The ENT clinic in Jubilee Hospital is headed by Dr.K.O.Paulose FRCS DLO (Fellow of the Royal College of Surgeons England) with more than 35 years experience in this field all over the world.

The ENT clinic in Jubilee Hospital, Trivandrum, offers good quality affordable service at affordable cost to the average patients. It is a charitable, non corporate hospital and is run by the Arch Diocese of  Trivandrum, under the guidance of Most Rev.Soosapakyam, the Arch Bishop of Trivandrum.

Facilities

As one can see from the pictures, the Clinic itself is well equipped with Operating microscope, ENT Examination Unit, ENT examination chair, Flexible and Rigid Endoscopy with CCD camera and Monitor, Fibre optic headlight etc..

Most of the minor ENT procedures are done in the clinic itself eg-

Full Ear Nose Throat Examination

Ear – Wax removal, Ear cleaning infected ears, Fungus infections

Ear piercing

Endoscopy procedures

Cautery for Epistaxis

Hearing Evaluation

For appointment:

For Appointment- call 0471-2334561/62/63/64, 6452020,407822 Fax-0471-2330925

Email: jubileehospital@hotmail.com , drpaulose@yahoo.com

Clinic hours: Mon-Wed-Friday -8AM-1PM

(Operation Days Tue-Thu-and Saturdays)

To reach Jubilee Hospital, Trivandrum: Map

 Pictures of ENT Clinic, Jubilee Hospital:

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Jubilee Memorial Hospital, Palayam, Trivandrum is the only Catholic Health Care Service provider in the capital city of Kerala, in south India with a mission of “Promotion of Life Though Health Care With Love”.

At present it is a 200-bedded multi-specialty hospital giving affordable quality health care for all kinds of people from in and out of Trivandrum district .

“A friendly, homely and affordable hospital” is what our patients and relatives say about Jubilee Memorial Hospital. Where as our staffs say that they feel a warm family atmosphere, and our doctors feel “Jubilee is place of ethical medical practice”.

The management is trying to make Jubilee Hospital a place of healing and comfort of Jesus. Life is the most precious gift and expression of God’s love, and Jubilee Memorial Hospital is committed to foster and promote it.

At present Jubilee is a 200-bedded multi-specialty hospital giving affordable quality health care. 24 hours casualty & ambulance service, Pharmacy,Lab, CT Scan, X-ray and ECG are available at Jubilee. Day time Jubilee has US Scan, echo and TMT services. Jubilee hospital has opend a Renal Dialysis center with the collaboration of DM foundation.

Jubilee Memorial Hospital

Meads Lane, Palayam

Thiruvananthapuram – 695034,

Kerala, India

Ph: 0471-2334561-4,6452020

Fax: 0471-2330925,

Email: jubileehospital@hotmail.com

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Rhinoplasty in Jubilee Hospital, Trivandrum.

The nose occupies the centre of the face and is one of the most commonly noticed parts of the face. It also has important functions related to breathing. The nose is made up of bones and cartilages that are joined together to form the shape of a roof. This is supported by a midline wall called the nasal septum that separates the nose into right and left nostrils. The shape of the nose depends on all these structures and the skin covering it, as well as hereditary factors. Nasal deformities are readily noticeable.

Rhinoplasty is a surgery done on the nose to reshape it, to improve appearance, to improve breathing, to correct an injury or birth deformity. Also a septoplasty can be done at the same time to open blocked nasal passages due to a deviated septum.

When Rhinoplasty is combined with an operation on the septum, it is called a Septorhinoplasty.

Types of Rhinoplasty

Open Technique-External Rhinoplasty

With this technique, most of the incisions remain inside the nose. However, there is one incision made across the Columella, which is the cartilage that separates the nostrils. Once the skin is freed, it can then be lifted over the nose to allow the cartilage structure of the nose to be seen. The surgeon can see the cartilage in its natural state and can make the appropriate surgical changes to create more aesthetically pleasing nose.

With the open Rhinoplasty technique it is easier for the surgeon to se the structure of the patient’s nose, but it leaves the patient with a small permanent scar across the columella.

Closed Technique

With the closed technique all of the incisions are made inside the nose. Then cartilage is pulled out from the nose and shaped. An experienced surgeon should do this procedure. This technique leaves no visible scars and achieves a very natural looking nose. This procedure takes less time than the open Rhinoplasty.

Unrealistic Expectations

A good candidate for a cosmetic nose job is anyone who is unhappy with the appearance of his or her nose and is looking for an improvement in the way he or she looks. Candidates should also be in good physical health, be psychologically stable and have realistic expectations.

If you are considering Rhinoplasty, be sure to discuss your expectations with your surgeon. During your initial consultation, you will be asked what bothers you about your nose and how you would like to change it.

Also, the surgeon will evaluate the structures of your nose such as the underlying nasal bones and cartilage, your overlying skin and your other facial features. After this evaluation, the surgeon can tell you if expectations are realistic and whether the Rhinoplasty will enhance your natural facial beauty.

Will Insurance Cover a Rhinoplasty?

It’s important to realize that elective, cosmetic surgery is NOT typically covered under most insurance plans.

Cost of Rhinoplasty in Jubilee Hospital Trivandrum:

Approx Rs 50-70,000 (USD 1500-2000) depending upon the type of surgery, duration of surgery, whether additional surgery like septoplasty done etc.

(Pre and post op Rhinoplasty)

For Appointment- call 0471-2334561/62/63/64, 6452020,407822 Fax-0471-2330925

Email: jubileehospital@hotmail.com

Clinic hours: Mon-Wed-Friday (8AM -1 PM)

Operation Days: Tue-Thu-and Saturdays (8AM-4PM)

To reach Jubilee Hospital: jubileehospitaltrivandrum

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Jubilee Hospital Trivandrum.

Introduction

Rhinoplasty (Cosmetic Surgery of Nose) is done to improve the shape and or function of the nose and is one of the most popular cosmetic surgery procedures worldwide. It can be carried out to make the nose look smaller or bigger, improve the alignment of the nose or improve the shape or size of the nostrils. It is a surgical procedure to reshape your nose to improve its appearance and proportion in relation to your other facial features.

Ideally Rhinoplasty should not be done before 15-16 years of age as before this age the bones of the face and nose are still growing. By the mid-teens the facial bones have reached their full mature size and shape. After this age Rhinoplasty can be done at any age as long as the person is in good general health.

Rhinoplasty can be done by the Open (External) or closed (Internal) technique. This will depend on where the incisions are made. I prefer external approach in most cases as it gives better visualization of structures.

There is a small incision across the collumella which is hardly visible and need only 3-4 sutures.The resulting scars usually fade very well and ultimately should be barely noticeable.

The nose is reduced, or in some cases built up, by adjusting it’s supporting structures-either removing or adding bone and cartilage. The skin and soft tissues then redrape themselves over this new scaffolding.

Septoplasty with Rhinoplasty

In some instances, there may be an internal deformity of the nose that can affect the breathing. This may be due to an irregularity in the septum (the central structure of cartilage and bone that separates the two sides of the nose) or the turbinates (structures protruding internally from the lateral walls of the nose). Adjustment of these structures to improve the nasal airway may be made at the same time as alterations to the external appearance of the nose.

Post operative Post Op Instructions

There are really no hard and fast rules about Rhinoplasty recovery. Everyone heals differently, and in their own time. Your road to recovery begins almost immediately after your nose surgery.

Nasal Packing: I use Merocel –Compressed gel-for internal nasal pack. This will be removed after 24-48hrs. With packing in place, you will have to breathe through your mouth, and you will have somewhat more swelling than usual.

Internal Silastic Splint: A small splint will be placed inside the nose. This keeps the septum in place, and removed after 5-7 days time.

External Thermpolastic Splint: The splint put on your nose at the end of surgery is intended to provide protection, serving as a sort of small external skeleton. It will be removed in 7 days time.

Sleeping: Keeping your head (and nose) elevated tends to reduce swelling. If possible, sleep on two or three pillows.

Bleeding: After surgery, some oozing and bleeding usually occurs for a day or two, and crusting dried blood will collect in the nostrils.

Nasal blockage: You may also feel extremely stuffed-up after nose surgery. The challenge here is that you should not blow your nose for at least one week. Decongestants may help relieve your stuffiness.

Bruising-There will be some bruising and swelling in the days and weeks after your nose surgery. You may even develop two black eyes. Try applying cold compresses on the sore areas. I usually give Dexamethazone and Enractin the first day.

Be careful washing your face and make sure to apply sun screen if you go out in the sun. Your nose will be very sensitive for a while after your Rhinoplasty.

Post of the swelling resolves within two weeks and the rest tends to go away within a month, but it can take up to 3-6 months for all the residual swelling to abate. Be patient.

You can likely return to work within 10-14 days after having Rhinoplasty.

Outcome

After surgery it takes a considerable time for the tissue to heal and the swelling and edema to settle to reveal the new shape of the nose. For this reason do not make any judgment on the on the result of your surgery for several months, even a year after surgery, until the tissue healing is complete.

Outcome should aim to have a natural shape in harmony with the rest of the face, not a “surgical” nose. Remember-the intention of Rhinoplasty is for your new nose to blend in naturally with your face.

Whom to approach for Rhinoplasty

It is better to see an ENT Surgeon with Plastic Surgical experience in Cosmetic Surgery of the face. When there are problems with airway due to septal deformities, it is better an ENT surgeon can deal with the issues of functional aspects of the Nasal airway.

Unrealistic Expectation of Patient

Always counsel the patient before undertaking Rhinoplasty.There can be underlying psychological problems which need attention. Patients also should not have unrealistic expectation about the outcome. Pre operative and post operative photographs are to be done in every case.

Cost of Rhinoplasty in Jubilee Hospital:

The cost of Rhinoplasty depends on the procedures involved; say anywhere Rs 50-75,000. (USD1500-2000).It is affordable to most patients.

For more information and appointment:

Please call 0471-2334561/62/63/64, 6452020,407822 Fax-0471-2330925

Email: jubileehospital@hotmail.com

Clinic hours: Mon-Wed-Friday (8AM -1 PM)

Operation Days: Tue-Thu-and Saturdays (8AM-4PM)

To reach Jubilee Hospital: jubileehospitaltrivandrum

Pre and Post op pictures (one week):

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Cosmetic Surgery of the Nose- Rhinoplasty is the surgery to reshape the nose. It is one of the most common of all facial plastic surgical procedures. It is routinely performed in Jubilee Hospital, Trivandrum, Kerala, South India. I usually perform Open-External Rhinoplasty, most of the time and it is done preferably under general anesthesia

Rhinoplasty and Septoplasty-Septo-Rhinoplasty

After trauma to the nose there can be distortion of the nasal bones and the nasal septum. This may lead to difficulty in breathing and also give rise to a deviated nose-crooked nose. This can be corrected by means of a Septorhinoplasty where in the deviated septum is corrected by removing the abnormal parts of the septum and osteotomies of the nasal bone to correct the bony deviation. The removed parts of the septum can be reimplanted and made use of to correct the contour deformities of the nose.

The correction is usually made with an open tip approach under general anaesthesia.The nasal septum is corrected and lateral osteotomies are done to narrow the nasal bridge. The septal grafts are used to give columellar supports and nasal tip projection. The results will be obvious by six weeks to six months.

Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip. It may also correct a birth defect or injury, or help relieve some breathing problems. Rhinoplasty can enhance your appearance and your self-confidence, but it won’t necessarily change your looks to match your ideal, or cause other people to treat you differently. Before you decide to have surgery, think carefully about your expectations and discuss them with your surgeon.

Post operative period

After surgery-particularly during the first twenty-four hours-your face will feel puffy, your nose may ache, and you may have a dull headache. You can control any discomfort with the pain killers prescribed by your surgeon. Plan on staying in bed with your head elevated (except for going to the bathroom) for the first day.

You’ll notice that the swelling and bruising around your eyes will increase at first, reaching a peak after two or three days. Applying cold compresses will reduce this swelling and make you feel a bit better. In any case, you’ll feel a lot better than you look. Most of the swelling and bruising should disappear within two weeks or so.

A little bleeding is common during the first few days following surgery, and you may continue to feel some stuffiness for several weeks. Your surgeon will probably ask you not to blow your nose for a week or so, while the tissues heal.

If you have nasal packing, it will be removed after 1-2 days and you’ll feel much more comfortable. By the end of one or, occasionally, two weeks, all dressings, splints, and stitches should be removed. You can likely return to work within 10-14 days after having Rhinoplasty.

pre and post op pictures(10days)

Cost of Rhinoplasty with Septoplasty: Rs 50,000 approx.

For Appointment:

Please call 0471-2334561/62/63/64, 6452020,407822 Fax-0471-2330925

Email: jubileehospital@hotmail.com

Clinic hours: Mon-Wed-Friday (8AM -1 PM)

Operation Days: Tue-Thu-and Saturdays (8AM-4PM)

To reach Jubilee Hospital: jubileehospitaltrivandrum

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Post Op Rhinoplasty- Contd.

Immediate Post Op.

After waking up from anesthesia, you will be taken to a post op recovery station where specially trained nurses look after you for the first 12 hrs. Your vital signs-BP, Pulse, ECG, and Respiration etc are closely monitored. You will not be given any thing to drink first 3-4 hours but if you feel mouth dry, small sips of water are given to wet your mouth.

After 3 hrs, you will be given clear water; soft drinks etc and after wards may be some ice cream as a bonus! Evening you will be allowed to eat soft diet like porridge, rice, bread etc.

Once you are up and about, you will be shifted to your own room.

The Post operative ward in Jubilee Hospital is well equipped and highly trained nurses are available.

Post Op Instructions

There are really no hard and fast rules about Rhinoplasty recovery. Everyone heals differently, and in their own time. Your road to recovery begins almost immediately after your nose surgery.

Nasal Packing: I use Merocel –Compressed gel-for internal nasal pack. This will be removed after 24-48hrs. With packing in place, you will have to breathe through your mouth, and you will have somewhat more swelling than usual.

Internal Silastic Splint- A small splint will be placed inside the nose. This keeps the septum in place, and removed after 5-7 days time.

External Thermpolastic Splint. The splint put on your nose at the end of surgery is intended to provide protection, serving as a sort of small external skeleton. It will be removed in 7 days time.

Sleeping: Keeping your head (and nose) elevated tends to reduce swelling. If possible, sleep on two or three pillows.

Bleeding: After surgery, some oozing and bleeding usually occurs for a day or two, and crusting dried blood will collect in the nostrils.

Nasal blockage:You may also feel extremely stuffed-up after nose surgery. The challenge here is that you should not blow your nose for at least one week. Decongestants may help relieve your stuffiness.

Bruising: There will be some bruising and swelling in the days and weeks after your nose surgery. You may even develop two black eyes. Try applying cold compresses on the sore areas. I usually give Dexamethazone and Enractin the first day.

Be careful washing your face and make sure to apply sun screen if you go out in the sun. Your nose will be very sensitive for a while after your Rhinoplasty.

Post of the swelling resolves within two weeks and the rest tends to go away within a month, but it can take up to 3-6 months for all the residual swelling to abate. Be patient.

You can likely return to work within 10-14 days after having Rhinoplasty.

For more information and appointment:

Please call 0471-2334561/62/63/64, 6452020,407822 Fax-0471-2330925

Email: jubileehospital@hotmail.com

Clinic hours: Mon-Wed-Friday (8AM -1 PM)

Operation Days: Tue-Thu-and Saturdays (8AM-4PM)

To reach Jubilee Hospital: jubileehospitaltrivandrum

Did you find this useful? Visit DrPaulose.com for more information about health, wealth and spiritual tips or learn more about Ear, Nose and Throat related health problems, symptoms and possible treatment!! Subscribe by email to stay updated.