Department Of ENT

The ENT Department has come a long way since it was started in 2002. The department is actively involved in patient care, Under Graduate student teaching, Post Graduate student training and research.

Patient Care

Involves both outpatient and inpatient services on both elective and emergency basis.

Outpatient Servcies (OPD)

General ENT: Six days a week (Monday to Saturday)

Specialized clinics

  • Vertigo clinic: Monday
  • Otology Clinic: Tuesday
  • Rhinology Clinic: Wednesday
  • Laryngology and Head & Neck Clinic: Thursday
  • Audiology & Speech Clinic: Monday to Friday

Vertigo Clinic

Diagnosis and treatment of balance disorders and giddiness like Mennieres disease , positional vertigo, vestibular neuronitis, labyrinthitis .


Diagnosis and treatment of neuro-otological diseases like acute/ chronic otitis media ( ear discharge ) Otosclerosis, presbycusis (diseases of hearing ), facial nerve paralysis, vascular tumors of the ear and lateral skull like Glomus tumors, hearing loss evaluation – congenital & acquired), swellings and sinuses around the ear.


Diagnosis and treatment of rhinological diseases like acute and chronic sinusitis and its complications, CSF leak, evaluation and treatment of allergic rhinitis, evaluation and treatment of OSA(obstructive sleep apnoea), orbital decompression , dacrocystorhiniits ( watering of eye), nasal bleed ( epistaxis).

Laryngology and Head & Neck

Evaluation of throat disorders like tonsillitis, adenoiditis, benign and malignant thyroid swellings , other neck swellings like branchial cysts, thyroglossal cyst, swallowing disorders, Head and Neck malignancies.

Audiology & Speech

  • Sound protected Audiology room where following hearing tests done: Pure tone Audiometry, Tympanometry, BERA, OAE, VEMP
  • Universal Neonatal Hearing Screening, Tinnitus retraining therapy, auditory therapy.
  • Speech assessment and therapy, Functional endoscopic evaluation of swallowing (FEES), swallowing rehabilitation
  • Collaboration with CGRC (Child Guidance And Rehabilitation)Clinics
  • Neuro otological tests like VEMP

Minor OPD procedural services

Nasal endoscopy, Videolaryngoscopy (fibreoptic / rigid), microscopic or endoscopic examination of the ear ,fibreoptic laryngoscopic biopsy, ear lobe repair, removal of foreign body ear / nose/ throat /excision biopsies of minor lesions of head and neck, suturing of minor trauma, tracheostomy care.

Inpatient Services

Well equipped ward services with elective operative days three days week. (Tuesday ,Wednesday, Thursday)

Operation theatre

Keeping pace with the advances made in the field of ENT, the Operating room is very well equipped with advanced equipments such as Zeiss Sensera microscope, Leica microscope, HD camera with high definition monitors, nasal endoscopes and microdebrider and Coblator

Surgeries performed

  • EAR & LATERAL SKULL BASE : Tympanoplasty (endoscopic and microscopic), Myringotomy and Grommet (ventilation tube) insertion, Mastoidectomy, Microscopic facial nerve decompression / ossiculoplasty/ and closure perilymph fistula, surgeries for facial nerve.
  • NOSE< SINUSES AND ANTERIOR SKULL BASE : Endoscopic septoplasty, Endoscopic basic / extended sinus surgery , JNA surgery, tumors of the nose and sinuses -Modified Denkers, Caldwell Luc surgery, CSF rhinorrhoea repair / sphenopalatine artery ligation arterial ligation / pterygopalatine fossa surgery and dacrocysto-rhinostomy.
  • Neck : Microlaryngoscopy, Laryngeal biopsies, thyroplasty
  • FOOD AND AIRWAY : Bronchoscopy & oesophagoscopy with biopsies and foreign body removal, drainage of neck abscess.

Surgery for ENT malignancy: Laryngectomy, maxillectomy, Hemithyroidectomy/Total thyroidectomy, Neck dissection

Emergency Services

Emergency ENT services are available 24 hours a day, seven days a week.
Routine ENT emergency surgeries include reduction of fractured nasal bones, suturing laceration pinna / soft tissue head and neck, control of Epistaxis and Tracheostomy
Complex ENT emergency include Neonatal / Pediatric Bronchoscopy / Laryngoscopy, blunt laryngeal trauma with repair of fractured cartilages and penetrating neck injuries.

Student Teaching

The department is also actively involved in both undergraduate (MBBS) and postgraduate (MS ENT) University training program with regular theory, practical evaluation, Internal assessment tests and periodic formative assessment with student feedback. At both the UG and PG levels the teaching is innovative and highly interactive. UG teaching includes didactic lectures, clinical postings, observation of operative cases, skills training in virtual reality labs and skills lab and problem solving with integrated teaching sessions. Assessment and evaluation are formative as well as summative in nature. Doctor- Patient ethics (AETCOM) is being emphasized with exclusive hours given for senior clinicians to teach the students. Elective postings are given according to the students interest for wider exposure in treating and managing patients at early ears of medical school. Here they are involved in short projects to encourage and orient then towards research .Students are also encouraged to attend conferences and meetings in other institutions and showcase their talents in scientific presentation and publications.

PG teaching is largely exponential and supplemented with skills training in cadaver dissection labs , case discussion and audits, seminars and journals clubs. There are 3 PGs per year and they are actively supported and guided for dissertations, projects, publications and presentations. In addition, postgraduates training are in-service with the students taking on-call duties. They are sent for observation to institutes of national repute like Adyar Cancer Centre for exposure in oncologic management.


The department has many on going research both at postgraduate and faculty levels along with many publications every year in indexed and peer reviewed journals. The department research activities are founded on evidence based medicine (EBM) with enthusiastic participation in continuing medical education (CME).

List of publications from 2019 to 2023

1.Ponni S, Venkatesan SK R, Saxena SK, Suryanarayanan G. Primary laryngeal tuberculosis- changing trends and masquerading presentations: a retrospective study, Int J Otorhinolaryngol Head Neck Surg. 2019;5(3):634-638
2.Nalamate R, Cherian TA, Kurien M, Cherian MK. Relation of nasopharyngeal lymphoid tissue size and bacteriology in treatment of adult chronic rhinosinusitis with outpolyposis patients in a tertiary care hospital in south India. MedPulse International Journal of ENT. 2019;10(3):43-48
3.Rajprakash DY, Venkatesan SKR, Alisulthan AR, Aravindhan V, Mothilal KB. Management of secretoryotitis media: a prospective randomized study comparing medical management with early surgical intervention. Int J Otorhinolaryngol Head Neck Surg. 2019;5(4):883-887
4.Thomas RA, Rajareswari N, Kurien M, Rajakumar CM, Cherian MK. Recurrent chronic tonsillitis versus hypertrophied tonsils with obstructive symptoms: Comparative study of tonsillarcore culture. MedPulse International Journal of ENT. 2019;11(2)38-42
5.Thomas RM, Jamaldeen J, Kurien M, Divakaran S. Turbinectomy In Chronic Inferior Turbinate Hypertrophy- A Safe Surgical Alternative. MedPulse International Journal of ENT. 2019;12(2):70-74
6.Naik PP, Savery N, Kuruvilla L, Nayakar G, Raghul T. Longus Colli Tendinitis: The Lost Twin of Retropharyngeal Abscess. Indian J Otolaryngol Head Neck Surg. 2019;71(1):771-775

1. Naina P, Apar Pokharel, Kamran Asif Syed, Mary John, Ajoy Mathew Varghese, Mary Kurien. Chronic otitis media in Children – Mucosal type: A Three Point Assessment Protocol For Tympanoplasty Outcomes. Int Arch Otorhinolaryngol 2020 Oct;24(4): 438-e443. doi: 10.1055/s-0039-3402432. Epub 2020 Feb 27.
2. Vikram Raj Mohanam TC, Glynis Florence Francis, Lakshana Deve VM, Mary Kurien, Anand Mohanraj. Isolated Schwannoma of Maxillary sinus: A Rare Occurrence. International Journal of Otorhinolaryngology and Head and Neck Surgery. Vol. 6 (12) December 2020. DOI:

1.Rajarajeswari Nalamate, Jishana J, Mary Kurien, Mamie Zachariah, Sajeiv Koshy. Preoperative Systemic Tranexamic Acid in Tonsillectomy and Adeno- tonsillectomy: A Relevant Underrated Outcome Bengal Journal of Otolaryngology and Head Neck Surgery(BJOHNS); Dec. 2021 Vol. 29 No. 3: 251-8
2.Divakaran S, Rajendran S, Thomas RM, Jacob J, Kurien M. Laryngopharyngeal Reflux: Symptoms, Signs, and Presence of Pepsin in Saliva - A Reliable Diagnostic Triad. Int Arch Otorhinolaryngol. 2021 Apr;25(2):e273-e278. doi: 10.1055/s-0040-1709987. Epub 2020 Jun 30. PMID: 33968232; PMCID: PMC8096499.
3.Tyagi AK, Kurien M, Irodi A, Varghese AM, Holla SJ, Thomas R. Meet the Lacrimal Sac: Endoscopic Surgeons' Road Map. Indian J Otolaryngol Head Neck Surg. 2021 Mar;73(1):18-24. doi: 10.1007/s12070-020-01848-3. Epub 2020 Apr 8. PMID: 33643880; PMCID: PMC7881951.
4. Lakshanandev VM, Vikram Raj Mohanam TC, Nishant Savery, Mary Kurien. Chronic Otitis media (Squamous disease): Clinical Predictors for hearing outcome. Bengal Journal of Otolaryngology and Head and Neck Surgery (BJOHS). Dec. 2021; Vol 29, No 3: 224-30 DOI:

1.Jacob J, Kurien M, Sindhusha, Kumar P, Krishnan L. Challenges of Universal Newborn Hearing Screening in a Developing Country-a Double-Edged Sword. Indian J Otolaryngol Head Neck Surg. 2022 Aug;74(Suppl 1):395-401. doi: 10.1007/s12070-020-02170-8. Epub 2020 Sep 28. PMID: 36032816; PMCID: PMC9411324.
2.Sakthignanavel A, Poduval J, Kurien M. Otological Manifestations in Head Injury: Experience from a Tertiary Academic Centre. Indian J Otolaryngol Head Neck Surg. 2022 Aug; 74 (Suppl 1):495-500. doi: 10.1007/s12070-020-02354-2. Epub 2021 Jan 7. PMID: 36032930; PMCID: PMC9411389.
3.Rajarajeswari N, Kurien M, Kumar S, Jacob J, Arthy RG, Bhat V. Bilateral Puffy Orbits in a toddler: Therapeutic Challenges. Indian J Otolaryngol Head Neck Surg. 2022 Dec;74(Suppl 3):4549-4551. doi: 10.1007/s12070-021-02579-9. Epub 2021 Apr 27. PMID: 36742782; PMCID: PMC9895624.
4.Sivaranjini V, Vikram Raj Mohanan TC, Mary Kurien, Lalitha Krishnan. Congenital Laryngeal Stridor- Double Trouble. Int J Otorhinolaryngol Head Neck Surg. 2022 Mar;8 (3):267-269. DOI :
5.Jose P, Ganesh SS, Deve L, Kurien M. Childhood gastroesophageal reflux disease with laryngopharyngeal reflux and association of psychosocial risk factors. J Curr Res Sci Med 2022:8:203-5
6.Divya Mohan, Rajarajeswari Nalamate, Tambi A Cherian, Meenu Khurana Cherian, Shashikala Nair. Pathogenic Microbiological Flora In Middle Ear Mucosa Of Chronic Otitis Media Inactive Mucosal Disease: Relevance In Surgical Outcome Of Tympanoplasty: A Pilot Study. European Journal of Molecular & Clinical Medicine.ISSN 2515-8260. Volume 09, Issue 06, 2022
7.VM Lakshana Deve, R Sithananda Kumar @Venkatesan, TC Vikram Raj Mohanam, RG Arthy, Jayapriya Djamboulingam, Mary Kurien. Pyogenic Granuloma of the Lower Airway- A Systematic Review. Journal of Clinical and Diagnostic Research (JCDR), 2022 June:16(6): pp MEO1-MEO8 DOI:
8. TC Vikram Raj, Sithananda Kumar, VM Lakshanadeve, Raghul T, Mary Kurien, E Arthi, B Gayathri Priyadarshini. Primary Laryngeal Aspergillosis in the Immunocompetent Patients” BJOHNS (Bengal Journal of Otolaryngology and Head Neck Surgery. Volume 30, No. 1, April 2022, pp 117-123.
9.Shivnani, D., Raman, E.V., Kurien, M. et al. Surgical Candidacy for Management of Laryngomalacia: A Proposed Scoring System. Indian J Otolaryngol Head Neck Surg (2022).

1.Jishana J, RajarajeswariNalamate, Mary Kurien, Aneesh Basheer, Rose. . Otolaryngologists’ Initiative for Collaborative Tracheostomy Care: Knowledge, Attitude and Skill in Tracheostomy Care Among Nurses - An Interventional Study from India. Accepted in Indian Journal of Otolaryngology and Head & Neck Surgery on March 6th 2023 (In press.)
2.Naik PP, Lakshanadeve VM, Kurien M, Thomas K. Adenoidectomy: Anatomical Versus Clinical Success. Indian J Otolaryngol Head Neck Surg. 2023 Dec;75(4):3481-3486. doi: 10.1007/s12070-023-03992-y. Epub 2023 Jun 30. PMID: 37974787; PMCID: PMC10645738.
3.Nalamate, Rajarajeswari& J, Jishana& Kurien, Mary & Koshy, Sajeiv& Zachariah, Mamie. (2022). Preoperative Systemic Tranexamic Acid in Tonsillectomy and Adeno-tonsillectomy: A Relevant Underrated Outcome. Bengal Journal of Otolaryngology and Head Neck Surgery. 29. 251-258. 10.47210/bjohns.2021.v29i3.560.
4.D Jayapriya; T.C. Vikram Raj Mohanam; Mary Kurien; Nishanth Savery; RajarajeswariNalamate; Kalaiarasan S; JishanaJamaldeen; Sithananda Kumar @ Venkatesan; VM Lakshana Deve SURGICAL INTERVENTION IN ALLERGIC RHINITIS: STUFFY VERSUS SNEEZY RUNNY NOSE. Accepted in Indian journal of otorhinolaryngology and Head & Neck surgery on November 23rd 2023 (in press)
5.Saranya Thangavel, Charisha David, Magesh Kuppusami, RajarajeswariNalamate, Manjari Phansalkar, Mary Kurien: Eclipsed sunray in the tonsil: mystery unfolded. International Journal of Otorhinolaryngology and head and neck surgery: Vol. 9 No. 10(2023): October 2023






DR. Roshan Thomas,  Post Graduate from the Department of ENT



Dr. Arulmozhi , Post Graduate from the Department of ENT



Dr. Jayapriya , Post Graduate from the Department of ENT



Dr. Sivaranjini , Post Graduate from the Department of ENT





Conferences  / workshops



Dr. Gadha Gopan , Post Graduate from the Department of ENT

Gold Medal-Eposters

TNAOI  silver jubilee & 18th south zone AOI conclave 2023




Dr. Rajarajeswari N, Asso. Professor

Best Paper 2020(Faculty)

Scientific society, PIMS-12.01.2021



Dr. Rajarajeswari N, Asso. Professor

Dr. Lakshana Deve,

Anusuya D

Deepshikha K

First Prize -

Bioethics Quiz -19.2.2019, PIMS

Respect for cultural Diversity 



Dr. Arulmozhi , Post Graduate from the Department of ENT

Dr. C. N. Raja Medal for Poster Presentation

SAARAL 2018 , AOI Tirunelveli Branch, Courtallam, Tirunelveli from 31st August to 2nd September 2018.



Dr. Jaise Jacob, Post Graduate from the Department of ENT

1st Prize in Paper Presentation

Association of Otolaryngologists of India, Kottayam from 2nd and 3rd June 2018.



Dr.Jaise Jacob- PG resident in ENT

First prize for a research paper presentation

Conference conducted by the Association of Otolaryngologists of India (AOI), Kerala state branch (Kottayam) on 02.06.2018.

Meet Our Doctors