The
E.N.T Department was established
in early 60's with Dr.Charles Emerick as its
founder and first head of the dept. The department
was highly specialized with all the latest equipements
in those days, generations of successful ENT
Surgeons both practicing in Miraj &abroad
have obtained their training in Wanless Hospital,
Miraj Medical Centre. At present, the dept.
is recognized for teaching the cps students.
Outpatients:
The outpatient days are Tuesdays, Thursdays
and Saturdays, however on operative days also
the OPD facilities are available from 3.00 p.m
onwards. The annual indoor patient load for
last 3 years was approximately 1200 patients,
as many of the ENT procedures are on the opd
basis most of the patients are treated on the
day care basis, so the indoor statistics is
on the lower side. Daily OPD on an average is
around 35-40 patients. Most of the patients
coming to the ENT OPD are local's or from the
surrounding villages and from the border areas
of Karnataka & Maharashtra and from the
Konkan region.
Various
OPD procedures performed:
•
Fibro-optic Bronchoscopies with bronchial lavage
and brush biopsies.
• Flexible & Rigid Nasopharyngoscopies
and Laryngoscopies.
• Pharyngeal, Nasal, Laryngeal biopsies.
• Direct Laryngoscopies rigid.
• Diagnostic Sinus Endoscopies.
• Vestibular Function Test.
• Tracheostomies.
• Antral Washouts.
Facilities
for Pure Tone Audiometry Behavioral Audiometry,
Hearing aid trials & Speech Therapy are
available. Brain Stem evoked response testing
& nerve-testing Facilities are available
in collaboration with the Neurology Dept. Inpatients
are admitted in separate block of 25 beds Facilities
of private beds are also available. Most of
the surgeries being performed are on day care
basis. Very few patients require prolonged stay
in the hospital.
Operative
days are on Monday, Wednesday and Friday. Various
procedures under local and general anesthesia
are performed. On average 25-30, surgeries are
performed per month.
Surgeries
routinely performed include tonsillectomy, septoplasty,
septorhinoplasty, mastoid surgery, sinus endoscopic
surgery, maxillectomy, laryngectomy, radical
neck dissection, and tracheal stenting &
microlaryngeal surgeries. Microlaryngeal surgeries
like stapedectomies, tympanoplasties and ossicular
reconstruction are also done.
Many
patients with neck abscesses are referred to
the ENT dept. which is taken care of both surgically
and medically. Ward consultations from other
departments for tracheostomies and other ENT
problems are regularly seen. Residents on call
under supervision of one of the consultants
handle ENT emergencies coming to casualty. Routinely
seen ENT emergencies are Epistaxis, stridor,
and foreign bodies in bronchus, neck abscess,
cut throat injuries, laryngotracheal trauma,
and post head injury bleeding from ear, nose
and throat.
New
equipements added to the department:
- Sinus
Endoscopes (0 and 45) with attached camera
and Sony Trinitron TV monitor Flexible bronchoscope.
- New
ear microscope with beam splitter facility.
- Set
of sinus Endoscopy instruments.
- Computer
with printer and scopy doc software for recording.
Academic activities:
• Submitted a project to CBM to run
a pilot project for assessment of hearing
and ear diseases in children in a community,
have completed the field work in association
with the community health dept of Wanless
hospital Miraj.
• Preparing a paper titled Retrospective
study of Ludwig' s /neck abscess and Role
of Tracheostomy in reducing the mortality.
• Performed Tracheal Stenting successfully
in a patient of tracheal stenosis using Montgomery
T tube.
• Arranged a Workshop on Head Neck Surgery
& Oncology at Wanless Hospital in association
with the AO1 & Association Of Head Neck
oncology .National and international faculty
had participated in this 3 day workshop.
• Arranged a live Surgical Otology workshop
at Wanless Hospital Miraj.
• Participation in various ENT camps.
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