Allergic Fungal Sinusitis.
Patient was operated previously elsewhere for Sinus surgery, came with severe headache, fever, nasal obstruction and headache. On CT Scan Paranasal Sinus, was diagnosed as Left Sinusitis. On diagnostic endoscopy there was a ostium block due to adhesions from previous surgery. Revision Functional Endoscopic Sinus surgery had to performed to relieve the patients of the symptoms...... It was diagnosed as Allergic Fungal Sinusitis.
Bilateral Endoscopic Sinus Surgery.
Case of bilateral Sinusitis, complaining of Headache, Nasal Obstruction and recurrent nasal infection. Bilateral FESS performed to help, good aeration and drainage of the sinuses.
Bilateral FESS ( Functional endoscopic sinus surgery ).
Case of bilateral Sinusitis, recurrent nasal infection. Bilateral FESS performed to help, good aeration and drainage of the sinuses.
Bronchus Foreign body.
Patient put a pin in her mouth,it accidently went into the air passage, into the Left Bronchus (Lung). Patient had persistent cough, Video Bronchoscopy was performed to remove the Foreign body from the Bronchus.
Cartilage Ossiculoplasty.
Patient had Right ear recurrent discharge and decreased Hearing. Right ear Tympanomastoidectomy was performed, Patient had retraction pocket, and squamous epithelium in the middle ear, the ossicular chain was also affected, Patients own Tragal Cartilage was used as a graft material to do Ossiculoplasty and sliced cartilage was placed in Postero superior region of Tympanic membrane to prevent retraction of Tympanic membrane.
ConchoPlasty for Concha Bullosa.
In some individuals, the middle turbinate, is aerated and bloated. As it occupies space inside the nostril, some patients complain of nasal obstruction. To relieve the patients of the obstructive symptoms, procedure called Chonchoplasty or Chonchotomy can be performed.
Endaural Incsion.
It is a type incision taken in ear surgeries, which is a very small incision, which avoids scar behind the ear and unnecessary shaving of hair during time to surgery.
Endonasal DCR.
This is a Surgery performed for recurrent Eye watering and Pus formation and sticky eye, a problem called Dacryocystitis. It can be performed externally, but it can give a bad scar. Endonasal Dacryocystorhinostomy can be performed, with the aid of the nasal endoscope. Its a easy procedure most importantly scarless.
Endoscopic removal of Pituatary microadenoma.
With the advent of nasal endoscope, and improved surgical techniques. Pituatary Microdenoma or Pituatary tumor or various other Tumor can be now removed from a transnasal endoscopic approach. This is done as a team work with the neurosurgeons. It has to done by an experienced surgeon.
Endoscopic Tympanomastoidectomy.
Ear surgery, is going Scarless..... This is a technique where the Ear surgery is done with the aid of an Endoscope, the advantage of this type of procedure is that it is Scarless or minimum scar. But this procedure has to be performed judiciously in selected cases. It is the surgeons judgement as per the disease of the ear to decide about this technique.
Facial nerve decompression in otitis media.
The facial nerve runs in a fallopian canal, this canal traverses through the middle ear. Sometimes, the ear disease can create a pressure inside the middle ear, due which the Facial nerve can get affected inside the middle ear and cause facial paresis or Palsy. Such cases require removal of the disease from the ear and Facial nerve decompression.
MVP ( Malleovestibulopexy ).
Revision case of abandoned surgery by the previous operating surgeon.Titanium MVP implant is placed from the Stapes to the handle of malleus. This was a case where the patient had conductive hearing loss. The possible cause was incudo malleolar joint dislocation and stapes fixation.
Fungal Sinusitis.
Patient complained severe continuous headache, also developed fever and Blurring of vision. Ct Scan of the Patient showed Right sided Pan Sinusitis, Right Maxilary sinus had Fungal sinusitis which was cleared. Right Spenoid sinus also had retained secretions which were cleaned and the Ostium widened for better drainage. This is easily possible with the use of Nasal Endoscopic Sinus Surgery.
Stapedotomy with Soft clip Titanium Piston .
Otosclerosis is a problem, where there is a conductive hearing loss due to fixation of the osscicles ( stapes). In such patients hearing improvement can be achieved performing a surgery called Stapedectomy/ Stapedotomy. This is a very fine and delicate surgery which is performed only by experienced surgeons. Various Implants can be used, in this case Soft clip Titanium Piston is used.
Revision Ossiculoplasty with Partial Titanium implant.
Patient suffered from gradual conductive hearing loss, one year after the previous surgery done elsewhere . This was due to adhesions formed around the auto incus ( bone used to from the same person after reshaping ). Revision surgery was performed and a Partial Titanium implant was inserted and good hearing was achieved after the surgery.
Frontoethemoidal mucocoele.
Mucocoele is collection of pus inside the sinuses due to obstruction of the sinus drainage pathway.This can lead to Complication of the eye and surrounding area. Endoscopic removal of Mucocoele and drainage of the pus is recommended.
Stapedotomy with Teflon Piston .
Otosclerosis is a problem, where there is a conductive hearing loss due to fixation of the smallest bone in our body called stapes. In such patients hearing improvement can be achieved performing a surgery called Stapedectomy/ Stapedotomy. This is a very fine and delicate surgery which is performed only by experienced surgeons. Various Implants can be used, in this case Teflon Piston is used.
Titanium Total ossicular replacement prosthesis.
Revision case, previously operated else where, case with ear discharge and decreased hearing. Mastoidectomy was performed previously used auto incus autograft was removed. Since the stapes supra structure was absent. Total Titanium ossicular replacement prosthesis was used with cartilage shoe on the stapes footplate to stabilise the implant.
Omega Epiglotis.
Child with difficulty in breathing, due to small epiglottis, the surgery performed was to release the fibrous/mucous band from the Epiglottis to the arytenoids bone. This was done with cold steel instruments, it can also be done using laser.
Intact Canal wall Mastoidectomy with Posterior Tympanotomy.
This is a procedure, where a canal wall up/Intact canal wall mastoidectomy is performed, in order to avoid a mastoid cavity. Posterior tympanotomy is performed to visualize and clear disease in sinus tympani . Posterior tympanotomy is also an important procedure which is done routinely in cases where we do a cochlear implantation.
Facial nerve exploration, decompression and anastamosis.
Patient developed immediate onset Facial Palsy secondary to head trauma. There was a fracture seen on CTscan. Facial nerve exploration , decompression and Anastamosis was performed. Post operative patient was kept on medical treatment and physiotherapy. Total recovery of the facial nerve paralysis is attained.