ENT/Head Neck surgery,JDWNRH

28/04/2026

Thank you Ashi la

21/04/2026

02/04/2026

April is Head & Neck Cancer Awareness Month.

Each year, more than 55,000 Americans develop cancer of the head and neck, and nearly 13,000 will die from it. Most cases are preventable, and early diagnosis is key to successful treatment.

This month, help your patients know the warning signs. Access awareness graphics, patient education resources on HPV, neck masses, laryngeal cancer, and more here: https://hubs.ly/Q049ks3q0

01/04/2026

Join us tomorrow as we “Light It Blue” in support of World Autism Awareness Day 💙

Let’s come together to raise awareness, celebrate neurodiversity, and show our support for individuals on the autism spectrum and their families. Every light shines a message of inclusion, understanding, and acceptance.

Be part of the movement. Wear blue, share your support, and help us spread the message.

21/03/2026

1️⃣ Sudden Hearing Loss
• Rapid loss of hearing in one or both ears.
• Could be sudden sensorineural hearing loss, which is an ENT emergency.
• Early treatment (often steroids) within 24–72 hours can improve recovery.

2️⃣ Difficulty Breathing or Swallowing
• May indicate airway obstruction, severe infection, epiglottitis, allergic reaction, or a foreign body.
• If severe, it can become life-threatening and needs immediate evaluation.

3️⃣ Persistent Nosebleeds (Epistaxis)
• Recurrent or prolonged nosebleeds may be due to hypertension, trauma, infection, tumors, or clotting disorders.
• Bleeding lasting >20 minutes or recurring frequently needs medical assessment.

4️⃣ A Neck Lump That Doesn’t Go Away
• Any neck swelling persisting more than 2–3 weeks should be evaluated.
• Possible causes include infection, thyroid disease, lymph node enlargement, or head and neck cancers.

5️⃣ Severe Ear Pain with Fever
• Could indicate acute otitis media, mastoiditis, or severe ear infection.
• In children especially, this may require urgent treatment.

If these symptoms appear suddenly, persist, or worsen, patients should seek medical care immediately—preferably with an ENT specialist.

16/03/2026

Bear Attack Season in Bhutan - Stay Alert

As March begins, many people go to forests to collect mushrooms and firewood. This is also a time when bears become more active, increasing the risk of human-wildlife encounters.

Simple precautions can help prevent encounters:

- Avoid going alone in forests. If possible, go in groups
- Inform family where you are going
- Make noise while walking so wildlife is not surprised
- Stay alert for bear footprints or droppings
- If you encounter a bear, Do not run. Stay calm and slowly back away

Awareness and caution can prevent injuries and save lives while allowing us to coexist safely with wildlife.

For more information, refer to the research article:
“Circumstances of Human Conflicts with Bears and Patterns of Bear Maul Injuries in Bhutan (2015–2019).”
https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0237812

13/03/2026

World Sleep Day – March 13
Theme for 2026: “Sleep Well, Live Better.”

In today’s fast-paced world, sleep deprivation is often glorified as productivity. But the truth is that sleep is essential for physical health, mental wellbeing, immunity, and daily performance.

Good sleep habits can make a big difference:
- Maintain a regular sleep schedule
- Avoid screens before bedtime
- Limit caffeine late in the day

Many sleep problems are also related to ENT conditions, such as:
- Snoring
- Nasal obstruction
- Enlarged tonsils/adenoids
- Obstructive sleep apnea.

These can significantly affect sleep quality but are treatable with proper evaluation and care.

Healthy sleep is not a luxury; it is a necessity for better living.

11/03/2026

“From Communities to Classrooms: Hearing Care for All Children” — the theme for World Hearing Day 2026 — was observed today in a modest but meaningful way at Apollo Nursing Institute.

We extend our sincere gratitude to everyone who took part in the event. This program was made possible through the support and collaboration of the Disability Program and Zhenphen Hearing.

09/03/2026

Normal saline irrigation (nasal saline rinse) is a simple and effective method to clean the nasal cavity using sterile saline solution. It helps remove mucus, allergens, crusts, and infectious material from the nose and sinuses.

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1. Indications (Common Uses)

Saline irrigation is commonly recommended for:
• Chronic rhinosinusitis
• Allergic rhinitis
• Post-operative care after endoscopic sinus surgery
• Upper respiratory infections
• Nasal crusting or dryness
• Deviated septum with mucus stasis

It is widely used in ENT practice to improve mucociliary clearance.

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2. Solution Used

The most common solution is 0.9% Normal Saline.

Typical preparation (if homemade):
• 1 teaspoon salt
• 1 liter boiled and cooled sterile water

Optional:
• A pinch of sodium bicarbonate may be added to reduce irritation.

Important:
• Use sterile, distilled, or boiled water to prevent infection.

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3. Methods / Devices

Common devices used:
1. Neti pot
2. Squeeze bottle (most common in hospitals)
3. Bulb syringe
4. Powered irrigation devices

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4. Basic Technique
1. Lean over a sink and tilt the head slightly forward and to one side.
2. Insert the nozzle into the upper nostril.
3. Gently squeeze or pour saline so it flows through the nasal cavity and exits the other nostril.
4. Breathe through the mouth during the procedure.
5. Repeat on the other side.

Typical volume: 100–250 ml per nostril.

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5. Benefits
• Clears mucus and debris
• Reduces nasal congestion
• Improves breathing
• Enhances effectiveness of intranasal medications
• Promotes post-surgical healing

08/03/2026

Happy women’s Day 🫶

Commemorative message on International Women’s day from Jigme Dorji Wangchuck National Referral Hospital