ENT – Head & Neck Surgery

ENT

KINDER Kochi, offers comprehensive care for adult and paediatric patients addressing evaluation ,diagnosis and treatment for all conditions affecting ear, nose, throat including head & neck cancer. We have access to modern treatment rooms offering diagnostic nasal endoscopy , flexible fiberoptic nasopharyngolaryngoscopy, videolaryngoscopy and otoendoscopy for detailed evaluation and accurate diagnosis. The unit has onsite access to a full audiology, speech & swallowing therapy suite including a specialized dedicated vertigo clinic for all your rehabilitative needs. A sleep technician supervised level I , full channel sleep lab is available for evaluation of obstructive sleep apnea. We have a well equipped Operating theatre complex offering the full range of ENT Head & Neck surgical procedures.

Ear

At KINDER Hospital, Kochi, we offer medical and surgical care for both adult and paediatric patients suffering from diseases of ear & balance systems.

  • Treatment for hearing loss and tinnitus
  • Dizziness / Vertigo
  • Inflammatory and infectious diseases
  • of the ear
  • Facial Nerve disorders
  • Congenital malformations of the ear
  • Tumors of the ear and skull base
Advanced Otologic and Hearing Restoration surgical procedures
1) Microscopic Ear surgery
  • Myringoplasty
  • Tympanoplasty / Ossiculoplasty
  • Mastoidectomy & surgery for cholesteatoma
  • Facial Nerve Decompression
  • Stapedotomy with teflon piston place ment
  • Myringotomy & Grommets
  • Otoplasty and Keloid excision
  • Pre-Auricular Sinus excision
  • Glomus tumor excision
  • Bone Anchored Hearing Aid ( BAHA ) implant
  • Cochlear Implants
2) Endoscopic Ear Surgery – EES ( Minimally invasive / Scarless)

What is EES? Surgeries for ear diseases are all commonly performed using a microscope for visualization after making a big cut behind the ear and may sometimes need bone removal as well. However, more recently Minimally Invasive Surgery techniques via the External Ear Canal using Endoscopes have been developed and this is called Endoscopic Ear surgery (EES). Almost all Surgeries done for ear diseases and hearing corrections can be now performed endoscopically

Advantages The fact that there is no large cut behind the ear and lesser need to drill the bone behind the ear would mean (1) lesser pain for the patient (2) quicker recovery time and therefore (3) shorter hospital stay. In addition to these benefits, endoscopes also offer superior visualization of structures and spaces in the tiny middle ear which means there is lesser chance of leaving behind ear disease and better safety.

At KINDER Kochi, we offer EES.

Nose & Paranasal sinuses

KINDER Kochi, offers treatment for conditions including Running nose, nasal obstruction, deviated nasal septum, Nasal polyps , acute and chronic sinusitis as well as management of allergic rhinitis. High Definition Nasal endoscopy both rigid as well as Flexible Nasopharyngolaryngoscopy aids in detailed evaluation of lesions and conditions affecting nose, paranasal sinuses and nasopharynx. Allergen testing – Skin Prick Tests, are also available in our hospital. Complex conditions including tumors involving the nose & paranasal sinuses and anterior skull base are surgically managed in collaboration with our Neurosurgery team.

Surgical interventions :
  • Endoscopic Sinus Surgery for Sinusitis & Sino-nasal polyps
  • Endoscopic Dacryocystorhinostomy ( DCR)
  • Septoplasty / Septorhinoplasty
  • Rhinoplasty – Functional & Aesthetic
  • Transnasal Endoscopic Medial Maxillectomy (TEMM)
  • Endoscopic optic nerve decompression
  • Endoscopic Orbital decompression for Thyroid Ophthalmopathy
  • Trans Nasal Endoscopic CSF Leak Repair & Anterior Skull Base Surgery
  • Trans Nasal Endoscopic Juvenile Nasopharyngeal Angiofibroma (JNA) excision
  • Trans Nasal Endoscopic Pituitary surgery

Throat

Diagnosis, medical and surgical management of diseases / tumors affecting oral cavity (mouth ), oropharynx (throat) and larynx (Voice Box) are performed. KINDER, Kochi has dedicated clinics on assigned days for evaluation of conditions affecting change in voice (VOICE CLINIC) as well as Obstructive Sleep apnea (SLEEP CLINIC) . We offer perform Fiberoptic Endoscopic Evaluation of Swallowing (FEES) in patients with swallowing disorders and offer therapy for the same.

Surgical interventions :
  • Adenoidectomy / Tonsillectomy
  • Endoscopic Coblator / Microdebrider assisted adenoidectomy
  • Coblator assisted Tonsillectomy
  • Biopsy / excision for lesions of Oral
  • cavity / oropharynx / larynx
  • Microlaryngeal surgery for Laryngeal Lesions
  • Phonosurgery / Thyroplasty for Voice restoration
  • Kashima’s procedure ( posterior Cordotomy ) for bilateral vocal cord palsy
  • Injection laryngoplasty
  • Vallecular cyst excision
  • Laryngo/esophagoscopy for swallowing disorders
  • Drug Induced Sleep Endoscopy ( DISE )
  • Surgery for Snoring and Obstructive
  • Sleep Apnoea
  • Adenotonsillectomy
  • Microlaryngeal surgery
  • Thyroid

Head & Neck

Evaluation, management and follow-ups of benign and malignant Tumors, Congenital Cysts and Fistulae of the head and neck.

  • Thyroid & Parathyroid Surgery
  • Sistrunk’s procedure for Thyroglossal Cyst
  • Salivary Glands
  • Submandibular Gland Excision
  • Parotidectomy
  • Branchial Cyst Excision
  • Cervical Lymph Node Biopsy
  • Total Laryngectomy
  • Tracheo-Esophageal Puncture
  • Tracheostomy
  • Tracheoplasty
  • Neck Dissection

Audiology, Speech-Language Pathology & Voice Clinic

At KINDER Kochi, we offer a full range of diagnostic and treatment services for a wide variety of communication and swallowing disorders.

Our Services Includes :
1) Hearing :
  • Hearing Loss Evaluation and Testing for
  • adults and children.
  • Hearing Loss Prevention Counseling
  • Determination of Hearing Aid Candidacy
  • Recommendations for Specialized Audiologic
  • Testing and Rehabiltation.
Test Battery Includes –
  • Pure-Tone Audiometry(PTA)
  • Immitance Audiometry/Tympanometry
  • Stapedial Reflexometry
  • Brainstem Evoked Response
  • Audiometry(ABR)
  • Oto-Acoustics Emissions Testing(OAE)
Rehabilitative Audiology-
  • Hearing-Aid Trials/Fitting
  • Cochlear-Implant-(For both Children And Adults)
  • Pre-Implant Counselling
  • Neural Response Telemetry and Mapping
  • Post-Implant Rehabilitation
  • Auditory Verbal Therapy/Auditory Training
2) Voice & Speech :

The KINDER Kochi team provides assessment and rehabilitative services for the following speech and language disorders-

  • Misarticulation
  • Phonological Disorder
  • Developmental Delay
  • Cerebral Palsy
  • Pervasive Developmental
  • Disorders
  • ADHD
  • Learning Disability
  • Specific Language Impairment
  • Semantic-Pragmatic Disorder

Voice Disorders – Assessment and intervention for various diseases including Nodules, Vocal Cord Paralysis, and Vocal Cord Dysfunction (Specialized Instrumentation available including Therapy for Professional Voice Users/Puberphonia/Complete loss of voice(Aphonia)

Neurological Disorders – Aphasia, Dysarthria, Alzheimers Dementia, Parkinson’s Disease, Traumatic Brain Injury. (Detailed Assessment, Scheduled and Group Therapy Sessions will be given for fluency disorders – Stuttering / Cluttering)

Swallowing :
  • Swallowing Assessment
  • Swallowing Therapy