Frequently Asked Questions

ENT Care FAQ's

Ear-Related Questions

Q: Why do my ears feel blocked or full?

Ear fullness can be caused by earwax build up, Eustachian tube dysfunction, fluid in the middle ear, allergies, or sinus infections. If it persists for more than a few days or is accompanied by pain or hearing loss, consult an ENT specialist.

Q: Is it safe to use cotton swabs to clean my ears?

No. Cotton swabs can push wax deeper into the ear canal, potentially causing impaction or even damaging the eardrum, thereby causing bleeding from the ear and hearing loss. The ears are self-cleaning; they trap the debris, dust, and germs collected in the external ear and expel it as thin liquid wax. But if you feel like wax is stuck, see an ENT doctor for safe removal.

Q: What causes ringing in the ears (tinnitus)?

Tinnitus is a symptom, not a disease itself, and is seen in noise-induced hearing loss, ear infections, age-related (sensorineural) hearing loss, uncontrolled hypertension, certain medications, or underlying health conditions. An ENT evaluation can help identify the cause and treatment options.

Q: When should I be concerned about ear pain?

Seek medical attention if ear pain persists for more than 2-3 days, is accompanied by fever, hearing loss, discharge, or dizziness, or follows a head injury. Never use ear drops from a nearby pharmacy without an ENT doctor's prescription.

Nose and Sinus Questions

Q: How can I tell if I have a sinus infection or just a cold?

Colds are viral or bacterial infections of the nasal mucosa and typically improve within 7-10 days. If the infection extends to the sinuses, it will cause Sinusitis, and symptoms are facial pain/pressure, thick nasal discharge, and congestion. These also usually relieve in 2 weeks, but if the infection in the sinuses lasts beyond 2-3 weeks or worsens after initial improvement, it suggests chronic sinusitis and requires an ENT doctor's evaluation for long-term relief.

Q: What causes frequent nosebleeds?

Common causes include dry air, nose picking, allergies, blood-thinning medications, high blood pressure, or structural issues like a deviated septum. Most nosebleeds are minor, but frequent or heavy bleeding warrants an ENT consultation.

Q: Do I need surgery for a deviated septum?

Not always. Surgery (septoplasty) is recommended when a deviated septum causes significant nasal blockage problems, chronic sinusitis, or sleep disturbances that don't respond to conservative medical treatment.

Q: Are nasal sprays safe for long-term use?

Steroid nasal sprays prescribed by doctors are generally safe for long-term use. However, decongestant sprays (common over-the-counter products like oxymetazoline (Nasivion, Otrivin)) should not be used for more than 3-5 days as they can cause rebound congestion.

Throat-Related Questions

Q: When should tonsils be surgically removed?

Tonsils are normal lymphoid tissue in the oropharynx. If they are frequently infected causing discomfort, painful swallowing, snoring, or obstructive sleep apnea, a tonsillectomy is considered. For surgical consideration, an ENT doctor will evaluate the frequency of recurrent tonsillitis (e.g., 7+ episodes in one year, 5+ per year for two years, or 3+ per year for three years).

Q: What causes chronic sore throat?

Chronic sore throat can result from acid reflux (GERD), postnasal drip, allergies, chronic tonsillitis, smoking, dry air, or voice strain. Persistent symptoms beyond 2 weeks should be evaluated by an ENT specialist.

Q: Is snoring dangerous?

Occasional snoring during a cold and cough is usually harmless, but loud, chronic snoring with breathing pauses may indicate obstructive sleep apnea, which increases the risk of heart disease, stroke, uncontrolled hypertension, non-responding obesity, and daytime sleepiness or fatigue. Latest and advanced treatments are available for snoring; please consult an ENT specialist expert in treating snoring. We at our center have advanced equipment to deal with such cases.

Q: How can I prevent voice problems?

Most voice problems can be prevented by staying hydrated, avoiding smoking, limiting alcohol and caffeine, not straining your voice, using proper speaking techniques, and treating acid reflux. If hoarseness persists beyond 2 weeks, consult an ENT specialist at the earliest. Smoking is a primary cause of throat cancer and gut cancer causing change of voice.

General ENT Questions

Q: What are the signs of hearing loss?

Difficulty understanding conversations (especially in noisy environments), frequently asking people to repeat themselves, turning up TV/radio volume, ringing in ears, or muffled hearing. Never postpone if there is suspicion of a hearing problem; consult an ENT specialist immediately as delay can result in profound hearing loss.

Q: Can allergies affect my ears and throat?

Yes. Allergies can cause Eustachian tube dysfunction (ear fullness/pressure), postnasal drip (throat irritation), and increase susceptibility to ear and sinus infections. Eustachian tubes are normal structures connecting the nose and throat to the ears on both sides.

Q: When should I see an ENT specialist instead of my primary care doctor?

It is always better to meet a specialist for the best treatment. In case of non-availability of an ENT doctor in your area, consult a General Physician for primary care. However, if symptoms are persistent (lasting 2+ weeks), involve recurrent infections, hearing loss, chronic dizziness, difficulty swallowing, or voice changes, consult an ENT specialist for expert management.

Q: Are antibiotics always needed for ear or sinus infections?

No. Many ear and sinus infections are viral and resolve on their own. Antibiotics are only effective for bacterial infections and are prescribed based on symptom severity, duration, and examination findings. Never use antibiotics without a doctor's prescription; it causes antibiotic resistance and fungal infections.

ENT Surgical Procedures: Patient FAQs

Endoscopic Sinus Surgery (FESS)

Q: What is Endoscopic Sinus Surgery?

Functional Endoscopic Sinus Surgery (FESS) is a minimally invasive procedure that uses a small camera (endoscope) to open blocked sinuses, improve drainage, and relieve chronic sinusitis symptoms. There won’t be any external scar and cosmetically good for routine cases as we pass endoscope through nostrils during surgery.

Q: Why is it done?

It is performed for chronic sinus infections, nasal polyps, fungal sinus infections, endoscopic septoplasty for deviated septum, adenoidectomy, tumours of nose etc.,

Q: How is the surgery performed?

In the recent advanced era, well trained ENT surgeon inserts an endoscope and other surgical instruments through the nostrils during the procedure to operate, so there won’t be external cuts and cosmetically good outcome. Depending upon the procedure and disease the surgery can be performed under local or general anesthesia.

Q: What is the recovery time?

Most patients completely recover within 1–2 weeks. Nasal congestion and cold symptoms are common for a few days, but you can do simple household chores like cooking, which doesn’t cause excessive strain, desktop job from the very next day of surgery as most of these are day care surgeries.

Q: Are there any precautions after surgery?

Avoid blowing the nose, strenuous activity, and dusty environments for at least a week. Use saline nasal sprays and medications as advised. Drink plenty of water and food rich in fruits and vegetables to avoid constipation, as straining may cause nasal bleeding. Avoid picking crusts as well, frequently to avoid infections. You can take regular bath daily.

Coblation Tonsillectomy

Q: What is Coblation Tonsillectomy?

Coblation tonsillectomy uses latest advanced radiofrequency controlled plasma technology to remove tonsils at lower temperatures, reducing pain and tissue damage compared to high temperature cautery methods and there is advantage of very minimal bleed or need bleed compared to traditional methods of tonsillectomy.

Q: Why is it recommended?

It is done for recurrent tonsillitis hindering growth of kids or frequent sick leaves in adults disturbing daily routines frequently , or enlarged tonsils causing snoring or sleep apnea, or difficulty swallowing food or some times as part of UPPP procedure or STYLE’s syndrome management.

Q: What are the benefits of coblation?

Less pain and minimal bleeding compared to traditional methods, faster healing, using latest advanced radio frequency plasma technology coablation wands. This is especially useful in people suffering from Anemia, coagulation abnormalities who need tonsillectomy.

Q: How long is the recovery?

Most patients recover in 7–10 days. Mild throat pain and ear discomfort are common during healing.

Q: What care is needed after surgery?

Drink plenty of fluids, eat soft foods, avoid spicy or hot items, and take prescribed pain medication timely. Mouth wash and gargling are must to avoid secondary infection.

Adenoidectomy

Q: What is an Adenoidectomy?

It is the surgical removal of enlarged adenoids located behind the nose, often performed in children. In the advanced era this is performed by using either Microdebrider or coablation techniques to give the best avoid recurrence or regrowth of adenoids.

Q: Why is it done?

To treat nasal obstruction, mouth breathing, snoring, recurrent ear infections, or sinus problems in case of hypertrophied adenoids causing chronic infections and Eustachian tube dysfunction.

Q: How is it performed?

In the advanced era this is performed by using either Microdebrider or coablation techniques to give the best avoid recurrence or regrowth of adenoids. This is done under General anesthesia or in adults sometimes can be done under local anesthesia.

Q: What is the recovery period?

Recovery takes about 5–7 days. Mild nasal congestion or snoring may persist temporarily.

Q: Are there any restrictions after surgery?

Avoid strenuous activity for a week and follow a soft diet for a few days. Not to blow nose after Surgery after 10 days. Drink plenty of water, it prevents crusting and dryness of nose and use medication as advised for good healing. Can do simple household chores and desk top job immediately after surgery, but for kids , it is advised to rest for 5-7 days from school.

Nasal Polyp Removal Using Microdebrider

Q: What is a Microdebrider Polypectomy?

It is a minimally invasive procedure using a powered instrument (microdebrider) to precisely remove nasal polyps and diseased tissue. It is an advanced cutting edge technology precisely shaves off only the diseased tissue, saving normal tissue, and ensures faster healing in the hands of expert surgeons.

Q: Why is it needed?

Nasal polyps in most of the patients are associated with chronic Rhinosinusitis causing symptoms of severe nasal block, loss of smell , headache, watery discharge from nostrils there by suffering in daily routine tasks especially disturbed sleep and fatigue. Polypectomy is done with shaver and advanced latest FESS surgery provides excellent results post surgery and improves quality of life.

Q: How is it done?

The microdebrider is inserted through the nostrils under endoscopic guidance to shave off polyps without external incisions.

Q: What is the recovery time?

Most patients recover in 1–2 weeks. Nasal stuffiness and mild bleeding are common initially. Follow ups with consultant for endoscopy and regular nasal sprays and medication help comfortable and fast recovery.

Q: What care is required after surgery?

Regular saline nasal washes, timely medication as prescribed by doctor, avoiding nose blowing, drinking plenty of water, food rich in fruits and vegetables and follow up with doctors for cleaning and medication.

Mastoidectomy

Q: What is a Mastoidectomy?

It is a surgical procedure to remove infected or diseased mastoid bone behind the ear, often due to chronic ear infections or cholesteatoma. It is mostly done along with tympanaoplasty surgery for eardrum hole repair.

Q: Why is it performed?

To eliminate infection in the mastoid bone , prevent complications (spreading to brain or nerves), and improve success rate of tympanoplasty (ear drum hole repair) surgery.

Q: How is it done?

The surgeon makes an incision behind the ear and removes the infected bone and tissue using drills under a microscope/endoscope.

Q: What is the recovery period?

Healing takes 2–4 weeks. Some ear discharge or mild dizziness may occur initially.

Q: What precautions should be taken after surgery?

Keep the ear dry, avoid heavy lifting, attend follow-up visits for ear cleaning and dressing changes, take medication as advised, avoid blowing nose, and catching cold for 2-3 months for best healing of the wound.

Ossiculoplasty

Q: What is Ossiculoplasty?

It is a reconstructive ear surgery to repair or replace the damaged hearing bones (ossicles) in the middle ear to improve hearing usually done as a part of eardrum repair surgery.

Q: When is it needed?

When hearing loss occurs due to damaged ossicles from middle ear infection, ear drum hole, trauma, or cholesteatoma.

Q: How is it performed?

The surgeon uses a microscope/endoscope to access the middle ear and reconstructs the ossicular chain using prosthetic or natural materials (bone or cartilage).

Q: What is the expected recovery?

Recovery takes 2–3 weeks. Hearing improvement can be seen on operation table if the surgery is done under local anethesia, but complete recovery may take several weeks.

Q: Are there any precautions?

Avoid water entry into the ear, sudden pressure changes, and loud noises during recovery, catching cold, blowing nose, avoid air travel for 1 month, take medication as advised.

Grommet Insertion (Myringotomy with ventilation Tube)

Q: What is Grommet Insertion?

It is a minor procedure where a small ventilation tube (grommet) is placed in the eardrum to drain fluid and equalize pressure in the middle ear.

Q: Why is it done?

It is done in otitis media effusion to treat recurrent ear infections or persistent fluid buildup causing hearing loss, especially in children.

Q: How is it performed?

A small incision is made in the eardrum, fluid is suctioned out, and a grommet is inserted. It usually takes 10–15 minutes. It is done using microscopy or endoscopy under local/general anesthesia depending up on the patient condition.

Q: How long does the grommet stay in place?

It typically stays for 3-6 months and falls out naturally as the eardrum heals.

Q: What care is needed after the procedure?

Keep the ear dry, avoid swimming without ear protection, and attend regular follow-ups to monitor tube position.

Note: All ENT surgeries are performed under sterile conditions by qualified specialists. Following postoperative instructions and attending follow-up visits are essential for safe recovery and optimal outcomes.