Best Doctors in India for Tracheostomy
- Radiation Oncologist, Gurugram, India
- Over 40 years’ experience
Profile Highlights:
- Dr. Subodh Chandra Pande is a well-known radiation oncologist in India. He has a long and rich clinical and teaching experience in the specialty of radiation oncology.
- He included a Dual Energy Linear Accelerator with Multi-Leaf Collimator at Bhagwan Mahaveer Cancer Hospital and Research Centre (BMCHRC), Jaipur & which was a first for the State of Rajasthan.
- (Surgical Oncologist) Plastic surgeon, New Delhi, India
- Over 33 years' experience
Profile Highlights:
- Dr. Sandeep Mehta is a renowned Head and Neck Onco Surgeon who specializes in Plastic and Microvascular Reconstructive surgery.
- He has over three decades of experience in the field and performs Robotic and Laparoscopic surgeries for cancers of the head and neck.
- He has advanced training in Maxillofacial Bioengineered tissue synthesis and reconstruction and therefore performs all kinds of cancer surgery affecting the head and neck regions.
- ENT, Head & Neck Surgeon, Gurugram, India
- Over 20 years’ experience
Profile Highlights:
- Dr. Shashidhar TB is known as an exceptionally talented, hard-working, and dedicated consultant for ENT, head and neck surgery who has years of experience in handling challenging cases.
- His interests include airway reconstruction, treating swallowing disorders, sleep apnea surgery, general ENT along with pediatric ENT. He has also been the runner-up in the International Pediatric Otolaryngology conference for Best Paper Award.
- Thoracic Onco Surgeon, New Delhi, India
- Over 30 years’ experience
Profile Highlights:
- Dr. Sabyasachi Bal specializes in Thoracic Onco surgery and provides treatment for lung cancer, chest cancer, and other types of thoracic malignancies.
- He has over 30 years of experience in the field and has reformed thoracic cancer surgery in India. He has also added Robotic Thoracic Surgery to his list of specializations.
- Dr. Sabyasachi Bal’s primary focus lies in the management and treatment of cancers affecting the thoracic regions and organs near the lungs and chest of both adolescents and adults.
- Surgical Oncologist, Mumbai, India
- Over 35 years’ experience
Profile Highlights:
- With over 35 years of experience, Dr. Rajesh Mistry is one of the best surgeons for Thoracic and Head & Neck Surgeries.
- He is an expert in performing all types of head and neck cancer surgeries including the thoracic region and has performed more than 700 thoracic onco-surgeries, 350 minimally invasive surgeries, 350 open surgeries, 200 Lobectonomies, 250 Esophagectomies, and more than 40 Robotic surgeries for Head and Neck related cancers.
- ENT, Head & Neck Surgeon; Gurugram, India
- Over 15 years’ experience
Profile Highlights:
- Dr. Anish Gupta is a renowned ENT specialist and Head & Neck Surgeon in Delhi/ NCR.
- He has extensive experience in performing common and complex ENT procedures including ontological and rhinological procedures, laryngeal framework procedures, endoscopic sinus surgery, cochlear implant, thyroidectomy, and surgical treatment for head and neck tumors.
- Dr. Anish Gupta has been involved in more than 100 cochlear implant surgeries.
- Surgical Oncologist, Hyderabad, India
- Over 10 years’ experience
Profile Highlights:
- Dr. Girish Kumar is a Surgical Oncologist whose expertise lies in the surgical treatment of both adult and pediatric cancer and provides services for head and neck, breast, GI, bone and soft tissue, urological, colorectal, and gynecological cancers.
- Along with the surgical treatment of various types of cancers, Dr. Girish Kumar also provides pre and post-operative cancer care.
- He has also trained a number of medical students in surgical oncology and continues to mentor postgraduate students.
- Surgical Oncologist (Breast & Colorectal), Mumbai, India
- Over 20 years’ experience
Profile Highlights:
- Dr. Mandar Nadkarni is a well-known name in the field of Breast onco-surgery in India and has performed more than 8000 breast surgeries for cancer patients in 20+ years of experience.
- Dr. Nadkarni has also performed over 500 oncoplastic procedures that include therapeutic mammoplasty as well as whole breast reconstruction. He also holds the credit for more than 100 hook wire localization for impalpable lesion procedures.
- Surgical Oncologist, New Delhi, India
- Over 20 years’ experience
Profile Highlights:
- Dr. Pawan Gupta is a well-known Surgical Oncologist in India having more than 2 decades and has performed over 7000 onco-surgeries for head and neck, thoracic, breast, GI, and gynecological cancers.
- Dr. Pawan Gupta is highly trained in different types of cancer surgeries and received his training from the best Cancer centers including Tata Memorial Hospital and SMH Curie Cancer Center.
- Surgical Oncologist, Mumbai, India
- Over 10 years’ experience
Profile Highlights:
- Dr. Prashant Pawar is a reputed Head and Neck Onco-surgeon.
- He possesses 10+ years of experience in the field and is an expert in the treatment of benign and malignant tumors of the head and neck.
- Dr. Prashant Pawar’s primary expertise lies in Voice rehabilitation post Laryngectomy among other surgeries for cancers of the head and neck regions. He performs both open and endoscopic surgeries and is also an expert in laser surgery and minimally invasive procedures.
Best Hospitals in India for Tracheostomy
CARE Hospitals, Hyderabad
- City: Hyderabad, India
Hospital Highlights:
- CARE Hospitals were established in the year 2000, by CARE Group.
- The multispecialty hospital has 435 beds, including 120 critical care beds, with an annual inflow of 180000 outpatients and 16,000 in-patients.
- The hospital provides specialty medical services in Cardiology, Cardiothoracic Surgery, Pediatric Cardiology, Pediatric Cardiothoracic Surgery, Neurology, Neurosurgery, Nephrology, and Urology.
- The hospital has the first dual source, 128 slice CT scanner (for high precision cardiac imaging) – the first of its kind in south India.
- The hospital offers a wide range of accommodation facilities for the convenience of its varied patient base, ranging from general wards to super deluxe rooms.
Fortis Hiranandani Hospital, Mumbai
- City: Mumbai, India
Hospital Highlights:
- Fortis Hiranandani hospital was established in 2007.
- The hospital is an advanced tertiary care, multi-specialty hospital equipped with 149 beds.
- The hospital is equipped with a super ICU to provide emergency medical care to critically ill patients.
- The hospital is NABH accredited.
- The critical care facility in the hospital is augmented with the state-of-the-art facilities that facilitate speedier diagnosis and efficient monitoring.
- The hospital provides specialty medical services in cardiology, orthopedic science, pediatric science, neurology, diabetic care, urology, nephrology, ENT, obstetrics, gynecology, cosmetic surgery, bariatric surgery, neuro and spine care.
Fortis Hospital, Anandpur, Kolkata
- City: Kolkata, India
Hospital Highlights:
- Fortis Hospital, Anandapur, Kolkata is a world-class super-speciality equipped with the latest technologies in the medical world.
- The hospital is NABH accredited.
- This state-of-the-art facility specializes in cardiology and cardiac surgery, urology, nephrology, neurosciences, orthopaedics, digestive care, emergency care and critical care.
- The hospital, governed by integrated Building Management System (IBMS), has a pneumatic chute system, for quick vertical and horizontal transportation between floors, facilitating speedy transfer of patient specimens, documents, reports, and medicines to the concerned departments.
- The hospital also has a nephrology department with over 28 advanced dialysis units.
Fortis Hospital Banerghatta, Bengaluru
- City: Bengaluru, India
Hospital Highlights:
- Fortis Hospital Bannerghatta, Bengaluru was established in 2006.
- The hospital is a 276 bedded multi-specialty tertiary care facility.
- The hospital specializes in cutting-edge medical technology and dedicated patient care services.
- The hospital is equipped with state-of-the-art technologies like trans-radial angioplasty, trans-abdominal cardiac surgery, and computerized TKR navigation surgery.
- The hospital provides specialty medical services in cardiology, cardiac surgery, orthopedics, neurology, neuro-surgery, GI, and Minimal Access Surgery (MAS).
Gleneagles Global Hospital, Parel, Mumbai
- City: Mumbai, India
Hospital Highlights:
- Gleneagles Global Hospital The 450-bed facility comprises of 17-stories, housing state-of-the-art infrastructure, and advanced medical care facilities.
- The hospital offers end-to-end clinical, surgical, and diagnostic services. It is equipped with a team of eminent medical professionals aided by qualified nurses and medical staff
- The Hospital offers advanced Endoscopic procedures, Hepatobiliary and Liver Surgeries, Surgical and Medical Gastroenterology, Bariatric Surgery, and Robotic surgery.
- The hospital is a center of excellence for Orthopedics, Joint Replacement, Knee Replacement, and Hip Replacement surgery.
Jaypee Hospital, Noida
- City: Noida, India
Hospital Highlights:
- Jaypee Hospital is the flagship hospital of the Jaypee Group.
- This hospital has commissioned 525 beds in the first phase and has been planned and designed as a 1200 bedded multi-specialty facility.
- It holds the accreditation of the NABH and NABL.
- The hospital has state-of-the-art infrastructure equipped with the latest technologies and modern equipment like 64 Slice PET CT, Dual Head 6 Slice SPECT CT, Gamma Camera, and Da Vinci Robotic Surgery for comprehensive robotic surgical solutions.
- It has special Centers dedicated to the major specialties to provide hassle-free and high-quality clinical care.
Manipal Hospital, Dwarka, Delhi
- City: New Delhi, India
Hospital Highlights:
- Manipal Hospitals, Dwarka, is a super-specialty hospital in Dwarka, New Delhi, which is a part of Manipal Hospitals Group.
- The hospital aims to provide the best treatment on par with international standards at a fraction of the cost.
- Equipped with 380 beds, the hospital is also one of the new age hospitals which are equipped fully with state-of-the-art infrastructure, cutting-edge technology as well as the latest and advanced clinical practices. The hospital also has 13 modular Operation theatres with 118 beds which are solely meant for critical care.
- The hospital comprises internationally acclaimed doctors and highly professional and experienced hospital and medical staff who are able to provide preventive, therapeutic, and diagnostic services all under one roof.
Pushpawati Singhania Hospital & Research Institute, New Delhi
- City: New Delhi, India
Hospital Highlights:
- Established in 1996, Pushpawati Singhania Research Institute is one of the top hospitals in the NCR region, as well as one of the top facilities in India for gastroenterology. The hospital is one of South Asia’s first institutes in medical and surgical treatment for diseases related to digestion.
- The hospital is equipped with state-of-the art facilities coupled with the latest equipment as well as renowned consultants from various parts of India as well as other parts of the world.
W Pratiksha Hospital, Gurgaon
- City: Gurugram, India
Hospital Highlights:
- W Pratiksha Hospital, Gurugram, is one of the best hospitals in the NCR region. It is also a top hospital in India for IVF. Since its inception, the hospital has performed over 5500 successful IVFs. The hospital also specializes in gynecology.
- With over 20 years of experience in providing quality healthcare, the hospital is known as one of the most trusted and valued health providers in India.
- Equipped with world-class medical facilities and advanced technology, the hospital’s doctors and clinicians also have a track record of delivering excellent results. The hospital is also known for focusing on preventive well-being as much as on curative treatment.
- The hospital has earned the trust of its patients, by providing the best available treatments at affordable costs.
Narayana Superspeciality Hospital, Gurugram
- City: Gurugram, India
Hospital Highlights:
- Situated near DLF Cyber City, Gurugram, Narayana Superspecialty Hospital is one of the top medical facilities in the Delhi NCR region, catering to the needs of the people. Known for its commitment to quality medical care and patient service, the hospital is a state-of-the-art facility with planned and well-equipped sections, which includes a spacious OPD area as well as comfortable patient rooms.
- It is the closest super-specialty hospital from Indira Gandhi International Airport towards Gurugram, and also the nearest super specialty hospital from DLF Cyber City. It is also close to major residential areas in Gurugram.
- It is part of the renowned Narayana Health Group. Established in 2000, by Dr. Devi Shetty, a renowned cardiac surgeon, it has grown to be one fo India’s leading healthcare groups.
Tracheostomy
Tracheostomy is a medical procedure in which the doctor will create a hole in the front of the neck and into the trachea (or windpipe). This is done to place a tracheostomy tube into that opening that stays open for breathing. The tracheostomy tube allows the entry of air into the lungs. The air bypasses the nose, mouth and throat to allow breathing through the tube. The hole in the neck is commonly called a stoma.
Reasons for Tracheostomy
There are various reasons, including airways restriction, because of which people undergo a tracheostomy. Your doctor may perform a tracheostomy, when you have a blocked airway, during an emergency. The procedure is of utmost use when normal breathing becomes difficult because of other diseases or problems. You may have to go for tracheostomy if you have:
- An infection
- The need for a ventilator or respiratory support
- Defects in the airway
- Chronic lung disease
- Underwent facial surgery
- Injury on the chest wall
- Anaphylaxis
- Neck cancer
- Dysfunctioning diaphragm
- Laryngeal injury
- Airway burns due to inhalation of harmful material
- Airway obstruction due to the presence of foreign bodies
- Severe mouth injuries
- Coma
- Facial burns
- Obstructive sleep apnea
- Vocal cord paralysis
- Laryngectomy
- Tumors
- Neck injuries
EMERGENCY CARE
Although most of the surgeons perform this procedure in a hospital setting, they may find it necessary to create the opening in the person’s throat while at the site of the accident, if it is an emergency. Emergency tracheostomies not just carry the risk of complications, they are also difficult to perform.
Preparation for Tracheostomy
Your doctor will give you all the important instructions regarding the preparations for tracheostomy if planned. You may need to stay an empty stomach from 12 hours before breakfast. However, there won’t be any time for preparations if it’s an emergency.
What to expect?
During the procedure
Mostly, the doctors perform the procedure in an operating room so that you remain unaware of the entire procedure. He or she will inject local anesthesia (sleep medicine) into your body to numb the throat and the neck. He or she will use local anesthesia if there are visible risks with general anesthesia or if they are performing the procedure outside the operating room. You may opt for:
Surgical Tracheostomy
Surgical Tracheostomy is performed in a hospital room, your surgeon will make a horizontal incision (cut) through your skin in the lower part of the front of the neck. He or she will carefully pull back the surrounding muscles to cut a part of the thyroid gland and expose the trachea or the windpipe. Near the base of your neck, your surgeon will create an opening at a specific spot on your trachea.
Percutaneous Tracheostomy
In the front of the neck, your doctor will make a small incision at the base. He or she will introduce a special lens through the mouth so that they can view the inside portion of your throat. He or she will then guide a needle into the trachea using the view of the throat, to create an opening and will then increase it up to the size of the tube.
After the procedure
You may need to stay back in the hospital as you heal.
- Care for the tube: The nurse will teach you to change or clean your tracheostomy tube so as to prevent any infection and decrease the chances of any risks.
- Speaking: Depending on the type of tube, you will be able to speak with the tracheostomy tube. Your speech therapist or nurse may recommend you some alternatives for communicating and how you can use your voice again to speak.
- Eating: You will receive all the nutrients through an IV (or Intravenous line) inserted in your body or a feeding tube that passes through your nose or mouth. You may also have a tube directly inserted into your stomach. Your speech therapist will work with you when you will be able to eat, to help you with coordination and regain muscle strength needed for swallowing purposes.
- Managing other effects: There are some other effects related to tracheostomy. Your healthcare time will guide you and teach you to care for other common effects. They may teach you to use a suction machine for clearing away the secretions from the airway or your throat.
Results
While tracheostomy is temporary in most of the cases, it may be permanent in some. The procedure provides an alternative breathing route until the medical ailments resolve within your body. If there’s a need for you to be on a ventilator for an indefinite time, this procedure can be the best possible solution.
Your healthcare team will take care of you and determine when you can remove the tracheostomy tube without any chances of complications. The opening will close down after some time and heal on its own. However, your surgeon may also opt to closet the opening surgically.
Risks of Tracheostomy
Any kind of surgery or medical procedure comes with its own risks like bleeding and infection. Although it is rare, you may catch an allergic reaction to the anesthesia (sleep medicine) used for the medical procedure. The risks associated with Tracheostomy are:
- Bleeding
- The thyroid gland, present in the neck, getting damaged
- Lung collapse
- Scar tissue present in the trachea
- Erosion of the trachea (rarely)
- Misplacement of the tracheostomy tube
- Subcutaneous emphysema (trapping of air under the skin on the tissue)
- Pneumothorax (air buildup between the lungs and the chest wall)
- Hematoma or collection of blood that may cause breathing problems.
Long term complications
The longer the tracheostomy, the higher will be the chances of the complications. They may include:
- Damage to the trachea
- Infection around the tracheostomy
- Narrowing of the trachea
- Infection in the bronchial tubules and trachea (Tracheobronchitis)
- Scarring of the trachea
- Infection in the lungs (Pneumonia)
- Obstruction of the tracheostomy tube
- Tracheoinnominate fistula