Ear, Nose and Throat (ENT) is a surgical speciality concerned with the diagnosis, management and treatment of diseases and disorders of the ear, nose, throat and related structures of the head and neck, including the sinuses, larynx (voice box), oral cavity, and upper pharynx (mouth and throat).

The Ear, Nose and Throat service at SMC is delivered by ENT surgeons, Dr Robin Reyes and Mr Julian Danino, who see and treat both adults and children.

What problems do ENT surgeons treat?

Investigations and Diagnosis

The latest videonasolaryngoscope is available in the clinic, this has a higher image resolution and, due to its small diameter (2.8 mm), it also enables a more comfortable examination. The image recording system allows the ENT specialist to be able to explain to the patient about their condition as well as assess the progress of lesions over time.

The ear can also be examined with high precision microscopy and videotoscopy.

Impedancemetry/tympanometry and assessment of stapedial reflexes allows assessment of correct ventilation of the middle ear, the functioning of the Eustachian tube and the movement of the bone chain.

Treatment of ENT problems

Treatment for ENT problems is conservative whenever possible, involving advice and medication as required.

Surgical intervention is a more serious treatment but is sometimes required, under these circumstances, Dr Reyes operates at a partner hospital in Spain.

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Your Specialists

Mr Julian Danino

Consultant Rhinologist and Paediatric ENT Surgeon

Areas of expertise

Mr Danino has a wealth of experience in both general adult and paediatric ENT conditions. During his broad training, he has specialised in Nose & Sinus Conditions and Paediatric conditions such as speech delay and hearing concerns. • Children’s (Paediatric) ENT- Speech Delay and Hearing concerns. Recurrent Ear, Nose and Throat infections. Snoring and Sleep Apnoea management in Children. Paediatric Airway, Voice and Swallowing disorders. Nose, Sinus & Breathing conditions. Nose operations (Septorhinoplasty, Septoplasty and Sinus Surgery). Snoring and Sleep Apnoea management in Adults. Nose and Sinus conditions including nasal obstruction, sinusitis & rhinitis. • Allergy Services- Evaluation and treatment of Ear, Nose and Throat allergies. Skin & Blood testing for all Aero (dust, animals & flora) and Food allergens. • General o Assessment and management of oral (mouth & tongue) lesions. Assessment and reconstructive surgery of facial skin lesions. Ear Services. Adult and Paediatric assessment and management of Hearing & Ear conditions. Vestibular and Balance conditions and their management.

Education and professional training

Mr Danino was born in Gibraltar and is dual qualified in both Dentistry and Medicine selected Summa Cum Laude in his medical graduation year. He went through national selection and specialised in ENT (Ear, Nose & Throat); training and working during more than 20 years in the NHS and Overseas (New Zealand) before being headhunted and joining the GHA in September 2018. Mr Danino is both UK (GMC) and Gibraltar (GMRB) registered. He undertook further periods of further ENT subspecialisation both in UK and abroad (New Zealand) where he was selected for an international fellowship in Paediatrics and Rhinology (Nose & Sinus conditions).

Professional Qualifications, Associations & Accomplishments

MSc, FRCS(ORL-HNS), DOHNS, MRCS, MFDSRCS, BDS, MBBCh(Hons) • Fellow of the Royal College of Surgeons of Edinburgh. • Member of the ENT UK Association of the Royal College of Surgeons England. • British Medical Association (BMA) • European Paediatric ENT Society (ESPO) • BRS and FPS ENT UK • Medical Protection Society registered.

Professional experience

Within the GHA Mr Danino leads the Paediatric and Rhinology (Nose) ENT Services having established close links with the Great Ormond Street and Evelina Hospitals (Paediatric) and Charing Cross Hospital at Imperial College (Nose/Rhinology). He is a key stakeholder in the ENT & Paediatric Multidisciplinary Team within St Bernard’s Hospital which links with GHA Allied health care professionals (SLT, Audiology, Dieticians) as well as external providers (Evelina Hospital, UCLH & Great Ormond Street Hospitals).

Languages spoken

English and Spanish


Short tenure within the GHA he has been the Clinical Lead of the transformation project for the ENT & Audiology Depts. and also chaired the Gibraltar Doctors Advisory committee He has authored numerous publications on ENT topics, Medical Education and Patient Safety; presenting at both National and International meetings and was a Senior Clinical Lecturer at Otago University, Dunedin, New Zealand.