Chronic sinusitis patients suffer from recurrent headaches, post nasal drip , nasal blockage which when fails to respond to 4-6 wks of medical treatment can be cured with surgical treatment . Functional endoscopic sinus surgery (FESS) is a surgery done to treat chronic sinusitis and sinonasal polyposis using a special shaver system called as microdebrider.
Other endoscopic surgery like endoscopic septoplasty with inferior turbinate reduction for deviated nose and nasal obstruction, endoscopic dacrocystorhinostomy for watering from eyes, endoscopic medial maxillectomy for nasal tumors, endoscopic trans-sphenoidal pituitary tumor surgery, endoscopic csf leak repair.
FESS is now dine as a day care surgery with recovery in 4-5 days & a follow up for about 3-6 months for regular nasal suction clearance.
Vocal cord surgery including Microlaryngeal surgery for vocal nodules, polyps etc, Thyroplasty for vocal cord palsy, Injection laryngoplasty (botox) for spasmodic dysphonia, Female to Male voice conversion. Complete dynamic vocal cord evaluation and voice analysis with a special equipment called as Stroboscope available on OPD basis.
Coblation® is an advanced technology that uses gentle radio frequency energy with saline solution to quickly and safely remove tonsils and adenoids without causing much pain and no bleeding. The surgery is done under general anaesthesia which takes about 30 to 40 min for complete removal and patient can be discharged on the same day. Coblation® offers advantage of early recovery / relatively painless / bloodless & safe even in 2-3 yr old child as compared to conventional adenotonsillectom.
Surgery for persistent ear discharge , hole in the ear drum and ossicle fixation (otosclerosis) : Tympanoplasty, Myringoplasty, Mastoidectomy, Stapedotomy and Ossiculoplasty for conductive hearing loss using middle ear implants. These surgeries not only gives the patient a dry ear free of discharge but also restores back the hearing . It is also done as a day care surgery with rest for 2 days & hearing restored in 4-6 wks .
Management of Unilateral deafness using Bone Anchored Hearing Aid, Middle ear Implants.
Surgery for head and neck tumors and cancers including Total Laryngectomy, Neck Dissection, Thyroidectomy, Parotidectomy, Submandibular gland excision, Benign Cyst Excision.
Nose blockage along with excess fat accumulation in the upper airway may cause snoring & sleep apnea & create a sound from the airway while sleeping . The person can also experience repeated attacks of cessation is breath called APNOEA during the entire night . Symptoms may include – feeling tired after waking up/ lethargy/ daytime sleepiness/ irritability/ anxiety/ hypertension/ depressive symptoms. Severity of snoring and sleep apnoea can be assessed by Sleep Study followed by Drug Induced Sleep Endoscopy which can identify the exact site of obstruction of snoring and sleep apnoea.
Surgical management of snoring and sleep apnoea which includes Endoscopic Septoplasty with Bilateral Inferior Turbinate Reduction, Coblation Tonsillectomy and Coblation Uvulopalatopharyngoplasty, Tongue base reduction, Geniohyoid Advancement.
With the introduction of state of art equipment in the opd following procedures can be performed in OPD without patient getting admitted thus saving time and cost to the patient :
- Diagnostic nasal endoscopies with suction cleaning, nasal bleeding cauterization, suction cleaning, synechiae release, foreign body removal.
- Detailed examination of patients with change in voice using real time imaging of the vocal cords called as Stroboscopy to pick up early lesions of the vocal cord and if required injection for vocal cord swellings on opd basis.
- Detailed ear examination using endoscope, wax removal and suction cleaning, foreign body removal, cautery patching for small holes in the drum, grommet insertion for fluid behind the drum. Lobuloplasty (ear lobe repair) and ear piercing.
- Oral biopsy , Tongue tie release, Pre -auricular sinus excision, Traumatic wound suturing.