Otorhinolaryngology (ENT)
Otorhinolaryngology (ENT)

The Department of Otorhinolaryngology, head and neck surgery was established in the year 2005 at Chettinad hospital and Research Institute and it is well recognized for its dedicated approach towards providing care to patients by using high end equipment. Comfortable services are provided to both outpatients and in patients and special clinics such asheadache,allergy and vertigo clinics are organized on alternate days. Many specialized tests are also available which can be utilized by the patients, at affordable costs.

The dedicated team of skilled ENT surgeons is headed by Prof.Dr.S. Rajasekaran.Faculty are well experienced in both teaching and patient care.

The department of Otorhinolaryngology provides outpatient services from 8.30 AM to 4.00 PM on week days.On holidays,emergency services such as foreign body removal,emergency tracheostomies are done. Free hearing aids were provided on world hearing day to patients who were not affordable.Utmost care is given to sick patients.Patients can choose between general wards,semiprivate wards and private wards. Special consultation is provided in peripheral centers such as urban health center at Karapakkam, rural health centre at Poonjeri.

The department handles undergraduate MBBS students in the prefinal year and high academic performance of the undergraduates is maintained constantly. This goal is achieved by the effective mentor-mentee system. Slow Learners are given special coaching for both theory and clinical. High achievers are encouraged to attend quiz competition in various other institutions. Small group teaching is carried out during clinical sessions. Students are encouraged and prepared to send to educative forums, CME in regional & state level. The department is provided with library which is useful for UG and PG students.

The Postgraduate Course offered is MS ENT and the student is trained to list the causes and mechanism of common ENT diseases and emergencies, define the appropriate diagnostic tools for the ENT diseases while applying recent modalities of diagnosis, Interpret the investigations and to formulate appropriate management plans. They are also trained to perform basic surgeries.

TEMPORAL BONE DISSECTION SERWELL OPD OTOMICROSCOPE

Special educational initiatives taken by the department include clinical case, journal club and seminar presentations, temporal bone dissection, group discussions.

Other courses handled include AHS students from pulmonology department,dental postgraduates,ophthalmology postgraduates are being posted in our department and taught about ENT related aspects. Basic audiometric evaluation is explained to students from physiology department.

Research based onindustrial camp visits are conducted on regular basis to identify noise induced hearing loss and necessary management is given to prevent permanent hearing loss. Newborn screening for hearing loss is done to identify and treat hearing impairment in newborns. Recent research based on COVID – 19 sample collection is performed.

The department of otorhinolaryngology functions at OP No 8 and provides outpatient services from 8.30 AM to 4.00 PM on week days.Diagnostic nasal endoscopy,otoendoscopy,video laryngoscopy are the procedures performed in the OP. Ear lobe repair done and intralesional steroid injections are given for keloid. Throat swabs are taken in required cases and sent for C/S.Oral cavity biopsies are taken with help of endoscope and sent for HPE.Audiological tests are done on OP basis.OAE screening is done for neonates.

VIDEOLARYNGOSCOPY

Inpatient services are provided for those patients requiring admission and Post-Operative care. This is provided by 80 bedded wards comprising of an equal number of beds allotted for both the male and female patients. The wards are well ventilated. The Patient can choose between general wards,semiprivate wards and private wards. Seriously ill patients are triaged at the zero-delay ward and are transferred to intensive medical care unit for prompt treatment.

Vertigo Clinic Tuesday, Thursday, Saturday
Allergy clinic Monday to Saturday
Head ache clinic Monday, Wednesday, Friday

In the allergy clinic,patients are given utmost care and diagnostic nasal endoscopy is performed if needed. In vertigo clinic,maneuver charts are provided and explained in detail for patients diagnosed with BPPV.In headache clinic, proforma regarding patient details and complaints are recorded.

Special Investigations offered include the following

  • Diagnostic nasal endoscopy
  • Videolaryngoscopy
  • Examination under microscope
  • Newborn screening for hearing loss
  • Brainstem evoked response audiometry
  • Otoacoustic emission
  • Impedance audiometry
  • Speech therapy

AUDIOLOGICAL TESTS

The department regularly organizes and conducts camps in urban and rural areas.

Unique services to the poor by conducting rural health camps.For minor ailments,drugs are provided free of cost at the camp site.Patients with notable disorders will be referred to the hospital for further work up. Presently, in view of the COVID 19 pandemic,the department provides telephonic consultation.

1 Endoscopic trans canal facial nerve decompression with cable grafting
2 Endoscopic pituitary macroadenoma excision
3 CSF leak repair
4 Deep lobe parotid tumour excision
5 Modified radical neck dissection
6 Carotid body tumour excision
7 Total maxillectomy with orbital exenteration
8 Total laryngectomy
Deep lobe parotid tumour excision Modified radical neck dissection
Carotid body tumour excision
Total maxillectomy with orbital exenteration Total laryngectomy

All these patients depicted below were given emergency care and follow up in our department on regular basis

ENDOSCOPIC TRANSCANAL FACIAL NERVE DECOMPRESSION WITH CABLE GRAFTING
CSOM (AAD) WITH LEFT THALAMIC ABSCESS ATTICO ANTROSTOMY WITH TYPE 3 TYMPANOPLASTY -VERY RARE CASE PRESENTATION
PAEDIATRIC TRACHEOSTOMY
FOREIGN BODY REMOVAL (BUTTON BATTERY FROM NASAL CAVITY)
INCISION AND DRAINAGE DONE FOR SEPTAL ABSCESS

Prof.DR.K. PRIYA

COMPLETED

  • Evaluation of eustachian tube function in chronic suppurative otitis media (tubo tympanic type) with reference to its treatment outcome- Indian journal of otology: VOL 18: Issue 4: October 2012.
  • “Odontogenic keratocyst” – a case series of five patients-Indian journals of otolaryngology and head and neck surgeries: Vol 66: number 1: Jan march 2014
  • Petrified ear- Indian journal of otology, 2011, vol 17: issue 1: page.:30-32.
  • Correlating the site of tympanic membrane perforation with hearing loss-journal of evaluation of medical’s and dental sciences: vol 4: issue 83: page no 14451 – 14457, oct 2015
  • Histopathology in chronic tonsillitis retrospective analysis J of evolution of medical and dental sciences: vol 4: issue 85: oct 2015, page no. 14800 to 14805.
  • Computerized tomographic evaluation of optic nerve patterns in Indian population – J of evolution of medical and dental sciences.
  • A rare presentation of parapharyngeal space tumours -pleomorphic adenoma- case report.
  • Comparison of efficacy of fluticasone propionate and mometazone furoate in the treatment of allergic rhinitis- Medpulse- International medical journal, vol4 issue 2 , feb 2017page no. 192 – 195.
  • A cross sectional study of neutrophil to lymphocyte ratio (NLR) in patients with benign paroxysmal positional vertigo. – Medpulse -International medical journal, march 2019;(3) :97-100
  • Assessment of hearing among mobile phone users- International journal of otorhinolaryngology and head and neck surgery, accepted on July 10.2019
  • Prevalence of Haller cells at a tertiary care centre-A retrospective observational study.

DR.S. PRABAKARAN

COMPLETED

  • S.Prabakaran,P.Thirunavukarasu,Comparison of pre-op and post-op snot outcome in patients with CRS J.Int.Pharm.Res.,46(2019) 114-116
  • S.Prabakaran,P.Thirunavukarasu,Prospective study of pre-operative CT scan,per operative findings and Sino nasal outcome in patients with chronic rhinosinusitis undergoing FESS,J.Int.Pharm.Res,46(2019) 111-113
  • S.Prabakaran,P.Thirunavukarasu,A comparison of pre-op and post-op snot outcome in patients with atopy underwent FESS,J.Int,Pharm,Res,46(2019),117-119

ONGOING

  • A cross sectional study on the bacteriological pattern of chronic otitis media and its antibiotic sensitivity

DR.K. PAVENTHAN

COMPLETED

  • Comparison of nasal douching with isotonic saline versus ringer lactate in Chronic Rhinosinusitis: a randomised control trial:K.Paventhan, Pradeep Krishna. R,Ramya Shree.C

R.B.NAMASIVAYA NAVIN

COMPLETED

  • R.B. Namasivaya Navin, S. Rajasekaran, A Study on Audiological Profile in Hypothyroid Patients, J. Int, Pharm.Res.,46(2019) 103-105
  • R.B. Namasivaya Navin, S. Rajasekaran, A study on prevalence of hearing impairment for audiological profile in hypothyroid patients, J. Int, pharm, res,46(2019) 106-107
  • R.B Namasivaya Navin, S.Rajasekaran, A study on Audiometric assessment of hypothyroidism patients ,j,int,pharm,res,46(2019) 108-110

CONFERENCES/CME ORGANIZED

1) 14,15,16 NOV 2014 23rd ANNUAL CONFERENCE OF THE INDIAN SOCIETY OF OTOLOGY,ISOCON 2014,CHENNAI

2) 04TH SEPTEMBER 2014 APPROACH TO PAEDIATRIC HEARING LOSS,CHRI

3) 26TH FEBRUARY 2015 VOICE DISORDERS-ENT SURGEONS PERSPECTIVE

4) 12TH NOVEMBER 2015 COMMON ISSUES IN PAEDIATRIC OTORHINOLARYNGOLOGY

5) 11TH NOVEMBER 2016 AIRWAY MANAGEMENT AND OVERVIEW

6) 25TH NOVEMBER 2016 ALLERGIC RHINITIS

7) 17TH JUNE 2017 OBSTRUCTIVE SLEEP APNEA SYNDROME

8) 05TH AUGUST 2017 PAEDIATRIC AIRWAY DISEASES AND MANAGEMENT

9) 19TH FEBRUARY 2018 RECENT TRENDS IN TYMPANOPLASTY

10) 07TH SEPTEMBER 2018 RECENT TRENDS IN THE MANAGEMENT OF OTOSCLEROSIS

11) 18TH MARCH 2019 NEWBORN AND INFANT SCREENING,CHRI

12) 29th JULY 2019 CURRENT CONCEPTS IN MANAGEMENT OF CHRONIC OTITIS MEDIA

WEBINAR ORGANIZED

1)1st JULY 2020 ENDOSCOPIC EAR SURGERIES-PRESENT AND FUTURE,PROF.DR.G.SUNDAR KRISHNAN,MBBS,DLO,MS ENT.

2)22ND JULY 2020 ENT MADE EASY WITH YOUR OWN SKETCH DIAGRAM AND HAND MODEL-LARYNX AND PHARYNX.


Department of ENT

About the Department

The Department of Otorhinolaryngology, head and neck surgery was established in the year 2005 at Chettinad hospital and Research Institute and it is well recognized for its dedicated approach towards providing care to patients by using high end equipment. Comfortable services are provided to both outpatients and in patients and special clinics such asheadache,allergy and vertigo clinics are organized on alternate days. Many specialized tests are also available which can be utilized by the patients, at affordable costs.

The Team

The dedicated team of skilled ENT surgeons is headed by Prof.Dr.S. Rajasekaran.Faculty are well experienced in both teaching and patient care.

Patient Care

The department of Otorhinolaryngology provides outpatient services from 8.30 AM to 4.00 PM on week days.On holidays,emergency services such as foreign body removal,emergency tracheostomies are done. Free hearing aids were provided on world hearing day to patients who were not affordable.Utmost care is given to sick patients.Patients can choose between general wards,semiprivate wards and private wards. Special consultation is provided in peripheral centers such as urban health center at Karapakkam, rural health centre at Poonjeri.

Teaching

The department handles undergraduate MBBS students in the prefinal year and high academic performance of the undergraduates is maintained constantly. This goal is achieved by the effective mentor-mentee system. Slow Learners are given special coaching for both theory and clinical. High achievers are encouraged to attend quiz competition in various other institutions. Small group teaching is carried out during clinical sessions. Students are encouraged and prepared to send to educative forums, CME in regional & state level. The department is provided with library which is useful for UG and PG students.

The Postgraduate Course offered is MS ENT and the student is trained to list the causes and mechanism of common ENT diseases and emergencies, define the appropriate diagnostic tools for the ENT diseases while applying recent modalities of diagnosis, Interpret the investigations and to formulate appropriate management plans. They are also trained to perform basic surgeries.

TEMPORAL BONE DISSECTION SERWELL OPD OTOMICROSCOPE

Special educational initiatives taken by the department include clinical case, journal club and seminar presentations, temporal bone dissection, group discussions.

Other courses handled include AHS students from pulmonology department,dental postgraduates,ophthalmology postgraduates are being posted in our department and taught about ENT related aspects. Basic audiometric evaluation is explained to students from physiology department.

Research

Research based onindustrial camp visits are conducted on regular basis to identify noise induced hearing loss and necessary management is given to prevent permanent hearing loss. Newborn screening for hearing loss is done to identify and treat hearing impairment in newborns. Recent research based on COVID – 19 sample collection is performed.

Outpatient

The department of otorhinolaryngology functions at OP No 8 and provides outpatient services from 8.30 AM to 4.00 PM on week days.Diagnostic nasal endoscopy,otoendoscopy,video laryngoscopy are the procedures performed in the OP. Ear lobe repair done and intralesional steroid injections are given for keloid. Throat swabs are taken in required cases and sent for C/S.Oral cavity biopsies are taken with help of endoscope and sent for HPE.Audiological tests are done on OP basis.OAE screening is done for neonates.

VIDEOLARYNGOSCOPY

Inpatient

Inpatient services are provided for those patients requiring admission and Post-Operative care. This is provided by 80 bedded wards comprising of an equal number of beds allotted for both the male and female patients. The wards are well ventilated. The Patient can choose between general wards,semiprivate wards and private wards. Seriously ill patients are triaged at the zero-delay ward and are transferred to intensive medical care unit for prompt treatment.

Special clinics

Vertigo Clinic Tuesday, Thursday, Saturday
Allergy clinic Monday to Saturday
Head ache clinic Monday, Wednesday, Friday

In the allergy clinic,patients are given utmost care and diagnostic nasal endoscopy is performed if needed. In vertigo clinic,maneuver charts are provided and explained in detail for patients diagnosed with BPPV.In headache clinic, proforma regarding patient details and complaints are recorded.

Special Investigations offered include the following

  • Diagnostic nasal endoscopy
  • Videolaryngoscopy
  • Examination under microscope
  • Newborn screening for hearing loss
  • Brainstem evoked response audiometry
  • Otoacoustic emission
  • Impedance audiometry
  • Speech therapy

AUDIOLOGICAL TESTS

Outreach Activity

The department regularly organizes and conducts camps in urban and rural areas.

Unique services to the poor by conducting rural health camps.For minor ailments,drugs are provided free of cost at the camp site.Patients with notable disorders will be referred to the hospital for further work up. Presently, in view of the COVID 19 pandemic,the department provides telephonic consultation.

Interesting Cases

1 Endoscopic trans canal facial nerve decompression with cable grafting
2 Endoscopic pituitary macroadenoma excision
3 CSF leak repair
4 Deep lobe parotid tumour excision
5 Modified radical neck dissection
6 Carotid body tumour excision
7 Total maxillectomy with orbital exenteration
8 Total laryngectomy
Deep lobe parotid tumour excision Modified radical neck dissection
Carotid body tumour excision
Total maxillectomy with orbital exenteration Total laryngectomy

Success Stories in Complicated Cases
Publications

Prof.DR.K. PRIYA

COMPLETED

  • Evaluation of eustachian tube function in chronic suppurative otitis media (tubo tympanic type) with reference to its treatment outcome- Indian journal of otology: VOL 18: Issue 4: October 2012.
  • “Odontogenic keratocyst” – a case series of five patients-Indian journals of otolaryngology and head and neck surgeries: Vol 66: number 1: Jan march 2014
  • Petrified ear- Indian journal of otology, 2011, vol 17: issue 1: page.:30-32.
  • Correlating the site of tympanic membrane perforation with hearing loss-journal of evaluation of medical’s and dental sciences: vol 4: issue 83: page no 14451 – 14457, oct 2015
  • Histopathology in chronic tonsillitis retrospective analysis J of evolution of medical and dental sciences: vol 4: issue 85: oct 2015, page no. 14800 to 14805.
  • Computerized tomographic evaluation of optic nerve patterns in Indian population – J of evolution of medical and dental sciences.
  • A rare presentation of parapharyngeal space tumours -pleomorphic adenoma- case report.
  • Comparison of efficacy of fluticasone propionate and mometazone furoate in the treatment of allergic rhinitis- Medpulse- International medical journal, vol4 issue 2 , feb 2017page no. 192 – 195.
  • A cross sectional study of neutrophil to lymphocyte ratio (NLR) in patients with benign paroxysmal positional vertigo. – Medpulse -International medical journal, march 2019;(3) :97-100
  • Assessment of hearing among mobile phone users- International journal of otorhinolaryngology and head and neck surgery, accepted on July 10.2019
  • Prevalence of Haller cells at a tertiary care centre-A retrospective observational study.

DR.S. PRABAKARAN

COMPLETED

  • S.Prabakaran,P.Thirunavukarasu,Comparison of pre-op and post-op snot outcome in patients with CRS J.Int.Pharm.Res.,46(2019) 114-116
  • S.Prabakaran,P.Thirunavukarasu,Prospective study of pre-operative CT scan,per operative findings and Sino nasal outcome in patients with chronic rhinosinusitis undergoing FESS,J.Int.Pharm.Res,46(2019) 111-113
  • S.Prabakaran,P.Thirunavukarasu,A comparison of pre-op and post-op snot outcome in patients with atopy underwent FESS,J.Int,Pharm,Res,46(2019),117-119

ONGOING

  • A cross sectional study on the bacteriological pattern of chronic otitis media and its antibiotic sensitivity

DR.K. PAVENTHAN

COMPLETED

  • Comparison of nasal douching with isotonic saline versus ringer lactate in Chronic Rhinosinusitis: a randomised control trial:K.Paventhan, Pradeep Krishna. R,Ramya Shree.C

R.B.NAMASIVAYA NAVIN

COMPLETED

  • R.B. Namasivaya Navin, S. Rajasekaran, A Study on Audiological Profile in Hypothyroid Patients, J. Int, Pharm.Res.,46(2019) 103-105
  • R.B. Namasivaya Navin, S. Rajasekaran, A study on prevalence of hearing impairment for audiological profile in hypothyroid patients, J. Int, pharm, res,46(2019) 106-107
  • R.B Namasivaya Navin, S.Rajasekaran, A study on Audiometric assessment of hypothyroidism patients ,j,int,pharm,res,46(2019) 108-110

Conferences / CME Organized

CONFERENCES/CME ORGANIZED

1) 14,15,16 NOV 2014 23rd ANNUAL CONFERENCE OF THE INDIAN SOCIETY OF OTOLOGY,ISOCON 2014,CHENNAI

2) 04TH SEPTEMBER 2014 APPROACH TO PAEDIATRIC HEARING LOSS,CHRI

3) 26TH FEBRUARY 2015 VOICE DISORDERS-ENT SURGEONS PERSPECTIVE

4) 12TH NOVEMBER 2015 COMMON ISSUES IN PAEDIATRIC OTORHINOLARYNGOLOGY

5) 11TH NOVEMBER 2016 AIRWAY MANAGEMENT AND OVERVIEW

6) 25TH NOVEMBER 2016 ALLERGIC RHINITIS

7) 17TH JUNE 2017 OBSTRUCTIVE SLEEP APNEA SYNDROME

8) 05TH AUGUST 2017 PAEDIATRIC AIRWAY DISEASES AND MANAGEMENT

9) 19TH FEBRUARY 2018 RECENT TRENDS IN TYMPANOPLASTY

10) 07TH SEPTEMBER 2018 RECENT TRENDS IN THE MANAGEMENT OF OTOSCLEROSIS

11) 18TH MARCH 2019 NEWBORN AND INFANT SCREENING,CHRI

12) 29th JULY 2019 CURRENT CONCEPTS IN MANAGEMENT OF CHRONIC OTITIS MEDIA

WEBINAR ORGANIZED

1)1st JULY 2020 ENDOSCOPIC EAR SURGERIES-PRESENT AND FUTURE,PROF.DR.G.SUNDAR KRISHNAN,MBBS,DLO,MS ENT.

2)22ND JULY 2020 ENT MADE EASY WITH YOUR OWN SKETCH DIAGRAM AND HAND MODEL-LARYNX AND PHARYNX.

© 2020 Chettinad Academy