ENT PRACTICE-RECENT TRENDS & CHALLENGES AHEADDR SHEELU SRINIVAS

CONSULTANT ENT SURGEON

Fortis Hospitals

Bangalore

• it has been in the last three decades that the specialty has developed rapidly.

• New technology in endoscopy,lasers, microsurgery, flap reconstruction and cytotoxic drugs has made surgery on the ear,nose, throat, head and neck minimally invasive, safe and able to achieve excellent results

The Seven Areas of Expertise

• Otology/Neurotology/Audiology

• Rhinology/Paranasal Sinuses

• Laryngology/Phonosurgery/Speech

• Pediatric Otolaryngology

• Head and Neck Area

• Facial Plastic and Reconstructive Surgery

The Cochlear Implant, The Bionic Ear

• FIRST TIME SPECIAL SENSORY ORGAN IS CONQUERED IN MEDICINE

• BY LAST YEAR[2009], 188,000 PEOPLE AROUND THE GLOBE RECEIVED THE COCHLEAR IMPLANT. IN USA ABOUT 30,000 ADULTS AND 30,000 CHILDREN RECEIVED THE COCHLEAR IMPLANT.

• IN INDIA LESS THAN 2500 SURGERIES ARE PERFORMED IN ABOUT 20 CENTERS. ABOUT1.5 MILLION ARE ESTIMATED TO NEED THE SURGERY IN INDIA.

The Vibrant SoundBridge

• This system remedies the majority of issues that many patients have with acoustic hearing aids and offers the first real alternative treatment option for patients suffering from nerve deafness

Powered ENT Instruments

Foreign body removals

I have removed various foreign bodies –highlighting the exciting ones

Large fish bone in the esophageal wall –previous slide CT shows it. previous failed attempt to remove as fish bone could not be seen endoscopically

Sphenoid Sinusitis causing headache in 12 yr old-Functional Endoscopic Sinus Surgery Performed

Unilateral Nasal polyp removed in an adult

Thyroid goiter removed weighing 600gms.No post op voice change or hypocalcemia.

1st Cochlear Implant done

Challenges ..

• Meneire’s & Vestibulopathies

• Tinnitus managements

• Pediatric feeding ,swallowing ,drooling

• Allergies

• Geriatric ENT

Speaking at Bangalore Pediatric Society

From the child, teased at school due to their protruding ears to a patient threatened withcholesteatoma or laryngeal malignancy there is often no treatment that is more effectivethan the skill of a surgeon’s hand.-TOM FOX