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Author: admin | 30.10.2014 | Category: Ringing In The Ears Causes

The ENT department provides general care along with Head & Neck cancer specialist treatment. Page Content 1Aintree's ENT department is an established unit with consultants who work at hospitals including Southport, Ormskirk, Whiston, Arrowe Park, Chester and Alder Hey. There is a large commitment to academic progress, demonstrated by the strong publication and research record of our consultants and most notably with the addition of the Mersey Head and Neck Oncology Research Unit based here.
Our wards have highly skilled trained nurses, many of whom have diplomas and degrees in the field of Head and Neck Speciality and ENT. All patients seen on our wards are reviewed on a daily basis by the medical and nursing teams as well as the Dietician, Speech Therapist and Physiotherapist.
We also have a daily emergency clinic which is based on Ward 28, here we have facilities for all ENT emergencies. Patients can be booked onto this clinic via GP open access. We also provide relevant opinions for colleagues at The Walton Centre for Neurology and Neurosurgery, especially in tumours of the skull base.
Audiology services are also available and patients are entitled to detailed hearing and ear function assessments.
Professor Thomas Havas is one of the few specialists who has post-fellowship training in this field, leading university affiliations and public hospital appointments.
Fungal infections in the paranasal sinuses are being increasingly blamed for causing many cases of chronic Rhinosinusitis. Distinguishing invasive disease from non-invasive disease is important because the treatment and prognosis for each is very different. There are two forms of non-invasive fungal sinusitis; allergic fungal sinusitis and sinus mycetoma (fungal ball). Allergic rhinitis is prevalent in this group of patients and is considered to be the trigger mechanism behind allergic fungal sinusitis. Allergic Fungal Sinusitis patients present with symptoms of chronic sinusitis which may include facial pressure headache, nasal stuffiness, discharge and cough. Presentation of a patient with Sinus Mycetoma is similar to that of patients with sinusitis.
Invasive Fungal Sinusitis includes the acute fulminant type which has a high mortality rate if not recognised and treated early, and aggressively, and the chronic granulomatous types. Aspergillus fumigatus is the only fungus associated with chronic invasive fungal sinusitis and Aspergillus flavus is the only fungus that has been associated with granulomatous invasive fungal sinusitis.
Acute Invasive Fungal Sinusitis is the result of a rapid spread of fungus through vascular invasion into the orbit and the central nervous system.
Typically patients with acute invasive fungal sinusitis are severely ill with fever, cough, nasal discharge, headache and alterations in their mental status.
Patients are usually hospitalised and are very sick with fever, cough, nasal discharge, headache and altered mental status. Chronic Invasive Fungal Sinusitis is a slowly progressive fungal infection with low-grade invasive process and usually occurs in patients with diabetes. Orbital Apex Syndrome which is characterised by a decrease in vision and ocular mobility due to a mass in the superior portion of the orbit, is usually associated with this condition.
This condition has been reported almost exclusively in immuno-competent individuals from North Africa. Surgical debridement is the mainstay of treatment followed by systemic anti-fungal medication.

Audiology, Otology, Laryngology, Phonosurgery & Neurosurgery by Best Ear Nose and Throat Specialist at Leading ENT Clinic of Mumbai Sir H.
Dr Hathiram has a rich experience of 25 years at a tertiary care referral hospital and teaching institution.
He also earned fellowships such as FRCS (Fellow of Royal College of Surgeons, Edinburgh, UK), FCPS (Fellow of College of Physicians & Surgeons), FICS (Fellow of International College of Surgeons, USA), and MRCS (Royal College of Surgeons). Dr Prabodh Karnik is a Consultant Otolaryngologist (ENT and Head & Neck Surgeon) at the ENT department of Sir H. Post the completion of his MBBS and DORL, Dr Karnik pursued MS in ENT followed by Diplomate of the National Board (DNBE). Dr Karnik has a rich experience spanning more than 31 years and he has been a pioneer in Functional Endoscopic Sinus Surgery (FESS) in the country. Being a pioneer in nasal and sinus endoscopy and ear surgery in India, he has conducted several workshops and courses and delivered lectures by invitation a€“ both nationally and internationally. Besides being an undergraduate and postgraduate examiner in the subject of Otolaryngology at several universities in the country, Dr Karnik is a recognized teacher for the National Board of Examinations, New Delhi and the College of Physicians and Surgeons, Mumbai. After finishing her MBBS and MS (ENT and Head-Neck Surgery), she completed her DNB in Otorhinolaryngology and Head and Neck surgery).
After her MS, Dr Nagaonkar worked at Hinduja National Hospital and Medical Research Centre for 4 years in the capacity of clinical assistant, associate and associate consultant, before leaving for Australia. Dr Khattar has been working at a tertiary care referral hospital and teaching institution since the last 12 years.
Dr Khattar has published more than 60 articles, papers and chapters in international and national indexed periodicals and textbooks. They also have extensive experience in airway management, nursing highly dependent patients and skilled in the management and care of complex wounds.
Please call us or use the booking form to arrange an appointment with him after you get a referral letter from your GP. Patients are generally immuno-competent; often have asthma, eosinophilia and elevated total fungal specific immunoglobulin. A high index of suspicion for early diagnosis is critical – particularly in immuno-compromised patients. The goals of surgery are conservative debridement of the allergic mucin and polyps from the involved sinuses with restoration of normal sinus aeration. Delivery of treatment would be office based and more complex conditions would be managed at a nearby private hospital facility. She is a university-recognised post graduate (MS) guide and has worked in the capacity of an Administrator (Professor and Head of Department) since 8 years.
Besides this, she has published more than 100 articles, papers and chapters in International and National indexed periodicals and textbooks.
Chaturvedy has published several peer reviewed papers in national and international journals. Patel is a Life Member of the Association of Medical Consultants and the Association of Otolaryngologists of India. In addition, he is consultant to the Atomic Energy, Western Railway, Mumbai Port Trust, Air India and several other leading Public Sector Undertakings. He has also been invited to several institutions across the country to perform, demonstrate and teach reconstructive ear surgery.

She was then Consultant ENT surgeon, at Mayo Private and Manning Base Hospitals, NSW Australia since 2008, till she joined our hospital.
Nagaonkar was actively involved in conducting FESS workshops at national and international levels. Besides this, he has also organised and conducted various live surgical workshops, conferences and CMEs. Dr Hathiram has also authored three international reference textbooks and one surgical and video atlas of ENT and Head & Neck Surgery. He also worked as a Senior Research Fellow in the ENT department at AIIMS, New Delhi from February 2005 to September 2005.
Prior to his association with our hospital, he was a Consultant ENT Surgeon at Lilavati, Saifee and Bhatia Hospitals. He earned DORL from College of Physicians and Surgeons, Mumbai, along with DLO from Royal College of Surgeons, London. As an Honorary ENT Surgeon, he has been associated with Sir Hurkisondas Hospital for over 38 years.
He is the panel doctor of UAE Consulate, Mumbai and has multiple publications in various medical journals to his credit.
Medical College (University of Mumbai) and KEM Hospital and he has had a stellar career with several academic laurels. In the past, he has been Honorary Treasurer and Honorary Secretary of the Association of Otolaryngologists of India and is the Past President of the Indian Society of Otology. Usually sinus mycetoma is found incidentally on a CT scan of the brain or paranasal sinuses.
Here, he was mainly involved in developing educational and training material for Rehabilitation of patients receiving Cochlear Implant.
He also worked as an Assistant Professor in the Department of ENT and Head & Neck Surgery at Mahatma Gandhi Medical College, Jaipur from November 2010 to September 2013. His past associations include other prominent hospitals in Mumbai such as Pramukh Swami Eye Hospital.
He has visited several centres in the USA and Germany for further training in Endoscopic Sinus Surgery and Ear Surgery.
He is a member of Rhinology Society of India, The Association of Medical Consultants, Indian Medical Association, etc. These patients usually have atopy and have had multiple surgeries by the time their fungal sinusitis is diagnosed.
He also worked as a Senior Research Associate in the ENT department at AIIMS, New Delhi from December 2008 to November 2010.
He worked on the project entitled a€?Impact of Diabetes Mellitus on Hearing Function in Adultsa€™.

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