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ENT - Head & Neck Surgery in Oldairport road Bangalore | Advanced ENT Care at Manipal Hospitals

ENT - Head & Neck Surgery

ENT - Head & Neck Surgery in Oldairport road Bangalore | Advanced ENT Care at Manipal Hospitals

Why Choose Us?

Manipal Hospital Old Airport Road is a well-known ENT and Head & Neck Surgery hospital in India renowned for our cutting-edge infrastructure, world-class facilities and amenities, and highly skilled, qualified personnel and dedicated support staff. 

  • Expert Surgical Team: The team is comprised of trained ENT and head and neck surgeons in Bangalore with decades of experience. The surgical team's advanced techniques have allowed you to receive very effective treatments. 

  • Modern facilities: We have sophisticated operation theatres with the latest diagnostic and treatment technology including minimally invasive endoscopy. So, be assured that you will receive good treatment for the necessities you require during your stay with us.

  • Assured Comprehensive Care: From diagnosis and treatment to every aspect of your care, right through recovery, we ensure a smooth experience through our proactive and expert team.

  • Personalized Approach: Our medical professionals understand each patient’s unique needs and bring along a personalized approach to achieve the best treatment outcome. 

Treatments & Procedures

Endoscopic / Robotic Thyroid Surgery

The thyroid gland is a butterfly-shaped organ located in the neck. It produces thyroid hormones that regulate metabolism and calcium, which are important to the human body. Various factors including genetics, lifestyle (smoking, alcohol, obesity, stress, etc.), and medical conditions can affect thyroid hormone production – Hypothyroidism (insufficient production of thyroid hormones) and Hyperthyroidism (excessive production of thyroid hormones).

Thyroidectomy is a common surgery that treats various benign and malignant thyroid conditions. At Manipal Hospital Old Airport Road, we perform minimally invasive endoscopic / robotic thyroidectomy with the use of an endoscope as well as a robot. Unlike traditional thyroidectomy, which requires a larger incision, this advanced approach utilizes robotic or endoscopic technology to access the thyroid gland through smaller, strategically placed incisions, resulting in minimal scarring and a faster recovery. This leaves a hidden scar either behind the ear inside the hairline or in the axilla and breast. 

When Do You Need an Endoscopic/Robotic Thyroidectomy?

Endoscopic/robotic thyroid surgery is performed for various thyroid conditions, including:

  • Solitary Nodule Thyroid - Single abnormal growth in the thyroid gland

  • Multinodular Goitre - Multiple nodules within the thyroid gland

  • Goitre - Diffuse swelling (enlargement) of the thyroid gland

  • Adenomatous Goitre - Noncancerous enlargement of the thyroid gland

  • Thyroid Colloid Cyst - Non-malignant fluid-filled sac within the thyroid gland

Endoscopic / Robotic Thyroid Surgery begins with a detailed evaluation that involves blood tests, ultrasound imaging, and fine-needle aspiration biopsies. All of these can assess your thyroid’s condition. During surgery, our best ENT and head and neck surgeon in Bangalore creates small incisions, often in the underarm or chest area, to insert an endoscope and specialized instruments. The endoscope is used to receive a magnified view of the surgical site. Hence, they can precisely remove the affected portion of your thyroid gland. This does not impact the surrounding structures, such as the vocal cords and parathyroid glands. This meticulous approach makes the procedure effective and safe. Post-surgical recovery is typically quick. Most of our patients return to normal activities within a week. Follow-up care usually includes monitoring thyroid hormone levels. If necessary, our doctor may recommend hormone replacement therapy to ensure optimal long-term health.

Advantages of Endoscopic / Robotic Thyroid Surgeries:

  • No visible scar and better cosmetic results

  • Early mobilization

  • Shorter hospital stay

  • Lesser hospital stay

  • Minimal post-operative pain

  • Improved tissue handling by 360-degree rotation movements of the robotic arm

  • Early return to daily activities, leading to an improved quality of life for patients

  • Equitable success rate but with improved cosmetic and quality of life outcomes as compared to conventional techniques

Endoscopic Ear Surgery 

Endoscopic ear surgery is a minimally invasive technique to treat various ear conditions, such as chronic otitis media, cholesteatoma, and ear tumors. This procedure utilizes an endoscope, a thin tube with a camera and light, to give the surgeon a magnified view of the ear structures, enabling precise surgical interventions with minimal disruption to the surrounding tissues.

When Do You Need an Endoscopic Ear Surgery?

Endoscopic ear surgery is performed for all ear conditions that require surgery, including:

  • Eardrum Perforation - Ruptured/torn eardrum due to injuries or infections

  • Chronic Otitis Media - Repeated ear infections

  • Middle Ear Bone Deformities

  • Ossicular Discontinuity / Otosclerosis - Long-standing hearing loss

  • Cholesteatoma - Bone-eating infection of the middle ear

  • Mastoiditis - Bacterial infection of the mastoid bone (middle ear infection)

  • Glomus Tumor, Granuloma, & Osteoma - Tumors of the ear

Patients undergo a thorough evaluation, including hearing tests and imaging studies like CT or MRI scans, to determine the extent of the ear condition. The procedure is performed under general anaesthesia. A small incision is made in the ear canal or behind the ear, depending on the location of the condition being treated. This incision is used to insert the endoscope. It provides a detailed view of the ear's internal structures on a monitor. The surgeon uses specialized instruments inserted alongside the endoscope to remove the diseased tissue or repair the ear structures. After the surgery, the surgeon removes the endoscope. Next, the incision is closed with absorbable sutures. The patient is usually discharged on the same day, with follow-up visits scheduled to monitor healing and hearing function.

Common Ear Surgeries 

  • Eardrum surgery (Tympanoplasty)

A surgical procedure to repair a damaged or perforated eardrum. A patch of tissue is implanted onto the eardrum to restore its function and hearing.

  • Ossicular reconstruction (Ossiculoplasty)

A procedure that aims to repair the small bones (ossicles) in the middle ear that transmit sound vibrations. It involves replacing or reconstructing the damaged ossicles with artificial implants or donor tissue to restore hearing.

  • Cholesteatoma Surgery

A procedure to remove a cholesteatoma, a noncancerous skin growth that forms in the middle ear and destroys the ossicles and surrounding tissues. It also involves reconstructing the damaged parts of the ear.

  • Stapes surgeries (Stapedectomy & Stapedotomy)

Both surgeries treat otosclerosis, a condition that causes the stapes bone (the smallest bone in the middle ear) to become fixed, preventing sound vibrations from reaching the inner ear and causing hearing loss. Prosthetic implants are used to replace the stapes and restore hearing.

  • Excision of Glomus Tumors (benign tumors of the ear)

This procedure removes a glomus tumor, a rare, noncancerous tumor that causes hearing loss and tinnitus. Excision of the tumor also involves preserving the surrounding tissues and structures.

  • Mastoidectomy

A procedure to access and treat diseases of the middle ear and mastoid bone such as chronic ear infections or cholesteatoma. The diseased or infected tissues are removed in this surgery.

Advantages of Endoscopic Ear Surgery:

  • No visible scars – better cosmetic outcome

  • High precision, minimally invasive techniques

  • Minimal post-operative pain

  • Daycare surgery with early discharge

  • No head shaving or mastoid bandage

  • Minimal tissue dissection and bone drilling

  • Faster recovery – return to work sooner

  • Better visualization of deeper areas of the middle ear

Mini-Incision Parotidectomy 

Parotid gland tumors are one of the most common head and neck masses with 70% of parotid lesions being benign (non-cancerous). Parotidectomy is the surgical technique performed for both benign and malignant parotid lesions. 

Mini-incision parotidectomy is a surgical technique designed to remove tumors from the parotid gland, one of the major salivary glands in the cheek. This procedure uses a smaller incision, typically about 2.5 cm, to minimize scarring and reduce recovery time while effectively removing benign and malignant tumors.

When Do You Need a Mini-Incision Parotidectomy?

Mini-incision parotidectomy is a surgical technique designed to remove tumors from the parotid gland - one of the major salivary glands in front of and below the ears. These tumors include – 

  • Warthin’s tumors and other benign tumors 

  • Muco-epidermoid cancer

  • Adenoidcystic cancer

  • Other types of parotid cancers 

  • Cysts of the parotid gland

  • Lymphoma

Other causes leading to intra-parotid lymph node enlargement/lesion are also indicators for this surgery.

First, there will be imaging studies such as ultrasound or MRI to evaluate the size and location of your tumor. A biopsy may also be performed to determine if the tumor is benign or malignant. The surgery is performed under general anaesthesia. A small incision is made behind the ear or along the natural creases of the neck to conceal the scar. The surgeon carefully exposes the parotid gland. This is carefully done to identify and preserve the facial nerve running through the gland. The surgeon meticulously dissects the parotid gland to remove the tumor, ensuring that the facial nerve remains intact. If the tumor is malignant, additional tissues or lymph nodes may be removed for further examination. 

After removing the tumor, the surgeon will close the incision with sutures. They may place a temporary drainage tube. This will prevent fluid accumulation. The patient is monitored overnight and usually discharged the next day, with instructions for follow-up care and activities to avoid during recovery. At Manipal Hospital Old Airport Road, Dr. (Prof) Satish Nair performs mini-incision parotidectomy via a 2.5-3cm incision placed behind the ear lobe which leaves a hidden scar behind the ear while minimizing scarring and effectively removing benign and malignant tumors.

Advantages of Mini Incision Parotid Surgery:

  • No visible scar and better cosmetic results

  • Minimal post-operative pain

  • Cost-effective solutions

  • Shorter hospital stay

  • Early return to daily activities 

  • Better quality of life with excellent outcomes

Endoscopic Skull Base Surgery

Endoscopic anterior skull base surgery is a specialized, minimally invasive procedure performed through the nostrils for disease and tumors of upper part of nose below the brain and lateral skull base surgery is performed through ear for disease and tumors of ear and surrounding areas near brain. This approach eliminates the need for external incisions, providing a detailed view of the skull base. It serves as an alternative to traditional methods like lateral rhinotomy and craniotomies, offering comparable or better outcomes. The benefits include enhanced visualization of complex anatomical structures, quicker recovery, less pain, and improved cosmetic results. The technique minimizes brain manipulation, reducing complications such as cerebrospinal fluid leaks and nerve damage. 

Advanced Endoscopic Sinus and Anterior Skull Base Techniques

  • Endoscopic CSF leak repair

  • Endoscopic excision of JNA

  • Endoscopic medial / sub-total / infrastructure maxillectomy

  • Endoscopic orbital / optic nerve decompression

  • Endoscopic nasopharyngectomy

  • Endoscopic pituitary adenoma excision

  • Endoscopic approach to pterygopalatine / infratemporal fossa

Advanced Endoscopic Lateral Skull Base Techniques

  • Endoscopic glomus tympanicum / glomus jugulare excision

  • Endoscopic sub-total petrosectomy

  • Endoscopic infra-cochlear approach to petrous apex

  • Endoscopic approach to facial nerve

  • Endoscopic trans-promontorial approach to IAM

Anterior Skull Base Conditions

The anterior skull base can be accessed via the nose using endoscopic techniques. Conditions treated in this region include:

  • Pituitary Adenomas: Benign tumors in the pituitary gland causing hormonal imbalances.

  • Craniopharyngiomas: Tumors near the pituitary gland, often affecting vision and hormone function.

  • Esthesioneuroblastoma: A rare cancer arising from the olfactory (smell) nerve.

  • Meningiomas: Tumors affecting the membranes covering the brain.

  • Sinonasal Carcinomas: Malignant tumors originating in the nasal cavity or sinuses.

  • Cerebrospinal Fluid (CSF) Leaks: Spontaneous or trauma-induced leaks of brain fluid.

Lateral Skull Base Conditions

Endoscopic lateral skull base surgery is performed for conditions such as:

  • Tumors including glomus tympanicum, glomus jugulare, vestibular schwannoma, facial nerve schwannomas (FNS)

  • Endolymphatic sac tumors (ELSTs) 

  • Myelodysplastic disorders with skull base lesions 

  • Cancers of ear and temporal bone

  • Skull base osteomyelitis of lateral skull base

The surgical process involves careful preoperative planning with imaging (MRI & CT scans) to assess the tumor’s location and surrounding anatomy. Surgeons access the skull base via the nasal cavity, often widening the passage through procedures like turbinectomy and sphenoidotomy. Tumor resection is performed using a collaborative two-surgeon technique for precision. Post-tumor removal and reconstruction of defects are carried out using the Hadad-Bassagaisteguy flap to prevent complications and safeguard neurovascular structures. This step is crucial for sealing the cavity between the nasal and cranial spaces, further enhancing patient safety and recovery outcomes.

Extensive Endoscopic Sinus Surgeries

Sinus surgeries are advanced medical procedures designed to relieve chronic sinusitis and improve nasal airflow. Common types include Functional Endoscopic Sinus Surgery (FESS), balloon sinuplasty, and image-guided surgery, each targeting blocked or inflamed sinus passages. These minimally invasive techniques enhance breathing, reduce infections, and alleviate sinus-related headaches. Recovery is often quick, with significant improvement in quality of life. Ideal for those unresponsive to medication, sinus surgeries provide lasting relief while preserving the natural anatomy of the nasal and sinus structures.

Minimally Invasive Head and Neck Endocrine Surgery

Head and Neck Endocrine Surgery focuses on thyroid and parathyroid gland disorders. These glands regulate your body’s metabolic processes. Whether benign or malignant, disorders in these glands can lead to severe metabolic imbalances if untreated. Our minimally invasive treatment approach emphasises early diagnosis and precise treatment to restore gland function. While doing so, it can also prevent long-term complications. 

Specialised surgeons in this field use advanced techniques to perform thyroidectomies and parathyroidectomies. In this process, they stay cautious to preserve adjacent structures. The procedure is designed to minimise disruption to surrounding tissues.

The treatment process begins with comprehensive diagnostics. This includes ultrasound, nuclear scans, and hormone evaluations. Endocrinologists and radiologists collaborate to run the procedure successfully. If you need surgical intervention, our specialists will provide you with different options, such as minimally invasive thyroidectomy or parathyroidectomy. They will discuss these choices with you thoroughly so that you can make informed decisions. These surgeries include small incisions and endoscopic tools that help limit tissue trauma. During the surgery, intraoperative monitoring of nerve and gland functions ensures precision and reduces the risk of complications. 

Sometimes, we encounter more complex cases involving malignant growths. In such cases, a multidisciplinary team of medical specialists tailors a postoperative plan. It may include hormone replacement therapy or certain additional treatments. 

Laryngology & Voice Surgery

Laryngology & Voice Care addresses conditions that affect your voice. These conditions can be benign or severe, ranging from vocal nodules, polyps, spasmodic dysphonia, and laryngeal cancer. Voice disorders can impair your communication. Evidently, when you are unable to talk your mind out, it will impact your personal and professional life. 

This speciality is created to diagnose and treat these voice conditions promptly. They aim to restore or improve your vocal function. At Manipal Hospital Old Airport Road, our best ENT and head and neck surgeons in Bangalore provide personalised treatments, depending on your specific condition. It can be a simple voice therapy or a complex surgical intervention. 

At first, our doctors will comprehensively evaluate your voice condition. The assessment methods often involve laryngoscopy and vocal cord imaging. Depending on your reports, the doctor will prescribe the proper treatment. Non-surgical methods like voice therapy involve specialised exercises to improve your vocal control and reduce strain. In cases requiring surgical intervention, techniques such as micro-laryngeal surgery or laser treatment may be employed. This can remove growths or adjust vocal cord tension. Post-procedure, you will receive voice rehabilitation therapy. This ensures optimal recovery and sustained vocal health. Our multidisciplinary team of speech pathologists and laryngologists will support the entire procedure.

  • Microlaryngeal Surgeries

Microlaryngeal surgery is a specialised procedure to treat vocal cord disorders, such as benign tumors, polyps, cysts, or lesions. Surgeons can access the vocal cords using advanced microscopes and precision instruments with minimal disruption to surrounding tissues. This minimally invasive approach allows for improved recovery times and reduced scarring. The primary goal is to preserve or restore vocal function while removing abnormal growths or lesions. Microlaryngeal surgeries are often recommended for individuals experiencing voice problems, hoarseness, or difficulty speaking, with post-surgery rehabilitation playing a pivotal role in restoring optimal vocal performance and ensuring long-term voice health.

  • Gender Affirming Surgeries (Vocal Cord Corrections)

Gender-affirming surgeries for voice modification focus on altering the vocal cords to align voice pitch and quality with a patient's gender identity. For transfeminine individuals, vocal cord shortening or tension adjustment raises the pitch to a more traditionally feminine range. For transmasculine individuals, treatments often include speech therapy or surgical interventions to deepen the voice. Endoscopic techniques are commonly employed to ensure precision and minimise trauma. These surgeries are conducted by skilled laryngologists, ensuring safe, effective results. Post-surgery, patients often undergo voice therapy to optimise vocal function and achieve a natural, comfortable voice that supports their gender expression.

Airway Reconstruction Surgery

Are you experiencing restricted airflow? Has your ENT doctor in Bangalore diagnosed you with narrowing of the airways? Then, Airway Stenosis Surgery is a helpful option for you. Airflow restriction can be a result of trauma, infection, or congenital abnormalities. This condition can be life-threatening. It is because such an issue compromises breathing. Hence, surgical intervention becomes mandatory. 

The primary aim of this procedure is to restore normal airflow. This will alleviate your symptoms and improve your respiratory function. We undertake a multidisciplinary approach to offer customised treatment plans to each patient. This is absolutely necessary as every one of you out there has specific needs and a unique medical history.

Our doctors will first diagnose your condition by imaging and endoscopy. Next, the treatment plan will be developed based on the severity and location of the airway narrowing. Surgical options may include tracheal or orotracheal resection. This procedure removes the narrowed segment. Another option can be laryngotracheoplasty. With this treatment, your airway will be reconstructed. 

In some cases, an endoscopic laser procedure can also be used. This is to clear blockages without extensive surgery. Postoperatively, patients receive careful monitoring. You will benefit from respiratory therapy to support full recovery and maintain improved airway function.

Cochlear Implant, BAHA (Bone Anchored Hearing Aid), and Vibrant Sound Bridge

Cochlear implants, bone-anchored hearing aids (BAHA), and the Vibrant Sound Bridge offer advanced solutions for individuals with significant hearing loss. For those who do not benefit from traditional hearing aids, these options can be life-changing. Cochlear implants directly stimulate the auditory nerve, bypassing damaged inner ear structures to restore sound perception. BAHA devices, on the other hand, use bone conduction to transmit sound directly to the inner ear, effectively bypassing the outer and middle ear.

The Vibrant Sound Bridge is another innovative option. It is a middle ear implant designed for individuals with moderate to severe sensorineural hearing loss. It works by directly vibrating the middle ear structures, providing enhanced sound quality and clarity compared to traditional hearing aids. This device is particularly beneficial for those who have difficulty with external hearing aids due to ear infections or malformed ear canals.

The procedure begins with a comprehensive assessment of hearing function, including audiometry, speech recognition tests, and imaging studies to evaluate suitability for the implant. For cochlear implants, surgery involves implanting an electrode array in the cochlea. The Vibrant Sound Bridge surgery involves placing a small vibrating device on the middle ear bones, enhancing sound transmission. BAHA surgery requires attaching a titanium post to the skull, where the hearing device is later fitted. Post-surgery, audiologists closely work with patients to fine-tune and customize settings for optimal hearing outcomes, followed by rehabilitation to help adjust to new sounds, thus enhancing communication and daily experiences.

This version maintains the structure and clarity of your original content while contextually integrating the Vibrant Sound Bridge as a middle ear implant option for enhanced hearing outcomes.

Management of Head and Neck Tumors

Head and Neck Surgical Oncology focuses on diagnosing and treating tumors in complex areas. This includes the oral cavity, larynx, pharynx, paranasal sinuses, salivary glands, and skull base. These tumors can be benign or malignant. These tumors can significantly impact critical bodily functions, such as speaking, swallowing, breathing, etc. Surgical removal of these growths is often necessary for effective treatment. The highly personalized procedures are tailored to manage tumors of all types and stages effectively. A multimodal approach is undertaken to maximize success rates for malignancies. This involves surgery, radiation therapy, chemotherapy, or a combination of all of them. At Manipal Hospitals, we emphasize rehabilitative support to help you regain critical abilities like swallowing and speaking post-surgery.

Surgical options include:

  • Excision of tumors

  • Removal of lymph nodes

  • Reconstructive surgery to preserve the function and appearance of affected areas

An interdisciplinary team begins the process with a thorough assessment. The surgery is often performed using advanced, minimally invasive techniques which can reduce trauma to surrounding tissues. The chosen technique varies depending on the location and type of your tumor. For example, transoral robotic surgery, endoscopic resection, or traditional open surgeries may be utilized. For complicated cases, reconstructive procedures are often conducted simultaneously to restore functionality and appearance. Post-surgery, patients receive close monitoring and supportive therapies, supported by rehabilitative therapy to regain normal function and quality of life. 

  • Head and Neck Cancer Management

Head and neck cancer management focuses on diagnosing, treating, and rehabilitating patients with tumors in the oral cavity, pharynx, larynx, and salivary glands. These benign or malignant tumors can severely impact vital functions like breathing, speaking, and swallowing. Surgical treatment often involves removing the tumor along with affected lymph nodes to prevent cancer spread. Reconstructive surgeries are frequently combined with tumor excision to restore appearance and functionality. Following surgery, a multi-disciplinary approach involving radiation, chemotherapy, and rehabilitative care ensures comprehensive treatment. Personalised care plans focus on eradicating cancer and enhancing the patient’s quality of life.

  • Surgery for Salivary Gland Pathology

Surgery for salivary gland pathology treats tumors, infections, and obstructive disorders like salivary stones. These surgeries typically involve removing the affected gland or tumor while preserving facial nerve function. Minimally invasive techniques like sial endoscopy are used for stone removal. For tumors, procedures like parotidectomy or submandibular gland excision are performed. Advanced nerve-monitoring systems minimise risks of facial paralysis. Post-operatively, patients are monitored for functionality and appearance. Comprehensive care includes physiotherapy to restore facial movements and regular follow-ups to prevent recurrence or complications, ensuring therapeutic and aesthetic outcomes.

  • Microtia Repairs

Microtia repair is a reconstructive procedure designed to correct congenital ear deformities. It involves creating a natural-looking ear structure, often using the patient’s rib cartilage or synthetic materials. This surgery not only improves aesthetics but also enhances hearing functionality. The procedure is typically performed in multiple stages, starting with cartilage harvesting and ear framework creation, followed by skin grafting. Advanced techniques ensure minimal scarring and a realistic ear appearance. Rehabilitation and auditory therapy follow surgery to optimise hearing and overall results. The goal is to provide physical and psychological benefits, improving the patient’s confidence and quality of life.

  • Management of Nasal Allergy

Managing nasal allergies involves a combination of medical and surgical interventions to alleviate symptoms like nasal congestion, sneezing, and breathing difficulties. In chronic nasal allergies unresponsive to medication, procedures like turbinate reduction or septoplasty may be recommended to improve airflow. Endoscopic sinus surgery is another option to clear obstructions and reduce inflammation. These minimally invasive techniques restore nasal function with minimal downtime. Patients undergo allergy testing and immunotherapy post-surgery to address triggers and prevent recurrence. Comprehensive care plans are designed to improve patients' respiratory health and enhance their quality of life.

Head and Neck Surgeries (Adult and Paediatric)

Head and neck surgeries for both adults and children deal with a range of afflictions: trauma, tumors, and congenital impairments. The treatment seeks to eradicate or even potentially cure cancerous conditions of the mouth, throat, nasal cavity, and salivary glands without compromising the main functions, such as speaking, swallowing, and breathing. 

  • Lymph Node Excision Biopsy

A lymph node excision biopsy is a surgical procedure to remove an entire lymph node for diagnostic purposes. This procedure is often performed when there is suspicion of diseases like lymphoma, tuberculosis, or metastatic cancer. During the surgery, the affected lymph node is carefully excised, typically under local or general anaesthesia. The removed tissue is sent to a pathology lab for detailed examination, which helps in determining the cause of lymph node enlargement. Recovery is usually quick, with minimal pain or swelling. For children, this procedure may involve general anaesthesia for better cooperation. It’s a vital tool in diagnosing conditions early and ensuring targeted treatment.

  • Thyroidectomy

A thyroidectomy is the surgical removal of part or all of the thyroid gland, commonly performed for conditions like thyroid cancer, hyperthyroidism, or large goitres causing compression symptoms. The procedure can be a total or partial thyroidectomy, depending on the condition. The surgery involves making a small incision in the neck, preserving vital structures like the recurrent laryngeal nerve and parathyroid glands to avoid complications. In children, thyroidectomies are rarer but require meticulous care due to their delicate anatomy. Post-surgery, patients may need thyroid hormone replacement therapy. Recovery is usually smooth, with most resuming normal activities within a week.

  • Submandibular Gland Excision

A submandibular gland excision involves the removal of one of the salivary glands located beneath the jaw. This surgery is typically performed to treat chronic infections, stones (sialolithiasis), or tumors (benign or malignant). A small incision is made below the jawline to access the gland, and care is taken to preserve the marginal mandibular nerve, which controls lip movement. The procedure is straightforward but requires precise technique, especially in children. Recovery includes mild swelling and discomfort, which can be managed with medication. This surgery helps restore normal salivary function and resolves associated symptoms.

  • Parotidectomy

A parotidectomy is the removal of the parotid gland, the largest salivary gland located near the ears. This procedure is typically required for tumors, chronic infections, or obstructions in the gland. The surgery is intricate due to the facial nerve passing through the parotid gland. Surgeons use advanced techniques to preserve facial nerve function, ensuring no impact on facial movement. Parotidectomies in children are less common but require even greater precision. Post-operative recovery includes some swelling and the possibility of temporary numbness. This surgery significantly improves symptoms and is essential for treating serious glandular conditions.

  • Endoscopic Airway Surgeries for Newborns and Infants

Endoscopic airway surgeries for newborns and infants are specialised procedures to address congenital or acquired airway obstructions that can severely impact breathing and overall health. These minimally invasive surgeries involve using a rigid or flexible endoscope to access and treat abnormalities in the larynx, trachea, or bronchi. Common conditions treated include laryngomalacia, subglottic stenosis, tracheomalacia, and vocal cord paralysis.

Techniques such as laser-assisted surgery, balloon dilation, and laryngotracheoplasty are utilised depending on the condition's severity and location. These procedures offer significant advantages, including reduced trauma to delicate tissues, shorter recovery times, and improved breathing and feeding outcomes. A multidisciplinary team ensures optimal care, addressing both immediate and long-term needs of these vulnerable patients.

  • Endoscopic Septoplasty

Endoscopic septoplasty is a minimally invasive surgical procedure to correct a deviated nasal septum, which may cause breathing difficulties, nasal congestion, or sinus infections. Unlike traditional methods, this approach uses an endoscope to provide a magnified view of the nasal cavity, allowing for precise corrections with minimal disruption to surrounding tissues. During the procedure, the surgeon repositions or removes the deviated portions of the septal cartilage and bone through small incisions inside the nose, avoiding external scars. This technique ensures reduced post-operative pain, quicker recovery, and improved nasal airflow. Endoscopic septoplasty is often performed alongside other skull base surgeries to optimize access and patient outcomes.

  • Turbinoplasty

Turbinoplasty is a surgical procedure to improve airflow in the nasal passages by reducing the size of enlarged turbinates. Turbinates are structures inside the nose that humidify and filter the air we breathe. When swollen, they can cause nasal obstruction, leading to breathing difficulties and snoring. Turbinoplasty reshapes or removes excess tissue, relieving congestion while preserving nasal function. It's often performed under local or general anaesthesia and offers long-lasting relief from chronic nasal blockage.

Adenotonsillectomy with Coblation

Adenotonsillectomy with coblation is an advanced, minimally invasive surgical procedure designed to remove the tonsils and adenoids using coblation technology. This method employs low-temperature radiofrequency energy combined with saline to create a plasma field, allowing for the precise removal of tissues with minimal heat generation. The technique reduces damage to surrounding tissues compared to conventional methods, which often use high heat or sharp instruments.

This procedure is particularly effective in managing chronic conditions such as recurrent tonsillitis, sleep apnea, and breathing difficulties caused by enlarged tonsils or adenoids. Coblation technology not only ensures more accurate tissue removal but also significantly decreases bleeding during surgery. Post-operatively, patients typically experience less pain, swelling, and discomfort, leading to a faster recovery and reduced reliance on pain medications.

The benefits of coblation adenotonsillectomy are especially notable in children, where minimising recovery time and discomfort is crucial for their overall well-being. Adults undergoing this procedure also report improved quality of life, particularly in managing sleep disorders like obstructive sleep apnea. With its high safety profile, reduced risk of complications, and enhanced patient outcomes, coblation technology has become a preferred choice for adenotonsillectomy in modern medical practice.

Grommet Insertion

Grommet insertion, or tympanostomy, is a straightforward surgical procedure performed to alleviate chronic middle ear problems, particularly in children. These issues often stem from persistent fluid accumulation, known as otitis media with effusion, or recurrent ear infections. The procedure involves creating a tiny incision in the eardrum and placing a small, tube-like device called a grommet. This device helps ventilate the middle ear, allowing air to enter and preventing fluid build-up.

The procedure is usually performed under general anaesthesia for children and local anaesthesia for adults. It is minimally invasive and typically takes only 15 to 30 minutes. The grommets remain in place for six to twelve months, after which they naturally fall out as the eardrum heals. During this period, patients experience significant relief from symptoms such as hearing loss, earache, and a sensation of fullness in the ear. 

 


Facilities and Services

Our Department of ENT - Head & Neck Surgery offers end-to-end services to provide the best care possible for our patients:

  • Advanced Surgical Techniques: Equipped with the latest technology, including endoscopic and robotic systems, our surgeons perform minimally invasive procedures that ensure faster recovery, reduced scarring, and optimised outcomes.

  • Comprehensive Tumor Care: Our multi-disciplinary approach to treating head and neck cancers involves a team of experts from oncology, surgery, radiology, and rehabilitation to ensure a holistic treatment plan.

  • Voice and Airway Care: The Voice Clinic specialises in voice disorders and airway stenosis and offers advanced treatments to help improve voice function and restore breathing.

  • Rehabilitation Services: Our team of speech therapists, nutritionists, and rehabilitation specialists ensure that you receive personalised support to regain function and improve your quality of life post-treatment.

  • 24/7 Emergency Care: We provide round-the-clock care for emergencies related to the head, neck, and airway, ensuring prompt diagnosis and treatment.

Frequently Asked Questions (FAQs)

What conditions are treated at the Department of ENT - Head & Neck Surgery?

We treat a variety of conditions, including head and neck cancers, thyroid and parathyroid disorders, voice disorders, airway stenosis, and tumors of the skull base. Our approach is personalized to meet each patient's specific needs.

What is the recovery time after skull base surgery?

Recovery time after skull base surgery can vary. It usually depends on how complicated was the procedure and your health condition. However, minimally invasive techniques often result in shorter recovery times, with most patients resuming normal activities within a few weeks.

How do I know if I need surgery for airway stenosis?

Surgery may be necessary if you experience difficulty breathing, frequent coughing, or noisy breathing. Our team carefully evaluates your condition and determines the most appropriate treatment, which may include endoscopic procedures or surgical interventions.

Are minimally invasive surgeries available for head and neck tumors?

Our clinic specializes in minimally invasive surgeries, including endoscopic and robotic techniques. These procedures reduce scarring, minimize pain, and shorten recovery times. They offer practical solutions with excellent outcomes.

What should I expect during the rehabilitation process after surgery?

Rehabilitation is a critical component of recovery. Our team will guide you through personalized therapy, including speech therapy, swallowing therapy, and physical rehabilitation, to help restore normal function and improve your quality of life.




 

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