Our otology service is the most active in Tamil Nadu. Cochlear implantation uses the latest electrode arrays from Cochlear™, MED-EL, and Advanced Bionics with same-day image verification. Tympanoplasty uses cartilage island grafts for large perforations. Laser stapedotomy (KTP and CO₂) for otosclerosis gives excellent hearing outcomes with reduced sensorineural risk.
Ear Disorders
Ear & Hearing Rehabilitation
KG Hospital's Audiology & Otology unit is the most comprehensive in South India, offering the full continuum from audiological testing to surgical rehabilitation — including the region's leading cochlear implant programme under government ADIP and Rashtriya Bal Swasthya Karyakram schemes.
Hearing Loss Classification
26–40
Mild
dB HL
Soft speech difficult; hearing aid helpful
41–55
Moderate
dB HL
Conversational speech requires effort
56–70
Severe
dB HL
Loud speech only; powerful hearing aids
71–90
Profound
dB HL
Very limited benefit from conventional aids
>90
Total
dB HL
Cochlear implant indicated
Cochlear Implant Programme — Patient Journey
01
Screening
Day 1
02
Evaluation
Week 1–2
03
Surgery
Day Procedure
04
Switch-On
Week 4
05
Mapping
Months 1–6
06
Rehab
Ongoing
Ear Procedures Offered
01
Cochlear Implant
Bilateral simultaneous implantation in eligible children and adults. MED-EL, Cochlear™ and Advanced Bionics devices.
🏆 ADIP Empanelled02
Tympanoplasty
Type I–IV repair of tympanic membrane perforations using cartilage or fascia grafts with ossiculoplasty as needed.
03
Mastoidectomy
Canal-wall-up and canal-wall-down approaches for cholesteatoma; combined approach tympanoplasty.
04
Stapedectomy / Stapedotomy
Laser-assisted piston placement for otosclerosis with excellent post-operative hearing outcomes.
Laser Assisted05
Bone-Anchored Hearing Aid
BAHA & OSIA osseointegrated implants for conductive and single-sided deafness.
06
Endolymphatic Shunt
Surgical decompression for refractory Ménière's disease when medical management fails.
Rhinology
Nose, Sinuses & Skull Base
Our rhinology division performs over 1,200 FESS procedures annually using image-guided navigation (BrainLab / Stryker) and the latest microdebrider technology. We are among few centres in India offering endoscopic skull base surgery for pituitary tumours, CSF leaks, and orbital decompression — avoiding craniotomy entirely.
⚠ Chronic Sinusitis Symptoms — When to See Us
Blocked nose > 12 weeks
Facial pain / pressure
Thick nasal discharge
Reduced smell
Post-nasal drip
Repeated sinus infections
Sinus Surgery — Approach Comparison
| Feature | FESS + Navigation | Balloon Sinuplasty | Traditional Open |
|---|---|---|---|
| Incisions | None (endoscopic) | None | External / Caldwell–Luc |
| Best For | Chronic sinusitis, polyps, skull base | Recurrent acute sinusitis, mild disease | Revision / complex anatomy |
| Accuracy | Image-guided (sub-mm) | Fluoroscopy-guided | Anatomical landmarks |
| Recovery | 1–2 weeks | 2–3 days | 4–6 weeks |
| Tissue Preservation | High (mucosa sparing) | Maximum | Low |
| Available at KGH | ✓ Yes | ✓ Yes | ✓ Yes (when indicated) |
Rhinology Procedures
01
FESS + Image Guidance
BrainLab-navigated functional endoscopic sinus surgery for chronic rhinosinusitis and nasal polyps.
Navigation-Guided02
Balloon Sinuplasty
Office-based or day-care dilation of osteo-meatal complex; no tissue removal, rapid return to work.
03
Septoplasty / SMR
Correction of deviated nasal septum to restore nasal airway; often combined with turbinoplasty.
04
Turbinate Reduction
Coblation-assisted submucosal turbinate reduction with preservation of mucosa and olfaction.
05
Endoscopic Skull Base Surgery
Trans-nasal approach for pituitary adenoma, craniopharyngioma, CSF leaks and orbital decompression.
🏆 India Milestone06
Rhinoplasty (Functional)
Structural rhinoplasty to correct nasal collapse, valve stenosis, and post-traumatic deformity.
Laryngology & Pharyngology
Throat, Larynx & Voice Disorders
KG Hospital's voice clinic hosts a dedicated laryngologist, speech-language pathologist, and phonosurgeon operating as a team. From vocal fold polyps and reinke's oedema to laryngeal stenosis and early glottic cancer, we offer carbon dioxide laser microlaryngoscopy and office-based procedures under local anaesthesia where appropriate.
🔴 Refer Urgently — Red Flag Throat Symptoms
Hoarseness > 3 weeks
Dysphagia / odynophagia
Stridor at rest
Blood-stained sputum
Neck lump > 2 weeks
Unexplained otalgia
Throat & Voice Procedures
01
CO₂ Laser Microlaryngoscopy
Precise laser excision of vocal fold lesions — polyps, nodules, papilloma, Reinke's oedema — with voice preservation.
CO₂ Laser02
Coblation Tonsillectomy
Low-temperature plasma tonsil removal significantly reducing post-operative pain and secondary haemorrhage risk.
03
Adenoidectomy
Endoscopic-assisted adenoid removal in children with recurrent OM, mouth-breathing, or sleep-disordered breathing.
04
Laryngotracheal Reconstruction
Rib cartilage augmentation and stent-based widening for subglottic and tracheal stenosis.
05
Thyroplasty (Medialization)
Isshiki type I thyroplasty for vocal fold paralysis using Gore-Tex or silastic implants to restore voice.
06
Office Laryngoscopy + Biopsy
Flexible naso-endoscopy with narrow-band imaging (NBI) for early mucosal lesion detection.
Sleep Surgery
Sleep Apnoea & DISE-Guided Surgery
Obstructive Sleep Apnoea affects an estimated 9–13% of urban Indians yet remains dramatically under-diagnosed. KG Hospital's Sleep Surgery programme uses Drug-Induced Sleep Endoscopy (DISE) — performed under propofol sedation — to precisely identify the anatomical level of airway collapse before planning a tailored surgical intervention, achieving far superior outcomes than non-targeted techniques.
DISE Evaluation
Dynamic endoscopy under propofol sedation replicates natural sleep collapse at palate, tongue base, epiglottis, or lateral wall.
Diagnostic StepPersonalised Surgery Plan
Findings mapped to VOTE classification (Velum, Oropharynx, Tongue, Epiglottis) to select single or multi-level procedure.
Treatment DesignTargeted Intervention
UPPP, tongue base coblation, hyoid suspension, or robotic tongue base resection — chosen precisely for your collapse site.
SurgeryWho is a Candidate for Sleep Surgery?
✓ Good Candidates
Moderate–severe OSA (AHI > 15) confirmed on PSG
CPAP non-compliant or intolerant (> 3 months trial)
Identified anatomical collapse on DISE
BMI < 35 (or successful weight loss)
No significant craniofacial anomaly requiring MMA
→ Requires Further Assessment
Severe obesity (BMI > 40) — weight management first
Predominantly central sleep apnoea on PSG
Uncontrolled comorbidities (cardiac, metabolic)
Multi-level collapse with predominant retropalatal component
Head & Neck Oncology
Head & Neck Cancer — Robotic & Precision Surgery
KG Hospital's multidisciplinary Head & Neck Tumour Board meets weekly, combining surgical oncology, radiation oncology, medical oncology, speech pathology, and reconstructive surgery. We offer Transoral Robotic Surgery (TORS) for oropharyngeal and selected hypopharyngeal cancers — avoiding external incisions and enabling faster swallowing rehabilitation.
Cancers We Treat
Oral Cavity
Oral Cancer
Wide local excision, mandibular resection, and microvascular free flap reconstruction (ALT, radial forearm).
Oropharynx
Oropharyngeal Cancer
HPV-stratified treatment; TORS for suitable T1–T2 tumours with sentinel node biopsy.
Larynx
Laryngeal Cancer
Organ-preservation with CO₂ laser or chemoradiation; total laryngectomy with tracheoesophageal voice restoration.
Thyroid
Thyroid & Parathyroid
Robotic thyroidectomy via remote axillary approach — completely scar-free neck. Intraoperative nerve monitoring (NIM).
Salivary Gland
Parotid & Submandibular
Superficial and total parotidectomy with facial nerve mapping; piezo-dissection for nerve preservation.
Neck Nodes
Neck Dissection
Selective, modified radical, and radical neck dissections; robotic selective neck dissection for eligible patients.
Head & Neck Cancer Care Pathway
1
Tumour Board Assessment
All new cases presented at weekly MDT. Staging CT/MRI/PET-CT reviewed. Treatment plan consensus in 5–7 days.
Week 1
2
Pre-surgical Optimisation
Dental review, nutrition assessment, speech baseline, anaesthesia work-up. Pre-habilitation if required.
Week 2
3
Primary Surgery / Treatment
TORS / open resection / concurrent chemoradiation as per MDT plan with reconstructive team standby.
Week 2–3
4
Adjuvant Therapy
Radiation ± chemotherapy for adverse features (positive margins, ENE, multiple nodes).
Weeks 4–10
5
Rehabilitation & Surveillance
Swallowing therapy, voice rehabilitation, dental restoration. 3-monthly surveillance imaging for 2 years.
Ongoing
Full Procedure List
ENT Procedures — Complete Reference
Expand each category for procedure details, technique notes, and KG Hospital-specific capabilities.
01
ADIP Empanelled
+
Ear Surgery & Audiology
Cochlear implants · Tympanoplasty · Mastoidectomy · Stapedectomy
Bilateral simultaneous cochlear implants in eligible children
Round window electrode array placement for residual hearing preservation
Ossiculoplasty with partial/total titanium prostheses (PORP/TORP)
Endoscopic ear surgery (EES) — minimally invasive trans-canal approach
BAHA and OSIA bone-anchored implant systems
🏆 India Firsts — Ear
- First bilateral simultaneous CI under ADIP scheme, Tamil Nadu (2019)
- First round-window slim modiolar electrode insertion in the state (2021)
02
Navigation-Guided
+
Nose, Sinus & Skull Base
FESS · Balloon sinuplasty · Septoplasty · Endoscopic skull base
Over 1,200 FESS procedures per year, with BrainLab image-guided navigation for complex anatomy, revision cases, and skull base extension. Coblation-assisted turbinate surgery preserves olfactory mucosa. Endoscopic pituitary surgery is performed jointly with our neurosurgery team through a fully endoscopic trans-sphenoidal approach.
4-sinus and pan-sinus FESS in a single anaesthetic
In-office balloon sinuplasty under local anaesthesia
Draf II-b / III (Lothrop) frontal sinus drillout
Endoscopic orbital decompression for thyroid eye disease
CSF leak repair with free mucosal graft overlay technique
🏆 India Milestone
- First BrainLab-navigated endoscopic skull base procedure in Tamil Nadu private sector (2021)
03
Voice Clinic
+
Throat, Larynx & Voice
Microlaryngoscopy · CO₂ laser · Tonsillectomy · Thyroplasty
KG Hospital's dedicated voice clinic combines videostroboscopy for dynamic vocal fold assessment, narrow-band imaging (NBI) endoscopy for early cancer detection, and phonosurgery. Coblation tonsillectomy has replaced conventional diathermy as our default technique, offering significantly less post-operative pain and faster return to diet.
CO₂ laser cordectomy for T1a–T1b glottic cancer (organ preservation)
Injection laryngoplasty (office-based) for vocal fold paralysis
Botox injection for spasmodic dysphonia under EMG guidance
Tracheostomy and subglottic stenosis management
Zenker's diverticulum — endoscopic myotomy (Dohlman procedure)
04
DISE-Guided
+
Sleep Surgery (OSA)
DISE · UPPP · Tongue base reduction · Hyoid suspension
Our sleep surgery pathway begins with Drug-Induced Sleep Endoscopy (DISE) to identify and grade collapse at each anatomical level. VOTE classification guides single or multi-level intervention. For carefully selected patients, robotic tongue base resection (TORS) dramatically reduces morbidity compared to conventional tongue base reduction.
Uvulopalatopharyngoplasty (UPPP) — traditional and modified lateral pharyngoplasty
Expansion sphincter pharyngoplasty for lateral wall collapse
Coblation tongue base reduction
Hyoid suspension and genioglossal advancement
Robotic tongue base surgery (TORS) — scarless, faster recovery
🏆 India First
- First combined DISE-guided robotic UPPP + tongue base surgery for OSA in South India (2022)
05
Robotic Surgery
+
Head & Neck Oncology
TORS · Thyroidectomy · Neck dissection · Free flap reconstruction
Transoral Robotic Surgery (TORS) allows resection of oropharyngeal tumours through the mouth — no neck incision, reduced tracheostomy rates, faster swallowing recovery. Our remote-access robotic thyroidectomy (axillary approach) delivers a completely scar-free neck for suitable thyroid tumours. Intraoperative neural monitoring (NIM-3) protects the recurrent laryngeal nerve in every case.
TORS for T1–T2 oropharyngeal cancer with sentinel node biopsy
Robotic thyroidectomy — axillary and bilateral axillo-breast approach (BABA)
Total glossectomy with free flap (ALT/radial forearm) reconstruction
Selective, modified radical and radical neck dissection
Microvascular free tissue transfer — 99.2% flap success rate (2024)
