Name of Head of Department: Prof. Pabina Rayamajhi
Department introduction/description:
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 vision, mission and goals:
Vision:
To develop the department as vibrant, progressive and clinically & academically one of the best department in MMC-IOM
Mission:
To help existing academic, clinical (patient care) and research works in the department and also encourage newer developments
Goals
Conduct new researches and encourage all the faculties for research and grants
Start one yearly fellowship training in sub-specialties of ENT-HNS
Curriculum preparation for starting MSALP course aiming to start the program in the department
Facilitate training of junior faculties for the upliftment of their clinical skills
Develop of dedicated teams for onco-surgery, airway surgery and phono-surgery
Operation theatre improvements. Add one functioning OT for emergency procedures. Improve further in terms of logistics and instruments (intraoperative nerve monitor, laser, endoscope tower, otology drills, micro instruments, OT table, lights etc.)
Outpatient department improvements (proper functioning rooms with treatment units, addition of flexible endoscopes, vestibular lab expansion with addition of VEMP, furnishings and habilitation materials in unit V OPD rooms, proper facility of hearing aid distribution and making department friendly for hard of hearing)
Further development of Auditory Verbal rehabilitation for post cochlear implantation habilitation.
ENT Ward improvement (uplift the cabins in terms of furnishing and other logistics)
Give a better room and add small library for the MS ENT-HNS residents
Continue supporting all the faculty members for their best participation in student teaching learning activities (theory/practical classes, thesis guides/co-guides, various dissection workshops etc.)
Department faculty members:
| S.N. | Full Name | Designation | Full Academic Qualifications (Bachelor onwards) | Joined year | Remarks |
| ENT-HNS Faculties | |||||
| 1 | Prof. Bibhu Pradhan | Professor | MBBS, MS ENT & HNS | 2050 BS | |
| 2 | Prof. Narmaya Thapa | Professor | MBBS, MS ENT & HNS | 2059 BS | |
| 3 | Prof. Pabina Rayamajhi | Professor | MBBS, MS ENT & HNS | 2063 BS | |
| 4 | Dr. Rabindra B. Pradhananga | Assoc. Professor | MBBS, MS ENT & HNS | 2065 BS | |
| 5 | Dr. Urmila Gurung | Assoc. Professor | MBBS, MS ENT & HNS | 2065 BS | |
| 6 | Dr. Kunjan Acharya | Assoc. Professor | MBBS, MS ENT & HNS | 2065 BS | |
| 7 | Dr. Heempali Dutta | Assoc. Professor | MBBS, MS ENT & HNS | 2066 BS | |
| 8 | Dr. Yogesh Neupane | Assoc. Professor | MBBS, MS ENT & HNS | 2067 BS | |
| 9 | Dr. Prashant Tripathi | Asst. Professor | MBBS, MS ENT & HNS | 2072 BS | |
| 10 | Dr. Kripa Dongol | Asst. Professor | MBBS, MS ENT & HNS | 2072 BS | |
| 11 | Dr. Bigyan Raj Gyawali | Asst. Professor | MBBS, MS ENT & HNS | 2074 BS | |
| 12 | Dr. Sajish Khadgi | Asst. Professor | MBBS, MS ENT & HNS | 2079 BS | |
| 13 | Dr. Ushant Acharya | Asst. Professor | MBBS, MS ENT & HNS | 2079 BS | |
| 14 | Dr. Anuj Devkota | Asst. Professor | MBBS, MS ENT & HNS | 2080 BS | |
| 15 | Dr. Ganesh Bdr Chalise | Asst. Professor | MBBS, MS ENT & HNS | 2080 BS | |
| Audiology and Speech-Language Pathology Faculties | |||||
| 1 | Sushmita Shrestha | Assoc. Professor | BASLP, MASLP | 2068 BS | |
| 2 | Prabha Dawadee | Asst. Professor | BASLP, MASLP | 2073 BS | |
| 3 | Anil Adhikary | Asst. Professor | BASLP, MASLP | 2074 BS | |
| 4 | Anup Ghimire | Asst. Professor | BASLP, MASLP | 2078 BS | |
Department staff members: (MMC appointed)
| S.N. | Name | Designation | Academic Qualifications Full (Bachelor onwards) | Joined year | Remarks |
| 1 | Shova Lamsal | Asst. Library | Bachelor in Population | 2066 BS |
Academic programs and students educated/trained each year / total
| Level | S.N. | Program name | |
| Bachelor | 1 | MBBS | ✔ |
| 2 | BASLP | ✔ | |
| 3 | BPH | ✔ | |
| Masters | 4 | MS ENT-HNS | ✔ |
List of hospital clinical services provided and Number of patients served/treated
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
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, Dr. Ushant Acharya)
Number of publications by faculties/department
| Original articles | Review articles | Case reports | Newspaper | Online news | Total |
| 7 | 2 | 3 | – | – | 12 |
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
Sharma S, Bhandari AM, Acharya U, Shakya A, Goudel B, Banstola L. Anosmia and dysgeusia associated with COVID-19 infection among patients visiting a tertiary hospital at Kaski, Nepal. Journal of Gandaki Medical College-Nepal. 2023 Jul 3;16(1):23-6.
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
Training/Workshops/Conferences conducted by department (in 2080)
29th Nepal Temporal Bone Dissection Workshop (24th to 25th August 2023)
12th Hands-on cadaveric Endoscopic Sinus Surgery and Anterior Skull Base Surgery Workshop (5th to 7th January 2024)
12th Hands-on Cadaveric Head & Neck Dissection and 7th Pediatric Airway Workshop (8th to 11th March 2024)
Achievements/Grants/Awards received by faculties/department
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)
NHRC Grant
Dr. Urmila Gurung (Factors affecting correct technique and compliance of intranasal corticosteroid spray usage in patients with allergic rhinitis)
