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- Name of Department: Department of ENT – Head & Neck Surgery (ENT-HNS)
- Name of Head of Department: Prof. Pabina Rayamajhi
- Department Introduction:
Department of ENT – Head and Neck surgery specializes in diagnosis and treatment of the diseases related to ear, nose and throat as well as voice and swallowing disorders. This also includes all the benign and malignant conditions of head and neck. Faculties are trained faculties in each sub-specialty accordingly. By using the latest technology, ENT-Head and Surgery department has been providing the best treatment at affordable price ensuring the highest standard. There is a fully functioning separate physical infrastructure under the name of Ganesh Man Singh memorial ENT building where there is ENT OPD, Ward and dedicated OT for emergency and elective cases. ENT-Head and Neck surgery department started postgraduate MS training program from 1996 BS and BASLP program since 2009 BS. The department has 5 different specialized units and is only institution in Nepal to do so.
Unit I: Otology, Neurotology and Lateral Skull Base Surgery
Unit II: Head, Neck and Reconstructive Surgery
Unit III: Pediatric ENT and Airway surgery and
Unit IV: Rhinology, Allergy and Anterior Skull Base Surgery
Unit V: Audiology and Speech Language Pathology
Each unit follows monthly schedule that includes morning classes, rounds, OPDs, lectures, special clinics, OTs, on call duties and exams for the residents. Every unit is involved in various workshops organized on yearly basis. All faculty members are actively involved in research activities. Monthly departmental meeting is held where all members gather and discuss the activities, progress made and the areas for future improvements.
- Department faculties:
| S.N. | Full Name | Designation | Unit |
| ENT-HNS Faculties | |||
| 1. | Prof. Bibhu Pradhan | Professor | Unit IV |
| 2. | Prof. Narmaya Thapa | Professor | Unit IV |
| 3. | Prof. Pabina Rayamajhi | Professor | Unit I |
| 4. | Dr. Rabindra B. Pradhananga | Assoc. Professor | Unit I |
| 5. | Dr. Urmila Gurung | Assoc. Professor | Unit IV |
| 6. | Dr. Kunjan Acharya | Assoc. Professor | Unit II |
| 7. | Dr. Heempali Dutta | Assoc. Professor | Unit III |
| 8. | Dr. Yogesh Neupane | Assoc. Professor | Unit III |
| 9. | Dr. Prashant Tripathi | Asst. Professor | Unit II |
| 10. | Dr. Kripa Dongol | Asst. Professor | Unit I |
| 11. | Dr. Bigyan Raj Gyawali | Asst. Professor | Unit III |
| 12. | Dr. Sajish Khadgi | Asst. Professor | Unit II |
| 13. | Dr. Ushant Acharya | Asst. Professor | Unit I |
| 14. | Dr. Anuj Devkota | Asst. Professor | Unit II |
| 15. | Dr. Ganesh Bdr Chalise | Asst. Professor | Unit IV |
| Audiology and Speech-Language Pathology Unit | |||
| 16. | Kabiraj Khanal | Senior Audiologist and Speech Pathologist | Unit V |
| 17. | Sushmita Shrestha | Assoc. Professor | Unit V |
| 18. | Subash Chandra Jha | Audiologist and Speech Pathologist | Unit V |
| 19. | Prabha Dawadee | Asst. Professor | Unit V |
| 20. | Anil Adhikary | Asst. Professor | Unit V |
| 21. | Shashish Ghimire | Asst. Professor | Unit V |
- Schedule
1. OPD Schedule
| Days | 9:00 – 13:00 | 14:00 – 16:00 | 14:00 – 16:00 |
| Sunday | New patients OPD Otology OPD (Unit I) | New patients OPD (Unit I) | Voice Clinic (Unit II & V) |
| Monday | New patients Rhinology OPD (Unit IV) | Research Activities and Grand Round | Rhinology and Anterior Skull Base Clinic (Unit IV) |
| Tuesday | New patients OPD Head & Neck and Pediatric ENT OPD (Unit II & III) | New patients OPD (Unit II) | Pediatric ENT Clinic (Unit III) |
| Wednesday | New patients OPD Otology OPD (Unit I) | New patients OPD (Unit IV) | Ear, Lateral Skull Base and Vertigo Clinic (Unit I) |
| Thursday | New patients OPD Pediatric ENT OPD (Unit III) | New patients OPD (Unit III) | Tumor Clinic (Unit II) |
| Friday | New patients OPD Head & Neck and Rhinology OPD (Unit II & IV) | OPD Cleaning |
2. OPD Days of Faculties
| S.N. | Full Name | New OPD | Follow up OPD |
| ENT-HNS Faculties | |||
| 1. | Prof. Bibhu Pradhan | Wednesday | Monday |
| 2. | Prof. Narmaya Thapa | Monday | Friday |
| 3. | Prof. Pabina Rayamajhi | Sunday | Wednesday |
| 4. | Dr. Rabindra B. Pradhananga | Wednesday | Sunday |
| 5. | Dr. Urmila Gurung | Wednesday | Monday |
| 6. | Dr. Kunjan Acharya | Friday | Tuesday |
| 7. | Dr. Heempali Dutta | Tuesday | Thursday |
| 8. | Dr. Yogesh Neupane | Thursday | Tuesday |
| 9. | Dr. Prashant Tripathi | Tuesday | Friday |
| 10. | Dr. Kripa Dongol | Wednesday | Sunday |
| 11. | Dr. Bigyan Raj Gyawali | Thursday | Tuesday |
| 12. | Dr. Sajish Khadgi | Tuesday | Friday |
| 13. | Dr. Ushant Acharya | Sunday | Wednesday |
| 14. | Dr. Anuj Devkota | Friday | Tuesday |
| 15. | Dr. Ganesh Bdr Chalise | Friday | Tuesday |
| Audiology and Speech-Language Pathology Unit | |||
| 16. | Kabiraj Khanal | Sunday to Friday | Sunday to Friday |
| 17. | Sushmita Shrestha | Sunday to Friday | Sunday to Friday |
| 18. | Subash Chandra Jha | Sunday to Friday | Sunday to Friday |
| 19. | Prabha Dawadee | Sunday to Friday | Sunday to Friday |
| 20. | Anil Adhikary | Sunday to Friday | Sunday to Friday |
| 21. | Shashish Ghimire | Sunday to Friday | Sunday to Friday |
3. Rounds and Class Schedule
| Sunday | Unit IV (Rhinology, Allergy and Anterior Skull Base Surgery) |
| Monday | Unit III (Pediatric ENT and Airway surgery) |
| Tuesday | Unit I (Otology, Neurotology and Lateral Skull Base Surgery) |
| Wednesday | Unit IV (Rhinology, Allergy and Anterior Skull Base Surgery) |
| Thursday | Unit II (Head, Neck and Reconstructive Surgery) |
| Friday | Unit III (Pediatric ENT and Airway Surgery) |
4. OT Schedule
| Sunday | Unit III (Pediatric ENT and Airway Surgery) |
| Monday | Unit I (Otology, Neurotology and Lateral Skull Base Surgery) |
| Tuesday | Unit IV (Rhinology, Allergy and Anterior Skull Base Surgery) |
| Wednesday | Unit II (Head, Neck and Reconstructive Surgery) |
| Thursday | All four units on rotational basis |
| Friday |
F. List of hospital clinical services provided and Number of patients served/treated (in 2080 BS)
- Total OPD patient visits: 85436 (Monthly average: 6728)
- Total OPD procedures: 9442
- Total cases in special clinic: 444
- Total vestibular tests: 59
- Total audiological evaluation: 17777
- Total speech and language therapy: 4267
- Total ward admission: 2113 (Average bed occupancy: 77%)
- Total emergency cases attended: 1684
- Total surgeries performed: 2204
G. Achievements/Grants/Awards received by faculties/department (last 1 year only)
- MMC Grant
- Dr. Kunjan Acharya (Role of b values in Diffusion Weighted Magnetic Resonance Imaging in evaluation of Head and Neck tumors)
- Dr. Kripa Dongol (Mainstream school enrollment and communication mode in children with cochlear implant)
- Dr. Kripa Dongol (Intratemporal anatomical study of facial nerve in cadaveric bone in Nepal)
- NHRC Grant
- Dr. Urmila Gurung (Factors affecting correct technique and compliance of intranasal corticosteroid spray usage in patients with allergic rhinitis)
Doctors
Prof. Bibhu Pradhan
Professor
Prof. Narmaya Thapa
Professor
Prof. Pabina Rayamajhi
Professor,HOD
Dr. Rabindra B. Pradhananga
Associate Professor
Dr. Urmila Gurung
Associate Professor
Dr. Kunjan Acharya
Associate Professor
Dr. Heempali Dutta
Associate Professor
Dr. Yogesh Neupane
Associate Professor
Dr. Prashant Tripathi
Assistant Professor
Dr. Kripa Dongol
Assistant Professor
Dr. Bigyan Raj Gyawali
Assistant Professor
Dr. Sajish Khadgi
Assistant Professor
Dr. Ushant Acharya
Assistant Professor
Dr. Anuj Devkota
Assistant Professor
Dr. Ganesh Bdr Chalise
Assistant Professor
Kabiraj Khanal
Senior Audiologist and Speech Pathologist
Sushmita Shrestha
Associate Professor
Subash Chandra Jha
Audiologist and Speech Pathologist
Prabha Dawadee
Associate Professor
Anil Adhikary
Associate Professor
Shashish Ghimire
Assistant Professor
Academic programs and students educated/trained each year
| Level | S.N. | Program name |
| Bachelor | 1 | MBBS |
| 2 | BASLP | |
| 3 | BPH | |
| Masters | 1 | MS ENT-HNS |
Training/Workshops/Conferences conducted by department (last 1 year only)
- 13th Hands-on Cadaveric Head & Neck Dissection Workshop (19th and 20th December 2024)
- 1st Multi-disciplinary Pediatric Otolaryngology Symposium and 7th Hands-on Pediatric Airway Surgery Workshop (3rd and 4th Jan 2025)
- 31st and 32nd Nepal Temporal Bone Dissection Workshop (22nd to 24th January 2025 and 29th to 31st January 2025)
- 13th Hands-on cadaveric Endoscopic Sinus Surgery and Anterior Skull Base Surgery Workshop (16th to 18th February 2025)
Research activities of the faculties/department
- Mainstream school enrollment and communication mode in children with cochlear implant
(Dr. Kripa Dongol, Prof. Pabina Rayamajhi Dr. Rabindra Bhakta Pradhananga)
- Intratemporal anatomical study of facial nerve in cadaveric bone in Nepal (Dr. Kripa Dongol,
Dr. Ushant Acharya, Prof. Pabina Rayamajhi, Dr. Rabindra Bhakta Pradhananga, Dr. Urmila
Gurung Prof. Narmaya Thapa)
- Role of High-Resolution Computed Tomography in the diagnosis of Otosclerosis (Dr. Kripa
Dongol, Prof. Pabina Rayamajhi, Dr. Rabindra Bhakta Pradhananga, Dr. Sundar Suwal)
- Comparison of intraoperative bleeding during bilateral endoscopic sinus surgery with or
without pterygopalatine fossa block (Dr. Urmila Gurung. Dr. Kapil Shahi, Prof. Bibhu Pradhan,
Dr. Sajish Khadgi)
- Endoscopic sphenopalatine artery cauterizatıon under local anesthesia for posterior epistaxis:
A prospective, cohort study of its- tolerability and efficacy. (Dr. Urmila Gurung, Dr. Narmaya
Thapa, Dr. Sajish Khadgi)
- Factors affecting correct technique and compliance of intranasal corticosteroid spray usage in patients with allergic rhinitis (Dr. Urmila Gurung)
- Patients’ perspectives on smartphone-based clinical photography in resource-constrained
settings (Dr. Urmila Gurung)
- Topical use of autologous platelet-rich fibrin in myringoplasty (Dr. Ushant Acharya, Dr. Kripa Dongol, Dr. Pabina Rayamajhi, Dr. Rabindra Bhakta Pradhananga)
- Variations of intra-tympanic facial nerve course in stapes surgery (Dr. Sajish Khadgi, Dr. Kripa Dongol)
- Clinical profile and surgical management of vascular tumors in nose and paranasal sinus at tertiary centre in Nepal (Dr. Anuj Devkota, Prof. Narmaya Thapa)
- Improvement of tinnitus following stapes surgery in otosclerosis patients (Dr. Ushant Acharya, Dr. Kripa Dongol)
Number of publications by faculties/department (last 1 year only)
- Paudel S, Regmi PR, Kayastha P, Katuwal S, Ghimire P, Shrestha S, Gurung U. Imaging spectrum in rhino orbito-cerebral mucormycosis: a cross- sectional study. Annals of Medicine and Surgery 2023 Oct 1:85(10):4773-9.
- Bathwal R, Dongol K, Dutta H, Neupane Y. Tracheostomy among Children Admitted in the Pediatric Intensive Care Unit of a Tertiary Care Centre. JNMA: J Nepal Med Assoc 2023:61(267):852.
- Tripathi P, Gurung U, Baidya S, Thapa N. Changes in Clinical Practice amongst Nepalese Otolaryngologists during COVID-19 Pandemic. Kathmandu University Medical Joural.2022;79(3):284-289
- Adisa A, Bahrami-Hessari M, Bhangu A, George C, Ghosh D, Glasbey J, Haque P, Ingabire JC, Kamarajah SK, Kudma L, Ledda V…. Tripathi P. Reducing the environmental impact of surgery on a global seale: systematic review and co-prioritization with healtheare workers in 132 countries. British Journal of Surgery. 2023
- Tripathi P, Acharya K, Shrivastav S, Gyawali BR. Diagnostic Accuracy of Fine Needle Aspiration Cytology as Compared to Histopathology isParotid Gland Swelling. J Nepal Health Res Counc. 2023 Oct.-Dec.; 21(61):610-15
- Gyawali et al., A radiological study on anatomical variations of frontal sinus and its drainage pathway in a Nepalese adult populaton. Rhinology online
- Gyawali BR, Kharel S, Giri S, Ghimire A, Prabhu P., Impact of Otitis Media with Effusion in Early Age on Auditory Processing Abilities in Children: A Systematic Review and Meta-Analysis,. Ear Nose Throat J. 2024 Apr.
- Gyawali et al., Effect of topical nasal steroids on intra-ocular pressure in a Nepalese population: A tertiary hospital based prospective observational study. Rhinology online
- Gurung U, Bathwal R. Idiopathic Nasal Septal Mucocele: A Case Report. Journal of Otorhinolaryngology and Facial Plastic Surgery. 2024;10(1):1-5.
- Ghising R, Dongol K, Suwal S. Internal auditory canal duplication with facial and cochlear nerve dysfunction: A casê report. SAGE Open Medical Case Reports. 2023 Dec;11.
- Acharya U, Dongol K, Pradhananga RB. IgG4-Related Disease Involving the Ear: A Case Report. Turk Arch Otorhinolaryngol; doi:10.4274/tao.2024.2023-10-12