The Department of Ear, Nose & Throat (ENT) at Cauvery Heart & Multi-Speciality Hospital is one of the best ENT hospital. We aim to provide high-quality, comprehensive medical Surgical care to patients with ear, nose and throat conditions. The department boasts of an expert team of ENT surgeons, audiologists and therapists. Most of the surgeries are done on a daycare basis and are offered as minimally invasive surgeries that are less painful.
With a multi-disciplinary approach, the ENT department works closely with other departments like speech pathology, neurosurgery, craniomaxillofacial surgery, allergy and immunology, oncology, pulmonology, paediatrics , and neonatology for management of ear, nose, Throat and neck disorders in adults, children and neonatal babies.
⚫ Pure tone audiometry and special tests.
⚫ Brainstem Evoked Response Audiometry (BERA).
⚫ ASSR (Auditory Steady State Response).
⚫ OAE (Otoacoustic Emissions).
⚫ Behavioral audiometry.
⚫ Speech assessment and therapy.
⚫ OST cochlear implantation therapy.
⚫ Hearing aid trial and fitting.
⚫ Stapedectomy, facial nerve decompression
⚫ Middle ear implant, cochlear implants, and BAHA
⚫ Pediatric otolaryngology
⚫ Cochlear implantation and rehabilitation
⚫ Functional endoscopic sinus surgery.
⚫ Extended endoscopic sinus surgery.
⚫ Endoscopic skull base surgery.
⚫ Endoscopic dacryocystorhinostomy (DCR).
⚫ Endoscopic repair of CSF (Cerebral Spinal Fluid) rhinorrhoea.
⚫ Arterial ligations (sphenopalatine, ethmoidal, maxillary and external carotid) for epistaxis.
⚫ Surgery for tumours of the nose and PNS.
⚫ Coablator assisted turbinate procedures.
Surgery of throat
⚫ Debrider assisted Adeno
⚫ Co-ablation assisted tonsillectomy
⚫ Microlaryngeal surgeries
⚫ Endoscopic video-assisted adenoidectomy
⚫ Choanal atresia
⚫ Surgery for treatment of snoring (OSAS) such as Uvulo Palato Pharyngoplasty (UPPP) and expansion sphincteroplasty
⚫ Tumors of the throat and larynx
⚫ Tongue base reduction and Coablator Assisted UvuloPalatoplasty (CAUP)
⚫ Adult and paediatric tracheostomy
⚫ Surgery for vocal cord paralysis
⚫ Tumors of the neck
⚫ Salivary gland surgeries
⚫ Surgery for subglottic and tracheal stenosis
⚫ Surgery for swallowing disorders
⚫ Laryngotracheal stenosis and foreign body removal from the bronchus and oesophagus.
Out patient services
⚫ Nasal endoscopy.
⚫ Video laryngoscopy.
⚫ Flexible fibre optic nasopharyngolaryngoscopy.
⚫ Microscopy of the ear
⚫ Foreign body removal.
⚫ Intratympanic gentamicin administration.
⚫ Myringotomy and Grommet insertion.
⚫ Positional testing.
⚫ Ear piercing and ear lobe repair.
⚫ Cauterization for nasal bleed.
What is a cochlear implant?
A cochlear implant is an electronic device that restores the sense of hearing. It is a hearing solution for people who have severe/ severe-profound hearing loss due to reduced inner-ear function and who receive limited benefit from hearing aids. Unlike hearing aids, which amplify sound, a cochlear implant converts sound into electrical impulses which are directly transferred to the hearing nerve leading to stimulation of the hearing center in the brain. This function is done by the normal cochlea which is bypassed by the cochlear implant. Cochlear implants use a sound processor that fits behind the ear or off the ear. The processor captures sound signals and transmits them to a receiver implanted under the skin behind the ear. The receiver sends the signals to electrodes implanted in the snail-shaped inner ear (cochlea). The signals stimulate the auditory nerve, which then directs them to the brain.
Why is the cochlear implant surgery done?
Cochlear implants can improve communication and quality of life for people with hearing loss who receive little benefit from hearing aids. Increasingly, cochlear implants in both ears (bilateral) are accepted as standard care for the treatment of severe hearing loss — particularly for infants and children who are learning to speak and to process language. Adults and children who lost hearing after learning to speak can also benefit from cochlear implants.
What are the benefits after cochlear implant surgery ?
⚫ Ability to hear speech without needing visual cues such as reading lips
⚫ Recognition of normal, everyday environmental sounds
⚫ Ability to listen in a noisy environment
⚫ Ability to find where sounds are coming from
⚫ Ability to hear television programs and telephone conversations
Who are eligible for cochlear implants?
⚫ Hearing loss that is so severe it interrupts spoken communication
⚫ Limited benefit from hearing aids as determined by specialized hearing tests
⚫ No medical conditions or factors that increase the risks associated with cochlear implants
⚫ High motivation to participate in rehabilitation sessions and to be part of the hearing world
⚫ Clear understanding of what cochlear implants can and cannot do for hearing
Pre - implant counseling is a must from your cochlear implant team comprising of the Cochlear implant Surgeon/audiologist/rehabilitation team
What evaluation is done before the procedure?
You or your child will need a thorough medical evaluation to determine if cochlear implants are a good option. The evaluation is likely to include:
⚫ Tests of hearing, speech and sometimes balance
⚫ Physical examination and examination of ear /nose/throat
⚫ CT and MRI imaging of the temporal bone and brain to assess the condition of the cochlea and structure of the inner ear and brain
⚫ Sometimes, psychological testing to determine ability to learn to use cochlear implants
What happens after Cochlear implant surgery?
The cochlear implants won't be turned on (activated) until two to six weeks after surgery — to give the surgery site time to heal.
To activate the cochlear implant, an audiologist will:
⚫ Adjust the sound processor to fit you or your child
⚫ Check the components of the cochlear implant to make sure they work
⚫ Determine what sounds you or your child hears
⚫ Give you information on the proper care and use of the device
⚫ Rehabilitation: Rehabilitation involves training the brain to understand sounds heard through the cochlear implant.
⚫ Speech and everyday environmental noises will sound different from what you remember.
The brain needs time to recognize what these sounds mean. This process is ongoing and is best achieved by wearing the speech processor continuously during waking hours.