Paranasal Sinus:

Sinuses or paranasal sinuses are normal structures in the human skull that are essentially air containing and mucosa lined cavities, well connected to the nasal cavity or nose proper. The mucosal lining of the nose continues inside the sinuses that are distributed above and below the orbits (eye sockets) and continue deep inside towards the brain in midline. Any infection or inflammation of one or all of these sinuses is called “sinusitis”.
Essentially sinusitis can be the acute or recent onset variety which normally happens following an upper respiratory infection or common cold and progresses to frank headache/facial pain and nasal discharge. The treatment usually is a course of symptomatic drugs or antibiotics based on the clinical evaluation by the otolaryngologist.

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• Paranasal Sinus
• Chronic Sinusitis

Chronic sinusitis

Chronic sinusitis is an infection or inflammation of one or all of the sinuses that lasts more than 12 weeks. Unlike acute sinusitis, chronic sinusitis is an entirely different pathology and hence deserves a detailed discussion.

Chronic sinusitis is essential of two kinds:

Chronic rhinosinusitis with nasal polyps (CRSwNP) and Chronic rhinosinusitis without nasal polyps (CRS).

CRS without polyps

CRS without polyps is characterized by long-standing inflammation of sinus mucosa, blockage of sinus outflow tracts and accumulation of diseased mucus in sinuses and hypertrophy of sinus mucosa. All this leads to symptoms such as nasal congestion, postnasal drip or discharge, facial or head heaviness and blockage of the nose that is more marked when lying down.

Treatment of Chronic Sinusitis:

The treatment of this includes endoscopic sinus surgery to re-open the blocked sinus tracts and remove the diseased mucosa while sparing the normal mucosa. Since normal mucosa and uninvolved sinuses are spared during surgery with every effort being done to limit the scope of surgery to expedite post-surgical recovery and nasal healing, this is termed as “Functional endoscopic sinus surgery”.
Functional endoscopic sinus surgery: The procedure is fully endoscopic, being performed through the nostrils through precision and powered instruments and lasers or plasma ablation. This procedure leads to the manual opening of blocked sinuses thus creating a wider space in nasal cavities and sinuses for better reach and penetration of nasal sprays and drops or saline washes meant to keep sinuses clean.

CRS with polyps

CRS with polyps is a hypersensitivity inflammatory disease that represents the end of a spectrum of sinus inflammation in terms of severity and eventual outcome. The role of surgery in polyp disease is more compulsive in form of the only way to remove the polyps and diseased mucosa from nose and sinuses and open the sinuses widely to facilitate regular nasal saline irrigation and steroid sprays that are mandatory to ensure long-term disease control.
The goals of endoscopic sinus surgery are slightly different here than in sinusitis without polyps, as here the surgical scope is more aggressive to reduce disease recurrence. The surgery also ensures obtaining mucosa and polyps for histopathological examination thus further assisting in disease categorization, post-operative medical treatment, follow-up and incidental diagnosis of nasal and paranasal tumors.
Though followed up by means of clinical examination, nasal endoscopic examinations and CT scans of sinuses are recommended for all sinusitis patients undergoing sinus surgery, it is critically important to prevent disease recurrence in polyp cases.
The quality of life is significantly improved in terms of relief from headache, lack of smell, nasal blockage, sleep disturbances and nasal discharge.

Common myths and fact check:

Myth: Sinus “disease” is the same as nasal obstruction or blockage.
Fact: Chronic sinusitis is not the same as nasal blockage or congestion. Nasal obstruction can be caused by the deviated nasal septum, turbinate hypertrophy, chronic sinusitis, tumors or nasal allergy and nasal decongestant abuse. Each of the above requires different management.
Myth: Sinusitis has no cure and it comes back after surgery.
Fact: Sinusitis is of different subtypes and all require a different scope of medical or surgical treatment. Allergy such as sneezing or watery nasal discharge is seasonal and can always come back depending on immunity and environmental issues. Outcomes of endoscopic sinus surgery depend upon the subtype of sinus disease (polyp vs non-polyp sinusitis), kind of surgery performed (polypectomy vs endoscopic sinus surgery), the extent of surgery performed (basic vs extended), presence of bronchial asthma or aspirin hypersensitivity and clinical and endoscopic follow-up post-surgery.
Myth: Sinusitis can be managed by frequent antibiotic and steroid courses with nasal decongestant drops available over the counter.
Fact: Antibiotics have very little penetration in bony sinuses inflamed over long periods and coupled with resistant bacterial biofilms, antibiotics have a very limited role to play in the management of chronic sinusitis. Surgical disease removal followed by nasal saline and medicated washes are the most effective method for removing inflammation and infection. Further, frequent antibiotic courses lead to antibiotic resistance not just in the patient but also in the community and can have potential adverse effects on immunity.

Popular Cities in India for ENT Treatment are
New Delhi | Gurgaon | Faridabad | Chennai | Hyderabad | Mumbai | Bangalore

Indraprastha Apollo Hospital

No. of beds: 900
ICU Beds:     262
Airport:  20kms

Brief about Hospital:

• Indraprastha Apollo Hospital is a flagship hospital of India’s foremost healthcare groups,the Apollo Group. It is a highly renowned multi-speciality facility that offers tertiary and quaternary care services to domestic and international patients.
  The 900 bedded hospital is outfitted with the most modern technology for diagnostics as well as therapeutic purposes.
  A team of highly trained medical professionals work under all the 52 specialities at the hospital.
  Indraprastha Apollo is an accredited hospital with international standard quality services for patient care and safety norms.
  The hospital uses its own system, called The Apollo Standards of Clinical Care (TASCC), to maintain top standards for all kinds of treatment and procedures.
  The Apollo Organ Transplant Program is one of the most successful programs in the country that has performed over 1627 transplants (410 Liver and 1210 Kidney), including 979 transplants (289 Liver and 690 Kidney) performed at the Transplant Program in Delhi.
  It is the First Hospital in India to perform a Paediatric Liver Transplant in 1998. They have successfully performed various kinds of liver transplant for different kinds of liver conditions.
  Indraprastha Apollo Hospital has some world-reputed surgeons and specialists who are the pioneers of their specialities, especially in Cardiology and Neurology.
  The hospital has won many national and international accolades and continues to be one of the top healthcare service providers in India.
  It is the first hospital in India to get international accreditation by international (JCI) consecutively for the fourth time
  

BLK Super Speciality Hospital

Number of beds: 700
ICU Beds:               175
Airport Distance: 13 Km

Brief about hospital:

• BLK Super Speciality Hospital was established by Dr. B.L. Kapur  in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
  BLK Super Speciality Hospital was established by Dr. B.L. Kapur  in 1959. It was inaugurated by the then Prime Minister of India, Pandit Jawahar Lal Nehru.
  BLK has a unique combination of the best in class technology, put to use by the best names in the professional circles to ensure world-class health care to all patients.
  Spread on five acres of land, with a capacity of 700 beds,
  BLK Super Speciality Hospital is one of the largest tertiary care private hospitals in the country,
  BLK has consistently ranked amongst the Top 10 Multi Super Specialty Hospitals in Delhi NCR.
  The outpatient services are spread on two floors with 80 consultation rooms. All ambulatory services have been designed with the intent to create dedicated aides for all specialities, with their interventional services in close vicinity.
  The hospital has 17 state-of-the-art well equipped modular operation theatres with three-stage air filtration and gas scavenging system to ensure patient safety. All the Operation Theatres are fitted with best in class pendants, operating lights, anaesthesia workstations and advanced information management system.
  The Hospital has one of the biggest critical care programmes in the region with 125 beds in different intensive care units viz Medical, Surgical, Cardiac, Paediatrics, Neonatology, Neurosciences and Organ Transplant.
  Each Critical care unit is equipped with high-end patient monitoring devices, ventilators and dedicated isolation rooms.
  Liver and Renal Transplant Centres have been equipped with dedicated ICUs with individual HEPA filters, specialized instruments and equipment.
  Awarded the Prestigious Gold Award at Hospital Management Asia (HMA), Bangkok (2013) and HMA Awards 2014.
  

Manipal Hospital Dwarka

Number of beds:  380
ICU Beds:                 118
Airport Distance: 8 Km

Brief about Hospital:

• Manipal Hospital Dwarka is a prominent multi-speciality and quaternary care providing hospital with first-rate healthcare services and integrated facilities.
  The world-class medical centre is a part of Manipal Education and Medical Group (MEMG), one of India’s forerunner healthcare groups.
  The group started with one flagship hospital in 1991 and now has bloomed into a network of 15 hospitals with a significant presence in Malaysia.
  The hospital offers a wide range of medical facilities at an affordable range, with the prime focus on the delivery of trusted and reliable therapeutic services to domestic as well as international patients.
  The 380 bedded healthcare centre has state-of-the-art infrastructure, cutting edge technology and global standards in terms of clinical excellence.
  It is one of the top hospitals in Delhi to offer impeccable medical services and is equipped with the latest diagnostic and curative technological advancements that are today available in the field of medicine.
  Manipal Hospital is one of the most preferred destinations for medical travel and receives
  a large number of international patients from all over the world, including the Middle East, Africa, and South-East Asia.
  The hospital is fully committed to its goal to become a ‘Digital Hospital’, that has paperless services and seamless integration to its core.
  The panel of renowned doctors at Manipal Hospital Dwarka are highly trained experts with years of experience in their field of expertise.
  

Kims Hospital Secunderabad

Number of beds: 1000
ICU Beds:                300
Airport Distance: 36

Brief about hospital:

• Kims Hospital at Secunderabad is a flagship multispecialty hospital which became operational in 2004.
  This hospital has a bed capacity of 1,000 beds, including 885 operational and 300 ICU beds.
  This hospital is strategically located in an approximately five-acre area and is easily accessible from within the city.
  This hospital at Secunderabad is accredited by the NABH and ISO 9001:2008 certification and has also been accredited by the NABL.
  It has received an award from the AHPI for nursing excellence in 2015 and was ranked number one multi-specialty hospital in Hyderabad by the Times of India Survey in 2015.
  The Hospital was awarded in 2017 the best hospital of the year in the multispecialty hospital category in Hyderabad by Times Healthcare Achievers Awards and in 2016 received the Pharmacie De Qualite certification from Bureau Veritas.
  Further, it is the only hospital in Andhra Pradesh and Telangana to have been Green OT certified in 2016. The Hospital at Secunderabad was ranked as the second-best speciality hospital for 2016 in the Week Magazine’s November issue.
  It is also the laureate of the Asia Pacific Society of Infection Control CSSD Center of Excellence Silver Award 2015-2016.
  

Aakash Hospital

Number of beds:  230
ICU Beds:                70
Airport Distance: 10 Km

Brief about Hospital:

• Aakash Healthcare Super Speciality Hospital is a tertiary care facility, with 15 Dialysis, and 70 Critical care beds for treating the most complex cases in the National Capital Region (NCR) of Delhi, Dwarka.
  The hospital is equipped with state of the art infrastructure, latest technology, competent clinicians and compassionate staff.
  Aakash Healthcare Super Specialty Hospital is known for its leading care in Orthopaedic and Joint replacement surgery.
  The hospital also has a 24×7 ‘Trauma & Emergency Center’, blood bank, with state of art Neonatal and Paediatric ICU.
  The Super Specialty Hospital is being managed by highly qualified and trained experts from their respective fields and a unified team of healthcare experts ensure 24×7 comprehensive patient care
  The Hospital has deployed high-end technologies and smart digital systems along with robust Hospital Information Systems to address complex medical needs and convenience of patients.
  Mr. J C Chaudhry is the chairman of Hospital and Dr. Aashish Chaudhry is Managing Director, who is also a renowned Orthopedic Surgeon in this region.
  Total number of surgeries done is 25000+ till now.
  

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Artemis Hospital

Number of beds:  600
ICU Beds:                185
Airport Distance: 19 Km

Brief about Hospital:

• Artemis Hospital, established in 2007, spread across 9 acres, is a 600plus bed; state-of-the-art multi-speciality hospital located in Gurgaon, India.
  Artemis Hospital is the first JCI and NABH accredited hospital in Gurgaon.
  Designed as one of the most advanced hospitals in India, Artemis provides a depth of expertise in the spectrum of advanced medical & surgical interventions, a comprehensive mix of inpatient and outpatient services.
  Artemis has around 400 + best doctors. It has put modern technology in the hands of renowned  doctors from across the country and abroad to set new standards in healthcare.
  The medical practices and procedures followed in the hospital are research-oriented and benchmarked against the best in the world.
  Top-notch services, in a warm, open patient-centric environment, clubbed with affordability, has made us one of the most revered hospitals in the country.
  Most Promising Start-Up of the Year 2007 award – Express Healthcare magazine
  Best IT Implementation for the Year 2008 – PC Quest magazine for Hospital Information System
  Best institute for Medical Value Year 2010 – The CNBC Awaaz travel awards
  Asia Pacific Hand hygiene excellence Award Year 2011 – World Health Organisation (WHO)
  The patient base is 400000
  750000 surgeries conducted since the inception
  

Medanta Hospital Gurgaon

Number of beds: 1250
ICU Beds:                300
Airport Distance: 18 KMs

Brief about Hospital:

• Medanta – The Medicity is amongst India’s largest and most renowned multi-super speciality healthcare centre with 1250 beds, 29 super speciality units and more than 800 accomplished doctors.
  Supported by state-of-art infrastructure, all the departments in the hospital are fully equipped with cutting-edge technology, modular Operation Theatre and modernized monitoring systems in ICUs.
  The panel of doctors from Medanta, headed by A.S.Soin performed the first successful intestinal transplant in India.
  The team of Medanta has performed over 15,000 cardiac surgeries and 2500 joint replacement surgeries.
  It Has performed over 500 living donor liver transplants. It is the highest number of liver transplants done in India and the 2nd highest in the world.
  Further to its credits, the doctors at Medanta are highly trained experts with international repute and have contributed in making world records and claimed many firsts not only in India but on a global scale.
  It has all kinds of procedures like Liver transplant, intestine,transplant and Knee Replacement surgery.
  The hospital maintains a high standard of quality clinical care and is operational with the latest technologies like 256 Slice CT, Brain Suite with Intraoperative MRI Imaging, Da Vinci a surgical system with Robot for Minimally Invasive Surgery, Artis- Zeego Endovascular Surgical Cath Lab- with combined operating room.
  

Fortis Memorial Research Institute (FMRI) 

Number of beds:    1000
ICU Beds:                  298
Airport Distance:  17 KMs

Brief about Hospital:

• Fortis Memorial Research Institute was established in 2001.
  
  It is an outstanding multi-speciality quaternary care hospital,having the top-notch infrastructure, advanced equipment, highly qualified and experienced medical professionals and super sub-specialists.
  FMRI is an advanced centre of excellence in Robotic Surgery, Neurosciences, Oncology, Renal Sciences, BMT, Organ Transplants, Orthopaedics, Cardiac Sciences and Obstetrics & Gynaecology.
  JCI & NABH Accredited Hospital, NABL Accredited Lab, NABH Certified Nursing Excellence, NABH Accredited Blood Bank
  FMRI is a 1000 bedded and 15 Operation theaters and over 400 diagnostics centres (including JVs).
  Medical facility endowed with a dedicated team of 200 world-renowned doctors, covering a number of specialities, who aim to provide the best quality medical care to all the patients, national as well as international.
  This hospital is well set up with the latest technologies and equipment throughout all the specialties and research labs, which are accredited by NABL.
  This ensures that the patients at FMRI receive diagnostic results and treatment with high accuracy and in minimum time.
  With a vision for the community, FMRI operates various speciality clinics such as, for Paediatrics, Nephrology, Neurology, Gynecology, Orthopedics, Oncology and many more, which provide long term healthcare management and follow up care.
  FMRI is the premium healthcare provider and endeavours to be known as the “Mecca of Medicine” – the ultimate healthcare destination.
  

Manipal Hospital

Number of beds:  600
ICU Beds:                124
Airport Distance: 18 KMs

Brief about Hospital:

• Established in the year 1991. Manipal Hospital HAL Airport Road is a multi-specialty hospital.
  The hospital has 600 in-patient beds. The NABH and NABL accredited facility is among the top 10 multispecialty hospitals in India.
  It is prominent for making use of high tech equipment and systems like IBM Watson technology for oncology patients.
  Manipal Hospital HAL Airport Road offers clinical expertise in over 60 specialties It is world renowned for its high-quality infrastructure and cutting-edge technology.
  The medical experts at this hospital offer their skills to both national and international patients. It is the largest healthcare brand in India.
  Manipal Hospital is ranked as the Best Hospital in Bangalore for the past 8 years by The Week Magazine.
  Ranked among the top 5 hospitals in “INDIA’S MOST CARING HOSPITALS” survey.
  The hospital Won the prestigious Golden Peacock National Quality Award 2005 in the Service category.
  Manipal Hospital aims at providing supreme and affordable tertiary healthcare to all.
  

Kokilaben Dhirubhai Ambani Hospital

Number of beds: 750
ICU Beds:               180
Airport Distance: 8 KMs

Brief about Hospital:

• Kokilaben Dhirubhai Ambani Hospital is a top-class multi-specialty tertiary care hospital with a capacity of 750 inpatient beds.
  The hospital has a large number of ICU beds in Mumbai, with 180 ICU beds and 240 independent clinics,having the capacity to deal with over 9,000 outpatient consultations every day.
  The hospital prides itself for having a Full Time Specialist System which ensures easy access and comprehensive use of resources to various specialists .
  They are the first in India to have a 3-room Intraoperative MRI Suite (IMRIS).
  It is the fastest 1000 Robotic Surgeries within 48 months of Launch.
  It has been awarded the smartest hospital building in India by Honeywell and the Times of India.
  Kokilaben Dhirubhai Ambani Hospital has been ranked no. 1 in western India for Dermatology, Diabetology, Plastic/ Cosmetic Surgery and Trichology.
  

Asian Institute of Medical Sciences

Number of beds:      425
ICU Beds:                    70
Airport Distance:     34 KMs

Brief about Hospital:

• Asian Institute of Medical Sciences (AIMS) Faridabad is a super-speciality hospital. The 425 a bedded hospital is equipped with state-of-art infrastructure. It delivers world-class patient care services.
  Best Healthcare Brand for two consecutive years 2016 and 2017 by The Economic Times Survey.
  AIMS Hospital offers 13 centres of excellence, an Ambulance facility, a Blood bank, 24X7 emergency,health check-up packages among other services.
  The institution provides basic Diagnostic Services and Complex Operative Procedures.
  The world-class Asian Hospital offers various super specialities like bone marrow transplant, advanced surgery, neurosurgery and kidney disease.
  Apart from these, it has skilled specialists in every medical department to include reconstructive surgery, oncology, cardiology, orthopaedics, and many more.
  This tertiary care centre has the most modern medical technologies. The institution holds NABH and NABL accreditations.