Dr Prakash Mishr
About Me
Dr Prakash Mishr
MS
Otolaryngologist
10 Years Experience
Biography
My Clinic
OPD Hours
| Monday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Tuesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Wednesday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Thursday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Friday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Saturday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM | |
| Sunday | Morning | 10:00 AM | - | 02:00 PM |
| Evening | 06:00 PM | - | 09:00 PM |
Treatments
Specialised care and treatments offered
SEPTOPLASTY WITH TURBINOPLASTY
Nasal obstruction caused by deviated nasal septum combined with enlarged turbinates can significantly impair breathing comfort. Septoplasty along with turbinoplasty addresses both structural problems surgically for improved airflow inside the nose.
- Key symptoms include difficulty nasal breathing, recurrent congestion unrelieved by medical therapies.
- Diagnosis via nasal endoscopy and imaging helps pinpoint deformities responsible.
- Surgical correction straightens the septum (septoplasty) while reducing turbinate size (turbinoplasty), commonly performed under local or general anesthesia.
- Postoperative swelling subsides over days; proper care ensures lasting relief from obstruction.
This combined approach offers substantial functional benefits by restoring unobstructed nasal passages critical for healthy respiration.
LARYNGECTOMY
Laryngectomy is a major surgical procedure typically reserved for advanced laryngeal cancer where removal of all or part of the voice box is necessary. It aims at complete tumor excision while ensuring airway preservation through alternative routes.
- Disease background: Primarily indicated for malignancies that do not respond well to radiation or chemotherapy alone.
- Surgical details:The entire larynx (total laryngectomy) or part of it (partial laryngectomy) is removed; breathing is rerouted through a permanent stoma on the neck surface if total excision is done.
- Rehabilitation involves learning new communication methods such as esophageal speech, electrolarynx use, or tracheoesophageal puncture prosthesis fitting.
- Postoperative care prioritizes wound healing, respiratory function maintenance, and psychological support.
This challenging operation provides effective cancer control when less invasive measures fail but requires multidisciplinary care afterward.
COCHLEAR IMPLANT SURGERY
Cochlear implants offer hope for patients with severe to profound sensorineural hearing loss who do not benefit adequately from hearing aids. This advanced surgical procedure bypasses damaged inner ear structures to directly stimulate auditory nerves.
- Candidacy assessment: Thorough audiometric testing and imaging identify suitable candidates who will gain significant benefit from implantation.
- Surgical technique: Involves implanting an electrode array into the cochlea through a small mastoidectomy incision behind the ear under general anesthesia.
- Tuning & rehabilitation: Post-surgery activation includes device programming and auditory training over months for maximal speech perception improvement.
The cochlear implant transforms lives by enabling access to sound sensations previously difficult or impossible due to nerve-related hearing loss resistant to conventional devices.
MICROLARYNGEAL SURGERY FOR VOCAL CORD LESIONS
Lesions on the vocal cords such as nodules, polyps, or cysts can impair voice quality. Microlaryngeal surgery provides a targeted method to remove these abnormalities while preserving vocal function.
- Symptoms prompting treatment: Hoarseness, voice fatigue, or breathiness persisting despite conservative therapy.
- Diagnostic evaluation: Visualization via laryngoscopy confirms lesion type and location.
- Surgical procedure: Utilizes specialized microsurgical instruments through an endoscope under general anesthesia to excise lesions precisely.
- Recovery expectations: Voice rest followed by speech therapy ensures optimal healing and voice restoration.
This procedure helps patients regain clear vocalization crucial for professional speakers and individuals requiring good voice quality in daily activities.
TYMPANOPLASTY
Damage to the eardrum can cause hearing loss and increase the risk of infections. Tympanoplasty is a surgical procedure aimed at repairing perforations or defects in the tympanic membrane (eardrum).
- Causes: Chronic ear infections, trauma, or previous ear surgeries leading to a perforated eardrum.
- Assessment: Hearing tests (audiometry) and otoscopic examination evaluate the extent of damage.
- Surgical approach: Grafting tissue is used to close the perforation, often performed under general anesthesia with microscopic precision.
- Outcomes: Successful repair typically restores hearing function and reduces recurrent infections.
Tympanoplasty can dramatically improve ear health by restoring structural integrity while preventing further complications related to untreated eardrum perforations.
FUNCTIONAL ENDOSCOPIC SINUS SURGERY (FESS)
Chronic sinus problems that don’t improve with medications may require surgical intervention. Functional Endoscopic Sinus Surgery (FESS) is a minimally invasive approach designed to restore normal drainage and function of the sinuses.
- Indications: Persistent sinus infections, nasal polyps, or obstructed sinus drainage causing chronic symptoms.
- Diagnosis: Confirmed through nasal endoscopy and imaging techniques like CT scans of the sinuses.
- Treatment: Using an endoscope inserted through the nostrils, obstructed sinus pathways are opened by removing blockages such as polyps or inflamed tissue.
- Postoperative care: Includes nasal saline irrigations and follow-up visits to monitor healing and prevent recurrence.
This technique offers relief from chronic sinus issues with less tissue damage and faster recovery compared to traditional surgery, improving quality of life significantly when medical management falls short.