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.

NAME	DESIGNATION
Dr. R.G. Aiyer	Professor & Head of the Department
Dr. Sushil.G.Jha	Associate Professor
Dr. Ajay Panchal	Assistant Professor
Dr. Jitubhai Shah	Part time Assistance Professor

PREVIOUS STAFF
Dr Ravi. S . Tiwari
Dr. Farida Wadia

Infrastructure	Description
OPD
	OPD Room
	Consultant sitting Room
	Minor Procedure Room
	Store Room
Ward
	Male Surgical ward
	Female Surgical Ward
	Baby Surgical ward
	Isolation ward
	Speech therapy and Audiology laboratory
	Nursing room
Operation Theatre
	ENT Operation theatre
	Septic Operation theatre
	Recovery room
	Store

Achievements

no achievement added...

College Achievements

Teaching Staff

Dr. Sushil G Jha ( Associate Professor )	more...
Qualification : M.S(ENT)D.L.O Experience : 10 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. S. T. Josef ( Assistant Professor )	more...
Qualification : Experience : 2 Years Date of Joining : 2008-03-14

Non Teaching Staff

Facility

Hospital Services

         The department of Otorhinolaryngology and Head & Neck surgery at Sir T Hospital is totally dedicated to serve the Poor patients. Patients are treated on outdoor and indoor basis. Outdoor patients are treated in OPD and indoor patients in ward no 7,9 & 3 The department has six working days. Monday Wednesday and Friday are OPD days. Monday ,Wednesday and Saturday are OT days. Thursday is Work day. Emergency Services are provided 24 hours a day and 7 days a weeks including holidays.

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 in the Year 2005:

Operation	Number
Mastoid Surgery	83
Tympanoplasty	60
Septoplasty	40
Sinus Surgery	20
Endoscopic DCR	60
External DCR	55
Microlarynged Surgery	06
Direct larynposcopy	60
Oesophagoscopy	32
Bronchoscopy	15
Panendoscopy	10
Parotid Surgery	05
Thyroid Surgery	21
Head & Neck Surgery for malignancy	21
Thyroid Surgery	15
Other	56
Total	538

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 purchase instruments & equipments like Brainstem evoked response audiometer cobalt therapy unit & facility for brachy therapy.
• To start cochlear implant center.

Subject curriculum

Ear:

• Acute inflammatory conditions of External & middle ear.
• Chronic suppurtive otitis media classification, pathogenesis and principles of management.
• Elucidate the physiological aspects of normal growth and development;
• Deafness - types, Classification of various causes management & Deaf child
• Secretory otitis media & its sequel otosclerosis



Nose

• Rhinosinusitis - clinical features complications & its management
• Epistaxis - cases & management
• Nasal polyposis - type, etiopathogenesis & management
• Nasal obstruction - cases & management & deviated nasal septum
• Tumors of nose, Para nasal sinuses & nasopharynx



Throat

• Infective conditions of oral cavity & oropharynx including indication contraindication & complication of Tonsillo - adenoid resection
• Hoarseness of voice -cases & management of it.(including laryngitis)
• Premalignant & malignant conditions of oral cavity
• Anatomy of neck spaces, infection of Retropharyngeal and parapharyngeal space including Ludwig's angina.
• Causes of upper airway obstruction Tracheostomy - Complications & theire management.
• Foreign body in food & air passages
• Carcinoma of larynx - causes, Presentation, Staging & Management
• Differential diagnosis of Dysphagia & Management
• Differential diagnosis of neck swelling & their management
• Otolaryngologic manifestations of AIDS



Topics to be covered during clinical posing

• Introduction welcome to the department distribution basic guideline of the working pattern of the department.
• Ear - Symptomatology deafness otorrhoea , dizziness tinnitus otalgia
• Nose - Obstruction, Rhinurrhoea , Anosmia , sneezing . Epistaxis
• Throat - Odynophagia , Dysphagia, Throat pain Foreign body sensations, Change in voice & stridor
• Art of history taking
• Ear , Nose & Throat OPD setup:



Instruments & Examination

• Tunning fork test, hearing assessment
• Indirect laryngoscopic examination and Posterior rhinoscopic examination
• Lymphatic of neck & clinical examination
• Tonsillo - adenoid resection - Indication, Contraindication, Procedure, instruments and classification
• Various surgeries of nasal septum & paranasal sinuses
• Atrophic rhinitis
• Anterior nasal packing , Posterior nasal packing
• Tractieostomy - Indication , Procedure, Complication, Various tracheostomy tube
• Endoscopic procedure in ENT
• Instruments in ENT
• X-rays in ENT

Extra Activity

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.

List of Surgeries Performed in the Year 2005:

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

Event

Department of E.N.T.

No Events Added..