The Department of Otorhinolaryngology – Head and Neck Surgery at Kasturba Medical College Manipal, has been providing quality otorhinolaryngology services, and head and neck cancer care since its inception. Founded in 1961, when Kasturba Hospital was first established, our department has been built upon a rich foundation in medical education, research and clinical care. Throughout the years, our faculty and alumni have greatly influenced otorhinolaryngology and helped take the field leaps and bounds ahead to the forefront of science. Today, we are working with our national and international colleagues, collaborating on research ideas and advancements in medical education, as well as updating on the reduction of mortality and morbidity of head and neck cancer.

The department, attached to a tertiary care hospital, caters to patients from Goa to Kerala with majority of the patients hailing from Karnataka. It provides comprehensive care to patients with diseases of the ear, nose, throat, head & neck and skull base. Our department was the first in South India to start a Cochlear implant program in 1995 with a 22 Channel Cochlear implant electrode. We are well known for our management of head and neck cancers since the early 1980’s, and have a large series of total laryngo-pharyngo-oesophagectomy with gastric transposition surgeries with a technique of upward eversion stripping of the oesophagus pioneered in our department. The department also has the credit of introducing endoscopic sinus surgery in 1989. We have also been performing potassium-titanyl-phosphate (KTP) laser assisted surgeries for the treatment of various head and neck lesions including cancers since 1999, and currently have facilities for CO2 laser, coblation assisted and microdebrider assisted surgeries.

The Department of Otorhinolaryngology – Head and neck surgery, Kasturba Medical College, Manipal started its postgraduate training program in the department in the year 1971 (MS – three years & DLO - two years). Our program offers an unsurpassed specialty training experience to our resident postgraduate students, while delivering excellent patient care and advancing research in otolaryngology – head and neck surgery.

We also offer Fellowship Courses in Head and Neck and Skull Base Surgery (2 year course), as well as in Paediatric Otorhinolaryngology (1 year course in conjunction with Manipal Hospital, Bengaluru). Our Centre for Balance Disorders also offers courses for residents and faculty once in 4 months.

Currently, our department has 3 units catering to 3 different subspecialties, namely Otology and Lateral Skull Base, Rhinology and Anterior Skull Base, and Laryngology and Head and Neck Surgery. While on rotation among the 3 units, postgraduate residents get the chance to perform and assist in various surgeries across the field of otorhinolaryngology. In addition, they also rotate through the Departments of Neurosurgery and Plastic Surgery in order to expand their knowledge in the fields related to otorhinolaryngology.

Upon graduation, postgraduate residents are prepared to join an academic position in otorhinolaryngology or to pursue further studies to subspecialize in the field. There is a wide range of specialties to choose from upon completion of the course including otology, neurotology, rhinology, skull base surgery, paediatric otolaryngology, laryngology, sleep surgery, as well as the opportunity to apply for a Masters (MCh) in Head and Neck Oncosurgery, Neuro-Surgery or Plastic and Reconstructive Surgery.

https://manipal.edu/mu/academics/phd.html

·        Attachment to a tertiary care hospital (Kasturba Hospital) with outpatient and operative services 6 days a week

·        The department functions as 3 units

·        There are 60 inpatient beds for ENT

·        Emergency services (ENT) in Kasturba Hospital, Manipal

·        Highly sophisticated and state-of-the-art infrastructure available for patient care as well as for training purposes. Major equipment includes CO2 & KTP 532 lasers, microdebrider, coblation, operating microscopes, balloon sinuplasty, various angled endoscopes

·        Outpatient services include nasal endoscopy, bipolar and chemical cautery, videonystagmography, allergy clinic, biopsies, ear procedures under microscope, videostroboscopy, flexible nasopharyngoscopy and flexible bronchoscopy, fine needle aspiration cytology

·        Centre for Balance Disorders caters to the needs of patients presenting with vertigo

·        Centre for Swallowing Disorders caters to the needs of patients with swallowing disorders in paediatric, neurological, geriatric and head & neck cancer patients.

·        Specialized Allergy and Voice Clinics in the outpatient department

·        Patient outreach camps organized through the hospital

At the Department of Otorhinolaryngology – Head and Neck Surgery, we have encouraged an environment in which clinicians work side by side with the residents and medical students to foster a research oriented attitude. We conduct significant amount of basic research in otolaryngology often in collaboration with other departments such as Pathology, Radiology, Pulmonary Medicine, Paediatrics, Radiation and Surgical Oncology, Psychiatry, Community Medicine and Speech & Audiology.

All the postgraduates receive training in conducting clinical research, writing research papers and on research ethics though various mandatory workshops at the university. The faculty and postgraduates of the department are also certified in the Basic Course in Biomedical Research conducted by Indian Council of Medical Research – National Institute of Epidemiology (ICMR-NIE), as well as in the Good Clinical Practice Course.

Research with Grants

Publications of 2023-2024

1. Rao D, Singh R, Kamath S, Pendekanti S, Pai D, Kolekar S, Holla R, Pathan S. OTONet: Deep Neural Network for Precise Otoscopy Image Classification. IEEE Access. 2024 Jan 9. (Q1)-SCOPUS

2. Abdulkader RS, Ponnaiah M, Bhatnagar T, Rozario AG, K G, Mohan M, E M, Saravanakumar D, Moorthy A, Tyagi AK, Parmar BD, Devaraja K, Balakrishnan Ramaswamy. Baseline findings of a multicentric ambispective cohort study (2021-2022) among hospitalised mucormycosis patients in India. Mycology. 2024 Jan 4:1-5.(Q1)

3. K. Devaraja, C. S. Majitha, Kailesh Pujary, Dipak Ranjan Nayak, Shwethapriya Rao. A Simplified Protocol for Tracheostomy Decannulation in Patients Weaned off Prolonged Mechanical Ventilation - International Archives of Otorhinolaryngology – Feb 2024 (Q3)

4. K. Devaraja, Historical milestones in the evolution of the procedure of neck dissection, World J Otorhinolaryngol Head Neck Surg. Feb 2024;1–12 (Q2)

5. Rakshitha Samanth · Meera N. Khadilkar · Deviprasad Dosemani, Academic Impact and Quality of Life Among Otorhinolaryngology Residents During COVID-19 Pandemic in South India, Indian Journal of Otolaryngology and Head & Neck Surgery, Feb 2024 (Q3)

6. Koliyote SG, Singh R, Mary Mathew N, K P. A Prospective Study on the Anatomical Variations of the Frontal Recess and its Association with Computer Tomographic Signs of Sinusitis. Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):495-502. (Q3)

7. Shah D, Sharma PV, Menon S, Balakrishnan R, Udupa CBK. Correlation Between Nasal Allergy and the Number of Eosinophils in Adenoid Tissue. Indian J Otolaryngol Head Neck Surg. 2024 Feb;76(1):871-877. (Q3)

8. Ravi R, Gunjawate DR, Bhandarkar AM, Yerraguntla K. Knowledge, Beliefs, and Practices Towards Cochlear Implantations Among Otorhinolaryngologists in India. Indian Journal of Otolaryngology and Head & Neck Surgery. 2023 Feb 10:1-7. (Q3)

9. Dugani P, Sharma PV, Krishna SM, Reddy KK. Serum Parathyroid Hormone and Vitamin D Levels as Predictors of Hypocalcemia after Total/Near Total Thyroidectomy. Indian Journal of Otolaryngology and Head & Neck Surgery. 2023 Mar 3:1-9. (Q3)

10. Shenoy VS, Samanth R, Parvathareddy N, Apoorva K. Pediatric Oronasopharyngeal Stricture–A Rare Surgical Complication of Adeno-Tonsillectomy Abstract. Indian Journal of Otolaryngology and Head & Neck Surgery. 2023 Mar 20:1-3. (Q3)

11. Devaraja K, Aggarwal S, Singh M. Therapeutic Vaccination in Head and Neck Squamous Cell Carcinoma—A Review. Vaccines. 2023 Mar 13;11(3):634. (Q1)

12. Barche A, Nayak V, Pandey A, Bhandarkar A, Nayak K. Student perceptions towards online learning in medical education during the COVID-19 pandemic: a mixed-methods study. F1000Research. 2022;11.(Q1)

13. Vasudevan G, Srinivas SP, Jaiprakash P, Pujary K. Esthesioneuroblastoma: an institutional based descriptive study of a rare tumor. Journal of Pathology of Nepal. 2023 Jul 12;13(1):1970-5.

14. Ravindra A, Nayak DR, Devaraja K, Matthew NM, Tiwari S. Functional outcomes after surgical resection of tongue cancer; a comparative study between primary closure, secondary intention healing and flap reconstruction. Indian Journal of Otolaryngology and Head & Neck Surgery. 2022 Dec;74(Suppl 3):6296-306.(Q3)

15. Thaduri A, Kappari SR, Majumdar KS, Panuganti A, Usmani SA, Singh V, Moideen A, Malhotra M, Garg PK. Long-term swallow outcomes and factors affecting swallowing dysfunction and quality of life among oral cancer patients: a prospective observational study. European Archives of Oto-Rhino-Laryngology. 2023 Aug 7:1-0. (Q3)

16. Ponnaiah M, Ganesan S, Bhatnagar T, Thulasingam M, Majella MG, Karuppiah M, Rizwan SA, Alexander A, Sarkar S, Kar SS, Kadhiravan T, Kailesh Pujary . Hyperglycemia and steroid use increase the risk of rhino-orbito-cerebral mucormycosis regardless of COVID-19 hospitalization: case-control study, India. Plos one. 2022 Aug 8;17(8):e0272042. (Q1)

17. Nayak DR, Balakrishnan R, Dalakoti P, Bhanu U, Nair S, Poojary K. KTP 532 Laser Assisted Surgery for Oral Cavity Malignancy—A Retrospective Study. Indian Journal of Otolaryngology and Head & Neck Surgery. 2023 Jun;75(2):416-9. (Q3)

18. Devaraja K, Ibrahim S, Venkataramanan A, Nayak DR. Clinical relevance of hyponatraemia in olfactory neuroblastoma. Indian Journal of Medical Research. 2023 Jul 7:10-4103. (Q4)

19. Devaraja K, Surendra VU. Clinicopathological Features and Management Principles of Tracheobronchopathia Osteochondroplastica-A Scoping Review. Indian Journal of Otolaryngology and Head & Neck Surgery. 2023 Jul 10:1-7. (Q3)

20. Dugani P, Sharma PV, Krishna SM, Reddy KK. Serum Parathyroid Hormone and Vitamin D Levels as Predictors of Hypocalcemia after Total/ Near Total Thyroidectomy. Indian J Otolaryngol Head Neck Surg. 2023 Sep;75(3):1502-1510. (Q3)

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