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Our Specialities

Ear, Nose & Throat

Ear, Nose & Throat


The Department of ENT provides comprehensive out-patient and in-patient care to patients with ear, nose and throat-related ailments. Most surgeries are performed on a day-care basis.


Throat

Why Koshys ?

The Department of ENT at Koshys Hospital provides medical and surgical care for various ENT related conditions. Our well-trained and expert ENT specialists perform advanced procedures such as Cochlear Implantation, various endoscopic surgeries, nasal polyps, vocal cord paralysis and pediatric airway surgery etc.

OPD Procedures


  • Foreign body removal from ear, nose and throat: Most ear and nose foreign bodies can be removed by a skilled physician in the office with minimal risk of complications. Common removal methods include use of forceps, water irrigation, and suction catheter. Pharyngeal or tracheal foreign bodies are medical emergencies requiring surgical consultation.
  • Ear wax removal: When excess earwax accumulates, it can be removed by a doctor using a small, curved instrument called a curet. Your doctor can remove excess wax using a small, curved instrument called a curet or by using suction while inspecting the ear.

General Medicine

Treatment & Procedures


  • Micro-laryngeal and ear surgery: Micro laryngeal surgery is a minimally invasive procedure used to biopsy or remove abnormal growths, such as granulomas or benign cysts, in the larynx. It is usually performed to correct voice disorders or to diagnose or treat laryngeal cancer. Otoplasty — also known as cosmetic ear surgery — is a procedure to change the shape, position or size of the ears. You might choose to have otoplasty if you're bothered by how far your ears stick out from your head. You might also consider otoplasty if your ear or ears are misshapen due to an injury or birth defect.
  • Endoscopic sinus surgeries for chronic sinusitis and nasal polyps. FESS (Functional endoscopic sinus surgery): FESS stands for functional endoscopic sinus surgery. Since its beginnings in the early 1990s, this minimally invasive surgery is effective in removing sinus polyps and other types of abnormalities of the nose that cause significant breathing problems, including chronic sinusitis.
  • Micro ear surgery
  • Advanced endoscopic surgeries for CSF Rhinorrhoea and anterior skull base tumours: Cerebrospinal fluid (CSF) rhinorrhoea occurs due to communication between the intracranial subarachnoid space and the Sino nasal mucosa. It could be due to trauma, raised intracranial pressure (ICP), tumours, erosive diseases, and congenital skull defects. Some leaks could be spontaneous without any specific etiology. The potential leak sites include the cribriform plate, ethmoid, sphenoid, and frontal sinus. Glucose estimation, although non-specific, is the most popular and readily available method of diagnosis.
  • Micro-laryngeal surgeries for vocal nodules, polyps and thyroplasty for vocal cord palsy: Micro laryngoscopy is a surgical technique used in the evaluation and removal of various lesions of the vocal folds, including (but not limited to): cancer, cysts, papilloma, polyps, and Reinke's edema. A surgeon looks through the operating microscope and uses fine micro instruments to remove a vocal fold polyp.
  • Uvulopalatopharyngeoplasty (UPPP) surgery to address snoring: Uvulopalatopharyngoplasty (UPPP) is a procedure that removes excess tissue in the throat to make the airway wider. This sometimes can allow air to move through the throat more easily when you breathe, reducing the severity of obstructive sleep apnea (OSA).
  • Diagnosis & treatment of snoring and sleep apnea syndrome: To eliminate snoring and prevent sleep apnea, your doctor may recommend a device called a continuous positive airway pressure (CPAP) machine. A CPAP machine delivers just enough air pressure to a mask to keep your upper airway passages open, preventing snoring and sleep apnea.
  • Septoplasty and Turbinectomy
  • Adenotonsillectomy: Adenotonsillectomy is the most commonly administered treatment for obstructive SDB in children.106 Although this procedure is thought to be effective in alleviating upper airway obstruction for many symptomatic children, it is not precisely known how often adenotonsillectomy “cures” SDB. This uncertainty is the result of widely variable intake and outcome measures within existing research as well as a lack of large, randomized, controlled studies assessing long-term clinical outcome.
  • Nasal bone reduction: Sometimes the frontal processes of the maxillae are displaced laterally with the nasal bones impacted inside them. Reduction requires elevation of the nasal bones anteriorly and repositioning of the frontal processes medially. The elevator must not be inserted too far into the nasal cavity.
  • Tracheostomy: Tracheotomy or tracheostomy, is a surgical procedure which consists of making an incision (cut) on the anterior aspect (front) of the neck and opening a direct airway through an incision in the trachea (windpipe). The resulting stoma (hole) can serve independently as an airway or as a site for a tracheal tube or tracheostomy tube to be inserted; this tube allows a person to breathe without the use of the nose or mouth.
  • Stapedotomy: A stapedectomy is surgery to remove a small bone, called the stapes, from the middle ear. The middle ear contains three bones: the stapes the incus, and the malleus. These bones help with hearing.
  • Tongue Tie Release
  • Vocal Cord Paralysis Vocal cord paralysis occurs when the nerve impulses to your voice box (larynx) are disrupted. This results in paralysis of the vocal cord muscles.
  • Nasal Polyps Nasal polyps are soft, painless, noncancerous growths lining the nose or sinuses. They happen most often in people with asthma, allergies, repeat infections or inflammation in the nasal passages. Medication and outpatient surgery can shrink nasal polyps and relieve symptoms

FAQ's


Nasal polyps don’t tend to develop until well into adulthood, when people are in their 30s or 40s. They’re usually linked with some cause of inflammation in the nose, such as:

  • Asthma.
  • Allergic rhinitis (hay fever) or other allergies, such as to aspirin or fungus/fungi.
  • Chronic rhinosinusitis (CRS).
  • Cystic fibrosis.
  • Repeat sinus infections or other infections.

Small polyps may not cause any symptoms. But as they grow, they may lead to:

  • Headaches.
  • Loss of smell or taste.
  • Nasal congestion (stuffy nose).
  • Nasal drainage (runny nose).
  • Nosebleeds.
  • Postnasal drip (constantly feeling like you have to clear your throat).
  • Pressure or pain in the sinuses, face or top teeth.
  • Snoring.




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