Ear, Nose and Throat

jsshospital-ent

Overview

ENT is a surgical specialty which deals with diseases extending from dura to the pleura.

The ENT department of JSS Hospital is dedicated to providing comprehensive medical care to patients who come with ear, nose or throat problems, including cancers of the head and neck region. The department was established in 1984 and since then has been working as a team towards treating the ailing and the sick. It is headed by Prof. Dr Shivaram Shetty who has more than thirty years of experience in India and abroad. The other faculty members include two Professors, two Associate Professors, two Assistant Professors and two Senior Residents, all of whom are well versed with the subject.

The department runs OPDs everyday and caters to the needs of people from not only Mysore, but  also several nearby districts. The hospital provides good quality medical care at very affordable prices and is a boon for the thousands of poor people who come from far away areas where medical facilities are scarce.
The ENT Department, living up to the motto of the hospital, has worked hard at providing the best treatment possible for all the ear, nose and throat problems. Be it the modern diagnostic aids or the latest surgical methods, we have always been up to date and this never ending quest for knowledge continues. Be it workshops, conferences or presentations, our department has always been ahead of others with enthusiastic participation and team work.

The department has guided several PG students for master’s degree. The department has its own seminar hall, a library as well as advanced teaching aids like LCD projectors and access to internet. We are also constantly involved in research activities.

The interdepartmental collaboration with other departments such as General Medicine, General Surgery, Paediatrics, Neurology, Radiology, Pathology, Psychiatry, Oral and Maxillofacial surgery ,Speech and Hearing Department have been of great help in setting up various specialty clinics.

Features

  • The department is divided into 3 units and each unit conducts two OPDs per week.
    ENT 1- Monday/Thursday
    ENT 2- Tuesday/Friday
    ENT 3- Wednesday/Saturday.
  • The OPD is well supported by a well equipped audiology and speech pathology unit, a minor OT, rigid nasal endoscopes , otoendoscope, flexible nasopharyngolaryngoscopes, videostroboscope and temporal bone dissection lab.
  • Various specialty clinics like Headache clinic, Vertigo clinic, Head and Neck cancer clinic, Speech clinic, Swallowing clinic and Sleep clinic are also conducted.
  • We are also equipped with a high tech Post Operation ward and SICU to take care of post operative and sick patients.
  • Community oriented camps are also done on a regular basis in various rural areas.

Services offered

Outpatient
All patients coming to our OPD with ear, nose and throat problems are catered to by our expert faculty. On an average around 120 patients are seen per day and this number is on the rise.

  • Various diagnostic facilities that are available in our OPD include
  • nasal endoscopy,
  • otomicroscopiy/endoscopy,
  • nasopharyngolaryngoscopy
  • audiological tests
  • speech evaluation
  • A 24/7 expert emergency service.
  • Minor procedures such as dressing, suturing, antral lavage, I&D, biopsy, ear lobe repair, diagnostic endoscopies and biopsy etc are done in the minor OT which is attached to the OPD.
  • Well supported by the fully equipped audiology unit where all the audiological evaluations are done and it includes, PTA/IA, BERA, OAE, VEMP etc. A dedicated team of audiologists and speech therapists help us in diagnosing as well as rehabilitating the hearing impaired.

Special tests and treatments

Endoscopy

The endoscopy room is situated in the OPD area. About 6 to 10 patients are evaluated each day. It is staffed with a team of doctors from the ENT Department and one staff nurse.

  • Flexible video nasopharyngolaryngoscopy is used to evaluate the pharynx and larynx. This is done for patients with problems such as snoring, laryngeal problems causing hoarseness and some throat problems like cancer of the throat
  • Rigid  video nasal endoscopy to evaluate diseases of  nose , paranasal sinuses and the nasopharynx

Stroboscopy

  • Stroboscopy is done in the OP area as part of the voice assessment. It is done for patients with voice problems to look at the vibratory pattern of the vocal cords. By using pulsed light, the movement of the vocal cord is seen in slow motion. The picture is stored on a computer and can be replayed and analysed later.

Voice clinics

Voice clinics are on Tuesdays and Saturdays in the OP area. Stroboscopy is used by the ENT Specialist. Patients then see a speech therapist who analyses their voice. Computer software is used for this. Treatment is then planned for the patient.

Audiovestibular clinics

The clinics are managed by a doctor who has special training in this field. The problems of hearing (audio) and balance (vestibular) are assessed and treated here. The unit performs special tests and runs rehabilitation programmes. These programmes help people with hearing problems, speech (the sounds made) and language (the words) problems and balance disorders. After the clinician has examined, the patient is sent to the audio-vestibular lab.

The Diagnostic Services / Tests include:

Pure tone audiometry – the levels of sound (different noises) that people can hear and Impedance audiometry – to test how the parts of the ear, especially the eardrum are working.

Auditory brainstem response (ABR) audiometry –
evaluates the electrical activity in the brain stem that happens when a person hears a sound.

Auditory Steady-State Response (ASSR) –  is a special type of ABR which is very useful in assessing the hearing levels in babies who need to have hearing aids fitted.

Oto-acoustic emission testing (OAE) – a special hearing test that records the sounds that the ear produces. A tiny microphone and speaker are put into the ear canal for this test.

  • Electrocochleography & Videonystagmography are used for evaluating (testing) a person with giddiness.
  • Hearing Aid trial – hearing aid is a small electrical device put into the ear to help people hear
  • Neonatal screening for deafness – testing all newborn babies to see if they are deaf;  we are Planning to perform  universal neonatal screening for all the babies born in our hospital.
  • Speech assessment – testing what people say and how well they understand words / language
  • Voice analysis and therapy – done by the audiologists using computer based software

Rehabilitation facilities available are:

  • Hearing Aid fitting.
  • Ear mould Lab – ear moulds for hearing aids are made for each person by copying the shape of their ear
  • Speech therapy – treating problems with speech
  • Auditory verbal therapy and auditory training – helping children and adults to speak after cochlear implant.

Inpatient:

  • We have a 30-bedded male ward and a 30-bedded female ward where resident doctors are available round the clock to attend to the patients. Patients are admitted either for surgeries or in case of acute illness.
  • The various surgeries that are performed include tonsillectomy, adenoidectomy, myringotomy, mastoidectomy,cochlear implantation surgery, septoplasty, FESS, skull base surgery, microlaryngeal surgery, head and neck gland surgery as well as various head and neck cancer surgeries.
  • The wards are also managed by a team of well trained nurses who give excellent nursing care as well as attend to any emergency situation that might arise.

Others

In collaboration with Community Department, regular outreach activities through the ENT camps at villages and schools in the vicinity are conducted. The activities have helped to popularize the availability (at affordable cost) of ENT Medicare at JSS Hospital. Doctors from JSS Hospital visit Suttur, a Model Health Village, to conduct free rural health camps every month in an attempt to improve health system. These have been enormously welcomed by the local rural population and enhanced the popularity and made aware of the variety of medical services available at Suttur. Other voluntary service organizations like Rotary Clubs , extend help to conduct free ENT camps for general public and for school children.

Speciality clinics:

Various speciality clinics conducted are:

  • Headache clinic
  • Vertigo clinic
  • Head and neck cancer clinic
  • Speech clinic
  • Sleep clinic
  • Swallowing clinic

Equipment

Sl No Equipment Number
1 Rigid nasal endoscopes (0,30, 45) 4
2 Nasopharyngolaryngoscope 1
3 Stroboscope 1
4 Otoscopes 4
5 Operating microscope 3
6 Microdebrider 1

Staff

Sl Name Qualification Designation
1 Dr T Shivaram Shetty MBBS, MS Professor and Head
2 Dr S Basavaraj MBBS, MS Professor
3 Dr Bharathi M B MBBS, MS,DNB Professor
4 Dr Prakash B G MBBS, MS< Associate Professor
5 Dr M Guruswamy MBBS,DLO,MS Associate Professor
6 Dr Sandeep S MBBS, MS< Assistant Professor
7 Dr Rakesh B S MBBS , MS Assistant Professor
8 Dr Babu A R MBBS, DLO, MS Senior Resident
9 Dr Sandhya D< MBBS, MS Senior Resident

Research activities

  • STS ICMR project- prevalence of asymptomatic deviated nasal septum: Dr Bharathi M B

On going project

  • Audiological manifestations of allergic rhinitis: Dr Sandhya D,Dr Basavaraj.S, Dr Prakash B G
  • Childhood deafness in gestational diabetics: Dr. Bharathi .M B

Publications:

  • Radiorecurrent Ca Larynx- role of salvage laryngectomy- Pakistan Journal of Cancer, 1991
  • Scleredema of Buschke- Indian Journal of Dermatology,1996: Dr Prakash B G
  • Role of tracheostomy in foreign body of the larynx- Gujarath Journal of Otolaryngology: Dr Rakesh B S

Processing for publication

  • Unusal foreign body in the middle ear causing meningitis- Dr Prakash B G, Dr Basavaraj S, Dr T Shivaram Shetty, Dr Sandhya D
  • Otorhinological problems arising during the management of Chronic renal failure patients; Dr Prakash B G, Dr Shivaram Shetty, Dr Basavaraj S , Dr Sandhya D