1. Name of Department: Department of ENT – Head & Neck Surgery (ENT-HNS)

2. Name of Head of Department: Prof. Pabina Rayamajhi

3. 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.

4. 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

5. 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
	Prof. Bibhu Pradhan	Wednesday	Monday
	Prof. Narmaya Thapa	Monday	Friday
	Prof. Pabina Rayamajhi	Sunday	Wednesday
	Dr. Rabindra B. Pradhananga	Wednesday	Sunday
	Dr. Urmila Gurung	Wednesday	Monday
	Dr. Kunjan Acharya	Friday	Tuesday
	Dr. Heempali Dutta	Tuesday	Thursday
	Dr. Yogesh Neupane	Thursday	Tuesday
	Dr. Prashant Tripathi	Tuesday	Friday
	Dr. Kripa Dongol	Wednesday	Sunday
	Dr. Bigyan Raj Gyawali	Thursday	Tuesday
	Dr. Sajish Khadgi	Tuesday	Friday
	Dr. Ushant Acharya	Sunday	Wednesday
	Dr. Anuj Devkota	Friday	Tuesday
	Dr. Ganesh Bdr Chalise	Friday	Tuesday
Audiology and Speech-Language Pathology Unit
	Kabiraj Khanal	Sunday to Friday	Sunday to Friday
	Sushmita Shrestha	Sunday to Friday	Sunday to Friday
	Subash Chandra Jha	Sunday to Friday	Sunday to Friday
	Prabha Dawadee	Sunday to Friday	Sunday to Friday
	Anil Adhikary	Sunday to Friday	Sunday to Friday
	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

6. Academic programs and students educated/trained each year

Level	S.N.	Program name
Bachelor		MBBS
		BASLP
		BPH
Masters		MS ENT-HNS

7. 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

8. 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)

9. 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

10. Training/Workshops/Conferences conducted by department (last 1 year only)

• 13^th Hands-on Cadaveric Head & Neck Dissection Workshop (19^th and 20^th December 2024)
• 1^st Multi-disciplinary Pediatric Otolaryngology Symposium and 7^th Hands-on Pediatric Airway Surgery Workshop (3^rd and 4^th Jan 2025)
• 31^st and 32^nd Nepal Temporal Bone Dissection Workshop (22^nd to 24^th January 2025 and 29^th to 31^st January 2025)
• 13^th Hands-on cadaveric Endoscopic Sinus Surgery and Anterior Skull Base Surgery Workshop (16^th to 18^th February 2025)

11. 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)