E.N.T

Otorhinolaryngology is a specialty which deals with the medical and surgical management of the patients with disease and disorders of ears, nose and throat and related structures of head and neck.

At MGM Hospital Vashi our ENT specialists have incorporated some basic principles into practice, we listen to the patient, then respond with compassion and finally deliver quality results.

MGM Hospital Vashi has the best team of consultants. Our team is constantly involved in innovation to find solutions to improve patient care and quality of life and is also renowned for working towards improvement of medical practices and services.

Many people suffer from recurrent difficulties of ears, nose and throat which may require interventions like, tonsillectomies, adenoidectomies, patients have deviated septum, adults are frequent victims of snoring and sinus infections, hearing loss or even throat cancers. No matter what is the age or medical conditions, we are committed to help.

Our Department offers comprehensive services under one roof to treat voice, nose and sinus disorders, head and neck tumors, ear diseases, hearing impairments and balance disorders of the patients. We are equipped to make comprehensive diagnosis of all ENT disorders. The patients are made to feel comfortable and put at ease, as the delivery of care starts with the right diagnosis. The treatment moves forward with customized treatment plan.

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Highlights

We had conducted a National Conference on OSA, a relatively new subject attended by renowned and acclaimed ENTs and related practitioners. The conference had very significant outcomes beneficial to ENT specialty. Many CME’s are arranged time to time for newer aspect in E.N.T.

Services

Some of the conditions treated by the department are:
Head Neck Surgery
  • Oral Cancer Surgery
  • Thyroidectomy
  • Neck Mass Surgery
  • Laryngectomy
Sleep Medicine
  • Coblation assisted uvulopalatopharyngoplasty
  • Septoplasty
  • Nasal turbinate reduction
  • Nasal valve reconstruction and nasal polyps removal to relieve nasal obstruction
  • Tonsillectomy
  • Base of Tongue surgeries: lingual tonsillectomy, partial midline glossectomy, radiofrequency to the base of tongue, genioglossal advancement, hyoid myotomy and suspension
Surgery of the Nose and Para-Nasal Sinuses
  • Functional endoscopic sinus surgery.
  • Endoscopic Dacryocystorhinostomy (DCR).
  • Endoscopic repair of CSF (Cerebral Spinal Fluid) rhinorrhoea.
    Septoplasty.
  • Rhinoplasty.
  • Arterial ligations (sphenopalatine, ethmoidal, maxillary and external carotid) for epistaxis.
  • Surgery for tumours of the nose and PNS.
Otology (Ear related)
  • Micro Ear Surgeries like Mastoidectomy,Tympanoplasty, Ossiculoplasty and Stapedotomy
  • Medical and surgical treatment of Malignant Otitis Externa
  • Trasnasal and Sphenoidal Endoscopic Pituitary Surgery
  • Laser Surgery
Surgery of the Throat and Neck
  • Adenotonsillectomy
  • Surgery for treatment of snoring (OSAS) such as UvuloPalatoPharyngoplasty (UPPP)
  • Laser Assisted UvuloPalatoplasty (LAUP)
  • Surgery for vocal cord paralysis
  • Tumors of throat and larynx
  • Tumors of the structures of the neck
  • Surgery for salivary glands
  • Phonosurgery
  • Microlaryngeal surgeries
  • Upper aero-digestive endoscopy for adults and children
Pediatric Otolaryngology
  • Adenoidectomy
  • Tonsillectomy
  • Laryngomalacia and other causes of stridor management
  • Myringotomy and grommet insertion
  • Obstructive sleep apnea – pediatric
Laryngology (Throat related)
  • Micro laryngeal and video laryngeal surgery for vocal cord nodules, polyps and cysts
  • Vocal cord medialisationthyroplasty using Gore-Tex
  • Laser Cordectomy for bilateral abductor paralysis
  • Laryngeal cancer surgery
  • Laryngopharyngectomy and block dissection of neck
  • Tracheostomy
Audiology and speech therapy
  • Pure tone audiometry and special tests
  • Brainstem Evoked Response Audiometry (BERA)
  • Otoacoustic Emission (OAE) testing
  • Newborn Hearing Screening test
Outpatient Clinic Procedures Performed
  • Flexible fibre optic nasopharyngolaryngoscopy
  • Myringotomy and Grommet insertion
  • Epley's Manoeuvre
  • Positional testing
Rhinology (Nose related)
  • Septoplasty, SeptoRhinoplasty.
  • Functional Endoscopic Sinus Surgery (FESS).
  • Endoscopic cerebrospinal fluid leaks repair.
  • Endoscopic nose, nasopharynx (juvenile nasopharyngeal angiofibroma) and paranasal sinus tumor surgery.
  • Endoscopic DCR Surgery.
Surgery for deafness and discharging ears
  • Myringoplasty
  • Tympanoplasty
  • Middle ear reconstruction
  • Stapedotomy
  • Facial nerve decompression
  • Tumours of middle ear / mastoid air cells
Swallowing Department
  • FEES (Functional Endoscopic Evaluation of Swallowing)
  • Surgery for betterment of swallowing
  • Baring swallow
  • Swallowing Rehalitation by Swallowing therapist

Technology & Infrastructure

ENT
The department has adjusted well with the advancement of medical technology.

With the advent of modern day endoscopes, operating microscopes and lasers, the department now handles various ear-nose-throat and neck disorders efficiently and precisely. There are nasal and nasopharyngeal endoscopes for diagnostics and video endoscopy facilities for all types of endoscopic sinus surgeries including transnasal pituitary and surgery for CSF Rhinorrhoea. Microlaryngeal surgeries and voice-improving phonosurgery are also performed.

  • LASER treatment.
  • State-of-the art-Karl Storz nasal endoscopic equipment with HD operating cameras and HD monitors.
  • Zeiss Microscope OPMI with high-resolution objective lens and high depth lens systems to give a perfect magnified vision to the surgeon.
  • Latest HD (High Definition) cameras and monitors.
  • Curis radiofrequency machine.
  • Smith and Nephew Coblation.
  • State-of-the-art Starr Microdebrider.
Our Specialists
FAQs
What is obstructive sleep apnoea(OSA)?

OSA is a condition in which a person stops breathing repeatedly throughout the night. Breathing stops because the airway collapses and prevents air from getting into the lungs. Sleep patterns are disrupted, resulting in excessive daytime sleepiness or fatigue.

What are the symptoms of OSA?

Night time:

  • Loud persistent snoring.
  • Pauses in breathing.
  • Choking or gasping for air during sleep.
  • Restless sleep.
  • Frequent visits to the bathroom

Day time:

  • Early morning headache.
  • Excessive day time fatigue.
  • Poor concentration.
  • Irritability.
  • Sleepiness during routine activities.
What are common causes of nasal obstruction?
Common causes of nasal obstruction include a deviated nasal septum, nasal turbinate enlargement and nasal polyps (benign growths).
What causes sinusitis and how is it treated?
Infection of the sinus cavities often occurs due to inflammation and obstruction of the sinus drainage pathways. Typical symptoms of a sinus infection include facial pain and pressure, nasal obstruction, yellow or green nasal drainage, fatigue and fever. Treatment of a sinus infection may include nasal decongestants and antibiotics. People with chronic sinus drainage may benefit from endoscopic sinus surgery.
At what point would my child benefit from a tonsillectomy and adenoidectomy?

Surgical removal of the tonsils and adenoids in children is performed for three primary reasons: recurrent tonsil/adenoid infections, snoring with associated sleep apnea, and hearing loss due to serous otitis media.

What causes my hoarseness of voice ?

Hoarseness is due to irritation of the larynx and is commonly caused by upper respiratory infections, reflux of stomach acid and/or postnasal drip.

  • In children due to repeated upper respiratory infections.
  • Misuse of Voice (Mostly in singers).
  • External trauma to neck.
I use Hydrogen Peroxide to clean wax from my ears. Is this a safe practice and how often should you clean your ears?
Wax production is normal, and there is a natural turnover of wax in the ears. Cleaning is not necessary except in a few individuals who have very narrow external canals who may experience a build up of wax against the ear drum. I wouldn’t have thought that hydrogen peroxide was a good idea at all, since it can cause irritation to the skin, and may damage the sensitive skin lining your external ear canal.
Should we use ear buds to remove wax?
The main cause of wax build–up, is people trying to clean out their ears with cotton buds! This simply pushes the wax back down the external canal, where it gets impacted in the ear canal and eventually needs to be syringed out! Leave your ears alone. The wax will come out on its own without any help. Incidentally, ear wax is soluble in water. Generally only 10% population needs wax removal and that has to be done under medical supervision especially an ENT specialist.
How can Air Travel cause problems?
Air travel is sometimes associated with rapid changes in air pressure. To maintain comfort, the Eustachian tube must function properly, that is, open frequently and widely enough to equalize the changes in air pressure. This is especially true when the airplane is coming down for a landing, going from low atmospheric pressure down closer to earth where the air pressure is higher.
In the early days of airplanes with open cabins and cockpits, this was a major problem to flyers. Today’s aircraft are pressurized so that air pressure changes are minimized. Putting nasal drops and chewing movements will reduce the problem (particularly in children).
When is hearing evaluation indicated?

Hearing evaluation may be indicated if a young child has limited, poor, or no speech; seems frequently inattentive, has difficulty learning; or has any signs of hearing loss, such as increasing the television volume. In conjunction with any behavioral symptoms, hearing assessment also may be necessary if there are certain risk factors for hearing loss, such as childhood hearing loss in family members, severe complications at birth, frequent ear infections, or infections such as meningitis or Cytomegalo virus and also if mother suffers from measles or mumps or any viral infection during pregnancy.