Department of ENT at Star focuses on the treatment of ear, nose, throat and head and neck conditions in children and adults. The ENT department at STAR Hospitals provides a wide range of services and maintains the highest standard of medical care. Our team is focused on the overall welfare of our patients and their families, aiming to restore quality of life with the highest degree of professionalism. The Department is renowned across the country that is well equipped with ultra-modern facilities, amenities and an expert team of ENT Surgeons, Audiologists and Therapists along with the latest operating microscopes, diagnostic video endoscopes and an up-to-date audiology lab. With over 3000 sinus surgeries, the team is considered one of the leading ENT surgical teams in India. The team strongly believes in patient friendly techniques like minimally invasive or endoscopic procedures which are challenging for the surgeon to perform, but involve minimal or no blood loss, with reduced but effective stay at the hospital.
The department boasts about a host of day care procedures, which include:
Myringoplasty: This operation is done to close a hole or ‘perforation’ in the eardrum. A perforation predisposes the patient to recurrent middle ear infections, which can impair hearing. There are a number of ways to close a hole in the eardrum. The size and location of the hole and the anatomy of the ear canal will determine which approach is needed in such a situation. The operation lasts about 3 hours and is performed under local anaesthesia.
Mastoidectomy: A mastoidectomy is performed to remove diseased mastoid air cells. These cells sit in a hollow space in the skull, behind the ear. The diseased cells are often the result of an ear infection that has spread into the skull. Sometimes, the infection spreads onto the temporal bone. If this occurs, parts of the bone may need to be removed.
Reconstruction of the middle ear: The middle ear is an air filled cavity lying behind the eardrum. If the bones of the middle ear have been damaged from infection, trauma, cholesteatoma, surgery or other causes, replacing them with man-made prostheses can repair them. Many techniques for this procedure exist and need to be tailored to the individual case and anatomy. Any or all of the middle ear bones may be replaced to improve the hearing state. This delicate procedure gives excellent results in the majority of cases. This is done under local or general anesthesia on an outpatient basis and takes about an hour.
Tonsillectomy or Adenoidectomy: Enlarged tonsils and adenoids are a common cause of snoring and sleep disruption in children. The tonsils are clusters of lymphoid tissue in the back of the throat while the adenoids are a similar mound of tissue in the back of the nose. Although less common in adults, some adults can receive excellent resolution of snoring through removal of enlarged tonsils and/or adenoids. Tonsillectomy/adenoidectomy is an outpatient surgery performed in the operating room under general anesthesia to remove these parts. Most patients require a recovery time of at least one week but may continue to experience a sore throat for two weeks. The most common complication is bleeding, often occurring over a week after the surgery.
Balloon Sinuplasty: Balloon sinuplasty, a highly sophisticated technique, done to enlarge the sinus drainage pathways without cutting any tissue. Compared to traditional surgery, most patients can return to work the next day without any evidence of the procedure. It is similar to the stenting procedure done to heart to open up the vessels Many a times, snoring can be treated with brief procedures which include radio frequency volume reduction, coblation palatoplasty and injection snoreplasty. These procedures involve minimal pain.
Turbinate Reduction or Turbinoplasty: Turbinates are small, rounded, bony projections inside the breathing passage on each side of your nose. When turbinates get enlarged, they give rise to nasal obstruction. Turbinate reduction is performed, if the problem stands unresolved through medical therapy. The consultant will decrease swollen turbinate tissue beneath the mucosal tissue layer to provide significant improvement in the nasal airway, using local anaesthesia. There is no significant post-operative bleeding, crusting, or pain with this procedure.
Microlaryngeal surgeries for hoarseness of voice: An operation to remove nodules, polyps and non-cancerous (benign) tumours maybe recommended if identified at the outpatients visit. This type of operation is usually done under general anesthesia using a rigid telescope (Endoscope) and a microscope (to provide magnification).
Our ENT department is fully equipped with modern and up-to-date instruments like:
Pediatric airway management: Pediatric airway surgery is a challenging field. In our centre, many pediatric airway procedures are done for conditions such as laryngomalacia, tracheomalacia, subglottic stenosis, tracheal stenosis, tongue base lesions in which children present with severe breathing and feeding issues and poor growth. Procedures are done for nasal anomalies like nasal pyriform sinus stenosis, choanal atresiaand severe septal deviation.
Skull Base Surgery: Skull base surgery is done to remove both benign and cancerous growths and abnormalities on the underside of the brain. It is difficult area to see and reach and therefore is performed by minimally invasive endoscopic procedures in which instruments are inserted through the natural openings in the skull – the nose or the mouth by making small openings below the eyebrows when performed through the nose, morbidity of the procedures and hospital stay is significantly reduced. In our institute we perform these surgeries for pituitary tumours and to repair CSF leaks.
Obstructive Sleep Apnea (OSA): Sleep apnea is common disorder in which a person has one or more pauses in breathing while sleeping. As a result, the quality of sleep is poor which makes them tired during the day. Our centre is excellent in the management of snoring and sleep apnea. Patients are thoroughly evaluated using sleep studies, diagnostic endoscopies and drug induced sleep endoscopy. Based on the findings in sleep endoscopy, the surgical procedure suitable for the patient is decided. Usually it involves multi-level surgeries such as nasal surgery, palatal surgeries and tongue based procedures. Some patients may also require bony surgeries such as maxilla-mandibular advancement, genioplasty, etc.
Head and neck Surgery: In our center, we perform many head and neck procedures for thyroid, submandibular gland and parotid gland, cervical lymph node biopsies, congenital head and neck anomalies such as thyroglossal cyst, bronchial cyst and fistula, bronchial sinus, cystic hygromas, hemangiomas.