About

History

The department of Otorhinolaryngology surgery and head and neck surgery provides diagnosis and treatment for problems of the ear ,nose and throat & tumors of the head & neck area. It was founded in 1995 as a separate department. Earlier it used to be under the surgical department. Master's degree(M.S.(ENT)) was recognized by MCI in 1968. Facilities in the department include microsurgery of the ear, treatment of hearing loss & rehabilitation of the hearing impaired, Rhinology & since disease laryngology & throat diseases & management of vocal disorders. This department also takes care of the patients of Head & Neck cancer which is so prevalent in this part of the country due to bad habit of Gutkha Chewing & Bidi smoking. It series the purpose of a regional cancer referral center.

ENT DEPARTMENT INFRASTRUCTURE

OT AREA:

RECOVERY ROOM

MALE CHANGING ROOM

FEMALE CHANGING ROOM

DOCTOR’S ROOM

PASSAGE

STORE ROOM O.T.

MAIN OPERATION THEATRE

ENDOSCOPY OT

SCRUB/AUTOCLAVE ROOM

WARD AREA:

MALE WARD

FEMALE & PAEDIATRIC WARD

ISOLATION WARD

STORE ROOM WARD

DRESSING ROOM /MINOR OT

NURSING STATION

TOILET-MALE

TOILET-FEMALE

RESIDENT DOCTOR ROOM

OXYGEN/SUCTION ROOM

SEMINAR ROOM/CLINIC ROOM

PROFFESOR OFFICE

ASSO.PROF.OFFICE

ASST.PROF.OFFICE

PASSAGE

OPD AREA

MAIN OPD ROOM -comprising of four separate cubicles for consultant

For examining the patient

CADEVERIC ROOM

DRESSING ROOM

AUDIOMETRY ROOM

LIBRARY/PROF.OFFICE

SEMINAR/CLINIC ROOM

TOILET-MALE

TOILET-FEMALE

WAITING ROOM

Achievements

Award

Best Bone Dissector

Has been awarded for Best Bone Dissector at Nanavati Hospital, Mumbai in 2010, 75th Temporal Bone Dissection Workshop of Dr. K. P. Morwani.

Paper Presentation

Second prize won by Dr Piyush in state conference at surat conference

Quiz of FESS

won second prize in the quiz of FESS in mumbai by dr Hemal Shah in year 2010

Success

Sound Proof Audiometry Room

It is kind of one of the only institute in the Gujarat , having the two audiometry room separate each for ward and opd. one room is sound proof having the full audiological setup for the BERA, OAE,Tympanometry , PTA and Speech Audiometry within the ward. The other one in the OPD is sound treated one and having the Separate PTA with Speech Audiometer

Other

Hearing Aid Camp ( Free Distribution)

conducted free hearing aid camp on 19th to 21st October 2010 and distributed approx. more than 250 hearing aid to the beneficiary

College Achievements

Teaching Staff

Dr. Vishala K Pandya ( Professor & Head Of The Department )	more...
Qualification : MBBS,MS (ENT) Experience : 2 Years Date of Joining : 2010-06-01
Dr. Sushil G Jha ( Associate Professor )	more...
Qualification : MBBS,MS(ENT)DLO Experience : 12 Years Date of Joining : 2000-07-31 Field of Research : Mainly Otology & Head & Neclr Malignanay Awards : Did Many Surgerics Related To Plastic Speciality Did More Than 100 External DCR Successful
Dr. Keyur Ashokbhai Mehta ( Assistant Professor )	more...
Qualification : MBBS,MS (ENT) Experience : 2 Years Date of Joining : 2010-03-08 Field of Research : Otology and extended otological surgeries Awards : Second prize in the paper presentation at the occupassional health paper compitition at Jamnagar in year 2008 Best Bone Dissector award at 75th Temporal Bone Workshop , Nanavati Hospital Mumbai
Dr. Piyush Manaharbhai Vaghmashi ( Assistant Professor )	more...
Qualification : M.B.B.S,M.S (ENT) Experience : 1 Years Date of Joining : 2011-03-01 Awards : Won Second Prize in the state conference at Surat conference in paper presentation
Dr. Rajesh J Rangalani ( Senior Resident Doctor )	more...
Qualification : Experience : 1 Years Date of Joining : 2011-02-23
Dr. Krishnadev M Gohil ( Senior Resident Doctor )	more...
Qualification : Experience : 1 Years Date of Joining : 2011-02-23
Dr. Hemal Shah ( 3 Year Resident )	more...
Qualification : MBBS Experience : 3 Years Date of Joining : 2009-06-16
Dr. Krunal M Patel ( 2 Year Resident )	more...
Qualification : MBBS Experience : 2 Years Date of Joining : 2010-06-30
Dr. Abhishekkumar Father/Husband Name Singh ( 1 Year Resident Doctor )	more...
Qualification : Experience : 1 Years Date of Joining : 2011-06-30

Non Teaching Staff

Facility

Hospital Services

         The department of Otorhinolaryngology surgery and head and neck surgery provides diagnosis and treatment for problems of the ear ,nose and throat & tumors of the head & neck area. It was founded in 1995 as a separate department. Earlier it used to be under the surgical department. Master's degree(M.S.(ENT)) was recognized by MCI in 1968. Facilities in the department include microsurgery of the ear, treatment of hearing loss & rehabilitation of the hearing impaired, Rhinology & since disease laryngology & throat diseases & management of vocal disorders. This department also takes care of the patients of Head & Neck cancer which is so prevalent in this part of the country due to bad habit of Gutkha Chewing & Bidi smoking. It series the purpose of a regional cancer referral center.

Surgeries of the Ear

         Microsurgery of the ear is done for Ossicles trauma, Chronic otitis media, Cholesteatoma of the ear & their complications, Tympanoplasties, Meatoplasties etc.

Endoscopic sinus surgery & Rhino logy

         Endoscopic diagnosis and Endoscopic sinus surgery for chronic sinusitis, nasal polyposis, orbital decompression Endonasal DCR, External DCR is being done regularly and all state of out equipments are available

• Laryngology and Head & Neck Surgeries

         Surgical and medical services are provided to patients having oral cavity, oropharynx ,laryngopharynx and laryngeal, pathologies, surgical procedures include tonsillectomy, microlavgnteal surgery , palatoplasty ,sleep apnoea thyroid bronchial apparatus and salivory gland surgery.

Head & Neck Cancer

         Patients with the cancer of the Head & Neck particularly carcinomas of the upper aerodigestive tract, salivary and thyroid gland are also managed. Multidisciplinary approach include biopsies, FNAC to these patients is adopted surgical procedures performed are laryngectomy, maxillectomy neck dissections (radical neck dissection and modified radical neck dissection through surgical reconstruction & speech & voice therapy is also provided

Emergency services

         Life saving procedures on tracheobronchial tree, foreign body removal from air and food passages trauma of Head & Neck region and epistaxis are some of the services provided in emergency infact many paediatric patients with foreign body bronchus are attended too.

         Surgeries of plastic specialty

         Surgeries are also done for Cleft Palate, Cleft Lip, Maxillary and Mandibular fractures.

Neurotology

         Neurology services included diagnosis and treatment of patient with balance problem, facial nerve disorder and hearing loss caused by inner ear damage ,nerve problems or tumor of the ear and related structure

Audiology and speech therapy

         Evaluation and treatment services are provided for adults with speech, language, swallowing, balance , tinnitus & hearing problems. Services offered included hearing aid recommendations fittings, speech/language assessment & therapy ,dysphasia testing with therapy and augmentative alternative communication therapies for those who cannot speak .the Audiology and speech rehabilitation services are provided along with ENT OPD services at the centre.

List of surgeries performed during 2010 -2011:

Operation	Number 2010 | 2011
Mastoid Surgery	90 | 60
Tympanoplasty	108 | 97
Septoplasty	46 | 33
Sinus Surgery	28 | 23
Endoscopic DCR	05 | 03
External DCR	05 | 01
Microlarynged Surgery	05 | 02
Direct larynposcopy	22 | 30
Oesophagoscopy	14 | 18
Bronchoscopy	12 | 15
Panendoscopy	01 | 06
Parotid Surgery	03 | -
Thyroid Surgery	01 | 7
Head & Neck Surgery for malignancy	26 | 12
Other	182 | 162
Total	458 | 469

Teaching Facilities

         This department has adequate teaching facilities for undergraduate students. It has a seminar room for seminars and lectures Undergraduate Teactling.

         This institution has 100 undergraduate admissions. It gives a very comprehensive schedule for training undergraduate students in fields of ENT Head & Neck surgery. The training includes theoretical teaching with main thrust on bedside clinical & surgical training. Besides these is a healthy academic atmosphere for free discussion on clinical cases among faculty and resident staff.

           Integrated lectures in medical college twice a week covering all topical relevant to the curriculum.

           Clinical lectures in ODP darive clinical posting.

Healthy Practices

• Regular meeting of Association of ENT surgeons of Bhavnagar to discuss & share clinical knowledge.
• Social service participation - Full Participation in diagnostic & therapeautic camps organized by Government & NGO
• Future Plans
• To start post-graduate studies
• To start cochlear implant center.

Instruments available at  Audiology and Speech Therapy unit:

PTA with speech audiometer

BERA

Impedance Audiometer

OAE

UG/PG TEACHING SCHEDULE

CURRICULUM:
List of integrated lectures.

Ear:

1. Anatomy, Physiology of Ear.

2. Acute inflammatory conditions of external, middle & inner ear.

3. Chronic suppurative otitis media, classification pathogenesis & principles of management.

4. Complications of Chronic suppurative otitis media and their management.

5. Deafness-type classifications of various causes & management & deaf child.

6. Secretory otitis media and its sequelae.

7. Otosclerosis.

8. Tumors of Ear.

Nose:

1. Anatomy, Physiology of Nose.

2. Rhinosinusitis-Clinical features, complications and management.

3. Epistaxis – causes and management.

4. Nasal Polyposis – Type etiopathogenesis.

5. Nasal Obstruction – causes and their management.

6. Tumors of nose, paranasal sinuses & nasopharynx.

Throat:

1. Infective conditions of oral cavity and oropharynx – indications, complications and their management.

2. Premalignant and malignant conditions of oral cavity their causes and management.

3. Hoarseness of voice – causes and their management.

4. Anatomy of neck spaces, infection of retropharyngeal space including ludwing’s angina.

5. Causes of upper air way obstruction and their management.

6. Foreign body in food & air passages.

7. Tumor of larynx & food passages- causes, presentations, staging & management.

8. Differential diagnosis of dysphagia and their management.

9. Different diagnosis of Neck swelling and their management.

10. Otolaryngological manifestations of AIDS.

Topics to be covered during clinical rouds:

1. Introduction and welcome to the department distribution and basic guidelines of the working pattern of the department.
2. Ear-Symptomatology – deafness, otorrhoea, dizzness, tinnitus, otalgia.
3. Nose-obstructions, rhinorhoea, anosmia, sneezing, epistaxis.
4. Throat-Odynophagia, dysphagia, throat pain, foreign body sensation change in voice and stridor.
5. Art of history taking of ENT diseases.
6. Ear, Nose & Throat OPD setup ; instrumnets and examination.
7. Tunning fork test & hearing assessment.
8. Indirect laryngoscopic examination and posterior rhinoscopic examination.
9. Lymphatic of neck and clinical examination.
10. Tonsilloadenoid resection and other head and neck surgery – indications, contraindications, positions, procedures, instrument and classification.
11. Various surgeries of nasal septum.
12. Various surgeries of paranasal sinuses.
13. Rhinitis and classification.
14. Anterior and posterior nasal packing
15. Upper airway management – indications, procedures, positions, complications of different methods.
16. Myringotomy – indications, positions, complication and risk of grommet insertion.
17. Endoscopic procedures in E.N.T.
18. Instruments in E.N.T.
19. Radiology in E.N.T.
20. Specimens in E.N.T.

Post Graduate Teaching

• Teachers and post graduate students would work together in OPD and OT which provides continuous learning to the students.
• Detailed orientation programme, personal touch for students’ growth & learning especially for surgical technique.
• Seminar, Journal, article presentation, case presentation and assignments as formal teaching. Use of LCD OHP & slide projectors by students and teachers.
• Temporal bone dissection laboratory where post graduate do their practice for various surgeries on cadaveric temporal bone.

Extra Activity

National programme for prevention and control of Deafness :

Department is running the NPPCD project and summery of work done under it is as following:

SUMMERY OF WORK DONE UNDER NPPCD PROGRAMME IN

ENT DEPARTMENT,

GOVT. MEDICAL COLLEGE & SIR T. HOSPITAL,

BHAVNAGAR.

(1) Equipments acquired :

PTA
BERA
Impedance Audiometer
OAE
ENT Operating Microscope
ENT examination kit (Dispensed to medical officers of
Bhavnagar Dist.)

(2) Training:

All level training done as following:
(a) Asha & Anganwadi workers of Bhavnagar Dist. trained in
year 2007
(b) 66 Medical Officer’s of Bhavnagar Dist. trained in
year 2007-2008
(c) OBS / Gynecologist & Pediatrician of Bhavnagar Dist sensitized

(3) Recruitments :

(a) Audiologist -1 (In year 2009)
(b) Instructor for hearing impaired – 1 (In year 2011)

(4) Camps and Hearing Aid dispensing:
Total 6 camps done from January 2009 to November 2009
Total 310 children screened
158 hearing aid given

Utilization certificate in GFR-19A submitted

Examination Pattern

There are two internal exam at the end of each clinical term. There is one prelim exam in the due term. After that there is final University exam.

Examination pattern of under graduate student:

	Total Marks	External	Internal
Theory	50	40	10
			- 5 from Prelim exam
			- 5 from Internalexam
Practical	50	40	10
			- 5 from Prelim exam
			- 5 from Internal exam

1. Method of examination in Degree ENT

METHOD OF EXAMINATION

UNIVERSITY EXAMINATION IN M.S. E.N.T.
OTORHINOLARYNGOLOGY
UNIVERSITY EXAMINATION CONSISTS OF TWO PARTS

1. Theory Examination
2. Practical Examination

Theory Examination:

Sr. No.	Paper	Time
1	Paper – I	3 hours
2	Paper – II	3 hours
3	Paper – III	3 hours
4	Paper - IV	3 hours

 

THEORY EXAMINATION

Written examination consists of four question papers each of three hours duration. Total marks of each paper is 100 marks.

Paper – I          Basic sciences applied to Otorhinolaryngology
Paper – II        Otorhinolaryngology Medicine, Surgery
Paper – III       Systemic Otorhinolaryngology     
Paper – IV       Recent advances

 

PRACTICAL EXAMIANTION

Sr. No.	Number	Marks
1.	Long Case – 1	200
2.	Short Case – 2	200
3.	Oral & Table Viva - 2	200

Theory        -     400
Practical      –     600
Total      -         1000

A candidate shell secure not less than 50% Marks in each head of passing which shall include (1) Theory, (2) Practical including clinical and viva voce examination.

2. Method of Examination in Diploma ENT

METHOD OF EXAMINATION

UNIVERSITY EXAMINATION IN  DIPLOMA E.N.T.
OTORHINOLARYNGOLOGY
UNIVERSITY EXAMINATION CONSISTS OF TWO PARTS

1. Theory Examination
2. Practical Examination

Theory Examination:

Sr. No.	Paper	Time
1	Paper – I	3 hours
2	Paper – II	3 hours
3	Paper – III	3 hours

 

THEORY EXAMINATION

Written examination consists of four question papers each of three hours duration. Total marks of each paper is 100 marks.

Paper – I          Basic sciences applied to Otorhinolaryngology
Paper – II        Otorhinolaryngology Medicine, Surgery
Paper – III       Systemic Otorhinolaryngology and Recent Advances

 

           
PRACTICAL EXAMIANTION

Sr. No.	Number	Marks
1.	Long Case – 1	100
2.	Short Case – 2	100
3.	Oral & Table Viva - 2	100

Theory        -     300
Practical      –     300
Total      -           600

A candidate shell secure not less than 50% Marks in each head of passing which shall include (1) Theory, (2) Practical including clinical and viva voce examination.

Event

Department of E.N.T.

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