Best Doctors in India for Cholesteatoma Treatment

Profile Highlights:

  • Dr. Sabir Husain Ansari is one of the best ENT/ Otorhinolaryngology surgeons in India practicing at Indraprastha Apollo Hospital. He holds nearly 50 years of experience in treating Sinus infections, sebaceous cysts, Epistaxis, Tonsillitis, and otoplasty.
  • Dr. Ansari also helps with the hearing & speech evaluations in both children and adults. Being a specialized ENT doctor for nearly 36 years, he has competence in Micro Ear Surgery, Middle Ear Endoscopic, Neck Surgery, Nasal Surgery, Otoneurology, Pediatric ENT, Micro Laryngeal Surgery, Hearing Implant procedure, Endoscopic Sinus Surgery, and more.

Profile Highlights:

  • With over 20 years of experience obtained in several parts of the world, including the UK, USA, etc. Dr. Ameet Kishore is known for providing the best treatment for all conditions of ear, nose, and throat, in children as well as adults.
  • Dr. Ameet Kishore is quite experienced in otology and has performed microscopic ear surgeries for ear infections and reconstruction surgery for hearing. Having received his training from the National Center for Cochlear Implantation, he has extensive experience in managing deafness with cochlear implantation.
  • Dr. Kishore has also set up the Cochlear Implant Program with a series of over 500 Cochlear Implants procedures in eight years. He is also one of India’s first surgeons who have carried out Auditory Brainstem Implantation.
  • With experience in functional endoscopic sinus surgery, using specialized tools such as endoscopic camera systems, microdebrider, and balloon sinuplasty, he has also performed advanced endoscopic procedures.
  • Dr. Ameet Kishore is also competent in treating child problems such as tonsils, glued ears, adenoids, as well as noisy and difficult breathing, as well as any problem that can affect the pediatric airway.

Profile Highlights:

  • A reputed ENT specialist, Dr. Arvind Soni has over 30 years of experience. His expertise are endoscopic nasal and sinus surgery, which includes skull-based surgery.
  • Throughout his career, Dr. Arvind Soni has performed over 1400 operations.
  • Also having worked as an ENT specialist with the Ministry of Health in Saudi Arabia.
  • Dr. Soni has been awarded the Gold Medal for best paper at the All Indian Rhinology Conference.
  • Being one of the finest ENT doctors in Delhi, his clinic is equipped with all modern equipment.

Profile Highlights:

  • Dr. Ganapathy H is one of the most experienced ENT specialists or Otorhinolaryngologists in South India, having more than 44 years of experience.
  • He won several awards, including the Gold Medal in academics and career span.
  • Dr. Ganapathy H has published several research papers in both national and international periodicals.

Profile Highlights:

  • Dr. Prabhakaran M is one of the best ENT specialists in Chennai, having an experience of more than 45 years.
  • He is credited for performing over 4000 endoscopic laserisation of bronchial tumors.
  • Dr. Prabhakaran is assisting patients with minor and major surgeries related to ENT.
  • Dr. Prabhakaran presided over many regional and national ENT conferences.

Profile Highlights:

  • Dr. P S Reddy is a senior Otorhinolaryngologist or ENT surgeon in Chennai, having an experience of more than 4 decades in the field.
  • Dr. Reddy excels in Tinnitus therapy, Audiometry Tests, and other services.
  • Patients often seek his consultation for head and neck related problems, food, and drug allergies, respiratory, and vertigo.

Profile Highlights:

  • Dr. Deepak Sarin is a well-known Head and Neck Onco surgeon with a specialization in oral and throat cancers.
  • His interest lies in minimally invasive surgeries for head and neck cancer and is also an expert in Robotic and Laser surgery.
  • He holds the credit for establishing the Head and Neck surgery department in Sir Ganga Ram & Artemis Hospital and also started the Head and Neck Surgery unit in Medanta.

Profile Highlights:

  • Dr. Sanjay Sachdeva is one of the most prominent ENT/ Otorhinolaryngologists in India with 30+ years of experience as a medical professional.
  • He is currently working as the Senior Director in Max Super Specialty Hospital, New Delhi.
  • Dr. Sanjay Sachdeva has received multiple awards and accolades for his incredible achievements in the field of Otorhinolaryngology.

Profile Highlights:

  • Dr. Kumud Kumar Handa is a highly acclaimed ENT and Head and Neck Surgeon in India with specializations in Head and Neck cancer surgery.
  • Dr. K K Handa’s expertise in the field of ENT is prominent with the 27 years of experience that he has in the field.
  • His area of interest includes voice surgery, laser surgery, endoscopic sinus surgery, cochlear implant surgery, and head and neck surgery. He has helped in the treatment of a number of head and neck cancer patients with different types of cancer surgeries.

Profile Highlights:

  • Dr. Kalpana Nagpal is an ENT/Otorhinolaryngologist in India with extensive expertise. She has nearly three decades of experience in performing Microscopic and Endoscopic Surgeries for sinus infections, sebaceous cysts, epistaxis, tonsillitis, and otoplasty.
  • Dr. Nagpal is a senior consultant for ENT at Indraprastha Apollo Hospital. She treats patients with congenital ear problems, orbital and optic nerve decompression, and tonsillectomy in both children and adults. Her area of expertise is Head & Neck Surgery.
  • Dr. Nagpal also serves as the President of the Women Association of Otolaryngologists and is active in academics.

Best Hospitals in India for Cholesteatoma Treatment

Indraprastha Apollo Hospital, New Delhi

Hospital Highlights:

  • Indraprastha Apollo Hospital is a 700-bedded multispecialty hospital in the heart of the capital of India. It is a part of Apollo Hospital group, one of India’s most reputed healthcare chains. Indraprastha Apollo Hospital has been accredited by Joint Commission International, making it the first internationally accredited hospital in the country in 2005.
  • There are 52 specialties in the hospital with one of the best cardiology centers in the country. The hospital is also equipped with State of the art infrastructure facilities with the largest Sleep Lab in Asia and the largest number of ICU bed facilities in India.
  • The hospital also has one of the largest dialysis units in India along with a dedicated Bone Marrow Transplant unit.
  • The latest and highly advanced technologies that are installed in the hospital include Da Vinci Robotic Surgery System, PET-MR, PET-CT, Cobalt-based HDR Brachytherapy, Brain Lab Navigation System, Tilting MRI, Portable CT scanner, 3 Tesla MRI, 128 Slice CT scanner, DSA Lab, Endosonography, Hyperbaric Chamber and Fibro scan.

Fortis Memorial Research Institute, Gurugram

Hospital Highlights:

  • Fortis Memorial Research Institute is a multi-super-specialty, quaternary care hospital with 1000 beds. The hospital comprises reputed clinicians, and international faculty and is also equipped with cutting-edge technology. The hospital is a part of Fortis Healthcare Limited, a reputed chain of private hospitals in India.
  • It is a NABH-accredited hospital that is spread across 11 acres of land and has a capacity of 1000 beds. The hospital has 55 specialties and is one of the premier health care centers in the Asia Pacific region popularly known as “the Mecca of Healthcare”.
  • The hospital has 260 diagnostic centers and is also equipped with the latest and advanced techniques that include 3 Telsa which is the world’s first Digital MRI technology. The hospital also has world-class Radiation Therapy techniques which have been developed by leading technology experts from Elekta and Brain Lab.

Apollo Hospital, Chennai

Hospital Highlights:

  • Apollo Hospitals, Chennai, is one of the best hospitals for heart care in India. Over the years, Apollo has expanded all over India, as a healthcare chain.
  • India’s first ‘Only Pancreas’ transplant was performed in Apollo Hospital. The hospital is known for successfully performing Asia’s first en-bloc combined heart and liver transplant, and over the years, it has attained a remarkable achievement in the global healthcare space. Around 3-4 organ transplants are performed in the hospital per day.
  • Equipped with over 500 beds, this hospital in Chennai was established in 1983 and since then has been among the most preferred hospital for patients from all over the world.
  • The hospital holds accreditation of the NABH and JCI and is the first hospital in India to be ISO 9001 and ISO 14001 certified. It is also the first South Indian Hospital to receive subsequent reaccreditation from the JCI USA 4 times.

Medanta-The Medicity, Gurgaon

Hospital Highlights:

  • One of India’s best and largest multi-specialty hospitals, Medanta was built with the aim to bring India to the highest standards of medical care. The hospital has been providing the best medical services to its patients, since its inception, with care, commitment, and compassion.
  • Equipped with 1250 beds, the hospital was founded by Dr. Naresh Trehan in the year 2009 with an aim to provide the best medical care at affordable costs. The hospital is spread across 43 acres and includes 45 operation theatres and 350 beds dedicated solely to ICU. The hospital includes over 800 doctors, and more than 22 specialty departments and has a dedicated floor for individual specialty in order to offer the best services under one roof.
  • The hospital is considered one of the premier institutes in India for Cardiac Care and includes staffs and members of high caliber. The hospital has 6 distinct centers of excellence.

Max Super Specialty Hospital, New Delhi

Hospital Highlights:

  • One of the well-regarded providers in India committed to the highest standards of clinical excellence and patient care, Max Super Specialty Hospital is a part of Max Healthcare, which is the second-largest healthcare chain in India. Regarded as one of the most well-regarded healthcare providers in the country, Max Super Specialty Hospital is committed to the highest standards of clinical excellence as well as patient care. The hospital is also equipped with the latest technology as well as cutting-edge research. The hospital is known to deliver and ensure the highest level of patient care.
  • The hospital has more than 500 beds and offers treatment for over 35 specialties. The hospital also holds the credit of having installed the first Brain Suite in Asia. This is a highly advanced Neurosurgical machine that allows MRI to be taken while surgery is ongoing.
  • Other advanced and latest technologies are also installed in the hospital such as the 1.5 Tesla MRI machine, 64 Slice CT Angiography, 4D ECHO, LINAC, and 3.5T MRI machine.

Artemis Hospital, Gurugram

Hospital Highlights:

  • One of the most well-known hospitals in the Delhi NCR, Artemis Hospital is the first hospital in Gurugram to get accredited by the Joint Commission International.
  • With more than 40 specialties, the hospital has been designed to be one of the most technically advanced hospitals in the country, with the best medical and surgical health care. The hospital has eleven special and dedicated centers, for Heart, Cancer, Neurosciences, etc.
  • The latest technologies in the hospital include Endovascular Hybrid Operating Suite and Flat panel Cath Labs for the cardiovascular department, 3 Tesla MRI, 16 slice PET CT, 64 Slice Cardiac CT Scan, HDR Brachytherapy, and highly advanced Image Guided Radiation Therapy techniques (LINAC) are installed in the hospital.
  • The hospital has won several awards as well, since its inception.

Gleneagles Global Hospitals, Chennai

Hospital Highlights:

  • Established in 1999, Gleneagles Global Hospital, Chennai, is one of the top healthcare facilities in Southern India. It is part of the Gleneagles Hospital Chain, which is the fourth largest healthcare chain in the country. The hospital specializes in multi-organ transplants of kidneys, liver, lungs, heart, etc.
  • The hospital has an excellent infrastructure and state-of-the-art lab and equipment set-up. The hospital boasts cutting-edge technologies, a highly skilled team of doctors and surgeons, and trained support staff. Located in Perumbakam, Chennai, it is one of India’s premier health care destinations. The hospital has performed some of the most complex surgical and clinical procedures in India including multi-organ transplantations.
  • The hospital’s lung transplantation program is one of the best in the country. The hospital is known for having performed India’s first single lung transplant and first minimal invasive lung transplant. It is also the only Indian hospital to be associated with King’s College Hospital, London, United Kingdom for liver transplantations.

Fortis Hospital, Mulund, Mumbai

Hospital Highlights:

  • Fortis Hospital in Mulund is a 315-bed multi-speciality tertiary care hospital with five JCI accreditations that offers a wide variety of diagnostic and therapeutic services. The Fortis Hospital in Mulund delivers patient-centred treatment with cutting-edge technology, highly skilled and experienced surgeons, and paramedical staff.
  • This institution houses Maharashtra’s largest multi-organ transplant centre. It is also the first heart transplant centre in western India to conduct 100 or more consecutive heart transplants in under four years. It is the only hospital in the city to have multi-organ transplants and has handled the youngest patient for angioplasty. Fortis Hospital Mulund now boasts the first advanced surgical robot in central Mumbai.
  • Cardiology and heart surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency and critical care, and maternity care are among the services provided by the hospital.

Kokilaben Dhirubhai Ambani Hospital, Mumbai

Hospital Highlights:

  • Kokilaben Dhirubhai Ambani Hospital, Named after the wife of Indian industrialist Dhirubhai Ambani, the founder of Reliance Industries, this is one of the top hospitals in Mumbai. This 750-bed multi-specialty hospital became operational in 2009. Known as one of India’s most advanced tertiary care facilities, the hospital is designed to raise India’s global standing as a healthcare hub, with an emphasis on excellence in clinical services.
  • Kokilaben Dhirubhai Ambani Hospital uses Protocol and Care Pathway based treatment models to ensure the best outcomes for patients.
  • The hospital represents a confluence of top-notch talent, cutting-edge technology, state-of-the-art infrastructure, and, most importantly commitment.
  • The hospital also holds the accreditation of the NABH, NABL, CAP, and JCI.
  • The hospital has been recognized as the No. 1 Multispecialty Hospital in Mumbai and the West Zone for the fifth year in a row in 2020 by The Week.

Fortis Escorts Hospital, New Delhi

Hospital Highlights:

  • Over the last 33 years, the Fortis Escorts Heart Institute has set new standards in cardiac treatment with groundbreaking research. It is now known around the world as a centre of expertise for Cardiac Bypass Surgery, Interventional Cardiology, Non-invasive Cardiology, Paediatric Cardiology, and Paediatric Cardiac Surgery.
  • The hospital has cutting-edge laboratories that perform a wide range of diagnostic tests in Nuclear Medicine, Radiology, Biochemistry, Haematology, Transfusion Medicine, and Microbiology.
  • Fortis Escorts Heart Institute boasts a diverse group of bright and experienced doctors who are backed up by a team of highly qualified, experienced, and devoted support professionals as well as cutting-edge equipment such as the recently installed Dual CT Scan.
  • Approximately 200 cardiac doctors and 1600 personnel currently collaborate to manage over 14,500 admissions and 7,200 emergency situations each year. The hospital now has a 310-bed infrastructure, as well as five cath labs and a slew of other world-class amenities.

CHOLESTEATOMA

Cholesteatoma is a condition in which an abnormal, noncancerous skin growth occurs in the middle ear, behind the eardrum. It continues to grow in size, and therefore if left untreated, it might lead to hearing loss. The condition may be a birth defect, although it is also generally caused by repeated middle ear infections.

This condition also often develops as a cyst, or sac, that sheds layers of its old skin. When these dead skin cells accumulate, the growth can increase in size and destroy the delicate bones of the middle ear. This might affect the hearing, balance as well as function of the facial muscles.

Symptoms

Generally, a cholesteatoma causes symptoms only in a single ear. The signs can include any of the following:

  • Constant sound inside your ear
  • Ear infection
  • Pain in the ear
  • Dizziness or vertigo
  • A feeling of fullness in one ear
  • A fluid that smells bad and leaks from the ears
  • Weakness in half of the face
  • Trouble hearing in one ear

 

If you’ve suffered from a cholesteatoma for a long time and haven’t treated it, it might grow into other areas of your ear, like the part used for balance. It may even turn into an infection in your inner ear or even in the brain. This can lead to a pus-filled swelling in your brain or meningitis. Both are rare.

Causes

A cholesteatoma might occur due to multiple reasons:

  • Cholesteatomas are generally caused by repeated middle-ear infections. If left untreated, infections from a long-established cholesteatoma might spread to the inner ear and the brain.
  • Perforation of the eardrum, which can be caused by a trauma or an infection, might provide an opening for the skin of the outer surface of the eardrum, to grow through.
  • Chronic ear infections, sinus infections, allergies, and colds might affect the Eustachian tube i.e. the tube connecting the back of your nose to your middle ear. This can keep it from equalizing air pressure on either side of your eardrum. This might cause a partial vacuum in your middle ear that may pull a section of your eardrum into it. This eardrum tissue can thus, turn into a cholesteatoma.
  • Although rare, some people can also be born with a small remnant of skin that is trapped in the middle ear.
  • As it grows larger, the cholesteatoma gets filled with sloughed-off skin cells, fluids, along with other wastes. This creates an ideal environment for infection. The growing cyst also increases pressure in your ear, which may lead to hearing loss. If it grows very large, it can destroy the surrounding bone, thus damaging the eardrum, and the bones inside your ear and near your brain, as well as your facial nerves. At this stage, it is possible that permanent hearing loss may occur.

Diagnosis

Your doctor is going to need to look inside your ear with an otoscope. This instrument has a magnifying glass with a light on it. This also tests how well you are able to hear sounds to check if your cholesteatoma has affected your hearing.

If your doctor thinks that you are having a cholesteatoma, then they are going to refer you to an ear, nose, or throat specialist. In order to look more closely at your cholesteatoma, your doctor will likely recommend the following tests:

CT Scan or Computerized Tomography

This is a series of X-ray images that are able to show a detailed image of the bones, soft tissues as well as blood vessels inside your ears. This test can let your doctor known if your cholesteatoma has grown into the bones of your ear, which may mess with your hearing and balance. Your doctor might want to do this scan if surgery is a better option for you.

MRI or Magnetic Resonance Imaging

If a CT scan is able to show your doctor something that requires a closer look, then an MRI is used if your doctor suspects an infection has spread to the brain.

Treatment

Surgery

Although there is no medicine that can make cholesteatoma go away, it is possible to remove it surgically. Surgery generally doesn’t require more than 2 to 3 hours, and you won’t need to stay in a hospital.

You’ll also receive medicine to make you sleep, and the removal can be done in either of two ways:

Mastoidectomy

The bone behind your ear is known as the mastoid. In this method, your surgeon is going to open up this bone to remove the cyst.

Tympanoplasty

This can fix damage to your eardrum or the tympanic membrane. Your surgeon is going to use cartilage or muscle from another part of your ear for filling any holes in your eardrum.

Surgery also often helps with your hearing loss partially.

Cholesteatomas can sometimes be aggressive. They may return if not fully removed. It is therefore very important to see your doctor for regular follow-up visits.

Complications

If left untreated, a cholesteatoma is going to grow larger and cause complications. Complications can range from mild to severe.

The dead skin cells accumulating in the ear help in providing an ideal environment for bacteria as well as fungi to thrive. This means that the cyst can become infected, and thus cause inflammation as well as continual ear drainage.

Over time, this condition may also destroy the surrounding bone. It might cause damage to the eardrum, the bones inside the ear, the bones near the brain, as well as the nerves of the face. Permanent hearing loss might also occur if the bones within the ear are broken.

This cyst might even spread into the face if it continues to grow and this can lead to facial weakness.

Some other potential complications include:

  • Swelling of the inner ear
  • Paralysis of the facial muscles
  • Chronic infection of the ear·
  • Meningitis, which is a life-threatening brain infection
  • Brain abscesses, or pus collecting in the brain

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