This condition cause deafness, discarge & bone erosion & brain related complications . Varied Mastoid surgeries are being undertaken for the same
Chronic suppurative otitis media (CSOM) is the condition wherein there is recurrent or persistent discharge through a perforation in the ear drum. It usually occurs as a result of persistent acute otitis media with perforation in childhood. This impacts as a common cause of hearing impairment, disability and poor scholastic performance. CSOM is initially treated with topical therapy, however, in most cases, it is surgically corrected through a procedure known as tympanoplasty / Myringoplasty and if necessary combined with Ossiculoplasty ( for hearing improvment ) and Mastoidectomy ( For disease clearence )
Stapedectomy is the surgical procedure to treat problems of hearing loss caused due to otosclerosis. Otosclerosis is the condition wherein the patient suffers conductive hearing loss as a result of bone buildup around the stapes which keeps them from moving normally. Stapedectomy addresses this by removing the excess bone buildup.
FESS is a minimally invasive surgical procedure to restore sinus ventilation and normal function in those suffering with recurrent acute or chronic infective sinusitis. This procedure is done only when all other medical treatment options have failed.
Nasal and Paranasal tumors are abnormal growths in and around the passageway within the nasal cavity. Abnormal growths that begin in the nasal cavity are known as nasal tumors. Those that begin in the air-filled chambers around the nose called paranasal sinuses are known as paranasal tumors. These tumors can be cancerous or non-cancerous. Treatment for the tumor depends on the type of tumor that is found in the nasal and paranasal regions.
Cerebral spinal fluid (CSF) leak occurs when the fluid around the brain leaks through a hole in the skull bone. This fluid could leak through the ear or nose depending on where on the location of the damage on the skull bone. Surgical treatment to address CSF leak involves placing a graft – either tissue from other parts of the body or synthetic material – to close the hole in the skull base.
Lumps in the neck are abnormal growths in the front part such as Lipomas, Sebaceous cysts, Thyroglosal cysts, Para gangliomas, Carotid body tumors, Schwanomas, Brachial cysts, Lymphangiomas, Haemangiomas, are only a few of the long list. These can be addressed on their merits with least possible complications and a thin small scar.
Cysts in the neck, just like lumps, can also be either benign or malignant. There are various types of cysts and therefore, it is particularly important to make an early diagnosis to ensure right course of treatment.
Thyroglossal cysts : These are fibrous cysts that form from leftover cells and tissues after the formation of the thyroid gland during developmental stages.
Schwannomas cysts : These are those are a type of nerve tumor of the nerve sheath and can occur in any part of the body. While they are malignant, they can cause damage of the surrounding nerves as and when they grow in size.
Lipomas : They are slow-growing, fatty lumps often situated between the skin and underlying muscle layer. While they are not malignant nor dangerous, they are to be removed if it causes pain or grows in size and bothers the individual. Other types of cysts include congenital neck masses, metastatic squamous cell carcinoma and acquired laryngoceles.
Micro laryngeal surgery is the procedure administered to treat various conditions in the vocal chords particularly benign vocal fold lesions such as cysts or polyps. Surgery is also required when a biopsy is to be done or to treat any kind of lesion on the larynx which may be suggestive of laryngeal cancer.
Neck Tumors are abnormal growths which could be non-cancerous or cancerous. It is particularly important to identify the type of lump in the early stages so that the appropriate treatment can be determined and administered. Lumps caused by bacterial infections are treated with antibiotics. In case of lumps that are malignant the treatment options could include surgery, radiation and chemotherapy.
Malignant thyroid tumors are one of the most curable types of cancer. There are different types of thyroid cancers such as Papillary Carcinoma is most common and curable, Follicular Carcinoma is less common and often curable, Hurthle Cell Carcinoma is a rare type of follicular carcinoma and can only be surgically treated, Medullary Thyroid Carcinoma (MTC) tends to spread more than the other types and therefore requires aggressive surgical treatment, Anaplastic Carcinoma develops from an existing papillary or follicular thyroid cancer and is the most difficult to control. Surgical treatment is the main treatment for thyroid tumors.
Parathyroid tumor is a growth inside the parathyroid gland. These tumors increase the levels of parathyroid hormones which then lead to an increase in calcium content in the blood known as hypercalcemia. Surgery is the main treatment for parathyroid tumors in which as much of the tumor as possible is removed.
Most of the tumors in the throat, base of the tongue, and tonsils are difficult to reach for surgical treatment. However, advancement in technology has made it possible to perform these surgeries through the use of robotic technology. This type of surgery allows for the surgeon to sit at a distance at a remote-control console and performs the surgery by controlling the robot which will be executing the surgery on the patient. While the robotic hands execute the surgery, it is the surgeon who is in complete control of the procedure.
Oropharyngeal cancer affects the throat directly behind the mouth. The location of the oropharynx makes it very complicated to perform a traditional open surgery in order to treat the cancer. Surgical treatment known as the oropharyngeal surgery is carried out as a TORS wherein the surgeon performs the surgery by controlling the robot from a remote-control console.
Larynx is the voice box situated in the neck and consists of the vocal cords and the areas above and below the vocal cords. Cancers of the larynx are more common in smokers. Treatment for Laryngeal cancers involve removal of the affected portions of the larynx. In most cases, the goal of the surgery is to completely clear cancer cells while also trying to preserve the voice of the patient. This surgery too may be performed as a TORS.
Cancers of nose ,paranasal sinus, larynx, oral cavity , oropharynx , hypopharynx, salivary glands , ear, thyroid gland & facial nerve are under taken with multidiplinary team with stringent post operative follow up . Non cancerous tumours & cancerous tumours of the neck are dealt with utmost precion. Patients needing adjuvant radiotheraupy & chemotheraupy are referred to the authorities in the respective feilds .
The parotid glands are located just in front and below the ears on each side of the face and are the largest of the three sets of major salivary glands , which are responsible for producing saliva to aid in chewing and digesting food. Tumors in this gland account for about 80 to 85 percent of all salivary gland tumors. Surgery is often the preferred treatment to remove all of part of the parotid gland. Good knowldge of the anatomy and Surgical expertise is needed to preservethe Facial Nerve to avoid Facial weakness/ paralysis. Radiation therapy may be recommended for certain malignant tumors.
Advancement in technology has made it possible for even the most complex of surgeries to be done with the assistance of lasers. Areas of the ENT that are difficult to access for a traditional open surgery are now much more easily done through laser assisted surgeries. Some of the main ENT treatments that employ laser assisted surgeries are Transoral Laryngeal Microsurgery, Middle Ear Surgery, Oral Surgery, Nasal, Endonasal & Endoscopic Sinus Surgery, Tracheobronchial Tree, and head and neck surgeries.
Lacrymal sac which accumulates tear,when it is chronicaly infected and ireversibly blocked causes swelling near the nose side of the eye , also leads to pus pouring into the eye. This condtion is called “Chronic Dacryocystitis”, can be dealt with ‘scarless surgery’, called as Trans Nasal Endoscopic “Dacryo cystc Rhinostomy ( DCR Surgery )
When the Larynx ( Voice Box ) and Trachea ( Breathing Pipe ) are damaged by Road Traffic Accident , attempted suicide, accidental poison ingestion, and prolonged intubation, leads to breathing difficulty and speech distortion. When conservative management fails surgery is the only option. This involes resection of part of the treachea , putting inplants ,laser resection of scar tissue etc. These proceduresa are a few of the many available options depending on the condition of the patients. Also multiple surgeries and a trachostomy are the possibilities.
voice disorders due to benign, malignant lesions,and paralysis of the vocla cord poses a major challenge as voice is one’s own identity. This needs a careful approach to evealuate the cause with the aid of Camera assisted Flexible Fibre optic endoscopy examination. A detailed discussion with the patient regarding the nature of one’s own problem and the tailor made treatment options available should take place. Micro Laryngeal surgery ( M L S Surgery ), Thyroplasty , Resection of parts of the voice box are few of the treatment options. Post operative re assesment and a careful follow up are essential. For early Malignant lesions sometimes Radiotherapy alone may be necessary. Use of Laser is decided with regard to the pathology especilay in cases such as Multiple papillomas.
In view of the COVID 19 attack, we at Suman Clinic want to initiate online consults which will benefit our patient’s Consultants available for online consultation except for Sundays.
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