old fracture lines, and quantifying any displacement of the nasal bones. The internal nasal valve angle can also be measured on reformatted CT views, providing an objective assessment of valve narrowing that complements the clinical examination.
A sinus CT is generally a brief imaging examination that provides detailed views of the nasal and sinus anatomy. For more information about when sinus CT may be recommended, what it can show and what to expect during the scan, read our detailed guide to sinus CT scans for sinus problems.
While a CT scan provides a detailed map of the bony and structural anatomy of the nasal cavity and sinuses, it cannot fully capture the dynamic, soft-tissue details of the nasal lining, the behaviour of the nasal valve during breathing, or the precise nature of mucosal changes within the nasal passages. This is where nasal endoscopy – a direct, real-time visual examination of the interior of the nasal cavity – plays an indispensable and complementary role.
Nasal endoscopy involves the careful introduction of a thin, rigid or flexible telescope – called an endoscope – into the nostril. The endoscope is connected to a high-definition camera that transmits a magnified, brightly illuminated video image to a monitor in the consulting room. Dr Braham is then able to navigate through the nasal cavity in real time, examining structures that are simply not accessible to the naked eye or a standard headlight examination. The level of magnification and illumination provided by modern rigid endoscopes is remarkable – the clinician can clearly visualise the mucosal lining, identify areas of inflammation or scarring, assess the behaviour of the nasal valve, and evaluate the openings to the sinus cavities with a degree of precision that was not possible before the widespread adoption of nasal endoscopy in ENT practice.
Nasal valve collapse – the inward buckling or narrowing of the nasal sidewall that reduces airflow through the narrowest point of the nasal passage – is one of the most clinically significant findings on endoscopy. This is a condition that is frequently underdiagnosed because it is dynamic: the nasal valve may appear adequate on imaging but collapse significantly during the increased airflow of normal breathing. Direct visualisation through the endoscope, combined with the Cottle manoeuvre, allows an accurate assessment of both the presence and severity of valve dysfunction that cannot be reliably obtained from CT images alone.
The extent and precise position of nasal polyps is another area where endoscopy provides information beyond what CT alone can offer. While CT identifies areas of opacification consistent with polyp formation, endoscopy allows direct visualisation of the polyps themselves – their size, texture, and the specific area of the nasal cavity or sinus opening they are occupying. Mucosal inflammation, oedema, or scarring from previous nasal surgery is clearly visible on endoscopy in a way that CT cannot adequately capture. In patients who have had prior nasal operations, the endoscopic findings are particularly important – adhesions and areas of mucosal distortion can all contribute to ongoing obstruction and require specific surgical attention.
The middle meatus – the region through which several of the major sinuses drain – is another area of critical endoscopic assessment. Narrowing, mucosal disease, or anatomical variants in this region can impair sinus drainage and perpetuate chronic sinusitis even when the CT scan shows relatively modest disease. Areas of active bleeding, crusting, or ulceration are also clearly identified on endoscopy and may prompt further investigation to exclude rarer causes of nasal symptoms.
For the great majority of patients, nasal endoscopy is very well tolerated, particularly when performed by an experienced surgeon using appropriate preparation. Before the endoscope is introduced, a topical local anaesthetic spray is applied to the inside of the nose. Many clinicians also apply a topical decongestant at the same time, which shrinks the nasal mucosa and makes passage of the endoscope considerably easier and more comfortable. Most patients experience a mild pressure sensation, but significant pain is uncommon. The entire examination at Melbourne ENT Group typically takes only a few minutes, and results are discussed with the patient immediately afterwards. There is no recovery time required, no sedation, and no need for a hospital setting.
Nasal endoscopy also plays an important role in post-operative monitoring. Following nasal surgery, Dr Braham uses endoscopy at scheduled follow-up appointments to assess healing, identify any early adhesion formation, clear crusting from the surgical site, and confirm that the nasal airway is recovering as expected. The Nasal Obstruction Symptom Evaluation (NOSE) scale – a validated, patient-reported outcome measure used as part of the comprehensive assessment process at Melbourne ENT Group – is complemented by endoscopic findings to give the most complete picture of treatment progress over time.
The most important clinical point to understand about CT scanning and nasal endoscopy is that they are not interchangeable – they are complementary. Each investigation assesses a fundamentally different aspect of the nasal airway, and the information provided by one cannot substitute for the information provided by the other. Using both together gives Dr Simon Braham at Melbourne ENT Group the most complete and accurate possible understanding of each patient’s anatomy before any surgical recommendation is made.
A CT scan is like a detailed architectural blueprint of the nasal cavity – it shows the bony framework, the relative positions of all the major structural components, the dimensions of the sinus drainage pathways, and the gross size and shape of the anatomical structures that determine airflow. It is a static, structural map that can be measured and referred back to throughout the surgical planning process. Nasal endoscopy, by contrast, is like a live site inspection of that same structure – it shows the condition of the surfaces, the dynamic behaviour of the structures during breathing, the presence of inflammatory change in the mucosal lining, and the specific findings that are only apparent when you can look directly at the anatomy in real time.
Several clinical scenarios illustrate why both tools are essential. A CT scan may clearly demonstrate a significantly deviated nasal septum, but nasal endoscopy may reveal that the predominant site of obstruction is actually the nasal valve rather than the septum – a finding that would substantially alter the surgical plan. Conversely, endoscopy may show a polyp that appears small and localised, while CT reveals that it is associated with extensive underlying sinus disease extending well beyond what the endoscope can directly visualise. Each investigation adds a distinct and irreplaceable layer of diagnostic information.
The combined use of CT and nasal endoscopy is consistent with current international clinical guidelines from the American Academy of Otolaryngology – Head and Neck Surgery, which identifies both investigations as the primary objective diagnostic tools in the management of sinonasal disease. Published research has confirmed that pre-operative CT scanning is associated with greater patient satisfaction and quality of life at twelve months post-surgery. A 2023 study found that routine nasal endoscopy identified clinically significant findings not detectable on standard anterior rhinoscopy in nearly one in four patients – findings that prompted a change in the surgical plan in approximately one in thirteen patients.
Nasal airway obstruction is not a condition confined to adults. Children across Melbourne and Victoria can develop significant nasal obstruction from structural causes that are quite distinct from those seen in adult patients, and the consequences of untreated obstruction in children can be wide-ranging and serious. Persistent nasal blockage in a growing child can disrupt the normal development of facial bone structure, impair sleep quality with downstream effects on concentration, behaviour, and academic performance, contribute to recurrent ear infections through Eustachian tube dysfunction, and delay speech and language development.
The structural causes of nasal obstruction in children include septal deviations that may have been present from birth or that resulted from a childhood nasal injury. Enlarged adenoids are an extremely common cause of nasal and airway obstruction in younger children, often occurring in combination with enlarged tonsils and contributing to sleep-disordered breathing and recurrent middle ear infections. Turbinate hypertrophy, often associated with allergic rhinitis, is another common finding. Less commonly, nasal polyps are identified in children – a finding that warrants investigation for underlying conditions such as cystic fibrosis or primary ciliary dyskinesia.
Dr Simon Braham, ENT and Head and Neck Surgeon, consults at the Royal Victorian Eye and Ear Hospital in Melbourne and has extensive experience assessing and treating nasal and airway conditions in children across a wide age range. At Melbourne ENT Group, the approach to paediatric nasal assessment is carefully tailored to the child’s age, maturity, and specific clinical circumstances. CT scanning is used more selectively in children than in adults, with the decision to perform a scan always carefully weighing the diagnostic benefit against the radiation exposure.
Nasal endoscopy in children is often feasible in the consulting room for cooperative older children and teenagers, particularly when the procedure is explained in an age-appropriate way beforehand and adequate topical anaesthesia is applied. For younger children, or those in whom a thorough assessment cannot be completed comfortably in the consulting room, examination under a brief general anaesthetic in a hospital setting may be arranged. Parents in Melbourne who are concerned about their child’s breathing, snoring, habitual mouth breathing, or recurrent ear infections are encouraged to seek a specialist assessment at Melbourne ENT Group sooner rather than later.
Once the CT scan has been reviewed and nasal endoscopy has been performed, Dr Simon Braham brings all of the available information together – the imaging findings, the endoscopic assessment, the NOSE scale score, and the detailed history of your symptoms – to form a comprehensive clinical picture. This synthesis is discussed with you in full at a consultation at Melbourne ENT Group, with the CT images displayed on screen so that you can see precisely what the investigations have shown. The goal of this discussion is not simply to deliver a diagnosis but to ensure that you genuinely understand what is causing your symptoms, what the available treatment options are, and what you can realistically expect from each pathway.
The range of treatment options available following a comprehensive nasal airway assessment is broad, spanning from conservative management through to surgical intervention. Conservative measures are always considered first where appropriate. For patients whose obstruction has a significant inflammatory or allergic component, optimising nasal steroid spray technique, introducing saline irrigation, and addressing underlying allergic disease can produce meaningful improvement.
When conservative management has been tried and found insufficient, or when the assessment findings clearly indicate a structural problem that is unlikely to respond to medical treatment, surgical options are discussed in detail. Septoplasty – the surgical straightening of a deviated nasal septum – is one of the most commonly performed nasal airway operations at Melbourne ENT Group and can produce significant, durable improvement in nasal airflow. Turbinoplasty is frequently performed alongside septoplasty to address turbinate hypertrophy. Nasal valve repair – typically performed using cartilage grafting techniques to provide structural support to the weakened or collapsing sidewall – is the recommended surgical approach for nasal valve dysfunction.
Functional Endoscopic Sinus Surgery (FESS) is recommended when CT imaging and nasal endoscopy identify chronic sinusitis, nasal polyps, or sinus drainage obstruction as significant contributors to the patient’s symptoms. FESS uses fine endoscopic instruments to open the natural drainage pathways of the sinuses under direct vision, without any external incisions. For patients who have both structural nasal airway problems and chronic sinus disease, combined FESS and nasal airway surgery can address both issues in a single anaesthetic. All surgery is performed by Dr Braham in accredited hospital facilities in Melbourne, including Masada Private Hospital.
Medicare coverage is one of the most frequently asked questions by patients considering nasal airway surgery in Australia. The key principle governing Medicare eligibility for nasal surgery is that the procedure must be performed for a clinical indication – meaning that it must be directed at treating a documented medical condition, not at improving the cosmetic appearance of the nose. Purely cosmetic rhinoplasty is not eligible for a Medicare rebate under any circumstances. Functional surgery, however, including septoplasty, turbinoplasty, nasal valve repair, and FESS, is eligible for Medicare item numbers when the clinical criteria are satisfied.
The assessment process at Melbourne ENT Group is directly relevant to Medicare eligibility because objective documentation of the functional problem – through CT imaging, nasal endoscopy, and validated outcome measures such as the NOSE scale – forms the clinical basis for the Medicare item number claim. The NOSE scale is recognised by Medicare as a criterion for certain nose surgery item numbers, and Dr Braham uses it routinely as part of the pre-operative assessment to objectively quantify the degree of nasal obstruction and its impact on the patient’s quality of life.
For septoplasty, the relevant Medicare item numbers require documentation of a clinically significant nasal septal deviation and evidence that it is causing symptomatic nasal obstruction. CT findings confirming the deviation, combined with a qualifying NOSE scale score and the clinical examination findings from nasal endoscopy, collectively provide this documentation. For FESS, CT imaging plays a central role – the Lund-Mackay CT scoring system, which quantifies the extent of sinus disease on CT, is the primary objective measure used to support the clinical indication for surgery.
For patients who are proceeding with a combined functional and cosmetic rhinoplasty, the Medicare rebate and private health insurance benefit apply only to the functional component of the procedure. The cosmetic component is not rebatable and is charged separately. This distinction is clearly explained to every patient at Melbourne ENT Group before any consent is obtained, and a detailed itemised cost estimate is provided. Private health insurance coverage depends on the patient’s specific level of hospital cover and any applicable waiting periods. It is recommended that patients contact their health fund directly before their procedure to confirm their exact entitlements. The team at Melbourne ENT Group can assist with providing the relevant item numbers for this enquiry.
Not necessarily, and this is one of the most common misunderstandings patients bring to a first consultation. A CT scan provides extraordinarily detailed information about the bony and structural anatomy of the nasal cavity, but it is a static image taken at a single moment in time – it cannot capture dynamic problems that only become apparent during active breathing. Nasal valve collapse, for instance, occurs when the sidewall of the nose buckles inward during inhalation. At rest the valve may look perfectly adequate on imaging, but under the flow conditions of normal breathing it may be the dominant source of obstruction. Mucosal swelling driven by allergic rhinitis can also fluctuate hour by hour depending on allergen exposure, positional changes, and time of day. This is precisely why nasal endoscopy is performed alongside the CT rather than instead of it.
Yes, and this phenomenon is well recognised in the ENT literature. Anatomical findings on CT – including the degree of septal deviation, the size of the turbinates, and the width of the sinus drainage pathways – do not always correlate closely with the severity of a patient’s subjective experience of obstruction. One person may have a significantly deviated septum and barely notice any breathing difficulty, while another with a far more modest deviation finds their daily life severely impaired. Individual differences in nasal mucosal sensitivity, co-existing allergic rhinitis, non-allergic rhinitis, or a history of chronic sinusitis can all amplify the functional impact of a structural problem. This variability is one of the reasons a comprehensive assessment that includes both validated symptom scoring and objective anatomical investigation is far more informative than either approach alone.
It can, and the pattern of laterality is always one of the first things Dr Braham considers when taking a patient’s history. Obstruction that is consistently worse on one side – particularly if it has been that way for years rather than fluctuating – tends to suggest a structural cause such as a unilateral septal deviation, a concha bullosa on the affected side, or a nasal polyp occupying one nasal passage preferentially. Obstruction that alternates from side to side is more characteristic of the normal nasal cycle. Obstruction that is equally severe on both sides at all times raises the question of bilateral turbinate hypertrophy, generalised mucosal swelling from systemic allergy, or more extensive sinonasal disease. The CT scan and nasal endoscopy together allow Dr Braham to examine both sides of the nasal cavity in detail and identify whether the anatomy explains the pattern of symptoms the patient reports.
Positional worsening of nasal obstruction – particularly the sensation that whichever side of the nose you lie on becomes more blocked within a few minutes – has a well-understood physiological basis. When you lie on your side, venous blood pools in the dependent nasal turbinate and the mucosa swells in response. If the turbinates are already enlarged from allergic rhinitis or chronic inflammation, this pooling effect can dramatically worsen obstruction. The CT scan is taken in a fixed position and will not directly capture this dynamic behaviour, but it provides the structural baseline – the size of the turbinates at rest, the width of the nasal passages, and any co-existing septal deviation – that allows Dr Braham to assess whether the positional component is likely to be the dominant issue or whether structural surgery is also likely to be of benefit.
In many cases, yes. The olfactory nerve fibres responsible for detecting smell are located in a very specific part of the nasal roof – the olfactory cleft, a narrow strip of tissue high in the nasal cavity adjacent to the cribriform plate. For odour molecules to reach this region, they must be carried upward through the nasal airway in a stream of inspired air. Anything that obstructs the superior nasal cavity or blocks this olfactory airstream – including nasal polyps, severe mucosal swelling, or a high septal deviation – can reduce smell significantly. CT scanning can identify structural narrowing of the olfactory cleft region and changes in the ethmoid sinuses immediately adjacent to the olfactory area. Nasal endoscopy allows direct visualisation of the olfactory cleft and can identify whether polyps or mucosal disease are present in this anatomically critical area.
This is not an uncommon scenario, and it is one of the clearest illustrations of why both investigations are performed rather than relying on imaging alone. Early or subtle nasal polyps in their formative stages may not yet show the soft-tissue density changes on CT that make polyps obvious on imaging, yet they can be clearly identified and even biopsied during endoscopy. Dynamic nasal valve collapse is essentially invisible on a static CT but can be definitively identified and quantified during the endoscopic examination using the Cottle manoeuvre. Adhesions and bands of scar tissue from previous operations may be too fine to resolve on CT but are immediately apparent through the endoscope. When an unexpected finding is identified during endoscopy at Melbourne ENT Group, Dr Braham discusses it with you immediately after the examination and incorporates it into the diagnostic and treatment planning discussion.
Absolutely. The information gathered during a comprehensive nasal airway assessment at Melbourne ENT Group belongs to the patient and has value independent of any decision about surgery. The CT images and endoscopic findings provide a detailed, documented baseline of your nasal anatomy at a specific point in time. If your symptoms change significantly over the following months or years, that baseline becomes a reference point of genuine clinical value. It allows Dr Braham – or any other clinician you may see in the future – to determine whether your anatomy has changed, whether a new finding has emerged, or whether the structural picture remains the same as when you were first assessed. Making an informed decision to defer surgery after a thorough assessment is entirely reasonable and is respected as such by the team at Melbourne ENT Group.
Nasal airway problems – whether they present as persistent congestion, disrupted sleep, exercise intolerance, or the cumulative exhaustion of chronic sinus infections – are not conditions that patients simply have to accept as part of life. They have structural and physiological causes that can now be identified with a high degree of precision, and they can in most cases be treated effectively once an accurate diagnosis has been established. The combination of CT scanning and nasal endoscopy provides that diagnostic precision in a way that no other assessment approach can fully replicate.
If you have been struggling with nasal obstruction or breathing difficulties for months or years, and you have not yet had a comprehensive specialist assessment, the most important step you can take is to seek an opinion from an ENT surgeon who has the expertise and the diagnostic tools to give you a complete picture. Understanding what is actually causing your symptoms – whether it is a deviated septum, enlarged turbinates, nasal valve collapse, sinus disease, or a combination of several factors – is not just the beginning of treatment. It is the foundation on which effective, targeted, and lasting treatment is built. That clarity is something every patient deserves, and it is what Melbourne ENT Group is committed to providing.
If you are living with persistent nasal obstruction, recurrent sinus infections, or breathing difficulties that are affecting your sleep, exercise, or daily quality of life, a specialist assessment is the right next step. Dr Simon Braham, ENT and Head and Neck Surgeon, offers comprehensive diagnostic consultations at Melbourne ENT Group in St Kilda East – including in-clinic nasal endoscopy, CT review, and NOSE scale assessment – tailored to each patient’s individual anatomy and symptoms.
To book a consultation with Dr Braham, contact our St Kilda East rooms directly or visit the website. A GP referral is required to access Medicare rebates for your specialist consultation, and our team can guide you through this process if needed.
Dr Simon Braham (03) 9038 1311
Your health and comfort are our priority.
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