Department
of ENT at Star focuses on the treatment of ear, nose, throat and head and neck
conditions in children and adults. The ENT department at STAR
Hospitals provides a wide range of services and maintains the highest
standard of medical care. Our team is focused on the overall welfare of our
patients and their families, aiming to restore quality of life with the highest
degree of professionalism. The Department is renowned across the country that
is well equipped with ultra-modern facilities, amenities and an expert team of
ENT Surgeons, Audiologists and Therapists along with the latest operating
microscopes, diagnostic video endoscopes and an up-to-date audiology lab. With
over 3000 sinus surgeries, the team is considered one of the leading ENT surgical
teams in India. The team strongly believes in patient friendly techniques like
minimally invasive or endoscopic procedures which are challenging for the
surgeon to perform, but involve minimal or no blood loss, with reduced but
effective stay at the hospital.
The department
boasts about a host of day care procedures, which include:
Myringoplasty:This operation is done to close a
hole or ‘perforation’ in the eardrum. A perforation predisposes the patient to
recurrent middle ear infections, which can impair hearing. There are a number
of ways to close a hole in the eardrum. The size and location of the hole and
the anatomy of the ear canal will determine which approach is needed in such a
situation. The operation lasts about 3 hours and is performed under local
anaesthesia.
Mastoidectomy:A mastoidectomy is performed to
remove diseased mastoid air cells. These cells sit in a hollow space in the
skull, behind the ear. The diseased cells are often the result of an ear
infection that has spread into the skull. Sometimes, the infection spreads onto
the temporal bone. If this occurs, parts of the bone may need to be removed.
Reconstruction of
the middle ear: The
middle ear is an air filled cavity lying behind the eardrum. If the bones of
the middle ear have been damaged from infection, trauma, cholesteatoma, surgery
or other causes, replacing them with man-made prostheses can repair them. Many
techniques for this procedure exist and need to be tailored to the individual
case and anatomy. Any or all of the middle ear bones may be replaced to improve
the hearing state. This delicate procedure gives excellent results in the
majority of cases. This is done under local or general anesthesia on an
outpatient basis and takes about an hour.
Tonsillectomy or
Adenoidectomy: Enlarged
tonsils and adenoids are a common cause of snoring and sleep disruption in
children. The tonsils are clusters of lymphoid tissue in the back of the throat
while the adenoids are a similar mound of tissue in the back of the nose.
Although less common in adults, some adults can receive excellent resolution of
snoring through removal of enlarged tonsils and/or adenoids.
Tonsillectomy/adenoidectomy is an outpatient surgery performed in the operating
room under general anesthesia to remove these parts. Most patients require a
recovery time of at least one week but may continue to experience a sore throat
for two weeks. The most common complication is bleeding, often occurring over a
week after the surgery.
Balloon Sinuplasty: Balloon sinuplasty, a
highly sophisticated technique, done to enlarge the sinus drainage pathways
without cutting any tissue. Compared to traditional surgery, most patients can
return to work the next day without any evidence of the procedure. It is
similar to the stenting procedure done to heart to open up the vessels Many a
times, snoring can be treated with brief procedures which include radio
frequency volume reduction, coblation palatoplasty and injection snoreplasty.
These procedures involve minimal pain.
Turbinate Reduction
or Turbinoplasty: Turbinates
are small, rounded, bony projections inside the breathing passage on each side
of your nose. When turbinates get enlarged, they give rise to nasal
obstruction. Turbinate reduction is performed, if the problem stands unresolved
through medical therapy. The consultant will decrease swollen turbinate tissue
beneath the mucosal tissue layer to provide significant improvement in the
nasal airway, using local anaesthesia. There is no significant post-operative
bleeding, crusting, or pain with this procedure.
Microlaryngeal
surgeries for hoarseness of voice: An
operation to remove nodules, polyps and non-cancerous (benign) tumours maybe
recommended if identified at the outpatients visit. This type of operation is
usually done under general anesthesia using a rigid telescope (Endoscope) and a
microscope (to provide magnification).
Our ENT department
is fully equipped with modern and up-to-date instruments like:
·
Karl
Storz flexible endoscope
·
Zeiss
operating microscope
·
Stryker
HD monitor
·
Medtronic
IPC with M4 hand piece
·
Intraoperative
Navigation System
·
Arthrocare
Coblator
Pediatric airway
management: Pediatric
airway surgery is a challenging field. In our centre, many pediatric airway
procedures are done for conditions such as laryngomalacia, tracheomalacia,
subglottic stenosis, tracheal stenosis, tongue base lesions in which children
present with severe breathing and feeding issues and poor growth. Procedures
are done for nasal anomalies
like nasal pyriform sinus stenosis, choanal atresiaand severe septal deviation.
Skull Base Surgery: Skull base surgery is done
to remove both benign and cancerous growths and abnormalities on the underside
of the brain. It is difficult area to see and reach and therefore is performed
by minimally invasive endoscopic procedures in which instruments are inserted
through the natural openings in the skull – the nose or the mouth by making
small openings below the eyebrows when performed through the nose, morbidity of
the procedures and hospital stay is
significantly reduced. In our institute we perform these surgeries for pituitary
tumours and to repair CSF leaks.
Obstructive Sleep
Apnea (OSA): Sleep
apnea is common disorder in which a person has one or more pauses in breathing
while sleeping. As a result, the quality of sleep is poor which makes them
tired during the day. Our centre is excellent in the management of snoring and
sleep apnea. Patients are thoroughly evaluated using sleep studies, diagnostic
endoscopies and drug induced sleep endoscopy. Based on the findings in sleep
endoscopy, the surgical procedure suitable for the patient is decided. Usually
it involves multi-level surgeries such as nasal surgery, palatal surgeries and
tongue based procedures. Some patients may also require bony surgeries such as
maxilla-mandibular advancement, genioplasty, etc.
Head
and neck Surgery: In our center, we perform many head and neck procedures
for thyroid, submandibular gland and parotid gland, cervical lymph node
biopsies, congenital head and neck anomalies such as thyroglossal cyst,
bronchial cyst and fistula, bronchial sinus, cystic hygromas, hemangiomas.
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