Cochlear implantation is a surgical procedure where an electronic device is implanted behind the ear with an electrode (wire with contact points) is inserted into the cochlea, to bypass the damaged “hair cells” which is believed to cause hearing loss. Cochlear implantation surgery, now performed worldwide in over a 100,000 people has evolved to become one of the safest surgeries ever performed. At Dr. Manoj’s ENT Institute, over 112 surgeries have been performed, with new technological advances like the “D” well, which protects the implants against shocks and falls that young children are susceptible to. We also pioneered the minimal access surgery in this part of the country. This institute is also known for the highest proportion of very young children implanted in the country.

Subtotal petrosectomy or Blind sac closure is a surgery done for discharging ears with profound hearing loss, or for cancer of the middle ear. In this surgery, all structures and the mucosal lining of the middle ear is removed and the ear canal is sewed shut as a “blind sac”. This gives an immediate dry ear and prepares the ear for a possible cochlear implant later.

Glomus Tympanicum

Glomus tympanicum is a tumor of the middle ear and if found out early, can be removed without disturbing the hearing mechanism of the ear and without injury to the vital structures nearby like the nerve to the muscles of the face. Through the posterior tympanotomy, which is a very skilful delicate procedure the tumor removal is demonstrated. The patient can leave hospital the same day.

laryngoscopic phonosurgery is a specialty of this Institute. Following the principles of Phonomicrosurgery and hydro dissection, using the most advanced operating video laryngoscopes, vocal cord cysts, polyps and small tumors are removed with minimal trauma to the vocal cords. Patients feel no pain, require almost no post operative medication and are back to work the next day. Other phonomicrosurgical procedures performed regularly include fat medialisation for vocal cord palsy and Kashima’s operation for breathing difficulty with paralyzed cords.

Ossiculoplasty

The middle compartment of the ear has got three small bones- the malleus, incus and stapes. These bones are the smallest in the body and are arranged in the form of a chain. They are so important because it is only when they move we have a good hearing. They can become fixed or loose their continuity by infection, surgery, temporal bone fracture or by birth. In order to restore the hearing this chain has to be reconstructed by a procedure called ossiculoplasty. This can be achieved by with the help of bone or cartilage. Polymers, ceramic and metal can also be used.

This is a surgery done for Otosclerosis. Otosclerosis is a condition which affects mainly the stapes and causes it to be fixed, thus causing a reduced hearing. The condition can run in families and corrected by stapedotomy. In this surgery, the fixed stapes is replaced by a Teflon piston. This is done under local anesthesia and the patient goes home the same day.

Tympanoplasty

Tympanoplasty is a surgery for a ear which has been discharging for a very long time with accompanying hearing loss. In this procedure, the ear is opened through a incision behind the pinna and the mastoid and all the air cells within are opened up and disease cleared, the hole in the diaphragm closed with fascia and the diseased middle ear bones are reconstructed. The patient goes home the same day. Following the surgery, the patient need not take bed rest. He can eat a normal diet and travel.

Functional Endoscopic Sinus Surgery (FESS)

Functional Endoscopic Sinus Surgery (FESS) is a surgery done mainly done for a chronic sinus disease like sinonasal polyposis, allergic fungal sinusitis,etc. The surgery make use of an endoscope and no external incision is made. The Endoscopic Surgery can also be applied to repair a CSF leak, removal nasal and sinonasal tumours, orbital surgeries, pituitary surgeries, infections of the lacrimal sac,etc.