Top ENT Doctor in Indore, India | Trusted ENT Specialists

Otorhinolaryngology (ear, nose, and throat surgery) has been transformed by endoscopy over the past three decades. Conditions that once required open surgery through external incisions are now addressed through the natural passages of the nasal cavity, ear canal, or oral cavity, using high-definition cameras and precision instruments that allow the surgeon to work under direct visualisation in spaces where a traditional surgical approach would require far greater disruption. The clinical range of what is achievable endoscopically has expanded considerably from routine sinus surgery and myringotomy to complex skull base procedures and endoscopic ear surgery that previously required mastoid drilling through external approaches.

The department provides both surgical and non-surgical ENT care, in direct collaboration with the neurosurgery team for skull base conditions and with the oncology and thyroid surgery programmes for head and neck surgical cases.

Surgical Services at Medanta Indore ENT

Endoscopic Nasal and Sinus Surgery

Functional endoscopic sinus surgery (FESS) is the established surgical treatment for chronic sinusitis that has not responded to medical management, nasal polyposis, and sinonasal tumours. Using a rigid nasal endoscope, the surgeon directly visualises and opens the blocked sinus ostia, removes inflammatory polyp tissue, and restores drainage without external incisions. The same endoscopic approach is used for the correction of nasal septal deviation causing obstruction, turbinate reduction for chronic nasal blockage, and the surgical management of recurrent epistaxis where medical control has failed. Endoscopic nasal surgery avoids the bruising, swelling, and external scarring associated with open rhinological procedures, and typically allows same-day or overnight discharge.

Endoscopic Ear Surgery

Endoscopic ear surgery using an angled endoscope introduced through the ear canal rather than a microscope through a post-auricular incision has become an established approach for selected middle ear conditions. Myringoplasty for tympanic membrane perforations, ossiculoplasty for ossicular chain reconstruction and tympanoplasty for chronic otitis media with or without cholesteatoma are now performed endoscopically in appropriate cases. The endoscopic view provides wider angles of visualisation within the middle ear, particularly in its anterior recesses, than the operating microscope's line-of-sight access, which can improve the completeness of cholesteatoma clearance in selected anatomical configurations. Endoscopic ear surgery reduces the need for post-auricular skin incisions in many cases.

Endoscopic Skull Base Surgery

Endoscopic skull base surgery represents the most technically demanding aspect of ENT surgical practice. Through the nose and without any external incision, the endoscopic surgeon can access the anterior skull base, the sella turcica, the clivus, and the parasellar region to manage conditions including pituitary adenomas, craniopharyngiomas, meningiomas of the anterior skull base, CSF rhinorrhoea (the leakage of cerebrospinal fluid through the skull base into the nasal cavity) and skull base malignancies. This approach eliminates the morbidity of craniotomy for many anterior skull base conditions, though it requires close operative collaboration between the ENT surgeon and neurosurgeon, and is only appropriately offered at centres where both operate together as a team.

Rhinoplasty

Rhinoplasty at an ENT surgeon's hands (as opposed to a plastic surgeon’s) typically reflects particular expertise in nasal airway function alongside the aesthetic dimensions of the procedure. Nasal anatomy is complex: the septum, the upper and lower lateral cartilages, the bony vault and the skin envelope all interact in determining nasal shape and airflow. Septorhinoplasty (a procedure combining septum correction with external reshaping) addresses both functional obstruction and cosmetic concerns in the same operative session. Both open and closed rhinoplasty approaches are used depending on the degree of structural change required.

Thyroid and Parotid Surgery

Thyroid surgery (total thyroidectomy, hemithyroidectomy and central neck dissection for thyroid cancer) and parotid surgery (superficial and total parotidectomy for parotid tumours, including the meticulous identification and preservation of the facial nerve during parotidectomy) fall within the head and neck surgical scope of an ENT-trained surgeon. The facial nerve's intimate relationship with the parotid gland makes parotid surgery one of the more nerve-critical operations in ENT, and its preservation requires both anatomical knowledge and operative experience with this exposure.

FAQs

1. I have chronic sinusitis and nasal polyps. When does surgery become the appropriate option?

   Surgery for chronic sinusitis with nasal polyposis is considered when adequate medical treatment (a combination of topical intranasal corticosteroids, saline irrigation and in appropriate cases a short course of systemic steroids) has not produced satisfactory control of symptoms. CT sinuses should be performed before any surgical decision to characterise the extent of disease and plan the operative approach. The aim of FESS is not to cure sinusitis (which has an underlying inflammatory aetiology that persists) but to restore sinus drainage and ventilation, remove polyp burden, and create an environment where topical treatments can reach the sinus mucosa more effectively. Post-operative medical management is essential; surgery alone without continued medical treatment has a high recurrence rate.

2. What is CSF rhinorrhoea and how is it treated?

   Cerebrospinal fluid rhinorrhoea is the leakage of CSF (the clear fluid that surrounds and cushions the brain and spinal cord) through a defect in the skull base into the nasal cavity. It presents as a clear, watery discharge from one nostril, typically unilateral and often positional. It can result from head trauma, following pituitary or sinus surgery, or occur spontaneously, often in the context of raised intracranial pressure. It carries a risk of ascending bacterial meningitis if left untreated. Endoscopic skull base surgery allows repair of the defect using mucosal grafts or fat plugs, without the need for craniotomy, in the majority of cases.

3. I have a lump in my parotid gland. Does it need to be removed?

   Most parotid lumps are benign with pleomorphic adenoma being the commonest, followed by Warthin's tumour. However, a small proportion are malignant, and the clinical and imaging features alone cannot always distinguish between them reliably. Fine-needle aspiration cytology of the parotid lesion provides cytological information in most cases and is the standard first investigation. MRI of the parotid and surrounding tissues characterises the lesion's extent and its relationship to the facial nerve. For most parotid masses (benign or malignant) surgical removal is recommended, both to achieve definitive diagnosis through histopathology and because even benign pleomorphic adenomas carry a risk of malignant transformation if left long-term. Parotidectomy requires careful intraoperative identification and preservation of the facial nerve, which runs through the parotid gland, and should be performed by a surgeon experienced in this exposure.