About the Department
Otorhinolaryngology at Chandan Hospital deals with conditions of the ear, nose, and throat (ENT) and related structures of the head and neck.
Otorhinolaryngology (also called otolaryngology and otolaryngology-head and neck surgery) is a surgical subspecialty within medicine that deals with conditions of the ear, nose, and throat (ENT) and related structures of the head and neck. Doctors who specialize in this area are called otorhinolaryngologists, otolaryngologists, ENT doctors, ENT surgeons, or head and neck surgeons.
Dr. Priyanjal Gautam
MS (ENT),Former Senior Resident Dept. of ENT& Head-Neck Surgery (KGMU, Lucknow), Former ENT Surgeon (Balrampur Hospital, Lucknow)
Specialties: Microscopic Ear Surgery, Endoscopic Ear Surgery, Endoscopic Sinus Surgery, Septoplasty, Nasal Endoscopy,
Nasal Fracture Repair, Endoscopic, Electro/chemical cauterization for Epistaxis, Microlaryngeal Surgery, Tonsillectomy,
Laryngoscopy, Head & Neck Surgery Foreign body removal from Ear, Nose & Throat
Otology and neurotology
- BPPV – benign paroxysmal positional vertigo
- Labyrinthitis/Vestibular neuronitis
- Ménière's disease/Endolymphatic hydrops
- Perilymphatic fistula
- Acoustic neuroma
- Hearing loss
- Otitis externa – outer ear or ear canal inflammation
- Otitis media – middle ear inflammation
Perforated eardrum (hole in the eardrum due to infection, trauma, explosion or loud noise)
It is an Operating Ear Microscope.
Rhinology includes nasal dysfunction and sinus diseases.
- Nasal obstruction
- Sinusitis – acute, chronic
- Environmental allergies
- Pituitary tumor
- Empty nose syndrome
- Severe or recurrent epistaxis
FESS Surgery for Nose
- Caustic ingestion
- Cricotracheal resection
- Laryngotracheal reconstruction
- Myringotomy and tubes
- Obstructive sleep apnea – pediatric
- Reinke's edema
- Vocal cord nodules and polyps
- Spasmodic dysphonia
- Cancer of the larynx
- Vocology – science and practice of voice habilitation
Head and neck cancer:
It is a group of cancers that begin in the mouth, throat, sinuses, nose, larynx, or salivary glands.
Symptoms- It comprises a lump or sore that will not heal or
a sore that cannot be ridden or you face trouble swallowing or your voice changes.
It can also causebreathing issues, abnormal bleeding or facial swelling.
It is a cancerous tumor that grows in your throat (pharynx), tonsils or voice box (larynx). As,
throat is a muscular tube which is located behind your nose till your neck ends.
Symptoms- It generally starts with a symptom that may seem to be harmless, such as an enlarged lymph node
located outside of the neck, a sore throat or a hoarse sounding voice. Although, in a
few casesthe before stated condition in throat cancer might persist and become chronic.
Below are mentioned the other possible, although, less common
symptoms including conditions of some paralysis or numbness in the face muscles.
Presenting symptoms include :
- Mass in the neck
- Neck pain
- Bleeding from the mouth
- Sinus congestion, especially with nasopharyngeal carcinoma
- Bad breath
- Sore tongue
- Painless ulcer or sores in the mouth that do not heal
- White, red or dark patches in the mouth that will not go away
- Unusual bleeding or numbness in the mouth
- Lump in the lip, mouth or gums
- Enlarged lymph glands in the neck
- Slurring of speech (if the cancer is affecting the tongue)
- Hoarse voice which persists for more than six weeks
- Sore throat which persists for more than six weeks
- Difficulty swallowing food
- Change in diet or weight loss
The mouth cancer or squamous cell cancers (SCC) are usually found in the mouth region including the inner lip, tongue, floor of
mouth, gingivae, and hard palate. Mouth cancers are generallyrelated with the use of tobaccospecifically the chewing tobacco use or “dip"
including the heavy alcohol consumption. Mouth cancers are specifically in the tongue, are majorly treated with surgery
in comparison to head and neck cancers.Surgeries for oral cancers includeMaxillectomy, Mandibulectomy, Glossectomy,
Radical neck dissection, Mohs procedure, and Combinational. The defect after the surgery is covered or improved by
the usage of another body part and/or skin grafts and/or wearing a prosthesis.
Nasopharyngeal cancer occurs in the region of nasopharynx, which is nasal cavities and Eustachian tubes connecting with the upper part of the throat.
OSCC (Oropharyngeal squamous cell carcinomas) originates in the throat region (oropharynx).It is the middle part of the throat including the soft palate,
the base of the tongue, and the tonsils. Tonsil’s squamous cell cancers are related
with human papillomavirus infection.
The hypopharynx comprises the posterior pharyngeal wall, the post cricoid areaand the pyriform sinuses.
Hypopharynx tumors oftenwhen diagnosed are at an advanced
stage and have the most adverse prognoses of pharyngeal tumors.
Laryngeal cancer originates in the voice box region or larynx. Moreover, it can even originate in the vocal folds is
known as glottic cancer. It can also originate on the tissue above or the true cords below is known as
supraglottic and subglottic cancers respectively. Its occurrence is largely due to tobacco smoking.
In case if the whole larynx is removed, then that person is left with condition of tracheostomy for
a life time. It is suggested for such patients take up voice rehabilitation that is achievable
in three significant ways which areelectrolarynx ortracheoesophageal puncture, esophageal speech.
The tracheal cancer is a rare sort of cancer which has few similarities to head & neck cancer.
It is a branch of audiology,alsorelated to the science of calculating hearing acuity for variety in intensity
of sound & pitch and for tonal purity, concerning thresholds and differing frequencies. Generally, tests
of audiometry determine the hearing levels
subject with the assistance of an audiometer,
but it might also determine &measure the ability to discriminate between distinct recognize
pitch, sound intensities, or distinguish speech from background noise. Otoacoustic emissions and
acoustic reflex might also be measured. Audiometric tests results are utilized to diagnose diseases of the ear orhearing loss,
and frequent make audiogram usage.
Auditory Brainstem Response-
BERA (brainstem evoked response audiometry) is a methodology of objective neurophysiological for the assessment of
the hearing threshold and diagnosing retro cochlear lesions. The primary goal of the study is to inspect the hearing
level in children with suspected pathological speech development orhearing loss.
BERA has 90% sensitivity and 80% specificity in identifying cases of acoustic schwannoma.
The sensitivity increases in proportion to the size of the tumor.
The major criteria for BERA usage to screen new born babies are parental concern about hearing levels in their child,
Low birth weight babies, Head injury, Exposure to ototoxic drugs, Pre and post-natal infections, Persistent otitis media,
Family history of hearing loss, Cranio facial deformities and Hyperbilirubinemia.
When to Consult
Below are few simple signs you need to check to see when you require to consult an ENT, Head & Neck doctor:
- Feeling a lump in the neck
- Having a sore throat
- Consistent sinus pain
- Having nosebleed
- Having nasal congestion
- Consistent hearing loss
- Hoarse voice
- Ear ringing/ Tinnitus
- Problems in swallowing
- Having Ear discharge
- Vertigo/ Dizziness
Useful & Healthy Tips
Below are few useful & healthy tips:
- Avoid to going to dusty rooms and highly polluted areas.
- Try to restrict any foreign object in your nostrils/ ear/ throat.
- Keep your nostrils and ear clean.
- To keep clean throat, maintain the hygiene of your mouth and brush your teeth often.