Sinuses or paranasal sinuses Treatment in India
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 āsinusitisā.
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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.
- 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 āFunctional endoscopic sinus surgeryā.
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.
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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 ādiseaseā 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.
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BLK-Max Hospital
Number of beds: 700
ICU Beds:Ā Ā Ā Ā Ā Ā Ā Ā 175
Airport Distance: 13 Km
About Hospital:
- BLK Super Speciality Hospital was established by Dr. B.L. KapurĀ 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. KapurĀ 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.
Max Hospital Saket
Number of beds:Ā Ā 500
ICU Beds:Ā Ā Ā Ā Ā Ā Ā Ā Ā 267
Airport Distance: 13 KM
About Hospital:
- Max Super Speciality Hospital at Saket is one of the topmost healthcare service
- Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
- With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.
Indraprastha Apollo Hospital
No. of beds: 900
ICU Beds:Ā Ā Ā 262
Airport:Ā Ā Ā Ā 20kms
Brief About:
- Indraprastha Apollo Hospital is a flagship hospital of Indiaās 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.
Artemis Hospital Gurgaon
Number of beds:Ā 600
ICU Beds:Ā Ā Ā Ā Ā Ā Ā Ā 185
Airport Distance: 19 Km
Brief About:
- 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.
Medanta The Medicity Hospital
Number of beds:Ā 1250
ICU Beds:Ā Ā Ā Ā Ā Ā Ā Ā 300
Airport Distance: 18 KMs
Brief About:
- Medanta ā The Medicity is amongst Indiaās 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.
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Fortis Memorial Research Institute
Number of beds:Ā Ā Ā 1000
ICU Beds:Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā 298
Airport Distance:Ā Ā 17 KMs
Brief About:
- 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.
- Fortis Hosptial Gurgaon is an advanced centre of excellence in Robotic Surgery, Neurosciences, Oncology, Renal Sciences, BMT, Organ Transplants, Orthopaedics, Cardiac Sciences and Obstetrics & Gynaecology.
Sanar International Hospital
Number of beds: Ā 130
ICU Beds: Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā 35
Airport Distance: Ā 20 Km
About Hospital:
- Sanar International Hospital was established in 2018.
- Sanar International Hospital founded by Mr. Naresh Kapoor.
- Sanar International Hospital offers comprehensive advanced surgical care in specialties like Cancer, Heart, Blood and Marrow Transplant, Lung, Liver, and Neurosciences along with other major departments with advanced state-of-the-art facilities.
W Pratiksha Hospital
Number of beds: 110
ICU Beds:Ā Ā Ā Ā Ā Ā Ā Ā Ā 31
Airport Distance: 19 KMs
About Hospital:
- Established in 1995, W Pratiksha Hospital is a 110+ bedded flagship hospital of the Pratiksha group.
- W Pratiksha Hospital in Gurgaon, the flagship hospital of Pratiksha Group is a one-of-its-kind facility in Gurgaon that brings to you 30 years of experience.
- The hospital has treated more than 25,000 people In 2018.
Accord Superspeciality Hospital
Number of beds: Ā 380+
ICU Beds: Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā Ā 41
Airport Distance: Ā 46 Km
About Hospital:
- The story of Accord began with the thought of leveraging the new age technology with the healthcare infrastructure to serve the patients, rightly, effectively, and timely.
- Accord Superspeciality Hospital (A Unit Of SCL Healthcare Pvt. Ltd) is Indiaās first smart hospital and one of the first of its kind in the world.
- Accord Superspeciality Hospital aims at providing technologically advanced healthcare services to international patients who are looking out for medical tourism in India.
Aakash Health Care Delhi
Number of beds:Ā 230
ICU Beds:Ā Ā Ā Ā Ā Ā Ā Ā 70
Airport Distance: 10 Km
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.
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