The department provides 'Modular integrated OT' six days a week, using equipment such as two microscopes, three nasal endoscopic systems (one of which is a 4K system), a Karl Storz drill and debridor system, a Medtrionic drill and debridor system, a Medtrionic Navigation S7, a Lumines Acupulse CO2 LASER, a Medicon Saw and drill system, a Coblation system, an optical bronchopscopy (for routine and advance ENT surgeries). These advanced instruments aid in the performance of the following Specialized Surgeries: Ear, Nose, Larynx, Head and Neck, and Neuro-Skull base procedures. Recently, OLYMPUS Narrow Band Imaging unit has been installed in ENT OPD for Better diagnosis and plan of treatment for Laryngeal Pathology.

Ear: All routine ear surgeries, including ossicular prosthesis, LASER stapedotomy, cochlear implants, surgery for external canal atresias, advanced lateral skull base procedures, and so on.

Nose: All routine open and endoscopic nasal surgeries, endoscopic removal of angiofibromas, nose and PNS cancer surgeries with reconstruction, rhinoplasty, and other procedures.

Larynx- Micro laryngeal surgery with LASER and/or cold steel, laryngeal framework surgeries, surgery for laryngeal trauma, foreign bodies in the airway and food pipe, phono surgery, and other procedures are available.

Head and Neck- All routine head and neck surgeries, benign and malignant thyroid surgeries, salivary gland surgeries, head and neck cancer surgeries of the buccal mucosa, salivary glands, nose, and PNS, total laryngectomies, and so on. For example, we routinely collaborate with plastic surgery for free flap reconstructions of defects caused by head and neck surgery.

Neuro- Skull Base procedures- Endoscopic pituitary surgery, craniofacial resections, endoscopic surgery for craniopharyngiomas and other skull base lesions, lateral skull base procedures such as translabyrinthine acoustic neuroma removal, glomus paraganglioma surgery, and so on.

1) Clinical:
The Department operates a daily OPD and an IPD six days a week. OPD has state-of-the-art facilities for all endoscopic, diagnostic, and therapeutic procedures, and IPD has 30 beds and is open 24 hours a day, seven days a week, with three ATMOS workstations in three diagnostic/procedure rooms. Monday through Friday, the department holds special clinics that follow the following schedule:

1. Monday- Implant Clinic (Cochlear Implant clinic)
2. Wednesday- Otology and Vertigo Clinic
3. Thursday- Rhinology and Voice Clinic
4. Friday- Head and Neck Clinic

Furthermore, the department maintains a fully soundproof audiology department with the most up-to-date audiology and speech therapy equipment. Under the auspices of AISH Mysore, the department also operates a New-born Hearing Screening Centre, a Vestibular lab outfitted with a VNG machine and all its accessories, a Minor OT, and a Modular OT that operates six days a week.

2) Community services/Outreach programs: Actively participating in various camps organized by the institute. Actively involved in telemedicine and outreach programs of the institute.

3) Teaching & Training:

• Teaching Undergraduate and Nursing.
• Postgraduate courses- Previously, there was 2 PGs seat per year which now increases to 5 PGs seat in a year. Currently 5 Postgraduates have joined the department and upgrading their skills.
• Have put a proposal for Neurotology and Skull base PDCC course and the BASLP (Bachelors in speech and language pathology.
• Routinely training Senior Residents.
• Well established Temporal Bone Dissection Lab with 5 fully equipped work Station with audio visual display in collaboration with Department of Anatomy.

1. Endoscopic pituitary
2. Surgery for paragangliomatympanicum and jugulare
3. Acoustic Neuroma (Translabyrinthine )
4. Craniofacial resection
5. Endoscopic CSF Leak repairs
6. Cochlear Implant
7. Endoscopic Angiofibroma removal post embolization
8. LASER stapedotomy
9. Facial Nerve decompression
10. Image-guided endoscopic surgery
11. Surgery for external canal atresia
12. Endoscopic DCR

1. Head and Neck cancer surgery for malignancy
2. Free fibula graft for head and neck reconstruction
3. LASER Phonosurgery
4. Laryngotracheal reconstruction
5. Parotid Surgeries (Microscopic dissection)
6. Fiber Optic / optical bronchoscopy + Esophagoscopy

The Department operates a daily OPD and an IPD six days a week; Monday through Friday.

The Department provides specialised services such as 'All Video Endoscopic Examinations' and minor Ear, Nose, and Throat interventions. The department has both rigid and flexible scopes for this procedure (3 ATMOS workstations). Furthermore, the Department operates a state-of-the-art vestibular lab with the most up-to-date VNG equipment, routine to highly specialised audio vestibular examinations (all PTA, Impedance, Speech Audiometry, Otoacoustic Emissions (OAE), ABR/BERA), AVT (Auditory Verbal Therapy) for Cochlear implantees, and "Doctor" Speech Software for voice evaluation. This department has a newborn hearing screening centre where all newborn babies born at AIIMS Patna and those referred from the Paediatrics Department are screened for hearing loss using a bedside OAE and ABR. Children admitted to the NICU are also routinely screened.

1. Ongoing (Few notable ones):

• Funded - Extramural- Co PI- NIDHI Business Incubator (i-TBI) at AIIMS Patna– DST project (Approx. 5 Cr)
• Funded - Extramural- Co Pi- Congenital Rubella Syndrome Surveillance in India. ICMR New Delhi- Approx 6,50,000
• Funded - Intramural project-: Clinical and Genetic evaluation of Hereditary Non-Syndromic cases of Hearing loss with special reference of Connexin 26 gene mutation in Bihar.
• Radiological Otoplan based study of cochlear electrode position in round window and cochleostomy routes in transcanal veria technique
• Role of local anesthetic in irrigation fluid of cochlear implant surgery in relieving post-operative pain
• Role of Glass ionomer cement in ossiculoplasty
• Comparison of CO2 Laser vs Cold instrument microlaryngeal surgery.
• A Prospective study of sleep pattern in children with chronic Adenotonsillitis and its Post-Operative Evaluation.

• Earth quake induced dizziness : An institutional study (completed)
• Smart Otoscopy : A paradigm shift in undergraduate ENT education
• An evaluation of Music Perception and appreciation in pediatric Cochlear Implantees, optimizing it further for maximal music enjoyment: A pilot study in Indian Scenario” (ICMR STS Awarded research project)
• A comparative study of the results of tympanoplasty with and without gel foam
• Role of color Doppler ultrasonography in evaluation of cervical vertigo
• Radiological Otoplan based study of cochlear electrode position in round window and cochleostomy routes in transcanal veria technique

ent@aiimspatna.org