ENT – Head & Neck and Skull-base Surgery

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Overview

The Department of ENT – Head & Neck and Skull-base Surgery offers complete medical and surgical care for all conditions related to the ear, nose and throat, including ENT emergencies, for patients of all age groups.

Treatment for a range of ailments

  • The department has started a Cochlear implantation and Middle ear implantation program.
  • MIOT is a Premier Institute for performing Balloon Sinuplasty, the only centre in Chennai and Tamil Nadu.
  • MIOT Pioneers in Coblation Surgery including complex airway procedures and Head and neck tumors.
  • Complex Airway issues are handled here including Tracheal resections and Airway reconstruction surgery.
  • MIOT is the only Centre in Tamil Nadu to have done a Balloon Tracheal dilatation on a patient.
  • The latest addition is a Snoring and sleep disorder clinic.

The Department’s specialists treat patients afflicted with deafness, ear discharge, giddiness / vertigo, ear infections, nose bleeding, sinus infections, tonsil infections, voice change and patients with cancer, as well as those having difficulty swallowing, breathing difficulties, snoring and headaches.

Our expert surgeons perform complex procedures to deal with diseases affecting skull-base, which includes vascular lesions like glomus jugulare, malignant tumours of the temporal bone, infra-temporal fossa and paranasal sinuses; head and neck tumours; oral cancers; and micro-vascular surgery for reconstruction following ablative cancer surgery and correction of major post-traumatic and congenital facial deformities.

Sleep Apnoea

There is almost zero awareness in India that many amongst us maybe living with Sleep Apnoea, which left untreated could be life threatening tomorrow. This largely undiagnosed and untreated sleeping disorder puts both adults and children at risk of developing behavioural and medical problems with far reaching consequences.

At MIOT International, we strive to raise awareness on little known conditions such as Sleep Apnoea, the hazards of which can be minimised with proactive care. Read more 

Cutting-edge therapeutic and surgical facilities

State-of-the-art therapeutic and surgical facilities enable MIOT’s specialists to offer patients advanced care. In MIOT’s armamentarium are the latest microscope, Coblation System, Ballon Sinuplasty, sinus endoscopy system, the shaver/microdebrider system for all endo-nasal and endo-laryngeal procedures. We have a full fledged Department of Audiology and Speech Pathology, with our specialists offering the whole range of Audiology tests and speech and swallow therapy. We do Voice rehabilitation also. We are also the only Multispecialty Hospital which offers an in house Hearing aid dispensing unit, for the convenience of our patients.

Treatments & Procedures

The Department’s specialists treat patients afflicted with,

  • Deafness including People needing Cochlear implantation.
  • Ear discharge.
  • Giddiness / vertigo.
  • Ear infections.
  • Nose bleeding.
  • Sinus infections.
  • Tonsil infections.
  • Voice change.
  • Airway obstruction
  • Patients with cancer.
  • Difficulty swallowing.
  • Difficulty in breathing.
  • Snoring and headaches.
Our expert surgeons perform complex procedures to deal with diseases affecting skull-base which includes,

  • Vascular lesions.
  • Pituitary and other skull base tumors.
  • Glomus jugulare.
  • Malignant tumours of the temporal bone.
  • Infra-temporal fossa and paranasal sinuses.
  • Head and neck tumours.
  • Oral cancers.
  • Micro-vascular surgery for reconstruction following ablative cancer surgery.
  • Correction of major post-traumatic and congenital facial deformities.

Sleep Apnoea

There is almost zero awareness in India that many amongst us maybe living with Sleep Apnoea, which left untreated could be life threatening tomorrow. This largely undiagnosed and untreated sleeping disorder puts both adults and children at risk of developing behavioural and medical problems with far reaching consequences. At MIOT International, we strive to raise awareness on little known conditions such as Sleep Apnoea, the hazards of which can be minimised with proactive care.

What is APNOEA?

Apnoea is a disorder where there is an ABNORMAL PAUSE in breathing while asleep.
Each PAUSE (Apnoea) can extend from 5 to 10 seconds or more and could occur 5 to 30 times in one hour.
Apnoea may or may not be accompanied by snoring.
All snorers need not have Apnoea.
25% of Apnoea patients are estimated to be silent sleepers!
Apnoea can only be detected through a ‘Sleep Study’ at a specialised centre.

Immediate Result of APNOEA

The PAUSE in breathing REDUCES your overall oxygen intake.
REDUCED levels of oxygen circulate within the body alongwith HIGHER levels of carbon monoxide.
This is an unhealthy combination.
The reduced oxygen intake happens EVERY time you sleep – so it ends up affecting you everyday, if left untreated.
The reduced oxygen intake will affect EVERY organ system over time, if left untreated.


What is an Apnoeic episode?

An Apnoeic episode starts as the patient falls asleep and the MUSCLES IN THE BACK OF THE THROAT RELAX.
These muscles support his palate, uvula, tonsils, side walls of throat and tongue.
When these muscles RELAX, the surrounding soft tissue collapses and the tongue falls back.
It NARROWS the airways and OBSTRUCTS his air passage.
This CHOKES the sleeper, forcing him awake.
He goes back to sleep and the next episode starts.

What causes APNOEA?

Apnoea is the result of any event that causes the throat muscles to RELAX or COLLAPSE leading to narrowed or obstructed airways. Its reasons could be anatomic or lifestyle related.

Anatomic Causes

Lifestyle Factors

A Sedentary Lifestyle, Obesity, Cigarette Smoking, Recreational Drug Usage, Alcohol Consumption and Sedative Usage can all aggravate anatomical causes for Sleep Apnoea by causing throat muscles to relax.

The Two Types of APNOEA

CENTRAL SLEEP APNOEA (CSA)
The brain DOES NOT SEND THE SIGNAL to the muscles to take a breath and hence there is no muscular effort to take a breath.

OBSTRUCTIVE SLEEP APNOEA (OSA)
The brain SENDS THE SIGNAL to the muscles and the muscles make an effort to take a breath.

However, the muscles are unsuccessful because the AIRWAY IS OBSTRUCTED
and prevents an adequate flow of air.

Effects of Untreated Apnoea

Frequent DROP in oxygen levels affect different parts of the brain causing behavioural changes in everyday activity:

• Daytime sleepiness • Fatigue & reduced energy levels
• Memory and speech problems • Increased anxiety & anger levels
• Moodiness & irritability • Reduced sexual drive

  • It affects you at your work place.
  • Slower information processing & reaction time
  • Reduced attention span & quality of attention
  • Adverse effect on initiative taking and planning.
  • Apnoea eventually leads to depression.

Health risks of Untreated Apnoea

Disturbed sleep cycles produce HORMONES & CHEMICALS which cause INJURY to body cells. They increase the risk of developing several diseases without symptoms or cause.

Can Apnoea be Medically Treated?

Surgery can be performed to remove OBSTRUCTIONS that are
likely to be blocking the free passage of air.

Surgeries to reduce or strengthen soft tissue that collapses within the uvula, tonsils and palate (Coblation Uvulopalatoplasty).

Procedures to reduce thickness of tongue (Coblation of tongue base).

Surgeries to correct birth or accident related deformities of face, jaws and surrounding structures.
Procedures for weight reduction (Liposuction and Bariatric surgery).

Other Modes

Comprehensive Solutions at MIOT

As we now know, Apnoea could be caused by several conditions and a successful outcome is possible only with accurate diagnosis and customised treatment. MIOT International is one of the few centres in the country today offering comprehensive diagnostic facilities and specialised expertise to correct the entire range of factors causing Apnoea.

Our solutions include the latest surgical treatments at the Department of ENT- Head & Neck & Skull Base Surgery. The Department is supported by state-of-the-art facilities and surgeons experienced in Reconstructive procedures, Maxillofacial surgeries, Craniofacial techniques and Weight Loss surgeries. We also offer lifestyle change solutions through our Nutrition & Weight Loss Clinic.

To know more, contact: 044-4200 2288 Extn: (61336) Email: ent@miothospitals.com

Behaviour & Life Style Change

Weight loss through exercise & diet changes (weight loss of 15 kgs or more is seen to cause a 50% drop in sleep apnoea symptoms).

Symptoms of Apnoea can also be significantly controlled or eliminated through the following practices:

Regular, regulated diet to reduce Acid Reflux
Avoid Smoking
Alcohol Consumption Pattern Change (stop 3 hours before sleep, reduce strength of drink, avoid dehydration)
Sleep Mode Alteration (8 hours sleep, maintain regular sleep times, sleep on side, sleep with upper body raised, avoid soft pillows)

Download MIOT Sleep Apnoea Brochure