ENT Introduction: The ENT department of SGT Hospital is abreast with advancements in medical technology and uses the latest treatment modalities for ENT-related problems. The ENT department is one of the best-performing departments in SGT- In terms of patient input, no. of surgeries in a month and daily OPD. The Audiology & Speech Therapy dept. has the facilities for both Audiological diagnostics and speech-language rehabilitation. The ENT department provides all services like routine OPD, Emergency services and surgeries related to Ear, Nose, Throat and Head and Neck surgery. The Ear surgeries performed include Tympanoplasty, Myringoplasty, Myringotomy, Stapedotomy, MRM, Radical Mastoidectomy, Ossiculoplasty and Facial Nerve Decompression. The nose surgeries performed include Septoplasty, FESS, Endoscopic DCR, and Turbinoplasty. The throat surgeries include Adenotonsillectomy, UPPP, MLS for vocal polyp and foreign body removal. Head and Neck surgeries include Thyroidectomy, Parotidectomy, Thyroglossal cyst removal, Submandibular gland excision, Laryngectomy etc., by the best ENT Specialist in Jaipur. The department has various state-of-the-art microscopes to perform micro ear and micro laryngeal surgeries of various types like OSSICULOPLASTY, TYMPANOPLASTY, STAPEDECTOMY, MASTOIDECTOMY, etc which are routinely done in our hospital. Audiometry and Speech Therapy is associated with the department of Otorhinolaryngology. All types of Speech, Hearing and Swallowing disorders are treated with great efficiency by very senior Audiologists and Speech Pathologists. We have nasal and nasopharyngeal endoscopes for diagnostic and video endoscopy facilities for all types of endoscopic sinus surgeries.
Department also has various sizes of Oesophagoscopes to deal with any kind of foreign body or lesion in the oesophagus. Oesophagoscopies are routinely done in our hospital.
Ear Surgery – The majority of ear surgeries
are done as daycare procedures.
Myringotomy and Grommet Insertion - It involves making an incision in
the eardrum to drain middle ear fluid and putting in a ventilation tube. This is easily done
under local anaesthesia without sedation in the adult patient, and the patient may be sent
home within 1 hour of the operation. Children can be treated with short general or ketamine
anaesthesia and sent home as soon as they are fully awake and after the anaesthetist's
consent.
Tympanoplasty Repair of the eardrum with the restoration of the middle
ear hearing apparatus. This is done under local anaesthesia with sedation and the patient
may be sent home when fully alert.
Mastoidectomy Removal of disease, usually cholesteatoma, from the
mastoid and middle ear, with or without reconstruction of the tympanic membrane and hearing
apparatus.
Cholesteatoma is a type of skin cyst that commonly occurs due to
complications of chronic ear infection located in the middle ear. This is usually done under
local anaesthesia with sedation. If the patient is apprehensive, general anaesthesia may be
required as the surgery may sometimes stretch to 3 hours or more. These patients can also be
sent home on the same day.
The patient may occasionally experience vertigo after mastoidectomy or ossiculoplasty
and is sensitized about it beforehand. Vertigo is a dizzy feeling or a reeling sensation as
if one is about fall. In this case, the patient may have to stay in the hospital for an
extra day. In the normal course, they will be asked to follow up after 3 days for routine
dressing and 7 days for suture removal.
Stapedectomy: Surgery for restoration of hearing in otosclerosis. This
is usually done with local anaesthesia and sedation. These patients can sometimes have
post-operative vertigo and even vomiting. In the event of vertigo, or complicated surgery,
the patient should be kept overnight, or till the patient feels better. Most patients can
however go home the same day, provided travel is short and smooth. Air travel is not
advisable in the immediate postoperative period. Tympanoplasty and stapedectomy are only
occasionally done in children.
Mastoidectomy is always done with general anaesthesia and the children
are usually asked to stay overnight.
Nasal Surgery - Most septal and sinus surgery
can be done under local anaesthesia with sedation. However, both involve nasal packing.
Whilst patients can be sent home with nasal packs, many surgeons don’t recommend this. If
the patient were to have some bleeding at home, then neither he nor the doctor would know if
it was significant bleeding unless seen. It could so turn out that the surgeon is needed to
rush to the patient’s home in the middle of a busy day, maybe to find only insignificant
oozing!
All these eventualities are thwarted by keeping them in the hospital for observation and
easily accessible medical help. On the other hand, most patients do not bleed and tend to be
more comfortable at home and could be called to the clinic after 24-48 hours for pack
removal.
Endoscopic Dacryocystorhinostomy (DCR) can be done easily under local
anaesthesia and sedation and the patient sent home after pack removal in the evening,
provided there is no bleeding.
Endoscopic Sinus Surgery - Involves removing extensive polyposis in the
sinuses. It is done under general anaesthesia and these patients are usually advised to stay
in the hospital as there may be bleeding associated with major sinus surgery. Patients who
have epistaxis, a medical term for nose bleed, (without any major causative pathology) are
excellent candidates for daycare endoscopic surgery. Earlier these patients would be packed
for 48 hours and the packs removed with frequent rebleeding. Now, with the endoscope, the
bleeding point can be identified and cauterized and the patient sent to the room without
packing and fear of bleeding. They are then discharged soon after a few hours of
observation.
Throat and laryngeal surgery - Tonsillectomy and adenoidectomy have
always been done as daycare procedures. The patients are sent home in the evening after
checking the faucets for clots or bleeding. Oral biopsies, buccal leucoplakia excision and
other such minor surgeries are also excellent daycare situations. Even most rigid
endoscopies, such as direct laryngoscopy, micro laryngoscopy and oesophagoscopy, done under
general anaesthesia lend themselves to being daycare cases.
These are usually short procedures for diagnosis, biopsy, and therapeutic excision of
small lesions or foreign body removal and do not entail much bleeding or major surgery.
Microsurgery of the ear is provided to restore hearing loss due to
chronic otitis media (discharging ear), secretary otitis media (fluid in the middle ear),
otosclerosis (fixation of the footplate), and trauma. Surgical procedures like
myringoplasty, ossiculoplasty, grommet insertion, stapedectomy, tympanoplasty,
mastoidectomy, canaloplasty, facial nerve decompression, and temporal bone resection are
performed regularly. Cosmetic ear surgery especially atresioplasty, and pin plasty is also
done.
Cochlear Implant Surgery for the patient having profound sensorineural
hearing loss and not benefiting from hearing aids is also performed in the department. This
centre caters for treatment for patients suffering from cancer of the head and neck like
carcinoma of the upper respiratory tract especially the larynx, oral and thyroid
glands.
A multidisciplinary approach to these problems is adopted. Surgical procedures performed
are laryngectomy, maxillectomy, radical neck dissections, commando operation, parotidectomy,
sub-mandibular gland excision, and thyroidectomy. Rehabilitation through surgical
reconstruction and speech and voice therapy is also provided. Hearing loss caused by inner
ear damage and tumours of the ear and related structures is also managed in the
department.
Laser surgery – The department is equipped with a CO2 Laser machine.
The patients requiring Laser surgery, especially cases of laryngotracheal trauma are
regularly operated on.
Facial Plastic & Reconstructive Surgery - Provided for patients with
facial deformities resulting from trauma, extirpation of neoplasms and congenital
malformations. Facial cosmetic surgery is available for improving the appearance of the
nose, cheeks and ears.
Cranial Base Surgery - In this centre, a multidisciplinary team
performs surgery for tumours of the skull base. The utilization of innovative approaches
enables the resection of otherwise difficult-to-approach lesions.
Audiology & Speech-Language - Pathology evaluation and treatment
services are provided for adults with speech, language, swallowing, balance, tinnitus and
hearing problems.
Emergency services - Lifesaving procedures on the tracheobronchial
tree, foreign bodies removal, trauma and epistaxis are some of the services provided in
emergency 24 hrs.
Brain Stem Evoked Response Audiometry - The most objective test to
detect hearing loss as early as three months of age. Done regularly in the department by
trained audiologists cum speech therapists.
Otoacoustic Emission Analysis - Otoacoustic emission analysis is a
non-invasive and objective test to detect hearing loss even in newly born babies besides the
assessment of the auditory system of patients in other age groups.
Hearing Aid Analyzer – A hearing aid analyzer and computer-based
instrument helps in analyzing the functioning of a hearing aid by performing electroacoustic
measurements and real-ear measurements.
Research & Training - We have a very comprehensive schedule for
training undergraduate students and residents in the field of ENT- Head and Neck surgery.
The training includes theoretical teaching with the main thrust on bedside clinical and
surgical training.
All of these factors above, make us one of the best
hospitals in Delhi NCR.