Ent

 

DEPARTMENT  OF  OTORHINOLARYNGOLOGY & HEAD & NECK SURGERY

The Department of Otorhinolaryngology, at Govt. Medical College, Kozhikode is always known for its dedicated services par excellence. Apart from being the main source of dependence for the patients in the north kerala for major ENT surgeries, it is also an everlasting source of information for the seekers of knowledge in ENT ..be in case of clinical resource or academics.. WHO has selected the Dept. of ENT, Govt. Medical College Kozhikode in World Hearing Forum (WHF) for the year 2011-2023 considering the outstanding activities in the field of Ear & amp; Hearing care.

In order to emulate with the needs of the patients functions as 3 distinct units.
ENT 1 provides OP services on Mondays and Thursdays, ENT 2 on Tuesdays and Fridays, and ENT 3 on Wednesdays and Saturdays; the diligent OP care is augmented with a well equipped Procedure room, curtailing the basic immediate need of Syringing, Suction, Position test, Incision & Drainage, Ryle's Tube insertion, Suturing of wounds etc.
The OP diagnostic services  includes the facility of Videolaryngoscopy, Diagnostic Nasal Endoscopy & Flexible Nasopharyngolaryngoscopy thereby providing a well rounded care for the Patients apart from the clinicopathological services.

Equipments available:

Operating Microscopes with teaching aid, High speed drill in operation theatre

Flexible fibre optic bronchoscope/ nasopharyngolaryngoscope , Rigid Esophagoscopy set

Microlaryngoscopy set, Sinus endoscopy set, Microdebrider for sinus surgeries, coblator, Digital mono & bipolar cautery ,Nerve stimulator/ monitor HD digital camera with recording system, OAE, BERA, Impedance Audiometer ,Pure tone audiometer, Harmonic scalpel, Stroboscope.
Surgeries Done: The three units on their designated OT days provide their cautious and skilled plethora of  services in the form of Tympanoplasties, Septoplasties,  Endoscopic sinus surgeries including extended skull base surgeries, Mastoidectomies, Adenoidectomies, Tonsillectomies, Direct Laryngoscopies, Hypopharyngoscopies, Cochlear Implantations,  Laryngectomies & other oncological procedures; thereby focusing on Diligent Patient Care.

Assistant Professor Audiology                      : Mr Sameer P

Audiologist & Speech pathologist       : Mrs Nazleen Mohamed

 

 

                                          OUR MISSION 

1. To provide prompt, selfless patient care to all patients with ENT and Head & Neck ailments ensuring utmost commitment and sincerity.

 2. To ensure continuous training for faculty and residents improving surgical skills and academic knowledge from time to time.

3. To achieve state of the art ENT department with all modern facilities providing efficient patient care keeping in mind current guidelines and protocols.  

 

HISTORY

The department of ENT, Government medical college, Kozhikode began functioning in the year 1959 with Dr Seetha Henry as the Head of the department & Dr Rajamma Rajan as the Assistant professor. The department has grown leaps and bounds under the able guidance and leadership of eminent teachers who were also great leaders, academicians, clinicians and surgeons par excellence.

 

SUCCESSION LIST OF HODS:

 

                                     

Dr Seetha Henry

      (1959)

 

                                  Dr P Sukumaran

    (1964)

                 

Dr A K Asokan

    (1973)

      Dr C G Jayathilakan

    (1978)

   

      Dr K C Vijayaraghavan

  (1982)

           

                                Dr C A Kurian

     (1989)

         

    Dr K Ashok kumar

          (1995)

      

    Dr K Salilkumar

(1997)

                  

    Dr C J Francis

      (2002)

                             

 

        

  Dr K Ramachandran

  (2004)

                                        

Dr P Muraleedharan Nampoothiri

(2015)

 

Dr Sunilkumar K P

(2019)

 

PROFESSORS :

   Dr. K P Sunilkumar K P  ( MS / DNB ENT)

ADDITIONAL PROFESSORS

 

Dr K M Surendran (MS ENT) Dr. R Suma ( MS ENT)

Dr. BeenaOommen (MS ENT)    

ASSOCIATE PROFESSORS

 

 Dr. R T Abdul Salam (DLO, MS ENT)                                  Dr. Nambiar Sapna S (MS, DNB ENT)   

                                                                                                      

ASSISTANT PROFESSORS

 

Dr. Sreejith M K( MS ENT) Dr Abdunnasar M P (MS ENT)

Dr Sagesh M (MS ENT) Dr Nigil Sreedharan                    

Dr Shilpa K S (MS ENT)                                    

LECTURER

 

Dr Harish S (DLO)

 Mr. P Sameer (BSLH,MSc speech &hearing)   Mrs. Nazleen Mohammed(BASLP,MASLP)

Current Scenario:

The Department of Otorhinolaryngology and Head and Neck Surgery at Govt. Medical College Kozhikode acts as the tertiary referral centre for entire North Kerala and it has been efficiently and successfully providing complete care to all the patients referred with ENT and head and neck ailments. The entire range of surgeries including cochlear implantation, skull base surgeries and head and neck surgeries are being performed on a day to day basis. The department has to its credit the Sruthitarangam programme under KSSM wherein over 240 cochlear implant surgeries have been successfully done with the ongoing programme continuing with full zeal and enthusiasm.

 

 

Presently the department has the full spectrum of patient care for all the ENT and head and neck diseases. The entire range of surgeries in otology, rhinology, laryngology and head and neck surgery are performed and managed on a day to day basis. The department caters to 60 in patients with an average inpatient load of a year. There is an Operation theatre with four operating tables functioning on all six days of the week. There are approximately 3800 - 4000 surgeries performed every year with the emergency surgeries being performed on as required basis. The Operation theatre is well equipped with the latest Zeiss microscopes, complete endoscopy unit, microlaryngoscopy set, microdebrider, coblator to mention a few of the facilities. The outpatient department runs on six days a week with an average OP attendance of 250 -300 patients a day totaling to approximately   75,000   a year.

 

The department has 12 fully qualified consultants, 3 senior residents, 21 junior residents with 24 hour casualty and 24 hour emergency surgeries being carried out. The senior residents and Assistant professors on contract have hands on experience averaging to 35 – 40 cases per month. The department has progressed with enhancement in all fields including otology, rhinology, laryngology and head and neck surgery. The Vertigo clinic, Voice lab, auditory rehabilitation centre function on a daily basis with procedures like nasal endoscopy, otoendoscopy and videolaryngoscopy done on OP basis.   The department has undergraduate and post graduate training programmes being carried out. It caters to 250 MBBS students and 4 MS and 6 DLO candidates every year. The ongoing training programme includes daily academic activities, bedside clinics, seminars, journal clubs etc. The department has monthly radiology clinic and tumor board discussions enhancing the clinic-pathological and clinico-radiological co-relation. Training for participation in various quiz competitions is given ensuring active participation at State and National level. The post graduates are encouraged and trained in making presentations at CMEs and conferences at National and International level. Over and above these classes are also held for BSc nursing students of Calicut Medical College and other nursing colleges. The training of personnel in National Programme for Prevention and Control of Deafness (NPPCD) is carried out from time to time increasing awareness on early screening and significance of early treatment including cochlear implant at the right age. Many of the faculty members are holding administrative posts in the College and hospital as Deputy Superintendent, RMO and Assistant Warden. The department also has representation in the AOI State and Malabar chapter as Vice President and Treasurer AOI Kerala State Chapter and President AOI Malabar chapter respectively.

 

Scope of Surgical Services Provided

Otology

1. Myringotomy and Tympanostomy Tube Placement: This surgery involves making an incision in the eardrum to relieve pressure or drain fluid from the middle ear, often followed by the insertion of small tubes to prevent fluid buildup.

2. Tympanoplasty: Tympanoplasty is performed to repair a perforated or damaged eardrum and can involve various techniques, such as a myringoplasty (patching the eardrum) or a tympanoplasty with ossicular chain reconstruction.

3. Ossiculoplasty: Ossiculoplasty is a procedure to repair or reconstruct the ossicular chain in the middle ear, which consists of the three tiny bones (malleus, incus, and stapes). This surgery aims to restore hearing when these bones are damaged or impaired.

4. Stapedotomy: A stapedectomy is performed to treat otosclerosis, a condition where the stapes bone becomes fixed and cannot transmit sound vibrations. The procedure involves removing the stapes bone and replacing it with a prosthesis.

5. Mastoidectomy: A mastoidectomy is a surgical procedure that involves removing infected or damaged mastoid bone in the temporal bone to treat chronic ear infections or cholesteatomas.

6. Cochlear Implant Surgery: Cochlear implant surgery is performed to implant a device that can provide hearing for individuals with severe to profound sensorineural hearing loss. It directly stimulates the auditory nerve.

7. Bone conduction implants like the BAHA and Bone bridge: These are implantable hearing devices used for bilateral external/middle ear deformities, either congenital or acquired preventing the effective use of conventional hearing aids

8. Labyrinthectomy: Labyrinthectomy is a surgical procedure that removes the inner ear's labyrinth to treat severe vertigo and intractable Meniere's disease.

9. Lateral Skull Base procedures like Acoustic Neuroma excision, Facial nerve Schwannomas, Glomus tumors. Tumour removal can be done through various surgical approaches. The most commonly used here is the translabyrinthine and retrosigmoid, depending on the tumor's size and location.

10. Facial Nerve Decompression: This surgery is performed to relieve pressure on the facial nerve caused by tumors, infections, or trauma.

11. Canal Wall Down (CWD) Mastoidectomy: CWD mastoidectomy involves removing a portion of the ear canal wall to create a larger cavity for better disease control, typically in cases of cholesteatomas.

Rhinology

1. Rhinoplasty: Rhinoplasty, also known as a "nose job," is a cosmetic surgery that reshapes the nose for aesthetic purposes or to correct functional issues such as breathing difficulties.

2. Septoplasty: Septoplasty is a surgical procedure to correct a deviated septum, which can obstruct the nasal passages and cause breathing problems.

3. Turbinate Reduction (Turbinate Surgery): Turbinate reduction surgery is performed to reduce the size of the nasal turbinates, which can become swollen and obstruct nasal airflow, leading to conditions like chronic nasal congestion.

4. Sinus Surgery (Endoscopic Sinus Surgery): This procedure involves the use of an endoscope to treat conditions like chronic sinusitis, nasal polyps, and sinus cysts. It aims to improve sinus drainage and alleviate symptoms.

5. Nasal Polypectomy: Nasal polypectomy is the surgical removal of nasal polyps, which are noncancerous growths that can block the nasal passages and cause congestion.

6. Nasal Fracture Repair: This procedure is performed to realign and stabilize broken nasal bones after trauma, such as a nasal fracture or injury.

7. Nasal Cautery: Nasal cautery is a minor procedure that uses heat or chemicals to cauterize and close blood vessels in the nose, often to treat recurrent nosebleeds.

8. Choanal Atresia Repair: Choanal atresia repair is performed to correct a congenital condition in which the back of the nasal passages is obstructed, typically seen in newborns.

9. Endoscopic Dacryo-cysto rhinostomy done for patients with continuous watering from the eyes secondary to nasolacrimal duct obstruction.

10. Adenoidectomy: Adenoidectomy is the surgical removal of the adenoids, which are located in the nasopharynx and can become enlarged, leading to breathing difficulties and other issues.

11. Endoscopic Skull Base Surgery: Some endoscopic skull base surgeries may involve access through the nose and nasopharynx to treat conditions such as pituitary tumors, meningiomas, or cerebrospinal fluid leaks.

12. Biopsy: Nasal and nasopharyngeal biopsies are performed to collect tissue samples for diagnostic purposes, such as investigating tumors or abnormal growths

Laryngology

1. Laryngoscopy: Laryngoscopy is a diagnostic procedure used to examine the larynx and vocal cords. It can be performed using either a flexible or rigid endoscope.

2. Vocal Cord Surgery: This category includes various procedures to treat vocal cord pathologies and improve voice quality. Common surgeries include:

a. Vocal Cord Polypectomy: Removal of vocal cord polyps or nodules. 

b. Vocal Cord Cyst Removal: Excision of cysts that can affect voice quality.

 c. Vocal Cord Injection: Injection of materials (e.g., collagen or fat) to augment the vocal cords for voice improvement. 

d. Vocal Cord Medialization: Medialization procedures are used to correct vocal cord paralysis or insufficiency by repositioning the affected cord.

3. Microlaryngoscopy: This minimally invasive procedure involves the use of an operating microscope to examine and perform precise surgical interventions on the larynx.

4. Laryngeal Framework Surgery: Procedures that involve the alteration or reinforcement of the laryngeal framework to address issues like vocal cord paralysis or bowing.

5. Airway Surgery: Surgical interventions for airway stenosis, laryngeal stenosis, and subglottic stenosis to improve breathing and prevent airway obstruction.

 

Pediatric Airway Surgeries

1. Laryngotracheal Reconstruction (LTR): This procedure is used to treat subglottic stenosis, tracheal stenosis, or other airway abnormalities in children. It involves reshaping and enlarging the narrowed airway to improve airflow.

2. Tracheostomy: A tracheostomy involves creating an artificial airway in the neck to bypass upper airway obstructions, which can be life-saving in cases of severe airway obstruction, neuromuscular disorders, or long-term ventilatory support.

3. Cricothyrotomy: An emergency procedure that creates a small hole through the cricothyroid membrane to establish a temporary airway in critical situations when other methods are unavailable or unsuccessful.

4. Endoscopic Airway Evaluation: Various endoscopic techniques, such as flexible naso-pharyngo scopy or rigid video laryngoscopy, are used to visualize and diagnose airway problems in children.

5. Airway Balloon Dilation: This procedure uses a balloon to dilate narrowed segments of the airway, particularly in cases of laryngotracheal stenosis or tracheal stenosis.

6. Airway Stent Placement: Stent placement can be necessary in cases of recurrent or severe airway stenosis to maintain airway patency and reduce the risk of restenosis.

7. Tracheal Resection and Reconstruction: Surgical resection and reconstruction of a portion of the trachea to address severe tracheal stenosis or congenital tracheal abnormalities.

8. Vocal Cord Injection: Injection of materials into the vocal cords to treat vocal cord insufficiency and improve airway function.

9. Laryngeal Keel Placement: The placement of a keel in the larynx to support the airway and prevent collapse in certain congenital or acquired conditions.

10. Saccular Cyst or Diverticulum Surgery: Surgical correction of saccular cysts or diverticula that can obstruct the airway and cause symptoms.

11. Epiglottoplasty: Surgical reshaping or repair of the epiglottis to alleviate upper airway obstructions, often seen in pediatric laryngomalacia.

12. Supraglottoplasty: Surgery to address supraglottic airway abnormalities, particularly in cases of laryngomalacia or other supraglottic issues.

 

Head and Neck Surgeries

1. Thyroidectomy: Surgical removal of all or part of the thyroid gland, often to treat thyroid nodules, goiter, or thyroid cancer.

2. Parathyroidectomy: Removal of one or more of the parathyroid glands to treat hyperparathyroidism, a condition characterized by excess production of parathyroid hormone.

3. Parotidectomy: Surgery to remove tumors, cysts, or inflamed tissue from the parotid salivary glands located in the cheek area.

4. Submandibular Gland Surgery: Removal of the submandibular salivary gland to address tumors, stones, or other disorders affecting this gland.

5. Laryngectomy: Partial or total removal of the larynx (voice box) to treat advanced laryngeal cancer, often resulting in permanent alteration of voice and breathing.

6. Neck Dissection: Removal of lymph nodes in the neck to treat or stage cancer or other conditions affecting the lymphatic system.

7. Parapharyngeal Space Tumor Resection: Surgical removal of tumors or lesions that occur in the parapharyngeal space, located behind the throat and jaw.

8. Tracheostomy: Surgical creation of a tracheostomy (artificial airway) in the neck to manage airway obstruction or support long-term ventilation.

9. Nasal Fracture Repair: Correction of nasal fractures caused by trauma or injury.

10. Frontal Sinus Surgery: Procedures to address issues in the frontal sinuses, including treatment of frontal sinusitis and the removal of frontal sinus tumors.

11. Lymph Node Biopsy: Surgical removal of lymph nodes for diagnostic purposes to assess the presence of infection or cancer.

CENTRE FOR AUDIOLOGY & SPEECH PATHOLOGY 

Centre for Audiology & Speech Pathology (CASP), Dept. of ENT , Government Medical College ,Kozhikode  was inaugurated on Nov 29, 2016 by Smt. K.K Shylaja, Hon. Minister of Health & Family Welfare and Social Justice. It is one of the biggest Audiology and Auditory Verbal Therapy (AVT) centre for cochlear implant patients among the government medical colleges in the country.This centre caters services to around 22,000 patients annually and WHO has selected the Dept. of ENT, Govt. Medical College Kozhikode in World Hearing Forum (WHF) for the year 2011-2023 considering the outstanding activities in the field of Ear & Hearing care. 

 

                                               

The state-of-the-art centre is spread in 5000 square feet area at the 6th floor of Super Specialty Block .The center was established with a cost of  83 lakh, funded by SID, Kerala Social Security Mission (KSSM). We also have advanced equipment of US and Germany make in the field of audiology, such as Two-channel audiometer , Advanced Middle Ear Analyzer,  hearing aid analyzer, real ear measurement, VRA, BERA, ASSR  etc which is the only one of its kind ,as compared to any other medical colleges in Kerala. 

 

Government Medical college ,Kozhikode has one of the best facilities in terms of infrastructure and manpower in Kerala for hearing care. At CASP, we have six international standard audiology  rooms for hearing evaluation, one each for voice evaluation, conducting hearing aid analysis and trial, and also 4 rooms for speech-language evaluation .Besides these, we also have around 12 rooms to conduct speech therapy/auditory verbal therapy and library with the latest reference books ,to add on to the available facilities.

                                                       

Apart from pediatric cochlear implantation , the centre also offers service to adult cochlear implantees ,who do not come under the government scheme. Hearing aids are distributed to public  free-of-cost to the children up to 18 years through RBSK fund. 2030 hearing aids were distributed with cost totaling around Rs 1,2500000 (One crore twenty five lakh ) and fitted and programmed for children . This is the first and only medical college in Kerala to have conducted the Bone Conduction Implantable surgeries and  fitting for congenital malformation of pinna and external auditory canal.   

 

To overcome the Covid19 pandemic situation we have also facilitated  online consultation/therapy and also set up 10 Tele-practice rooms with video conference facilities for AVT/Speech therapy. All our CI children have been enrolled for Telepractise and around 1500 online video consultation are offered in a month 

 

      

  .

Cochlear implantation & Speech Therapy

 

Apart from routine clinical services, 433 Cochlear Implant (CI) surgeries have been performed at Government Medical College ,Kozhikode highest in Government Medical Colleges in Kerala  and among them 371 free surgeries were conducted under Sruthitharangam State Government scheme. GMC-KKD is leading centre of Sruthitharangam cochlear implant program and also for newborn hearing screening . 

       

  

 

 

 

*Shifted to respective DEIC, District Hospitals 

Services offered at CASP :   

 

Hearing Evaluation

Tinnitus Evaluation 

Speech-Language Evaluation (Children & Adult)

Speech-Language Therapy(Children & Adult) 

Hearing Aid Verification and Fitting 

Cochlear Implant Candidacy Selection 

Post-implant switch-on and mapping

Cochlear Implant care and maintenance   

Auditory Verbal Therapy 

Voice Evaluation and Voice therapy  

Hearing Aid Analyzer and quality certification 

Hearing and Speech Disability evaluation

Online consultation /therapy 

Orientation programs /Public Awareness   

 

FACULTY RESEARCH PROGRAMMES

LIST OF PUBLICATIONS

Department publications (published and ongoing)

1. K Salil Kumar, PMuraleedharan Nampoothiri, R Suma, P Renu: Pneumothorax following tracheostomy and its management Indian J Otolaryngol Head Neck Surg. 2002 Jul; 54(3): 236–237.

2.  Ramachandran , M. Venugopal ,R. Suma ,K. C. Naseer: Malignant myoepithelioma of the parapharyngeal space – a case report: Indian J. Otolaryngol. Head Neck Surg.(April–June 2008) 60, 174–176 

3. H Swami, S Nambiar. Focal Ectasia of Internal Jugular Vein. Medical Journal Armed Forces India. 2009;65(3):282-283

4. H Swami, A Dutta, S Nambiar. Recurrent Bell's Palsy. Medical Journal Armed Forces India. 2010; 66(1):95-96.

5. Suma Radhakrishnan, K Ramachandran: Primary malignancy of frontal sinus- A case report IJOHNS 2010; vol.62, 87.

6. Nair, S., Dutta, A., Rajagopalan, R. Nambiar Sl. Endoscopic Sinus Surgery in Chronic Rhinosinusitis and Nasal Polyposis: A Comparative Study. Indian J Otolaryngol Head Neck Surg 63, 50–55 (2011). 

7. M. Venugopal, Sheeja Rajan, Suma R, Subin Thomas Etiopathogenesis of lower motor neuron facial palsy – our experience Indian J.Otol.2011; 17:58-62.

8. Nair, S., James, E., Awasthi, S. Nambiar S et al A Review of the Clinicopathological and Radiological Features of Unilateral Nasal Mass. Indian J Otolaryngol Head Neck Surg 65, 199–204 (2013). 

9. R Suma, Vijeyta Dahiya, R Chandni, Ellezhuthil Devarajan, K Ramachandran Skull base osteomyelitis resulting in petrous internal carotid aneurysm: Otorhinolaryngology Clinics: An International Journal, May-August 2014;6(2):71-73

10. Aparna Govindan, Premkumar Sasi, Suma Radhakrishnan, Jacob PaulAlapatt, KP  Aravindan: Nonfunctioning Ectopic Pituitary Adenoma Presenting as Epistaxis: A Report of Two Cases: Otorhinolaryngology Clinics: An International Journal, September-December 2014;6(3):130-133

11. R Suma et al: Glial heterotopia of sphenoid in association with a patent Sternberg’s canal presenting with meningitis:R Suma, K Jeena,V M Pavithran,A Govindan. Otorhinolaryngology clinics: An international journal,2015 No.1 23-25

12. Suma Radhakrishnan, Chandni Radhakrishnan: Prevalence of sensorineural hearing loss in patients with diabetes mellitus- abstract publication in Diabetes- a journal of American Diabetes Association 2015.

13. Suma Radhakrishnan, Nayana et al: A tale of an enigmatic stridor- Kerala Journal of ENT- Head & Neck Surgery October- December 2015; Vol.13, No.4, 30-33.

14.  Varghese Nevil, R Suma, Gopinatha Menon Arjun, Pradeep Pooja: Orbital apex syndrome due to scopulariopsis- A rare case report:Int J Adv Med 2015; Aug:2(3): 303-305 

15.  Suma  Radhakrishnan, Asjeena Andru, Vijayan Peettakkandy: Follicular Carcinoma of Thyroid Metastasizing to the Sphenoid Sinus: Clinical Rhinology: An international journal May-August 2015; 8(2): 53-57

16. . Sunil Kumar K. P, Nivee Ramesh, S. Muneeruddin Ahmed. ”Otosclerosis - An Evaluation of Clinical and Audiologic Findings; Outcome and Complications of Small Fenestra Stapedotomy”. Journal of Evidence based Medicine and Healthcare; Volume 2, Issue 19, May 11, 2015; Page: 2622-2632.

17.  Sunil Kumar K. P, Sabin B. B, S. Muneeruddin Ahmed. ”A Clinical Study of Foreign Bodies of Oesophagus and their Management”. Journal of Evidence based Medicine and Healthcare; Volume 2, Issue 19, May 11, 2015; Page: 2582-2596.

18.  Sunil Kumar K. P, Divya G. M., VijeytaDahiya, S. Muneeruddin Ahmed. “A Clinical Study on Bedside Elective Open Tracheostomy in ICU of a Tertiary Hospital in Kerala”. Journal of Evolution of Medical and Dental Sciences 2015; Vol. 4, Issue 37, May 07; Page: 6495-6504.

19.  Sunil Kumar K. P, Santhosh G. S, S. Muneeruddin Ahmed. “A Prospective Study of Cervical Lymphadenopathy in Children in Tertiary Hospital: In Kerala”. Journal of Evolution of Medical and Dental Sciences 2015; Vol. 4, Issue 33, April 23; Page: 5617-5629

20.  S. Satheesh, K. P. Sunil Kumar, S. MuneeruddinAhmed.Audiological Evaluation in Geriatric Age Group.International Journal of Innovative Medicine and Health Science, Vol. 4, 2015, 50-56

21.  Santosh. G. S, Sunil Kumar .K.P, Libin T Balan, S. Muneeruddin Ahmed. A Demographic study of Proptosisas a manifestation of ENT diseases in a tertiary Hospital of Kerala. International Journal of Latest Trends in Engineering, Science and Technology Volume 2, Issue 2

22.  Santosh. G. S,Sunil Kumar .K.P,S. MuneeruddinAhmed.Evaluation of clinical resolution of diffuse Acute Otitis Externa on using Systemic Antibiotics in the treatment. International Journal of Latest Trends in Engineering, Science and Technology Volume 2, Issue 1.

23.  Suma Radhakrishnan, Chandni Radhakrishnan, Jacob Alapatt, K Ramachandran: Clinical study of fungal sinusitis with ophthalmologic complications in Diabetes Mellitus;Diabetes – a journal of the American Diabetes Association; June 2016: Vol.65, Suppl.1. 

24.  Suma R, Bashir N K, Silpa:Recurrent Meningitis- A cure possible- International journal of advanced research, 2017; Jan: Vol 6,issue 1

25.  Suma R, P Muraleedharan Nampoothiri, Mohammed Faizal E K: Clinical study of orbital complications of sinusitis- Int J Adv Med 2017;Jan:6(1)

26.  Sapna S Nambiar, Suma Radhakrishnan, Anusha Vijayan: Rhinosporidiosis: Report of an extra-ductal facial lesion- IDcases 7 (2017) 40-43  

27.  Dr. Sagesh M, Dr. Aju Ravindran. Effectiveness of cartilage window with button technique in treatment of pseudocyst pinna. International Journal of Medical and Health Research. Vol 3; Issue 11; November 2017; Page No. 01-04

28.  Nalakath Kunjhimon Bashir,Suma Radhakrishnan, Girish Raj: Tympanoplasty using pedicle temporalis fascia graft- a novel modification of underlay technique : J. Evolution Med. Dent. Sci./eISSN- 2278-4802, pISSN- 2278-4748/ Vol. 6/ Issue 30/ Apr. 13, 2017 

29.  Narayanan S, Panarkandy G, Subramaniam G, Radhakrishnan C, Thulaseedharan NK, Manikath N, Ramaswamy S, Radhakrishnan S, Ekkalayil D. The "black evil" affecting patients with diabetes: a case of rhino orbito cerebral mucormycosis causing Garcin syndrome. Infect Drug Resist. 2017 Mar 28;10:103-108. doi: 10.2147/IDR.S130926. PMID: 28405168; PMCID: PMC5378458

30.  Nalakath K Bashir, Suma Radhakrishnan, A Kumar: Efficacy of tragal cartilage perichondrial composite auto graft in the management of posterosuperior retraction pockets: Otorhinolaryngology Clinics: An International Journal, September-December 2017;9(3):96-101

31.  Nambiar SS. Tympanoplasty type I evaluation of the surgical results and its impact as the treatment modality in chronic otitis media. J. Evid. Based Med. Healthc. 2017; 4(58), 3507-3511. 

32.  George BR, Oommen B. A clinical study on orbital complications of nasal and paranasal sinus diseases in a tertiary government hospital. J. Evid. Based Med. Healthc. 2017; 4(31), 1806-1813.

33.  Oommen B, George BR, A clinical study on juvenile nasal angiofibroma in a tertiary hospital of Kerala. J. Evolution Med. Dent. Sci. 2017;6(24):2033-2037

34.  Salam RTA. A Clinical Analysis of Eagle’s Syndrome by its Clinical Features and Therapeutic Response to Surgical Treatment. Int J Sci Stud 2017;5(10)97-104

35. Swathilal SA, Praveen N. Fibreoptic video laryngoscopy analysis of 60 patients with benign lesions of the larynx. J. Evolution Med. Dent. Sci. 2017;6(26)

36. Praveen N, Swathilal SA. Clinical evaluation of positional vertigo. J. Evid. Based Med. Healthc.2017; 4(23), 1352-1357. 

37.  Dr Praveen N, Dr. Swathilal. S. A. et al Clinicopathological Profile of Metastatic Cervical Lymph Nodes- A Descriptive Study in a Tertiary Care Centre JMSCR Volume 05 Issue 03 March. 

38. Ravindran A, Sagesh M. Effectiveness of oral itraconazole in the management of otomycosis with tympanic membrane perforation. Int J Res Med Sci 2017;5:1373-6. 

2018

39. Nambiar SS, Faseela C, Sunilkumar KP. Subcutaneous Human dirofilariasis: relevance of this emerging zoonosis in otorhinolaryngology.Paripex-Indian Journal of Research.2018 Dec 

40.  Salam RTA, Nambiar SS, Anusha V. Comparative Study of the Outcomes of Tympanoplasty by the Conventional Microscopic and Endoscopic Techniques. Int J Sci Stud 2018;6(9):81-86.

41.  Salam RTA, Saleena N. A Correlative Study on Clinical, Pathological and Computed Tomography Scan Findings of Cervical Nodal Metastases in Head and Neck Malignancies. Int J Sci Stud 2018;5(11):39-48.

42.  Salam RTA, Nambiar SS, Anusha V. Comparative Study of the Outcomes of Tympanoplasty by the Conventional Microscopic and Endoscopic Techniques. Int J Sci Stud 2018;6(9):81-86

43.  K.Rehmath ,Sameer Pootheri ,Shruthi Vishvanath (2018) , Benefits Shortcoming & Expectation from Cochlear Implants: Parent’s perception ,Journal of Disability & Impairment , Vol 32 , No 2 , 2018

44.  Libina Manam Kunnatha , Sameer Pootheri , Neethu Cheruvathoor Kochukunjna (2018) Parental perspective of hearing impaired children using cochlear implant, Journal of Disability & Impairment , Vol 32 , No 2 , 2018

2019

45.  Sudhakaran SK, Madayambath S. Facial nerve paralysis- a clinical study. Int J Otorhinolaryngol Head Neck Surg 2019;5:1309-14. 

2020

46. Sameer Pootheri, Ardra Kaithayulla Parambil , Naisi Baby Patani (2020) , An analytical study on communication abilities and schooling in children with cochlear implantation, International Journal of Scientific Study ,July 2020,Vol 8,Issue 4

47. Sameer Pootheri, M K Libina (2020) , A predictive model of hearing outcome for cochlear implantation in children below 5 years , International Journal of Scientific Study ,June 2020,Vol 8,Issue 3

48.  Suma Radhakrishnan Hafees, Abdullah Perumbally, Sai Surya, Mohammed Shareef Ponneth; Guidelines for Surgical tracheostomy and tracheostomy tube change during the COVID-19 pandemic-a review article: Indian J Otolaryngol Head Neck Surg (July–Sept 2020) 72(3):398–401

49.  Suma Radhakrishnan, Hiba Mujeeb, Chandni Radhakrishnan: Central skull base osteomyelitis secondary to invasive aspergillus sphenoid sinusitis presenting with isolated 12th nerve palsy: ID cases Vol 22, 2020 IDCases2020 Aug 11;22:e00930

50.  Ananth Vijay, Suma Radhakrishnan, Prathap Somnath: Awareness and attitude regarding the COVID-19 outbreak among newly qualified medical students prior to starting internships in Kerala: LTE: J R Coll Physicians Edinb 2020

51.  Hameed AS, Salam ART, Dilna. A cross sectional study of sinonasal pathologies and their endoscopic surgical management. J Evid Based Med Healthc 2020; 7(43), 2442-2447

2021

52.  Salam RTA, Hameed AS, Rajan M. A comparative study of endoscopic coblation adenoidectomy and regular curettage adenoidectomy in a tertiary care hospital in Kerala. J Evid Based Med Healthc 2021;8(41):3559-3566. 

53.  Sapna S Nambiar and Suma, R. “A clinical study on unilateral proptosis: the ever expanding ENT spectrum”, International Journal of Development Research.2021;11, (12), 52996-53001. https://doi.org/10.37118/ijdr.23692.12.2021

54.  Thomas, N., Nambiar, S.S. & Nampoothiri, P.M. Extrapulmonary Tuberculosis: An Otorhinolaryngologist’s Perspective. Indian J Otolaryngol Head Neck Surg (2021). https://doi.org/10.1007/s12070-021-02903-3

55.  Nambiar SS, Swathilal SA, Sunilkumar KP, Soumya AMV. Challenges in treating patients with foreign bodies in hypopharynx and esophagus: our experience in a tertiary care hospital. Int J Otorhinolaryngol Head Neck Surg 2021;7:1660-7.  

56.  Hafees Abdullah Perumbally, Suma Radhakrishnan, Dayal Narayan“Study about the Perceptions of Online Teaching Compared To Traditional Classroom Teaching Among Third Year Medical Students in the State Of Kerala.” IOSR Journal of Dental and Medical Sciences (IOSR-JDMS), 20(01), 2021, pp. 24-34.

57.  Prasad, S.G., Radhakrishnan, S., Devarajan, E. et al. Role of HRCT Temporal Bone in Predicting Surgical Difficulties Encountered in Fenestral Otosclerosis Surgery. Indian J Otolaryngol Head Neck Surg (2021). 

58.  Sapna S Nambiar , Suma R “ A clinical study on unilateral proptosis: The ever expanding ENT spectrum: International journal of development research.2021; 11,(12),52996-53001.

59.  Sameer Pootheri ,Miss Rosmi Mathew (2021) Predominance of High Risk Babies with Hearing loss in Malabar Region ,Kerala ,India ,Journal of Evidence Based Medicine and Healthcare , May 2021 ,Volume 8 ,Issue 20

60.  Sameer Pootheri (2021) Perspective of parents of pre implant children with regards to quality of Life and health care services of cochler implantation programme in Kerala,Journal of Evidence Based Medicine and Healthcare , May 2021 ,Volume 8 ,Issue 19

2022

61.  Bincy Joseph, Sapna S. Nambiar, K. Ramachandran, Suma Radhakrishnan. Endoscopic optic nerve decompression in traumatic optic neuropathy:our experience in a tertiary care centre- International Journal of Otorhinolaryngology and Head and Neck Surgery: Int J Otorhinolaryngol Head Neck Surg. 2022 Jan;8(1) 

62.  Radhakrishnan S, Afsal EM, Anitha PM, Perumbally HA, Ajitha BK, Pulloor NK, Rafeeq Ali KP, Ajayan KV, Kanyadath AM, Verkoli AS, Sukumaran C, Nazeer HA, Sherif M, Navya V, Nishitha NK, Sabir VT, Kottayi S, Suchina EK, Thashreefa TK, Vaheed KA, Kulooth F, Suvanish Kumar VS, Chandran P, Thekkedath U, Radhakrishnan C. Performance & clinical utility of oropharyngeal versus nasopharyngeal swabs in COVID-19. Indian J Med Res. 2022 Sep;156(3):478-483. 

63.  Surya Cheriyil, Nigil Sreedharan, Sapna Sreedharan Nambiar. A rare but important differential diagnosis for an oropharyngeal mass, Otolaryngology Case Reports, 2022; 24(6): 100459. https://doi.org/10.1016/j.xocr.2022.100459. 

64.  Nambiar SS. A Stitch in Time Saves Nine. Am J Otolaryngol Head NeckSurg. 2022; 5(4): 1183.

65.  Joseph B, Nambiar SS, Ramachandran K, Radhakrishnan S. Endoscopic optic nerve decompression in traumatic optic neuropathy: our experience in a tertiary care centre. Int J Otorhinolaryngol Head Neck Surg 2022;8:

2023

66.  E Mohammed Afsal, R Suma: Retrospective Analysis of Otorhinolaryngology Related Elective Surgeries Performed in a Tertiary Care Centre, North Kerala, India. Journal of Clinical and Diagnostic Research. 2023 Mar, Vol-17(3)

67.  Nambiar, S.S. Comparison of the Structured Consent Process Using Modified Delphi Technique with the Standard Process in Obtaining Informed Consent for Procedures in ENT by PHASE III MBBS Students. Indian J Otolaryngol Head Neck Surg (2023). https://doi.org/10.1007/s12070-023-03546-2. 

68.  Safa Abdussalam N K, Sunilkumar K P, Swathilal S A. Implications of Radiological parameters in Round window approach in Cochlear implantation. International Journal of Pharmaceutical & Clinical Research 2023.

 

INTERNATIONAL PRESENTATIONS & ACHEIVEMENTS

1. Dr R Suma - A Clinical study of visual loss in diabetic patients caused by Fungal sinusitis- World diabetic congress 2011 December held at Dubai organised by international diabetes federation.

2. Dr R Suma - A Clinical study of Fungal sinusitis in diabetic patients presenting with ophthalmologic complications- World Diabetic Congress 2013 Dec. Held at Melbourne exhibition & convention centre, Melbourne, Australia.

3. Dr R Suma - Prevalence of sensorineural hearing loss in patients with diabetes mellitus- World diabetic congress 2015

4. Dr R Suma - Covid associated Mucormycosis (CAM)-an epidemic during the pandemic –at American Society of Tropical Medicine and Hygiene annual meeting on 17 Nov 2021

5. Dr R Suma - Received Dr.I.S.Gupta gold medal for the best senior consultant award paper in National Conference of Rhinology society of India, Rhinocon 2015 held at Bareilly

6. Mr Sameer Pootheri - Presented online poster presentation on Barriers of Early Cochlear Implantation in Kerala   at the 2022 EHDI Annual Conference Cincinnati, OH ,USA    

7. Mr Sameer Pootheri - Attended First Assembly of  World Hearing Forum (WHF ) of WHO  at  Geneva, on December 2 - 5th  , 2019

 

Research programmes carried out in the department are as under :-

            2013

1. Deep neck space infections- an analysis of etiology and risk factors for complications.

2. A comparative study on early postoperative complications after primary and salvage total laryngectomy.

3. Fungal rhinosinusitis- a clinical study.

 

2014

4. Prevalence and audiological characteristics of occupational noise induced hearing loss among industrial workers in Calicut.

5. Outcome of paediatric cochlear implants.

 

2015

6. Early carcinoma tongue- proportion of occult metastasis and disease free survival at 1 year.

7. Sequelae of ventilation tube insertion in children with otitis media with effusion.

8. Comparative study on outcome of type 1 tympanoplasty by conventional and endoscopic methods.

 

2016

9. Outcome of transnasal endoscopic repair in CSF rhinorrhoea- a prospective study.

10. Tuberculosis of head and neck- clinico-epidemiological presentation and outcome of treatment – a clinical study

11. Audiological profile in auditory neuropathy spectrum disorders- a descriptive study

 

2019

12. Headache due to sinonasal pathology and effect on headache after endoscopic sinus surgery

 

2020

13. Aetiological profile of patients with acquired lower motor neuron facial paralysis in the ENT department of a tertiary care centre. 

14. SINONASAL POLYPOSIS ASSOCIATED WITH FUNGAL INFECTION IN A TERTIARY CARE CENTRE OF NORTHERN KERALA

15. Factors responsible for poor outcome in pediatric cochlear implantation

16. Risk factors and microorganisms associated with otitis media with effusion in children 

17. Descriptive study of clinical presentation, management and outcomes in patients with foreign body nose in a tertiary care centre 

18. Prevalence of hearing loss in babies with neonatal hyperbilirubinemia in teritiary care centre north kerala

 

2021

19. A study to evaluate the clinical profile and management of upper airway causes of stridor in pediatric patients 

20. Etiological diagnosis in patients of conductive hearing loss with an intact tympanic membrane using clinical,audiological,radiological association 

21. Anatomical variants in the osteomeatal complex among patients with chronic rhinosinusitis  

22. Agreements between preoperative high resolution computed tomography findings with intraoperative surgical findings in chronic otitis media - squamous disease

23. The Epidemiology and risk factors for recreational noise exposure induced hearing damage among adults

24. Etiopathological diagnosis in patients with unilateral nasal mass

ACHIEVEMENTS: 

 

Head and neck live cadaver dissection workshop (2007)

Endoscopic sinus surgery workshop(2007)

Audiology workshop(2007)

Laryngology live cadaver demonstration workshop(2008)

 National conferences

Ongoing Annual conference for Post graduates with case presentation and OSCE training by eminent faculty members from the country.

1. CALMED 2016 (9 & 10 January)   2 .CALMED 2017 (1 &2 April)

 

 

Radiology Update : Unwinding the cochlea 

3. TEMPORAL BONE DISSECTION WORKSHOP 2022

         

 

4. CALMED ENT 2023

 

Papers presented :

1. MENTOS – 2018 MES MEDICAL COLLEGE PERINTHALMANNA

Pathophysiology of Chronic Otitis Media : Dr P Muraleedharan Nampoothiri

2. AOIMIDCON 2017 Kasturba Medical College Mangaluru

Tips and tricks of stapedectomy :  Dr P Muraleedharan Nampoothiri

3. AOI ANNUAL MALABAR ENT CONFERENCE:  (2017)

Endoscopic Stapedectomy Dr Abdul Salaam R T 

4. KENTCON:  KERALA  STATE CONFERENCE : (2017)

Vertigo: The Otorhinolaryngologist’s perspective   Dr Nambiar Sapna S

5. AOI ANNUAL MALABAR ENT CONFERENCE: (2016)

Endoscopic Myringoplasty Dr Abdul Salaam R T 

Local Anaesthesia in ENT Dr Nambiar Sapna S 

Techniques of surgical/open tracheostomy Dr Divya G M

6. AOI SOUTH ZONE CONFERENCE Hyderabad 2016

Proptosis : The ever expanding ENT Spectrum   Dr Nambiar Sapna S

7. KIMS Laryngology Update 2016

Techniques of surgical/open tracheostomy Dr Divya G M

8. AHEAD at Amrita Institute of Medical Sciences Kochi 2016

           Evaluation of a thyroid nodule  Dr Divya G M

9. RHINOCON 28TH Annual Conference of All India Rhinology Society 2015

           CSF Rhinorrhoea Dr Suma R

           Unilateral Sinonasal disease: A diagnostic challenge Dr Nambiar Sapna S

 

AWARDS OBTAINED

NATIONAL CONFERENCE OF RHINOLOGY 2015

Dr I.S. Gupta Gold Medal for best senior consultant paper: Dr R Suma

Annual Indian Speech and hearing Association Conference 2018 Mysuru Karnataka

Prof. R K Oza Oration Award in Audiology  Mr P Sameer

PG QUIZ 

1. KENTCON 2014(AOI state conference)

           1st prize      Dr Nayana  & Dr Vijeyta

2. South zone 2014

           1st prize      Dr Nayana  & Dr Vijeyta

3. KENTCON 2015( AOI state conference)

         3rd prize       Dr Shalini Kurian & Dr Manu S

4. AOI Malabar Annual Meet 2015

           1st prize     Dr Nayana &  Dr Faisal 

 5. KENTCON 2017( AOI state conference)

           1st prize     Dr Nittu Thomas & Dr Slimcy Shylen

           2nd prize    Dr Dilna N & Dr Shilpa Nair

6. AOI Peripheral Meet 2017

            1st prize     Dr Nittu Thomas & Dr Slimcy Shylen

7. AOI Malabar Annual Meet 2017

           1st prize     Dr Shalini Kurian and Dr Dilna N

           2nd prize    Dr Bineesh W and Dr Leena Ibrahim

8.  AOI Midterm 2017 

           1st prize     Dr Dilna N & Dr Shilpa Nair

           2nd prize     Dr Nittu Thomas & Dr Slimcy Shylen

9. 12. Global Convention on Safe sound 2019

          2nd  prize - Dr safa abdul salam

10.KENTCON 2021-

   2nd prize- Dr safa abdul salam, Dr Mikhina Valsaraj

11. KENTCON 2022

            - 3rd prize- Dr Krithika 

             - (4th)- Dr Hitha , Dr Surya

12.South zone AOICON 2022

             - Participation- dr krithika

13. Malabar  ent con 2023      

             1 st prize- Dr Shabeeha , dr hitha

            2nd prize- dr Bibin baby , dr keerthi

PG Paper 

1. KENTCON 2013(AOI state conference)

      PG case report -Dr Ashok Kumar Gold Medal

        Dr Neethu Chandran   : Infratemporal synovial sarcoma

2. KENTCON 2014( AOI state conference)

       PG paper 2nd prize:  Dr Silpa SP : Recurrent meningitis – a cure possible?

3. KENTCON 2014(AOI state conference)

        PG case report 2nd prize: Dr Nayana : A tale of an enigmatic stridor

4. AIIMS 2016

       PG poster 1st prize    :Dr Leena Ibrahim: Role of vit D in skullbase osteomyelitis

5.AOI Peripheral meet 2016

PG Paper 1st prize: Dr Manu S: Comparative study on early postoperative          complications following primary versus salvage total laryngectomy

                 2nd prize: Dr Sebina Francis : A clinical study on spontaneous CSF rhinorrhoea

5. KENTCON 2017(AOI state conference)

     PG paper   1st prize:   Dr Dilna N : Early carcinoma tongue- Proportion of occult metastasis and disease free survival at 1 year

                         2nd prize : Dr Shilpa Nair: The Versatile flap

                         3rd prize : Dr Nittu Thomas: Endoscopic management of JNA – a clinical study

6. KENTCON 2017

     PG case report 2nd prize: Dr Slimcy Shylen : One Great Big Eye 

7. AOI Peripheral meet 2017

     PG paper   1st prize:  Dr Hafeefa Abdul Nazeer: The Hidden Invader

                        2nd prize: Dr Sai Surya: In the midst of unexpected

8. Malabar Chapter 2017

     PG Paper   1st prize: Dr Shilpa Nair: The Versatile flap

                        2nd prize: Dr Slimcy Shylen

9. KENTCON 2018

      PG case series - Dr safa abdul salam 

10. SZENTCON 2019

     PG Paper – paper presentation by Dr safa abdul salam

11. TELYENT 2019

        PG PAPER PRESENTATION 

                          3rd prize - Dr safa abdul salam

13.Global conference on Safe Sound in 2019

           Dr safa abdul salam  participated 

14. MENTOS 2019

      PG PAPER – 1st prize - Dr safa abdul salam

16.KMCT Otofest 2020- - Dr safa abdul salam participated

17.KENTCON 2021

       PAPER PRESENTATION- Dr Krithika-granulomatous lesion causing skull base

osteomyelitis- a rare presentation

18. MAGENTA 2021-

      PAPER PRESENTATION – DR Shabeeha

                                             - Dr Surya- Unusual invader of mastoid

19. KENTCON 2022

     PG Paper presentation- Dr Shabeeha , dr keerthi -, An uncommon intruder of nasal                   

                                                              cavity-On fibrous dysplasia. 

                                          -dr bibin baby -congenital vocal cord cleft- 

                                       -  dr fathima hanna

                                      -Dr Midhuna k-A different approach to parapharyngeal tumor

                                      - Dr Haritha k

    PG CASE SERIES-  Dr Surya- Translabyrinthine approach for vestibular schwannoma - our experience

20.AOI MID TERM CONFERENCE 2022

             PG Paper presentation- Dr Hitha- .A case report on choanal atresia

                                                     - Dr Surya- Unusual invader of mastoid

21.MALABAR ENTCON 2023 –

   PG Paper presentation – Dr Midhuna k-exploring the bottom of iceberg – an approach to an uncommon intruder – the glomus jugulare

                             - Dr Deepika , 

                             -Dr Vaishnavi Sreeram-pediatric subglottic stenosis – our experience

                           -Dr Yashitha ,

                         - Dr Akhila albert

22. PHONOCON 2023 –

     PG Paper presentation- Dr Vaishnavi Sreeram- pediatric subglottic stenosis – our experience

  

PG POSTER

1. KENTCON 2022

                   - 1st prize – Dr Hitha- Conductive Hearing Loss- need to think out of the box

                   - 2nd prize- Dr Surya- Precarious looping in oropharynx

                   - participation-Dr Krithika- surgical management of laryngomalacia

                                          -Dr Vaishnavi Sreeram-laryngeal web – laser a better tool

2. AOI MID TERM CONFERENCE 2022-Dr Fathima hanna

3. PHONOCON 2023 – Participation – Dr bibin baby- congenital vallecular cyst

 

PG PUBLICATION

Dr Surya- A rare but important differential diagnosis for an oropharyngeal mass - in

Journal : Otolaryngology case reports 2022

• MAGENTA BEST PG AWARD 2022

Qualified for the final round examination-- Dr Safa abdul salam

• Temporal bone workshop in 2019-BEST DISSECTOR- Dr Safa abdul salam

• Participation  in hands-on temporal bone dissection work shop 2023 @ Pushpagiri institute Of medical sciences- Dr Krithika

• MAGENTA BEST PG AWARD 2023- 1ST PRIZE – Dr MIKHINA VALSARAJ

 

CONTRIBUTION TO SOCIETAL EMPOWERMENT

• Conducted medical camps for hearing assessment and provided hearing aids and other rehabilitations for the needed.

• Conducted awareness programs regarding Safe Hearing practises in tie with the WHO  

• Dr R Suma was a member of Comprehensive Primary Health care programme of Kerala Government in the preparation of Trainer’s module for ENT diseases

• Dr R Suma was actively involved in training of doctors as a part of National Programme for prevention and control of deafness ( NPPCD )

 

CONTACT US

 

infoentmcc@gmail.com