OPERATION THEATRE
There is a modern operation theatre at UDICHI indoor section which is equipped with all imported surgical instruments and been running in since 2010 January. With an average of 640 operations per month, in last 12 years total number of operations in approximately 8000 till 31st March 2023.
List of some modern ENT microsurgical and endoscopic surgical instruments used at UDICHI
Our Operations Theater Assistance
OPERATIONS UNDERTAKEN AT UDICHI
All types of ENT, Head-Neck, Plastic and Reconstructive operations are carried routinely at UDICHI ENT Centre. The Maxillo-Facial surgeons also perform variety of operations including Dental extractions, removal of facio-mandibular tumours and surgical repair of traumatic facial fractures including upper (Mxilla) and lower (Mandibular) jaw caused by severe injury.
A quick glance to some routine operations done at UDICHI O.T.
EAR Surgery:
For any kind of ear diseases, Microsurgery is the answer and is by far commonest operation in our O.T. With the help of modern surgical microscope, high speed micro-motor drill and use of Oto-endoscope surgical outcome has greatly improved now. Here are the examples of some common ear operations.
| OPERATIONS | TYPES OF DISEASE |
| Myringotomy & Grommet insertion | Fluid in Middle ear with hearing loss (OME) |
| Tympanoplasty | Dry perforation in the ear drum (CSOM) |
| Exploration of Mastoid & Tympanoplasty | Infected perforation in ear drum (CSOM) |
| Stapedectomy | Fixed Stapes with hearing loss(OTOSCLEROSIS) |
| Facial nerve decompression | Facial nerve paralysis, facial asymmetry |
| Sub total petrosectomy | Extensive disease in CSOM and Tumours |
NASAL SURGERY
These may be nasal frame work surgery to correct the nasal structure due to functional or cosmetic reason. Other operations include those for mass lesion with the nose like polypoidal mass, tumors etc. which requires the help of Endoscope-Camera- Monitor assembly.
| OPERATIONS | DIASEASES |
| Septoplasty | Deviated nasal partition- obstruction (DNS) |
| Rhinoplasty | External deformity of nasal structure |
| Endoscopic Nose & Sinus Surgery | All types of Sinus diseases, nasal polyp, Intra-nasal |
| Tumors, nose bleeding, CSF leakage through nose |
THROAT OERATIONS
Common operations like tonsillectomy, adenoidectomy are now done in bloodless field and painless quick recovery with modern Coblator; this is also extremely useful in surgery for snoring and obstructive sleep apnoea. Growth and ulcer in the cheek and tongue are carried out with CO2 Laser with uneventful recovery. Laryngeal (Vocal cord) operation are done with the help of Surgical Microscope (Microlaryngoscopy) to relieve from hoarseness due vocal cord mass and also for biopsy in suspected cancer of voice box.
Laryngeal framework surgeries (Laryngoplasty) are done to restore breathy voice in vocal cord paralysis.
HEAD-NECK OPERATIONS
Wide variety of head-neck operation are done at UDICHI including removal of diseased Sub-mandibular salivary gland, Parotid tumors, Thyroid gland (goiter & tumors) and other lumps and bumps in and around the head and neck. Radical operations are carried out in case of major & wide spread cancerous growth in head-neck regions along with surgical reconstruction for functional recovery as much as possible.
PLASTIC & COSMETIC SURGERY
Reconstruction of congenital anomalies like cleft lip, cleft palate, Microtia (malformation of pinna) are common operations in this list. Besides this there are Liposuction (reduction of excess body fat), hair transplant (for baldness), cosmetic correction of various facial defects like mole, scars etc. which are routinely done at UDICHI OT.
SNORING AND SLEEP APNEA
Snoring is a very common problem affecting most of the people above 40 years or even earlier and is more common in males. The sound of snoring normally originates due to the vibration of uvula and soft palate and other soft tissues in the mouth which is usually due to a turbulent air flow through the nose and mouth when nose is blocked. Sometimes snoring is associated with Sleep Apnea when breathing is completely stopped for a period of 20 seconds or more leading to repeated awakening and restlessness (breath hunger) during the entire sleep period. This will eventually cause daytime sleepiness, extreme lassitude due to raised carbon du oxide level in blood and generalised poor performance in individuals profession. Untreated OSA may result into serious medical conditions including right heart failure.
Polysomnography or sleep study is a common test which is performed by a machine attached to the patient’s body by several electrodes overnight at the patient’s home; it detects the changes in patient’s breathing patterns, oxygen saturation, number and duration of apnoeic attacks at night and many more. The data obtained from this test indicates the severity of the disease and the treatment policy is planned accordingly.
Drug Induced Sleep endoscopy (DISE) is another test which is done in the operation theatre by introducing a flexible fibre optic endoscope (flexible laryngoscope) through the nose down to the level of voice box (Larynx) after inducing artificial sleep. It identifies the level of airway obstruction and source of soft tissue vibration and collapse resulting in snoring and obstructive sleep apnea.
Treatement
Life style modification is the mainstay of treatment in OSA, that includes active physical exercise, reduction in calorie intake including alcohol and consequent reduction in body weight and overall body fat. CPAP is small portable gadget attached to the face of the patient through a mask delivers air to the respiratory tract via nose and mouth in positive pressure and gives an excellent releif from OSA symptoms. There are various surgical techniques which also can be undertaken to correct the obstructive features and offer significant success rates. Septoplasty with turbinoplasty, Tonsillectomy, Laser assisted Uvulopalatoplasty etc are few examples which are done in UDICHI operation theatre.