About Us

Dr. Mukundan Subramanian offers a wide range of services in adults and children including Routine ENT, Head & Neck Surgery, Management of Vertigo & Balance Disorders, Dysphagia Management in Elderly/ Neurologic/ Head Neck Cancer patients, Office based Laryngology and Head & Neck Oncology.

Dr. Mukundan has two main subspecialty interest areas: the first being dizziness & vertigo and the other on disorders of the throat, swallowing, and voice.

With the intention of upgrading his skills to the management of the balance disordered patient, he has also completed a Certificate Course in the Assessment & Management of Vestibular Disorders awarded by Yenepoya University in 2022.

Dr. Mukundan has presented numerous research papers at local & national ENT conferences and has won several awards for his clinical work, including at the notable PHONOCON meeting in 2022. He also has several scientific articles in peer-reviewed journals and is also regularly invited as a speaker at several National scientific meetings, especially on the topic of Swallowing Disorders.

If you are looking for a skilled ENT Surgeon in Chennai, look no further than Dr. Mukundan Subramanian. With sound theoretical and research foundations, Dr Mukundan brings up-to-date evidence-based practice to the care of all his patients. Make an appointment with us right now to begin the process of improving your Ear, Nose, and Throat health.

OUR MISSION:
Specialized Vertigo Clinic & ENT Centre, Chennai is a one-stop center committed to improving the quality of life of people with Vertigo, Dizziness, and Balance disorders by providing comprehensive state-of-the-art evidence-based diagnostic services and treatment.

What is a Vestibular Disorder?
VERTIGO, DIZZINESS & BALANCE COMPLAINTS often referred to as VESTIBULAR DISORDERS may result from disturbances in the ear, the neck, the muscles and joints, the eyes, the nervous system connections of these structures, or a combination of these.

What to expect from Specialized Vertigo Clinic & ENT Centre, Chennai?
After performing a focused history and physical examination, a simple treatment regimen might be enough for some patients. Thereafter you have to fill out a form that assesses the impact of your vestibular disorder on your quality of life. However, the majority will need further diagnostic testing to determine the cause of the vestibular disorder and to be certain that there is no serious or life-threatening disease.

Diagnostic Testing: at Specialized Vertigo Clinic & ENT Centre, Chennai consists of state-of-the-art assessments to offer non-invasive painless evaluation:

Positional tests to diagnose the side and canal in case of Benign Positional Paroxysmal Vertigo (BPPV)

Videonystagmography (VNG)  Video goggles are placed over the eyes and eye movements associated with the inner ear and brain that control balance are recorded

Video Head Impulse Test (vHIT) to assess the function of semi-circular canals which are part of the balance organ in the inner ear

Caloric Test to help determine if there is any difference between the balance function of each ear

·Subjective Visual Vertical & Subjective Visual Horizontal tests to assess function of the otolith organs which are a part of the balance organ in the inner ear

·Posturography to measure balance ability under different circumstances

Treatments offered at Specialized Vertigo Clinic & ENT Centre, Chennai include 

Canaloltih repositioning manoeuvres

Vestibular rehabilitation exercises

· Medications

· Surgery – very rarely

What are some common causes of vestibular disorders?

• BPPV: caused by calcium crystals floating in the ear and is associated with a brief spinning sensation triggered by head movements. Most cases can be resolved in one clinic visit with repositioning maneuvers.

• Meniere’s disease: over-accumulation of fluid in the inner ear causes attacks of vertigo, ringing in the ear, and fluctuating hearing loss. Treatment consists of salt restriction and medications.

• Vestibular Migraine: A very common condition especially in young females with a family history of migraine. Dietary and lifestyle changes in addition to medications for migraine are helpful in treating this condition.

• Vestibular neuritis: s probably caused by a virus that causes swelling around the balance nerve. It is associated with intense spinning dizziness, nausea, vomiting and difficulty walking or standing up on the first few days that gradually subsides. Some people also develop difficulty hearing in one ear. Physical therapy can help speed patients to a full recovery.

• Stroke/ TIA’s/ Medications/ Multiple Sclerosis/ Head Injury / Ear Infections can lead to vestibular disorders

INSTRUCTIONS FOR PATIENTS:

· Please refrain from taking the following types of medications 24 hours prior to their appointment: ALCOHOL/ANTI-VOMITING DRUGS/ANTI-VERTIGO DRUGS/ SEDATIVES.

· Please bring a relative or a friend with you for the appointment

· Please allow 1- 2 hours for your appointment.

· Please bring the list of medications along with previous scans and medical reports

· Do not wear contact lenses or mascara during the appointment. Wear your glasses instead.

·  AVOID eating for at least 1 HOUR before the test

Can we help you?

Vertigo: It is a sensation of self-motion with any of your movements or the sensation of distorted self-motion during an otherwise normal head movement. It could be spinning vertigo or non-spinning vertigo (swaying, tilting, bobbing, bouncing, or sliding sensations).

Dizziness: It is the sensation of disturbed spatial orientation. It could also come spontaneously or be triggered by head and body positions, sound or Valsalva like manoeuvres

Vestibulo-visual symptoms: These are false sensations of jerky visual flow or false sensation that the visual surround is oscillating or bouncing or bobbing or jerking

Postural symptoms: These could be unsteadiness or instability with a tendency to veer in a particular direction (called directional pulsion), balance-related near falls, or balance-related falls.

(From Classification of vestibular symptoms: Journal of vestibular research 19(2009) 1-13.)