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Introduction

The ENT department of JNU Hospital is abreast with advancement in medical technology and uses latest treatment modalities for ENT related problems while being equally sensitive towards patient care in rendering a human touch. The ENT department at this hospital is one of the best performing department in terms of patient input, no of surgeries in a month and in terms of daily OPD. The department performs all surgeries related to Ear, Nose, Throat & Head and Neck.

The Audiology & Speech therapy dept. has the facilities of 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, Facial nerve decompression.

The Nose surgeries performed include Septoplasty, FESS, Endoscopic DCR, Turbinoplasty.

The Throat surgeries include Adenotonsillectomy, UPPP, MLS for vocal polyp, foreign body removal. Head and Neck surgeries include Thyroidectomy, Parotidectomy, Thyroglossal cyst removal, Submandibular gland excision, Laryngectomy etc by best Ent Specialist in Jaipur.

The department has state of the art microscope to perform micro ear and micro laryngeal surgeries of various types e.g. 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 Audiologist and Speech Pathologist. We have nasal and nasopharyngeal endoscopes for diagnostic and video endoscopy facility 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 oesophagus . Oesophagoscopies are routinely done in our hospital.

Diagnostic Facility Therapeutic Facility
Audiometry Endoscopic Sinus Surgery
Nasal Endoscopy Tympanoplasty
Direct laryngoscopy Stapedectomy
Septoplasty
Microlaryngeal Surgery
Facial Nerve Decompression
Endoscopy for foreign body oesophagous

Treating symptoms

Ear symptoms

  • EAR ACHE – Ear Pain
  • EAR DISCHARGE – Fluid / Water from ear
  • HARD OF HEARING – Decreased hearing sensation
  • TINNITUS – Ringing sensation in ear
  • VERTIGO – Giddiness, feeling of rotation of ones self / surrounding
  • SUDDEN HEARING LOSS

Nasal symptoms

  • HEAD ACHE – Due to sinusitis
  • NASAL BLOCK
  • EPISTAXIS – Bleeding from nose
  • SNEEZING
  • MOUTH BREATHING: It can be perceived by dryness of throat. Here the patient opens mouth to breathe while sleeping.
  • POST NASAL DRIP: Discharge coming behind the nose to the throat.

Throat symptoms

  • THROAT PAIN
  • DYSPHAGIA: Difficulty while swallowing
  • ODYNOPHAGIA: Pain while swallowing
  • DRY COUGH
  • VOICE CHANGES

Sleep related symptoms

  • SNORING

OPD/diagnostic procedure

  • OTO Endoscopy
  • Diagnostic Nasal Endoscopy (DNE)
  • Video Laryngosopy (VLE)

As costs escalate, we strive for affordable treatment without compromising on quality parameters like success, safety and ease of processes. Also, as most patients feel more comfortable in the surroundings of their home, the ENT department offers patients the choice of day care surgery in majority of situations. With day care ENT Surgery, patients admitted to the hospital undergo operations, recover from anesthesia and go home with their family, all in the same day.

Ear Surgery

Majority of the ear surgeries are done as day care 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 ear drum with 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

ENT, JNU Hospital Jaipur

Removal of disease, usually cholesteatoma, from the mastoid and middle ear, with or without reconstruction of tympanic membrane and hearing apparatus. Cholesteatoma is a type of skin cyst and commonly occurs due to complication 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 the same day. The patient may occasionally experience vertigo after mastoidectomy or ossiculoplasty and is sensitized about it before hand. 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 post operative 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 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)

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

Endoscopic sinus surgery involving removing extensive polyposis in the sinuses.It is done under general anaesthesia and these patients are usually advised to stay in 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 day care 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

Tonsillectomy and adenoidectomy have always been done as day care procedures. The patients are sent home in the evening after checking the fauces for clots or bleeding. Oral biopsies, buccal leucoplakia excision and other such minor surgeries are also excellent day care situations. Even most rigid endoscopies, such as direct laryngoscopy, microlaryngoscopy and oesophagoscopy, done under general anaesthesia lend themselves to being day care 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.