Difficulty breathing, a swallowed object, or severe bleeding from the nose or throat needs emergency care immediately. Also seek urgent care for sudden hearing loss in one ear, which can sometimes be reversed if treated within days.
Cochlear implants for children born deaf, hearing restoration, sinus and airway surgery, at accredited hospitals across Delhi NCR.
Written largely for parents. The single most important fact about cochlear implantation is that outcomes depend heavily on how young the child is when it happens — and delay costs speech development that is difficult to recover.
Free. No obligation. A written opinion within 48 hours.
This is the most consequential thing on the page and the reason we urge families not to wait.
Children implanted before around two years of age typically develop speech far closer to their hearing peers than those implanted later. The window narrows year by year.
Where it exists. Where it does not, a child who is not babbling by around nine months, or not responding to sound, needs formal hearing testing rather than reassurance.
Years of auditory-verbal therapy afterwards determine whether the child learns to listen and speak. An implant without that therapy achieves far less.
Bilateral implantation gives better hearing in noise and direction sense. Where funds allow only one, that should be a deliberate decision rather than a default.
If your child has failed a hearing screen or is not developing speech, arrange formal testing now rather than waiting to see. That single decision affects the rest of their life more than the choice of hospital.
What we are asked about most in ENT.
Cochlear implantation and hearing rehabilitation
Tympanoplasty and mastoid surgery
Conductive deafness in adults, correctable by stapes surgery
Endoscopic sinus surgery where medication has failed
Septoplasty and turbinate reduction
Airway assessment and surgery in selected patients
Recurrent infection and obstructed breathing
Covered on our head and neck cancer page
Detailed pages for these are being written. In the meantime send your reports and you will get the same written opinion within 48 hours, from the same clinical team that reviews every case.
Most ENT surgery is endoscopic or through natural openings, with short stays.
An electrode array is inserted into the cochlea and a receiver placed under the skin behind the ear, bypassing the damaged hearing cells and stimulating the nerve directly. Surgery takes two to three hours. The device is switched on a few weeks later and then programmed repeatedly as the child adapts.
Repair of a perforated eardrum, and removal of disease from the mastoid bone where chronic infection or cholesteatoma has developed. It stops the discharge, protects against serious complications, and often improves hearing. Cholesteatoma in particular needs surgery rather than repeated drops.
Blocked sinus openings are widened with an endoscope through the nostrils, with no external incision. It is for chronic sinusitis and polyps that have not responded to proper medical treatment — which means an adequate trial of nasal steroids first, not a week of antibiotics.
Straightening a deviated septum and reducing enlarged turbinates to relieve nasal obstruction. It is functional surgery for breathing rather than cosmetic reshaping, though the two are sometimes combined where there is a deformity after injury.
Removal of tonsils and adenoids for recurrent infection or, more importantly, for obstructed breathing during sleep. Sleep-disordered breathing in children affects growth, behaviour and school performance, and it is under-recognised. Recovery is uncomfortable for around a week.
Implantation is only the beginning. Ask how many children the programme implants each year and, crucially, what therapy and programming support it provides afterwards.
A surgeon without an audiology and auditory-verbal therapy team around them cannot deliver a good implant outcome.
For children under two, this is not optional. It should be in the same hospital.
Ask what happens after the operation — how many programming sessions, what therapy, and who provides it when you go home. The answer matters more than the surgical technique.
Cochlear implantation carries risks of infection, facial nerve injury, dizziness, and device failure requiring replacement. It also removes any residual natural hearing in that ear. Mastoid surgery carries a small risk to the facial nerve and to hearing. Sinus surgery has small but real risks to the eye and the base of the skull. Ask your surgeon for their own figures, and for their revision rate.
Implantation needs confirmed severe to profound deafness, imaging of the cochlea and nerve, and a trial of hearing aids first.
An implant without follow-up programming and years of therapy achieves far less than families expect. This must be planned before surgery.
An adequate trial of nasal steroids over weeks comes before surgery. A course of antibiotics is not that trial.
This needs steroid treatment within days at the nearest hospital. It is one of the few ENT emergencies where hours matter.
Elective ear surgery in an actively infected ear has poorer results and should be deferred.
For cochlear implantation especially, we will ask hard questions about your ability to return for programming. That is protecting the outcome, not obstructing you.
A family travelling for a child's cochlear implant.
Implantation is routinely performed from around twelve months of age, and earlier in selected cases. Younger is generally better for speech development, provided the deafness is confirmed and hearing aids have been properly trialled. The evidence strongly favours implanting before two years wherever possible.
Many children implanted young, with consistent therapy, develop speech close to their hearing peers. The strongest predictors are age at implantation and the quality and consistency of auditory-verbal therapy afterwards. The device alone does not produce speech — it makes learning to listen possible.
Two give better hearing in noise and the ability to tell where sound is coming from, which matters for safety and for classroom learning. Where cost allows only one, that should be a considered decision. Some families implant one and add the second later.
The processor needs reprogramming repeatedly as your child adapts, and therapy continues for years. Before you travel we establish who will provide therapy near you and how programming reviews will happen. Families who cannot arrange this get considerably less from the implant, and we will say so beforehand.
Not until medical treatment has been properly tried, which means nasal steroid sprays used correctly for several weeks — not a course of antibiotics. Many people improve with that alone. Surgery is for those who do not, or who have polyps or an anatomical blockage.
Possibly, but only if treated quickly. Sudden sensorineural hearing loss is treated with steroids and the chance of recovery falls sharply after the first week or two. Go to the nearest ENT unit immediately rather than arranging travel — this is one where days genuinely matter.
For a child, send the audiogram and ABR results with your child's exact age, and tell us what hearing aids have been tried and for how long.
Your reports go directly to our medical team. We do not share your records with hospitals until you tell us to.
WhatsApp +91 83035 86344 · Phone +91 83035 86344 · Email tibhind@gmail.com
Coordinators available 9:00–20:00 IST. We speak Arabic, English, Russian and Bengali.