Lybrate.com has a nexus of the most experienced ENT Specialists in India. You will find ENT Specialists with more than 41 years of experience on Lybrate.com. You can find ENT Specialists online in Delhi and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
Book Clinic Appointment with Dr. Pankaj Kumar Gupta
Cysts Removal Procedure
Treatment of Tonsils (Tonsillitis)
Hearing Aid Fitting
Treatment of Throat and Voice Problems
Earlobe Repair Procedure
Treatment of Sleep Disturbance
Nose Reshaping Procedure
Hearing Testing Techniques
Nasal And Sinus Allergy Care
Cochlear Implant Procedure
Ear Micro Surgery
Treatment Of Hearing Deficiency
Facial Cosmetic Surgery
Submit a review for Dr. Pankaj Kumar GuptaYour feedback matters!
Head and neck cancers usually start in the squamous cells and are also referred to as squamous cell carcinomas of the head and neck. It occurs in the nose, throat, mouth and salivary glands. Head and Neck cancers are further classified into various categories on the basis of the area of the neck and head where they occur. Although head and neck cancers are different, they both occur inside the mouth, sinuses, nose, salivary glands and throat, which are considered as a group.
Salivary gland cancers are generally very infrequent. An assortment of cancer causing cells is present in salivary glands, so various types of salivary gland cancers have been found to occur.
If you are habituated to consuming tobacco and alcohol, then you are at the highest risk of suffering from head and neck cancer; however, it can also be caused in people who suffer from infections caused by human Papilloma virus. Other factors may include:
- Oral health- Untreated gum diseases and oral cavity can be the reasons behind the development of the disease.
- Sex- Women are less prone to head and neck cancers than men.
- Lack of Nutrition- If your body is lacking in certain nutrients; you are more likely to catch the disease.
- Age- People above 40 years of age are more susceptible to head and neck cancer.
- Difficulty in swallowing- Inflammation and pain in throat, leading to a problem in swallowing.
- Hoarse Voice- Hoarseness or change in the voice.
- Oral Cavity- A red or white patch on the tongue, the gums or the lining of the mouth.
- Pharynx- Trouble in breathing and swallowing followed by a frequent headache.
- Surgery- Surgery is usually to remove the primary tumour in toto or as much as feasible. Also, clearence of the lymph nodes that are involved is done during surgery at the same time.
- Radiation Therapy- Radiation therapy is considered where functions like speech can be conserved.
- Chemotherapy- Radiotherapy in combination with chemotherapy can help, if you are suffering from a more advanced form of head and neck cancers.
What Causes Meniere’s Disease?
Meniere's Disease is a disorder that basically affects the sense of balance and hearing of the patient. This condition takes place in the inner ear and it may cause problems like vertigo, where patients experience a spinning sensation and a ringing sound as well. This is a chronic disorder, which requires a number of lifestyle changes so that it can be managed and treated without becoming a debilitating problem.
Read on to know more about the symptoms and causes of the condition.
Symptoms: The various signs and symptoms of this disease include a feeling of fullness in the ear, which has been affected by the condition. Also, most patients have a spinning sensation and a ringing sound in the affected ear. Nausea and vomiting may also be caused by this condition, along with sweating and loss of balance. It is also normal to feel uncoordinated when you are suffering from this condition.
Secondary Symptoms: This condition may also cause many other complications, which are known as secondary symptoms. These include anxiety, depression and stress. This usually happens due to the problems in the ear and even the problem of vertigo. This may cause problems for people who climb heights or ladders for their work or even for other recreational causes. The constant sense of dizziness and spinning may cause a person to become anxious and undertake stress when it comes to carrying out various kinds of functions in day to day living.
Causes: There are various causes of this condition, even though many medical reports suggest that the exact cause has not really been understood so far. As any doctor will tell you, the in the inner ear there is a labyrinth which contains fluids. When there is a problem with the composition and level of these fluids, the patient may develop Meniere’s Disease. This condition specifically affects the inner part of the ear. This part is made up of passages and a cavity as well as soft membrane like structures with hair like sensors. These sensors respond to the fluid’s movement within the ear. When this fluid does not have the appropriate levels, it can lead to many complications like Meniere’s Disease, which affect the nerve impulse that these sensors catch and transmit to the brain.
Stages: This disease progresses over a set of three stages. In the very first stage, the patient will experience much dizziness and nausea, before that progresses to the second stage. In this stage, the patient will have moderate to severe vertigo. This is also known as the middle stage. Finally, this may culminate into the third or late stage, which leads to more frequent episodes of vertigo. The hearing of the patient and the ringing sound in the ears will also get worse in this stage.
An estimated of 10 percent or more children snore for more than 1 night. Snoring results from the obstruction of breath when the air makes its way through the mouth. The air passage of the throat through which the air goes in and out causes the tissue to vibrate causing snore. The sound of the snore totally depends on the amount of air passing through the mouth and the frequency at which the throat is vibrating. Children above the age of three years tend to snore when they are deep in sleep.
Primary and secondary snoring:
Children who are otherwise healthy should not have a snoring problem unless there is some health disorder. However, if loud snoring is observed in otherwise a perfectly healthy kid, seeking medical help is a wise thing to do. In general, primary snoring is defined as a condition which is not associated with other sleep-related disorders such as lung disorder, OASS, inability to sleep for a longer duration etc.
It is estimated that close to three percent of the children suffers from breathing problem while sleeping. OSAS is a condition which is characterised by pauses in breathing and gasps along with loud snores. There could be instances where a kids’ muscle relaxes way too much obstructing the air to pass through. The body and the brain are both alerted at this stage. As soon as the brain sends a signal, the body wakes up. Thus, most kids suffering from this disorder are not able to sleep well and tend to feel tired throughout the day.
Common causes of sleep apnea:
Sleep apena is a major cause of snoring. It can be caused because of allergies, obesity, GERD etc. In children sleep, apnea can also be caused by tonsil. Since the tonsil size of children less than 7 years of age tends to be bigger than adult individuals, it causes snoring related problem. Swollen tonsils not only obstruct air but creates other health related problems as well.
Symptoms of sleep apnea during the day and night:
- Loud snore
- Snorts, gasps, pauses during sleep
- Heavy sweat during sleep
- Social and behavioural problems
- Failure to get up in the morning
- A nasal voice
- Easily irritated, cranky and aggressive
The first thing a that a doctor does is a physical exam followed by observing the symptoms of a kid. Primary snorting can be addressed by physical exercise, counselling and breathing exercise. Problems related to apnea are addressed through medicine, counselling, and exercise. Certain dietary restrictions also needed to be followed during this time. However, apena is completely treatable within a certain time frame.
Earphones have become a very important part of our life but did you know, your earphones are making you deaf? Here's how.
Fact: Roughly 1.1 billion people worldwide within the age group of 12-35 have been found to be at an increased risk of developing hearing problems.
Listening to loud music on handheld devices using earphones has become a common trend among youngsters these days. You might find it very relaxing to plug in your earphones and escape into your own world of music, but you need to know that this can cause serious damage to your ears. The worst part: you won't realise your ears are being damaged until it's too late.
So, exactly how is loud music damaging your ears?
Continuous exposure to loud music from earphones or other sources results in a medical condition known as Noise-Induced Hearing Loss (NIHL), which can be associated with irreversible damage to the ears resulting in deafness.
When you hear loud music for a considerable amount of time every day, it affects your hair cells (nerve cells responsible for sending sound signals to the brain) negatively, so that their ability to respond to sound decreases. If this keeps on happening for many months, eventually the hair cells are damaged beyond repair. These cells cannot be regenerated, making you permanently deaf.
If your ears are exposed to sounds at 95, 100, 105, 110 and 115 dB (decibel, the unit used for measuring sound) for 4 hours, 2 hours, 1 hour, 30 minutes and 15 minutes each day respectively, your ears are at risk of getting severely damaged. Also, playing music at 120 dB or above can damage your ears instantly. You can have a realistic idea about the relation between decibels and sounds you commonly hear by referring to this list:
- 30 dB: soft whisper
- 75 dB: busy traffic
- 90 dB: noise of a motorcycle at 25 feet
- 100 dB: noise of a farm tractor
- 140 dB: jet plane taking off
Moreover, if you experience the following symptoms regularly, there's a high chance that you need to get your ears treated soon:
- A ringing sound in your ears when you are at a quiet place, which vanishes after a few minutes
- You need to raise the volume of TV or music to the fullest to hear it properly
- You have difficulty in hearing people talking at a distance of just 3 feet
How can you prevent the risk of hearing impairment?
When you're using earphones, keep the volume low. Also, using in-ear headsets or noise reduction/cancellation earphones also helps as it lets you hear the music distinctly at lower volumes by cutting out background noise.
CHECK: You need to lower the volume of your music if the person sitting or standing beside you can hear the sound coming out of your earphones.
Balance disorders are a combination of physiological factors that can make you feel unsteady or dizzy. While sitting, standing or lying down, you may feel as if you are floating, moving, or spinning and you may feel dizzy and dazed for the time being. This disorder can intervene in your daily activities of life, and can even lead to falls and accidents, which may cause you to end up with fractures and other types of injuries.
What causes balance disorder?
A combination and coordination of many body systems such as muscles, bones, vision, the balancing organ within the ear, heart and nerves help maintain normal balance. Dysfunction of these systems can lead you to encounter balance problems. Balance disorders can be caused by many types of conditions.
Some of the causes of the disorder are:
Benign paroxysmal positional vertigo (BPPV): This occurs due to dislodged or displaced calcium crystals in the inner ear, which help you maintain balance. It is the most commonly found cause of vertigo. A spinning sensation while turning in bed is a common sign.
- Migraines: Migraines are a general cause of dizziness. Sensitivity to motion can also be caused by migraines. It can also lead to motion sickness, which is dizziness experienced when traveling in boats, cars or airplanes.
- Head injury: A severe concussion can also cause vertigo.
- Ramsay Hunt syndrome: Commonly known as zoster otitis, this condition affects the nerves close to the ears. It can be attributed to hearing loss, vertigo and pain in the ear.
- Vestibular problems and nerve damage: Damaged nerves in the legs can cause difficulty in movement and locomotion. Abnormalities and dysfunctions in the inner ear can lead to a sensation of dizziness and a heavy head.
How do you know if you have balance disorder?
Some of the characteristic symptoms of this condition include:
- Blurred vision
- Nausea and vomiting
- Blood pressure
- Depression and anxiety
- Psychological disorientation
- Fluctuations in blood pressure and heart rate
Hearing is one of the five senses that you or anyone else relies on for communication and a whole host of other things. Among the five senses, touch, smell, taste, hearing and sight, it is often hearing, which is the most easily affected. You don't have to be a senior citizen to experience hearing loss as it is quite common among younger people as well. This problem is also getting widespread with each passing day.
Before coping with hearing loss, the first job is to detect it-
If you have a hunch that you or any of your loved ones is suffering from hearing loss, it is important that you get it diagnosed. Some of the common symptoms of hearing loss will be:
- Hearing difficulties while talking to someone over the phone
- Straining to hear conversations with family members or friends in household situations
- People usually need to repeat what they talk to you with a louder voice
- You often hear complaints that you keep the TV too loud.
- In crowded situations, such as family gatherings or a restaurant, you have problems listening to people.
Although this condition tends to affect senior citizens, an increasing trend shows younger people i.e. people mostly in their 40 and 50s and even younger than that suffer from this condition.
How to deal with hearing loss?
Some of the options to deal with hearing loss are mentioned below.
- Once diagnosed with hearing problems, change your ways of communication: If you or your loved ones have been diagnosed with hearing problems, it is important that both adjust your ways to deal with the problem. Rather than getting angry at the other for not being able to communicate effectively, develop and strategize ways to make communication less problematic and erratic.
- Cochlear implants: This is a newer technology, which has gained popularity in the past decade or so. These are directly implanted into the inner ear and are designed to bypass the damaged areas of the ear and directly stimulate the auditory nerve. These have become very popular, although, are not a replacement of natural hearing. It is only prescribed for people who have severe hearing loss or are deaf.
- Hearing aids: Although selecting a hearing aid is difficult as the patient needs to be comfortable, once selected it is one of the best solutions for the hearing impaired. The functionality of these devices can be extended with the hearing assistive technology or HAT devices that can focus the audio waves depending on the situations and give a more tailored approach for every individual's needs.