Minimally Invasive Endoscopic ENT Surgery Center

 

 

 

     Ramkhamhaeng Hospital's Endoscopic Ear, Nose, and Throat (ENT) Surgery Center has a 20-year history of pioneering and effective surgical treatments, aiming for optimal patient outcomes. It was among the first hospitals in Thailand to achieve widespread recognition for its successful results. The center offers a range of advanced endoscopic procedures, including:

 

• Full House Endoscopic Sinus Surgery (ESS)
• Transnasal Endoscopic Pituitary Tumor Removal (in collaboration with neurosurgeons)
• Transoral Submandibular Gland Excision
• Endoscopic Salivary Duct Stone Removal
• Extracapsular Parotid Tumor Excision (to minimize facial nerve damage)
• Tonsillectomy and various snoring treatments
• Endoscopic Thyroidectomy

 

 

---

Ramkhamhaeng Hospital's successful implementation of these procedures establishes it as a leading and widely recognized pioneer in endoscopic ENT surgery in Thailand.

 

   

 

 

 

Our Center's Philosophy

     The Endoscopic Ear, Nose, and Throat (ENT) Surgery Center focuses on performing surgeries through natural orifices like the nasal cavity, ear canal, or mouth to avoid external skin incisions. If an external incision is necessary, our surgical team strategically places it within natural skin folds or in concealed areas, such as the hairline or behind the ear, always aiming for the smallest possible incision.

 

Advantages of Endoscopic ENT Surgery

We utilize various advanced endoscopic instruments, including endoscopes, microscopes, and flexible endoscopes, alongside modern, high-standard surgical equipment. This approach offers significant benefits:

 

• Faster patient recovery
• Minimal post-operative pain
• Reduced blood loss
• Shorter hospital stays or outpatient surgery
• Minimal or no external scarring

 

 

Our Services

Ram Minimally Invasive ENT Surgery Center offers the following services :

 

1.  Nose

Endoscopic surgery through the nostrils for the treatment of

 

• Sinusitis in both adults and children, including corrective surgery for recurrent sinusitis, using a state-of-the-art navigator for enhanced safety and to reduce the chance of complications.
• Nasopharyngeal and sinus tumors, such as rhinitis or other types of tumors
• Crooked nasal septum to correct nasal congestion on one or both sides, which may have been the root cause of pain in the nose and chronic sinusitis.
• Swollen nasal turbinate and/or abnormal enlargement of the bone
• Pituitary or basal tumor
• Nodules behind the nasal cavity and adenoids.
• Severe nosebleeds
• Cerebrospinal fluid leakage
• Balloon Sinuplasty
• Surgery for turbinate reduction using radiofrequency, cold plasma laser, or microdebrider to reduce nasal congestion and/or itching, sneezing, and runny nose.

 

 

 

Corrective surgery for patients with recurrent sinusitis.

 

Source: Photo courtesy of Dr. Puripan Aramawattanapong, Ear, Nose, and Throat Specialist

 

 

2.  Oral, Throat, and Larynx

• Laser, radiofrequency, or sound wave surgery inside the oral cavity for treatment of diseases such as oral, tongue, or cheek bulge, as well as other lesions that are at risk of cancer.
• Knife-free tonsillectomy and/or adenoids that allow for a smooth tissue cut, minimal injury to nearby tissues, and very little blood loss, by using methods such as electric and cold plasma ablation, high-frequency sound waves, or radio frequency.
• Using Endoscopy to assess the location of the blocked airway, the cause of snoring, and perform a knife-free surgery at a specific area to achieve the best treatment results with minimal injury. These knife-free surgeries may include soft palate surgery combined with muscle tightening in the neck cavity or surgery to shrink the tissue at the back of the tongue using an oral endoscope.
• Knife-free surgery for tumors at the back of the tongue and laryngeal lumen using an oral endoscope
• Surgery for tumors around the larynx or vocal cords by using an oral endoscope

 

 

 

 

Source: Photo courtesy of Dr. Puripan Aramawattanapong, Ear, Nose, and Throat Specialist

 

 

 

Source: Photo courtesy of Dr. Puripan Aramawattanapong, Ear, Nose, and Throat Specialist

 

Addition (1)

• Surgical treatment to inject body fat and/or approved filler substance into the vocal cords to improve hoarseness from a single vocal cord paralysis or vocal cord atrophy.
• Vocal cord surgery to cure respiratory distress in patients with closed bilateral vocal cord paralysis.
• Surgery for Sublingual gland or Ranular cyst surgery
• Submandibular gland surgery by using an oral endoscope, which results in no external incision.
• Parotid gland tumor surgery with small incision and extracapsular dissection technique to reduce facial nerve damage
• Endoscopy of the salivary duct to diagnose and remove salivary duct stones
• Endoscopic thyroid surgery, which can be done through the oral cavity and behind the ear to avoid a neck incision.

 

Thyroid surgery by oral endoscopy

Thyroid surgery by endoscopic surgery behind the ear

 

 

 

Addition (2)

• Dissection of pus around the mouth and throat cavity through the mouth for patients with deep neck infection to avoid neck incision and/or tracheostomy
• Surgical removal of the jaw tumor through the oral cavity using an endoscope.

 

RAM Minimally Invasive ENT Surgery Center, where beauty and efficiency of treatment go hand in hand. 

 

 

Source: Photo courtesy of Dr. Puripan Aramawattanapong, Ear, Nose, and Throat Specialist

 

 

3.  Ear

• Endoscopic surgery to insert a balloon for the enlargement of the Eustachian Tube
• Endoscopic surgery (Tympanoplasty) to repair a perforated eardrum
• Endoscopy to visualize and assess the flat air cavity behind the ear and ear bones before performing middle ear surgery
• Surgery to repair Cerebrospinal fluid leakage

 

---