Department of Otorhinolaryngology (ENT)

Comprehensive care for ear, nose, throat, hearing, balance and sleep

From outpatient evaluation to advanced otologic, rhinologic, and head & neck surgery — supported by audiology, cochlear implant services, and 24-hour emergency care.

The department utilizes specialized ophthalmic equipment and procedures to support diagnostic evaluations, therapeutic laser interventions, and optical dispensing

24 Hrs

ENT Emergency Care

More Than 30

Surgical Procedures Offered

UNHS

Newborn Hearing Screening

Outpatient Services

Evaluation, diagnosis and treatment under one roof

Comprehensive outpatient evaluation, diagnosis, and treatment for conditions affecting the ear, nose, throat, head and neck, hearing, balance, and sleep — supported by experienced ENT specialists, audiologists and clinical staffs.

01

Ear Nose Procedures

Ear wax removal, IG packing, foreign body removal, anterior nasal packing, and chemical cauterization for epistaxis

02

Endoscopic Evaluation

Flexible nasopharyngolaryngoscopy for detailed assessment of the nose, throat, and larynx.

03

Balance & Vertigo Services

Clinical evaluation and diagnostic testing for patients with dizziness and vertigo.

04

Balance & Vertigo Services

Incision and drainage of abscesses, keloid excision, ear lobe repair, and wound dressings.

05

Audiological Services

Pure Tone Audiometry (PTA), Tympanometry, Otoacoustic Emissions (OAE), and BERA/ABR testing.

Specialized Services

Comprehensive specialized services covering the full spectrum of ear, nose, throat, head and neck, hearing, balance and sleep disorders.
Ear And Otology Surgery
Nose And Sinus Surgery
Head And Neck Surgery
Sleep Medicine And Surgery

Cochlear implantation
Tympanoplasty and myringoplasty
Myringotomy, with or without ventilation tube insertion
Mastoidectomy — cortical, canal wall up/down
Cholesteatoma surgery
Ossiculoplasty and ossicular chain reconstruction
Stapes surgery — stapedotomy and stapedectomy
Atticotomy and epitympanectomy
Scutumplasty
Canal wall reconstruction and mastoid obliteration

Endoscopic ear surgery
Endoscopic middle-ear and cholesteatoma surgery
Management of chronic otitis media and its complications
Ventilation tube surgery / otitis media with effusion
Revision ear surgery
CSOM and complicated ear disease surgery
Facial nerve decompression and related procedures
Surgery for temporal bone and lateral skull-base lesions
Repair of selected CSF leaks (otologic skull-base)
Other reconstructive and hearing-restoration procedures

  • Rhinoplasty
  • Septoplasty and turbinoplasty
  • Submucous resection (SMR)
  • Reduction of nasal bone fractures
  • Functional Endoscopic Sinus Surgery (FESS)
  • Endoscopic medial maxillectomy
  • Endoscopic sphenopalatine artery ligation (ESPAL)
  • Endoscopic management of nasal and sinonasal lesions
  • Endoscopic pituitary surgery
  • Thyroid surgeries
  • Neck dissection
  • Tonsillectomy and adenoidectomy
  • Excision of neck masses
  • Sistrunk operation
  • Parotidectomy
  • Submandibular gland excision
  • Incision and drainage of neck abscesses
  • Tracheostomy
  • Management of benign and malignant head & neck conditions
  • Endoscopic laryngeal surgery for vocal cord lesions
  • Drug-Induced Sleep Endoscopy (DISE)
  • Zeta pharyngoplasty
  • Uvulopalatopharyngoplasty (UPPP)
Cochlear Implant Program

Comprehensive Cochlear Implant Services

Patient selection, preoperative assessment and counselling, cochlear implant surgery, device activation, mapping, and postoperative auditory rehabilitation — all under one program.

Specialized Services

Comprehensive specialized services covering the full spectrum of ear, nose, throat, head and neck, hearing, balance and sleep disorders.
Ear And Otology Surgery
Nose And Sinus Surgery
Head And Neck Surgery
Head And Neck Surgery

Cochlear implantation
Tympanoplasty and myringoplasty
Myringotomy, with or without ventilation tube insertion
Mastoidectomy — cortical, canal wall up/down
Cholesteatoma surgery
Ossiculoplasty and ossicular chain reconstruction
Stapes surgery — stapedotomy and stapedectomy
Atticotomy and epitympanectomy
Scutumplasty
Canal wall reconstruction and mastoid obliteration
Endoscopic ear surgery
Endoscopic middle-ear and cholesteatoma surgery
Management of chronic otitis media and its complications
Ventilation tube surgery / otitis media with effusion
Revision ear surgery
CSOM and complicated ear disease surgery
Facial nerve decompression and related procedures
Surgery for temporal bone and lateral skull-base lesions
Repair of selected CSF leaks (otologic skull-base)
Other reconstructive and hearing-restoration procedures

Rhinoplasty
Septoplasty and turbinoplasty
Submucous resection (SMR)
Reduction of nasal bone fractures
Functional Endoscopic Sinus Surgery (FESS)
Endoscopic medial maxillectomy
Endoscopic sphenopalatine artery ligation (ESPAL)
Endoscopic management of nasal and sinonasal lesions
Endoscopic pituitary surgery

Thyroid surgeries
Neck dissection
Tonsillectomy and adenoidectomy
Excision of neck masses
Sistrunk operation
Parotidectomy
Submandibular gland excision
Incision and drainage of neck abscesses
Tracheostomy
Management of benign and malignant head & neck conditions
Endoscopic laryngeal surgery for vocal cord lesions

Drug-Induced Sleep Endoscopy (DISE)
Zeta pharyngoplasty
Uvulopalatopharyngoplasty (UPPP)

Cochlear Implant Program

Comprehensive Cochlear Implant Services

Patient selection, preoperative assessment and counselling, cochlear implant surgery, device activation, mapping, and postoperative auditory rehabilitation — all under one program.

Community Services

Committed to early detection, diagnosis, hearing rehabilitation, community outreach, and long-term follow-up.
  • Universal Neonatal Hearing Screening (UNHS) with appropriate follow-up and early intervention
  • Hearing aid evaluation, selection, fitting, programming, counselling, and rehabilitation
  • Cochlear implant counselling, assessment, and referral/management for eligible patients
  • Comprehensive hearing rehabilitation for children and adults
  • Community-based hearing screening and awareness programs
  • Early identification and management of childhood hearing loss
  • Follow-up and rehabilitation of children receiving hearing aids or cochlear implants
  • Community-based hearing health initiatives
  • Research related to hearing screening, hearing loss, cochlear implantation, and hearing rehabilitation

Institutional collaborations & Research Activities

Institutional Collaborations And Professional Affilations

Institutional Collaborations

S. NPartner NameCountry
1Seoul National University Hospital (SNUH)South Korea
2Fresenius FoundationGermany
6World Doctors OrganizationItaly
7Ludwig Maximilian University (LMU), MunichGermany
8Vijaya ENT CentreBangalore, India

Professional Affiliations

S. NOrganization
1Society of Otolaryngologists of Nepal (SOL Nepal) (SNUH)
2Indian society of otology
European academy of otology and neurotology
Korean society of otolaryngology
Politzer society of otology
British society of otolaryngology (ENT UK)
International working group for endoscopic ear surgery.
Asia Pacific Society of Thyroid Surgeons
3Sleep Society of Nepal
4Society of Facial and Plastic Surgery of Nepal
5International working group for endoscopic ear surgery
6International working group for endoscopic ear surgery

Research Activities

Current Research Projects

  • Genetics in congenital hearing loss.
  • Genetics in thyroid carcinoma.
  • Community-based universal neonatal hearing loss screening.
  • Endoscopic ear surgery.
  • School hearing health.
  • Positional obstructive sleep apnea.
  • Role of biofilms in chronic rhinosinusitis.
  • Study of neck trauma in a tertiary care hospital.
  • Volumetric analysis of the maxillary, sphenoid and frontal sinuses using CT imaging.
  • Quality of life in tinnitus.
  • Radiological analysis of the relation of sphenoid ostium and sinus.
  • Hearing loss among the elderly population.
  • Radiological analysis of sinus tympani in the Nepalese population (unpublished).
  • Radiological assessment of Korner’s septum.
  • Effectiveness of intratympanic dexamethasone injection in the treatment of sudden sensorineural hearing loss.
  • Comparative study of automated auditory brainstem response (AABR) and brainstem evoked response audiometry (BERA) for hearing loss detection in high-risk infants delivered in Dhulikhel Hospital.
  • Prevalence of sensorineural hearing loss in patients with Diabetes Mellitus.

Published Research Articles

  • Shrestha BL, Sijapati D, Dhakal A. Efficacy of Budesonide Nasal Irrigation in Comparison to Normal Saline Irrigation in Post-Operative Management of Functional Endoscopic Sinus Surgery. Kathmandu Univ Med J. 2025;89(1):20-24.
  • K.C. AK, Shrestha BL, Dhakal A. “SNOT RACE”: Dhulikhel Hospital Protocol for Analysis of Computed Tomography of Nose, Paranasal Sinuses. Kathmandu Univ Med J. 2025; 89(1): 119-22.
  • Dhakal A, Shrestha BL, Pokharel M, Pradhan A, Shrestha S. Quality of Life in Individuals with Tinnitus.  Kathmandu Univ Med J. 2025; 90(2):137-41.
  • Shrestha BL. Thyroid Cancer — Rising Incidence and Healthcare Challenges in Nepal. Kathmandu Univ Med J. Kathmandu Univ Med J. 2025; 90(2):1-2.
  • Maharjan A, Shrestha BL. Anatomical Position and Classification of the Sigmoid Sinus on HighResolution Computed Tomography Temporal Bone:A Retrospective Cross-Sectional Study. Kathmandu Univ Med J. 2026; 94(1): 88-93.
  • Shrestha BL, Ghimire SB, Pradhan A. Outcome of Hearing Screening using Automated Auditory Brainstem Response (AABR) in Neonates Delivered through High Risk Pregnancies in Dhulikhel Hospital. Kathmandu Univ Med J. 2025; 92(4): 518-22.
  • Shrestha BL, Malla N, KC AK, Chauhan S. Incidental Histopathological Identification of Actinomyces Colonization within a Benign Left True Vocal Fold Polyp. Kathmandu Univ Med J. 2026; 94(1): 130-3.
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Department of ENT

Doctors

  • Prof. Dr. Bikash Lal Shrestha

    ENT Surgeon
  • Dr. Monika Pokharel

    ENT Surgeon
  • Dr. Ashish Dhakal

    ENT Surgeon
  • Dr. Abha Kiran KC

    ENT Surgeon
  • Dr. Krishna Sundar Shrestha

    ENT Surgeon
  • Dr. Sameer Karmarcharya

    ENT Surgeon