Ruby General Hospital runs the most advanced ENT department supported by highly qualified Consultants and well-trained Medical Professionals. The state-of-the-art facilities available here make it possible to carry out Microsurgery, Endoscopic Surgery of ENT with a minimal invasive approach and minimum hospital stay at the most reasonable cost.

ENT PROCEDURES / SURGERIES

• Ear Microsurgery

• Tympanoplasty

• Mastoidectomy

• Myringotomy and Grommet

• Ossicular Reconstruction

• Stapedectomy

HEAD & NECK SURGERY

NOSE AND THROAT

OUR SERVICES ARE BREAKING BOUNDARIES

A 28 year old gentleman from Dhanbad had been presented at Ruby General Hospital with complaints of right parotid swelling for over 8 years and admitted under the care of Dr. Rajat Basak (Consultant ENT and Head and Neck Cancer Surgery). After a thorough evaluation and relevant investigations, the FNAC report revealed pleomorphic adenoma. Pleomorphic adenoma is the most common benign salivary gland tumour that particularly affects the parotid gland, the submandibular gland and also the minor salivary glands. It is also known as Benign Mixed Tumours (BMT’s) because of its dual origin from epithelial and myoepithileal elements. After discussion and with written informed consent the gentleman had been posted for surgery. Superficial parotidectomy had been performed by Dr. Rajat Basak (Consultant ENT and Head and Neck Cancer Surgery) and Dr. Sourabh Shankar Chakraborty (Consultant Reconstructive and Plastic Surgeon), which involves surgical removal of the parotid gland superficial to the facial nerve, the major and largest of the salivary glands. Excellent support for facial nerve stimulation had been received from the Anaesthesia team comprising of Dr. Subhajit Guha and Dr. Sutapa Aditya during the intraoperative period. During the post operative period there was grade I facial paresis. The gentleman had come after two weeks for suture removal though still with mild facial paresis. The gentleman was very grateful to Ruby General Hospital for the satisfactory treatment received and his bags were already packed to rejoin his job in the Maldives. Our services are beyond this state..Thanks to Ruby Managment. Month April 2022. Patient from Dhanbad, 28 yr old male presented with right parotid swelling for last 8 years. He attended Ruby hospital Ent department for cure. Outside FNAC report was pleomorphic adenoma. Superficial parotidectomy was done by Dr Rajat Basak and Dr Sourabh Chakraborty. Intraoperative period it was an immense help from anaesthesia team for facial nerve stimulator. Post op period : Grade 1 facial paresis. He came after 2 week for suture removal. Mild facial paresis. Patient is happy to get the cure and will leave for Maldives to continue his job. Thanks to Anaesthesia team specially Dr Subhojit Sir and Dr Sutapa Aditya for their help and Ruby Nursing and OT staff.

AGE IS NOT A FACTOR FOR FIGHTING AGAINST CANCER

A female senior citizen of 82 years had been presented with ulceration on pre existing mole on right cheek and right post auricular area (Area around the ear) for last 2 years and was admitted under the expert care of Dr. Shomes Mozumder (Consultant ENT, Head and Neck Surgery). After thorough evaluation relevant investigations were done including incision biopsy from both the lesions which revealed basal cell carcinoma (A type of skin cancer that begins in the basal cells). The lady had a history of hypertension, Type II Diabetes Mellitus, Hypothyroidism and an old cerebrovascular accident. Before the surgery the lady had been reviewed again for anaemia, hypertension and glycaemic control and she also received one unit of Packed Red Blood Cells (PRBC). The treating consultant had a detailed discussion with the family members about the proposed procedure, its pros and cons and after written informed consent the lady had been posted for surgery. Wide excision post aural skin lesion and right cheek skin lesion was done followed by reconstruction of right cheek defect with subcutaneous tissue pedicled island advancement flap (An island of skin that is detached from its epidermal and dermal attachments while retaining its vascular supply from an underlying pedicle to repair a cutaneous defect. This flap is useful for the select defects on the nose, ears and periorbital area). During the surgery 1.5 cm X 1.5 cm blackish pigmented ulcerative lesion was found with rolled out margin on right cheek skin adjacent to Nasolabial furrow not fixed to underlying tissue. 4.0 cm x 4.0 cm blackish pigmented proliferative lesion was seen on right post auricular area, not fixed to underlying tissue. Sample had been sent for Frozen section which revealed basal cell carcinoma. The postoperative period had been uneventful and the lady went home assured that she will have negligible scars at this age.

WHEN THE MIND GOES AGAINST THE BODY

A 50 year year old male patient had been presented in the Emergency department of Ruby General Hospital with cut throat injury and multiple cuts on flexor aspect of left forearm and had been admitted under the expert care of Dr. Shomes Mozumder (Consultant ENT, Head and Neck Surgery). The gentleman had a history of multiple suicidal attempts in the past as conveyed by the family members. The emergency department immediately took action and found a horizontal cut injury (approximately 8 cms) with gaping of airway and adjacent multiple superficial cuts in midline at upper neck, approximately 10 cms from mentum (Protruding part of the chin). There was moderate bleeding and mild shortness of breath along with multiple gaping parallel cut injuries (Around 10 – 15 in number, largest being 10 cms) over ventral aspect of left forearm. Immediately double lumen cuffed tracheostomy tube had been put through the gaping airway to secure its patency and to prevent aspiration of blood. Without a minute’s delay urgent repair of injuries had been planned. A detailed discussion had been done with the family members and they had been explained the nature of the injury, its severity along with the risks and benefits that had been associated. After stabilizing the patient haemodynamically and obtaining the written and informed consent, he was posted for surgery. Tracheostomy with repair of cut throat injury and repair of multiple lacerated injury on left forearm had been done by the treating consultant Dr. Shomes Mozumder (Consultant ENT, Head and Neck Surgery) and Dr. Debarchan Ghosh (Consultant General Surgeon) respectively. Nasogastric feeding tube had been inserted and fixed with nasal columella with suture. The patient was kept in the ICU post surgery for monitoring. Further, the patient had been reviewed by Dr. Ayanangshu Nayak (Consultant Psychiatrist) for his unstable mental condition and repeated suicidal thoughts. The postoperative period had been uneventful. On the sixth postoperative day the patient had been discharged as he had been clinically stable and had been advised by Dr. Ayanangshu Nayak (Consultant Psychiatrist) to be shifted to a centre with psychiatry indoor facility for further management of his psychiatric ailment to mitigate risk of self harm.

HOARSENESS – AN ATYPICAL / RARE COMPLICATION OF COVID 19 INFECTION

A 45 year old gentleman had visited the Out Patient Department with complaints of a recent onset change in voice, fever, mild cough and shortness of breath, but, without any stridor and had been consulted by Dr. Shomes Mozumder (Consultant ENT). The consulant, on suspicion, had referred the gentleman to Dr. Kumardip Banerjee (Consultant Medicine) to rule out Covid – 19 infection and advised Fibre Optic Laryngoscopy (FOL) for endolaryngeal evaluation. The routine Covid 19 RT-PCR prior to Fibre Optic Laryngoscopy (FOL) resulted positive and the gentleman had been admitted under the care of Dr. Kumardip Banerjee (Consultant Medicine). He improved with conservative treatment but, his dyspnea (Shortness of breath) persisted. After testing negative for Covid 19, Dr. Shomes Mozumder (Consultant ENT) performed the Fibre Optic Laryngoscopy (FOL) and found left vocal cord palsy (paralysis). Clinico Radiological evaluation had been done including CT Scan of neck and no mass lesion had been found as the offending agent. However, the gentleman had been kept under close observation and treated with Methycobalamin and Vitamin B complex. A repeat Fibre Optic Laryngoscopy (FOL) had been done after three weeks and the mobility of the vocal cord had become normal again along with normal voice. With no apparent local cause and spontaneous recovery of condition after recovery from Covid 19 infection, it appears to be a temporary but rare unusual sequelae of the disease and more of this kind of cases will be required to understand the exact pathophysiology. However, at present, close observation and conservative treatment holds the hope of recovery from this kind of rare sequelae.