+91 8296585860
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Dr.Gautham Kulamarva

MS, DNB, DOHNS (London), MRCS (Edinburgh)

ENT & Head-Neck Services at maithri was established in the year 2012 by Dr.Gautham Kulamarva. It is a well equipped, dedicated, and ethical, advanced ENT care facility made available for the region. The fundamental principle upon which the clinic was established was ‘Above All DO NO HARM”. To this end, every effort is continuously made to ensure the best possible diagnosis and the most uptodate treatment is practised for each and every patient walking through our doors.

MS – from KEM Hospital, Mumbai, Seksharia Head and Neck Fellowship from TMH, Mumbai.
Higher studies at the UK and other various centres of excellences across Europe and Asia including Gruppo Otologica, Marseille, AKH Vienna, Singapore and Dubai.
Special interest in Pediatric airway related pathologies and management of epiphora.
Several firsts in the field of ENT including operating for the first time in the world on a 1 day old baby for bilateral choanal atresia endoscopically, developed a protocol for digital DCG – again for the first time in the world, described and developed a new protocol for management of epiphora and endonasal DCRs.
Published more than 25 papers in peer reviewed international Journals.
Peer reviewer for various international journals.
Invited guest faculty in various national forums.
Currently heading the advanced ENT care at Maithri Speciality Clinics in Mangalore for the past 15 years.
Read More

Ear

Ear Microscopy

Nose

Diagnostic Nasal Endoscopy

Throat

Flexible Endoscopy

Views

Publications

Awards

Services

Ear microscopy

Originally developed to assist in ear surgery, ear microscopy has significantly enhanced diagnostic and surgical outcomes over the years. This technique is now widely used in outpatient settings, improving diagnostic accuracy and treatment strategies for ear ailments. During the procedure, patients rest comfortably on an examination couch while the physician examines the ear using a magnified view, which enhances precision. The tool is also used for removing foreign bodies, cleaning ears with suction, and removing wax build-up. The microscope allows for the use of both hands, making wax removal more precise and comfortable for the patient.

Stroboscope

At Maithri ENT and Head-Neck Services, we utilize advanced stroboscope technology for early detection of vocal cord issues, even before they are visible to the naked eye. This technique uses rapidly flashing lights to create an apparent reduction in the speed of vocal cord movements, allowing for detailed analysis. During the procedure, a microphone on the patient's neck picks up sound signals, and the stroboscope machine flashes lights out of sync with vocal cord vibrations. An endoscope is then used to record the vocal cords while the patient speaks or sings, providing clear insights into their function. The procedure is painless, requires no preparation, and lasts about 2-4 minutes, with patients able to eat, drink, and travel immediately afterward.

Flexible endoscopy

At Maithri Clinics, we use advanced flexible endoscope technology to assess abnormalities in the nose, throat, and the junction between them. This endoscope can navigate the complex anatomy of these areas, making it effective even for anxious children, although we only perform the procedure from 6-8 months of age for safety reasons. It is particularly beneficial for evaluating conditions like Obstructive Sleep Apnea (OSA) and voice disorders by visualizing the velopharynx and voice box in natural positions and during vocal activities such as singing. The endoscope uses optical fibres to transmit light into body cavities and reflect images back to an observer or camera, providing detailed insights. This technology has significantly advanced our understanding of voice function and improved treatment outcomes.

Diagnostic nasal endoscopy

At Maithri Clinics, we use high-definition rod lens endoscopes to examine the nose and ears, providing much clearer images than fiberoptic or flexible endoscopes. This clarity is particularly useful for diagnosing nasal conditions, and we have both adult and paediatric endoscopes, including angled 70-degree endoscopes, to explore remote areas. These endoscopes are also used for surgeries and minor procedures like nasal cleaning, washing, and removing foreign bodies. In the ear, while many diagnoses can be made without an endoscope, using one ensures a clearer treatment plan and better outcomes. This advanced technology enhances both diagnostic and surgical precision, leading to improved patient care.

Epiphora or watering eyes

Epiphora or watering eyes can occur at any age and can happen due to various reasons. The commonest reason is what we call as primary acquired where the reason is unknown! It is a debilitating condition which affects the quality of the life of patient. We have children who refused to go to school due to the social outcasting by the peers, and adults who selfisolate from the society due to embarrassment. Just goes to say that, apart from being a physical problem, ends up being a psychological and social problem too.

Surgical Video

Video Thumbnail

Media Watch

Doctors successfully operate on 36-hour infant

A 36-hour-old infant was put under the knife successfully to correct a serious birth defect called bilateral choanal artresia at Mangala Hospital here. A team of physicians headed by Dr Gautham Kulamarva, ENT surgeon, Dr Murli Keshava, neonatologist and Dr Ganapathi, anaesthesiologist, performed a trans nasal endoscopic surgery for the problem and corrected the birth defect in this child, Dr Gautham Kulamarva said.

Publications

Changes in Speech Range Profile Are Associated with Cognitive Impairment

2021-10-01
10.12779/dnd.2021.20.4.89
CC BY-NC 4.0


Background and Purpose: The aim of this study was to describe the variations in the speech range profile (SRP) of patients affected by cognitive decline. Methods: We collected the data of patients managed for suspected voice and speech disorders, and suspected cognitive impairment. Patients underwent an Ear Nose and Throat evaluation and Mini-Mental State Examination (MMSE). To obtain SRP, we asked the patients to read 18 sentences twice, at their most comfortable pitch and loudness as they would do in daily conversation, and recorded their voice on to computer software.

Predictive factors of severity and persistence of oropharyngeal dysphagia in sub- acute stroke

2021-03-01
10.1007/s00405-020-06429-2
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Purpose: This study aims to understand the factors contributing to the severity of oropharyngeal dysphagia and its persistence in the sub-acute phase of stroke. Methods We retrospectively collected the data of all the patients suffering from a stroke in the last year. The severity of stroke was reported according to the NIHSS score. All the patients were evaluated with the Dysphagia Risk Score and with a FEES. We classified the Dysphagia Risk Score and FEES results using the PAS score and ASHA-NOMS levels.

Oropharyngeal dysphagia in elderly population suffering from mild cognitive impairment and mild dementia: Understanding the link

2020-05-01
10.1016/j.amjoto.2020.102501
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Purpose: To evaluate the prevalence of oropharyngeal dysphagia in elderly patients suffering from minimal or mild cognitive decline. Patients and methods We retrospectively collected the data of patients suffering from mild cognitive impairment or mild dementia and were undergoing management for suspected oropharyngeal dysphagia, in our department. All our patients were subjected to Mini Mental State Examination test, MD Anderson dysphagia inventory and caregiver mealtime and dysphagia questionnaire.

The discovery of stapes

2013-10-01
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CC BY-NC-ND 3.0


Giovanni Filippo Ingrassia revisited and redefined some of Galeno's reports, and was recognized as one of the leading Italian Physicians of the 16(th) century. Ingrassia principally studied the skull, and gave very important contributions to otorhinolaryngology, including the discovery of the stapes. He also isolated the inferior nasal concha from the maxillary bone, described the frontal sinus, the pterygopalatine fossa and several foramina of the skull.

A multicenter observational study on the role of comorbidities in the recurrent episodes of benign paroxysmal positional vertigo

2013-08-01
10.1016/j.anl.2013.07.007
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Primary objective of this study was to find a statistical link between the most worldwide comorbidities affecting the elderly population (hypertension, diabetes, osteoarthrosis, osteoporosis and depression) and recurrent episodes of BPPV. Secondary objective was defining possible "groups of risk" for people suffering recurrent positional vertigo related to the presence of a well documented comorbidity.

Malignant peripheral nerve sheath tumour (malignant epithelioid Schwannoma) of the parotid gland

2012-10-01
10.4149/BLL_2012_143
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Problems/objectives: Malignant peripheral nerve sheath tumours are uncommon soft tissue tumours originating from Schwann cells or nerve sheath cells. Malignant epithelioid schwannoma is an aggressive variant of malignant peripheral nerve sheath tumour, and unfortunately is related with a high rate of recurrence and poor prognosis.

Comparison of repositioning maneuvers for benign paroxysmal positional vertigo of posterior semicircular canal: Advantages of hybrid maneuver

2012-02-01
10.1016/j.amjoto.2011.12.002
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The prevalence of benign paroxysmal positional vertigo (BPPV) is becoming more frequent in elderly population. The presence of comorbid factors has to be considered before assessment as well as before commencing any repositioning treatment. Our aims were evaluation of the maneuvers efficacy and evaluation of the applicability of hybrid maneuver (HM) in patients with physical limitation.

Treatment of bilateral vocal cord paralysis following permanent recurrent laryngeal nerve injury

2011-09-01
10.1016/j.amjoto.2011.07.009
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Bilateral vocal cord paralysis is a serious illness requiring emergency intervention to resolve the potentially life-threatening respiratory distress. Several surgical procedures were proposed to help improve the airway and to eliminate the tracheostoma in those patients with permanent paralysis. All the procedures have their own advantages and disadvantages.

Intermediate nerve schwannoma: A rare tumour

2011-09-01
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The intermediate nerve (IN), also called the nerve of Wrisberg, is a relatively small nerve with a variable anatomical course. Currently, this nerve is not addressed well in the pertinent literature. Pre-operative diagnosis of IN tumours is clinically challenging due to the lack of related symptoms. Symptoms are typically caused by the functional deterioration of neighbouring anatomical structures.

Primary Non-Hodgkins lymphoma of the parotid gland

2011-09-01
10.1590/S1808-86942011000500017
CC BY-NC-ND 4.0


Primary malignant lymphomas in the salivary glands are relatively rare. Clinical presentation is not characteristic and the disease is often overlooked resulting in diagnosis and treatment delays. To stress the importance of the diagnostic process and combined management, we present a series of eight patients with malignant lymphoma of the parotid who were diagnosed only after surgery and managed with radiation and chemotherapy.

Malignant paroxysmal positional vertigo

2011-08-01
10.1016/j.anl.2011.07.008
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An insidious percentage of paroxysmal positional vertigo appears to be intractable with canalith repositioning maneuver and also is not self-limiting. This type of positional vertigo is sustained by the action of intracranial tumors that mimics the clinical aspects of benign paroxysmal positional vertigo.Aim of this study is to clarify the features of these forms of positional vertigo, which we indicate as malignant paroxysmal positional vertigo.

Facial Nerve Schwannoma Involving Middle Cranial Fossa: When the Unilateral Sensorineural Hearing Loss Guide to the Correct Diagnosis

2011-07-01
10.1007/s12070-011-0190-1
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The Facial Nerve Schwannoma is a rare tumor and it seldom involved the middle cranial fossa. Facial nerve schwannoma has various manifestations, including facial palsy but unfortunately facial nerve is very resistant to compression and often facial nerve paralysis or a facial weakness are not present.

Are Postural Restrictions Necessary For Management of Posterior Canal Benign Paroxysmal Positional Vertigo?

2011-07-01
10.1177/000348941112000707
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An important component of management of benign paroxysmal positional vertigo (BPPV) has been the application of postural restrictions after use of a canalith repositioning maneuver (CRM) to prevent the return of otolithic debris into the posterior semicircular canal (PSC). This study was designed to explore the effectiveness of postural restrictions in patients with BPPV caused by otolithic debris in the PSC.

Obstructive sleep apnoea syndrome (OSAS): Effects on the vestibular system

2010-12-01
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CC BY-NC-ND 3.0


SUMMARY: Aim of the present study was to evaluate the effects of obstructive sleep apnoea syndrome (OSAS) on the peripheral and central vestibular system, by means of a case series prospective study at the University referral centre of Otolaryngology Head and Neck Surgery; 45 consecutive patients suffering from OSAS were compared with a control group of 30 volunteer subjects selected from among the department employees.

Intratympanic gentamicin: Its effect on hearing and strategies to minimize inner ear damage

2010-09-01
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Intratympanic gentamicin injection is the easiest and least invasive treatment available for Menière's disease as compared to other procedures available today. The most important side effect of this therapy however is sensorineural hearing loss primarily at the high frequencies. Ototoxicity of gentamicin begins at the outer hair cells of the basal turn of cochlea and progresses apically. It can even involve inner hair cells.

Pharmacokinetics of drugs in transtympanic administration

2010-09-01
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There are two possible ways to deliver drugs in cases of inner ear diseases: via the bloodstream through systemic administration and through the two windows of the inner ear by application into the middle ear cleft. Efforts to find the strategies to deliver drugs to the inner ear are continuously made by Researchers worldwide.

Intratympanic management for autoimmune inner ear disease

2010-09-01
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Autoimmune inner ear disease (AIED) is a rare condition that accounts for less than 1 % of hearing loss or dizziness. Patients generally have aural fullness as well as tinnitus which may precede the hearing loss. One ear is usually involved first and worsens ahead of the contralateral side. Therefore, patients may have only unilateral involvement on initial presentation. A spontaneous improvement or resolution of untreated hearing loss in patients affected by AIED does not often occur.

Spontaneous nystagmus in benign paroxysmal positional vertigo

2010-04-01
10.1016/j.amjoto.2010.01.005
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The purpose of this study was to evaluate the presence and eventually to study the features of spontaneous nystagmus (Ny) in our patients with diagnosis of benign paroxysmal positional vertigo (BPPV). We retrospectively reviewed the clinical records of patients who presented with vertigo spells and were managed at our tertiary care referral center. Patients with only idiopathic BPPV presenting with typical vertigo spells and positioning Ny characteristic of the disease were included in this study.

Management of naso-septal deformity in childhood: Long-term results

2009-06-01
10.1016/j.anl.2009.02.005
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The classical teaching advocates a conservative approach for children presenting with various naso-septal deformities. It may not be appropriate especially when it causes nasal obstruction to the growing child. This study has two main purposes: to contribute in identifying the correct selection criteria for surgical management of pediatric patients and in selecting the most appropriate surgical technique.

Management of tinnitus: Oral treatment with melatonin and sulodexide

2009-04-01
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The main problem arising from tinnitus is the disturbance it causes in day-to-day life and disturbance in sleep leading to fatigue and general discomfort. We attempted to study the effect of melatonin in conjunction with Sulodexide as a treatment method for tinnitus and evaluate its effectiveness. We studied 102 patients suffering from tinnitus with a Prospective Randomised Controlled Study conducted in a tertiary care ENT department.

Treatment of central and sensorineural tinnitus with orally administered Melatonin and Sulodexide: Personal experience from a randomized controlled study

2009-04-01
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Since very little is understood about the exact aetiology of tinnitus, this has made treatment of the condition difficult. Even though approximately 10-15% of the general population suffer from tinnitus, only 2% consider it serious enough to warrant any treatment. The main problem arising from tinnitus is the disturbance it causes not only in day to day life but also in sleep, leading to fatigue and general discomfort. The present study focused on the effect of Melatonin in conjunction with Sulodexide as a treatment method for tinnitus.

Management of benign paroxysmal positional vertigo of lateral semicircular canal by Gufoni's manoeuvre

2009-03-01
10.1016/j.amjoto.2008.03.001
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Benign paroxysmal positional vertigo (BPPV) of lateral semicircular canal (LSC) is one of the rarer forms of BPPV as compared to posterior semicircular canal BPPV. Various particle repositioning manoeuvres have been described in the literature as a mode of treating this condition. Evaluation and discussion of the procedure of the Gufoni's manoeuvre and its advantages in the treatment of BPPV of LSC.

Delayed facial nerve paralysis post middle ear surgery: Herpes simplex virus activation

2009-02-01
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Delayed facial nerve paralysis post middle ear surgery: herpes simplex virus activation. Facial nerve paralysis following middle ear surgery is a nightmare for the otology surgeon. Usually this is caused by surgical trauma or local anaesthetic use. It is uncommon to see onset of facial nerve palsy more than 72 hours following the surgery. We report a case of facial nerve paralysis appearing 11 days following a successful canal wall-down mastoidectomy.

Uvulopalatopharyngoplasty with tonsillectomy in the treatment of severe OSAS

2009-01-01
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To establish the efficacy of uvulopalatopharyngoplasty with tonsillectomy for treating selected patients with severe obstructive sleep apnea syndrome. Retrospective study of patients who underwent clinical/instrumental evaluation and surgical treatment. University ENT division with a tertiary snoring referral center. Twenty-two patients with normal body mass index affected by severe obstructive sleep apnea syndrome.

Pleomorphic adenoma of the lateral nasal wall: Case report

2008-06-01
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Pleomorphic adenoma is the most common tumour of the salivary glands. However, it is extremely rare for these to originate in the nose and even when they do so, it is most commonly in the nasal septum. It is important to be aware of the paucity of presenting symptoms (nasal obstruction and epistaxis), as the lesion may not be recognized immediately. Growth is generally restricted locally and the tumour is not known to spread to the neighbouring structures.

Nasal septal polyps: A report of two cases

2008-02-01
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It is common to see nasal polyps arising from the lateral wall of the nose; however, polyps arising from the nasal septum are rare. Diagnosis of such lesions is usually made by nasal endoscopy and confirmed by computer tomography. Two cases of isolated nasal septum polyps were diagnosed from 150 consecutive functional endoscopic sinus surgeries. Both patients had septal deviation; only one had a history of allergy.

Chronic otitis caused by heterotopic brain tissue in pterygopalatine fossa

2007-12-01
10.1016/j.pedex.2007.07.001
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Heterotopic brain tissue is a rare is congenital anomaly, it may present at any age but it is frequently in infancy. This anomaly can occur most frequently in nasal region, although rests elsewhere in the digestive tract, in facial tissue or in lungs have been reported. Heterotopic brain tissue has been defined as a mass composed of mature brain tissue, outside the cranial cavity or spinal canal.

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Contact

Mangalore

Maithri Speciality Clinics

Kankanady - Balmatta Road
Bendoorwell, Mangalore-575002

0824-2225626
082965 85860

Kasaragod

Maithri ENT & Dental Clinic

1st Floor,Swasthi Health Consultants
Opp. Block Development Office, A.T.Road, Kasaragod-671121

+91 9496331881
04994-293573

Timings

Mangalore

Monday - Friday : 4:00 P.M. - 7:00 P.M.
Thursday : 10:30 A.M. - 1:00 P.M. and 4:00 P.M. - 7:00 P.M.
Saturday & Sunday Holiday

Kasaragod

Tuesday and Saturday : 9:00 A.M. - 1:00 P.M.