Ent practise recent trends & challenges ahead

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Ent practise recent trends & challenges ahead

  1. 1. ENT PRACTICE-RECENT TRENDS & CHALLENGES AHEAD DR SHEELU SRINIVAS CONSULTANT ENT SURGEON Fortis Hospitals Bangalore
  2. 2. <ul><li>it has been in the last three decades that the specialty has developed rapidly. </li></ul><ul><li>New technology in endoscopy,lasers, microsurgery, flap reconstruction and cytotoxic drugs has made surgery on the ear,nose, throat, head and neck minimally invasive, safe and able to achieve excellent results </li></ul>
  3. 3. The Seven Areas of Expertise <ul><li>Otology/Neurotology/Audiology </li></ul><ul><li>Rhinology/Paranasal Sinuses </li></ul><ul><li>Laryngology/Phonosurgery/Speech </li></ul><ul><li>Pediatric Otolaryngology </li></ul><ul><li>Head and Neck Area </li></ul><ul><li>Facial Plastic and Reconstructive Surgery </li></ul>
  4. 5. The Cochlear Implant, The Bionic Ear <ul><li>FIRST TIME SPECIAL SENSORY ORGAN IS CONQUERED IN MEDICINE </li></ul><ul><li>BY LAST YEAR[2009], 188,000 PEOPLE AROUND THE GLOBE RECEIVED THE COCHLEAR IMPLANT. IN USA ABOUT 30,000 ADULTS AND 30,000 CHILDREN RECEIVED THE COCHLEAR IMPLANT. </li></ul><ul><li>IN INDIA LESS THAN 2500 SURGERIES ARE PERFORMED IN ABOUT 20 CENTERS. ABOUT1.5 MILLION ARE ESTIMATED TO NEED THE SURGERY IN INDIA. </li></ul>
  5. 6. The Vibrant SoundBridge <ul><li>This system remedies the majority of issues that many patients have with acoustic hearing aids and offers the first real alternative treatment option for patients suffering from nerve deafness </li></ul>
  6. 7. Powered ENT Instruments
  7. 8. Foreign body removals I have removed various foreign bodies –highlighting the exciting ones
  8. 10. Large fish bone in the esophageal wall –previous slide CT shows it. previous failed attempt to remove as fish bone could not be seen endoscopically
  9. 11. Sphenoid Sinusitis causing headache in 12 yr old-Functional Endoscopic Sinus Surgery Performed
  10. 12. Unilateral Nasal polyp removed in an adult
  11. 13. Thyroid goiter removed weighing 600gms.No post op voice change or hypocalcemia.
  12. 14. 1 st Cochlear Implant done
  13. 15. Challenges .. <ul><li>Meneire’s & Vestibulopathies </li></ul><ul><li>Tinnitus managements </li></ul><ul><li>Pediatric feeding ,swallowing ,drooling </li></ul><ul><li>Allergies </li></ul><ul><li>Geriatric ENT </li></ul>
  14. 16. Speaking at Bangalore Pediatric Society
  15. 17. From the child, teased at school due to their protruding ears to a patient threatened with cholesteatoma or laryngeal malignancy there is often no treatment that is more effective than the skill of a surgeon’s hand. - TOM FOX

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