Surgery in India

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ENT Procedures in India

Cochlear Implant Procedure in India:

Cochlear implant procedures are regularly performed at leading hospitals in India. As per US-FDA reports, over 219,000 people worldwide had benefited from cochlear implant procedure as of the end of calendar year 2010.

Who will benefit from cochlear implant procedure in India?
This procedure can help people with moderate to profound hearing loss in both the ears, who have not benefited from hearing aids. Other important considerations in assessing whether the patient is a good candidate for a cochlear implant procedure are the following: since when they have suffered hearing loss, the extent of the hearing loss and the condition of the cochlea. Most children receive their cochlear implants between the age of two and six; however US FDA has recently allowed one particular type of cochlear implant to be used for children as young as 12 months of age.

Cochlear implant procedures in India: How do they work
A cochlear implant is an electronic device designed to replace the function of the inner ear. While hearing aids amplify sound, cochlear implants perform the function of the inner ear by delivering sound signals to the brain. A wide variety of devices are available for cochlear implant procedures in India. Almost uniformly, these devices comprise a microphone and a speech processor which are placed behind the ear, the cochlear implant and the electrode array. The microphone picks up the sound, the speech processor converts sound into digitally coded sound signals which are conveyed to the implant. This digitally coded sound is converted by the implant into electrical impulses which are passed on to the electrode array which is placed within the cochlea. These electrodes simulate the functioning of the cochlea's hearing nerves and send the impulses to the brain which processes and interprets the signals as sound.

Cochlear implant procedure in India: Step-By-Step Process:
On arrival in India, the patient is first assessed thoroughly to reconfirm that he or she is a good candidate for a cochlear implant. Standard screening is done to evaluate fitness for surgery. The selection of the appropriate implant is done in consultation with the patient / the patient's family. The device is then implanted during the actual surgical procedure. A few weeks after the implantation, the device is switched on. Correspondingly, the patient will be given extensive training by a speech therapist. This training is of vital importance, especially in the case of patients who have never experienced hearing in the past. Speech training may be required for several months, depending on the specifics of each case. While a cochlear implant does not replicate or restore normal hearing, it provides a good representation of sounds and helps in understanding of speech.

Functional endoscopic sinus surgery (FESS) in India:

FESS is a relatively new procedure that is widely performed at hospitals in India for the surgical treatment of sinusitis and nasal polyps. Traditionally, treatment of these conditions have been via open surgery. FESS is a minimally invasive procedure in which nasal endoscopes are inserted through the nostrils, for visualisation and corrective surgery, thus avoiding any external scars on the face. More recently, FESS is being performed in India with the assistance of CT navigation which helps the surgeon in performing the surgery with a great level of precision, and with absolutely minimum damage to collateral tissue.

Tympanoplasty (Eardrum Reconstruction Surgery) in India :

Tympanoplasty is a day care surgical procedure for the reconstruction of the eardrum (tympanic membrane). This surgery may also include the reconstruction of the small bones of the middle ear (ossicles).

Tympanoplasty in India can be performed through several approaches: the ear canal, via an incision in the ear or by making an incision behind the ear. A graft may be necessary for the reconstruction of the tympanic membrane. The duration of the procedure is normally about an hour if the surgery is done through the ear canal, and about 3 hours if an incision is required. The success rate of the tympanoplasty procedure in India is over 90%

Adenoidectomy in India:

Adenoidectomy is a procedure for the surgical removal of the adenoids. The surgery is generally performed on children above the age of one. Adenoids may need to be removed on account of various problems including difficulty in breathing through the nose, chronic infections, earaches, etc. The surgery is rarely required for adults. Adenoidectomy is performed in India under general anaesthesia on outpatient basis, but sometimes requires a day's stay at the hospital.

Mastoidectomy in India:

Mastoidectomy is a surgical procedure for the removal of the mastoid air cells which are located in the skull behind the ear. This surgery, which was a standard procedure for the treatment of infection of the mastoid air cells, is now giving way to powerful antibiotics which offer a nonsurgical treatment option. This surgery is still used to treat other medical conditions resulting from complications of ear infection, cholesteatoma, etc. The surgery is also required as part of the procedure for placement of a cochlear implant.

Septoplasty in India:

Septoplasty is a standard operation performed at hospitals in India to carry out a correction in the shape of the nasal septum, which separates the two nostrils. A deviation in the septum requires correction only if patients develop symptoms on account of irregular airflow. Where the deviated septum alters the shape of the nose itself, septoplasty may be required for cosmetic reasons. Septoplasty may also be necessary if a person is having cosmetic surgery to reduce the size of the nose.

During the procedure, a nasal incision is made to expose the septum. Obstructive parts of the septum are then removed and the incision is closed. Septoplasty does not leave any external marks on the face.

Ear / Pinna Reconstruction Surgery in India

Microtia Treatment in India

Pinna is that portion of the ear which is visible externally. Microtia is a birth deformity wherein the external ear is extremely small and malformed. The surgery may be required on account of congenital defects or loss of the pinna due to accident or trauma.

Very few surgeons, worldwide, perform pinna reconstruction. Pinna reconstruction surgery in India is performed successfully by a few leading specialists, including one surgeon who does the largest number of pinna reconstructions, worldwide.

Pinna reconstruction in India is an extremely skilled and complex surgery which involves the re-creation of the patient's ear. The reconstruction may be done using tissue from the patient's own body or by using a few synthetic components. The method preferred by our surgeons for reconstruction of pinna in India is the first approach where both the skin and the cartilage are obtained from the patient's own body. This method ensures that the reconstructed year grows along with the child in a natural manner. This method also ensures that there are no rejection problems - which may happen if donor tissue is used.

Pinna reconstruction in India, as elsewhere, may be a multistage or a two stage procedure depending upon the complexity of the case. To describe the procedure simply, the surgeon removes enough cartilage from the patient's rib cage to fashion a structure around which the external ear is reconstructed. A skin graft is also taken from the patient's body to form a natural cover over the cartilage frame.

Six months after the reconstructive procedure, the new pinna would have integrated well at the surgical site. The second stage of the procedure 'lifts' the ear to give it a natural elevation/projection.

A successful procedure will result in a reconstructed ear which will look very similar to the natural ear in shape, colour and texture.

( This is a partial list. Please Enquire Now for the procedure you need and we will respond ! )

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