ENT conditions (Mr Gaurav Kumar)

Hi Guys, Let us talk about your tonsils and adenoids. Tonsils and adenoids are part of the immune system and help fight germs. Sometimes these tissues become infected and is called tonsillitis. When you have tonsillitis, you can feel sore to eat and drink, have the temperature, and can even have difficulty in breathing. This can be treated by a procedure called Tonsillectomy. Mr Kumar may advise you to have your tonsils removed if you have tonsil stones, if your airway is blocked due to large tonsils making you choke at night ie sleep apnoea or one tonsil is bigger than other. Tonsillectomy can be done by the traditional techniques using cold steel, electrocautery or coblation.  Cold steel and elctrocautery has moderate to severe pain in postoperative period. With new coblation technique, post operative pain is very low leading to quicker recovery.  Coblation is an advanced technology that combines gentle radiofrequency energy with natural saline — to quickly, and safely r...

Mr Gaurav Kumar      Consultant ENT surgeon This information relates to ear surgery ie tympanoplasty (repair of ear drum), mastoid surgery, stapes surgery and ossiculoplasty. What is mastoid bone? Mastoid bone is like a honeycomb bone which can be felt behind the ear. It is connected to ear proper, so infection can spread to this bone. Cholesteatoma, is a kind of ear infection which can erode bone and cause complications of smelly ear discharge, hearing loss, rarely facial weakness or brain infection. Why should I have ear surgery? The main aim of ear surgery is to make the ear dry and safe, so that patient does not have any more infections and its complication. Other is to improve or preserve the hearing if possible. How is an operation performed? The operation is generally performed under a general anaesthetic but rarely can be performed under local anaesthetic. A cut on the skin may be made behind the ear or front of the ear. We will discuss w...